Table: enrolled_medi_cal_fee_for_service_ffs_providers , legal_name like N*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

objectid	provider_source	provider_number	npi	owner_number	service_location_number	legal_name	enroll_status_eff_dt	provider_taxonomy	nemt_nmt_provider_type	anc_provider_type	fi_provider_type_cd	fi_provider_type	provider_license	fi_provider_specialty_cd	fi_provider_specialty	out_of_state_indicator	in_out_state	address_attention	address	address2	city	state	zip	zip_4	dhcs_county_cd	fips_county_cd	latitude	longitude	countyname
44	Fee-for-Service	1134798028	1134798028	1	1	NGO, ALEXANDER CRNA	2/2/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
54	Fee-for-Service	1295851962	1295851962	1	1	NOLES,LORNA M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5215 SW 18TH DR	PARK RD	PORTLAND	OR	97239	3011	00	None	45.48523802	-122.6959061	Multnomah County
75	Fee-for-Service	1568721397	1568721397	1	1	NEUSTEIN, ADAM Z MD	8/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148265	20	Orthopedic Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
81	Fee-for-Service	1710123609	1710123609	1	1	NGUYEN, CHRYSTENE A MD	4/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	101855	01	General Practice	0	In state provider	None	500 SUPERIOR AVE	STE 160	NEWPORT BEACH	CA	92663	3677	30	06059	33.63017269	-117.929499	Orange County
99	Fee-for-Service	1659309789	1659309789	1	1	NG, PHILIP K MD	12/31/1992	174400000X	NA	Other	026	PHYSICIANS	71446	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
104	Fee-for-Service	1619936457	1619936457	1	1	NELSON, LISA A DO	4/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	2375 E PRATER WAY	None	SPARKS	NV	89434	9641	00	None	39.54247495	-119.6975356	Washoe County
191	Fee-for-Service	1306319785	1306319785	1	1	NORRIS HOME HEALTH INC	3/9/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1314 W GLENOAKS BLVD	STE 103A	GLENOAKS	CA	91201	1978	19	06037	34.16648918	-118.2835374	Los Angeles County
201	Fee-for-Service	1922202811	1922202811	1	1	NAKAMURA, CARRIE H	8/19/2010	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
225	Fee-for-Service	1164582177	1164582177	1	1	NADAKAVUKARAN, JOHN P MD	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74532	05	Anesthesiology	0	In state provider	None	525 W ACACIA ST	None	STOCKTON	CA	95203	2405	39	06077	37.9611947	-121.3009489	San Joaquin County
259	Fee-for-Service	1639230352	1639230352	1	1	NEWMAN, BECKY A PSYD	2/11/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
293	Fee-for-Service	1295897049	1295897049	1	1	NASSIR, ALBERT A MD INC	11/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	82337	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3710 CESAR CHAVEZ AVE	2ND FL	LOS ANGELES	CA	90063	2219	19	06037	34.04048853	-118.1854845	Los Angeles County
382	Fee-for-Service	1578190542	1578190542	1	1	NGUYEN PHAM, ANN B MD	8/5/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	188460	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
390	Fee-for-Service	1285734350	1285734350	1	1	NATALE, RONALD B MD	5/1/1993	284300000X	NA	Hospitals	026	PHYSICIANS	43090	78	Neoplastic Diseases/Oncology	0	In state provider	None	1441 EASTLAKE AVE	STE 162F	LOS ANGELES	CA	90089	0178	19	06037	34.06169385	-118.2044698	Los Angeles County
399	Fee-for-Service	1275052862	1275052862	1	1	NOLAN, JENNIFER LMFT	9/21/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	200	RIVERSIDE	CA	92505	4400	33	06065	33.90100297	-117.49363	Riverside County
480	Fee-for-Service	1326082249	1326082249	1	1	NELSON HERNANDEZ	10/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1400 E OAKLAND PARK BLVD	STE 210	OAKLAND PARK	FL	33334	4400	00	None	26.16680287	-80.1285156	Broward County
519	Fee-for-Service	1356747398	1356747398	1	1	NUTHALS, ELANA NP	9/1/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
529	Fee-for-Service	1205893914	1205893914	1	1	NORLING, VIRGINIA C LCSW	6/13/1999	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	2255 MYRTLE AVE	STE A	EUREKA	CA	95501	3386	12	06023	40.78688533	-124.132153	Humboldt County
562	Fee-for-Service	1487069472	1487069472	1	1	NWOKIDU-ADERIBIGBE, UCHE U M	8/19/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	147970	40	Pediatrics	0	In state provider	D	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
611	Fee-for-Service	1982718433	1982718433	1	1	NSIEN, EPHRAIM MD	7/27/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	143096	10	Gastroenterology (M.D. only)	0	In state provider	None	3501 PALMER DR	STE 201	CAMERON PARK	CA	95682	8276	09	06017	38.66181999	-120.9663334	El Dorado County
667	Fee-for-Service	1154786846	1154786846	1	6	NEIGHBORHOOD HEALTHCARE	7/18/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	257 S GRAND ARMY AVE	ROOM STAFF LOUNGE	SAN JACINTO	CA	92583	3322	33	06065	33.7867181	-116.9655835	Riverside County
680	Fee-for-Service	1992767560	1992767560	1	1	NOVO, ANTHONY G OD	3/30/1991	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	225 DICKINSON ST	None	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
694	Fee-for-Service	1487695888	1487695888	1	1	NORTHWEST HOSPITAL CTR	7/17/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5401 OLD COURT RD	None	RANDALLSTOWN	MD	21133	5103	00	None	39.3593652	-76.78243962	Baltimore County
742	Fee-for-Service	1114447596	1114447596	1	1	NGUYEN, MICHELLE-LINH T MD	2/3/2021	390200000X	NA	Other	026	PHYSICIANS	169414	None	None	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
804	Fee-for-Service	1881168987	1881168987	1	1	NICHOLS, JULIE A RCP	8/30/2020	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
819	Fee-for-Service	1912393604	1912393604	1	1	NUNEZ GALLEGOS, FLORA MD	7/28/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	162194	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
893	Fee-for-Service	1730344078	1730344078	1	1	NGAB, TARIK A MD	4/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115063	None	None	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
928	Fee-for-Service	1871671685	1871671685	1	1	NGUYEN, MICHAEL T MD	6/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	66359	41	Internal Medicine	0	In state provider	None	9421 THORNTON RD	None	STOCKTON	CA	95209	1253	39	06077	38.03602124	-121.33975	San Joaquin County
943	Fee-for-Service	1750788865	1750788865	1	1	NORTHSTAR RADIOLOGY	3/2/2015	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1065 BUCKS LAKE ROAD	None	QUINCY	CA	95971	9507	32	06063	39.93916024	-120.9619096	Plumas County
961	Fee-for-Service	1154786846	1154786846	1	6	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	257 S GRAND ARMY AVE	ROOM STAFF LOUNGE	SAN JACINTO	CA	92583	3322	33	06065	33.7867181	-116.9655835	Riverside County
986	Fee-for-Service	1487695888	1487695888	1	1	NORTHWEST HOSPITAL CTR	7/17/2007	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5401 OLD COURT RD	None	RANDALLSTOWN	MD	21133	5103	00	None	39.3593652	-76.78243962	Baltimore County
1004	Fee-for-Service	1326793043	1326793043	1	1	NATURE ACUPUNCTURE WELLNESS	5/26/2022	261Q00000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	INC	650 W. DUARTE RD	100A	ARCADIA	CA	91007	7617	19	06037	34.12621324	-118.0537434	Los Angeles County
1058	Fee-for-Service	1851436687	1851436687	1	1	NAGARAJA, MYSORE R MD	1/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	25685	41	Internal Medicine	0	In state provider	INC	17075 DEVONSHIRE ST	STE 200	NORTHRIDGE	CA	91325	5407	19	06037	34.25755945	-118.50471	Los Angeles County
1071	Fee-for-Service	1821208703	1821208703	1	1	NARZISI, FRED OD	9/10/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2222 E ST	STE 1	BAKERSFIELD	CA	93301	3849	15	06029	35.3796357	-119.0245697	Kern County
1083	Fee-for-Service	1407531072	1407531072	1	1	NEWELL, JULIE K LMFT	7/8/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1819 CLIFF DR	F	SANTA BARBARA	CA	93109	1650	42	06083	34.40137954	-119.7214154	Santa Barbara County
1095	Fee-for-Service	1497101539	1497101539	1	1	NOLAN, LAURA	7/8/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
1145	Fee-for-Service	1881104313	1881104313	1	1	NORTHEAST VALLEY HEALTH	6/5/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	23413 LYONS AVE	None	SANTA CLARITA	CA	91355	3028	19	06037	34.37974287	-118.5428596	Los Angeles County
1190	Fee-for-Service	1649406505	1649406505	1	1	N AND B PATEL MD INC	10/25/2010	208800000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2010 WILSHIRE BLVD	STE 801	LOS ANGELES	CA	90057	3594	19	06037	34.05748989	-118.2750432	Los Angeles County
1237	Fee-for-Service	1871641761	1871641761	1	1	NGUYEN-DO, BICH N CNM	10/21/2013	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3047	33	06065	33.904782	-117.469323	Riverside County
1346	Fee-for-Service	1851436687	1851436687	1	1	NAGARAJA, MYSORE R MD	1/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	25685	10	Gastroenterology (M.D. only)	0	In state provider	INC	17075 DEVONSHIRE ST	STE 200	NORTHRIDGE	CA	91325	5407	19	06037	34.25755945	-118.50471	Los Angeles County
1374	Fee-for-Service	1164528501	1164528501	1	1	NUTTING, LARRY L MD	8/12/1995	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	79852	40	Pediatrics	0	In state provider	None	780 E ROMIE LN	STE A	SALINAS	CA	93901	4223	27	06053	36.65861498	-121.6403327	Monterey County
1391	Fee-for-Service	1558319335	1558319335	1	1	NINH, HUNG V MD	2/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	49994	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1661 BURDETTE DR	STE E	SAN JOSE	CA	95121	1681	43	06085	37.32012377	-121.8254031	Santa Clara County
1395	Fee-for-Service	1700382470	1700382470	1	1	NANDA, NAINIKA MD	7/21/2023	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	187875	None	None	0	In state provider	None	8641 WILSHIRE BLVD	115	BEVERLY HILLS	CA	90211	2919	19	06037	34.06614972	-118.3798912	Los Angeles County
1433	Fee-for-Service	1881104313	1881104313	1	1	NORTHEAST VALLEY HEALTH	6/1/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	23413 LYONS AVE	None	SANTA CLARITA	CA	91355	3028	19	06037	34.37974287	-118.5428596	Los Angeles County
1443	Fee-for-Service	1851867485	1851867485	1	2	NORTHBAY TRANSIT GROUP INC.	6/8/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	95 ALAMEDA ST	None	VALLEJO	CA	94590	6905	48	06095	38.09684418	-122.2484129	Solano County
1487	Fee-for-Service	1871269191	1871269191	1	1	NEXTDOOR RX INC	9/28/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9922 KATELLA AVE	P	GARDEN GROVE	CA	92804	6419	30	06059	33.801588	-117.95976	Orange County
1527	Fee-for-Service	1194257832	1194257832	1	1	NENE, RAHUL V MD	3/26/2021	207P00000X	NA	Other	026	PHYSICIANS	157389	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
1529	Fee-for-Service	1154786846	1154786846	1	13	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	41840 ENTERPRISE CIR N	None	TEMECULA	CA	92590	5654	33	06065	33.51730799	-117.1697125	Riverside County
1533	Fee-for-Service	1730522194	1730522194	1	1	NOWICKI, THEODORE MD	5/16/2019	390200000X	NA	Other	026	PHYSICIANS	133344	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
1679	Fee-for-Service	1558319335	1558319335	1	1	NINH, HUNG V MD	2/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	49994	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	1661 BURDETTE DR	STE E	SAN JOSE	CA	95121	1681	43	06085	37.32012377	-121.8254031	Santa Clara County
1711	Fee-for-Service	1487682357	1487682357	1	1	NEWMAN, BARBARA L MD	12/31/1996	207P00000X	NA	Other	026	PHYSICIANS	42650	08	Family Practice	0	In state provider	None	564 S DORA ST	STE D	UKIAH	CA	95482	5465	23	06045	39.14576429	-123.2115964	Mendocino County
1716	Fee-for-Service	1104169424	1104169424	1	1	NAEINI, YALDA B MD	12/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	140722	22	Pathology (M.D. only)	0	In state provider	None	2121 SANTA MONICA BLVD	None	SANTA MONICA	CA	90404	2032	19	06037	34.02980528	-118.4786605	Los Angeles County
1721	Fee-for-Service	1881104313	1881104313	1	1	NORTHEAST VALLEY HEALTH	6/5/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	23413 LYONS AVE	None	SANTA CLARITA	CA	91355	3028	19	06037	34.37974287	-118.5428596	Los Angeles County
1778	Fee-for-Service	1396269338	1396269338	1	2	NONGHIN, CHADCHADIN	7/26/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2404 N MAPLE GROVE RD	None	ORANGE	CA	92867	1911	30	06059	33.82803217	-117.8237869	Orange County
1812	Fee-for-Service	1215323266	1215323266	1	1	NATIONAL SEATING & MOBILITY,	10/28/2015	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	1240 REDWOOD BLVD	None	REDDING	CA	96003	1964	45	06089	40.62502798	-122.3804841	Shasta County
1819	Fee-for-Service	1154786846	1154786846	1	13	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	41840 ENTERPRISE CIR N	None	TEMECULA	CA	92590	5654	33	06065	33.51730799	-117.1697125	Riverside County
1829	Fee-for-Service	1487734653	1487734653	1	1	NGUYEN, NINH T MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	84677	69	Unknown	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
1844	Fee-for-Service	1154786846	1154786846	1	3	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	831 N. HIGHLAND SPRINGS	STE 301	BEAUMONT	CA	92223	5771	33	06065	33.93245437	-116.9469871	Riverside County
1858	Fee-for-Service	1568424679	1568424679	1	1	NEPHROLOGY SPECIALISTS MEDIC	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP INC	520 SUPERIOR AVE	SUITE 340	ORANGE	CA	92663	3674	30	06059	33.628914	-117.9276525	Orange
1873	Fee-for-Service	1851633143	1851633143	1	1	NELSON, RYAN K MD	6/8/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	143009	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
1889	Fee-for-Service	1912376641	1912376641	1	1	NEWTON, AMY E	4/29/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
1899	Fee-for-Service	1710962592	1710962592	1	1	NEYHART, BARBARA MD	3/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	41432	01	General Practice	0	In state provider	None	1106 L ST	None	EUREKA	CA	95501	2435	12	06023	40.79780761	-124.1582386	Humboldt County
1924	Fee-for-Service	1508180076	1508180076	1	1	NIDHI GOEL M.D.	8/1/2023	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	22 S GREENE ST	None	BALTIMORE	MD	21201	1544	00	None	39.28815298	-76.62364605	Baltimore city
2009	Fee-for-Service	1881104313	1881104313	1	1	NORTHEAST VALLEY HEALTH	10/9/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	23413 LYONS AVE	None	SANTA CLARITA	CA	91355	3028	19	06037	34.37974287	-118.5428596	Los Angeles County
2065	Fee-for-Service	1396269338	1396269338	1	2	NONGHIN, CHADCHADIN	7/26/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2404 N MAPLE GROVE RD	None	ORANGE	CA	92867	1911	30	06059	33.82803217	-117.8237869	Orange County
2100	Fee-for-Service	1699000786	1699000786	1	1	NAJAFI, NADER K MD	3/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110794	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
2105	Fee-for-Service	1154786846	1154786846	1	13	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	41840 ENTERPRISE CIR N	None	TEMECULA	CA	92590	5654	33	06065	33.51730799	-117.1697125	Riverside County
2126	Fee-for-Service	1154786846	1154786846	1	3	NEIGHBORHOOD HEALTHCARE	12/9/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	831 N. HIGHLAND SPRINGS	STE 301	BEAUMONT	CA	92223	5771	33	06065	33.93245437	-116.9469871	Riverside County
2151	Fee-for-Service	1780662825	1780662825	1	1	NEMIROW, BRUCE PHD	11/26/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
2153	Fee-for-Service	1497945323	1497945323	1	1	NGUYEN, SANDY T OD	8/15/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 NO BRAND BLVD	STE 110	GLENDALE	CA	91203	2308	19	06037	34.15116156	-118.2549512	Los Angeles County
2159	Fee-for-Service	1851633143	1851633143	1	1	NELSON, RYAN K MD	6/8/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	143009	41	Internal Medicine	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
2169	Fee-for-Service	1275523458	1275523458	1	1	NEWMANN, SARA J MD	8/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	94794	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1001 POTRERO AVE	RM 6D	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
2178	Fee-for-Service	1629667480	1629667480	1	1	NGUYEN, MINH THU T CNP	9/8/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1900 19TH AVE	None	SAN FRANCISCO	CA	94116	1250	38	06075	37.75211157	-122.4762664	San Francisco County
2190	Fee-for-Service	1619290251	1619290251	1	1	NAPOLI, KARI M LAC	5/30/2022	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1400 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
2245	Fee-for-Service	1487187456	1487187456	1	1	NWACHUKWU, OLUWAFISAYOMI DO	7/1/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	16794	40	Pediatrics	0	In state provider	None	3380 AVALON AVE	None	YUCCA VALLEY	CA	92284	9154	36	06071	34.19138217	-116.3870703	San Bernardino County
2273	Fee-for-Service	1386116028	1386116028	1	1	NATALIE MONTENEGRO MARRIAGE	1/6/2019	261QM0801X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	42335 50TH ST W	STE 202	LANCASTER	CA	93536	3528	19	06037	34.65209638	-118.2186295	Los Angeles County
2278	Fee-for-Service	1851341804	1851341804	1	1	NIMTZ, JOHN MD	8/31/1986	207L00000X	NA	Other	026	PHYSICIANS	44002	05	Anesthesiology	0	In state provider	None	3325 CHANATE RD	None	SANTA ROSA	CA	95404	1707	49	06097	38.469537	-122.707314	Sonoma County
2296	Fee-for-Service	1104907666	1104907666	1	1	NOWRANGI, SUNIL K MD	12/3/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50536	None	None	0	In state provider	None	11234 ANDERSON ST	STE 1617	LOMA LINDA	CA	95234	2807	36	06071	34.049547	-117.264078	San Bernardino County
2300	Fee-for-Service	1396860896	1396860896	1	1	NDUATI, MICHAEL N MD	5/12/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97648	08	Family Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
2393	Fee-for-Service	1154786846	1154786846	1	13	NEIGHBORHOOD HEALTHCARE	2/12/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	41840 ENTERPRISE CIR N	None	TEMECULA	CA	92590	5654	33	06065	33.51730799	-117.1697125	Riverside County
2447	Fee-for-Service	1851633143	1851633143	1	1	NELSON, RYAN K MD	6/8/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	143009	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
2450	Fee-for-Service	1447246699	1447246699	1	1	NARALA, MADHAVA REDDY MD	3/26/1997	207R00000X	NA	Other	026	PHYSICIANS	51494	41	Internal Medicine	0	In state provider	None	3636 N 1ST ST	STE 132	FRESNO	CA	93726	6818	10	06019	36.78322578	-119.7724022	Fresno County
2464	Fee-for-Service	1902156904	1902156904	1	1	NAIK, SHILPA MD	2/20/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122868	40	Pediatrics	0	In state provider	None	3020 CHILDREN'S WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
2533	Fee-for-Service	1487187456	1487187456	1	1	NWACHUKWU, OLUWAFISAYOMI DO	7/1/2023	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	3380 AVALON AVE	None	YUCCA VALLEY	CA	92284	9154	36	06071	34.19138217	-116.3870703	San Bernardino County
2558	Fee-for-Service	1619924883	1619924883	1	1	NAIR, SHYAM K MD	8/22/2006	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	56115	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1919 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	5010	15	06029	35.37326553	-119.0242755	Kern County
2595	Fee-for-Service	1518435049	1518435049	1	1	NIEDEREE, ALLISON M PT	1/28/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	18600 SOUTH FIGUEROA ST	None	GARDENA	CA	90248	4505	19	06037	33.861339	-118.281473	Los Angeles County
2618	Fee-for-Service	1073639233	1073639233	1	1	NAUGHTON, MARIE E NP	10/10/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4405 VANDEVER AVE	None	SAN DIEGO	CA	92120	3315	37	06073	32.78765609	-117.09908	San Diego County
2702	Fee-for-Service	1629497813	1629497813	1	1	NGUYEN, CHRISTOPHER MD	6/2/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	152781	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
2705	Fee-for-Service	1588673024	1588673024	1	1	NGUYEN, BAO A MD	1/31/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89126	41	Internal Medicine	0	In state provider	None	1180 E SHAW AVE	STE 101	FRESNO	CA	93710	7812	10	06019	36.80891142	-119.768244	Fresno County
2755	Fee-for-Service	1487682357	1487682357	1	1	NEWMAN, BARBARA L MD	12/31/1996	207P00000X	NA	Other	026	PHYSICIANS	42650	66	Emergency Medicine (Urgent Care)	0	In state provider	None	564 S DORA ST	STE D	UKIAH	CA	95482	5465	23	06045	39.14576429	-123.2115964	Mendocino County
2767	Fee-for-Service	1013207653	1013207653	1	1	NOVAK, SEAN MD	7/6/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	184157	None	None	0	In state provider	None	2309 ANTONIO AVENUE	None	CAMARILLO	CA	93010	1414	56	06111	34.24435917	-119.0191975	Ventura County
2847	Fee-for-Service	1619924883	1619924883	1	1	NAIR, SHYAM K MD	8/22/2006	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	56115	41	Internal Medicine	0	In state provider	None	1919 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	5010	15	06029	35.37326553	-119.0242755	Kern County
2875	Fee-for-Service	1003800806	1003800806	1	1	NITTI, VICTOR W MD	10/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	70937	34	Urology and Urological Surgery	0	In state provider	None	200 MED PLAZA	STE 430	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
2950	Fee-for-Service	1215036918	1215036918	1	1	NAYAK, MALA S MD	10/24/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	55279	-	NOT APPLICABLE	0	In state provider	None	2001 THE ALAMEDA	None	SAN JOSE	CA	95126	1136	43	06085	37.34293689	-121.9270392	Santa Clara County
2969	Fee-for-Service	1841367745	1841367745	1	1	NAKASHIMA, DANA K MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	67470	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ATTN MGA OFFICE	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
2991	Fee-for-Service	1003234691	1003234691	1	1	NADAR, KENAN M DO	10/12/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	17739	40	Pediatrics	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
2998	Fee-for-Service	1295938736	1295938736	1	1	NORMAN, VANJAH E MD	9/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	99281	33	Thoracic Surgery	0	In state provider	None	7910 FROST STREET	STE 330	SAN DIEGO	CA	92123	2771	37	06073	32.80027449	-117.153846	San Diego County
3087	Fee-for-Service	1659497451	1659497451	1	2	NGUYEN, CUONG D MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116318	45	Nephrology (Renal-Kidney)	0	In state provider	None	1100 N PALM CANYON DR	STE 211	PALM SPRINGS	CA	92262	4426	33	06065	33.838182	-116.546744	Riverside County
3092	Fee-for-Service	1487608766	1487608766	1	1	NGUYEN, QUAN D MD	6/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	144498	18	Ophthalmology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
3093	Fee-for-Service	1518034321	1518034321	1	1	NORRIS, BARRY C MD	7/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	25529	25	Physical Medicine and Rehabilitation	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
3115	Fee-for-Service	1053355792	1053355792	1	1	NEWPORT HARBOR RAD ASSOC	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	301 NEWPORT BEACH BLVD	None	NEWPORT BEACH	CA	92663	0000	30	06059	33.6242782	-117.9284249	Orange County
3135	Fee-for-Service	1578589727	1578589727	1	1	NUWER, MARC ROMAN MD	1/1/1995	2084N0400X	NA	Neurology	026	PHYSICIANS	32454	13	Neurology (M.D. only)	0	In state provider	UCLA NEUROLOGY GRP	710 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.06680182	-118.4450804	Los Angeles County
3142	Fee-for-Service	1730191941	1730191941	1	1	NIEMAN, JARED D MD	9/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74916	05	Anesthesiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
3246	Fee-for-Service	1285249664	1285249664	1	1	NGUYEN, LUONG NGOC NIKI RCP	3/28/2024	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
3273	Fee-for-Service	1003094020	1003094020	1	1	NIEMEYER, RICHARD S MD	8/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	28871	08	Family Practice	0	In state provider	None	7500 HELLMAN AVE	None	ROSEMEAD	CA	91770	2216	19	06037	34.06982751	-118.1056459	Los Angeles County
3338	Fee-for-Service	1538457106	1538457106	1	1	NEWMAN, DEBBY K LMFT	9/11/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3160 TELEGRAPH RD	STE 200	VENTURA	CA	93003	3250	56	06111	34.27228149	-119.2529119	Ventura County
3375	Fee-for-Service	1659497451	1659497451	1	2	NGUYEN, CUONG D MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116318	41	Internal Medicine	0	In state provider	None	1100 N PALM CANYON DR	STE 211	PALM SPRINGS	CA	92262	4426	33	06065	33.838182	-116.546744	Riverside County
3418	Fee-for-Service	1235574211	1235574211	1	1	NEELY, JESSICA A MD	6/18/2019	2080P0216X	NA	Other	026	PHYSICIANS	135283	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
3452	Fee-for-Service	1003001017	1003001017	1	1	NICHOLS, LAWRENCE M MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	23444	07	Dermatology	0	In state provider	None	5471 LA PALMA AVE	STE 202	LA PALMA	CA	90623	4700	30	06059	33.84643649	-118.0377675	Orange County
3490	Fee-for-Service	1912039686	1912039686	1	1	NOORANI, SHIRIN MD	1/1/1998	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	64169	01	General Practice	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
3504	Fee-for-Service	1831494350	1831494350	1	1	NICHOLAS FITTANTE ACT FAMILY	11/13/2019	104100000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	COUNSELING SERVICES LMF	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
3529	Fee-for-Service	1659558690	1659558690	1	1	NORTH EAST MEDICAL SVS	10/10/2006	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	NORIEGA	1450 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75412598	-122.4794467	San Francisco County
3558	Fee-for-Service	1407362239	1407362239	1	1	NI, HUAN CNP	9/30/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	43360 MISSION BLVD	SUITE 100	FREMONT	CA	94539	5829	01	06001	37.53249631	-121.9198141	Alameda County
3564	Fee-for-Service	1437775202	1437775202	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1280 E GIBSON RD	None	WOODLAND	CA	95776	6315	57	06113	38.660391	-121.761837	Yolo County
3677	Fee-for-Service	1225010903	1225010903	2	1	NWAGWU, ODOCHI MD	6/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	77049	40	Pediatrics	0	In state provider	None	11678 RANCHO DR	None	ADELANTO	CA	92301	2700	36	06071	34.5592985	-117.410409	San Bernardino County
3684	Fee-for-Service	1528012978	1528012978	1	1	NORTHERN CALIFORNIA	3/15/2006	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	SURGERY CENTER	3850 GEER RD	None	TURLOCK	CA	95382	1146	50	06099	37.52786407	-120.8488809	Stanislaus County
3706	Fee-for-Service	1235574211	1235574211	1	1	NEELY, JESSICA A MD	6/18/2019	2080P0216X	NA	Other	026	PHYSICIANS	135283	83	Rheumatology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
3707	Fee-for-Service	1811967920	1811967920	1	1	NGUYEN, MICHELLE H MD	11/19/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	74533	10	Gastroenterology (M.D. only)	0	In state provider	None	2850 COMMERCIAL CROSSING	None	SANTA CRUZ	CA	95065	1816	44	06087	36.98796413	-121.9825327	Santa Cruz County
3778	Fee-for-Service	1114947405	1114947405	1	1	NGUYEN, CHRISTINE U MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	64451	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7000 BOULDER AVE	None	HIGHLAND	CA	92346	3348	36	06071	34.12632952	-117.1956652	San Bernardino County
3795	Fee-for-Service	1831494350	1831494350	1	1	NICHOLAS FITTANTE ACT FAMILY	7/22/2022	104100000X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	COUNSELING SERVICES LMF	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
3814	Fee-for-Service	1033505805	1033505805	1	1	NGUYEN, ANGELINE M MD	7/22/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	162795	18	Ophthalmology	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
3826	Fee-for-Service	1881340057	1881340057	1	1	NELSON, ASHLEY M	4/12/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6800 INDIANA AVE STE 130	None	RIVERSIDE	CA	92506	4266	33	06065	33.94303679	-117.391856	Riverside County
3857	Fee-for-Service	1437775202	1437775202	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1280 E GIBSON RD	None	WOODLAND	CA	95776	6315	57	06113	38.660391	-121.761837	Yolo County
3957	Fee-for-Service	1609256742	1609256742	1	1	NGUYEN, ANGELA G OD	10/12/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1680-D E ROSEVILLE PKWY	BLDG D, UNIT 110	ROSEVILLE	CA	95661	3988	31	06061	38.74724349	-121.2374438	Placer County
3969	Fee-for-Service	1982989711	1982989711	1	1	NICOLE JEAN WEIHRAUCH NP	1/13/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	345 SMITH AVE N	None	SAINT PAUL	MN	55102	2346	00	None	44.94251219	-93.1074995	Ramsey County
3975	Fee-for-Service	1093721896	1093721896	1	1	NANDURI, RAMACHANDER MD	12/17/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	50916	41	Internal Medicine	0	In state provider	None	1062 S K ST	None	TULARE	CA	93274	6421	54	06107	36.19548226	-119.3433058	Tulare County
4011	Fee-for-Service	1265513360	1265513360	2	2	NORTHBAY NEONATOLOGY	7/24/2017	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	ASSOCIATES INC	300 HOSPITAL DR	None	VALLEJO	CA	94589	2514	48	06095	38.13070051	-122.237307	Solano County
4046	Fee-for-Service	1598737553	1598737553	1	1	NATSUMEDA, NEAL OD	6/26/1995	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	419 TORRANCE BLVD	None	REDONDO BEACH	CA	90277	3326	19	06037	33.83808531	-118.383509	Los Angeles County
4053	Fee-for-Service	1275639122	1275639122	1	1	NILSON, JAY T MD	3/1/2021	207L00000X	NA	Other	026	PHYSICIANS	83928	None	None	0	In state provider	None	2550 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4327	52	06103	40.14847323	-122.2180997	Tehama County
4065	Fee-for-Service	1114947405	1114947405	1	1	NGUYEN, CHRISTINE U MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	64451	41	Internal Medicine	0	In state provider	None	7000 BOULDER AVE	None	HIGHLAND	CA	92346	3348	36	06071	34.12632952	-117.1956652	San Bernardino County
4084	Fee-for-Service	1831494350	1831494350	1	1	NICHOLAS FITTANTE ACT FAMILY	1/9/2020	104100000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	COUNSELING SERVICES LMF	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
4097	Fee-for-Service	1093155350	1093155350	1	1	NUKALA, ASWIN MD	5/15/2018	207R00000X	NA	Other	026	PHYSICIANS	141621	41	Internal Medicine	0	In state provider	None	1225 WILSHIRE BLVD	None	LOS ANGELES	CA	90017	1901	19	06037	34.05358988	-118.2661119	Los Angeles County
4100	Fee-for-Service	1730659756	1730659756	1	1	NORTON, SARAH E NP	1/24/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
4122	Fee-for-Service	1144378050	1144378050	1	1	NGUYEN, HUY M MD	8/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	87793	40	Pediatrics	0	In state provider	None	14571 MAGNOLIA ST	STE 210	WESTMINSTER	CA	92683	5576	30	06059	33.75097286	-117.9723502	Orange County
4127	Fee-for-Service	1164788097	1164788097	1	1	NAM, REBEKAH MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139755	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
4140	Fee-for-Service	1811348808	1811348808	1	1	NACHTIGALL, BRYANT A DPM	5/9/2019	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	110 NEW STINE RD	None	BAKERSFIELD	CA	93309	2605	15	06029	35.35333762	-119.0610348	Kern County
4186	Fee-for-Service	1215948849	1215948849	1	1	NIGUIDULA, TROY H MD	3/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92543	41	Internal Medicine	0	In state provider	None	610 EUCLID AVE	STE 201	NATIONAL CITY	CA	91950	2952	37	06073	32.68419388	-117.0829524	San Diego County
4219	Fee-for-Service	1295752962	1295752962	1	1	NATHANIEL L KARLINS MD	11/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	801 BROADWAY N	None	FARGO	ND	58102	3641	00	None	46.885068	-96.7872375	Cass County
4249	Fee-for-Service	1255422051	1255422051	1	1	NERENBERG, ALAN V MD	2/28/1982	207W00000X	NA	Ophthalmology	026	PHYSICIANS	37901	18	Ophthalmology	0	In state provider	None	1045 S ST	None	FRESNO	CA	93721	1406	10	06019	36.74077211	-119.7813343	Fresno County
4282	Fee-for-Service	1992754741	1992754741	2	1	NORTHERN CALIFORNIA PET	2/1/2018	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	IMAGING CENTER	3195 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5233	34	06067	38.568744	-121.4652825	Sacramento County
4284	Fee-for-Service	1346311248	1346311248	1	1	NANJUNDIAH, PRATHIBA MD	5/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	48929	10	Gastroenterology (M.D. only)	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
4322	Fee-for-Service	1013973619	1013973619	1	1	NATHAN, NADIA S	12/23/2019	207L00000X	NA	Other	026	PHYSICIANS	167025	05	Anesthesiology	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
4369	Fee-for-Service	1831494350	1831494350	1	1	NICHOLAS FITTANTE ACT FAMILY	3/31/2021	104100000X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	COUNSELING SERVICES LMF	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
4372	Fee-for-Service	1700978467	1700978467	1	1	NDAGANO, ANNETTE M MD	11/3/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	53487	40	Pediatrics	0	In state provider	None	301 NORTH R STREET	None	LOMPOC	CA	93436	7845	42	06083	34.6423983	-120.4705911	Santa Barbara County
4387	Fee-for-Service	1780446971	1780446971	1	1	NIMMERS, TERRI LMFT	4/10/2025	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6800 INDIANA AVE STE 130	None	RIVERSIDE	CA	92506	4266	33	06065	33.94303679	-117.391856	Riverside County
4440	Fee-for-Service	1922470111	1922470111	1	1	NGUYEN, JESSICA LMFT	1/21/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1600 HUMBOLDT RD	SUITE 3	CHICO	CA	95928	8100	04	06007	39.73660489	-121.8115227	Butte County
4467	Fee-for-Service	1861558496	1861558496	1	1	NISHIKAWA, DIANE M CRNA	3/31/1994	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1580 VALENCIA ST	STE 203	SAN FRANCISCO	CA	94110	4420	38	06075	37.74746923	-122.4202583	San Francisco County
4475	Fee-for-Service	1417152570	1417152570	1	1	NOVATO HEALTHCARE CENTER LLC	9/4/2007	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HEALTHCARE CENTER	1565 HILL RD	None	NOVATO	CA	94947	4063	21	06041	38.09647347	-122.5760933	Marin County
4483	Fee-for-Service	1104817238	1104817238	1	1	NORTH COUNTY CARDIO SURG	8/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	MEDICAL CORP	3998 VISTA WAY	STE C204	OCEANSIDE	CA	92056	4515	37	06073	33.18370179	-117.292963	San Diego County
4542	Fee-for-Service	1457512360	1457512360	1	3	NIAKI, MICHAEL A MD	1/11/2021	207R00000X	NA	Other	026	PHYSICIANS	120291	None	None	0	In state provider	None	1601 5TH AVENUE	None	SAN RAFAEL	CA	94901	1808	21	06041	37.9748462	-122.5354152	Marin County
4584	Fee-for-Service	1487601480	1487601480	1	1	NGUYEN, HUNG M MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	60052	41	Internal Medicine	0	In state provider	None	3034 E HERNDON AVE	None	FRESNO	CA	93720	0300	10	06019	36.83771847	-119.7350415	Fresno County
4658	Fee-for-Service	1831494350	1831494350	1	1	NICHOLAS FITTANTE ACT FAMILY	11/13/2019	104100000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	COUNSELING SERVICES LMF	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
4745	Fee-for-Service	1285899948	1285899948	1	1	NEAVIN, TIMOTHY S MD	1/11/2023	208200000X	NA	General Surgery	026	PHYSICIANS	99678	None	None	0	In state provider	None	421 N RODEO DR	STE A-1	BEVERLY HILLS	CA	90210	4500	19	06037	34.06967423	-118.4034633	Los Angeles County
4803	Fee-for-Service	1740440528	1740440528	1	1	NAGHDI, JAKLIN	7/10/2008	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	6229 W 87TH ST	None	LOS ANGELES	CA	90045	3901	19	06037	33.95860798	-118.3941238	Los Angeles County
4805	Fee-for-Service	1356978944	1356978944	1	1	NGO, ANDREW T MD	7/10/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184383	None	None	0	In state provider	None	955 W IMPERIAL HWY	SUITE 110	BREA	CA	92821	3812	30	06059	33.91745451	-117.9133065	Orange County
4834	Fee-for-Service	1699119206	1699119206	1	1	NABAVI, SEPEDEH MD	2/1/2022	207P00000X	NA	Other	026	PHYSICIANS	172189	None	None	0	In state provider	None	1205 E NORTH ST	None	MANTECA	CA	95336	4900	39	06077	37.80110374	-121.1974853	San Joaquin County
4858	Fee-for-Service	1336336460	1336336460	1	1	NAIR, VISWAM S MD	11/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93740	41	Internal Medicine	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
4947	Fee-for-Service	1831494350	1831494350	1	1	NICHOLAS FITTANTE ACT FAMILY	6/28/2022	104100000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	None	None	0	In state provider	COUNSELING SERVICES LMF	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
4957	Fee-for-Service	1013408343	1013408343	1	1	NGUYEN, MINHTHAO T DO	9/28/2023	207RE0101X	NA	Endocrinology	026	PHYSICIANS	18758	None	None	0	In state provider	None	10301 BOLSA AVE STE 103	None	WESTMINSTER	CA	92683	6784	30	06059	33.74508782	-117.9495976	Orange County
4958	Fee-for-Service	1639379720	1639379720	1	1	NGUYEN, KHIEM PV MD	11/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	57301	None	None	0	In state provider	None	10362 BOLSA AVE	None	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
4962	Fee-for-Service	1447549225	1447549225	2	1	NGUYEN, JIMMY MD	8/1/2024	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	130843	40	Pediatrics	0	In state provider	None	1400 E CHURCH ST	BLDG 8	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
5042	Fee-for-Service	1962536540	1962536540	1	1	NIUFAR, NOAH N MD	3/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108188	41	Internal Medicine	0	In state provider	None	4053 LONE TREE WAY	101	ANTIOCH	CA	94531	6200	07	06013	37.97569499	-121.800733	Contra Costa County
5053	Fee-for-Service	1235649757	1235649757	1	1	NJOKI-MWANGI, BETZY	12/11/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	27816 WHITTINGTON ROAD	None	MENIFEE	CA	92584	7890	33	06065	33.70607851	-117.1745505	Riverside County
5072	Fee-for-Service	1003999103	1003999103	1	1	NGUYEN, DANH T MD	12/1/1997	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	60382	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
5108	Fee-for-Service	1982934337	1982934337	1	1	NGUYEN, JOSEPH T MD INC	3/2/2010	193200000X	NA	Other	026	PHYSICIANS	91271	03	Allergy	0	In state provider	None	4332 KATELLA AVE	None	LOS ALAMITOS	CA	90720	3564	30	06059	33.80293995	-118.057394	Orange County
5136	Fee-for-Service	1730380478	1730380478	1	1	NGUYEN, MICHAEL MD	8/15/2023	207LP2900X	NA	Other	026	PHYSICIANS	119816	None	None	0	In state provider	None	1270 S WINCHESTER BLVD	102	SAN JOSE	CA	95128	3911	43	06085	37.30214899	-121.9498588	Santa Clara County
5190	Fee-for-Service	1245329200	1245329200	1	1	NASHED, HANY MD	3/31/1990	174400000X	NA	Other	026	PHYSICIANS	49019	40	Pediatrics	0	In state provider	None	24845 NARBONNE AVE	None	LOMITA	CA	90717	1549	19	06037	33.79846168	-118.3200179	Los Angeles County
5208	Fee-for-Service	1962909432	1962909432	1	1	NAHAL, DANIELLE K MD	5/13/2024	2080P0208X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	165113	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
5213	Fee-for-Service	1922674423	1922674423	1	1	NEW HOPE RESIDENTIAL ELDER	7/27/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	CARE LLC	30221 POWDERHORN LN	None	MURRIETA	CA	92563	3553	33	06065	33.61341835	-117.1339278	Riverside County
5246	Fee-for-Service	1437132321	1437132321	1	1	NAIK, NIRAV C MD	4/1/2002	208600000X	NA	General Surgery	026	PHYSICIANS	67017	02	General Surgery	0	In state provider	THE NIRAV C NAIK MEDICAL	5959 TRUXTUN AVE	STE 100	BAKERSFIELD	CA	93309	0436	15	06029	35.36306164	-119.0711264	Kern County
5298	Fee-for-Service	1417535600	1417535600	1	1	NIMTZ, KARL MD	9/9/2024	207P00000X	NA	Other	026	PHYSICIANS	192169	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
5302	Fee-for-Service	1346669298	1346669298	1	1	NG, TIMOTHY K MD	11/30/2018	207P00000X	NA	Other	026	PHYSICIANS	138498	66	Emergency Medicine (Urgent Care)	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
5317	Fee-for-Service	1588993604	1588993604	1	1	NAMBIAR, ASHWIN P MD	8/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138704	30	Radiology	0	In state provider	None	3200 TELEGRAPH AVE	None	OAKLAND	CA	94609	3016	01	06001	37.82094258	-122.2666409	Alameda County
5325	Fee-for-Service	1205213717	1205213717	1	1	NGUYEN, TANYA T PHD	8/22/2017	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
5333	Fee-for-Service	1952631301	1952631301	1	1	NAM, SOK H MD INC	2/25/2010	207W00000X	NA	Ophthalmology	026	PHYSICIANS	71540	18	Ophthalmology	0	In state provider	None	4278 W 3RD STREET	None	LOS ANGELES	CA	90020	3449	19	06037	34.06895995	-118.3074675	Los Angeles County
5344	Fee-for-Service	1235649757	1235649757	1	1	NJOKI-MWANGI, BETZY	12/11/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	27816 WHITTINGTON ROAD	None	MENIFEE	CA	92584	7890	33	06065	33.70607851	-117.1745505	Riverside County
5358	Fee-for-Service	1548303787	1548303787	1	1	NAVETTA, MARCO MD	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	69735	05	Anesthesiology	0	In state provider	None	425 W JUNIPERO ST	STE 3	SANTA BARBARA	CA	93105	4294	42	06083	34.42973253	-119.7249544	Santa Barbara County
5385	Fee-for-Service	1083293419	1083293419	1	1	NERVO, GABRIEL LPCC	8/5/2023	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1213 NOE ST	None	SAN FRANCISCO	CA	94114	3713	38	06075	37.74955419	-122.4316605	San Francisco County
5417	Fee-for-Service	1457804668	1457804668	1	1	NWANI, NNEKA MARGARET	7/10/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	14465 SALINE DRIVE	None	EASTVALE	CA	92880	3770	33	06065	33.93336979	-117.5985787	Riverside County
5420	Fee-for-Service	1013544121	1013544121	1	1	NAJI, ZAID A	10/12/2023	207R00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	5400 SOUTH RAINBOW BLVD.	None	LAS VEGAS	NV	89118	1859	00	None	36.090072	-115.2405585	Clark County
5423	Fee-for-Service	1710915830	1710915830	1	1	NIESEN, CHARLES E MD	6/11/1998	174400000X	NA	Other	026	PHYSICIANS	54329	None	None	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
5432	Fee-for-Service	1235604299	1235604299	1	1	NORTHERN NURSING ANESTHESIA	7/11/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	SERVICES PC	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
5478	Fee-for-Service	1710530126	1710530126	1	1	NGUYEN, CATHY H NP	12/2/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
5486	Fee-for-Service	1134662695	1134662695	1	1	NGUYEN, JENNY OD	5/22/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 NORTH BRAND BLVD	SUITE 110	GLENDALE	CA	91203	2308	19	06037	34.15116156	-118.2549512	Los Angeles County
5495	Fee-for-Service	1790844355	1790844355	1	1	NYSTROM, MARK L MD	5/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	56750	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
5515	Fee-for-Service	1053796482	1053796482	1	1	NITTA, AMY R NP	11/24/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
5526	Fee-for-Service	1194917369	1194917369	1	1	NCHEKWUBE, EMEKA MD	1/27/2009	193400000X	NA	Other	026	PHYSICIANS	39163	14	Neurological Surgery	0	In state provider	E & D NCHEKWUBE MD INC	1825 CIVIC CENTER DR	U-17	SANTA CLARA	CA	95050	7301	43	06085	37.35595381	-121.9573173	Santa Clara County
5539	Fee-for-Service	1255341947	1255341947	1	1	NORRIS, JEANETTE E MD	8/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
5595	Fee-for-Service	1306934914	1306934914	1	1	NEWMAN, WENDY A PT	12/30/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1723 27TH ST	None	BAKERSFIELD	CA	93301	2807	15	06029	35.38383629	-119.0218323	Kern County
5624	Fee-for-Service	1962600494	1962600494	1	1	NOE, BETH A DPM	3/3/2009	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
5656	Fee-for-Service	1275031395	1275031395	1	1	NIRVANA HOME HEALTH INC	7/11/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17620 SHERMAN WAY	STE 215A	VAN NUYS	CA	91406	3511	19	06037	34.20105176	-118.5171046	Los Angeles County
5666	Fee-for-Service	1780154187	1780154187	1	1	NEVERIDA, MICHELLE G NP	10/25/2022	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	77 ROLLING OAKS DR	#201	THOUSAND OAKS	CA	91361	1018	56	06111	34.17577423	-118.8748925	Ventura County
5707	Fee-for-Service	1457804668	1457804668	1	1	NWANI, NNEKA MARGARET	7/10/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	14465 SALINE DRIVE	None	EASTVALE	CA	92880	3770	33	06065	33.93336979	-117.5985787	Riverside County
5713	Fee-for-Service	1821261694	1821261694	1	1	NGUYEN, KIM-DUNG L MD	6/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98525	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
5727	Fee-for-Service	1477861458	1477861458	1	1	NOROLAHI, KIMBERLY K LAC	8/3/2017	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
5769	Fee-for-Service	1437438033	1437438033	1	1	NAGIB, GEORGE S MD	4/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	117832	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
5770	Fee-for-Service	1982919825	1982919825	1	1	NESSI, KARL CRNA	4/15/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
5849	Fee-for-Service	1215951868	1215951868	1	1	NICASSIO, PERRY	4/1/1995	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
5941	Fee-for-Service	1033124961	1033124961	1	1	NEW YORK CITY HEALTH AND HOS	12/11/2021	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	506 LENOX AVENUE	None	NEW YORK	NY	10037	1802	00	None	40.814352	-73.94031	New York County
5954	Fee-for-Service	1770983223	1770983223	1	1	NGENE, IVY	9/2/2014	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	735 W 157TH ST	None	GARDENA	CA	90247	4220	19	06037	33.88899317	-118.2881065	Los Angeles County
5989	Fee-for-Service	1750444345	1750444345	1	1	NEW WAY SERVICES, INC	1/24/2003	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	94 ATHERTON CIR	None	PITTSBURG	CA	94565	4708	07	06013	38.0143574	-121.9048254	Contra Costa County
6003	Fee-for-Service	1063964369	1063964369	1	1	NACHARYAN, TINA CNP	4/29/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	511 N HOLLYWOOD WAY	None	BURBANK	CA	91505	3406	19	06037	34.15985598	-118.3431272	Los Angeles County
6027	Fee-for-Service	1912903832	1912903832	1	1	NAVE, MARY M MD INC	10/9/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	80886	40	Pediatrics	0	In state provider	A MEDICAL CORPORATION	262 POSADA LN	STE A	TEMPLETON	CA	93465	4057	40	06079	35.5535294	-120.7214694	San Luis Obispo County
6043	Fee-for-Service	1952798506	1952798506	1	1	NURKSE, KATHERINE M MD	8/3/2020	207L00000X	NA	Other	026	PHYSICIANS	146785	05	Anesthesiology	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
6104	Fee-for-Service	1407972656	1407972656	1	2	NELSON, L L MD	6/13/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	51132	-	NOT APPLICABLE	0	In state provider	None	2120 W WILLIAMS ST	BLDG 1 AND 2	LONG BEACH	CA	90810	3232	19	06037	33.7929977	-118.2210007	Los Angeles County
6109	Fee-for-Service	1992990592	1992990592	1	4	NORTHERN CALIFORNIA	1/21/2009	193400000X	NA	Other	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	GASTRO CONSULTANTS INC	3300 WEBSTER ST	STE 1201	OAKLAND	CA	94609	3126	01	06001	37.82132826	-122.2621843	Alameda County
6112	Fee-for-Service	1215003686	1215003686	1	1	NAJIBI,SOHEIL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2799 W GRAND BLVD	None	DETROIT	MI	48202	2608	00	None	42.36645079	-83.08385497	Wayne County
6119	Fee-for-Service	1457659187	1457659187	1	1	NEMES, KRISTINE KELLY DPM	10/11/2016	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	INC	669 CRESPI DRIVE	SUITE B	PACIFICA	CA	94044	3486	41	06081	37.59659077	-122.4969488	San Mateo County
6170	Fee-for-Service	1831616028	1831616028	1	1	NILE ORTHOPEDIC AND REHABILI	11/1/2017	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	None	None	0	In state provider	TATION ASSOCIATION	4343 MARKET ST	STE B	RIVERSIDE	CA	92501	3500	33	06065	33.97734857	-117.3791849	Riverside County
6230	Fee-for-Service	1033124961	1033124961	1	1	NEW YORK CITY HEALTH AND HOS	12/11/2021	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	506 LENOX AVENUE	None	NEW YORK	NY	10037	1802	00	None	40.814352	-73.94031	New York County
6244	Fee-for-Service	1770983223	1770983223	1	1	NGENE, IVY	9/2/2014	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	735 W 157TH ST	None	GARDENA	CA	90247	4220	19	06037	33.88899317	-118.2881065	Los Angeles County
6288	Fee-for-Service	1508306176	1508306176	1	2	NWAIBE, HENRIETTA C NP	8/19/2022	261QP2300X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3801 KATELLA AVE	STE 330	LOS ALAMITOS	CA	90720	6900	30	06059	33.80318951	-118.066068	Orange County
6317	Fee-for-Service	1013364900	1013364900	1	1	NGUYEN, NGUYEN MD	7/26/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	162315	08	Family Practice	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
6318	Fee-for-Service	1750352803	1750352803	1	1	NORDLING, OLAF MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	68208	30	Radiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
6362	Fee-for-Service	1194229856	1194229856	1	1	NGUYEN, JASON N MD	7/22/2022	207L00000X	NA	Other	026	PHYSICIANS	166457	None	None	0	In state provider	None	BUENA VISTA & ALAMEDA ST	None	BURBANK	CA	91505	4809	19	06037	34.158213	-118.328112	Los Angeles County
6370	Fee-for-Service	1679532725	1679532725	1	1	NAQVI, SYED F MD	11/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	52487	41	Internal Medicine	0	In state provider	None	7585 N CEDAR AVENUE	SUITE 102	FRESNO	CA	93720	2604	10	06019	36.84643334	-119.7569049	Fresno County
6374	Fee-for-Service	1841947892	1841947892	1	1	NGUYEN, ANTHONY M CRNA	5/19/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
6407	Fee-for-Service	1083621106	1083621106	1	1	NIGEN, ALAN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4725 N FEDERAL HWY	None	FT LAUDERDALE	FL	33308	4603	00	None	26.186922	-80.119638	Broward County
6454	Fee-for-Service	1922085125	1922085125	1	1	NEUBAUER, MARK A CRNA	12/7/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
6458	Fee-for-Service	1831616028	1831616028	1	1	NILE ORTHOPEDIC AND REHABILI	4/5/2023	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	TATION ASSOCIATION	4343 MARKET ST	STE B	RIVERSIDE	CA	92501	3500	33	06065	33.97734857	-117.3791849	Riverside County
6464	Fee-for-Service	1285005512	1285005512	1	1	NGUYEN, MICHAEL L	12/14/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
6473	Fee-for-Service	1881339513	1881339513	1	1	NU LEAF MENTAL HEALTH GROUP	7/3/2024	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL NURSING COR	2102 BUSINESS CENTER DR	STE 250	IRVINE	CA	92612	1001	30	06059	33.68027087	-117.855546	Orange County
6527	Fee-for-Service	1639243843	1639243843	1	1	NOWAK, KENNETH C MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	63245	04	Otology, Laryngology, Rhinology	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
6536	Fee-for-Service	1366459570	1366459570	1	1	NORTH SHORE UNIVERSITY	1/30/2009	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	300 COMMUNITY DR	None	MANHASSET	NY	11030	3816	00	None	40.777812	-73.701882	Nassau County
6649	Fee-for-Service	1902198849	1902198849	1	1	NELLY PARISOT	8/19/2020	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 1ST AVE	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
6652	Fee-for-Service	1760623847	1760623847	1	1	NGUYEN, TUAN XUAN MD APC	5/1/2000	193400000X	NA	Other	026	PHYSICIANS	48636	41	Internal Medicine	0	In state provider	None	10212 WESTMINSTER AVE	STE 108	GARDEN GROVE	CA	92843	4800	30	06059	33.75947657	-117.9513797	Orange County
6685	Fee-for-Service	1407119738	1407119738	1	1	NAJI, WISAM S MD	3/14/2018	207RP1001X	NA	Pulmonology	026	PHYSICIANS	142592	41	Internal Medicine	0	In state provider	None	1250 E ALMOND AVE	None	MADERA	CA	93637	5606	20	06039	36.94519024	-120.0420086	Madera County
6737	Fee-for-Service	1932153509	1932153509	1	1	NOVAMED SURGERY CNETER	11/1/2005	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	WHITTIER LLC	15141 WHITTIER BLVD	STE 130	WHITTIER	CA	90603	2157	19	06037	33.94810044	-118.0039419	Los Angeles County
6744	Fee-for-Service	1831616028	1831616028	1	1	NILE ORTHOPEDIC AND REHABILI	4/5/2023	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	TATION ASSOCIATION	4343 MARKET ST	STE B	RIVERSIDE	CA	92501	3500	33	06065	33.97734857	-117.3791849	Riverside County
6761	Fee-for-Service	1881339513	1881339513	1	1	NU LEAF MENTAL HEALTH GROUP	4/23/2025	163WP0808X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PROFESSIONAL NURSING COR	2102 BUSINESS CENTER DR	STE 250	IRVINE	CA	92612	1001	30	06059	33.68027087	-117.855546	Orange County
6815	Fee-for-Service	1639243843	1639243843	1	1	NOWAK, KENNETH C MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	63245	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
6823	Fee-for-Service	1366459570	1366459570	1	1	NORTH SHORE UNIVERSITY	11/1/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	300 COMMUNITY DR	None	MANHASSET	NY	11030	3816	00	None	40.777812	-73.701882	Nassau County
6827	Fee-for-Service	1427556927	1427556927	1	2	NU CARE TRANSPORT, INC	7/13/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	13950 MILTON AVE	STE 404	WESTMINSTER	CA	92683	2939	30	06059	33.75987547	-118.0203975	Orange County
6848	Fee-for-Service	1467650341	1467650341	1	1	NAING, SOE MD	3/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92540	41	Internal Medicine	0	In state provider	None	445 S CEDAR AVENUE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
6941	Fee-for-Service	1760623847	1760623847	1	1	NGUYEN, TUAN XUAN MD APC	5/1/2000	193400000X	NA	Other	026	PHYSICIANS	48636	01	General Practice	0	In state provider	None	10212 WESTMINSTER AVE	STE 108	GARDEN GROVE	CA	92843	4800	30	06059	33.75947657	-117.9513797	Orange County
6990	Fee-for-Service	1508177601	1508177601	1	1	NEWBERRY, JENNIFER A MD	7/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117916	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
7003	Fee-for-Service	1124524673	1124524673	1	1	NGUMI, MICHAEL M MD	11/4/2019	207R00000X	NA	Other	026	PHYSICIANS	152478	41	Internal Medicine	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	0001	39	06077	37.97026329	-121.2890849	San Joaquin County
7111	Fee-for-Service	1619236452	1619236452	1	1	NORTHERN CALIFORNIA MINIMALL	3/27/2013	208G00000X	NA	General Surgery	026	PHYSICIANS	79076	None	None	0	In state provider	Y INVASIVE CARDIOVASCULA	1111 SONOMA AVE	SUITE 320	SANTA ROSA	CA	95405	4819	49	06097	38.442042	-122.700033	Sonoma County
7184	Fee-for-Service	1356676332	1356676332	1	1	NG, PHILLIP MD INC	11/10/2009	207RN0300X	NA	Nephrology	026	PHYSICIANS	61233	45	Nephrology (Renal-Kidney)	0	In state provider	None	4151 MIDDLEFIELD RD	STE 111	PALO ALTO	CA	94303	4743	43	06085	37.41689801	-122.1046103	Santa Clara County
7245	Fee-for-Service	1902850068	1902850068	1	1	NICHOLLS, CHONG H MD	8/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	80622	05	Anesthesiology	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
7270	Fee-for-Service	1023886538	1023886538	1	1	NARAINSAMY, KAMINIE PT	7/9/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	31764 CASINO DR	STE 106A&B	LAKE ELSINORE	CA	92530	4571	33	06065	33.65724839	-117.29582	Riverside County
7287	Fee-for-Service	1568856235	1568856235	1	1	NGUYEN, ALVIN DO	7/26/2021	2251N0400X	NA	Physical Therapist	026	PHYSICIANS	14229	None	None	0	In state provider	None	11333 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1116	19	06037	34.27684353	-118.4684024	Los Angeles County
7322	Fee-for-Service	1003508474	1003508474	1	1	NAM, JASON PT	8/2/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	520 S. VIRGIL AVE	201	LOS ANGELES	CA	90020	1425	19	06037	34.064487	-118.2870305	Los Angeles County
7345	Fee-for-Service	1700306628	1700306628	1	1	NICHOLSON, SHAINA LCSW	7/22/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
7361	Fee-for-Service	1912997693	1912997693	1	1	NORIS LAI, MD	3/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9201 W THOMAS RD	None	PHOENIX	AZ	85037	3332	00	None	33.47892	-112.2579	Maricopa County
7369	Fee-for-Service	1568752988	1568752988	1	1	NORWOOD, ALIZA S MD	7/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124153	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
7377	Fee-for-Service	1396079018	1396079018	1	2	NGUYEN, ANNIE B LMFT	12/2/2015	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
7391	Fee-for-Service	1285652495	1285652495	1	1	NAMIHAS, IVAN C MD	2/28/1989	2085R0001X	NA	Other	026	PHYSICIANS	55984	30	Radiology	0	In state provider	None	28115 BRADLEY RD	None	SUN CITY	CA	92586	2276	33	06065	33.71356664	-117.1905531	Riverside County
7470	Fee-for-Service	1356676332	1356676332	1	1	NG, PHILLIP MD INC	11/10/2009	207RN0300X	NA	Nephrology	026	PHYSICIANS	61233	41	Internal Medicine	0	In state provider	None	4151 MIDDLEFIELD RD	STE 111	PALO ALTO	CA	94303	4743	43	06085	37.41689801	-122.1046103	Santa Clara County
7483	Fee-for-Service	1407347701	1407347701	1	1	NRSA INC	8/30/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11507 OXNARD ST	UNIT 2	NORTH HOLLYWOOD	CA	91606	4186	19	06037	34.17944448	-118.382598	Los Angeles County
7488	Fee-for-Service	1871716910	1871716910	1	1	NG, ANDREW C MD	9/2/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107327	41	Internal Medicine	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
7514	Fee-for-Service	1871063966	1871063966	1	1	NGUYEN, SUSAN T RCP	7/10/2020	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
7557	Fee-for-Service	1265840920	1265840920	1	1	NORTH VALLEY	3/8/2017	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	GASTROENTEROLOGY MEDICAL	870 SHASTA ST	STE 200	YUBA CITY	CA	95991	4117	51	06101	39.14204	-121.6161711	Sutter County
7565	Fee-for-Service	1972668291	1972668291	1	1	NGUYEN, VINH X MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	56458	41	Internal Medicine	0	In state provider	FAIRVIEW MEDICAL CLINIC	10050 GARVEY AVE	STE 115	EL MONTE	CA	91733	2089	19	06037	34.06270952	-118.049481	Los Angeles County
7601	Fee-for-Service	1144484197	1144484197	1	1	NER, NANIE	12/28/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6640 ALTON PARKWAY	None	IRVINE	CA	92618	3734	30	06059	33.65911992	-117.7737909	Orange County
7607	Fee-for-Service	1215039862	1215039862	1	1	NARAYAN, SUJATA D MD	8/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91562	08	Family Practice	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
7709	Fee-for-Service	1831535749	1831535749	1	1	NGUYENFA, PAUL T MD	9/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	136278	41	Internal Medicine	0	In state provider	None	100 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3813	30	06059	33.89343304	-117.9279349	Orange County
7722	Fee-for-Service	1811484728	1811484728	1	1	NOMURA, SCOTT T MD	9/30/2023	207R00000X	NA	Other	026	PHYSICIANS	166401	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
7779	Fee-for-Service	1154786846	1154786846	1	5	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	831 E DEVONSHIRE AVE	ROOM CAREER CENTER	HEMET	CA	92543	3052	33	06065	33.75117358	-116.9630798	Riverside County
7788	Fee-for-Service	1447888383	1447888383	1	1	NGUYEN, KHOA D MD	7/27/2023	207P00000X	NA	Other	026	PHYSICIANS	185072	None	None	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
7835	Fee-for-Service	1861559775	1861559775	1	1	NORTH TAHOE FIRE	11/1/1998	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	PROTECTION DISTRICT	300 NORTH LAKE BLVD	None	TAHOE CITY	CA	96145	5879	31	06061	39.16936258	-120.1429019	Placer County
7856	Fee-for-Service	1912190083	1912190083	1	1	NATARAJAN, SABAREESH MD	1/1/2024	207T00000X	NA	General Surgery	026	PHYSICIANS	183051	None	None	0	In state provider	None	5555 GROSSMONT CENTER	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
7893	Fee-for-Service	1215039862	1215039862	1	1	NARAYAN, SUJATA D MD	8/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91562	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
7904	Fee-for-Service	1164886792	1164886792	1	1	NEUDA, RHANIKA ALEXANDRA D M	7/14/2020	207R00000X	NA	Other	026	PHYSICIANS	167352	40	Pediatrics	0	In state provider	D	200 MED PLAZA	#365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
7950	Fee-for-Service	1760793160	1760793160	1	1	NOCON, CHERYL C MD FACS	4/15/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	171631	04	Otology, Laryngology, Rhinology	0	In state provider	None	1701 E CESAR E CHAVEZ AV	SUITE 560	LOS ANGELES	CA	90033	2464	19	06037	34.05112725	-118.2173921	Los Angeles County
7999	Fee-for-Service	1588742555	1588742555	1	1	NGUYEN, VU H MD	12/7/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	97816	07	Dermatology	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
8058	Fee-for-Service	1902990278	1902990278	2	1	NOUBARS EL ADOBE PHARMACY	1/22/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC	2010 WILSHIRE BLVD	STE 2010F	LOS ANGELES	CA	90057	3507	19	06037	34.05748989	-118.2750432	Los Angeles County
8066	Fee-for-Service	1154786846	1154786846	1	5	NEIGHBORHOOD HEALTHCARE	7/18/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	831 E DEVONSHIRE AVE	ROOM CAREER CENTER	HEMET	CA	92543	3052	33	06065	33.75117358	-116.9630798	Riverside County
8070	Fee-for-Service	1639880776	1639880776	1	2	NES TRANSPORTATION LLC	12/29/2022	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	14976 FOOTHILL BLVD	600 #2	FONTANA	CA	92335	7045	36	06071	34.1066219	-117.4777899	San Bernardino County
8133	Fee-for-Service	1962793331	1962793331	1	1	NGUYEN-LIN, ANNIE Q MD	9/27/2018	207N00000X	NA	Dermatology	026	PHYSICIANS	122939	07	Dermatology	0	In state provider	None	2950 RESEARCH PARK DR	None	SOQUEL	CA	95073	2000	44	06087	36.98692657	-121.9685264	Santa Cruz County
8151	Fee-for-Service	1104272046	1104272046	1	1	NGUYEN, MICHAEL MD	4/29/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	154426	None	None	0	In state provider	None	2340 CLAY ST	7TH FLOOR	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
8155	Fee-for-Service	1588736235	1588736235	1	1	NGUYEN, ERIC T MD	1/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94796	02	General Surgery	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
8161	Fee-for-Service	1467164301	1467164301	1	1	NELSON, THOMAS	2/11/2025	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3660 CLAIREMONT DR,	STE 2	SAN DIEGO	CA	92117	5968	37	06073	32.80759429	-117.2010737	San Diego County
8177	Fee-for-Service	1538747217	1538747217	1	1	NAVARRO, MIGUEL A MD	9/2/2023	390200000X	NA	Other	026	PHYSICIANS	183901	None	None	0	In state provider	None	43839 15TH ST W	None	LANCASTER	CA	93534	4756	19	06037	34.678791	-118.156867	Los Angeles County
8183	Fee-for-Service	1871998492	1871998492	1	1	NEW AGE ENTERPRISES LLC	8/24/2015	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	817 W BEVERLY BLVD	STE 206	MONTEBELLO	CA	90640	2567	19	06037	34.01735778	-118.1069216	Los Angeles County
8190	Fee-for-Service	1164886792	1164886792	1	1	NEUDA, RHANIKA ALEXANDRA D M	7/14/2020	207R00000X	NA	Other	026	PHYSICIANS	167352	41	Internal Medicine	0	In state provider	D	200 MED PLAZA	#365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
8245	Fee-for-Service	1700986544	1700986544	1	1	NAPOLES, ROBERT E MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	51455	41	Internal Medicine	0	In state provider	None	595 BUCKINGHAM WAY	STE 515	SAN FRANCISCO	CA	94132	1913	38	06075	37.73012679	-122.4767395	San Francisco County
8283	Fee-for-Service	1952492571	1952492571	1	1	NEKOORAD-LONG, HALEH MD	2/22/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	174471	None	None	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
8286	Fee-for-Service	1467128892	1467128892	1	2	NOVA MED TRANS	3/28/2022	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2550 HONOLULU AVE	STE 102	MONTROSE	CA	91020	1859	19	06037	34.20821099	-118.234833	Los Angeles County
8290	Fee-for-Service	1588742555	1588742555	1	1	NGUYEN, VU H MD	12/7/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	97816	22	Pathology (M.D. only)	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
8354	Fee-for-Service	1134257702	1134257702	1	1	NG, RAMFORD K MD	8/31/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	90330	41	Internal Medicine	0	In state provider	None	2333 BUCHANAN STREET	None	SAN FRANCISCO	CA	94115	1925	38	06075	37.79071145	-122.4308506	San Francisco County
8380	Fee-for-Service	1821176405	1821176405	1	1	NEWBERRY, NELSON R MD	9/5/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	94031	41	Internal Medicine	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
8385	Fee-for-Service	1790008993	1790008993	1	1	NAIR, ALISON B MD	6/14/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116964	40	Pediatrics	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
8434	Fee-for-Service	1548217052	1548217052	1	1	NASIM, UZMA MD	2/8/2015	2084N0400X	NA	Neurology	026	PHYSICIANS	54975	13	Neurology (M.D. only)	0	In state provider	None	18102 IRVINE BLVD	STE 206	TUSTIN	CA	92780	3424	30	06059	33.74819092	-117.816792	Orange County
8447	Fee-for-Service	1841322401	1841322401	1	1	NGO, JESSICA D MD	4/3/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97182	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
8492	Fee-for-Service	1528597242	1528597242	1	1	NOTLEY, STEPHANIE A CNP	9/2/2022	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1150 INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
8519	Fee-for-Service	1770771925	1770771925	1	2	NURSES TOUCH HOME HEALTH	3/11/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	PROVIDER, INC	135 S JACKSON ST	STE 100	GLENDALE	CA	91205	4917	19	06037	34.14506735	-118.2501278	Los Angeles County
8546	Fee-for-Service	1669552808	1669552808	1	1	NWAGWU, CHIEDOZIE MD	7/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91714	14	Neurological Surgery	0	In state provider	None	101 THE CITY DR S	STE 313	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
8561	Fee-for-Service	1962872572	1962872572	1	1	NASHED, MARIAN PSYD	10/24/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2810 E DEL MAR BLVD	None	PASADENA	CA	91107	4320	19	06037	34.14212984	-118.092328	Los Angeles County
8581	Fee-for-Service	1154658250	1154658250	1	1	NEGUS, ELEZER A MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117080	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
8592	Fee-for-Service	1568412609	1568412609	1	1	NASR, ANTHONY J MD	6/8/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	66272	22	Pathology (M.D. only)	0	In state provider	None	183 E 8TH ST	None	CHICO	CA	95928	0000	04	06007	39.72666336	-121.8348786	Butte County
8595	Fee-for-Service	1659582898	1659582898	1	1	NASSAR, SAMIA S CRNA	10/26/2010	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
8651	Fee-for-Service	1902115934	1902115934	1	1	NITTA, DOUGLAS MD INC	3/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	45491	08	Family Practice	0	In state provider	None	301 W BASTANCHURY ROAD	SUITE 155	FULLERTON	CA	92835	3477	30	06059	33.89397383	-117.9316737	Orange County
8700	Fee-for-Service	1558564674	1558564674	1	1	NGUYEN, DANIELLE T MD	1/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93928	40	Pediatrics	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
8702	Fee-for-Service	1710329099	1710329099	1	1	NAGRAMPA, DUSTIN M MD	10/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131264	41	Internal Medicine	0	In state provider	None	4501 SAND CREEK RD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
8704	Fee-for-Service	1346413598	1346413598	1	1	NAMSINH, STEVE MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	91331	None	None	0	In state provider	None	3751 KATELLA AVE	None	LOS ALAMITOS	CA	90720	3113	30	06059	33.80318353	-118.0666665	Orange County
8713	Fee-for-Service	1801128301	1801128301	1	1	NORTHRIDGE DIALYSIS CENTER	4/6/2011	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	9325 RESEDA BLVD	None	NORTHRIDGE	CA	91324	2927	19	06037	34.23989155	-118.5361002	Los Angeles County
8772	Fee-for-Service	1154786846	1154786846	1	15	NEIGHBORHOOD HEALTHCARE	1/9/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	8856 ARLINGTON AVENUE	BUILDING REAR	RIVERSIDE	CA	92503	1365	33	06065	33.94647572	-117.4674078	Riverside County
8774	Fee-for-Service	1629022942	1629022942	1	1	NEAL, LAURA MD	9/18/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
8777	Fee-for-Service	1144872185	1144872185	1	1	NATALIE MICKHAEL	1/2/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1901 1ST AVE	None	NEW YORK	NY	10029	7494	00	None	40.784778	-73.9439055	New York County
8821	Fee-for-Service	1821764234	1821764234	1	1	NEIGUT, RUTH	7/12/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1827 KNOLL DR	None	VENTURA	CA	93003	7321	56	06111	34.25641704	-119.2199387	Ventura County
8860	Fee-for-Service	1699180521	1699180521	1	1	NALLA, SHRAVANI	8/1/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	154203	13	Neurology (M.D. only)	0	In state provider	None	3400 DOUGLAS BLVD	STE 225	ROSEVILLE	CA	95661	4283	31	06061	38.74390969	-121.2319271	Placer County
8886	Fee-for-Service	1235164096	1235164096	1	1	NGUYEN, TRUNG MD	1/23/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	159386	None	None	0	In state provider	None	10000 LAKEWOOD BLVD	None	DOWNEY	CA	90240	4020	19	06037	33.94833058	-118.1166411	Los Angeles County
8889	Fee-for-Service	1508840349	1508840349	1	1	NISHIMOTO, WARREN S MD	6/1/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	6267	08	Family Practice	0	In state provider	None	17820 PIONEER BLVD	None	ARTESIA	CA	90701	3902	19	06037	33.86871853	-118.082109	Los Angeles County
8922	Fee-for-Service	1487055083	1487055083	1	1	NGUYEN-XIONG, CHENG	7/1/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	152603	08	Family Practice	0	In state provider	None	1700 PRAIRIE CITY RD	None	FOLSOM	CA	95630	9594	34	06067	38.652012	-121.166901	Sacramento County
8932	Fee-for-Service	1457512360	1457512360	1	2	NIAKI, MICHAEL A MD	1/11/2021	207R00000X	NA	Other	026	PHYSICIANS	120291	None	None	0	In state provider	None	1220 ELISEO	None	GREENBRAE	CA	94904	2006	21	06041	37.94396821	-122.5357002	Marin County
8949	Fee-for-Service	1164781241	1164781241	1	1	NGUYEN, SARAH A	9/25/2019	2084P0805X	NA	Psychiatry	026	PHYSICIANS	161946	36	Psychiatry	0	In state provider	None	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
9038	Fee-for-Service	1194382739	1194382739	1	1	NG, ARTHUR DO	3/23/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20455	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
9061	Fee-for-Service	1154786846	1154786846	1	15	NEIGHBORHOOD HEALTHCARE	1/9/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	8856 ARLINGTON AVENUE	BUILDING REAR	RIVERSIDE	CA	92503	1365	33	06065	33.94647572	-117.4674078	Riverside County
9064	Fee-for-Service	1932759735	1932759735	1	1	NELSON, GRACE I NP	8/10/2020	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
9157	Fee-for-Service	1386697977	1386697977	1	1	NORTH LAKE REHAB AND MEDICAL	1/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	44253	41	Internal Medicine	0	In state provider	CENTER INC	2052 N LAKE AVE	STE 2	ALTADENA	CA	91001	2450	19	06037	34.18113342	-118.1316495	Los Angeles County
9187	Fee-for-Service	1225510910	1225510910	1	1	NELNAR HOSPICE CARE INC	3/24/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1250 E WALNUT ST	UNIT 250	PASADENA	CA	91106	5124	19	06037	34.14956033	-118.1246509	Los Angeles County
9239	Fee-for-Service	1417955113	1417955113	1	1	NIELSEN, RICHARD H DPM	4/1/1998	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	701 NEVADA ST	None	SUSANVILLE	CA	96130	3912	18	06035	40.41961475	-120.6612414	Lassen County
9358	Fee-for-Service	1093100232	1093100232	1	1	NGUYEN, DUY D MD	11/26/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	15314	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
9439	Fee-for-Service	1417414772	1417414772	1	1	NEAL, ASHLEY S LMFT	12/18/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	615 WEST AVE L	None	LANCASTER	CA	93545	7211	19	06037	34.6603515	-118.1419695	Los Angeles County
9459	Fee-for-Service	1063145688	1063145688	1	1	NGUYEN, MINH H OD	10/12/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8105 MORRO RD	SUITE A	ATASCADERO	CA	93422	3911	40	06079	35.47338669	-120.6685149	San Luis Obispo County
9480	Fee-for-Service	1225510910	1225510910	1	1	NELNAR HOSPICE CARE INC	3/24/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1250 E WALNUT ST	UNIT 250	PASADENA	CA	91106	5124	19	06037	34.14956033	-118.1246509	Los Angeles County
9496	Fee-for-Service	1538124250	1538124250	1	1	NASH, ERIC A MD	4/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	70770	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
9511	Fee-for-Service	1982324364	1982324364	1	1	NGUYEN, HOA Q CRNA	6/6/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
9538	Fee-for-Service	1073533014	1073533014	1	1	NEWTON, DENNIS E MD	4/30/1994	207L00000X	NA	Other	026	PHYSICIANS	48163	05	Anesthesiology	0	In state provider	None	3838 SHERMAN DR	STE 11	RIVERSIDE	CA	92503	4001	33	06065	33.92678822	-117.4368632	Riverside County
9574	Fee-for-Service	1578976270	1578976270	1	1	NYOTOWIDJOJO, IWAN MD	8/14/2020	207R00000X	NA	Other	026	PHYSICIANS	167115	41	Internal Medicine	0	In state provider	None	7117 BROCKTON AVE	None	RIVERSIDE	CA	92506	2620	33	06065	33.94354395	-117.394926	Riverside County
9590	Fee-for-Service	1265831432	1265831432	1	1	NKDHC RUDNITSKY PLLC	8/30/2019	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	None	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	None	36.143271	-115.1254975	Clark County
9597	Fee-for-Service	1982899381	1982899381	1	1	NGAI, KARRY K MD	1/14/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	100654	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPRESSWAY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
9613	Fee-for-Service	1902008683	1902008683	1	1	NANDAKUMARAN, SANJEEV MD	2/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93515	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
9632	Fee-for-Service	1083753321	1083753321	1	1	NAZARIAN, IRADJ H MD	4/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	43573	08	Family Practice	0	In state provider	None	11518 GARVEY AVE	None	EL MONTE	CA	91732	3306	19	06037	34.06282451	-118.027197	Los Angeles County
9636	Fee-for-Service	1821147786	1821147786	1	4	NORTHBAY HEALTHCARE GROUP	12/8/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	VACA VALLEY HOSP	1000 NUT TREE RD	None	VACAVILLE	CA	95687	4100	48	06095	38.35581953	-121.9530257	Solano County
9733	Fee-for-Service	1871843243	1871843243	1	1	NGUYEN, JOANNA MD	4/21/2021	2086S0122X	NA	General Surgery	026	PHYSICIANS	124152	None	None	0	In state provider	None	1081 N CHINA LAKE BLVD	None	RIDGECREST	CA	93555	3130	15	06029	35.640783	-117.6698475	Kern County
9775	Fee-for-Service	1033678040	1033678040	1	1	NAVARRETE, EMILY MD	6/5/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	181482	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
9801	Fee-for-Service	1790752269	1790752269	1	1	NORBASH, ALEXANDER M MD	10/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	62865	30	Radiology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
9813	Fee-for-Service	1114345790	1114345790	1	1	NAJMAN, JONATHAN MD	9/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148372	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
9830	Fee-for-Service	1578910444	1578910444	1	1	NICHOLS, GRACE LMFT	3/25/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2258 CAMINO RAMON	None	SAN RAMON	CA	94583	1353	07	06013	37.776033	-121.970205	Contra Costa County
9887	Fee-for-Service	1265831432	1265831432	1	1	NKDHC RUDNITSKY PLLC	8/30/2019	193400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	1	Border provider	None	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	None	36.143271	-115.1254975	Clark County
9926	Fee-for-Service	1821147786	1821147786	1	4	NORTHBAY HEALTHCARE GROUP	12/8/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	VACA VALLEY HOSP	1000 NUT TREE RD	None	VACAVILLE	CA	95687	4100	48	06095	38.35581953	-121.9530257	Solano County
10162	Fee-for-Service	1912394438	1912394438	1	1	NGUYEN, VINCENT N MD	7/30/2023	207T00000X	NA	General Surgery	026	PHYSICIANS	175755	None	None	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
10164	Fee-for-Service	1265831432	1265831432	1	1	NKDHC RUDNITSKY PLLC	8/30/2019	193400000X	NA	Other	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	None	36.143271	-115.1254975	Clark County
10171	Fee-for-Service	1023109733	1023109733	1	1	NINO-MURCIA, MATILDE MD	1/31/1983	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	40985	30	Radiology	0	In state provider	None	300 PASTEUR DR	# A333	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
10194	Fee-for-Service	1518058791	1518058791	1	1	NIPOMO REXALL	10/27/1986	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 W TEFFT ST	STE B	NIPOMO	CA	93444	8876	40	06079	35.03873185	-120.4816026	San Luis Obispo County
10212	Fee-for-Service	1588056386	1588056386	1	1	NGUYEN, THUY T MD MEDICAL	7/9/2015	261Q00000X	NA	Other	026	PHYSICIANS	93782	41	Internal Medicine	0	In state provider	CORPORATION	200 JOSE FIGUERES AVE	SUITE 395	SAN JOSE	CA	95116	1593	43	06085	37.36122014	-121.8505998	Santa Clara County
10222	Fee-for-Service	1235592627	1235592627	1	1	NERCISIAN, STEPHANIE B MD	10/29/2020	207L00000X	NA	Other	026	PHYSICIANS	150440	05	Anesthesiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
10224	Fee-for-Service	1457397838	1457397838	1	5	NORTHERN CALIFORNIA	1/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	IMAGING ASSC MED GRP INC	199 E WEBSTER ST	None	COLUSA	CA	95932	2954	06	06011	39.20737704	-122.0004043	Colusa County
10257	Fee-for-Service	1457460354	1457460354	1	1	NGUYEN, MINH TAM MD	1/1/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	45479	08	Family Practice	0	In state provider	None	1340 TULLY RD	SUITE #309	SAN JOSE	CA	95122	3055	43	06085	37.31710924	-121.8334186	Santa Clara County
10274	Fee-for-Service	1679863427	1679863427	1	1	NIMA SANA DPM	2/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	11000 N SCOTTSDALE RD	STE 270	SCOTTSDALE	AZ	85254	5270	00	None	33.587235	-111.9265695	Maricopa County
10282	Fee-for-Service	1124877378	1124877378	1	1	NIGHT BABY CARE LLC	5/17/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	19	06037	0	0	None
10308	Fee-for-Service	1255711461	1255711461	1	1	NWOGU, NNENNA I MD	4/4/2022	207R00000X	NA	Other	026	PHYSICIANS	167615	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
10327	Fee-for-Service	1669612297	1669612297	1	1	NEW VALLEY MEDICAL GROUP	7/30/1991	207R00000X	NA	Other	026	PHYSICIANS	46692	41	Internal Medicine	0	In state provider	INC	415 W VALLEY BLVD	STE C	SAN GABRIEL	CA	91776	3728	19	06037	34.07948039	-118.1058412	Los Angeles County
10367	Fee-for-Service	1063423739	1063423739	1	1	NOWICKI, JEFFREY B DC	8/16/2021	111N00000X	NA	Other	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	2211 E LINCOLN AVE	None	ANAHEIM	CA	92806	4108	30	06059	33.83945699	-117.8858858	Orange County
10379	Fee-for-Service	1962633263	1962633263	1	1	NADLER, ERIC N PHD	7/18/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	99 MONTECILLO ROAD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
10399	Fee-for-Service	1225124498	1225124498	1	1	NEFF, JANICE R PT	2/8/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12401 HESPERIA RD	None	VICTORVILLE	CA	92395	7707	36	06071	34.4771995	-117.2911483	San Bernardino County
10410	Fee-for-Service	1376592519	1376592519	1	1	NEVADA EM-I SILVER/HOMAN	11/1/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	1	Border provider	MEDICAL SERVICES PC	620 SHADOW LN	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
10433	Fee-for-Service	1104317056	1104317056	1	1	NASIR, IMAAD MD	9/25/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	178055	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	300 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
10453	Fee-for-Service	1528365681	1528365681	1	1	NGO, LAURA H MD	10/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	115760	05	Anesthesiology	0	In state provider	None	2601 E CHAPMAN AVE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
10468	Fee-for-Service	1700047875	1700047875	1	1	NG, TINA T Y MD	8/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98265	02	General Surgery	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
10528	Fee-for-Service	1922207463	1922207463	1	1	NGUYEN, THANH Q MD	8/27/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	92305	None	None	0	In state provider	TQ PEDIATRICS INC	10900 WARNER AVE	STE 118	FOUNTAIN VALLEY	CA	92708	3846	30	06059	33.71628153	-117.9388215	Orange County
10575	Fee-for-Service	1659812063	1659812063	1	1	NORTON, NICHOLAS R MD	1/13/2023	207W00000X	NA	Ophthalmology	026	PHYSICIANS	160333	None	None	0	In state provider	None	4300 GOLDEN CENTER DR	STE A	PLACERVILLE	CA	95667	6278	09	06017	38.70657265	-120.82856	El Dorado County
10619	Fee-for-Service	1992755193	1992755193	1	1	NORTHCOAST EMERGENCY	1/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	PHYSICIANS	3300 RENNER DR	None	FORTUNA	CA	95540	3120	12	06023	40.58243651	-124.135992	Humboldt County
10621	Fee-for-Service	1972618601	1972618601	1	2	NAGRANI, KISHU H MD	3/19/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	34467	40	Pediatrics	0	In state provider	None	31180 ROAD 72	None	GOSHEN	CA	93227	9997	54	06107	36.35594779	-119.4124242	Tulare County
10648	Fee-for-Service	1982049573	1982049573	1	1	NARDO, LORENZO MD	8/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	139540	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
10670	Fee-for-Service	1013199264	1013199264	1	3	NORTHEAST VALLEY HEALTH CORP	11/16/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	12451 GAIN ST	None	PACOIMA	CA	91331	0000	19	06037	34.27106318	-118.4045204	Los Angeles County
10739	Fee-for-Service	1477823243	1477823243	1	1	NOVA CARE HOME HEALTH	1/31/2013	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	181 SAND CREEK ROAD	SUITE B	BRENTWOOD	CA	94513	2057	07	06013	37.94673108	-121.6997879	Contra Costa County
10743	Fee-for-Service	1912587387	1912587387	1	1	NAKAMURA, YUMIKO MD	8/21/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	192100	08	Family Practice	0	In state provider	None	1001 POTRERO AVE	BLDG 80 WARD 83	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
10763	Fee-for-Service	1235614470	1235614470	1	1	NGUYEN, SUSAN P OT	3/12/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
10781	Fee-for-Service	1962599720	1962599720	1	1	NICOLETTE, JODEAN MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66309	08	Family Practice	0	In state provider	None	1450 MEDICAL CENTER DR	None	ROHNERT PARK	CA	94928	2924	49	06097	38.34758366	-122.6816633	Sonoma County
10830	Fee-for-Service	1093223927	1093223927	1	1	NHU, KEN	11/9/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	15013 GOLDENWEST ST	None	HUNTINGTON BEACH	CA	92647	2710	30	06059	33.74361349	-118.0070007	Orange County
10851	Fee-for-Service	1821178096	1821178096	1	1	NOBLETT, KAREN L MD	4/30/1993	207VG0400X	NA	Obstetrics & Gynecology	026	PHYSICIANS	76595	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
10868	Fee-for-Service	1134190853	1134190853	1	1	NELSON AND ENDICOTT, A	1/1/1995	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	OPTOMETRIC CORPORATION	19735 COLIMA RD	STE 4	ROWLAND HEIGHTS	CA	91748	3227	19	06037	33.98618543	-117.8717392	Los Angeles County
10918	Fee-for-Service	1073909859	1073909859	1	2	NELLIE GAIL URGENT CARE MEDI	4/14/2022	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CAL CORP	315 SOUTH TUSTIN ST	None	ORANGE	CA	92866	2501	30	06059	33.783957	-117.835721	Orange County
10959	Fee-for-Service	1013199264	1013199264	1	3	NORTHEAST VALLEY HEALTH CORP	11/16/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	12451 GAIN ST	None	PACOIMA	CA	91331	0000	19	06037	34.27106318	-118.4045204	Los Angeles County
11084	Fee-for-Service	1619479797	1619479797	1	1	NGUYEN, PETERSON H CRNA	7/20/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
11090	Fee-for-Service	1972072478	1972072478	1	1	NAVARRETE, MARY NELLY G PT	9/9/2019	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
11104	Fee-for-Service	1891348637	1891348637	1	1	NORCO HAMNER OPTOMETRY, INC	4/22/2020	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3179 HAMNER AVE	1	NORCO	CA	92860	1983	33	06065	33.92804266	-117.558241	Riverside County
11121	Fee-for-Service	1528033875	1528033875	1	1	NEISHI, JOHN M OD	1/31/1989	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15070 HESPERIAN BLVD	STE G	SAN LEANDRO	CA	94578	3546	01	06001	37.703682	-122.129923	Alameda County
11201	Fee-for-Service	1548671100	1548671100	1	1	NGUYEN, AN HOA MD	12/17/2018	207P00000X	NA	Other	026	PHYSICIANS	153406	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
11225	Fee-for-Service	1538231832	1538231832	1	1	NORTHEAST COMM CLINIC	3/1/1995	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	5428 N FIGUEROA ST	None	LOS ANGELES	CA	90042	4118	19	06037	34.10779213	-118.196385	Los Angeles County
11260	Fee-for-Service	1578182606	1578182606	1	1	NA, KELLEN Y MD	9/5/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	185495	None	None	0	In state provider	None	9394 BIG HORN BLVD	None	ELK GROVE	CA	95758	7977	34	06067	38.420028	-121.40712	Sacramento County
11324	Fee-for-Service	1093034779	1093034779	1	1	NICHOLS SPEECH PATHOLOGY AND	8/3/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	THERAPY SERVICES, INC.	41689 ENTERPRISE CR. NO.	SUITE 118	TEMECULA	CA	92590	5630	33	06065	33.51953516	-117.1693891	Riverside County
11327	Fee-for-Service	1790086122	1790086122	1	1	NI, HONGYU MD	1/4/2023	207ZP0102X	NA	Other	026	PHYSICIANS	79010	None	None	0	In state provider	None	8700 BEVERLY BLVD	ROOM 3719	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
11392	Fee-for-Service	1639265770	1639265770	1	1	NEGER, ROBERT E MD	9/30/1992	207W00000X	NA	Ophthalmology	026	PHYSICIANS	26741	18	Ophthalmology	0	In state provider	None	2110 FOREST AVE	STE B	SAN JOSE	CA	95128	1469	43	06085	37.32701954	-121.9374675	Santa Clara County
11408	Fee-for-Service	1407147440	1407147440	1	1	NGUYEN, HOANG ANH N MD	6/12/2018	390200000X	NA	Other	026	PHYSICIANS	123992	45	Nephrology (Renal-Kidney)	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
11416	Fee-for-Service	1902909187	1902909187	2	1	NIEBERG, PAUL H MD	5/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	67350	41	Internal Medicine	0	In state provider	None	444 N ALTADENA DR	STE 100	PASADENA	CA	91107	2541	19	06037	34.1539266	-118.0984391	Los Angeles County
11448	Fee-for-Service	1528533924	1528533924	1	1	NGUYEN, NINA H PHD	7/6/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	595 E COLORADO BLVD STE	324	PASADENA	CA	91101	2021	19	06037	34.14588202	-118.1380722	Los Angeles County
11463	Fee-for-Service	1952621435	1952621435	1	1	NGUYEN, JOSEPHINE H MD	7/27/2015	207YX0905X	NA	ENT/Otolaryngology	026	PHYSICIANS	133991	None	None	0	In state provider	None	2545 W HAMMER LANE	None	STOCKTON	CA	95209	2839	39	06077	38.0214303	-121.3461515	San Joaquin County
11489	Fee-for-Service	1659849040	1659849040	1	1	NEUROLOGICAL INSTITUTE OF LO	9/7/2023	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	S ANGELES	6363 WILSHIRE BLVD	STE 516	LOS ANGELES	CA	90048	5726	19	06037	34.06367823	-118.3675294	Los Angeles County
11513	Fee-for-Service	1538231832	1538231832	1	1	NORTHEAST COMM CLINIC	3/1/1995	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	5428 N FIGUEROA ST	None	LOS ANGELES	CA	90042	4118	19	06037	34.10779213	-118.196385	Los Angeles County
11689	Fee-for-Service	1841314853	1841314853	1	1	NEPHROLOGY ASSOC INC MED	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	OF THE SF BAY AREA	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
11693	Fee-for-Service	1407147440	1407147440	1	1	NGUYEN, HOANG ANH N MD	6/12/2018	390200000X	NA	Other	026	PHYSICIANS	123992	41	Internal Medicine	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
11703	Fee-for-Service	1902909187	1902909187	2	1	NIEBERG, PAUL H MD	5/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	67350	77	Infectious Disease	0	In state provider	None	444 N ALTADENA DR	STE 100	PASADENA	CA	91107	2541	19	06037	34.1539266	-118.0984391	Los Angeles County
11706	Fee-for-Service	1821147786	1821147786	1	11	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	5140 BUSINESS CENTER DR	SUITE 200	FAIRFIELD	CA	94534	1794	48	06095	38.21632832	-122.1450436	Solano County
11710	Fee-for-Service	1275893505	1275893505	1	1	NANJA, GAYATHRI MD	5/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	134335	41	Internal Medicine	0	In state provider	None	250 HOSPITAL PKWAY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
11724	Fee-for-Service	1073019766	1073019766	1	1	NARANG, NATASHA DO	7/29/2024	207R00000X	NA	Other	026	PHYSICIANS	None	10	Gastroenterology (M.D. only)	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
11769	Fee-for-Service	1972530483	1972530483	1	1	NOAH, MARK S MD	1/31/1984	174400000X	NA	Other	026	PHYSICIANS	48276	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
11776	Fee-for-Service	1659849040	1659849040	1	1	NEUROLOGICAL INSTITUTE OF LO	2/2/2024	2084N0400X	NA	Neurology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	S ANGELES	6363 WILSHIRE BLVD	STE 516	LOS ANGELES	CA	90048	5726	19	06037	34.06367823	-118.3675294	Los Angeles County
11808	Fee-for-Service	1134420599	1134420599	1	1	NGUYEN, HIEP T MD INC	11/30/1995	207R00000X	NA	Other	026	PHYSICIANS	52455	41	Internal Medicine	0	In state provider	None	4419 EUCLID AVENUE	SUITE 105	SAN DIEGO	CA	92115	4564	37	06073	32.75673456	-117.0921546	San Diego County
11892	Fee-for-Service	1124493572	1124493572	1	1	NAVARRO, ADRIA E LCSW	9/1/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
11910	Fee-for-Service	1477783827	1477783827	1	1	NASS, SCOTT E	5/31/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116289	None	None	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
11926	Fee-for-Service	1821147786	1821147786	1	22	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1010 NUT TREE ROAD	SUITE 100	VACAVILLE	CA	95687	4181	48	06095	38.35458369	-121.9530637	Solano County
11966	Fee-for-Service	1336236330	1336236330	1	1	NOORDSY, DOUGLAS L MD	10/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	138508	36	Psychiatry	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
11977	Fee-for-Service	1841314853	1841314853	1	1	NEPHROLOGY ASSOC INC MED	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	OF THE SF BAY AREA	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
11989	Fee-for-Service	1376046151	1376046151	1	1	NI, JONATHAN T DO	10/6/2021	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
12092	Fee-for-Service	1811002454	1811002454	1	1	NORMAN, MARY A MD	6/14/2023	207R00000X	NA	Other	026	PHYSICIANS	68182	None	None	0	In state provider	None	10458 CULVER BLVD	None	CULVER CITY	CA	90232	3469	19	06037	34.01560282	-118.4009328	Los Angeles County
12097	Fee-for-Service	1134420599	1134420599	1	1	NGUYEN, HIEP T MD INC	11/30/1995	207R00000X	NA	Other	026	PHYSICIANS	52455	38	Geriatrics	0	In state provider	None	4419 EUCLID AVENUE	SUITE 105	SAN DIEGO	CA	92115	4564	37	06073	32.75673456	-117.0921546	San Diego County
12102	Fee-for-Service	1053445213	1053445213	1	1	NORTH, NANCY LCSW	5/22/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	311 CALIFORNIA	#750	SAN FRANCISCO	CA	94104	2602	38	06075	37.79316768	-122.4002529	San Francisco County
12114	Fee-for-Service	1396824918	1396824918	1	1	NANCY M RAHE	9/11/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	200 HAWKINS DR	None	IOWA CITY	IA	52242	1009	00	None	41.659929	-91.548099	Johnson County
12127	Fee-for-Service	1447614748	1447614748	1	1	NGUYEN, EMILIE T MD	2/15/2018	207R00000X	NA	Other	026	PHYSICIANS	150447	41	Internal Medicine	0	In state provider	None	4733 SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
12141	Fee-for-Service	1700150794	1700150794	1	1	NOAH D. WEISS, MD INC	1/1/2017	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	70397	20	Orthopedic Surgery	0	In state provider	None	462 W NAPA ST	None	SONOMA	CA	95476	6556	49	06097	38.29285373	-122.4671122	Sonoma County
12162	Fee-for-Service	1033395165	1033395165	1	1	NICHOLAS WEISMAN	12/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	14502 W MEEKER BLVD	None	SUN CITY WEST	AZ	85375	5282	00	None	33.660657	-112.3736175	Maricopa County
12192	Fee-for-Service	1639183098	1639183098	1	1	NWANGUMA, STELLA CHINYERE	10/5/2014	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	18015 BENEDA LANE	APT 208	CANYON COUNTRY	CA	91351	5420	19	06037	34.42439835	-118.4519873	Los Angeles County
12212	Fee-for-Service	1194799635	1194799635	3	1	NATIONAL SEATING & MOBILITY	5/30/2017	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	4515 SOUTH B STREET	None	STOCKTON	CA	95206	3956	39	06077	37.90644863	-121.2444804	San Joaquin County
12269	Fee-for-Service	1841314853	1841314853	1	1	NEPHROLOGY ASSOC INC MED	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	OF THE SF BAY AREA	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
12273	Fee-for-Service	1023461696	1023461696	1	1	NIANIARIS, NASTASIA MD	3/9/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	162292	None	None	0	In state provider	None	1707 W AVENUE J	None	LANCASTER	CA	93534	2703	19	06037	34.6894505	-118.161576	Los Angeles County
12301	Fee-for-Service	1669550448	1669550448	1	1	NAMDARAN, KIARASH MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75277	66	Emergency Medicine (Urgent Care)	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
12305	Fee-for-Service	1023369881	1023369881	1	1	NORTH EAST MEDICAL SERVICES	12/27/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75415191	-122.4788414	San Francisco County
12311	Fee-for-Service	1164527560	1164527560	1	1	NAIR, LATHA T MD	2/18/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	143606	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
12408	Fee-for-Service	1841539772	1841539772	1	1	NEUGARTEN, CARTER J MD	10/14/2023	207PH0002X	NA	Other	026	PHYSICIANS	144384	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
12428	Fee-for-Service	1700869799	1700869799	1	1	NEWMAN, LAWRENCE H MD	9/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	29852	01	General Practice	0	In state provider	None	117 WEST BUNNY AVE	None	SANTA MARIA	CA	93458	2805	42	06083	34.96327701	-120.4368111	Santa Barbara County
12433	Fee-for-Service	1144326729	1144326729	1	1	NOUVONG, PANE AKSONE DPM	1/19/2010	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	309 E SECOND STREET	STE C	POMONA	CA	91766	1854	19	06037	34.05789396	-117.7476284	Los Angeles County
12445	Fee-for-Service	1386715340	1386715340	1	1	NEWMAN, SAUL Z MD	5/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	46636	40	Pediatrics	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
12480	Fee-for-Service	1942597497	1942597497	1	1	NADELLA, SAMANTHA P MD	9/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	146834	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
12481	Fee-for-Service	1639183098	1639183098	1	1	NWANGUMA, STELLA CHINYERE	10/5/2014	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	18015 BENEDA LANE	APT 208	CANYON COUNTRY	CA	91351	5420	19	06037	34.42439835	-118.4519873	Los Angeles County
12510	Fee-for-Service	1821147786	1821147786	1	6	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1860 PENNSYLVANIA AVE	SUITE 320	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
12542	Fee-for-Service	1720037641	1720037641	1	1	NOWERS,KENNETH J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4401 HARRISON BLVD	None	OGDEN	UT	84403	0000	00	None	41.18328	-111.9536955	Weber County
12591	Fee-for-Service	1023369881	1023369881	1	1	NORTH EAST MEDICAL SERVICES	12/27/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75415191	-122.4788414	San Francisco County
12651	Fee-for-Service	1316237126	1316237126	1	1	NIETUPSKI, AMY S MD	9/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127750	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
12671	Fee-for-Service	1386676955	1386676955	1	1	NAYES, ALAN W MD	4/30/2020	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	41136	39	Preventive (M.D. only)	0	In state provider	None	1981 N BROADWAY	STE 190	WALNUT CREEK	CA	94596	3671	07	06013	37.90582392	-122.0613697	Contra Costa County
12672	Fee-for-Service	1114901667	1114901667	1	1	NANDAMURI, KIRAN M MD	5/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	92771	10	Gastroenterology (M.D. only)	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
12673	Fee-for-Service	1508912452	1508912452	1	2	NORTHERN HEART & VASCULAR IN	5/20/2024	207RI0011X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	STITUTE INC MEDICAL AS	1526 PLUMAS CT	250	YUBA CITY	CA	95991	2961	51	06101	39.15273631	-121.6185061	Sutter County
12734	Fee-for-Service	1851118731	1851118731	1	1	NATANO, KAREN C NP	12/3/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
12793	Fee-for-Service	1831439488	1831439488	1	1	NHAN, KEVIN K PT	3/29/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	609 L STREET	None	SACRAMENTO	CA	95814	2326	34	06067	38.579544	-121.499118	Sacramento County
12799	Fee-for-Service	1134668718	1134668718	1	1	NOBLE CARE TRANSPORT INC	7/12/2016	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2104 24TH ST	STE 1	BAKERSFEILD	CA	93301	3747	15	06029	35.38106149	-119.026125	Kern County
12805	Fee-for-Service	1457397838	1457397838	1	3	NORTHERN CALIFORNIA	1/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	IMAGING ASSC MED GRP INC	501 PETALUMA AVE	None	SEBASTOPOL	CA	95472	4215	49	06097	38.39674221	-122.8201502	Sonoma County
12847	Fee-for-Service	1447664487	1447664487	1	1	NEIDHARDT, RYAN P MD	8/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	141147	66	Emergency Medicine (Urgent Care)	0	In state provider	None	115 MALL DR	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
12867	Fee-for-Service	1427438571	1427438571	1	1	NAFIZ, RAYEK MD	11/26/2024	2084P0802X	NA	Psychiatry	086	MEDICAL DIRECTORS	143779	-	NOT APPLICABLE	0	In state provider	None	13333 PALMDALE ROAD	None	VICTORVILLE	CA	92392	9364	36	06071	34.503642	-117.3710025	San Bernardino County
12884	Fee-for-Service	1629140959	1629140959	1	1	NGUYEN, ANDREW C DO	3/29/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	7659	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
12911	Fee-for-Service	1376593889	1376593889	1	1	NGUYEN, SON N MD	6/11/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	49188	08	Family Practice	0	In state provider	None	1033 N WATERMAN AVE	STE E	SAN BERNARDINO	CA	92410	3808	36	06071	34.11819969	-117.2787193	San Bernardino County
12947	Fee-for-Service	1750481651	1750481651	1	2	NANGALAMA, ANDREW MD	11/3/2021	207QA0505X	NA	Adult Primary Care	026	PHYSICIANS	62253	None	None	0	In state provider	None	9490 MADISON AVE	STE 200	ORANGEVALE	CA	95662	4983	34	06067	38.677248	-121.195998	Sacramento County
12948	Fee-for-Service	1598101784	1598101784	1	1	NUFFER, SAMANTHA A MD	9/20/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	168955	08	Family Practice	0	In state provider	None	2345 FAIR OAKS BLVD	None	SACRAMENTO	CA	95825	4708	34	06067	38.57535	-121.407633	Sacramento County
12956	Fee-for-Service	1386676955	1386676955	1	1	NAYES, ALAN W MD	4/30/2020	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	41136	01	General Practice	0	In state provider	None	1981 N BROADWAY	STE 190	WALNUT CREEK	CA	94596	3671	07	06013	37.90582392	-122.0613697	Contra Costa County
12958	Fee-for-Service	1235504374	1235504374	1	1	NIEKRUG, ARIEL B PHD	10/25/2017	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	101 THE CITY DR S	BLDG 53	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
12960	Fee-for-Service	1114901667	1114901667	1	1	NANDAMURI, KIRAN M MD	5/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	92771	41	Internal Medicine	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
13008	Fee-for-Service	1649265794	1649265794	1	1	NOREL, EVELYN J MD	8/31/1988	207L00000X	NA	Other	026	PHYSICIANS	40474	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
13040	Fee-for-Service	1124097399	1124097399	1	1	NEWTON, GEORGE W MD	5/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	68287	24	Plastic Surgery	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
13057	Fee-for-Service	1356643480	1356643480	1	2	NORBAKSH, AMIR M DO	8/16/2022	207L00000X	NA	Other	086	MEDICAL DIRECTORS	11461	-	NOT APPLICABLE	0	In state provider	None	5084 N FRUIT AVE	105	FRESNO	CA	93711	3000	10	06019	36.80974919	-119.8173837	Fresno County
13093	Fee-for-Service	1023160405	1023160405	1	1	NALANGAN-EAGLETON, JUDY R	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
13098	Fee-for-Service	1821147786	1821147786	1	1	NORTHBAY HEALTHCARE GROUP	12/1/1977	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	NORTHBAY MEDICAL CTR	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
13101	Fee-for-Service	1952836421	1952836421	1	1	NGUYEN, KIMBERLY K DO	8/29/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	19864	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
13171	Fee-for-Service	1629140959	1629140959	1	1	NGUYEN, ANDREW C DO	3/29/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	7659	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
13176	Fee-for-Service	1508953845	1508953845	2	1	NOUBARS EL ADOBE PHARMACY	2/6/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC	5207 HOLLYWOOD BLVD	None	LOS ANGELES	CA	90027	4908	19	06037	34.10178004	-118.303823	Los Angeles County
13182	Fee-for-Service	1700519311	1700519311	1	1	NEIGHBORHOOD HEALTHCARE	4/5/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	8856 ARLINGTON AVE	None	RIVERSIDE	CA	92503	1365	33	06065	33.94647572	-117.4674078	Riverside County
13195	Fee-for-Service	1962774935	1962774935	1	1	NARAYAN, AMI NP	12/21/2017	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1871 EL CAMINO REAL	None	BURLINGAME	CA	94010	3220	41	06081	37.59599909	-122.3855621	San Mateo County
13295	Fee-for-Service	1396997995	1396997995	1	1	NAEL, KAMBIZ MD	4/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107371	None	None	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
13313	Fee-for-Service	1659534295	1659534295	1	1	NADINDLA, SWATHI	8/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142689	None	None	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
13336	Fee-for-Service	1710334677	1710334677	1	2	NEPOMUCENO HOSPITAL GROUP IN	10/31/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	C	3300 FRANKLIN ST	None	ANDERSON	CA	96007	3279	45	06089	40.44810344	-122.3109375	Shasta County
13464	Fee-for-Service	1265855985	1265855985	1	1	NEW VISION HOSPICE	1/9/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	23875 VENTURA BLVD	STE 204B	CALABASAS	CA	91302	1493	19	06037	34.15581246	-118.6472018	Los Angeles County
13470	Fee-for-Service	1700519311	1700519311	1	1	NEIGHBORHOOD HEALTHCARE	9/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	8856 ARLINGTON AVE	None	RIVERSIDE	CA	92503	1365	33	06065	33.94647572	-117.4674078	Riverside County
13522	Fee-for-Service	1679940076	1679940076	1	1	NGUYEN, MINH-TRI MD	7/1/2020	204F00000X	NA	General Surgery	026	PHYSICIANS	168295	02	General Surgery	0	In state provider	None	197 E CAROLINE ST	None	SAN BERNARDINO	CA	92408	3731	36	06071	34.06143353	-117.2822085	San Bernardino County
13649	Fee-for-Service	1184068926	1184068926	1	1	NATANZI, NAVEED M DO	7/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	12989	25	Physical Medicine and Rehabilitation	0	In state provider	None	3421 VILLA LANE	STE 2B	NAPA	CA	94558	3060	28	06055	38.32459323	-122.2934714	Napa County
13752	Fee-for-Service	1265855985	1265855985	1	1	NEW VISION HOSPICE	1/9/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	23875 VENTURA BLVD	STE 204B	CALABASAS	CA	91302	1493	19	06037	34.15581246	-118.6472018	Los Angeles County
13753	Fee-for-Service	1366671091	1366671091	1	1	NAVALKELE, POURNIMA D MD	9/30/2022	2080P0207X	NA	Hematology	026	PHYSICIANS	181298	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
13754	Fee-for-Service	1093981151	1093981151	1	1	NACHMAN, ALISON	4/26/2005	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1035 GRAYSON ST	None	BERKELEY	CA	94710	2642	01	06001	37.85605581	-122.2888417	Alameda County
13757	Fee-for-Service	1700519311	1700519311	1	1	NEIGHBORHOOD HEALTHCARE	7/7/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	8856 ARLINGTON AVE	None	RIVERSIDE	CA	92503	1365	33	06065	33.94647572	-117.4674078	Riverside County
13795	Fee-for-Service	1891736237	1891736237	1	1	NEMAHA COUNTY HOSPITAL	8/27/2019	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2022 13TH ST	None	AUBURN	NE	68305	1799	00	None	40.39148742	-95.853487	Nemaha County
13799	Fee-for-Service	1164060281	1164060281	1	1	NENOVA, MARIA PHD	5/25/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
13873	Fee-for-Service	1295719458	1295719458	1	1	NORMAND, DEBRA A	3/26/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	215 S. HICKORY ST.	UNIT 112	ESCONDIDO	CA	92025	4359	37	06073	33.12335985	-117.0753842	San Diego County
13910	Fee-for-Service	1669023750	1669023750	1	1	NISSEN, KELLIE PSYD	9/13/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
13918	Fee-for-Service	1700319944	1700319944	1	1	NAJAFZADEH, PARISA	10/24/2023	207ZP0102X	NA	Other	026	PHYSICIANS	165605	None	None	0	In state provider	None	805 W LA VETA AVE	STE 104	ORANGE	CA	92868	3901	30	06059	33.78064152	-117.8606475	Orange County
13940	Fee-for-Service	1740424712	1740424712	1	1	NAIMI, NIMA DO	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	11485	45	Nephrology (Renal-Kidney)	0	In state provider	None	536 B E FOOTHILL BLVD	None	UPLAND	CA	91786	3988	36	06071	34.10683091	-117.6438976	San Bernardino County
13958	Fee-for-Service	1629574934	1629574934	1	1	NEMKOVICH, NATALIA MD	10/12/2022	207R00000X	NA	Other	026	PHYSICIANS	174458	None	None	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
13999	Fee-for-Service	1154786846	1154786846	1	8	NEIGHBORHOOD HEALTHCARE	7/18/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	985 N CAWSTON AVE	R00M 310	HEMET	CA	92545	3413	33	06065	33.76387529	-117.0153466	Riverside County
14045	Fee-for-Service	1700519311	1700519311	1	1	NEIGHBORHOOD HEALTHCARE	9/1/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	8856 ARLINGTON AVE	None	RIVERSIDE	CA	92503	1365	33	06065	33.94647572	-117.4674078	Riverside County
14055	Fee-for-Service	1629390638	1629390638	1	1	NAN, BRANDON PT	12/22/2017	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4318 SPYRES WAY	None	MODESTO	CA	95356	9259	50	06099	37.70194177	-120.9988293	Stanislaus County
14069	Fee-for-Service	1619235827	1619235827	1	1	NELSON, LAUREN A MD	11/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127891	40	Pediatrics	0	In state provider	None	1450 TREAT BLVD	STE 160	WALNUT CREEK	CA	94597	2168	07	06013	37.92643968	-122.0521822	Contra Costa County
14130	Fee-for-Service	1285292433	1285292433	1	1	NGUYEN, SAMANTHA H CCC-SLP	8/3/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	275 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1106	43	06085	37.23951066	-121.8013511	Santa Clara County
14155	Fee-for-Service	1710915673	1710915673	1	1	NGUYEN, LAN T MD	7/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	58566	67	Endocrinology	0	In state provider	None	14971 BROOKHURST ST	None	WESTMINSTER	CA	92683	6037	30	06059	33.74536854	-117.9549525	Orange County
14286	Fee-for-Service	1154786846	1154786846	1	8	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	985 N CAWSTON AVE	R00M 310	HEMET	CA	92545	3413	33	06065	33.76387529	-117.0153466	Riverside County
14314	Fee-for-Service	1346699394	1346699394	1	1	NEACATO, ISABEL I MD	2/13/2023	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7124	00	None	32.683167	-114.633459	Yuma County
14320	Fee-for-Service	1538190319	1538190319	1	1	NARAYAN, SURABHI MD	11/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80662	41	Internal Medicine	0	In state provider	None	3901 LONE TREE WAY	None	ANTIOCH	CA	94509	6200	07	06013	37.98252	-121.8030615	Contra Costa County
14362	Fee-for-Service	1972681864	1972681864	1	1	NAZARETH, MICHELLE S MD	3/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84627	01	General Practice	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
14409	Fee-for-Service	1518229525	1518229525	1	1	NOVALES, JOHN M MD	4/9/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
14433	Fee-for-Service	1871771238	1871771238	1	1	NORONHA, YVONNE S MD	2/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	104816	22	Pathology (M.D. only)	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
14439	Fee-for-Service	1710915673	1710915673	1	1	NGUYEN, LAN T MD	7/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	58566	41	Internal Medicine	0	In state provider	None	14971 BROOKHURST ST	None	WESTMINSTER	CA	92683	6037	30	06059	33.74536854	-117.9549525	Orange County
14477	Fee-for-Service	1588623268	1588623268	1	2	NGO, DAVID B OD	3/2/2009	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1035 JEFFERSON BLVD	STE 1A	WEST SACRAMENTO	CA	95691	3343	57	06113	38.57339903	-121.523861	Yolo County
14517	Fee-for-Service	1669949707	1669949707	1	1	NORCAL MEDICAL SUPPLY, INC	12/29/2021	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	620 PETALUMA BLVD N	None	PETALUMA	CA	94952	2870	49	06097	38.2414914	-122.643718	Sonoma County
14524	Fee-for-Service	1811754476	1811754476	1	1	NATHANIEL SILVEIRA-PYZIK LIC	1/20/2025	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	ENSED PROFESSIONAL CLINI	1350 CHERRY ST	STE. 4	SAN CARLOS	CA	94070	3008	41	06081	37.50406985	-122.2612475	San Mateo County
14530	Fee-for-Service	1104026509	1104026509	1	1	NGUYEN, LOC H MD	11/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94850	05	Anesthesiology	0	In state provider	None	9961 SIERRA AVENUE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
14564	Fee-for-Service	1659494060	1659494060	1	1	NIELSON, HILDA S LMFT	11/5/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
14573	Fee-for-Service	1346451002	1346451002	1	1	NEIL HANSEN M.D	8/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	987400 NEBRASKA MED CTR	None	OMAHA	NE	68198	0001	00	None	0	0	None
14641	Fee-for-Service	1396235560	1396235560	1	1	NOURI, SHIREEN S MD	4/20/2022	207L00000X	NA	Other	026	PHYSICIANS	175831	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
14782	Fee-for-Service	1750439659	1750439659	1	1	NEGRU, DANIELA M DO	1/29/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	7430	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
14783	Fee-for-Service	1134104144	1134104144	1	1	NANDISH, SHAILESH S MD	4/4/2021	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	160188	None	None	0	In state provider	None	185 E 7TH AVE	STE A	CHICO	CA	95926	3356	04	06007	39.74473059	-121.8488381	Butte County
14789	Fee-for-Service	1255366928	1255366928	1	1	NGUYEN, DUC V MD	9/8/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83670	41	Internal Medicine	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
14825	Fee-for-Service	1538629068	1538629068	1	1	NAPITUPULU, KEVIN B MD	7/1/2024	213ER0200X	NA	Other	026	PHYSICIANS	178740	30	Radiology	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
14839	Fee-for-Service	1497814123	1497814123	1	1	NAVA, MARIELA C NP	10/21/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4700 SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6082	19	06037	34.09812055	-118.2921165	Los Angeles County
14846	Fee-for-Service	1508131319	1508131319	1	1	NOLAN, JOSEPH M DO	11/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12624	01	General Practice	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
14847	Fee-for-Service	1225439508	1225439508	1	1	NORTHRIDGE OUTPATIENT SURGER	11/8/2022	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	Y CENTER INC	19871 NORDHOFF ST	None	NORTHRIDGE	CA	91324	3331	19	06037	34.23190676	-118.5658922	Los Angeles County
14868	Fee-for-Service	1609374958	1609374958	1	1	NADJEM, LAILY Z LMFT	4/15/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
14870	Fee-for-Service	1427063270	1427063270	1	2	NEW YORK CITY HEALTH AND HOS	10/3/2020	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	EALTH CENTER	234 E 149TH ST	None	BRONX	NY	10451	5504	00	None	40.817538	-73.9240965	Bronx County
14931	Fee-for-Service	1124218722	1124218722	1	1	NAMKUNG, JANE MD	4/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	101229	24	Plastic Surgery	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
14938	Fee-for-Service	1992818348	1992818348	1	1	NOVAC, ANDREI MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	39819	36	Psychiatry	0	In state provider	None	400 NEWPORT CENTER DR	STE 309	NEWPORT BEACH	CA	92660	7637	30	06059	33.6142606	-117.8726808	Orange County
14982	Fee-for-Service	1205228798	1205228798	1	1	NAVARRO, DESIREE LMFT	1/31/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2677 N MAIN ST	STE 110	SANTA ANA	CA	92705	6663	30	06059	33.77224313	-117.8672259	Orange County
15003	Fee-for-Service	1245259282	1245259282	2	1	NORTH COAST MEDICAL SUPPLY,	3/26/2021	332B00000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2544 CAMPBELL	SUITE 150	CARLSBAD	CA	92009	1752	37	06073	33.12870934	-117.2633227	San Diego County
15011	Fee-for-Service	1700339504	1700339504	1	1	NIKAM, RAHUL MD	9/1/2024	2085P0229X	NA	Other	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
15019	Fee-for-Service	1619357993	1619357993	1	1	NGUYEN, LINH T MD	6/18/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	144995	08	Family Practice	0	In state provider	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	37	06073	32.70162897	-117.1465065	San Diego County
15042	Fee-for-Service	1508235920	1508235920	1	1	NIRSCHL, FLORA D	1/27/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
15054	Fee-for-Service	1619473501	1619473501	1	1	NATOUR, SAMI J MD	5/24/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	167256	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	26585 W AGOURA ROAD	330	CALABASAS	CA	91302	1958	19	06037	34.14240621	-118.7027109	Los Angeles County
15094	Fee-for-Service	1063590727	1063590727	1	1	NICHOLS, KRISTEN L MD	2/25/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	73500	05	Anesthesiology	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
15119	Fee-for-Service	1518280684	1518280684	1	1	NORTHWEST SURGERY CENTER INC	7/21/2014	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	8325 BRIMHALL ROAD	SUITE 101	BAKERSFIELD	CA	93312	2245	15	06029	35.36875951	-119.0959206	Kern County
15155	Fee-for-Service	1427063270	1427063270	1	2	NEW YORK CITY HEALTH AND HOS	10/3/2020	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	EALTH CENTER	234 E 149TH ST	None	BRONX	NY	10451	5504	00	None	40.817538	-73.9240965	Bronx County
15158	Fee-for-Service	1639786353	1639786353	1	1	NEW HEIGHTS HOSPICE, INC	1/25/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1224 E BROADWAY BLVD	STE 204	GLENDALE	CA	91205	4066	19	06037	34.14615085	-118.2386531	Los Angeles County
15227	Fee-for-Service	1992818348	1992818348	1	1	NOVAC, ANDREI MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	39819	01	General Practice	0	In state provider	None	400 NEWPORT CENTER DR	STE 309	NEWPORT BEACH	CA	92660	7637	30	06059	33.6142606	-117.8726808	Orange County
15251	Fee-for-Service	1184880114	1184880114	1	1	NGUYEN, DOUGLAS L MD	10/15/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113814	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
15257	Fee-for-Service	1013090117	1013090117	1	1	NGO, HAO Q MD	7/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	75281	30	Radiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
15264	Fee-for-Service	1174086748	1174086748	1	1	NELLEN, JAMES R MD	7/31/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	21	06041	37.9469952	-122.5373892	Marin County
15270	Fee-for-Service	1063681195	1063681195	1	1	NEIGHBORHOOD PHARMACY IN	4/15/2008	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NEIGHBORHOOD PHARMACY IN	4557 PLEASANT VALLEY	None	CAMARILLO	CA	93012	5185	56	06111	34.21076876	-119.0092678	Ventura County
15273	Fee-for-Service	1255999447	1255999447	1	1	NEOGEN CARE HOSPICE INC	11/4/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	24301 SOUTHLAND DR	STE B7	HAYWARD	CA	94545	1548	01	06001	37.65344508	-122.1045736	Alameda County
15300	Fee-for-Service	1700339504	1700339504	1	1	NIKAM, RAHUL MD	9/1/2024	2085P0229X	NA	Other	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
15329	Fee-for-Service	1760401459	1760401459	1	1	NIKOUKARI, ARASIT MD	5/31/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	79683	None	None	0	In state provider	None	1450 10TH ST	STE 200	SANTA MONICA	CA	90401	2831	19	06037	34.01992119	-118.4882747	Los Angeles County
15344	Fee-for-Service	1144542309	1144542309	1	1	NAMPERUMAL, SRIHARI K MD	7/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129299	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1100 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
15347	Fee-for-Service	1487704284	1487704284	1	1	NAZERI, BAHMAN MD	1/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	48772	41	Internal Medicine	0	In state provider	None	11000 OLSON DR	STE 100	RANCHO CORDOVA	CA	95670	5605	34	06067	38.595123	-121.2820155	Sacramento County
15353	Fee-for-Service	1356643480	1356643480	1	1	NOURBAKHSH, AMIR M MD	10/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11461	05	Anesthesiology	0	In state provider	None	17100 EUCLID STREET	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
15354	Fee-for-Service	1558673566	1558673566	1	1	NASROLLAH, LAYA MD	7/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142119	10	Gastroenterology (M.D. only)	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
15381	Fee-for-Service	1063590727	1063590727	1	1	NICHOLS, KRISTEN L MD	2/25/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	73500	41	Internal Medicine	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
15442	Fee-for-Service	1295939833	1295939833	1	1	NASSIRI, JOSHUA MD	4/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152441	30	Radiology	0	In state provider	None	7901 FROST STREET	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
15443	Fee-for-Service	1639786353	1639786353	1	1	NEW HEIGHTS HOSPICE, INC	1/25/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1224 E BROADWAY BLVD	STE 204	GLENDALE	CA	91205	4066	19	06037	34.14615085	-118.2386531	Los Angeles County
15548	Fee-for-Service	1184604944	1184604944	2	1	NGUYEN, VY C MD	12/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	48930	01	General Practice	0	In state provider	None	10161 BOLSA AVE	STE C202	WESTMINSTER	CA	92683	6768	30	06059	33.74508538	-117.9521356	Orange County
15561	Fee-for-Service	1255999447	1255999447	1	1	NEOGEN CARE HOSPICE INC	11/4/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	24301 SOUTHLAND DR	STE B7	HAYWARD	CA	94545	1548	01	06001	37.65344508	-122.1045736	Alameda County
15593	Fee-for-Service	1609189786	1609189786	1	1	NGUYEN, SON T OD	5/9/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4155 MOORPARK AVE	STE 21	SAN JOSE	CA	95117	1714	43	06085	37.31587947	-121.974255	Santa Clara County
15648	Fee-for-Service	1134106404	1134106404	1	1	NAND, SUCHA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2160 S 1ST AVE	None	MAYWOOD	IL	60153	3328	00	None	41.86025379	-87.83381752	Cook County
15650	Fee-for-Service	1831194539	1831194539	1	1	NGUYEN, NGHIA X MD	12/24/2019	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	82384	04	Otology, Laryngology, Rhinology	0	In state provider	None	17822 BEACH BLVD.	474	HUNTINGTON BEACH	CA	92647	7190	30	06059	33.70331388	-117.9890471	Orange County
15667	Fee-for-Service	1912088048	1912088048	1	1	NORONHA, ROHINI E MD	10/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	55277	41	Internal Medicine	0	In state provider	None	3687 MT DIABLO BLVD	SUITE 200	LAFAYETTE	CA	94549	3746	07	06013	37.8898926	-122.1304235	Contra Costa County
15671	Fee-for-Service	1063590727	1063590727	1	1	NICHOLS, KRISTEN L MD	2/25/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	73500	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
15700	Fee-for-Service	1922645894	1922645894	1	1	NETHERLAIN, KAREN LMFT	12/20/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1011 NORTH BEGONIA AVE.	SUITE 1009	ONTARIO	CA	91762	4274	36	06071	34.076493	-117.672147	San Bernardino County
15703	Fee-for-Service	1639721053	1639721053	1	1	NGUYEN, NAM S NP	5/2/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
15786	Fee-for-Service	1487869129	1487869129	1	1	NELLI, ERIN M DO	12/15/2023	207RX0202X	NA	Oncology	026	PHYSICIANS	22272	None	None	0	In state provider	None	2710 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78449066	-124.1414748	Humboldt County
15815	Fee-for-Service	1881983914	1881983914	1	1	NEJAT-BINA, DAVID MD INC	3/1/2011	208600000X	NA	General Surgery	026	PHYSICIANS	80039	02	General Surgery	0	In state provider	None	410 W CENTRAL AVE	STE 200	ORANGE	CA	92821	3010	30	06059	33.93194416	-117.9031642	Orange
15841	Fee-for-Service	1356634240	1356634240	1	1	NAT, AMRITPAL S MD	12/12/2017	390200000X	NA	Other	026	PHYSICIANS	137428	41	Internal Medicine	0	In state provider	None	1250 E ALMOND AVE	None	MADERA	CA	93637	5606	20	06039	36.94519024	-120.0420086	Madera County
15897	Fee-for-Service	1699014464	1699014464	1	1	NYE, DERIC H DO	7/17/2019	207XP3100X	NA	Orthopedic Surgery	026	PHYSICIANS	17398	20	Orthopedic Surgery	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
15962	Fee-for-Service	1235317256	1235317256	1	1	NIE, PEI-HUEY MD	9/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	112461	36	Psychiatry	0	In state provider	None	760 WESTWOOD BLVD	None	LOS ANGELES	CA	90095	0001	19	06037	34.07067	-118.4432445	Los Angeles County
15986	Fee-for-Service	1447739636	1447739636	1	1	NARVISTA HOME HEALTH INC	12/15/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	421 ARDEN AVE	None	GLENDALE	CA	91203	4008	19	06037	34.15847954	-118.2624135	Los Angeles County
16011	Fee-for-Service	1982107595	1982107595	1	1	NZEAKO, TOCHUKWU MD	9/17/2024	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
16030	Fee-for-Service	1558389536	1558389536	1	1	NATH, BADRI N MD	2/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	37768	10	Gastroenterology (M.D. only)	0	In state provider	None	81709 DR CARREON BLVD	STE C3	INDIO	CA	92201	5577	33	06065	33.70733082	-116.2400326	Riverside County
16075	Fee-for-Service	1306213384	1306213384	1	1	NOWRX INC	7/24/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2224 OLD MIDDLEFIELD WAY	None	MOUNTAIN VIEW	CA	94043	2421	43	06085	37.41469911	-122.0951622	Santa Clara County
16103	Fee-for-Service	1437335148	1437335148	1	1	NEIGHBORHOOD HEALTHCARE	10/18/2007	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	41840 ENTERPRISE CIRCLE	NORTH	TEMECULA	CA	92590	5654	33	06065	33.51730799	-117.1697125	Riverside County
16119	Fee-for-Service	1528389848	1528389848	1	1	NADGIR, UDAY M MD	11/15/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112742	41	Internal Medicine	0	In state provider	None	1900 SULLIVAN AVE	None	DALY CITY	CA	94015	2200	41	06081	37.67984327	-122.4730264	San Mateo County
16171	Fee-for-Service	1720558596	1720558596	1	1	NURTURE HOSPICE INC	4/14/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	10523 BURBANK BLVD	STE 206	NORTH HOLLYWOOD	CA	91601	2238	19	06037	34.17216449	-118.36017	Los Angeles County
16177	Fee-for-Service	1184064149	1184064149	1	1	NGUYEN, QUYNH-LAN V MD	1/21/2022	207R00000X	NA	Other	026	PHYSICIANS	171728	None	None	0	In state provider	None	3800 DALE ROAD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
16185	Fee-for-Service	1629558499	1629558499	1	1	NGUYEN, HARRY D PT	7/27/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
16197	Fee-for-Service	1124143151	1124143151	1	1	NATOR, CHRISTINE M	5/16/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
16219	Fee-for-Service	1457460354	1457460354	1	2	NGUYEN, MINH TAM MD	12/2/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	45479	-	NOT APPLICABLE	0	In state provider	None	1285 ESCUELA PARKWAY	None	MILPITAS	CA	95035	3221	43	06085	37.44760411	-121.9000097	Santa Clara County
16225	Fee-for-Service	1174659973	1174659973	1	1	NGO, CHI K OD	6/30/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2417 NAGLEE ROAD	None	TRACY	CA	95304	7324	39	06077	37.75489119	-121.4665269	San Joaquin County
16246	Fee-for-Service	1629465323	1629465323	1	1	NG, MICHELLE T MD	10/5/2020	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	144235	25	Physical Medicine and Rehabilitation	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
16343	Fee-for-Service	1740437953	1740437953	1	1	NICOLAU, YONA MD	4/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	105019	40	Pediatrics	0	In state provider	None	101 THE CITY DR SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
16391	Fee-for-Service	1235215799	1235215799	1	1	NEPOMUCENO, EDWARD M MD	11/7/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89886	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
16456	Fee-for-Service	1720558596	1720558596	1	1	NURTURE HOSPICE INC	4/14/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	10523 BURBANK BLVD	STE 206	NORTH HOLLYWOOD	CA	91601	2238	19	06037	34.17216449	-118.36017	Los Angeles County
16532	Fee-for-Service	1831107911	1831107911	1	1	NGUYEN, GIANG MD	7/2/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	87269	30	Radiology	0	In state provider	None	415 ROLLING OAKS DR	# 160	THOUSAND OAKS	CA	91361	1038	56	06111	34.17439717	-118.8691161	Ventura County
16576	Fee-for-Service	1154786846	1154786846	1	7	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	422 N SAN JACINTO ST	ROOM A	HEMET	CA	92543	3124	33	06065	33.753564	-116.9586305	Riverside County
16582	Fee-for-Service	1255727095	1255727095	1	1	NUGUID, PAULA C DPM	8/27/2018	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
16637	Fee-for-Service	1164892444	1164892444	1	1	NABI, GABRIELLE LMFT	12/11/2018	390200000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	202 FASHION LANE	SUITE 204	TUSTIN	CA	92780	3353	30	06059	33.7470725	-117.8179335	Orange County
16657	Fee-for-Service	1356395826	1356395826	1	1	NEGARD, CHRISTIAN F MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67896	08	Family Practice	0	In state provider	None	610 FREDERICK STREET	None	SANTA CRUZ	CA	95062	2203	44	06087	36.97965731	-122.0042799	Santa Cruz County
16674	Fee-for-Service	1013923481	1013923481	1	1	NGUYEN, TIEN H MD	11/18/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	91766	02	General Surgery	0	In state provider	None	4901 CENTENNIAL PLAZA WY	None	BAKERSFIELD	CA	93312	2011	15	06029	35.40400955	-119.0934945	Kern County
16703	Fee-for-Service	1104904911	1104904911	1	1	NAEEM, FARZANA MD	1/11/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86684	41	Internal Medicine	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
16773	Fee-for-Service	1265293088	1265293088	1	1	NGUYEN, KIMSA	3/13/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	10	06019	0	0	None
16778	Fee-for-Service	1518158849	1518158849	1	1	NAIM, NATALE Z MD	9/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	103065	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	1778	19	06037	34.06373445	-118.443537	Los Angeles County
16787	Fee-for-Service	1114457942	1114457942	1	1	NEUMAN, MONICA MD	11/20/2024	207VX0201X	NA	Obstetrics & Gynecology	026	PHYSICIANS	172015	09	Gynecology (D.O. only)	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
16791	Fee-for-Service	1952440760	1952440760	1	1	NEWARK UNIFIED SD	1/31/1999	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	5715 MUSICK AVE	None	NEWARK	CA	94560	2554	01	06001	37.54250103	-122.0314092	Alameda County
16839	Fee-for-Service	1558792283	1558792283	1	1	NOBLEQUEST HEALTH FOUNDATION	8/14/2017	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INC	14435 HAMLIN ST	SUITE 108	VAN NUYS	CA	91401	1410	19	06037	34.18869947	-118.447731	Los Angeles County
16862	Fee-for-Service	1154786846	1154786846	1	7	NEIGHBORHOOD HEALTHCARE	12/10/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	422 N SAN JACINTO ST	ROOM A	HEMET	CA	92543	3124	33	06065	33.753564	-116.9586305	Riverside County
16863	Fee-for-Service	1396040226	1396040226	1	1	NORTHERN CALIFORNIA MEDICAL	3/13/2020	207YS0123X	NA	ENT/Otolaryngology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ASSOC INC	1701 4TH ST	STE 120	SANTA ROSA	CA	95404	3661	49	06097	38.448801	-122.699439	Sonoma County
16946	Fee-for-Service	1649614173	1649614173	1	1	NOVA CARRIERS CORPORATION	2/25/2019	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	9029 PARK PLAZA DRIVE	STE 203	LA MESA	CA	91942	3450	37	06073	32.79173507	-117.0028928	San Diego County
17022	Fee-for-Service	1417406984	1417406984	1	1	NIETO, CIRSE LMFT	10/2/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
17031	Fee-for-Service	1053672725	1053672725	1	1	NAHL, DANIEL S DO	7/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15315	01	General Practice	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
17034	Fee-for-Service	1124376488	1124376488	1	1	NAING, WIN MD	9/13/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125519	41	Internal Medicine	0	In state provider	None	300 WEST HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
17052	Fee-for-Service	1063749240	1063749240	1	1	NJOTU, NATALIE W	8/28/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	633 WEST FIFTH STREET	OFFICE #2876B	LOS ANGELES	CA	90071	2005	19	06037	34.05071143	-118.25466	Los Angeles County
17075	Fee-for-Service	1912007956	1912007956	2	1	NAT, GERARD MD	12/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	58203	07	Dermatology	0	In state provider	None	10800 PARAMOUNT BLVD	SUITE 301	DOWNEY	CA	90241	3324	19	06037	33.94604301	-118.1354831	Los Angeles County
17101	Fee-for-Service	1336861160	1336861160	1	1	NATTABI, LYDIA	1/12/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	420 CONDOR AVENUE	None	BREA	CA	92823	1007	30	06059	33.92514246	-117.8457088	Orange County
17151	Fee-for-Service	1396040226	1396040226	1	1	NORTHERN CALIFORNIA MEDICAL	3/3/2011	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	ASSOC INC	1701 4TH ST	STE 120	SANTA ROSA	CA	95404	3661	49	06097	38.448801	-122.699439	Sonoma County
17155	Fee-for-Service	1992208789	1992208789	1	1	NURZAY, HAIDER M NP	6/24/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1782 W HAMMER LN	None	STOCKTON	CA	95209	2922	39	06077	38.0210584	-121.3358534	San Joaquin County
17183	Fee-for-Service	1821187881	1821187881	1	1	NARAGHI-ARANI, MARJAN DO	2/14/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	7552	08	Family Practice	0	In state provider	None	3200 KEARNY ST	None	FREMONT	CA	94538	5409	01	06001	37.54866156	-121.9750739	Alameda County
17229	Fee-for-Service	1457762296	1457762296	1	1	NAFISEH HAGHGOO	3/4/2020	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1035 116TH AVE NE	None	BELLEVUE	WA	98004	4604	00	None	47.620296	-122.1856955	King County
17241	Fee-for-Service	1326233461	1326233461	1	1	NAYERI, ALBERT N MD	4/26/2020	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	156004	41	Internal Medicine	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
17242	Fee-for-Service	1982064549	1982064549	1	1	NORTH EAST MEDICAL SERVICES	3/15/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1019 CLEMENT ST	None	SAN FRANCISCO	CA	94118	2112	38	06075	37.78261628	-122.470294	San Francisco County
17256	Fee-for-Service	1205947389	1205947389	1	1	NORTH COAST WOMEN'S CARE	3/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MEDICAL GROUP INC	2067 W VISTA WAY	STE 225	VISTA	CA	92083	6001	37	06073	33.18505594	-117.285958	San Diego County
17270	Fee-for-Service	1508882564	1508882564	1	1	NGUYEN, BRANDON SON T DO	5/22/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9059	None	None	0	In state provider	None	3555 CESAR CHAVEZ	None	SAN FRANCISCO	CA	94110	4403	38	06075	37.74802705	-122.4207367	San Francisco County
17298	Fee-for-Service	1043358724	1043358724	1	1	NAGODE, JENNIFER C MD	3/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	98319	36	Psychiatry	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
17324	Fee-for-Service	1811924954	1811924954	1	1	NATCHEZ REGIONAL MEDICAL	6/20/2009	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CENTER	54 SEARGENT PRENTISS DR	None	NATCHEZ	MS	39120	4726	00	None	31.52740985	-91.39041675	Adams County
17389	Fee-for-Service	1336861160	1336861160	1	1	NATTABI, LYDIA	1/12/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	420 CONDOR AVENUE	None	BREA	CA	92823	1007	30	06059	33.92514246	-117.8457088	Orange County
17422	Fee-for-Service	1770528663	1770528663	1	1	NUGENT, DIANE J MD	2/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	75931	40	Pediatrics	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
17480	Fee-for-Service	1851563597	1851563597	1	1	NAIR, ANIL G MD	8/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124435	05	Anesthesiology	0	In state provider	None	2185 W CITRACADO PRKY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
17613	Fee-for-Service	1811924954	1811924954	1	1	NATCHEZ REGIONAL MEDICAL	6/20/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CENTER	54 SEARGENT PRENTISS DR	None	NATCHEZ	MS	39120	4726	00	None	31.52740985	-91.39041675	Adams County
17689	Fee-for-Service	1881987576	1881987576	1	2	NORTHEAST COMMUNITY CLINICS	8/20/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2822 E FLORENCE AVENUE	None	HUNTINGTON PARK	CA	90255	5749	19	06037	33.9735534	-118.2191326	Los Angeles County
17706	Fee-for-Service	1770528663	1770528663	1	1	NUGENT, DIANE J MD	2/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	75931	68	Hematology	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
17755	Fee-for-Service	1396943254	1396943254	1	1	NARAYAN, VIDYA MD	9/15/2010	207R00000X	NA	Other	026	PHYSICIANS	97583	41	Internal Medicine	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
17758	Fee-for-Service	1669720140	1669720140	1	1	NAGA ADLAMUDI	8/22/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2636 TIBBETS DR	None	BEDFORD	TX	76022	6919	00	None	32.83276376	-97.1237339	Tarrant County
17760	Fee-for-Service	1235101510	1235101510	1	1	NARAYANAN, SANDRA MD	2/9/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	55499	None	None	0	In state provider	None	4201 TORRANCE BLVD	SUITE 520	TORRANCE	CA	90503	4009	19	06037	33.8375955	-118.358748	Los Angeles County
17776	Fee-for-Service	1144586736	1144586736	1	1	NAKAMURA, KAYOKO J NP	7/17/2020	363LG0600X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
17874	Fee-for-Service	1477742070	1477742070	1	1	NZEREM-JOHNSON, NKECHI A MD	11/30/2009	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	101364	40	Pediatrics	0	In state provider	None	1650 RESPONSE RD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
17884	Fee-for-Service	1194996793	1194996793	1	1	NG, SAMANTHA MD	7/7/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111093	05	Anesthesiology	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
17951	Fee-for-Service	1184911968	1184911968	1	1	NGUYEN, PAUL D DO	6/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14554	02	General Surgery	0	In state provider	None	1668 DOMINICAN WAY	None	SANTA CRUZ	CA	95065	1522	44	06087	36.99025828	-121.9810944	Santa Cruz County
17957	Fee-for-Service	1144328303	1144328303	1	1	NGUYEN, CHUAN M MD	4/1/2000	207R00000X	NA	Other	026	PHYSICIANS	63490	41	Internal Medicine	0	In state provider	None	710 N EUCLID ST	# 107	ANAHEIM	CA	92801	4115	30	06059	33.8420837	-117.9415765	Orange County
17996	Fee-for-Service	1770528663	1770528663	1	1	NUGENT, DIANE J MD	2/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	75931	78	Neoplastic Diseases/Oncology	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
18004	Fee-for-Service	1699179879	1699179879	1	1	NEW MADISON HOSPICE &	4/26/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	2060 E ROUTE 66	STE 104	GLENDORA	CA	91740	4691	19	06037	34.12772042	-117.8249019	Los Angeles County
18040	Fee-for-Service	1255863403	1255863403	1	1	NATBONY, JOSHUA E MD	12/13/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	180960	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
18081	Fee-for-Service	1346421740	1346421740	1	1	NUPUR TARA SPEECH LANGUAGE P	10/21/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	ATHOLOGY, INC	995 MONTAGUE EXPY	213	MILPITAS	CA	95035	6851	43	06085	37.41431261	-121.8844434	Santa Clara County
18132	Fee-for-Service	1134359094	1134359094	1	1	NGUYEN, ALBERT P MD	8/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123135	05	Anesthesiology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
18137	Fee-for-Service	1265875728	1265875728	1	1	NI, SIYUAN MD	5/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137311	41	Internal Medicine	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
18154	Fee-for-Service	1477659266	1477659266	1	1	NAIEM, SHAHRAM MD	9/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	69178	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1301 20TH ST	STE 590	SANTA MONICA	CA	90404	2054	19	06037	34.02976782	-118.4812493	Los Angeles County
18190	Fee-for-Service	1063437770	1063437770	1	1	NATHAN C. DEAN M.D.	12/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5121 S COTTONWOOD ST	None	MURRAY	UT	84107	5701	00	None	40.659588	-111.891798	Salt Lake County
18204	Fee-for-Service	1437592797	1437592797	1	1	NEWMAN, KAM A MD	11/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125280	83	Rheumatology	0	In state provider	None	39000 BOB HOPE DRIVE	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
18219	Fee-for-Service	1386896736	1386896736	1	1	NAGHI, JESSE J MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	110094	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	7901 FROST STREET	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
18255	Fee-for-Service	1821147786	1821147786	1	14	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1860 PENNSYLVANIA AVE	SUITE 230	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
18276	Fee-for-Service	1447239702	1447239702	1	1	NELSON, STEPHEN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	ST EDWARD MED SVCS, INC	7301 ROGERS AVE	None	FORT SMITH	AR	72903	0000	00	None	35.35551	-94.35276	Sebastian County
18293	Fee-for-Service	1699179879	1699179879	1	1	NEW MADISON HOSPICE &	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	2060 E ROUTE 66	STE 104	GLENDORA	CA	91740	4691	19	06037	34.12772042	-117.8249019	Los Angeles County
18392	Fee-for-Service	1700822962	1700822962	1	1	NGUYEN, DUKE MD	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	83370	None	None	0	In state provider	None	16300 SAND CANYON AVE	STE 102	IRVINE	CA	92618	3704	30	06059	33.66115075	-117.7742405	Orange County
18396	Fee-for-Service	1023390770	1023390770	1	1	NERCESSIAN, ARMEN DO INC	12/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	6784	08	Family Practice	0	In state provider	None	1122 N BRAND BLVD	STE 101	GLENDALE	CA	91202	2571	19	06037	34.162236	-118.2550335	Los Angeles County
18485	Fee-for-Service	1376770933	1376770933	1	1	NGUYEN-TRAXLER, ANN B MD	8/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135433	41	Internal Medicine	0	In state provider	None	1783 EL CAMINO REAL	None	BURLINGAME	CA	94010	3205	41	06081	37.59324015	-122.3818088	San Mateo County
18495	Fee-for-Service	1780831768	1780831768	1	1	NYGREN, RACHEL PT	10/30/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3525 LOMA VISTA RD	STE A	VENTURA	CA	93003	3101	56	06111	34.27680789	-119.2480851	Ventura County
18533	Fee-for-Service	1053475905	1053475905	1	1	NORTH STAR EMERG SVC INC	8/11/2005	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	NORCAL AMBULANCE	2537 WILLOW ST	STE 2	OAKLAND	CA	94607	1710	01	06001	37.82079805	-122.2901017	Alameda County
18644	Fee-for-Service	1366860074	1366860074	1	1	NAQVI, ALI A MD	5/16/2017	208M00000X	NA	Other	026	PHYSICIANS	139979	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
18723	Fee-for-Service	1205328374	1205328374	1	1	NEKOU, NILOUFAR	7/31/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
18788	Fee-for-Service	1861530719	1861530719	1	1	NGUYEN, VIVIAN VY D OT	4/21/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
18829	Fee-for-Service	1821300286	1821300286	1	1	NAVAR, LUCIA MD	11/30/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	119234	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
18916	Fee-for-Service	1154359982	1154359982	1	1	NIEMI, SACHA Z MD	1/11/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	53715	08	Family Practice	0	In state provider	None	1580 VALENCIA ST	STE 201	SAN FRANCISCO	CA	94110	4420	38	06075	37.74746923	-122.4202583	San Francisco County
18971	Fee-for-Service	1184989170	1184989170	1	1	NGUYEN, HENRY DO	8/11/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19674	None	None	0	In state provider	None	17762 BEACH BLVD.	220	HUNTINGTON BEACH	CA	92647	6860	30	06059	33.70404013	-117.9890603	Orange County
18981	Fee-for-Service	1821450974	1821450974	1	1	NASSIRI, NIMA MD	2/4/2021	208800000X	NA	Other	026	PHYSICIANS	156081	None	None	0	In state provider	None	22419 KENT AVE	None	TORRANCE	CA	90505	2303	19	06037	33.824448	-118.3564765	Los Angeles County
18992	Fee-for-Service	1912976762	1912976762	1	1	NZERUE, CHIKE M MD	10/13/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	102 EAST LAKE MEAD PKWY	None	HENDERSON	NV	89015	5775	00	None	36.03815706	-114.9842287	Clark County
19061	Fee-for-Service	1710041686	1710041686	1	1	NGUYEN, TAMUYEN G MD	4/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80098	08	Family Practice	0	In state provider	None	1700 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	5115	36	06071	34.130214	-117.2788065	San Bernardino County
19085	Fee-for-Service	1932837945	1932837945	1	1	NGUYEN, HUNG Q PT	10/14/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3555 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
19138	Fee-for-Service	1952989667	1952989667	1	1	NGUYEN, JASMINE DO	9/16/2024	207R00000X	NA	Other	026	PHYSICIANS	20481	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
19176	Fee-for-Service	1386706570	1386706570	1	1	NASSER, ZENIL PT	8/14/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	582 S SUNNYVALE AVE	None	SUNNYVALE	CA	94086	6215	43	06085	37.36886669	-122.0316101	Santa Clara County
19187	Fee-for-Service	1487171518	1487171518	1	1	NEBRES, RENITA V LMFT	12/22/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	111 SMITH RANCH ROAD	None	SAN RAFAEL	CA	94903	1939	21	06041	38.01951576	-122.5315893	Marin County
19189	Fee-for-Service	1245411529	1245411529	1	1	NORTHERN CALIFORNIA MEDI	3/17/2008	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	CAL ASSOC INC	104 LYNCH CREEK WAY	STE 10	PETALUMA	CA	94954	2355	49	06097	38.25218808	-122.6339241	Sonoma County
19239	Fee-for-Service	1104207323	1104207323	1	1	NWOKEABIA, IFEANYI D MD	9/30/2020	207L00000X	NA	Other	026	PHYSICIANS	162659	05	Anesthesiology	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
19295	Fee-for-Service	1528367745	1528367745	1	1	NAFICY, HAMID R MD	5/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155016	36	Psychiatry	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	6968	19	06037	34.07067	-118.4432445	Los Angeles County
19331	Fee-for-Service	1710334677	1710334677	1	1	NEPOMUCENO HOSPITAL GROUP IN	10/31/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	C	201 HARTNELL AVE	None	REDDING	CA	96002	1843	45	06089	40.56739956	-122.3690135	Shasta County
19366	Fee-for-Service	1053731273	1053731273	1	1	NGUYEN, PHI D MD	8/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	138860	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
19418	Fee-for-Service	1336661016	1336661016	1	1	NGUYEN, CHRISTINA T DO	10/21/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
19422	Fee-for-Service	1518992544	1518992544	1	1	NGUYEN, DUC V MD	9/22/2014	207RA0000X	NA	Pediatric Primary Care	026	PHYSICIANS	42546	01	General Practice	0	In state provider	None	8748 VALLEY BLVD	STE H	ROSEMEAD	CA	91770	1763	19	06037	34.0806055	-118.0788318	Los Angeles County
19427	Fee-for-Service	1801948278	1801948278	1	1	NUNES, JOHN R MD	12/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	54527	30	Radiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
19442	Fee-for-Service	1437532652	1437532652	1	1	NIXON, TYLER MARK DO INC	10/20/2015	207R00000X	NA	Other	026	PHYSICIANS	13158	41	Internal Medicine	0	In state provider	None	1250 BROADWAY	None	SONOMA	CA	95476	7500	49	06097	38.27841777	-122.4598827	Sonoma County
19455	Fee-for-Service	1063685808	1063685808	1	1	NGUYEN, TOAN T MD INC	7/28/2008	193400000X	NA	Other	026	PHYSICIANS	65048	02	General Surgery	0	In state provider	None	2865 ATLANTIC AVE	STE 101	LONG BEACH	CA	90806	7417	19	06037	33.809418	-118.185058	Los Angeles County
19539	Fee-for-Service	1679940332	1679940332	1	1	NICHOL, JONATHAN R DO	7/1/2018	207P00000X	NA	Other	026	PHYSICIANS	16120	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6601 WHITE FEATHER RD	None	JOSHUA TREE	CA	92252	6607	36	06071	34.13189479	-116.2767026	San Bernardino County
19548	Fee-for-Service	1760628598	1760628598	1	1	NATT, TARANJIT K MD	12/8/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	110050	41	Internal Medicine	0	In state provider	None	30300 RANCHO VIEJO RD	None	SAN JUAN CAPISTRA	CA	92675	1576	30	06059	33.52255638	-117.6650853	Orange County
19576	Fee-for-Service	1083819908	1083819908	1	1	NUGENT, MATTHEW T MD	7/11/2018	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	-	20	Orthopedic Surgery	1	Border provider	None	520 MEDICAL CENTER DRIVE	SUITE 201	MEDFORD	OR	97504	4334	00	None	42.318801	-122.831728	Jackson County
19635	Fee-for-Service	1952370256	1952370256	1	1	NEWRHEE,KIM MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	202 S PARK ST	None	MADISON	WI	53715	1507	00	None	43.0654364	-89.40092987	Dane County
19639	Fee-for-Service	1063737740	1063737740	1	1	NGUYEN, DAVID MD	12/23/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118073	05	Anesthesiology	0	In state provider	None	101 CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
19646	Fee-for-Service	1518496884	1518496884	1	1	NILSON, COURTNEY L OT	11/20/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
19655	Fee-for-Service	1447546684	1447546684	1	1	NANGIT, ANGELICA K C MD	7/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	130985	83	Rheumatology	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
19659	Fee-for-Service	1356736805	1356736805	1	1	NAWAZ, MARIO N MD	9/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148467	01	General Practice	0	In state provider	None	18406 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	5480	19	06037	34.2206967	-118.5342638	Los Angeles County
19690	Fee-for-Service	1497325211	1497325211	1	1	NILKANTH AMS, INC	9/2/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2451 ROCKWOOD AVE	120	CALEXICO	CA	92231	4405	13	06025	32.69552366	-115.4975945	Imperial County
19736	Fee-for-Service	1558438440	1558438440	1	1	NGO, DUC T MD	8/22/1995	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	69149	25	Physical Medicine and Rehabilitation	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
19743	Fee-for-Service	1063685808	1063685808	1	1	NGUYEN, TOAN T MD INC	7/28/2008	193400000X	NA	Other	026	PHYSICIANS	65048	41	Internal Medicine	0	In state provider	None	2865 ATLANTIC AVE	STE 101	LONG BEACH	CA	90806	7417	19	06037	33.809418	-118.185058	Los Angeles County
19758	Fee-for-Service	1306011135	1306011135	1	1	NELSON, LORI E MD	2/28/2025	208VP0000X	NA	Other	026	PHYSICIANS	179688	25	Physical Medicine and Rehabilitation	0	In state provider	None	9000 MING AVE	STE L-1B	BAKERSFIELD	CA	93311	1318	15	06029	35.33989328	-119.1034715	Kern County
19762	Fee-for-Service	1821165754	1821165754	1	1	NEMZER, PAMELA G MD	7/1/1998	207N00000X	NA	Dermatology	026	PHYSICIANS	49160	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
19815	Fee-for-Service	1275777344	1275777344	1	1	NADEEM, BUSHRA MD	3/10/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	105252	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
19920	Fee-for-Service	1275093106	1275093106	1	1	NGUYEN, CAROLINE P MD	8/30/2024	207R00000X	NA	Other	026	PHYSICIANS	178984	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
19982	Fee-for-Service	1326369042	1326369042	1	1	NIJHAWAN, SUMIT K MD	10/3/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137624	01	General Practice	0	In state provider	None	125 N JACKSON AVE	SUITE 202	SAN JOSE	CA	95116	1915	43	06085	37.36117713	-121.8462226	Santa Clara County
20014	Fee-for-Service	1417670415	1417670415	1	1	NIKOOKAR, ARASH CRNA	12/7/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
20018	Fee-for-Service	1437655909	1437655909	1	1	NGUYEN, BAO CHAU H MD	1/22/2025	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
20123	Fee-for-Service	1619130929	1619130929	1	1	NGUYEN, CLAUDE B MD	9/13/2019	2084V0102X	NA	Neurology	026	PHYSICIANS	129499	13	Neurology (M.D. only)	0	In state provider	None	2300 CALIFORNIA ST	103	SAN FRANCISCO	CA	94115	2753	38	06075	37.78910083	-122.4323944	San Francisco County
20164	Fee-for-Service	1184702755	1184702755	1	1	NGUYEN, THOMAS T D MD	2/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	96229	40	Pediatrics	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
20166	Fee-for-Service	1386626448	1386626448	2	1	NGUYEN, DAT W MD	8/16/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	83262	41	Internal Medicine	0	In state provider	None	4844 UNIVERSITY AVE	STE A	LA JOLLA	CA	92105	8021	37	06073	32.74956677	-117.0903274	San Diego County
20178	Fee-for-Service	1366040008	1366040008	1	1	NAM, DAJEONG PT	11/12/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8545 SIERRA AVE	None	FONTANA	CA	92335	3868	36	06071	34.09849683	-117.4356608	San Bernardino County
20183	Fee-for-Service	1780213736	1780213736	1	1	NAJIB, ANAS MD	8/15/2023	208M00000X	NA	Other	026	PHYSICIANS	187774	None	None	0	In state provider	None	1020 29TH ST	#550	SACRAMENTO	CA	95816	5126	34	06067	38.572803	-121.4685	Sacramento County
20196	Fee-for-Service	1255433942	1255433942	1	1	NEYHART, JOY M. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3268 HOSPITAL DR	STE D	JUNEAU	AK	99801	7800	00	None	58.32974026	-134.4650327	Juneau City and Borough
20278	Fee-for-Service	1932181757	1932181757	1	1	NALESNIK, JEFFREY G MD	8/20/2009	208800000X	NA	Other	026	PHYSICIANS	104303	34	Urology and Urological Surgery	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
20299	Fee-for-Service	1962428409	1962428409	1	1	NADUKHOVSKAYA, LARISA DO	3/16/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	8321	66	Emergency Medicine (Urgent Care)	0	In state provider	None	301 INDUSTRIAL RD	None	SAN CARLOS	CA	94070	2603	41	06081	37.51438187	-122.2607682	San Mateo County
20351	Fee-for-Service	1205443025	1205443025	1	1	NORCAL HEALTHCONNECT LLC	1/1/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1375 UNIVERSITY AVE	None	HEALDSBURG	CA	95448	3382	49	06097	38.6272407	-122.8638253	Sonoma County
20367	Fee-for-Service	1013127133	1013127133	1	1	NICHOLSON, CHAD	6/22/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4201 W CHAPMAN AVENUE	None	ORANGE	CA	92868	1505	30	06059	33.78900343	-117.8985235	Orange County
20443	Fee-for-Service	1972723377	1972723377	1	1	NORTH & SOUTH OF MARKET	7/1/1993	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	MABINI DAY HEALTH	55 MABINI ST	None	SAN FRANCISCO	CA	94107	1245	38	06075	37.7824267	-122.4000795	San Francisco County
20476	Fee-for-Service	1629063037	1629063037	1	1	NEARY, JAMES R DC	3/31/1991	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	5290 OVERPASS RD	STE 101	SANTA BARBARA	CA	93111	2052	42	06083	34.43960012	-119.8079098	Santa Barbara County
20499	Fee-for-Service	1932246915	1932246915	1	1	NORTON, DAVID A MD	11/18/2021	207RC0200X	NA	Other	026	PHYSICIANS	152420	None	None	0	In state provider	None	9888 GENESEE AVE	None	LA JOLLA	CA	92037	1205	37	06073	32.8865608	-117.2250386	San Diego County
20555	Fee-for-Service	1033296371	1033296371	1	1	NOVAK, CYNTHIA Z MD	10/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1600 MEDICAL PARKWAY	None	CARSON CITY	NV	89703	4625	00	None	39.202263	-119.7841095	Consolidated Municipality of Carson City
20570	Fee-for-Service	1871760470	1871760470	1	1	NEWMAN, SABRINA A MD	11/8/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	07	Dermatology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
20581	Fee-for-Service	1508306176	1508306176	1	1	NWAIBE, HENRIETTA C NP	1/20/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	1701 ZONAL AVE.	None	LOS ANGELES	CA	90033	1065	19	06037	34.06219051	-118.2106555	Los Angeles County
20629	Fee-for-Service	1427256502	1427256502	1	1	NIU, DAVID C MD	9/9/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	106898	05	Anesthesiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
20660	Fee-for-Service	1467814731	1467814731	1	1	NUNEZ, DENISE M MD	5/11/2022	2083P0901X	NA	Adult Primary Care	026	PHYSICIANS	167194	None	None	0	In state provider	None	1245 16TH STREET	SUITE 125, 204, 307	SANTA MONICA	CA	90404	1240	19	06037	34.02726451	-118.4857138	Los Angeles County
20711	Fee-for-Service	1356075808	1356075808	1	1	NORTH SACRAMENTO HEALTHCARE	8/1/2022	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	500 JESSIE AVE	None	SACRAMENTO	CA	95838	2609	34	06067	38.643435	-121.454145	Sacramento County
20753	Fee-for-Service	1629007091	1629007091	1	1	NORTON, MARY E MD	1/24/2014	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	68670	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1001 POTRERO AVE	RM 6D	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
20763	Fee-for-Service	1093898710	1093898710	1	3	NORCOTT, DAVID R OD	9/7/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3211 FORTUNE CT	STE A	AUBURN	CA	95602	9254	31	06061	38.94234896	-121.1015805	Placer County
20769	Fee-for-Service	1811986268	1811986268	1	1	NEWPORT HEART MED GROUP	11/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	415 OLD NEWPORT BLVD	STE 200	NEWPORT BEACH	CA	92663	4252	30	06059	33.62621345	-117.9266745	Orange County
20811	Fee-for-Service	1174056857	1174056857	1	1	NASSIRI, NARIMAN MD MPH	6/10/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	172729	None	None	0	In state provider	None	625 S FAIR OAKS AVE	227, 240, 280, 285	PASADENA	CA	91105	2613	19	06037	34.134894	-118.1504155	Los Angeles County
20888	Fee-for-Service	1396041042	1396041042	1	1	NAMBISAN, MAYA MD	9/24/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111198	None	None	0	In state provider	None	1234 E NORTH ST.	#102	MANTECA	CA	95336	4916	39	06077	37.80105524	-121.1968581	San Joaquin County
20918	Fee-for-Service	1417146945	1417146945	1	1	NEELANKAVIL, JACQUES MD	6/9/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	103311	None	None	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	1778	19	06037	34.06373445	-118.443537	Los Angeles County
20923	Fee-for-Service	1245432897	1245432897	1	1	NOVIN-BAHERAN, ELHAM MD	4/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	109275	None	None	0	In state provider	None	36485 INDIAN VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.631929	-117.273816	Riverside County
20945	Fee-for-Service	1598168148	1598168148	1	1	NGUYEN, JIM T CRNA	11/5/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	15	06029	35.38333823	-119.0188872	Kern County
20950	Fee-for-Service	1346399219	1346399219	1	1	NEW VISION HOME HEALTH	9/21/2009	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	12145 MORA DR	UNIT 10	SANTA FE SPRINGS	CA	90670	6052	19	06037	33.94005929	-118.0743288	Los Angeles County
20985	Fee-for-Service	1346328143	1346328143	1	1	NELSON, MARC MD	8/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	57991	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	# A333	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
21061	Fee-for-Service	1962695122	1962695122	1	1	NORTH ORANGE COUNTY SURG	5/16/2008	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	1741 W ROMNEYA DRIVE	STE F	ANAHEIM	CA	92801	1805	30	06059	33.85068349	-117.943407	Orange County
21068	Fee-for-Service	1215195557	1215195557	1	1	NAZARI, REZA MD	8/17/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97476	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2141 COLORADO AVE	None	TURLOCK	CA	95382	2011	50	06099	37.51231802	-120.8353115	Stanislaus County
21079	Fee-for-Service	1427117183	1427117183	1	1	NEVAREZ, FAUSTINA MD	3/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	46981	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
21089	Fee-for-Service	1750872305	1750872305	1	1	NEMATI, MARYAM MD	7/20/2023	207RE0101X	NA	Endocrinology	026	PHYSICIANS	186317	None	None	0	In state provider	None	30281 GOLDEN LANTERN	None	LAGUNA NIGUEL	CA	92677	5979	30	06059	33.52255027	-117.6859055	Orange County
21102	Fee-for-Service	1679102925	1679102925	1	1	NASHU, MADISON A MD	6/27/2024	390200000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DR S	STE 1A	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
21174	Fee-for-Service	1487714036	1487714036	1	1	NADEAU, MISSI S PHD	3/5/2021	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1120 W LA VETA AVE	SUITE 470	ORANGE	CA	92868	4233	30	06059	33.78029455	-117.864369	Orange County
21184	Fee-for-Service	1407468622	1407468622	1	1	NEONATOLOGY ASSOCIATES OF NO	11/10/2020	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	RTHERN CALIFORNIA, INC	2825 CAPITOL AVENUE	None	SACRAMENTO	CA	95816	6039	34	06067	38.570805	-121.4696385	Sacramento County
21185	Fee-for-Service	1871652644	1871652644	1	1	NADEAU, KARI C MD	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	85871	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
21222	Fee-for-Service	1992292684	1992292684	1	1	NOURBAKHSH, SEYEDMOHSEN	8/11/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	173852	-	NOT APPLICABLE	0	In state provider	None	18646 OXNARD STREET	None	TARZANA	CA	91356	1411	19	06037	34.17993229	-118.5397265	Los Angeles County
21263	Fee-for-Service	1649613886	1649613886	1	1	NEW LIFECARE HOSPITALS	4/25/2014	282E00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	OF NORTHERN NEVADA LLC	235 WEST 6TH ST	3RD FL	RENO	NV	89503	4548	00	None	39.53165987	-119.8181899	Washoe County
21294	Fee-for-Service	1366497752	1366497752	1	1	NEMES, KRISTINE L DPM	12/1/2006	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1800 SULLIVAN AVE	RM 106	DALY CITY	CA	94015	2227	41	06081	37.68077723	-122.4728941	San Mateo County
21430	Fee-for-Service	1760586051	1760586051	1	1	NICELY, PAMELA PHD	10/8/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4419 COLDWATER CANYON AV	STE J	STUDIO CITY	CA	91604	1479	19	06037	34.150959	-118.4138155	Los Angeles County
21461	Fee-for-Service	1710956701	1710956701	1	1	NIRANJANKUMAR, MYLAPORE S MD	12/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117451	41	Internal Medicine	0	In state provider	None	2110 PROFESSIONAL DR	STE 120	ROSEVILLE	CA	95661	3779	31	06061	38.74234873	-121.2521259	Placer County
21505	Fee-for-Service	1518959188	1518959188	1	1	NEWSOM, WILLIAM A JR MD	5/4/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	27012	68	Hematology	0	In state provider	None	123 MARGARET LN	STE A2	GRASS VALLEY	CA	95945	5268	29	06057	39.22839146	-121.0455763	Nevada County
21509	Fee-for-Service	1831693753	1831693753	1	1	NASR, GEORGE H MD	12/13/2021	208M00000X	NA	Other	026	PHYSICIANS	164339	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
21528	Fee-for-Service	1811360944	1811360944	1	1	NORRIS, CODY LMFT	9/3/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5550 TELEGRAPH RD	SUITE C3	VENTURA	CA	93003	4254	56	06111	34.27717324	-119.2199411	Ventura County
21536	Fee-for-Service	1316120918	1316120918	1	1	NEISON, DAVID P MD	7/13/2010	207P00000X	NA	Other	026	PHYSICIANS	112078	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
21552	Fee-for-Service	1649613886	1649613886	1	1	NEW LIFECARE HOSPITALS	4/25/2014	282E00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	OF NORTHERN NEVADA LLC	235 WEST 6TH ST	3RD FL	RENO	NV	89503	4548	00	None	39.53165987	-119.8181899	Washoe County
21627	Fee-for-Service	1609936558	1609936558	1	1	NASS, MITCHELL M OD	6/4/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	847 W CHILDS AVE	None	MERCED	CA	95341	6805	24	06047	37.28825369	-120.4963159	Merced County
21630	Fee-for-Service	1053089086	1053089086	1	1	NALINI SINGH MD INC	12/8/2022	207RE0101X	NA	Endocrinology	026	PHYSICIANS	None	None	None	0	In state provider	None	412 CARROLL AVE	STE 106	GLENDORA	CA	91741	4706	19	06037	34.13415622	-117.8702547	Los Angeles County
21702	Fee-for-Service	1003056995	1003056995	1	1	NGUYEN, THIENDANG V MD	6/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	99080	05	Anesthesiology	0	In state provider	None	2975 N SYCAMORE DR	None	SIMI VALLEY	CA	93065	1201	56	06111	34.28924598	-118.7439214	Ventura County
21720	Fee-for-Service	1063579688	1063579688	1	1	NGUYEN, NGOC-THUY	2/8/2015	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	10872 WESTMINSTER AVE	STE 112	GARDEN GROVE	CA	92843	4981	30	06059	33.75955452	-117.938637	Orange County
21729	Fee-for-Service	1366012361	1366012361	1	1	NICHOLAS, ROBERT CRNA	3/11/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	465 PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
21797	Fee-for-Service	1184167140	1184167140	1	1	NAGENGAST, ERIC S MD	8/11/2018	208600000X	NA	General Surgery	026	PHYSICIANS	146526	02	General Surgery	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
21825	Fee-for-Service	1417106915	1417106915	1	1	NEUWIRTH, REBECCA S NP	8/7/2019	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
21835	Fee-for-Service	1942658653	1942658653	1	1	NETRAVALI, ILKA MD	7/7/2024	207NP0225X	NA	Dermatology	026	PHYSICIANS	None	07	Dermatology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
21923	Fee-for-Service	1437895976	1437895976	1	1	NORTEY, JOEL	1/10/2025	207R00000X	NA	Other	026	PHYSICIANS	191594	41	Internal Medicine	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
22006	Fee-for-Service	1992789051	1992789051	1	1	NORTHCOTE, KENT S MD	4/14/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3269 STOCKTON HILL RD	None	KINGMAN	AZ	86409	3619	00	None	35.220006	-114.0380145	Mohave County
22009	Fee-for-Service	1780204024	1780204024	1	1	NEIGHBOR CARE CONGREGATE HOM	6/18/2020	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	E INC	3249 GERALD DR	None	NEWBURY PARK	CA	91320	2948	56	06111	34.18327861	-118.9441029	Ventura County
22046	Fee-for-Service	1801842539	1801842539	2	1	NEAL, DURWOOD E MD	11/30/2020	208800000X	NA	Other	026	PHYSICIANS	170616	None	None	0	In state provider	None	1805 N CALIFORNIA ST	201	STOCKTON	CA	95204	6032	39	06077	37.9711691	-121.2894221	San Joaquin County
22077	Fee-for-Service	1326124603	1326124603	1	1	NIZAR, HOWARD H MD	1/1/2001	207R00000X	NA	Other	026	PHYSICIANS	48600	None	None	0	In state provider	None	3941 SAN DIMAS ST	STE 102	BAKERSFIELD	CA	93301	5711	15	06029	35.39552345	-119.0082184	Kern County
22125	Fee-for-Service	1174670574	1174670574	1	1	NG, JASON OD	9/24/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	135 CARMEN LN	None	SANTA MARIA	CA	93458	7729	42	06083	34.92484952	-120.4374645	Santa Barbara County
22128	Fee-for-Service	1922574821	1922574821	1	1	NOLAN, MEGAN E PHD	4/25/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	411 CHINN ST	None	SANTA ROSA	CA	95404	4338	49	06097	38.445012	-122.707458	Sonoma County
22201	Fee-for-Service	1114201266	1114201266	1	1	NGUYEN, CHIDAO DO A	11/17/2011	207R00000X	NA	Other	026	PHYSICIANS	10338	None	None	0	In state provider	PROFESSIONAL CORPORATION	800 S MAIN ST	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
22238	Fee-for-Service	1780292227	1780292227	1	1	NU CARE HOSPICE INC	11/2/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6055 E WASHINGTON BLVD	STE 490	COMMERCE	CA	90040	2475	19	06037	33.99643492	-118.1482566	Los Angeles County
22242	Fee-for-Service	1073536595	1073536595	1	1	NGUYEN, KHANH Q NP	5/25/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2016 MORSE AVE	None	SACRAMENTO	CA	95825	2135	34	06067	38.601801	-121.391613	Sacramento County
22245	Fee-for-Service	1326717430	1326717430	1	1	NAVA, ANGELICA OD	1/24/2025	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1618 E CALDWELL AVE	None	VISALIA	CA	93292	9228	54	06107	36.298485	-119.2748445	Tulare County
22276	Fee-for-Service	1437240702	1437240702	1	1	NGO, CAN THANH MD INC	10/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	33870	05	Anesthesiology	0	In state provider	None	210 N TUSTIN AVE	None	SANTA ANA	CA	92705	3807	30	06059	33.746805	-117.834147	Orange County
22304	Fee-for-Service	1063469005	1063469005	1	1	NORRIS, DORA B MD	2/15/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	55748	40	Pediatrics	0	In state provider	None	44469 N 10TH STREET WEST	None	LANCASTER	CA	93534	3324	19	06037	34.691454	-118.148068	Los Angeles County
22347	Fee-for-Service	1154786846	1154786846	1	10	NEIGHBORHOOD HEALTHCARE	10/27/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	26926 CHERRY HILLS BLVD	STE B	MENIFEE	CA	92586	2500	33	06065	33.71084821	-117.1899782	Riverside County
22358	Fee-for-Service	1811212723	1811212723	1	1	NGUYEN, HA MD	3/31/2022	207L00000X	NA	Other	026	PHYSICIANS	150402	None	None	0	In state provider	None	815 POLLARD RD	None	LOS GATOS	CA	95032	1438	43	06085	37.26214754	-121.9701986	Santa Clara County
22367	Fee-for-Service	1538987284	1538987284	1	1	NLEMCHUKWU, OSITA NP	2/24/2025	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
22373	Fee-for-Service	1629079215	1629079215	1	1	NADGIR, ULHAS M MD	2/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	51263	40	Pediatrics	0	In state provider	None	5301 F ST	STE 315	SACRAMENTO	CA	95819	3222	34	06067	38.571354	-121.4368695	Sacramento County
22376	Fee-for-Service	1366681686	1366681686	1	1	NAIDENOFF, MICHELLE L LMFT	8/28/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
22378	Fee-for-Service	1881986297	1881986297	1	1	NAYAK, NITA B MD	6/23/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118516	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
22445	Fee-for-Service	1699219501	1699219501	1	1	NANDAN, JOYTISHNA N	8/9/2024	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
22477	Fee-for-Service	1699302414	1699302414	1	1	NGUYEN, NHI P DO	6/15/2024	207L00000X	NA	Other	026	PHYSICIANS	21811	05	Anesthesiology	0	In state provider	None	3315 WATT AVE	None	SACRAMENTO	CA	95821	3600	34	06067	38.626056	-121.3834455	Sacramento County
22478	Fee-for-Service	1013221845	1013221845	1	1	NARAYAN, ANAND MD	1/31/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119482	66	Emergency Medicine (Urgent Care)	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
22488	Fee-for-Service	1851393243	1851393243	1	1	NUTHI, ASHA SRI DEVI DO	10/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	9154	18	Ophthalmology	0	In state provider	None	340 S FARRELL DR	STE A105	PALM SPRINGS	CA	92262	7921	33	06065	33.81788398	-116.5180079	Riverside County
22526	Fee-for-Service	1780292227	1780292227	1	1	NU CARE HOSPICE INC	11/2/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6055 E WASHINGTON BLVD	STE 490	COMMERCE	CA	90040	2475	19	06037	33.99643492	-118.1482566	Los Angeles County
22541	Fee-for-Service	1598843195	1598843195	1	1	NANCE, PATRICK N MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	42659	05	Anesthesiology	0	In state provider	None	4131 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3101	38	06075	37.78096053	-122.4637512	San Francisco County
22560	Fee-for-Service	1053390310	1053390310	1	1	NIGAM, PRONOTI MD	11/30/1995	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	43125	40	Pediatrics	0	In state provider	None	2680 S WHITE RD	STE 270	SAN JOSE	CA	95148	2081	43	06085	37.32946528	-121.7984732	Santa Clara County
22593	Fee-for-Service	MSS00031F	None	1	1	NAPA/SOLANO AREA	3/1/1999	No Taxonomy Provided	NA	None	074	MULTIPURPOSE SENIOR SERVICES PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AGENCY ON AGING	400 CONTRA COSTA ST	None	VALLEJO	CA	94590	6352	48	06095	38.10412638	-122.2413672	Solano County
22636	Fee-for-Service	1154786846	1154786846	1	10	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	26926 CHERRY HILLS BLVD	STE B	MENIFEE	CA	92586	2500	33	06065	33.71084821	-117.1899782	Riverside County
22657	Fee-for-Service	1235576893	1235576893	1	1	NASRI, HACHEM MD	2/21/2023	208M00000X	NA	Other	026	PHYSICIANS	178877	None	None	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
22681	Fee-for-Service	1134110208	1134110208	1	1	NGO, TUAN TRONG MD	6/21/2000	174400000X	NA	Other	026	PHYSICIANS	48134	45	Nephrology (Renal-Kidney)	0	In state provider	None	311 E VALLEY BLVD	STE 110	SAN GABRIEL	CA	91776	3554	19	06037	34.07991894	-118.0964424	Los Angeles County
22693	Fee-for-Service	1982995890	1982995890	1	1	NESTOR-ARJUN, BRIDGET S DO	12/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13519	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
22708	Fee-for-Service	1861693228	1861693228	1	1	NITICHAIKULVATANA, PRACHAYA	4/19/2022	207RR0500X	NA	Other	026	PHYSICIANS	175548	None	None	0	In state provider	MD	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
22715	Fee-for-Service	1508186701	1508186701	1	1	NGUYEN, CHRISTINA M MD	11/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131531	13	Neurology (M.D. only)	0	In state provider	None	9940 TALBERT AVE	SUITE 204	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.70166347	-117.955494	Orange County
22765	Fee-for-Service	1417089491	1417089491	1	1	NELSON, BERGEN B MD	4/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95493	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
22778	Fee-for-Service	1538656137	1538656137	1	1	NGUYEN, DAVID VINH-PHUC P MD	10/18/2022	207R00000X	NA	Other	026	PHYSICIANS	174107	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
22787	Fee-for-Service	1508887472	1508887472	1	1	NANDY, MOUSUMI MD	7/21/2021	207R00000X	NA	Other	026	PHYSICIANS	158373	None	None	0	In state provider	None	447 W EATON AVE	None	TRACY	CA	95376	3420	39	06077	37.74338833	-121.432305	San Joaquin County
22869	Fee-for-Service	1962587964	1962587964	1	1	NORTHERN CALIFORNIA CENTER F	8/9/2024	251V00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	OR WELL-BEING	500 DOYLE PARK DR STE 30	None	SANTA ROSA	CA	95405	4558	49	06097	38.44332	-122.6985255	Sonoma County
22919	Fee-for-Service	1154786846	1154786846	1	10	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	26926 CHERRY HILLS BLVD	STE B	MENIFEE	CA	92586	2500	33	06065	33.71084821	-117.1899782	Riverside County
22924	Fee-for-Service	1467458018	1467458018	1	1	NATTERSON, PAUL DAVID MD	4/27/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	70936	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA	STE 365	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
22942	Fee-for-Service	1801994769	1801994769	1	1	NIERMAN, PETER D MD	3/29/2023	2084P0804X	NA	Psychiatry	026	PHYSICIANS	168746	None	None	0	In state provider	None	200 FREEDOM LANE	None	ALISO VIEJO	CA	92656	5876	30	06059	33.56235125	-117.7282117	Orange County
22972	Fee-for-Service	1134110208	1134110208	1	1	NGO, TUAN TRONG MD	6/21/2000	174400000X	NA	Other	026	PHYSICIANS	48134	41	Internal Medicine	0	In state provider	None	311 E VALLEY BLVD	STE 110	SAN GABRIEL	CA	91776	3554	19	06037	34.07991894	-118.0964424	Los Angeles County
23014	Fee-for-Service	1023079951	1023079951	1	1	NGUYEN, ANN A MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	56070	30	Radiology	0	In state provider	None	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
23016	Fee-for-Service	1437434016	1437434016	1	1	NOVALL, GREGORY B	10/9/2014	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	44630 MONTEREY AVE	SUITE 100	PALM DESERT	CA	92260	3326	33	06065	33.72415798	-116.3912386	Riverside County
23019	Fee-for-Service	1912960386	1912960386	2	1	NORCAL RESPIRATORY INC	9/14/2023	332BX2000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	3075 CROSSROADS DR	STE A&B	REDDING	CA	96003	8018	45	06089	40.56071226	-122.297218	Shasta County
23051	Fee-for-Service	1740064435	1740064435	1	1	NEXTCARE PHARMACY INC	10/11/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	22998 VENTURA BLVD	None	WOODLAND HILLS	CA	91364	1205	19	06037	34.16481983	-118.626947	Los Angeles County
23059	Fee-for-Service	1710371794	1710371794	1	1	NAVARRO, JOSE D NP	1/19/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	33	06065	33.790527	-116.4058645	Riverside County
23092	Fee-for-Service	1770743965	1770743965	1	1	NORTHERN ARIZONA MEDICAL	4/28/2010	193400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	1	Border provider	GROUP PLLC	3636 STOCKTON HILL ROAD	STE 1	KINGMAN	AZ	86409	0514	00	None	35.229123	-114.035958	Mohave County
23136	Fee-for-Service	1083150767	1083150767	1	1	NGANGA, ROBERT LMFT	8/7/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	874 57TH ST	None	SACRAMENTO	CA	95819	3327	34	06067	38.565855	-121.433607	Sacramento County
23172	Fee-for-Service	1649383027	1649383027	1	1	NIELSEN, DAVID MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3333 BURNET AVE	None	CINCINNATI	OH	45229	3026	00	None	39.14105892	-84.50040782	Hamilton County
23211	Fee-for-Service	1154786846	1154786846	1	10	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	26926 CHERRY HILLS BLVD	STE B	MENIFEE	CA	92586	2500	33	06065	33.71084821	-117.1899782	Riverside County
23223	Fee-for-Service	1073614590	1073614590	1	1	NAON, HILLEL MD	6/29/1990	2080P0206X	NA	Gastroenterology	026	PHYSICIANS	42557	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
23286	Fee-for-Service	1164683140	1164683140	1	1	NGUYEN, LAN GIAO T MD	10/15/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	169144	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
23307	Fee-for-Service	1649209719	1649209719	1	1	NEELAKANTA, GUNDAPPA MD	8/31/1989	207L00000X	NA	Other	026	PHYSICIANS	46565	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
23351	Fee-for-Service	1306925052	1306925052	1	1	NGUYEN, ANDREW A	11/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90120	30	Radiology	0	In state provider	None	FRESNO & R STREETS	None	FRESNO	CA	93721	0000	10	06019	36.741663	-119.7841005	Fresno County
23453	Fee-for-Service	1760846596	1760846596	1	1	NEGOSE, ELORA M MD	8/24/2020	207R00000X	NA	Other	026	PHYSICIANS	169510	41	Internal Medicine	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
23460	Fee-for-Service	1679567648	1679567648	1	1	NUGENT, ANDREW S. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	STATE UNIV OF IOWA	200 HAWKINS DR	None	IOWA CITY	IA	85542	1009	00	None	41.659929	-91.548099	Johnson County
23463	Fee-for-Service	1164999637	1164999637	1	1	NGUYEN, VIVIAN T OD	12/1/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
23506	Fee-for-Service	1831616028	1831616028	1	2	NILE ORTHOPEDIC AND REHABILI	10/31/2018	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	None	None	0	In state provider	TATION ASSOCIATION, INC.	1485 UNIVERSITY AVE	B	RIVERSIDE	CA	92507	9500	33	06065	33.97575646	-117.3439215	Riverside County
23522	Fee-for-Service	1700373099	1700373099	1	1	NOVELLO, MATTEO MD	6/28/2024	207U00000X	NA	Other	026	PHYSICIANS	None	42	Nuclear Medicine	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
23524	Fee-for-Service	1841209566	1841209566	1	1	NOORYANI, FARNOOSH MD	10/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	81532	30	Radiology	0	In state provider	MGA OFFICE	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
23526	Fee-for-Service	1477248912	1477248912	1	1	NOORI, SARA	7/23/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	25395 HANCOCK AVE	STE 100	MURRIETA	CA	92562	9054	33	06065	33.5591482	-117.185187	Riverside County
23596	Fee-for-Service	1679644421	1679644421	1	1	NEWFIELD, RON MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	73875	40	Pediatrics	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
23598	Fee-for-Service	1881987576	1881987576	1	1	NORTHEAST COMMUNITY CLINICS	8/15/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2822 E FLORENCE AVENUE	None	HUNTINGTON PARK	CA	90255	5749	19	06037	33.9735534	-118.2191326	Los Angeles County
23639	Fee-for-Service	1780056325	1780056325	1	1	NVISION OPTOMETRY, A PROFESS	10/19/2021	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9856 WESTMINSTER AVE	STE.125	GARDEN GROVE	CA	92844	2907	30	06059	33.75945049	-117.956592	Orange County
23645	Fee-for-Service	1023335817	1023335817	1	1	NAWAR, ERENE M MD	6/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	120158	41	Internal Medicine	0	In state provider	None	795 E SECOND STREET	SUITE 4	POMONA	CA	91766	2007	19	06037	34.05845654	-117.7423951	Los Angeles County
23706	Fee-for-Service	1063495323	1063495323	1	1	NGUYEN-DINH, THANH MD	10/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	35203	41	Internal Medicine	0	In state provider	None	2305 CAMINO RAMON	STE 100	SAN RAMON	CA	94583	1316	07	06013	37.77544224	-121.9657563	Contra Costa County
23740	Fee-for-Service	1093433252	1093433252	1	1	NADIA BUKAR, A NURSING CORPO	3/19/2024	364SP0808X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	RATION	12728 FUTURA ST	None	SAN DIEGO	CA	92130	2152	37	06073	32.94846795	-117.2226567	San Diego County
23776	Fee-for-Service	1679976260	1679976260	1	1	NEYSSANI, SARAH S MD	12/10/2018	207L00000X	NA	Other	026	PHYSICIANS	137687	05	Anesthesiology	0	In state provider	None	BUENA VISTA & ALAMEDA ST	None	BURBANK	CA	91505	4809	19	06037	34.158213	-118.328112	Los Angeles County
23870	Fee-for-Service	1518982057	1518982057	1	1	NGUYEN, KHOA D MD	10/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50084	18	Ophthalmology	0	In state provider	None	2100 FOREST AVE	STE 105	SAN JOSE	CA	95128	1422	43	06085	37.3270195	-121.9368645	Santa Clara County
23881	Fee-for-Service	1679644421	1679644421	1	1	NEWFIELD, RON MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	73875	67	Endocrinology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
23886	Fee-for-Service	1881987576	1881987576	1	1	NORTHEAST COMMUNITY CLINICS	8/15/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2822 E FLORENCE AVENUE	None	HUNTINGTON PARK	CA	90255	5749	19	06037	33.9735534	-118.2191326	Los Angeles County
23913	Fee-for-Service	1649476250	1649476250	1	1	NEWMAN, MARY C LMFT	8/23/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
23970	Fee-for-Service	1346447893	1346447893	1	1	NASTA, AARTI M MD	8/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	91065	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
24066	Fee-for-Service	1578925467	1578925467	1	1	NAM, BRYAN K MD	9/4/2019	207R00000X	NA	Other	026	PHYSICIANS	150404	41	Internal Medicine	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
24096	Fee-for-Service	1992589766	1992589766	1	1	NOEL HEALTH SYSTEM, INC	11/29/2023	163W00000X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2354 PACHECO DR	None	MERCED	CA	95340	5636	24	06047	37.32700371	-120.4397992	Merced County
24107	Fee-for-Service	1821318957	1821318957	1	1	NGUYEN, MARGARET P MD	7/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143135	40	Pediatrics	0	In state provider	None	200 UCLA MEDICAL PLAZA	SUITE 265	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
24136	Fee-for-Service	1659341501	1659341501	1	1	NITTA, BRIAN	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	7300 N FRESNO STREET	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
24139	Fee-for-Service	1154786846	1154786846	1	9	NEIGHBORHOOD HEALTHCARE	7/18/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4425 TITAN TRAIL	ROOM 721	HEMET	CA	92545	6224	33	06065	33.76904559	-117.018774	Riverside County
24146	Fee-for-Service	1023019635	1023019635	1	1	NORTON,KATHRYN S MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1100 N 19TH STE 4G	None	ABILENE	TX	79601	0000	00	None	32.47161181	-99.7304828	Taylor County
24159	Fee-for-Service	1922212356	1922212356	1	1	NOH, HANSANG MD	10/29/2009	207LP2900X	NA	Other	026	PHYSICIANS	98834	05	Anesthesiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
24226	Fee-for-Service	1700862372	1700862372	1	1	NOORT, JANICE M NP	4/20/2005	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
24234	Fee-for-Service	1740366269	1740366269	1	1	NGUYEN, HIEN T MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	80173	66	Emergency Medicine (Urgent Care)	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
24242	Fee-for-Service	1477593028	1477593028	1	1	NELSON, WILLIAM W MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	73048	05	Anesthesiology	0	In state provider	None	2000 VALE RD	None	SAN PABLO	CA	94806	3808	07	06013	37.95393251	-122.3375029	Contra Costa County
24260	Fee-for-Service	1942680012	1942680012	1	1	NG, WENDY K Y MD	9/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144842	24	Plastic Surgery	0	In state provider	None	101 THE CITY DR SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
24261	Fee-for-Service	1326573510	1326573510	1	1	NEWMAN-LINDSAY, SHOSHANA MD	8/1/2023	390200000X	NA	Other	026	PHYSICIANS	170309	None	None	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
24305	Fee-for-Service	1467547042	1467547042	1	1	NGUYEN, THAI D MD	1/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	91024	41	Internal Medicine	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
24320	Fee-for-Service	1922856343	1922856343	1	1	NEESE, CHAYLA BIRTH DOULA	11/6/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	24	06047	0	0	None
24342	Fee-for-Service	1093716474	1093716474	1	1	NORTHEAST VALLEY HEALTH	2/1/2014	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	PEDIATRIC HLTH & WIC CTR	7138 VAN NUYS BLVD	None	VAN NUYS	CA	91405	3005	19	06037	34.200464	-118.4487407	Los Angeles County
24425	Fee-for-Service	1154786846	1154786846	1	9	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4425 TITAN TRAIL	ROOM 721	HEMET	CA	92545	6224	33	06065	33.76904559	-117.018774	Riverside County
24463	Fee-for-Service	1295732154	1295732154	1	1	NISENBAUM, ROBERT P MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	65903	41	Internal Medicine	0	In state provider	None	2080 CENTURY PARK E	STE 1609	LOS ANGELES	CA	90067	2019	19	06037	34.05887194	-118.4122914	Los Angeles County
24491	Fee-for-Service	1417319054	1417319054	1	1	NGUYEN, CINDY MD	6/13/2019	207R00000X	NA	Other	026	PHYSICIANS	152216	41	Internal Medicine	0	In state provider	None	200 MED PLAZA	#365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
24553	Fee-for-Service	1730196866	1730196866	1	1	NEUFELD, NAOMI MD	6/30/1995	2080P0205X	NA	Endocrinology	026	PHYSICIANS	29275	40	Pediatrics	0	In state provider	None	8733 BEVERLY BLVD	STE 200	LOS ANGELES	CA	90048	1844	19	06037	34.07688048	-118.3815765	Los Angeles County
24613	Fee-for-Service	1275876351	1275876351	1	1	NEWPORT SUPERIOR DIALYSIS	3/19/2014	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	510 SUPERIOR AVE	SUITE 150	NEWPORT BEACH	CA	92663	3663	30	06059	33.63019271	-117.9294795	Orange County
24646	Fee-for-Service	1750606521	1750606521	1	1	NAM, GRACE H E MD	1/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119425	40	Pediatrics	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3450	36	06071	34.04824949	-117.2401425	San Bernardino County
24668	Fee-for-Service	1699750588	1699750588	1	1	NAGLE, BRANDY A MD	6/10/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80629	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
24710	Fee-for-Service	1740744796	1740744796	1	2	NORTHERN CALIFORNIA PEDIATRI	3/8/2022	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	None	None	None	0	In state provider	C HOSPITALISTS, INC	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
24721	Fee-for-Service	1457329179	1457329179	1	1	NGUYEN, HOANG T MD INC	10/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	80321	41	Internal Medicine	0	In state provider	None	16040 HARBOR BLVD	STE G	FOUNTAIN VALLEY	CA	92708	1327	30	06059	33.730461	-117.919794	Orange County
24724	Fee-for-Service	1811204019	1811204019	1	1	NINAN, BONEY M MD	8/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	140190	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
24731	Fee-for-Service	1215294731	1215294731	1	1	NGUYEN, HAO P DO	10/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13016	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
24840	Fee-for-Service	1730196866	1730196866	1	1	NEUFELD, NAOMI MD	6/30/1995	2080P0205X	NA	Endocrinology	026	PHYSICIANS	29275	67	Endocrinology	0	In state provider	None	8733 BEVERLY BLVD	STE 200	LOS ANGELES	CA	90048	1844	19	06037	34.07688048	-118.3815765	Los Angeles County
24849	Fee-for-Service	1639214646	1639214646	1	2	NOGAYE, MATTIE S LCSW	4/11/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3825 HOPYARD	STE 140	PLEASANTON	CA	94588	8530	01	06001	37.683009	-121.9036935	Alameda County
24963	Fee-for-Service	1477113108	1477113108	1	1	NEW DAY REHAB CENTER	10/20/2022	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1616 W AVENUE L	None	LANCASTER	CA	93534	6247	19	06037	34.66035248	-118.159812	Los Angeles County
24977	Fee-for-Service	1013929967	1013929967	1	1	NAGY, STEPHEN II MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	14269	03	Allergy	0	In state provider	None	4801 J ST	STE A	SACRAMENTO	CA	95819	3746	34	06067	38.567115	-121.4434665	Sacramento County
25071	Fee-for-Service	1396079018	1396079018	1	1	NGUYEN, ANNIE B LMFT	12/2/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	89072	-	NOT APPLICABLE	0	In state provider	None	2101 ALEXIAN DR	SUITE 110	SAN JOSE	CA	95116	4209	43	06085	37.35943657	-121.848055	Santa Clara County
25073	Fee-for-Service	1386676633	1386676633	1	1	NGO, THANHHA T MD	1/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	55489	36	Psychiatry	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
25111	Fee-for-Service	1215262795	1215262795	1	1	NAMIRANIAN, KHODADAD MD	12/16/2019	207L00000X	NA	Other	026	PHYSICIANS	149928	05	Anesthesiology	0	In state provider	None	2071 EAST HERNDON	None	CLOVIS	CA	93611	6001	10	06019	36.8375685	-119.6781105	Fresno County
25192	Fee-for-Service	1427311927	1427311927	1	1	NELSON, HAILEY D MD	6/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143398	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	SC05	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
25196	Fee-for-Service	1750429684	1750429684	1	1	NGUYEN, HAO T MD	11/12/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97069	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2400 SAMARITAN DRIVE	STE 105	SAN JOSE	CA	95124	3910	34	06067	37.25103365	-121.9442147	Santa Clara County
25245	Fee-for-Service	1275794919	1275794919	1	1	NEELAKANTAN, ANIL MD	5/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124677	13	Neurology (M.D. only)	0	In state provider	None	2505 WEST HAMMER LANE	None	STOCKTON	CA	95209	2839	39	06077	38.02139448	-121.347738	San Joaquin County
25307	Fee-for-Service	1619503042	1619503042	1	1	NGUYEN, ANNE MERIELLE E CNP	2/21/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	14330 CULVER DR	None	IRVINE	CA	92604	0303	30	06059	33.70654758	-117.7857461	Orange County
25324	Fee-for-Service	1467832477	1467832477	1	1	NIVER, DANIELLE NP	3/11/2020	363LN0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
25334	Fee-for-Service	1477621498	1477621498	1	1	NAKAMURA, JEANETTE Y	2/26/2013	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
25447	Fee-for-Service	1497918239	1497918239	1	1	NAENI, PEDRAM MD	1/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	10627	02	General Surgery	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
25485	Fee-for-Service	1699118034	1699118034	1	1	NGUYEN, ANDREW N A MD	6/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	153559	30	Radiology	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
25523	Fee-for-Service	1679682611	1679682611	1	1	NOVAK, ESTHER E MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	43193	36	Psychiatry	0	In state provider	None	1627 OAK AVE	STE A	DAVIS	CA	95616	1072	57	06113	38.55889565	-121.7522795	Yolo County
25533	Fee-for-Service	1508856378	1508856378	1	1	NEWMAN, DAVID M OD	1/1/1984	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5642 LAKE MURRAY BLVD	None	LA MESA	CA	91942	1929	37	06073	32.78171579	-117.0313212	San Diego County
25594	Fee-for-Service	1740202746	1740202746	1	1	NGUYEN, HENRY OD	7/30/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	17264 FOOTHILL BLVD	STE E	FONTANA	CA	92335	9051	36	06071	34.10678654	-117.4277541	San Bernardino County
25688	Fee-for-Service	1710901822	1710901822	1	1	NACHTWEY, FREDERICK J MD	1/1/1982	225500000X	NA	Other	026	PHYSICIANS	35274	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	365 LENNON LANE	SUITE 250	WALNUT CREEK	CA	94598	5915	07	06013	37.92784983	-122.0301444	Contra Costa County
25710	Fee-for-Service	1629010509	1629010509	1	1	NAITOH, JOHN MD	12/20/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	82079	34	Urology and Urological Surgery	0	In state provider	None	10833 LE CONTE AVE	RM B240	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
25821	Fee-for-Service	1376503631	1376503631	1	1	NGO, CAN T MD	10/3/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	33870	05	Anesthesiology	0	In state provider	None	1720 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90033	2414	19	06037	34.04925	-118.2177405	Los Angeles County
25822	Fee-for-Service	1326225137	1326225137	1	1	NOURIMAHDAVI, KOUROS MD	8/11/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102448	18	Ophthalmology	0	In state provider	None	200 STEIN PLAZA	ROOM # 1-340	LOS ANGELES	CA	90024	7065	19	06037	34.06482757	-118.4443441	Los Angeles County
25833	Fee-for-Service	1629009139	1629009139	1	1	NELSON, ANITA L MD	10/31/1988	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	49311	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	21840 NORMANDIE AVE	None	TORRANCE	CA	90502	2047	19	06037	33.82982744	-118.2991395	Los Angeles County
25848	Fee-for-Service	1154786846	1154786846	1	1	NEIGHBORHOOD HEALTHCARE	8/14/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	DEVONSHIRE AVE	1030 E FLORIDA AVE	None	HEMET	CA	92543	4511	33	06065	33.7476695	-116.9610885	Riverside County
25851	Fee-for-Service	1972274835	1972274835	1	1	NIEMIEC, NANCY	11/4/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1331 EAST KATELLA AVE	None	ORANGE	CA	92867	5042	30	06059	33.80919947	-117.839754	Orange County
25943	Fee-for-Service	1912009929	1912009929	1	1	NGUYEN, LINHKIEU T MD	3/16/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	83886	08	Family Practice	0	In state provider	None	4844 UNIVERSITY AVE	STE A	SAN DIEGO	CA	92105	8021	37	06073	32.74956677	-117.0903274	San Diego County
25997	Fee-for-Service	1629010509	1629010509	1	1	NAITOH, JOHN MD	12/20/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	82079	66	Emergency Medicine (Urgent Care)	0	In state provider	None	10833 LE CONTE AVE	RM B240	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
26000	Fee-for-Service	1194894550	1194894550	1	1	NGUYEN, LONGHANG T MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	67978	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
26008	Fee-for-Service	1659556967	1659556967	1	1	NGUYEN, HOANG N MD	3/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	72589	05	Anesthesiology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
26011	Fee-for-Service	1477005783	1477005783	1	1	NICOLE CUMMINS	7/16/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1380 E MEDICAL CENTER DR	None	ST GEORGE	UT	84790	2123	00	None	37.097622	-113.553828	Washington County
26026	Fee-for-Service	1568750552	1568750552	1	1	NANDAN, RAGHU MD	10/14/2022	208200000X	NA	General Surgery	026	PHYSICIANS	174930	None	None	0	In state provider	None	280 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23931375	-121.8014189	Santa Clara County
26089	Fee-for-Service	1265590897	1265590897	1	1	NGUYEN, KHANG T MD	7/23/2009	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	90876	24	Plastic Surgery	0	In state provider	None	7901 FROST STREET	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
26136	Fee-for-Service	1154786846	1154786846	1	1	NEIGHBORHOOD HEALTHCARE	7/6/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	DEVONSHIRE AVE	1030 E FLORIDA AVE	None	HEMET	CA	92543	4511	33	06065	33.7476695	-116.9610885	Riverside County
26185	Fee-for-Service	1497715783	1497715783	1	1	NORTH COUNTY & ESCONDIDO PT	1/25/2016	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	INC	457 N ELM ST	None	ESCONDIDO	CA	92025	0300	37	06073	33.12848949	-117.0730204	San Diego County
26224	Fee-for-Service	1598881732	1598881732	1	1	NUESCA, LYNN M NP	11/1/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2601 E MAIN ST	None	VENTURA	CA	93003	2801	56	06111	34.27443821	-119.2609368	Ventura County
26260	Fee-for-Service	1346402286	1346402286	1	1	NAGARAJ, GAYATHRI MD	8/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	102282	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
26302	Fee-for-Service	1104237742	1104237742	1	1	NGUYEN, JIM MD	7/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	130384	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
26314	Fee-for-Service	1033123377	1033123377	1	1	NORTH COAST PATH MED GRP	6/17/1985	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	4002 VISTA WAY	None	OCEANSIDE	CA	92056	4506	37	06073	33.1857	-117.290538	San Diego County
26373	Fee-for-Service	1205967916	1205967916	2	2	NUNE SIMONIAN, M.D., INC.	4/14/2023	208000000X	NA	Pediatric Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	435 ARDEN AVE	550	GLENDALE	CA	91203	1130	19	06037	34.15848148	-118.2628845	Los Angeles County
26424	Fee-for-Service	1154786846	1154786846	1	1	NEIGHBORHOOD HEALTHCARE	7/6/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	DEVONSHIRE AVE	1030 E FLORIDA AVE	None	HEMET	CA	92543	4511	33	06065	33.7476695	-116.9610885	Riverside County
26453	Fee-for-Service	1881617736	1881617736	1	1	NUDELL, GARY H MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	64512	41	Internal Medicine	0	In state provider	None	23101 SHERMAN PL	STE 510	WEST HILLS	CA	91307	2040	19	06037	34.20099112	-118.6297991	Los Angeles County
26514	Fee-for-Service	1932540895	1932540895	1	1	NAJAFI, KAVEH DO INC	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11605	89	Surgery-Traumatic	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
26522	Fee-for-Service	1760518609	1760518609	1	1	NORTH POINT SURGERY CENTER	7/31/2006	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1332 W. HERNDON AVE	SUITE 102	FRESNO	CA	93711	7118	10	06019	36.83737137	-119.8148304	Fresno County
26547	Fee-for-Service	1346402286	1346402286	1	1	NAGARAJ, GAYATHRI MD	8/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	102282	78	Neoplastic Diseases/Oncology	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
26551	Fee-for-Service	1881024305	1881024305	1	1	NAT, MANITA K MD	11/30/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	158994	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2505 E DIVISADERO STREET	None	FRESNO	CA	93721	1401	10	06019	36.74334929	-119.7809344	Fresno County
26560	Fee-for-Service	1679695548	1679695548	1	1	NICHOLAS REYNOLDS DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1800 W UNIVERSITY BLVD	None	DURANT	OK	74701	3006	00	None	34.007364	-96.393519	Bryan County
26579	Fee-for-Service	1376590919	1376590919	1	1	NUGENT, KEVIN P MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67774	05	Anesthesiology	0	In state provider	METROP. ANESTHESIA CONS.	6403 COYLE AVE	STE 450	CARMICHAEL	CA	95608	0354	34	06067	38.668347	-121.3148745	Sacramento County
26584	Fee-for-Service	1386834893	1386834893	1	1	NAIR, ARCHANA U MD	6/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116595	None	None	0	In state provider	None	6066 CIVIC TERRACE AVE	None	NEWARK	CA	94560	3746	01	06001	37.53623835	-122.0285012	Alameda County
26660	Fee-for-Service	1205967916	1205967916	2	2	NUNE SIMONIAN, M.D., INC.	4/14/2023	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	435 ARDEN AVE	550	GLENDALE	CA	91203	1130	19	06037	34.15848148	-118.2628845	Los Angeles County
26800	Fee-for-Service	1932540895	1932540895	1	1	NAJAFI, KAVEH DO INC	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11605	02	General Surgery	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
26804	Fee-for-Service	1902868169	1902868169	1	1	N LAS VEGAS DIALYSIS CTR	2/27/2007	261QE0700X	NA	Other	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	1	Border provider	GREATER LAS VEGAS DIALYS	2300 MCDANIEL ST	None	N LAS VEGAS	NV	89030	6318	00	None	36.20020324	-115.119994	Clark County
26864	Fee-for-Service	1962594622	1962594622	1	1	NORTHWEST IOWA HOSP CORP	1/26/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2720 STONE PARK BLVD	None	SIOUX CITY	IA	51104	3734	00	None	42.51879554	-96.40625864	Woodbury County
26868	Fee-for-Service	1013250497	1013250497	1	1	NGUYEN, VINA MD	8/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145552	41	Internal Medicine	0	In state provider	None	2110 N BELLFLOWER BLVD	None	LONG BEACH	CA	90815	3126	19	06037	33.795261	-118.125222	Los Angeles County
26950	Fee-for-Service	1710001490	1710001490	1	1	NAPIER, NICOLLE R PSYD	10/27/2021	103G00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
26963	Fee-for-Service	1821115320	1821115320	3	1	NORTH CHESTER PHARMACY LLC	5/9/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1822 N CHESTER AVE	None	BAKERSFIELD	CA	93308	2565	15	06029	35.42296358	-119.020892	Kern County
27000	Fee-for-Service	1932100856	1932100856	1	1	NUSSBAUM, MICHAEL INC	8/1/2002	207L00000X	NA	Other	026	PHYSICIANS	60727	05	Anesthesiology	0	In state provider	None	488 E VALLEY PKWY	STE 110	ESCONDIDO	CA	92025	3366	37	06073	33.12523814	-117.0769715	San Diego County
27008	Fee-for-Service	1679170385	1679170385	1	1	NGUYEN, AMANDA L PT	10/8/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1085 W EL CAMINO REAL	None	SUNNYVALE	CA	94087	1030	43	06085	37.37270741	-122.0517412	Santa Clara County
27044	Fee-for-Service	1609229780	1609229780	1	1	NAKATA, NICHOLE K OD	3/7/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
27058	Fee-for-Service	1881615789	1881615789	1	1	NEONATAL MEDICAL ASSOCS.	9/11/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	INC	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
27072	Fee-for-Service	1982109831	1982109831	1	1	NATHAN JONES MD	3/12/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3322 S ELLSWORTH RD	None	MESA	AZ	85212	2730	00	None	33.3284928	-111.635631	Maricopa County
27087	Fee-for-Service	1821515529	1821515529	1	1	NEUMAN, YUSHA PT	10/10/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4572 TELEPHONE RD	STE 903	VENTURA	CA	93003	5663	56	06111	34.25635267	-119.2348313	Ventura County
27148	Fee-for-Service	1427366269	1427366269	1	1	NAVANEETHANATHAN, RENUKA	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
27153	Fee-for-Service	1962594622	1962594622	1	1	NORTHWEST IOWA HOSP CORP	1/26/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2720 STONE PARK BLVD	None	SIOUX CITY	IA	51104	3734	00	None	42.51879554	-96.40625864	Woodbury County
27216	Fee-for-Service	1194923623	1194923623	1	1	NGUYEN, LONG MD	11/30/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	100566	08	Family Practice	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
27229	Fee-for-Service	1821147786	1821147786	1	23	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	PEDIATRIC REHAB SRVS	1860 PENNSYLVANIA AVE	SUITE 120	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
27303	Fee-for-Service	1154786846	1154786846	1	2	NEIGHBORHOOD HEALTHCARE	6/5/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	41701 STETSON AVE	ROOM HEALTH OFFICE	HEMET	CA	92544	7518	33	06065	33.72955779	-116.9337945	Riverside County
27305	Fee-for-Service	1972566909	1972566909	1	1	NAIR, SREEDHARAN MD	4/3/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	161732	36	Psychiatry	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
27367	Fee-for-Service	1487882601	1487882601	1	1	NICHOLS, CARA PT	11/10/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1500 16TH ST FL 2	None	SAN FRANCISCO	CA	94103	5112	38	06075	37.76615387	-122.4020523	San Francisco County
27404	Fee-for-Service	1881772788	1881772788	1	1	NGUYEN, TUNG V MD	7/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	55490	41	Internal Medicine	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
27417	Fee-for-Service	1710017942	1710017942	2	1	NAJERA, DIANA K LCSW	8/14/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3200 21ST ST	STE 101	BAKERSFIELD	CA	93301	3108	15	06029	35.37823652	-119.0379645	Kern County
27440	Fee-for-Service	1235216417	1235216417	1	1	NGUYEN, TONY T MD INC	9/25/1989	193400000X	NA	Other	026	PHYSICIANS	67119	41	Internal Medicine	0	In state provider	None	7514 GIRARD AVE	#4	LA JOLLA	CA	92037	5172	37	06073	32.84080046	-117.2726149	San Diego County
27466	Fee-for-Service	1710306501	1710306501	1	1	NEW AGE FOOT AND ANKLE	2/15/2018	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	PODIATRY PC	16935 VANOWEN STREET E	None	VAN NUYS	CA	91406	4565	19	06037	34.19389717	-118.5025394	Los Angeles County
27479	Fee-for-Service	1609281583	1609281583	1	1	NG, SHARON MD	9/29/2017	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	149043	08	Family Practice	0	In state provider	None	27200 IRIS AVE	None	MORENO VALLEY	CA	92555	4802	33	06065	33.8955513	-117.189743	Riverside County
27502	Fee-for-Service	1467110346	1467110346	1	1	NYAGGAH, LYDIA WAMBUI	9/6/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	8439 MANUEL RD	None	RIVERSIDE	CA	92508	2928	33	06065	33.89706182	-117.2997918	Riverside County
27562	Fee-for-Service	1225076748	1225076748	1	1	NANDA, NITIN MD	3/31/1995	2084P0800X	NA	Psychiatry	026	PHYSICIANS	56386	36	Psychiatry	0	In state provider	None	31213 BAILARD RD	None	MALIBU	CA	90265	2605	19	06037	34.03665526	-118.8510276	Los Angeles County
27582	Fee-for-Service	1245640978	1245640978	1	1	NEWCOMB, JACOB F MD	7/1/2018	207P00000X	NA	Other	026	PHYSICIANS	154489	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
27587	Fee-for-Service	1144412131	1144412131	1	1	NAM, GRACE MD	1/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	101772	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
27592	Fee-for-Service	1154786846	1154786846	1	2	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	41701 STETSON AVE	ROOM HEALTH OFFICE	HEMET	CA	92544	7518	33	06065	33.72955779	-116.9337945	Riverside County
27611	Fee-for-Service	1972824779	1972824779	1	1	NATHAN OLSON	8/27/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5841 S MARYLAND AVE	None	CHICAGO	IL	60637	1443	00	None	41.788431	-87.60489252	Cook County
27678	Fee-for-Service	1457980500	1457980500	1	1	NAIK, ISHAN S MD	12/7/2023	207R00000X	NA	Other	026	PHYSICIANS	191290	None	None	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
27703	Fee-for-Service	1588023220	1588023220	1	1	NILMEIER, MICHAEL T DO	9/27/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17501	08	Family Practice	0	In state provider	None	1513 FREMONT BLVD	E1	SEASIDE	CA	93955	4319	27	06053	36.60786927	-121.8463495	Monterey County
27714	Fee-for-Service	1982637815	1982637815	1	1	NEWTON, GREGORY K PT	6/14/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1723 27TH ST	None	BAKERSFIELD	CA	93301	2807	15	06029	35.38383629	-119.0218323	Kern County
27730	Fee-for-Service	1235216417	1235216417	1	1	NGUYEN, TONY T MD INC	9/25/1989	193400000X	NA	Other	026	PHYSICIANS	67119	07	Dermatology	0	In state provider	None	7514 GIRARD AVE	#4	LA JOLLA	CA	92037	5172	37	06073	32.84080046	-117.2726149	San Diego County
27788	Fee-for-Service	1467110346	1467110346	1	1	NYAGGAH, LYDIA WAMBUI	9/6/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	8439 MANUEL RD	None	RIVERSIDE	CA	92508	2928	33	06065	33.89706182	-117.2997918	Riverside County
27848	Fee-for-Service	1922502913	1922502913	1	1	NICHOLSON, CHASE S DO	7/1/2021	207P00000X	NA	Other	026	PHYSICIANS	17747	None	None	0	In state provider	None	3901 LONE TREE WAY	None	ANTIOCH	CA	94509	6200	07	06013	37.98252	-121.8030615	Contra Costa County
27850	Fee-for-Service	1285041889	1285041889	1	1	NEW HAVEN CONGREGATE LIVING	4/20/2017	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7736 SANCOLA AVE	None	SUN VALLEY	CA	91352	4358	19	06037	34.21146248	-118.3541794	Los Angeles County
27870	Fee-for-Service	1679084420	1679084420	1	1	NAMAN, LAURA N PHD	2/14/2025	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	520 CHADBOURNE RD	None	FAIRFIELD	CA	94534	0000	48	06095	38.235248	-122.0817079	Solano County
27874	Fee-for-Service	1104973957	1104973957	1	1	NADIMI, MARJAN OD	12/16/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5 CENTERPOINTE DRIVE	STE 200	LA PALMA	CA	90623	1050	30	06059	33.86168254	-118.0308375	Orange County
27889	Fee-for-Service	1154786846	1154786846	1	12	NEIGHBORHOOD HEALTHCARE	10/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	31537 RANCHO PUEBLO RD	SUITE 102	TEMECULA	CA	92592	4841	33	06065	33.47933034	-117.1103293	Riverside County
27895	Fee-for-Service	1871258210	1871258210	1	1	NASSIRI TOUSI, MARYAM OD	6/3/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
27930	Fee-for-Service	1821147786	1821147786	1	12	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1860 PENNSYLVANIA AVE	SUITE 300 A	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
28013	Fee-for-Service	1912404831	1912404831	1	1	NABILI, PANAH DPM	2/28/2022	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	2914 W MAIN ST	None	VISALIA	CA	93291	5731	54	06107	36.330075	-119.323458	Tulare County
28036	Fee-for-Service	1003985177	1003985177	1	1	NIKU, SOHEIL	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	72423	30	Radiology	0	In state provider	None	330 LEWIS ST	None	SAN DIEGO	CA	92103	2108	37	06073	32.75187491	-117.1617402	San Diego County
28038	Fee-for-Service	1851867485	1851867485	1	1	NORTHBAY TRANSIT GROUP INC.	5/26/2022	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	19766 COLLYER DR	None	REDDING	CA	96003	7537	45	06089	40.62080656	-122.3224463	Shasta County
28106	Fee-for-Service	1821147786	1821147786	1	13	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1860 PENNSYLVANIA AVE	SUITE 300 B	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
28144	Fee-for-Service	1972148583	1972148583	1	1	NAKYEYUNE, GLORIA CRNA	3/23/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
28153	Fee-for-Service	1568424679	1568424679	1	2	NEPHROLOGY SPECIALISTS MEDIC	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	AL GROUP, INC	705 W LA VETA AVE	107	ORANGE	CA	92868	4447	30	06059	33.78062272	-117.8600738	Orange County
28178	Fee-for-Service	1497272835	1497272835	1	1	NGUYEN, KENNETH V CRNA	10/3/2018	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2823 FRESNO STREET	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
28179	Fee-for-Service	1154786846	1154786846	1	12	NEIGHBORHOOD HEALTHCARE	10/27/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	31537 RANCHO PUEBLO RD	SUITE 102	TEMECULA	CA	92592	4841	33	06065	33.47933034	-117.1103293	Riverside County
28191	Fee-for-Service	1922585793	1922585793	1	1	NGUYEN, KRYSTIANNA PHD	2/10/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5838 EDISON PL	None	CARLSBAD	CA	92008	5520	37	06073	33.12181055	-117.2840499	San Diego County
28227	Fee-for-Service	1285633784	1285633784	1	1	NAKAMOTO, STANLEY K MD	7/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	43264	30	Radiology	0	In state provider	None	1100 W STEWART DRIVE	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
28235	Fee-for-Service	1447694245	1447694245	1	1	NGUYEN, HUAN T MD	6/30/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	128490	30	Radiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
28354	Fee-for-Service	1033573498	1033573498	1	1	NACKENSON, JOSHUA MD	9/2/2020	207P00000X	NA	Other	026	PHYSICIANS	168778	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
28465	Fee-for-Service	1154786846	1154786846	1	12	NEIGHBORHOOD HEALTHCARE	10/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	31537 RANCHO PUEBLO RD	SUITE 102	TEMECULA	CA	92592	4841	33	06065	33.47933034	-117.1103293	Riverside County
28487	Fee-for-Service	1578739306	1578739306	1	1	NATIVIDAD, ALBERTO V MD INC	6/15/2005	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	40458	41	Internal Medicine	0	In state provider	None	1711 W TEMPLE ST	STE 3200	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
28492	Fee-for-Service	1861599698	1861599698	1	1	NIREMBERG,MOYSES MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	111 E 210TH ST	None	BRONX	NY	10469	0000	00	None	40.879872	-73.8798975	Bronx County
28494	Fee-for-Service	1164761680	1164761680	1	1	NEALE, KELLY L NP	3/27/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
28587	Fee-for-Service	1316241847	1316241847	1	1	NGUYEN, DIANA MD	10/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117288	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2210 E ILLINOIS	SUITE 406	FRESNO	CA	93701	2167	10	06019	36.74500687	-119.7846885	Fresno County
28595	Fee-for-Service	1992175756	1992175756	1	1	NGUYEN, JANISE T CRNA	8/26/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
28613	Fee-for-Service	1457512360	1457512360	1	1	NIAKI, MICHAEL A MD	9/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120291	None	None	0	In state provider	None	1783 EL CAMINO REAL	None	BURLINGAME	CA	94010	3205	41	06081	37.59324015	-122.3818088	San Mateo County
28671	Fee-for-Service	1821147786	1821147786	1	15	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2458 HILBORN ROAD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
28753	Fee-for-Service	1154786846	1154786846	1	12	NEIGHBORHOOD HEALTHCARE	1/15/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	31537 RANCHO PUEBLO RD	SUITE 102	TEMECULA	CA	92592	4841	33	06065	33.47933034	-117.1103293	Riverside County
28776	Fee-for-Service	1578739306	1578739306	1	1	NATIVIDAD, ALBERTO V MD INC	6/15/2005	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	40458	01	General Practice	0	In state provider	None	1711 W TEMPLE ST	STE 3200	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
28845	Fee-for-Service	1538594122	1538594122	1	1	NGUYEN, LAM D MD	5/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	126111	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
28894	Fee-for-Service	1619020724	1619020724	1	1	NAZARIAN, IRADJ H MD	5/7/1995	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	43573	01	General Practice	0	In state provider	MEDICAL CLINIC, INC	7136 PACIFIC BLVD	STE 225	HUNTINGTON PARK	CA	90255	4767	19	06037	33.97474083	-118.2251149	Los Angeles County
28971	Fee-for-Service	1265601207	1265601207	1	1	NIELSEN, MARC A P DO	4/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10672	01	General Practice	0	In state provider	None	1345 PAUL BUNYAN RD	STE A	SUSANVILLE	CA	96130	3159	18	06035	40.43531297	-120.6557201	Lassen County
29011	Fee-for-Service	1700855533	1700855533	1	1	NORTH PLATTE NEBRASKA	11/6/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL CORPORATION	601 W LEOTA STREET	None	NORTH PLATTE	NE	69101	6525	00	None	41.12078954	-100.7706728	Lincoln County
29013	Fee-for-Service	1225130529	1225130529	1	1	NELSON, NICOLE A LMFT	10/25/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8037 FAIR OAKS BLVD	SUITE 103	CARMICHAEL	CA	95608	6742	34	06067	38.63691	-121.3149555	Sacramento County
29071	Fee-for-Service	1184716151	1184716151	2	1	NGUYEN, HIEP T MD	6/9/2012	207R00000X	NA	Other	026	PHYSICIANS	52455	41	Internal Medicine	0	In state provider	None	4419 EUCLID AVENUE	SUITE 105	SAN DIEGO	CA	92115	4564	37	06073	32.75673456	-117.0921546	San Diego County
29095	Fee-for-Service	1235543240	1235543240	1	1	NGUYEN, HANG T NP	8/23/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
29121	Fee-for-Service	1902856032	1902856032	1	1	NOVALES, JUANITO S MD	10/13/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	44097	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
29210	Fee-for-Service	1053300988	1053300988	1	1	NIAZI, JALEH MD	9/24/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	79850	40	Pediatrics	0	In state provider	None	419 30TH ST	None	OAKLAND	CA	94609	3301	01	06001	37.81907553	-122.2651799	Alameda County
29260	Fee-for-Service	1265601207	1265601207	1	1	NIELSEN, MARC A P DO	4/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10672	08	Family Practice	0	In state provider	None	1345 PAUL BUNYAN RD	STE A	SUSANVILLE	CA	96130	3159	18	06035	40.43531297	-120.6557201	Lassen County
29292	Fee-for-Service	1346266830	1346266830	1	2	NEW START HOME HEALTH	12/2/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	21255 BURBANK BLVD	STE 120	WOODLAND HILLS	CA	91367	6744	19	06037	34.17331011	-118.5940107	Los Angeles County
29299	Fee-for-Service	1700855533	1700855533	1	1	NORTH PLATTE NEBRASKA	11/6/2018	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL CORPORATION	601 W LEOTA STREET	None	NORTH PLATTE	NE	69101	6525	00	None	41.12078954	-100.7706728	Lincoln County
29305	Fee-for-Service	1982794244	1982794244	1	1	NEWMAN, ADAM MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	353 FAIRMONT BLVD	None	RAPID CITY	SD	57701	7375	00	None	44.05854729	-103.2246985	Pennington County
29343	Fee-for-Service	1780815746	1780815746	1	1	NANKIN, NILS L MD	2/28/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	109596	None	None	0	In state provider	None	455 HICKEY DRIVE	SUITE 200	DALY CITY	CA	94015	2630	41	06081	37.66383747	-122.4671404	San Mateo County
29354	Fee-for-Service	1013979525	1013979525	1	1	NUSSER, RICHARD A MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	33733	41	Internal Medicine	0	In state provider	None	365 HAWTHORNE AVE	STE 202	OAKLAND	CA	94609	3114	01	06001	37.82079728	-122.2633226	Alameda County
29357	Fee-for-Service	1073002101	1073002101	1	1	NAIPAUL, SIMERJEET S MD	10/11/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173702	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
29423	Fee-for-Service	1134173610	1134173610	1	1	NATTAMAI, LINGAM SHARMIL	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	10700 E GEDDES AVE	STE 200	ENGLEWOOD	CO	80112	3861	00	None	39.58449488	-104.8639802	Arapahoe County
29461	Fee-for-Service	1811123151	1811123151	1	1	NOBAKHT, NILOOFAR MD	1/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107561	None	None	0	In state provider	None	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
29471	Fee-for-Service	1063466027	1063466027	1	1	NUNES, MARK E MD	1/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	73873	40	Pediatrics	0	In state provider	None	4760 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6063	19	06037	34.09811852	-118.293408	Los Angeles County
29479	Fee-for-Service	1831547009	1831547009	1	1	NGUYEN, MARGARET OD	9/12/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9001 APOLLO WAY	None	DOWNEY	CA	90242	4033	19	06037	33.92303224	-118.1286645	Los Angeles County
29523	Fee-for-Service	1407975709	1407975709	1	1	NICOSIA, ANTONIA F MD	7/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	62614	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
29532	Fee-for-Service	1588979504	1588979504	1	1	NGUYEN, TONY T LMFT	11/26/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12821 NEWPORT AVE	None	TUSTIN	CA	92780	3549	30	06059	33.75101941	-117.8093474	Orange County
29641	Fee-for-Service	1205280187	1205280187	1	1	NORDSTROM, MATTHEW C MD	6/18/2019	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	154419	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
29642	Fee-for-Service	1013979525	1013979525	1	1	NUSSER, RICHARD A MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	33733	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	365 HAWTHORNE AVE	STE 202	OAKLAND	CA	94609	3114	01	06001	37.82079728	-122.2633226	Alameda County
29658	Fee-for-Service	1205927126	1205927126	1	1	NGUYEN, DUC Q MD	9/20/2007	207L00000X	NA	Other	026	PHYSICIANS	33225	05	Anesthesiology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
29697	Fee-for-Service	1821297649	1821297649	1	1	NEWMAN, ELAN M MD	8/23/2010	390200000X	NA	Other	026	PHYSICIANS	100748	07	Dermatology	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
29709	Fee-for-Service	1417261868	1417261868	1	1	NEUFELD, JASON D DPM	8/22/2011	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	3555 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
29746	Fee-for-Service	1750445904	1750445904	1	1	NARKIEWICZ-JODKO, JOANNA	9/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2200 BRYANT WILLIAMS DR	None	KLAMATH FALLS	OR	97601	1120	00	None	42.25198664	-121.7841082	Klamath County
29817	Fee-for-Service	1750392353	1750392353	1	1	NEW BRIDGE FOUNDATION, INC	9/19/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1816 SCENIC AVE	None	BERKELEY	CA	94709	1324	01	06001	37.87558576	-122.2622904	Alameda County
29818	Fee-for-Service	1659716827	1659716827	1	1	NACORDA, JASON D DO	3/26/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	14811	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
29843	Fee-for-Service	1164099842	1164099842	1	1	NGUYEN, NHU NP	4/11/2025	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
29895	Fee-for-Service	1033261151	1033261151	1	1	NATKUNAM, YASODHA MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	62254	22	Pathology (M.D. only)	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
29951	Fee-for-Service	1346398286	1346398286	1	1	NAKAHARA, GAY M NP	10/21/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9449 IMPERIAL HWY	STE ABCD	DOWNEY	CA	90242	2814	19	06037	33.91714048	-118.1262915	Los Angeles County
29959	Fee-for-Service	1023064102	1023064102	1	1	NEWMARK, NOREEN M MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67977	66	Emergency Medicine (Urgent Care)	0	In state provider	None	435 H ST	None	CHULA VISTA	CA	91910	4307	37	06073	32.63282707	-117.0829101	San Diego County
29977	Fee-for-Service	1811901432	1811901432	1	1	NIYATI, SARA OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1321 W COVELL BLVD	STE 120	DAVIS	CA	95616	5947	57	06113	38.56095434	-121.7645714	Yolo County
29998	Fee-for-Service	1467549030	1467549030	1	2	NERZ, PAUL M MD	11/30/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	35504	-	NOT APPLICABLE	0	In state provider	None	2844 COLOMA ST	None	PLACERVILLE	CA	95667	4406	09	06017	38.73241271	-120.8065775	El Dorado County
30021	Fee-for-Service	1124054184	1124054184	1	1	NAGATA, MICHAEL D MD	5/1/1984	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	50448	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1225 15TH ST	None	SANTA MONICA	CA	90404	1101	19	06037	34.02683888	-118.4870127	Los Angeles County
30022	Fee-for-Service	1922049527	1922049527	1	1	NGUYEN, THANH-TAM MD	3/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	67410	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
30031	Fee-for-Service	1174010763	1174010763	1	1	NGUYEN, RINA H MD	4/26/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	164750	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
30036	Fee-for-Service	1750445904	1750445904	1	1	NARKIEWICZ-JODKO, JOANNA	9/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	06	Cardiovascular Disease (M.D. only)	1	Border provider	None	2200 BRYANT WILLIAMS DR	None	KLAMATH FALLS	OR	97601	1120	00	None	42.25198664	-121.7841082	Klamath County
30057	Fee-for-Service	1760710610	1760710610	1	1	NELLES, DAVID B MD	1/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138113	None	None	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
30058	Fee-for-Service	1457512360	1457512360	1	4	NIAKI, MICHAEL A MD	1/11/2021	207R00000X	NA	Other	026	PHYSICIANS	120291	None	None	0	In state provider	None	1550 SILVEIRA	None	SAN RAFAEL	CA	94903	4879	21	06041	38.01999969	-122.5256819	Marin County
30089	Fee-for-Service	1487619821	1487619821	1	1	NAMBIAR, ASHOK MD	6/6/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	87897	22	Pathology (M.D. only)	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
30096	Fee-for-Service	1114220357	1114220357	1	1	NORTH KERN SOUTH TULARE	4/27/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HOSPITAL DISTRICT	1500 6TH AVENUE	None	DELANO	CA	93215	3011	15	06029	35.76504054	-119.236779	Kern County
30107	Fee-for-Service	1164527560	1164527560	1	2	NAIR, LATHA T MD	9/1/2023	2084P0800X	NA	Psychiatry	086	MEDICAL DIRECTORS	143606	-	NOT APPLICABLE	0	In state provider	None	1400 EMELINE AVENUE	BUILDING K	SANTA CRUZ	CA	95060	1976	44	06087	36.99276804	-122.0178271	Santa Cruz County
30120	Fee-for-Service	1912055898	1912055898	1	1	NGUYEN, MICHAEL T MD	8/29/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85555	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
30169	Fee-for-Service	1013199264	1013199264	1	4	NORTHEAST VALLEY HEALTH CORP	2/19/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	11051 N O'MELVENY AVE	None	SAN FERNANDO	CA	91340	4426	19	06037	34.27102635	-118.4406186	Los Angeles County
30181	Fee-for-Service	1710324363	1710324363	1	1	NEUROTECH NA, INC.	4/19/2024	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	11220 ASSETT LOOP	SUITE 210	MANASSAS	VA	20109	7914	00	None	38.749527	-77.5312515	Prince William County
30245	Fee-for-Service	1023064102	1023064102	1	1	NEWMARK, NOREEN M MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67977	36	Psychiatry	0	In state provider	None	435 H ST	None	CHULA VISTA	CA	91910	4307	37	06073	32.63282707	-117.0829101	San Diego County
30267	Fee-for-Service	1447233432	1447233432	1	1	NANES, RICHARD N MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	PARKVIEW MEDICAL CENTER	400 W 16TH STREET	None	PUEBLO	CO	81003	0000	00	None	38.28171999	-104.6119963	Pueblo County
30270	Fee-for-Service	1912978123	1912978123	1	1	NORMAN, MICHAEL DO	7/17/2009	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	6319	02	General Surgery	0	In state provider	BIG BEAR LAKE MEDICAL GR	16049 TUSCOLA ROAD	SUITE B	APPLE VALLEY	CA	92307	0824	36	06071	34.542837	-117.2692605	San Bernardino County
30275	Fee-for-Service	1073783924	1073783924	1	1	NAWABI, ABDUL W MD INC	3/2/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	49828	08	Family Practice	0	In state provider	None	2876 SYCAMORE DR	STE 304	SIMI VALLEY	CA	93065	1550	56	06111	34.28795345	-118.7438659	Ventura County
30336	Fee-for-Service	1437656311	1437656311	1	1	NIETO, VANESSA L MD	10/14/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	181507	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
30387	Fee-for-Service	1114220357	1114220357	1	1	NORTH KERN SOUTH TULARE	3/20/2013	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HOSPITAL DISTRICT	1500 6TH AVENUE	None	DELANO	CA	93215	3011	15	06029	35.76504054	-119.236779	Kern County
30456	Fee-for-Service	1013199264	1013199264	1	4	NORTHEAST VALLEY HEALTH CORP	7/2/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	11051 N O'MELVENY AVE	None	SAN FERNANDO	CA	91340	4426	19	06037	34.27102635	-118.4406186	Los Angeles County
30558	Fee-for-Service	1912978123	1912978123	1	1	NORMAN, MICHAEL DO	7/17/2009	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	6319	41	Internal Medicine	0	In state provider	BIG BEAR LAKE MEDICAL GR	16049 TUSCOLA ROAD	SUITE B	APPLE VALLEY	CA	92307	0824	36	06071	34.542837	-117.2692605	San Bernardino County
30570	Fee-for-Service	1912298159	1912298159	1	1	NEYMAN, YELENA MD	8/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	122937	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	SUITE 8211	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
30579	Fee-for-Service	1285194274	1285194274	1	1	NGUYEN, PHUONG MD	4/22/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
30645	Fee-for-Service	1275838195	1275838195	1	1	NAVARRO, LUIS S	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
30671	Fee-for-Service	1275612319	1275612319	1	1	NGUYEN, MAI H MD	1/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94851	08	Family Practice	0	In state provider	None	2185 W GRANT LINE RD	None	TRACY	CA	95377	7309	39	06077	37.75425686	-121.4567805	San Joaquin County
30672	Fee-for-Service	1114220357	1114220357	1	1	NORTH KERN SOUTH TULARE	4/27/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	HOSPITAL DISTRICT	1500 6TH AVENUE	None	DELANO	CA	93215	3011	15	06029	35.76504054	-119.236779	Kern County
30695	Fee-for-Service	1558897272	1558897272	1	1	NGUYEN, NGOC THIEN T MD	11/12/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	146642	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
30712	Fee-for-Service	1679958953	1679958953	1	1	NGUYEN, JOHN V MD	6/30/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	166468	None	None	0	In state provider	None	2581 SAMARITAN DR	STE 206	SAN JOSE	CA	95124	4112	43	06085	37.25305684	-121.9507351	Santa Clara County
30730	Fee-for-Service	1447670955	1447670955	1	2	NEW HOPE PODIATRY GROUP INC.	2/27/2020	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	3612 1/2 E. FIRST STREET	None	LOS ANGELES	CA	90063	2326	19	06037	34.03597431	-118.1886409	Los Angeles County
30744	Fee-for-Service	1013199264	1013199264	1	4	NORTHEAST VALLEY HEALTH CORP	2/19/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	11051 N O'MELVENY AVE	None	SAN FERNANDO	CA	91340	4426	19	06037	34.27102635	-118.4406186	Los Angeles County
30754	Fee-for-Service	1215015318	1215015318	1	1	NG, CARL R MD	12/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	63979	40	Pediatrics	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
30762	Fee-for-Service	1033561444	1033561444	1	1	NASH, MICHAEL R CNP	7/1/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
30809	Fee-for-Service	1821238064	1821238064	1	1	NGUYEN, TRUNG D MD	12/26/2008	193400000X	NA	Other	026	PHYSICIANS	82169	02	General Surgery	0	In state provider	DAVID TRUNG D NGUYEN MD	23100 EUCALYPTUS AVE	None	MORENO VALLEY	CA	92553	5439	33	06065	33.93157977	-117.2598359	Riverside County
30967	Fee-for-Service	1184699506	1184699506	1	1	NAWABI, ABDUL W MD	6/18/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	49828	08	Family Practice	0	In state provider	None	2876 SYCAMORE DR	STE 101	SIMI VALLEY	CA	93065	1550	56	06111	34.28795345	-118.7438659	Ventura County
30979	Fee-for-Service	1164493284	1164493284	1	1	NORMAN, BRENT C MD INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	42762	18	Ophthalmology	0	In state provider	None	351 HOSPITAL RD	STE 406	NEWPORT BEACH	CA	92663	3506	30	06059	33.62579141	-117.9299554	Orange County
31031	Fee-for-Service	1710302450	1710302450	1	1	NEW AGE FOOT AND ANKLE	2/15/2018	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	PODIATRY PC	1110 S GLENDALE AVE	SUITE E	GLENDALE	CA	91205	5623	19	06037	34.13303677	-118.2520389	Los Angeles County
31042	Fee-for-Service	1144335175	1144335175	2	1	NSKAPE INC	4/29/2014	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2844 HAMNER AVE	None	NORCO	CA	92860	1929	33	06065	33.92344851	-117.5590211	Riverside County
31055	Fee-for-Service	1720556400	1720556400	1	1	NGUYEN, BRIAN D PT	10/29/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1902 ROYALTY DRIVE	SUITE 170	POMONA	CA	91767	3030	19	06037	34.07791925	-117.746146	Los Angeles County
31085	Fee-for-Service	1568435444	1568435444	1	1	NIERVA, EFREN V DO	7/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	7490	08	Family Practice	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
31097	Fee-for-Service	1821238064	1821238064	1	1	NGUYEN, TRUNG D MD	12/26/2008	193400000X	NA	Other	026	PHYSICIANS	82169	24	Plastic Surgery	0	In state provider	DAVID TRUNG D NGUYEN MD	23100 EUCALYPTUS AVE	None	MORENO VALLEY	CA	92553	5439	33	06065	33.93157977	-117.2598359	Riverside County
31105	Fee-for-Service	1811948680	1811948680	1	1	NGUYEN, DAO B MD	9/30/1986	207R00000X	NA	Other	026	PHYSICIANS	43110	41	Internal Medicine	0	In state provider	None	9211 BOLSA AVE	STE 220	WESTMINSTER	CA	92683	5571	30	06059	33.74498712	-117.9684267	Orange County
31202	Fee-for-Service	1689020083	1689020083	1	1	NGUYEN, JOHNATHAN Q MD	9/9/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	161013	08	Family Practice	0	In state provider	None	3883 AIRWAY DR	202	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
31243	Fee-for-Service	1184699506	1184699506	1	1	NAWABI, ABDUL W MD	6/18/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	49828	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2876 SYCAMORE DR	STE 101	SIMI VALLEY	CA	93065	1550	56	06111	34.28795345	-118.7438659	Ventura County
31372	Fee-for-Service	1568435444	1568435444	1	1	NIERVA, EFREN V DO	7/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	7490	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
31392	Fee-for-Service	1811948680	1811948680	1	1	NGUYEN, DAO B MD	9/30/1986	207R00000X	NA	Other	026	PHYSICIANS	43110	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	9211 BOLSA AVE	STE 220	WESTMINSTER	CA	92683	5571	30	06059	33.74498712	-117.9684267	Orange County
31403	Fee-for-Service	1932286671	1932286671	1	1	NORMANDIE/WILSHIRE	11/1/2003	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	RETIREMENT HOTEL	6700 SEPULVEDA BLVD	None	VAN NUYS	CA	91411	1248	19	06037	34.192323	-118.4661635	Los Angeles County
31450	Fee-for-Service	1609095264	1609095264	1	1	NARANJO, RODRIGO A MD	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119010	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
31467	Fee-for-Service	1881825305	1881825305	1	1	NORTH EAST MED SRVCS	1/3/2010	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1505	38	06075	37.72907852	-122.4042585	San Francisco County
31525	Fee-for-Service	1205000379	1205000379	1	2	NICHOLS, JESSICA R LMFT	3/14/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	85023	-	NOT APPLICABLE	0	In state provider	None	585 AUTO CENTER DRIVE	STE B	WATSONVILLE	CA	95076	3764	44	06087	36.91699314	-121.7673915	Santa Cruz County
31559	Fee-for-Service	1609084086	1609084086	1	1	NEW INSIGHT OPTOMETRIC	11/1/1995	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	541 W VALLEY BLVD	None	SAN GABRIEL	CA	91776	3730	19	06037	34.07941179	-118.1077	Los Angeles County
31561	Fee-for-Service	1760011589	1760011589	1	1	NGUYEN, MICHAEL L MD	7/5/2023	207P00000X	NA	Other	026	PHYSICIANS	184307	None	None	0	In state provider	None	12601 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92843	1908	30	06059	33.77450951	-117.913014	Orange County
31666	Fee-for-Service	1720305154	1720305154	1	1	NOLASCO, JOSLYN R MD	10/3/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111899	40	Pediatrics	0	In state provider	None	2200 O'FARRELL STREET	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
31671	Fee-for-Service	1275710964	1275710964	1	2	NAVDEEP LOOMBA MD INC.	10/3/2019	207LP2900X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	15610 OUTER BEAR VALLEY	None	VICTORVILLE	CA	92395	8822	36	06071	34.470875	-117.3231568	San Bernardino County
31681	Fee-for-Service	1720062979	1720062979	1	1	NG, DANIEL W MD	1/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	86579	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
31741	Fee-for-Service	1528085511	1528085511	1	1	NICK-DUNG M TRAN MEDICAL	11/9/2006	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	CORPORATION	347 ALTURAS ST	None	YUBA CITY	CA	95991	4108	51	06101	39.1423346	-121.6147531	Sutter County
31861	Fee-for-Service	1871826826	1871826826	1	1	NATTKEMPER, JULIA A	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
31867	Fee-for-Service	1437268471	1437268471	1	1	NOORDHOEK,ELIZABETH MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	555 S 70TH ST	None	LINCOLN	NE	68510	2462	00	None	40.808151	-96.62516802	Lancaster County
31891	Fee-for-Service	1346997525	1346997525	1	1	NGUYEN, JACKLYN PT	3/23/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	11206 OLIVE DR	102	BAKERSFIELD	CA	93312	5846	15	06029	35.41981347	-119.1272175	Kern County
31904	Fee-for-Service	1982139366	1982139366	1	1	NOZAWA, KRISTIN PSYD	9/3/2023	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
31925	Fee-for-Service	1902028962	1902028962	1	1	NGO, TRI M OD	8/6/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9656 LAS TUNAS DRIVE	None	TEMPLE CITY	CA	91780	2139	19	06037	34.1069331	-118.0589723	Los Angeles County
31944	Fee-for-Service	1811954431	1811954431	1	1	NEUHAUS, ISAAC M MD	7/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78354	07	Dermatology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
31957	Fee-for-Service	1275710964	1275710964	1	2	NAVDEEP LOOMBA MD INC.	10/3/2019	207LP2900X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	15610 OUTER BEAR VALLEY	None	VICTORVILLE	CA	92395	8822	36	06071	34.470875	-117.3231568	San Bernardino County
32015	Fee-for-Service	1730542176	1730542176	1	1	NAYERI, ARASH MD	10/14/2019	207R00000X	NA	Other	026	PHYSICIANS	153430	41	Internal Medicine	0	In state provider	None	8536 WILSHIRE BLVD	None	BEVERLY HILLS	CA	90211	3103	19	06037	34.06550726	-118.3775199	Los Angeles County
32028	Fee-for-Service	1528085511	1528085511	1	1	NICK-DUNG M TRAN MEDICAL	11/9/2006	193200000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	CORPORATION	347 ALTURAS ST	None	YUBA CITY	CA	95991	4108	51	06101	39.1423346	-121.6147531	Sutter County
32100	Fee-for-Service	1245524727	1245524727	1	1	NELSON, ASHLEY R MD	11/3/2020	207R00000X	NA	Other	026	PHYSICIANS	156976	None	None	0	In state provider	None	1379 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83694289	-119.7636839	Fresno County
32116	Fee-for-Service	1598745754	1598745754	1	1	NORRIS, NADINE L OD	7/1/2002	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	CENTRAL COAST OPTOMETRIC	800 QUINTANA RD	STE 1D	MORRO BAY	CA	93442	2300	40	06079	35.36727618	-120.8421447	San Luis Obispo County
32141	Fee-for-Service	1598262073	1598262073	1	1	NIKNAM, DANIEL N DO	10/21/2021	207R00000X	NA	Other	026	PHYSICIANS	17629	None	None	0	In state provider	None	401 S LA BREA BLVD	SUITE 205	INGLEWOOD	CA	90301	2321	19	06037	33.95921962	-118.3533372	Los Angeles County
32209	Fee-for-Service	1932592797	1932592797	1	1	NAWABI, SHANNON MD	4/18/2024	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	17451	None	None	0	In state provider	None	1250 BELLFLOWER BLVD	None	LONG BEACH	CA	90840	0201	19	06037	33.783174	-118.119528	Los Angeles County
32269	Fee-for-Service	1568925618	1568925618	1	1	NGUYEN, BRIAN P MD	6/30/2023	390200000X	NA	Other	026	PHYSICIANS	181280	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
32283	Fee-for-Service	1932358264	1932358264	1	1	NASSAR-TRUMBO, NELLY PHD	8/1/2018	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	601 E DAILY DR	210	CAMARILLO	CA	93010	5806	56	06111	34.21906637	-119.0621709	Ventura County
32297	Fee-for-Service	1487490132	1487490132	1	1	NERVIO PAIN INSTITUTE	9/23/2024	2081P2900X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	None	25	Physical Medicine and Rehabilitation	0	In state provider	None	1050 LINDEN AVE	None	LONG BEACH	CA	90813	3321	19	06037	33.78003775	-118.1866604	Los Angeles County
32298	Fee-for-Service	1861877193	1861877193	1	1	NORELL, CAROLINE A	12/27/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
32407	Fee-for-Service	1598066292	1598066292	1	1	NUR HOME HEALTH CARE INC	7/2/2013	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1905 VICTORY BLVD	SUITE 11	GLENDALE	CA	91201	4030	19	06037	34.1641783	-118.3043397	Los Angeles County
32414	Fee-for-Service	1619472735	1619472735	1	1	NAIK, SHIVANI MD	7/14/2022	390200000X	NA	Other	026	PHYSICIANS	177314	None	None	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
32444	Fee-for-Service	1497413157	1497413157	1	1	NGUYEN, BRYAN V PT	12/10/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1338 MAIN ST	None	RAMONA	CA	92065	0000	37	06073	33.03880322	-116.8742834	San Diego County
32481	Fee-for-Service	1891762043	1891762043	2	1	NGO, TRANG T N MD	4/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	91865	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3200 KEARNEY ST	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
32483	Fee-for-Service	1952489593	1952489593	1	1	NEWELL, KIMBERLY L MD	6/17/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80595	40	Pediatrics	0	In state provider	None	1001 POTRERO AVE	RM 6D37	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
32506	Fee-for-Service	1770583726	1770583726	1	1	NIELSON, KYLE P MD	11/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	51125	30	Radiology	0	In state provider	None	2820 N ONTARIO ST	None	BURBANK	CA	91504	2015	19	06037	34.20335077	-118.3443845	Los Angeles County
32512	Fee-for-Service	1093837486	1093837486	1	1	NAGARAJAN, SUJA MD	3/5/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97298	41	Internal Medicine	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
32554	Fee-for-Service	1346826773	1346826773	1	1	NGUYEN, NAM V	8/7/2024	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1050 WEST GALLERIA DRIVE	None	HENDERSON	NV	89011	4800	00	None	36.07123413	-115.0308684	Clark County
32618	Fee-for-Service	1740242650	1740242650	1	1	NGUYEN, JOHNNY H MD	11/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81202	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
32662	Fee-for-Service	1699052266	1699052266	1	1	NORTHEAST MEDICAL SERVICES	8/14/2012	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	211 EASTMOOR AVE	None	DALY CITY	CA	94015	2036	41	06081	37.6847337	-122.4787562	San Mateo County
32674	Fee-for-Service	1124447115	1124447115	1	1	NGUYEN, CHRISTINA T M MD	8/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	140740	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	92683	6763	19	06037	34.06633051	-118.4452686	Los Angeles County
32682	Fee-for-Service	1508205592	1508205592	1	1	NGUYEN, CHRISTOPHER K DO	6/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	13860	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
32693	Fee-for-Service	1619300373	1619300373	1	1	NAFEY, MASOUD OD	5/4/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1800 FOURTH STREET	None	LIVERMORE	CA	94550	4454	01	06001	37.67808567	-121.7724653	Alameda County
32710	Fee-for-Service	1821147786	1821147786	1	2	NORTHBAY HEALTHCARE GROUP	12/1/1977	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
32717	Fee-for-Service	1720041486	1720041486	1	1	NURICK, HARVEY A MD INC	7/27/1999	208600000X	NA	General Surgery	026	PHYSICIANS	41454	02	General Surgery	0	In state provider	None	4500 BROCKTON AVE	STE 204	RIVERSIDE	CA	92501	4090	33	06065	33.97785263	-117.3836152	Riverside County
32736	Fee-for-Service	1336593136	1336593136	1	1	NUYEN, BRIAN A	3/7/2023	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	151597	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
32751	Fee-for-Service	1588612881	1588612881	1	1	NGUYEN, HIEP D MD	2/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	73583	41	Internal Medicine	0	In state provider	None	2800 BENEDICT DR	None	SAN LEANDRO	CA	94577	6840	01	06001	37.71593435	-122.131151	Alameda County
32780	Fee-for-Service	1316067622	1316067622	1	1	NEPOMUCENO, CARLOTA C MD	1/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	50727	08	Family Practice	0	In state provider	None	1441 LIBERTY ST	STE 306	REDDING	CA	96001	0848	45	06089	40.5857177	-122.3870781	Shasta County
32800	Fee-for-Service	1013476878	1013476878	1	1	NGUYEN, QUOC-HAN MD	6/23/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	1444 FLORIDA AVE	STE 101	MODESTO	CA	95350	4400	50	06099	37.66487562	-120.9961927	Stanislaus County
32807	Fee-for-Service	1467898627	1467898627	1	1	NARVAEZ, JENILLE M MD	9/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132069	40	Pediatrics	0	In state provider	None	3505 BROADWAY	None	OAKLAND	CA	94611	5714	01	06001	37.82263926	-122.2597946	Alameda County
32891	Fee-for-Service	1386763100	1386763100	1	1	NYUNT, THANDAR MD	2/23/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105081	08	Family Practice	0	In state provider	None	10800 MAGNOLIA LN	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
32981	Fee-for-Service	1245727247	1245727247	1	1	NAVID, PEDRAM MD	9/3/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	173785	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8501 WILSHIRE BLVD	None	BEVERLY HILLS	CA	90211	3150	19	06037	34.0653985	-118.3769177	Los Angeles County
33004	Fee-for-Service	1174028567	1174028567	1	1	NGUMAN, REBECCA LMFT	7/4/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
33008	Fee-for-Service	1447718978	1447718978	1	1	NIEPAGEN, MARIA L NP	9/29/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1090 3RD ST	None	SOUTH LAKE TAHOE	CA	96150	3462	09	06017	38.91492536	-119.9966528	El Dorado County
33092	Fee-for-Service	1801154034	1801154034	1	1	NAFISI, SHAHRAM MD	9/9/2021	207L00000X	NA	Other	026	PHYSICIANS	160273	None	None	0	In state provider	None	1541 FLORIDA AVE	STE 200	MODESTO	CA	95350	4438	50	06099	37.666863	-120.9962775	Stanislaus County
33164	Fee-for-Service	1558411439	1558411439	1	1	NGUYEN, TRANHOAI T MD	9/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	97584	03	Allergy	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
33207	Fee-for-Service	1770235319	1770235319	1	1	NAPILI BAY LLC	11/8/2022	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	931 IDAHO AVENUE	None	LOS BANOS	CA	93636	3405	24	06047	37.06244019	-120.8601382	Merced County
33220	Fee-for-Service	1477620482	1477620482	1	1	NORDMAN, STEPHEN D MD	11/30/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	56071	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
33252	Fee-for-Service	1023579299	1023579299	1	1	NICHOLS, BEATRICE J MD	9/18/2024	390200000X	NA	Other	026	PHYSICIANS	179656	36	Psychiatry	0	In state provider	None	2230 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1419	34	06067	38.555631	-121.459203	Sacramento County
33314	Fee-for-Service	1609502137	1609502137	1	1	NYSTROM, LAURA M OT	4/2/2023	225XP0019X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
33315	Fee-for-Service	1154786846	1154786846	1	4	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	291 CHAMBERS STREET	ROOM 402	HEMET	CA	92543	9658	33	06065	33.7219797	-116.9734546	Riverside County
33331	Fee-for-Service	1801476247	1801476247	1	1	NISHIKAWA, MILLIE MD	8/23/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
33353	Fee-for-Service	1699248401	1699248401	1	2	NEIL LOUWRENS MD	1/26/2021	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
33363	Fee-for-Service	1649901620	1649901620	1	1	NIPPER, CELINE M NP	4/11/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4520 EXECUTIVE DRIVE	#227	SAN DIEGO	CA	92121	3020	37	06073	32.87608747	-117.2097763	San Diego County
33546	Fee-for-Service	1265522619	1265522619	1	1	NORTH COUNTY HEALTH CTR	7/1/1995	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	380 90TH ST	None	DALY CITY	CA	94015	1807	41	06081	37.69110985	-122.4742036	San Mateo County
33551	Fee-for-Service	1548319908	1548319908	1	1	NOVELL, JANELLE K LMFT	7/16/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
33581	Fee-for-Service	1316165814	1316165814	1	1	NEO-PERINATOLOGY ASSOCIATES	5/29/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
33603	Fee-for-Service	1154786846	1154786846	1	4	NEIGHBORHOOD HEALTHCARE	7/18/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	291 CHAMBERS STREET	ROOM 402	HEMET	CA	92543	9658	33	06065	33.7219797	-116.9734546	Riverside County
33608	Fee-for-Service	1285151639	1285151639	1	1	N J CARE HOME LLC	3/13/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	8200 WOODED BROOK DR	None	ELK GROVE	CA	95758	8021	34	06067	38.429379	-121.404258	Sacramento County
33678	Fee-for-Service	1780369538	1780369538	1	1	NOLAN LE PHARMD, INC	12/4/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4425 47TH ST	None	SAN DIEGO	CA	92115	4516	37	06073	32.75746594	-117.0929032	San Diego County
33753	Fee-for-Service	1518271964	1518271964	1	1	NGUYEN, HUY TU DO	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	10984	08	Family Practice	0	In state provider	None	1500 W WEST COVINA PKWY	STE 101	WEST COVINA	CA	91790	2708	19	06037	34.06953243	-117.9391587	Los Angeles County
33810	Fee-for-Service	1952671679	1952671679	1	1	NELSON, MICHELLE O LCSW	10/19/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
33833	Fee-for-Service	1265522619	1265522619	1	1	NORTH COUNTY HEALTH CTR	7/1/1995	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	380 90TH ST	None	DALY CITY	CA	94015	1807	41	06081	37.69110985	-122.4742036	San Mateo County
33936	Fee-for-Service	1568433274	1568433274	1	1	NEWMAN, GLENN MD	10/26/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	55188	None	None	0	In state provider	None	6440 PLATT AVE	None	WEST HILLS	CA	91307	3216	19	06037	34.18784988	-118.6427021	Los Angeles County
33953	Fee-for-Service	1417021726	1417021726	1	1	NASEER, SAHIR MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	78570	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
34075	Fee-for-Service	1982055760	1982055760	1	1	NANRA, JASPREET S MD	12/7/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	159207	08	Family Practice	0	In state provider	None	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
34101	Fee-for-Service	1891951760	1891951760	1	1	NAIR, LAKSHMI MD	8/21/2017	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	109325	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	27206 CALAROGA AVE	115	HAYWARD	CA	94545	4300	01	06001	37.632357	-122.0868765	Alameda County
34104	Fee-for-Service	1013302884	1013302884	1	1	NARASIMHAN, VIVEK MD	11/4/2020	207R00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
34152	Fee-for-Service	1497173587	1497173587	1	1	NGUYEN, CHRISTOPHER MD	1/29/2020	390200000X	NA	Other	026	PHYSICIANS	141105	30	Radiology	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
34184	Fee-for-Service	1033158704	1033158704	1	1	NGUYEN, NAM X MD	2/14/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98320	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1407 NORTH TRACY BLVD	None	TRACY	CA	95376	3445	39	06077	37.74353911	-121.4350246	San Joaquin County
34223	Fee-for-Service	1134218969	1134218969	1	1	NYQUIST, BROCK V CRNA	10/26/2010	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
34227	Fee-for-Service	1003422486	1003422486	1	1	NICHOLAS PATRICK BROWN, DO	2/16/2022	261QM0801X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	419 CHESTNUT ST	APT 3	MOUNT SHASTA	CA	96067	2918	47	06093	41.31492405	-122.3131185	Siskiyou County
34241	Fee-for-Service	1033202437	1033202437	1	1	NELSON, RENEE M MD	10/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79495	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9888 GENESEE AVE	None	LA JOLLA	CA	92037	1205	37	06073	32.8865608	-117.2250386	San Diego County
34312	Fee-for-Service	1124042502	1124042502	1	1	NGUYEN, JASMINE B MD	11/19/2007	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	93370	40	Pediatrics	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
34319	Fee-for-Service	1043359219	1043359219	1	1	NAVAZO, LUIS J MD	5/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	72940	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1582 W SAN MARCOS BLVD	STE 100	SAN MARCOS	CA	92078	4081	37	06073	33.13145446	-117.202167	San Diego County
34322	Fee-for-Service	1255474375	1255474375	1	1	NARANJO, PERCY MD	9/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	35198	36	Psychiatry	0	In state provider	None	942 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	4004	19	06037	34.01922246	-118.1576303	Los Angeles County
34350	Fee-for-Service	1346463460	1346463460	1	1	NII, DUANE Y MD	2/25/2025	207W00000X	NA	Ophthalmology	026	PHYSICIANS	47758	18	Ophthalmology	0	In state provider	None	1360 E HERNDON AVE	STE 401	FRESNO	CA	93720	3326	10	06019	36.83744648	-119.7646425	Fresno County
34363	Fee-for-Service	1982055760	1982055760	1	1	NANRA, JASPREET S MD	12/7/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	159207	41	Internal Medicine	0	In state provider	None	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
34516	Fee-for-Service	1194952242	1194952242	1	1	NAVI, PARISA MD	8/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121408	40	Pediatrics	0	In state provider	None	5900 STATE FARM DR	None	ROHNERT PARK	CA	94928	2149	49	06097	38.35358835	-122.7073105	Sonoma County
34519	Fee-for-Service	1083809636	1083809636	1	2	NURSE RESOURCE HOME	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	535 N BRAND BLVD	STE 200	GLENDALE	CA	91203	3303	19	06037	34.154298	-118.2551395	Los Angeles County
34530	Fee-for-Service	1033202437	1033202437	1	1	NELSON, RENEE M MD	10/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79495	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9888 GENESEE AVE	None	LA JOLLA	CA	92037	1205	37	06073	32.8865608	-117.2250386	San Diego County
34575	Fee-for-Service	1992883755	1992883755	1	1	NORTH, WILL A MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76033	13	Neurology (M.D. only)	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
34597	Fee-for-Service	1205687381	1205687381	1	1	NG, JOANNE FAJARDO	5/15/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	218 CANTADA WAY	None	AMERICAN CANYON	CA	94503	3171	28	06055	38.17540756	-122.2464841	Napa County
34607	Fee-for-Service	1043359219	1043359219	1	1	NAVAZO, LUIS J MD	5/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	72940	01	General Practice	0	In state provider	None	1582 W SAN MARCOS BLVD	STE 100	SAN MARCOS	CA	92078	4081	37	06073	33.13145446	-117.202167	San Diego County
34610	Fee-for-Service	1164803136	1164803136	1	1	NEURO-REHAB PSYCHOLOGICAL	9/18/2017	193400000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	CONSULTATION & TREATMENT	595 E. COLORADO BLVD.	SUITE #307	PASADENA	CA	91101	2021	19	06037	34.14588202	-118.1380722	Los Angeles County
34790	Fee-for-Service	1245610948	1245610948	1	1	NGO, DAVID DO	1/4/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	15286	None	None	0	In state provider	None	555 WASHINGTON STREET	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
34835	Fee-for-Service	1356933311	1356933311	1	1	NEW CENTURY HOSPICE INC	9/23/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	7036 FOOTHILL BLVD	SUITE A	TUJUNGA	CA	91042	2794	19	06037	34.24792098	-118.2846579	Los Angeles County
34873	Fee-for-Service	1811426745	1811426745	1	1	NESS, ANASTASIA M NP	3/16/2020	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
34884	Fee-for-Service	1205687381	1205687381	1	1	NG, JOANNE FAJARDO	5/15/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	218 CANTADA WAY	None	AMERICAN CANYON	CA	94503	3171	28	06055	38.17540756	-122.2464841	Napa County
34885	Fee-for-Service	1386711141	1386711141	1	1	NOONER, DARRELL J CRNA	4/5/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4867 W SUNSET BLVD	None	LOS ANGELES	CA	94904	1702	19	06037	34.0981755	-118.295055	Los Angeles County
34896	Fee-for-Service	1043359219	1043359219	1	1	NAVAZO, LUIS J MD	5/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	72940	08	Family Practice	0	In state provider	None	1582 W SAN MARCOS BLVD	STE 100	SAN MARCOS	CA	92078	4081	37	06073	33.13145446	-117.202167	San Diego County
34924	Fee-for-Service	1992219539	1992219539	1	1	NGUYEN, TRANG DAI N CNP	11/9/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
34970	Fee-for-Service	1922354356	1922354356	1	1	NOCETE, MARY JUNE A PT	8/12/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	15928 VENTURA BLVD	STE 218	ENCINO	CA	91436	4413	19	06037	34.15585301	-118.4801465	Los Angeles County
35027	Fee-for-Service	1659446227	1659446227	2	1	NELSON, TAMERA L MD	3/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13123 E 16TH AVE	None	AURORA	CO	80045	7106	00	None	39.742164	-104.8350375	Adams County
35029	Fee-for-Service	1790179745	1790179745	1	1	NG, HANK K MD	8/4/2021	207RH0003X	NA	Oncology	026	PHYSICIANS	173703	None	None	0	In state provider	None	100 HOSPITAL DR	STE 110	VALLEJO	CA	94589	2580	48	06095	38.13100118	-122.2403008	Solano County
35067	Fee-for-Service	1699248401	1699248401	1	3	NEIL LOUWRENS MD	2/16/2024	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	1755 EAST ST	STE M4	REDDING	CA	96001	1106	45	06089	40.58223625	-122.3870502	Shasta County
35087	Fee-for-Service	1093499030	1093499030	1	1	NARDONE, GIANNA CCC-SLP	12/13/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
35088	Fee-for-Service	1477765113	1477765113	1	1	NANDINI CHANNABASAPPA, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
35123	Fee-for-Service	1356933311	1356933311	1	1	NEW CENTURY HOSPICE INC	9/23/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	7036 FOOTHILL BLVD	SUITE A	TUJUNGA	CA	91042	2794	19	06037	34.24792098	-118.2846579	Los Angeles County
35172	Fee-for-Service	1104921246	1104921246	1	1	NIELSEN, MICHAEL MD INC	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	27762	20	Orthopedic Surgery	0	In state provider	None	1201 ALHAMBRA BLVD	STE 400	SACRAMENTO	CA	95816	5243	34	06067	38.570076	-121.4657145	Sacramento County
35199	Fee-for-Service	1730407669	1730407669	1	1	NGUYEN, TRI C MD	4/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	126834	40	Pediatrics	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
35226	Fee-for-Service	1740379312	1740379312	1	1	NGUYEN, HUNG Q MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	77936	None	None	0	In state provider	None	555 S 7TH AVE	None	BARSTOW	CA	92311	3043	36	06071	34.894062	-117.0196215	San Bernardino County
35241	Fee-for-Service	1447689989	1447689989	1	1	NELSON, HEATHER L H PSYD	6/23/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1761 BROADWAY ST	None	VALLEJO	CA	94589	2226	48	06095	38.13049234	-122.2522422	Solano County
35247	Fee-for-Service	1700013877	1700013877	1	1	NEELEY, REBECCA MFT	9/14/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	770 MAGNOLIA AVE	STE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
35352	Fee-for-Service	1972965796	1972965796	1	1	NI, JASON C MD	7/11/2022	390200000X	NA	Other	026	PHYSICIANS	150333	None	None	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
35362	Fee-for-Service	1740442813	1740442813	1	1	NGUYEN, PHUC K MD	1/31/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119035	41	Internal Medicine	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
35401	Fee-for-Service	1932178175	1932178175	1	1	NIELSEN, CAI E CRNA	2/8/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2615	15	06029	35.38333823	-119.0188872	Kern County
35428	Fee-for-Service	1235136854	1235136854	1	1	NYAMUSWA, GILBERT M MD	6/6/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	68	Hematology	1	Border provider	None	58 N PECOS RD	None	HENDERSON	NV	89074	7319	00	None	36.03160397	-115.1002424	Clark County
35458	Fee-for-Service	1114645140	1114645140	1	1	NAIDOFF, EMILIE M	4/12/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	633 WEST FIFTH STREET	OFFICE #2876B	LOS ANGELES	CA	90071	2005	19	06037	34.05071143	-118.25466	Los Angeles County
35524	Fee-for-Service	1750815171	1750815171	1	1	NEMEH, FADI MD	6/14/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	175634	None	None	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
35538	Fee-for-Service	1639526007	1639526007	1	1	NWANKWO, DANIEL MD	8/12/2024	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
35577	Fee-for-Service	1811288772	1811288772	1	1	NEERAJ SATHE	5/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5200 DTC PKWY	STE 400	GREENWOOD VLG	CO	80111	2719	00	None	39.621636	-104.8992545	Arapahoe County
35578	Fee-for-Service	1265513360	1265513360	2	1	NORTHBAY NEONATOLOGY	7/24/2017	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	ASSOCIATES INC	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
35593	Fee-for-Service	1154639904	1154639904	1	1	NASSER, ANTHONY T MD	1/31/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	113112	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
35643	Fee-for-Service	1396234662	1396234662	1	1	NOSRAT, TARAZ N MD	8/16/2022	207L00000X	NA	Other	026	PHYSICIANS	163765	None	None	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
35645	Fee-for-Service	1124406392	1124406392	1	1	NGUYEN, ANTHONY DO	7/1/2019	207P00000X	NA	Other	026	PHYSICIANS	17115	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
35655	Fee-for-Service	1326227562	1326227562	1	1	NGO, BRYAN G MD	6/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94795	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
35677	Fee-for-Service	1376592519	1376592519	1	5	NEVADA EM-I SILVER/HOMAN	1/11/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	657 N TOWN CTR DR	None	LAS VEGAS	NV	89144	6367	00	None	36.180999	-115.3174815	Clark County
35703	Fee-for-Service	1518464486	1518464486	1	1	NNADOZIE, UGOCHI NP	1/24/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
35714	Fee-for-Service	1235136854	1235136854	1	1	NYAMUSWA, GILBERT M MD	6/6/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	78	Neoplastic Diseases/Oncology	1	Border provider	None	58 N PECOS RD	None	HENDERSON	NV	89074	7319	00	None	36.03160397	-115.1002424	Clark County
35745	Fee-for-Service	1316346802	1316346802	1	1	NORTH PALMS REHABILITATION	10/11/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	WELLNESS CENTRE LP	3233 W PICO BLVD	None	LOS ANGELES	CA	90019	3640	19	06037	34.0472246	-118.3134817	Los Angeles County
35761	Fee-for-Service	1184644056	1184644056	1	1	NOBLE, LARRY M MD	7/1/2002	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	-	06	Cardiovascular Disease (M.D. only)	1	Border provider	None	343 ELM ST	STE 400	RENO	NV	89503	4541	00	None	39.53251653	-119.8196372	Washoe County
35804	Fee-for-Service	1316083322	1316083322	1	1	NGUYEN, THAO P MD	3/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	102447	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA DR	STE 365	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
35814	Fee-for-Service	1295116051	1295116051	1	1	NORTHSTATE PLASTIC SURGERY	4/14/2016	193400000X	NA	Other	022	PHYSICIANS GROUP	-	24	Plastic Surgery	0	In state provider	ASSOCIATES INC	251 COHASSET ROAD	SUITE 340	CHICO	CA	95926	2239	04	06007	39.75090044	-121.8522609	Butte County
35818	Fee-for-Service	1467983080	1467983080	1	1	NOTAY, MANISHA MD	12/21/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	164500	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
35849	Fee-for-Service	1548894843	1548894843	1	1	NORTH HILLS RETIREMENT HOTEL	7/27/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	10215 BALBOA BLVD	None	NORTHRIDGE	CA	91325	1698	19	06037	34.25630032	-118.5023768	Los Angeles County
35855	Fee-for-Service	1093204216	1093204216	1	1	NECESITO, CORINA ISABEL OT	2/27/2020	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	630 S INDIAN HILL BLVD S	None	CLAREMONT	CA	91711	5461	19	06037	34.084494	-117.7191945	Los Angeles County
35857	Fee-for-Service	1033401070	1033401070	1	1	NAYYAR, SONIA MD	6/14/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	137071	13	Neurology (M.D. only)	0	In state provider	None	18523 CORWIN RD	STE A	APPLE VALLEY	CA	92307	2300	36	06071	34.54095703	-117.2601143	San Bernardino County
35901	Fee-for-Service	1205027323	1205027323	1	1	NG, VICKI S MD	8/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	126393	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
35915	Fee-for-Service	1225063290	1225063290	1	1	NGUYEN, VU H DO	12/20/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	7979	41	Internal Medicine	0	In state provider	None	210 N JACKSON AVE	STE 20	SAN JOSE	CA	95116	1621	43	06085	37.36328001	-121.848119	Santa Clara County
35931	Fee-for-Service	1861769135	1861769135	1	1	NGUYEN, KIM O OD INC	9/29/2014	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	25401 ALICIA PARKWAY	SUITE E	LAGUNA HILLS	CA	92653	4958	30	06059	33.59345765	-117.6980349	Orange County
35997	Fee-for-Service	1255347704	1255347704	1	1	NORTH COUNTY HEALTH PROJECT	7/2/1999	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INC	1295 CARLSBAD VILLAGE DR	STE 100	CARLSBAD	CA	92008	1950	37	06073	33.16543047	-117.3387964	San Diego County
36002	Fee-for-Service	1821520552	1821520552	1	1	NEDWEK, MICHELLE LMFT	3/30/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1030 NEVADA ST.	SUITE 103	REDLANDS	CA	92374	2957	36	06071	34.064172	-117.217431	San Bernardino County
36035	Fee-for-Service	1982603577	1982603577	1	1	NORTHERN CALIFORNIA MEDICAL	2/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ASSOCIATES INC	45081 LITTLE LAKE STREET	None	MENDOCINO	CA	95460	0000	23	06045	39.30723036	-123.8001505	Mendocino County
36046	Fee-for-Service	1972243285	1972243285	1	1	NEW GENERATIONS FAMILY THERA	12/12/2024	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	PY, INC.	2021 SPERRY AVE	STE 20	VENTURA	CA	93003	7446	56	06111	34.25452652	-119.2178238	Ventura County
36065	Fee-for-Service	1740308584	1740308584	1	1	NUNN, DIANE C MFT	6/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	50011	-	NOT APPLICABLE	0	In state provider	None	15305 RAYEN STREET	SUITE 224	NORTH HILLS	CA	91343	5117	19	06037	34.23191048	-118.4657625	Los Angeles County
36073	Fee-for-Service	1053843862	1053843862	1	1	NARVAEZ, VINCENT REGINALD M	2/6/2025	2086S0129X	NA	General Surgery	026	PHYSICIANS	184000	02	General Surgery	0	In state provider	D	3660 PARK SIERRA DRIVE	SUITE 105	RIVERSIDE	CA	92505	3071	33	06065	33.90330693	-117.4707039	Riverside County
36080	Fee-for-Service	1801094784	1801094784	1	1	NGUYEN, NGOC-VAN T	2/8/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ACTIVE REHAB PHY THERAPY	24953 PASEO DE VALENCIA	STE 25A	LAGUNA HILLS	CA	92653	4343	30	06059	33.60028568	-117.7010887	Orange County
36117	Fee-for-Service	1023022472	1023022472	1	1	NOEL, MICHAEL G DO	1/19/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	8571	None	None	0	In state provider	None	11500 BROOKSHIRE AVE	None	DOWNEY	CA	90241	4917	19	06037	33.93500365	-118.1321119	Los Angeles County
36118	Fee-for-Service	1740012087	1740012087	1	1	NUNEZ, HEIDI M	9/18/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	4460 BLACK AVE	STE F	PLEASANTON	CA	94566	6139	01	06001	37.67215839	-121.8770704	Alameda County
36129	Fee-for-Service	1992383152	1992383152	1	1	NGUYEN, THIEN M MD	8/6/2024	207P00000X	NA	Other	026	PHYSICIANS	192561	66	Emergency Medicine (Urgent Care)	0	In state provider	None	11420 WARNER AVE.	None	FOUNTAIN VALLEY	CA	92708	2529	30	06059	33.71633952	-117.929061	Orange County
36175	Fee-for-Service	1376631606	1376631606	1	1	NORTHERN CALIFORNIA SURGICAL	5/5/1989	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	GROUP INC	2656 EDITH AVE	STE B	REDDING	CA	96001	3030	45	06089	40.57073094	-122.3974088	Shasta County
36180	Fee-for-Service	1346642592	1346642592	1	1	NORTH POINT HEALTHCARE &	10/11/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	WELLNESS CENTRE LP	668 E BULLARD AVE	None	FRESNO	CA	93710	5401	10	06019	36.82313145	-119.7754155	Fresno County
36184	Fee-for-Service	1841862109	1841862109	1	1	NGO, ALEXANDER CNP	11/1/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	100 S RAYMOND AVE	None	ALHAMBRA	CA	91801	3166	19	06037	34.09027878	-118.1450083	Los Angeles County
36207	Fee-for-Service	1043273139	1043273139	1	1	NGUYEN, LOAND L. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1900 N HIGLEY RD	None	GILBERT	AZ	85234	1604	00	None	33.384528	-111.7222875	Maricopa County
36218	Fee-for-Service	1639205917	1639205917	1	1	NEPHROLOGY MEDICAL ASSOC	4/20/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	OF OAKLAND HOSPITAL	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
36227	Fee-for-Service	1043641798	1043641798	1	1	NAING, KHIN M MD	9/23/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128909	01	General Practice	0	In state provider	None	16850 BEAR VALLEY ROAD	None	VICTORVILLE	CA	92395	5794	36	06071	34.47092468	-117.2977236	San Bernardino County
36247	Fee-for-Service	1801027628	1801027628	1	1	NAVARRO, PRISCILLA JOY S MD	9/17/2024	208M00000X	NA	Other	026	PHYSICIANS	149614	41	Internal Medicine	0	In state provider	None	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	21	06041	37.9469952	-122.5373892	Marin County
36280	Fee-for-Service	1912214891	1912214891	1	1	NGUYEN, TRINH THI T LCSW	12/19/2018	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
36284	Fee-for-Service	1255347704	1255347704	1	1	NORTH COUNTY HEALTH PROJECT	1/15/2000	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INC	1295 CARLSBAD VILLAGE DR	STE 100	CARLSBAD	CA	92008	1950	37	06073	33.16543047	-117.3387964	San Diego County
36314	Fee-for-Service	1104159227	1104159227	1	1	NESS, BONNIE J LCSW	11/4/2009	101YM0800X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	812 W YOSEMITE AVE	STE 102	MADERA	CA	93637	4588	20	06039	36.95604937	-120.068076	Madera County
36321	Fee-for-Service	1003471509	1003471509	1	1	NAJI, MERNA MD	10/1/2024	390200000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
36327	Fee-for-Service	1922248400	1922248400	1	1	NARINEDHAT, RALPH MD	2/18/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	-	15	Obstetrics (D.O. only)	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
36370	Fee-for-Service	1114377017	1114377017	1	1	NGUYEN, ANH M DPM	10/1/2019	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
36397	Fee-for-Service	1316949415	1316949415	1	1	NEWPORT BEACH SURGERY	11/10/1992	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER	361 HOSPITAL RD	STE 124	NEWPORT BEACH	CA	92663	3521	30	06059	33.62579141	-117.9299554	Orange County
36400	Fee-for-Service	1316112386	1316112386	1	1	NORIEGA, DANIEL MD	6/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
36462	Fee-for-Service	1376631606	1376631606	1	1	NORTHERN CALIFORNIA SURGICAL	5/5/1989	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	GROUP INC	2656 EDITH AVE	STE B	REDDING	CA	96001	3030	45	06089	40.57073094	-122.3974088	Shasta County
36496	Fee-for-Service	1619138468	1619138468	1	1	NGUYEN, LONG H MD	5/26/2022	2084P0802X	NA	Psychiatry	026	PHYSICIANS	117141	None	None	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
36500	Fee-for-Service	1467442624	1467442624	1	1	NGUYEN, THAI C MD	10/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86079	08	Family Practice	0	In state provider	None	6255 W SUNSET BLVD	STE 2100	LOS ANGELES	CA	90028	7403	19	06037	34.09802749	-118.3255515	Los Angeles County
36501	Fee-for-Service	1235367111	1235367111	1	1	NARLA, VINOD V MD	7/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134100	None	None	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
36530	Fee-for-Service	1184729626	1184729626	1	1	NGUYEN, TANYA T MD INC	8/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78163	40	Pediatrics	0	In state provider	None	320 S GARFIELD AVE	STE 288	ALHAMBRA	CA	91801	6815	19	06037	34.09184212	-118.1245127	Los Angeles County
36534	Fee-for-Service	1740670090	1740670090	1	1	NAYYARA DAWOOD MD PEDIATRICS	10/12/2015	261QP2300X	NA	Other	026	PHYSICIANS	63743	40	Pediatrics	0	In state provider	CORP	275 OCONNOR DR	SUITE C	SAN JOSE	CA	95128	1657	43	06085	37.32543612	-121.9398923	Santa Clara County
36536	Fee-for-Service	1326246828	1326246828	1	2	NORTH COAST SURGICAL SPECIAL	11/4/2021	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1771 NORTHCREST DR	None	CRESCENT CITY	CA	95531	8922	08	06015	41.77784772	-124.1992249	Del Norte County
36574	Fee-for-Service	1255347704	1255347704	1	1	NORTH COUNTY HEALTH PROJECT	12/29/1999	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INC	1295 CARLSBAD VILLAGE DR	STE 100	CARLSBAD	CA	92008	1950	37	06073	33.16543047	-117.3387964	San Diego County
36615	Fee-for-Service	1922248400	1922248400	1	1	NARINEDHAT, RALPH MD	2/18/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	-	09	Gynecology (D.O. only)	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
36620	Fee-for-Service	1144322645	1144322645	1	1	NGUYEN-MOK, TRAMY T MD	5/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	47915	40	Pediatrics	0	In state provider	None	11100 WARNER AVE	STE 362	FOUNTAIN VALLEY	CA	92708	7513	30	06059	33.716291	-117.9355051	Orange County
36639	Fee-for-Service	1982373296	1982373296	1	1	NEARS, ARICA DOULA	1/9/2023	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	48	06095	0	0	None
36650	Fee-for-Service	1891958773	1891958773	1	1	NAREZKINA, ANNA D MD	8/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	113210	41	Internal Medicine	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
36659	Fee-for-Service	1366987380	1366987380	1	1	NAVARRO, MELISSA M	5/4/2018	176B00000X	NA	Licensed Midwife	082	LICENSED MIDWIVES	-	-	NOT APPLICABLE	0	In state provider	None	2393 E. MAIN ST	None	VENTURA	CA	93003	2601	56	06111	34.27606299	-119.2643188	Ventura County
36685	Fee-for-Service	1235804410	1235804410	1	1	NORTH COUNTY LIFELINE, INC.	1/28/2022	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1 PANTHER WAY	None	VISTA	CA	92084	3128	37	06073	33.223635	-117.2380545	San Diego County
36692	Fee-for-Service	1154447530	1154447530	1	1	NICHOLS, BRECK R MD	2/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	75859	40	Pediatrics	0	In state provider	None	1200 N STATE ST	None	LOS ANGELES	CA	90033	1083	19	06037	34.05855992	-118.209755	Los Angeles County
36752	Fee-for-Service	1376631606	1376631606	1	1	NORTHERN CALIFORNIA SURGICAL	5/5/1989	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	GROUP INC	2656 EDITH AVE	STE B	REDDING	CA	96001	3030	45	06089	40.57073094	-122.3974088	Shasta County
36763	Fee-for-Service	1689085524	1689085524	1	1	NASIR, SARAH DO	8/9/2022	207Q00000X	NA	Adult Primary Care	086	MEDICAL DIRECTORS	17511	-	NOT APPLICABLE	0	In state provider	None	4129 STATE STREET	B, D, E & F	SANTA BARBARA	CA	93110	1848	42	06083	34.44047554	-119.760759	Santa Barbara County
36766	Fee-for-Service	1356387120	1356387120	1	1	NGUYEN, DAVID TU K DO	4/15/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	7761	30	Radiology	0	In state provider	None	2820 N ONTARIO ST	None	BURBANK	CA	91504	2015	19	06037	34.20335077	-118.3443845	Los Angeles County
36814	Fee-for-Service	1770555013	1770555013	1	1	NGUYEN, LIEN H T MD	8/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	37377	40	Pediatrics	0	In state provider	None	7743 WEST LN	STE B1	STOCKTON	CA	95210	3350	39	06077	38.01951553	-121.2949841	San Joaquin County
36832	Fee-for-Service	1013921881	1013921881	2	1	NEELEY, INC	4/17/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5136 HILL RD E	None	LAKEPORT	CA	95453	6300	17	06033	39.10396455	-122.9091271	Lake County
36862	Fee-for-Service	1255347704	1255347704	1	1	NORTH COUNTY HEALTH PROJECT	7/2/1999	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INC	1295 CARLSBAD VILLAGE DR	STE 100	CARLSBAD	CA	92008	1950	37	06073	33.16543047	-117.3387964	San Diego County
36889	Fee-for-Service	1447285234	1447285234	1	1	NELSON, SCOTT D MD	8/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	65115	22	Pathology (M.D. only)	0	In state provider	None	1250 16TH ST	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
36894	Fee-for-Service	1528465408	1528465408	1	1	NUNES-BRIONES, SHELLI LCSW	11/14/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2221 LINCOLN PARK	None	LOS ANGELES	CA	90031	2920	19	06037	34.07105982	-118.202527	Los Angeles County
36898	Fee-for-Service	1972641520	1972641520	1	1	NICHOLSON, WESLEY O	4/28/2006	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 W PROVIDENCE AVE	None	ORANGE	CA	92868	3808	30	06059	33.78142951	-117.866583	Orange County
37028	Fee-for-Service	1568825511	1568825511	1	1	NEUPANE, RUEL	11/7/2023	390200000X	NA	Other	026	PHYSICIANS	185791	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
37030	Fee-for-Service	1780792739	1780792739	1	1	NESKOVIC, SPAS0JE M	1/31/1988	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	44399	None	None	0	In state provider	None	500 E OLIVE AVENUE	750	BURBANK	CA	91501	2132	19	06037	34.1845331	-118.3048131	Los Angeles County
37056	Fee-for-Service	1699760975	1699760975	1	1	NAYDUCH, J ROSS MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	80231	01	General Practice	0	In state provider	None	114 MISSION RANCH BLVD	STE 10	CHICO	CA	95926	2186	04	06007	39.75356438	-121.8600403	Butte County
37090	Fee-for-Service	1013595156	1013595156	1	1	NGUYEN, VU D MD	8/25/2024	207R00000X	NA	Other	026	PHYSICIANS	180757	41	Internal Medicine	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
37104	Fee-for-Service	1770555013	1770555013	1	1	NGUYEN, LIEN H T MD	8/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	37377	01	General Practice	0	In state provider	None	7743 WEST LN	STE B1	STOCKTON	CA	95210	3350	39	06077	38.01951553	-121.2949841	San Joaquin County
37133	Fee-for-Service	1063426377	1063426377	1	1	NEW YORK CITY HEALTH AND HOS	6/2/2019	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	79-01 BROADWAY	None	ELMHURST	NY	11373	1329	00	None	40.744593	-73.886175	Queens County
37149	Fee-for-Service	1912017021	1912017021	1	1	NORTHBAY FOOT & ANKLE	3/31/1991	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	CENTER	1400 PROFESSIONAL DR	STE 102	PETALUMA	CA	94954	5110	49	06097	38.25445994	-122.6342672	Sonoma County
37215	Fee-for-Service	1124182365	1124182365	1	1	NOTHWANG, JON A MD	4/18/2013	207L00000X	NA	Other	026	PHYSICIANS	66219	05	Anesthesiology	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
37220	Fee-for-Service	1962443176	1962443176	1	1	NEIL DAVEY	8/22/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1717 ARLINGTON AVE	None	CALDWELL	ID	83605	4802	00	None	43.654374	-116.694738	Canyon County
37239	Fee-for-Service	1518226380	1518226380	1	1	NYRHINEN, EVE E MD	6/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	130366	05	Anesthesiology	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
37271	Fee-for-Service	1447829353	1447829353	1	1	NAIR, PREETH S MD	10/2/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	15	06029	35.38333823	-119.0188872	Kern County
37276	Fee-for-Service	1770105645	1770105645	1	1	NAQVI, NAFISAH S	7/19/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
37279	Fee-for-Service	1972829711	1972829711	1	1	NAMDARI, BEHROUZ MD	8/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141707	36	Psychiatry	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
37301	Fee-for-Service	1881839520	1881839520	1	1	NORCAL SKIN DISEASE AND	5/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	55665	07	Dermatology	0	In state provider	SURGERY INC	1101 S DORA STREET	None	UKIAH	CA	95482	6353	23	06045	39.13701095	-123.209758	Mendocino County
37334	Fee-for-Service	1679126015	1679126015	2	1	NEW CARE RX INC	11/3/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4821 LANKERSHIM BLVD	STE D	NORTH HOLLYWOOD	CA	91601	4572	19	06037	34.15831654	-118.370683	Los Angeles County
37340	Fee-for-Service	1699760975	1699760975	1	1	NAYDUCH, J ROSS MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	80231	08	Family Practice	0	In state provider	None	114 MISSION RANCH BLVD	STE 10	CHICO	CA	95926	2186	04	06007	39.75356438	-121.8600403	Butte County
37347	Fee-for-Service	1790965747	1790965747	1	1	NANDI, SHYLAJA B MD	2/20/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	99150	08	Family Practice	0	In state provider	None	8255 FIRESTONE BLVD	STE 501	DOWNEY	CA	90241	4800	19	06037	33.94042631	-118.1335423	Los Angeles County
37381	Fee-for-Service	1265819452	1265819452	1	1	NICKA, CATHERINE M MD	7/13/2021	207ZP0102X	NA	Other	026	PHYSICIANS	171729	None	None	0	In state provider	None	444 BRUCE ST	None	YREKA	CA	96097	3450	47	06093	41.71863548	-122.6458755	Siskiyou County
37417	Fee-for-Service	1780918078	1780918078	1	1	NEGANDHI, JIGNA S MD	8/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120079	40	Pediatrics	0	In state provider	None	751 SOUTH BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
37421	Fee-for-Service	1063426377	1063426377	1	1	NEW YORK CITY HEALTH AND HOS	6/2/2019	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	79-01 BROADWAY	None	ELMHURST	NY	11373	1329	00	None	40.744593	-73.886175	Queens County
37502	Fee-for-Service	1871603993	1871603993	1	1	NEWMAN, ANITA N MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	38265	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	8816 BURTON WAY	FL 1	BEVERLY HILLS	CA	90211	1715	19	06037	34.07207249	-118.3842855	Los Angeles County
37510	Fee-for-Service	1083009518	1083009518	1	1	NAVARRO, RYAN D MD	6/22/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	148468	30	Radiology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
37512	Fee-for-Service	1386865731	1386865731	1	1	NO, GRACE J MD	12/3/2012	207RN0300X	NA	Nephrology	026	PHYSICIANS	110324	45	Nephrology (Renal-Kidney)	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
37521	Fee-for-Service	1841761269	1841761269	1	1	NS DENNIS MD MEDICAL CORPORA	6/15/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	None	None	0	In state provider	TION	330 S MAGNOLIA AVE	301	EL CAJON	CA	92020	5224	37	06073	32.79218212	-116.9623617	San Diego County
37522	Fee-for-Service	1063229714	1063229714	1	1	NEWPORT-HEWITT, ERICA R CD	3/14/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	41	06081	0	0	None
37559	Fee-for-Service	1881684850	1881684850	1	1	NEBEKER, HENRY G MD	5/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	43756	41	Internal Medicine	0	In state provider	None	255 E ORANGE GROVE AVE	STE D	BURBANK	CA	91502	1240	19	06037	34.18236815	-118.3089281	Los Angeles County
37678	Fee-for-Service	1568821692	1568821692	1	1	NEW U THERAPY CENTER AND FAM	6/29/2020	106H00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ILY SERVICES INC	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
37710	Fee-for-Service	1114040540	1114040540	1	1	NGUYEN, KARI VANQUYNH OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1081 N TUSTIN AVE	STE 113	ANAHEIM	CA	92807	1737	30	06059	33.85445816	-117.8375201	Orange County
37749	Fee-for-Service	1184666547	1184666547	1	1	NAKKA, SREENIVASA R MD	4/30/1981	207R00000X	NA	Other	026	PHYSICIANS	38525	10	Gastroenterology (M.D. only)	0	In state provider	None	949 CALHOUN PL	STE A	HEMET	CA	92543	4403	33	06065	33.7502744	-116.9618423	Riverside County
37767	Fee-for-Service	1962404582	1962404582	1	1	NORTHROP, GREGORY D MD	5/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	69737	20	Orthopedic Surgery	0	In state provider	None	2627 E WASHINGTON BLVD	None	PASADENA	CA	91107	1412	19	06037	34.16917853	-118.096371	Los Angeles County
37808	Fee-for-Service	1215494182	1215494182	1	1	NEW DREAM MANAGEMENT HEALTH	8/14/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE INC	15643 SHERMAN WAY	STE 330	VAN NUYS	CA	91405	4630	19	06037	34.20128049	-118.474155	Los Angeles County
37845	Fee-for-Service	1881684850	1881684850	1	1	NEBEKER, HENRY G MD	5/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	43756	45	Nephrology (Renal-Kidney)	0	In state provider	None	255 E ORANGE GROVE AVE	STE D	BURBANK	CA	91502	1240	19	06037	34.18236815	-118.3089281	Los Angeles County
37846	Fee-for-Service	1083608103	1083608103	1	1	ND RX INC	12/11/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2428 SANTA MONICA BLVD	STE 101	SANTA MONICA	CA	90404	2099	19	06037	34.0317559	-118.4762013	Los Angeles County
37850	Fee-for-Service	1316967151	1316967151	1	1	NAUERTZ, CINDA L MD	3/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73724	40	Pediatrics	0	In state provider	None	4825 MORENO STREET	None	MONTCLAIR	CA	91763	1419	36	06071	34.08868328	-117.7002744	San Bernardino County
37873	Fee-for-Service	1528054095	1528054095	1	1	NGUYEN, DEREK MD	9/13/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87744	41	Internal Medicine	0	In state provider	None	4495 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.97462016	-117.3815793	Riverside County
37932	Fee-for-Service	1174593206	1174593206	1	1	NOORHASAN, MARISELA M MD	10/26/2010	171000000X	NA	Other	026	PHYSICIANS	88449	None	None	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4799	12	06023	40.78355148	-124.1420294	Humboldt County
37952	Fee-for-Service	1679531834	1679531834	1	1	NAUMAN, CHRISTOPHER MD	4/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	144647	41	Internal Medicine	0	In state provider	None	975 SERENO DRIVE	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
37960	Fee-for-Service	1003363037	1003363037	1	1	NUIQUE, OLIVER C PT	11/14/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
37963	Fee-for-Service	1568821692	1568821692	1	1	NEW U THERAPY CENTER AND FAM	1/30/2021	106H00000X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ILY SERVICES INC	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
37986	Fee-for-Service	1447436688	1447436688	1	1	NEW BRIDGE FOUNDATION, INC	9/19/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1820 SCENIC AVE	None	BERKELEY	CA	94709	1324	01	06001	37.87536985	-122.2622489	Alameda County
37993	Fee-for-Service	1487332037	1487332037	1	1	NATIONAL SEATING & MOBILITY,	4/30/2024	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC.	1441 S MOONEY BLVD	SUITE C	VISALIA	CA	93277	4440	54	06107	36.317916	-119.3142015	Tulare County
38037	Fee-for-Service	1215699749	1215699749	1	1	NELSON, RACHEL	9/29/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	18700 BEACH BLVD	STE 120/110	HUNTINGTON BEACH	CA	92648	2089	30	06059	33.69070037	-117.9886896	Orange County
38039	Fee-for-Service	1184666547	1184666547	1	1	NAKKA, SREENIVASA R MD	4/30/1981	207R00000X	NA	Other	026	PHYSICIANS	38525	41	Internal Medicine	0	In state provider	None	949 CALHOUN PL	STE A	HEMET	CA	92543	4403	33	06065	33.7502744	-116.9618423	Riverside County
38069	Fee-for-Service	1861406886	1861406886	1	1	NGUYEN, TUAN D MD	10/23/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	84883	22	Pathology (M.D. only)	0	In state provider	None	2215 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
38139	Fee-for-Service	1316967151	1316967151	1	1	NAUERTZ, CINDA L MD	5/23/2023	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	4825 MORENO STREET	None	MONTCLAIR	CA	91763	1419	36	06071	34.08868328	-117.7002744	San Bernardino County
38239	Fee-for-Service	1679531834	1679531834	1	1	NAUMAN, CHRISTOPHER MD	4/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	144647	78	Neoplastic Diseases/Oncology	0	In state provider	None	975 SERENO DRIVE	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
38251	Fee-for-Service	1568821692	1568821692	1	1	NEW U THERAPY CENTER AND FAM	6/29/2020	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ILY SERVICES INC	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
38390	Fee-for-Service	1154374163	1154374163	1	1	NAFTULIN, GENE A MD	5/31/1990	208800000X	NA	Other	026	PHYSICIANS	27858	34	Urology and Urological Surgery	0	In state provider	None	3400 LOMITA BLVD	# 240	TORRANCE	CA	90505	4909	19	06037	33.81309744	-118.3448635	Los Angeles County
38403	Fee-for-Service	1538777909	1538777909	1	1	NATIONAL MEDICAL TRANSPORTAT	11/22/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ION, INC.	13181 CROSSROADS PARKWAY	SUITE 580	CITY OF INDUSTRY	CA	91746	3419	19	06037	34.02964981	-118.0153647	Los Angeles County
38497	Fee-for-Service	1134420201	1134420201	1	1	NORTH VALLEY HEMATOLOGY-	5/9/2011	207RH0000X	NA	Hematology	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	ONCOLOGY MEDICAL GROUP	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1131	19	06037	34.27904453	-118.459944	Los Angeles County
38513	Fee-for-Service	1497833081	1497833081	1	1	NGUYEN, HANH MD	3/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	42913	01	General Practice	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
38517	Fee-for-Service	1366501629	1366501629	1	1	NOURI, JAHANBAKHSH MD	12/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53484	None	None	0	In state provider	CARE INC	8725 WOODMAN AVE	None	ARLETA	CA	91331	6560	19	06037	34.22854137	-118.4350592	Los Angeles County
38540	Fee-for-Service	1568821692	1568821692	1	1	NEW U THERAPY CENTER AND FAM	6/29/2020	106H00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	ILY SERVICES INC	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
38566	Fee-for-Service	1700459583	1700459583	1	1	NGUYEN, KATHY NP	3/31/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	100 WIGET	290	WALNUT CREEK	CA	94598	5988	07	06013	37.92514495	-122.0237725	Contra Costa County
38616	Fee-for-Service	1295295210	1295295210	1	1	NUTTER, KELSI DPM	8/16/2022	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
38636	Fee-for-Service	1982654604	1982654604	1	1	NORTH VALLEY FAMILY	11/30/2010	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	PHYSICIANS	2967 DAVISON CT	SUITE A	COLUSA	CA	95932	3263	06	06011	39.18822138	-121.9974157	Colusa County
38637	Fee-for-Service	1538130158	1538130158	1	1	NELSON AND ENDICOTT, A	1/1/1995	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	OPTOMETRIC CORPORATION	15909 MAIN ST	None	LA PUENTE	CA	91744	4720	19	06037	34.02017089	-117.951122	Los Angeles County
38654	Fee-for-Service	1871546523	1871546523	1	1	NABER, ADNAN I MD	10/1/2013	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	53003	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2416 CASTILLO STREET	SUITE A	SANTA BARBARA	CA	93105	5303	42	06083	34.43092329	-119.7247028	Santa Barbara County
38696	Fee-for-Service	1508912452	1508912452	1	1	NORTHERN HEART & VASCULAR IN	6/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	53183	None	None	0	In state provider	INSTITUTE INC MEDICAL	1355 EAST ST	STE 200	REDDING	CA	96001	0801	45	06089	40.58628506	-122.3887911	Shasta County
38760	Fee-for-Service	1720011620	1720011620	1	1	NGUYEN, HOANG A MD	4/1/1998	2084P0800X	NA	Psychiatry	026	PHYSICIANS	83977	36	Psychiatry	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
38785	Fee-for-Service	1134420201	1134420201	1	1	NORTH VALLEY HEMATOLOGY-	5/9/2011	207RH0000X	NA	Hematology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ONCOLOGY MEDICAL GROUP	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1131	19	06037	34.27904453	-118.459944	Los Angeles County
38827	Fee-for-Service	1568821692	1568821692	1	1	NEW U THERAPY CENTER AND FAM	6/29/2020	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	ILY SERVICES INC	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
38829	Fee-for-Service	1508094160	1508094160	1	1	NGUYEN, DAVID M MD	7/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119373	78	Neoplastic Diseases/Oncology	0	In state provider	None	3883 AIRWAY DR	SUITE 220	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
38839	Fee-for-Service	1639185317	1639185317	1	4	NORTH COUNTY HLTH PRJCT, INC	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2216 EL CAMINO REAL	SUITES 121	OCEANSIDE	CA	92054	6356	37	06073	33.18564585	-117.3279882	San Diego County
38853	Fee-for-Service	1154308914	1154308914	1	2	NEW HORIZON HOME HEALTH CARE	6/10/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	815 E COLORADO ST	STE 100	GLENDALE	CA	91205	4523	19	06037	34.14268219	-118.2448037	Los Angeles County
38881	Fee-for-Service	1104431980	1104431980	1	1	NORTHERN INYO HEALTHCARE DIS	5/31/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	301 N FOWLER ST	None	BISHOP	CA	93514	2609	14	06027	37.36301311	-118.3982164	Inyo County
38899	Fee-for-Service	1285950501	1285950501	1	1	NUMAN, SUZANNE	4/4/2023	207LP3000X	NA	Other	026	PHYSICIANS	184445	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
38925	Fee-for-Service	1982654604	1982654604	1	1	NORTH VALLEY FAMILY	11/30/2010	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	PHYSICIANS	2967 DAVISON CT	SUITE A	COLUSA	CA	95932	3263	06	06011	39.18822138	-121.9974157	Colusa County
38939	Fee-for-Service	1255471975	1255471975	1	1	NGUYEN, HUONG Q MD	7/2/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95369	40	Pediatrics	0	In state provider	None	7055 N CHESTNUT	SUITE 103	FRESNO	CA	93720	0350	10	06019	36.83858119	-119.7362708	Fresno County
38966	Fee-for-Service	1447261375	1447261375	2	1	NEW CENTURY HOME HEALTH INC	12/27/2010	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4195 VALLEY FAIR STREET	STE 200	SIMI VALLEY	CA	93063	2951	56	06111	34.27259857	-118.7126789	Ventura County
38998	Fee-for-Service	1003466616	1003466616	1	1	NOBLETT, SANDY Y CRNA	2/25/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4001 J ST	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
39019	Fee-for-Service	1558682120	1558682120	1	1	NUE YANG	5/1/2011	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	5087 W OLIVE AVE	None	FRESNO	CA	93722	9056	10	06019	36.75725801	-119.8817585	Fresno County
39042	Fee-for-Service	1962427088	1962427088	1	1	NARVAEZ, JULIO MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	77326	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	11370 ANDERSON ST	STE 1800	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
39074	Fee-for-Service	1710112941	1710112941	1	1	NG, DIANA DEN Y MD	9/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	115695	04	Otology, Laryngology, Rhinology	0	In state provider	None	10737 CAMINO RUIZ	STE 100	SAN DIEGO	CA	92126	2370	37	06073	32.91416051	-117.1437943	San Diego County
39100	Fee-for-Service	1952327983	1952327983	1	1	NOURPARVAR, SHERVIN MD	10/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	82225	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
39104	Fee-for-Service	1417377714	1417377714	1	1	NGUYEN, JULIEN MD	10/23/2020	207RP1001X	NA	Pulmonology	026	PHYSICIANS	141012	41	Internal Medicine	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
39117	Fee-for-Service	1568821692	1568821692	1	1	NEW U THERAPY CENTER AND FAM	10/2/2024	106H00000X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	ILY SERVICES INC	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
39118	Fee-for-Service	1508094160	1508094160	1	1	NGUYEN, DAVID M MD	7/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119373	68	Hematology	0	In state provider	None	3883 AIRWAY DR	SUITE 220	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
39128	Fee-for-Service	1639185317	1639185317	1	4	NORTH COUNTY HLTH PRJCT, INC	3/12/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2216 EL CAMINO REAL	SUITES 121	OCEANSIDE	CA	92054	6356	37	06073	33.18564585	-117.3279882	San Diego County
39161	Fee-for-Service	1467897660	1467897660	1	1	NAYYAR, PIYUSH P MD	5/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135476	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	SUITE 365, 420, 120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
39169	Fee-for-Service	1104431980	1104431980	1	1	NORTHERN INYO HEALTHCARE DIS	4/2/2021	261Q00000X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	None	301 N FOWLER ST	None	BISHOP	CA	93514	2609	14	06027	37.36301311	-118.3982164	Inyo County
39195	Fee-for-Service	1669749149	1669749149	1	1	NARAGHI, ROBERT MD INC	12/9/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	83950	34	Urology and Urological Surgery	0	In state provider	None	2131 W 3RD ST	None	LOS ANGELES	CA	90057	1901	19	06037	34.06324759	-118.2737045	Los Angeles County
39223	Fee-for-Service	1255471975	1255471975	1	1	NGUYEN, HUONG Q MD	7/2/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95369	67	Endocrinology	0	In state provider	None	7055 N CHESTNUT	SUITE 103	FRESNO	CA	93720	0350	10	06019	36.83858119	-119.7362708	Fresno County
39224	Fee-for-Service	1528150562	1528150562	1	1	NASSIR, YOURAM MD	2/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64603	78	Neoplastic Diseases/Oncology	0	In state provider	None	5901 W OLYMPIC BLVD	STE 505	LOS ANGELES	CA	90036	4670	19	06037	34.05764121	-118.3603115	Los Angeles County
39230	Fee-for-Service	1124122841	1124122841	2	1	NASIBADARA INC	2/8/2018	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	23665 MOULTON PARKWAY	STE A&C	LAGUNA HILLS	CA	92653	1937	30	06059	33.61917475	-117.7316741	Orange County
39308	Fee-for-Service	1558682120	1558682120	1	1	NUE YANG	5/1/2011	164X00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	5087 W OLIVE AVE	None	FRESNO	CA	93722	9056	10	06019	36.75725801	-119.8817585	Fresno County
39321	Fee-for-Service	1215293410	1215293410	1	1	NGUYEN, MICHAEL N MD	10/6/2021	207L00000X	NA	Other	026	PHYSICIANS	172072	None	None	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
39332	Fee-for-Service	1962427088	1962427088	1	1	NARVAEZ, JULIO MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	77326	18	Ophthalmology	0	In state provider	None	11370 ANDERSON ST	STE 1800	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
39351	Fee-for-Service	1245238682	1245238682	1	1	NEVES, ROBERT B MD	9/21/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	65199	None	None	0	In state provider	None	350 N WIGET LANE	SUITE 200	WALNUT CREEK	CA	94598	3058	07	06013	37.92948925	-122.0275099	Contra Costa County
39366	Fee-for-Service	1962810747	1962810747	1	1	NGUYEN, BICH LAN N OD	12/7/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
39380	Fee-for-Service	1902207699	1902207699	1	1	NICKEL, SCOTT MD	7/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	151589	05	Anesthesiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
39396	Fee-for-Service	1538385786	1538385786	1	1	NOEL, CONSTANCE E DO	12/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	6227	41	Internal Medicine	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
39404	Fee-for-Service	1508094160	1508094160	1	1	NGUYEN, DAVID M MD	7/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119373	41	Internal Medicine	0	In state provider	None	3883 AIRWAY DR	SUITE 220	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
39411	Fee-for-Service	1811350507	1811350507	1	1	NORTH COUNTY TRANSPORTATION	4/16/2020	2278P4000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1285 DISTRIBUTION WAY	None	VISTA	CA	92081	8817	37	06073	33.15033495	-117.2351247	San Diego County
39444	Fee-for-Service	1790195634	1790195634	1	1	NOORISHAD, ROYA MD	11/30/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	144804	36	Psychiatry	0	In state provider	None	3900 BROADWAY	None	OAKLAND	CA	94611	5616	01	06001	37.82664697	-122.25721	Alameda County
39469	Fee-for-Service	1255350930	1255350930	1	1	NGO, VU MD	10/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	83997	08	Family Practice	0	In state provider	None	87 FENTON ST	STE 210	LIVERMORE	CA	94550	4159	01	06001	37.676565	-121.7834555	Alameda County
39509	Fee-for-Service	1528150562	1528150562	1	1	NASSIR, YOURAM MD	2/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64603	68	Hematology	0	In state provider	None	5901 W OLYMPIC BLVD	STE 505	LOS ANGELES	CA	90036	4670	19	06037	34.05764121	-118.3603115	Los Angeles County
39533	Fee-for-Service	1548937535	1548937535	1	1	NORTHSTAR LICENSED PROFESSIO	9/28/2021	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	NAL CLINICAL COUNSELOR,	74710 HIGHWAY 111	102	PALM DESERT	CA	92260	3820	33	06065	33.72136847	-116.3616075	Riverside County
39570	Fee-for-Service	1003202557	1003202557	1	1	NARRA, PRATYUSHA KISHORE MD	8/2/2019	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	156390	38	Geriatrics	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
39599	Fee-for-Service	1336407220	1336407220	1	1	NGUYEN, MICHAEL MD	2/8/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	132089	22	Pathology (M.D. only)	0	In state provider	None	2105 FOREST AVENUE	PATHOLOGY DEPT	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
39607	Fee-for-Service	1427519321	1427519321	1	1	NATANELI, NUSHIN MD	10/1/2023	207P00000X	NA	Other	026	PHYSICIANS	188428	None	None	0	In state provider	None	2215 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
39621	Fee-for-Service	1528185196	1528185196	1	1	NG, VIOLET W LCSW	11/5/2014	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	1520 STOCKTON STREET	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
39662	Fee-for-Service	1326130584	1326130584	1	1	NELSON, THEODORA J MD	1/1/1998	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	75021	40	Pediatrics	0	In state provider	None	8760 CUYAMACA ST	STE 106	SANTEE	CA	92071	4256	37	06073	32.83485269	-116.9839185	San Diego County
39691	Fee-for-Service	1386709749	1386709749	1	1	NEWELL, AMY B MFT	5/1/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	115A TOWN AND COUNTRY DR	None	DANVILLE	CA	94526	3960	07	06013	37.81399962	-121.9986978	Contra Costa County
39753	Fee-for-Service	1609605229	1609605229	1	1	NELSON, LORINE LCSW	9/17/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
39795	Fee-for-Service	1558949693	1558949693	1	1	NAJI, MAHTAB MD	9/9/2024	207R00000X	NA	Other	026	PHYSICIANS	189001	41	Internal Medicine	0	In state provider	None	638 CAMINO DE LOS MARES	STE D4	SAN CLEMENTE	CA	92673	2855	30	06059	33.45932277	-117.6517315	Orange County
39796	Fee-for-Service	1528150562	1528150562	1	1	NASSIR, YOURAM MD	2/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64603	22	Pathology (M.D. only)	0	In state provider	None	5901 W OLYMPIC BLVD	STE 505	LOS ANGELES	CA	90036	4670	19	06037	34.05764121	-118.3603115	Los Angeles County
39850	Fee-for-Service	1023113123	1023113123	1	1	NGO, TUYEN N MD	4/17/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	46024	25	Physical Medicine and Rehabilitation	0	In state provider	PAIN REHAB CARE MED CLIN	1865 ALUM ROCK AVE	None	SAN JOSE	CA	95116	1396	43	06085	37.35430746	-121.8524581	Santa Clara County
39879	Fee-for-Service	1477647683	1477647683	1	1	NUDELMAN, RONALD MD	4/29/2011	207RN0300X	NA	Nephrology	026	PHYSICIANS	38876	45	Nephrology (Renal-Kidney)	0	In state provider	None	11600 WILSHIRE BLVD	STE 218	LOS ANGELES	CA	90025	1782	19	06037	34.05055194	-118.4594619	Los Angeles County
39922	Fee-for-Service	1144251059	1144251059	1	1	NORTH COUNTRY HOSPITAL & HEA	12/6/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	189 PROUTY DR	None	NEWPORT	VT	05855	9820	00	None	44.95467302	-72.20095206	Orleans County
39926	Fee-for-Service	1184155871	1184155871	1	1	NICHOLAS MAURICIO MD	11/18/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	91-2141 FORT WEAVER RD	None	EWA BEACH	HI	96706	1993	00	None	21.3717827	-158.02605	Honolulu County
39965	Fee-for-Service	1013329499	1013329499	1	1	NGUYEN, MY V DO	6/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14630	40	Pediatrics	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3899	36	06071	34.04824949	-117.2401425	San Bernardino County
39971	Fee-for-Service	1790876514	1790876514	1	1	NIGH, DAVID G MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2800 10TH AVE NORTH	None	BILLINGS	MT	59101	0703	00	None	45.789696	-108.5132835	Yellowstone County
39992	Fee-for-Service	1043253958	1043253958	1	1	NGUYEN, KHOA H MD	5/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85613	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
40025	Fee-for-Service	1639185317	1639185317	1	5	NORTH COUNTY HLTH PRJCT, INC	5/29/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	3998 VISTA WAY	SUITE 204	OCEANSIDE	CA	92056	4515	37	06073	33.18370179	-117.292963	San Diego County
40061	Fee-for-Service	1174799860	1174799860	1	1	NEGAHBAN, ALIREZA MD	8/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	102632	30	Radiology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
40096	Fee-for-Service	1942310602	1942310602	1	1	NOB HILL GENERAL STORE INC	1/17/2002	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1320 S MAIN ST	None	SALINAS	CA	93901	2109	27	06053	36.65524097	-121.6604295	Monterey County
40100	Fee-for-Service	1982194437	1982194437	1	1	NOWOSACKI, BRIDGET OT	10/20/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1635 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
40165	Fee-for-Service	1154716926	1154716926	1	1	NOURI, SARAH S MD	6/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155138	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
40166	Fee-for-Service	1477647683	1477647683	1	1	NUDELMAN, RONALD MD	4/29/2011	207RN0300X	NA	Nephrology	026	PHYSICIANS	38876	41	Internal Medicine	0	In state provider	None	11600 WILSHIRE BLVD	STE 218	LOS ANGELES	CA	90025	1782	19	06037	34.05055194	-118.4594619	Los Angeles County
40187	Fee-for-Service	1275397648	1275397648	1	1	NADEW, TEHETNA LMFT	3/29/2024	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11835 WEST OLYMPIC BLVD	SUITE 815E	LOS ANGELES	CA	90064	5056	19	06037	34.03273663	-118.4516927	Los Angeles County
40199	Fee-for-Service	1396523809	1396523809	1	1	NJERU, ANN WAMBUI	10/11/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1961 HOWE AVE	APT 74	SACRAMENTO	CA	95825	0986	34	06067	38.601072	-121.416579	Sacramento County
40254	Fee-for-Service	1780217026	1780217026	1	1	NIEVERA, AARON L NP	3/13/2020	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
40266	Fee-for-Service	1801254537	1801254537	1	1	NALLURI, ABHINAV	9/23/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	174312	20	Orthopedic Surgery	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
40280	Fee-for-Service	1043253958	1043253958	1	1	NGUYEN, KHOA H MD	5/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85613	41	Internal Medicine	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
40285	Fee-for-Service	1255718532	1255718532	1	1	NGUYEN, PAULINE N MD	6/23/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184967	08	Family Practice	0	In state provider	None	9675 BRIGHTON WAY	SUITE 100	BEVERLY HILLS	CA	90210	5132	19	06037	34.06763711	-118.4052901	Los Angeles County
40300	Fee-for-Service	1780103291	1780103291	1	1	NAJJUMA, CAROLINE CNP	7/22/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
40310	Fee-for-Service	1639185317	1639185317	1	5	NORTH COUNTY HLTH PRJCT, INC	5/29/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	3998 VISTA WAY	SUITE 204	OCEANSIDE	CA	92056	4515	37	06073	33.18370179	-117.292963	San Diego County
40369	Fee-for-Service	1396827515	1396827515	1	1	NARBONNE MULTISPECIALTY	3/31/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	MEDICAL GROUP, INC.	24845 NARBONNE AVE	None	LOMITA	CA	90717	1549	19	06037	33.79846168	-118.3200179	Los Angeles County
40417	Fee-for-Service	1689069320	1689069320	1	1	NGAOU, HUY MD	4/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	146867	01	General Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
40434	Fee-for-Service	1487947420	1487947420	1	1	NATANYAN, TATEVIK LMFT	9/17/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1010 N CENTRAL AVE	SUITE 310	GLENDALE	CA	91202	2937	19	06037	34.16012317	-118.2571026	Los Angeles County
40487	Fee-for-Service	1396523809	1396523809	1	1	NJERU, ANN WAMBUI	10/11/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1961 HOWE AVE	APT 74	SACRAMENTO	CA	95825	0986	34	06067	38.601072	-121.416579	Sacramento County
40608	Fee-for-Service	1326592932	1326592932	1	1	NGUYEN, MY HIEN D LCSW	6/7/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
40680	Fee-for-Service	1356319875	1356319875	1	1	NGUYEN, KATHERINE H Y MD	6/29/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79343	83	Rheumatology	0	In state provider	None	202 LEWIS ST	None	SAN DIEGO	CA	92103	2107	37	06073	32.75187875	-117.1630009	San Diego County
40699	Fee-for-Service	1023510930	1023510930	1	1	NEXTGEN PHARMACY INC	6/14/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10738 JEFFERSON BLVD	STE E BLDG 3	CULVER CITY	CA	90230	4933	19	06037	34.00259978	-118.3941387	Los Angeles County
40774	Fee-for-Service	1649228222	1649228222	1	1	NGUYEN, LAN T	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	71625	18	Ophthalmology	0	In state provider	LAN TUYET NGUYEN MD INC	135 N JACKSON AVE	STE 101	SAN JOSE	CA	95116	1917	43	06085	37.36164758	-121.8466827	Santa Clara County
40830	Fee-for-Service	1174028138	1174028138	1	1	NGUYEN, MICHAEL O MD	5/12/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	164715	None	None	0	In state provider	None	15503 VENTURA BLVD	240, 340, 350	ENCINO	CA	91436	3115	19	06037	34.15483303	-118.4722163	Los Angeles County
40869	Fee-for-Service	1629276506	1629276506	1	1	NANIGIAN, DIANE R	6/15/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4201 W CHAPMAN AVE	None	ORANGE	CA	92868	1505	30	06059	33.78900343	-117.8985235	Orange County
40885	Fee-for-Service	1336689017	1336689017	1	1	NIERE, KATRINA G LMFT	6/18/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	43537 RIDGE PARK DR	STE 100	TEMECULA	CA	92590	3613	33	06065	33.49569085	-117.159969	Riverside County
40969	Fee-for-Service	1356319875	1356319875	1	1	NGUYEN, KATHERINE H Y MD	6/29/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79343	41	Internal Medicine	0	In state provider	None	202 LEWIS ST	None	SAN DIEGO	CA	92103	2107	37	06073	32.75187875	-117.1630009	San Diego County
40977	Fee-for-Service	1093791642	1093791642	1	1	NEWTON, CAMILLE R MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	80017	08	Family Practice	0	In state provider	None	675 CAMINO DE LOS MARES	STE 200	SAN CLEMENTE	CA	92673	2836	30	06059	33.45710369	-117.6474248	Orange County
40980	Fee-for-Service	1801953955	1801953955	1	1	NEURO CARE OF TARZANA	10/28/2003	193400000X	NA	Other	026	PHYSICIANS	78516	13	Neurology (M.D. only)	0	In state provider	MEDICAL CLINIC INC	18344 CLARK ST	STE 208	TARZANA	CA	91356	3580	19	06037	34.1697537	-118.5323738	Los Angeles County
40986	Fee-for-Service	1316305717	1316305717	1	1	NEWDELMAN, JODIE M PSYD	7/21/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA STREET	SUITE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
41009	Fee-for-Service	1821523937	1821523937	1	1	NAFISSI, NELLIE N MD	12/19/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	172526	68	Hematology	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
41094	Fee-for-Service	1023351582	1023351582	1	1	NUYEN, BRENDA E MD	11/25/2017	207W00000X	NA	Ophthalmology	026	PHYSICIANS	134069	18	Ophthalmology	0	In state provider	None	511 E GARVEY AVE	SUITE 201	MONTEREY PARK	CA	91755	1974	19	06037	34.06262048	-118.114902	Los Angeles County
41119	Fee-for-Service	1174977607	1174977607	1	1	NEBOORI, ANOOP H MD	9/25/2020	207R00000X	NA	Other	026	PHYSICIANS	156302	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
41141	Fee-for-Service	1053640581	1053640581	1	1	NORMANI, SARA	1/18/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	596 MIDDLEBROOK RD	None	SAN MARCOS	CA	92078	1229	37	06073	33.1303905	-117.1751963	San Diego County
41146	Fee-for-Service	1700051067	1700051067	1	1	NGUYEN, JULIE M MD	8/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125010	66	Emergency Medicine (Urgent Care)	0	In state provider	None	20 ALLEN STREET	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
41181	Fee-for-Service	1538579446	1538579446	1	1	NGUYEN, JENNY T NP	9/4/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15975 HARBOR BLVD	None	FOUNTAIN VALLEY	CA	92708	1303	30	06059	33.73140379	-117.9200162	Orange County
41204	Fee-for-Service	1629141478	1629141478	1	1	NEUROLOGY CENTER OF NORTH OR	12/20/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ANGE COUNTY, A MEDICAL C	381 E IMPERIAL HWY	None	FULLERTON	CA	92835	1040	30	06059	33.9175203	-117.9265348	Orange County
41282	Fee-for-Service	1578656351	1578656351	1	1	NIEVES-ARVELO, DELIA E MD	9/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116437	36	Psychiatry	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
41289	Fee-for-Service	1174729669	1174729669	1	1	NGUYEN, PATRICK L MD	5/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123631	05	Anesthesiology	0	In state provider	None	4647 ZION AVENUE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
41292	Fee-for-Service	1811312820	1811312820	1	1	NGUYEN, HOANG H	5/8/2014	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
41295	Fee-for-Service	1821159989	1821159989	2	1	NEW-CAL PHARMACY INC.	6/20/2011	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	901 EAST WILLIAMS STREET	None	BARSTOW	CA	92311	3049	36	06071	34.8975838	-117.0148007	San Bernardino County
41298	Fee-for-Service	1821523937	1821523937	1	1	NAFISSI, NELLIE N MD	12/19/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	172526	41	Internal Medicine	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
41314	Fee-for-Service	1588959449	1588959449	1	1	NASRAT, SALY LMFT	8/20/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11835 WEST OLYMPIC BLVD	SUITE 815E	LOS ANGELES	CA	90064	5056	19	06037	34.03273663	-118.4516927	Los Angeles County
41398	Fee-for-Service	1871502559	1871502559	1	1	NARAYAN, SHUBHA MD	8/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	100827	40	Pediatrics	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
41430	Fee-for-Service	1053640581	1053640581	1	1	NORMANI, SARA	1/18/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	596 MIDDLEBROOK RD	None	SAN MARCOS	CA	92078	1229	37	06073	33.1303905	-117.1751963	San Diego County
41439	Fee-for-Service	1639489560	1639489560	1	1	NGUYEN, VY CHI MD INC	7/31/1990	193400000X	NA	Other	026	PHYSICIANS	48930	01	General Practice	0	In state provider	None	10161 BOLSA AVE	STE C202	WESTMINSTER	CA	92683	6768	30	06059	33.74508538	-117.9521356	Orange County
41511	Fee-for-Service	1033787940	1033787940	1	1	NAKAMURA, JACQUELYN P MD	5/9/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	181052	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
41639	Fee-for-Service	1861996332	1861996332	1	1	NGUYEN, AILEEN MD	9/15/2021	207R00000X	NA	Other	026	PHYSICIANS	173481	None	None	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
41641	Fee-for-Service	1972919504	1972919504	1	1	NG, UNA OD	3/12/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	140 W VALLEY BLVD	SUITE 115	SAN GABRIEL	CA	91776	3784	19	06037	34.07958215	-118.1021957	Los Angeles County
41643	Fee-for-Service	1013093525	1013093525	1	1	NGUYEN, BIEN D MD	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	62002	01	General Practice	0	In state provider	None	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
41651	Fee-for-Service	1477816544	1477816544	1	1	NGUYEN, THAO L DO	5/10/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	13312	08	Family Practice	0	In state provider	None	3132 W MARCH LN	STE 5	STOCKTON	CA	95219	2354	39	06077	37.9839146	-121.3516231	San Joaquin County
41686	Fee-for-Service	1265458087	1265458087	1	1	NAIMARK, DAVID MD	2/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	75488	36	Psychiatry	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
41746	Fee-for-Service	1265973523	1265973523	1	1	NELSON, WHITNEY MD	4/21/2020	207R00000X	NA	Other	026	PHYSICIANS	160145	41	Internal Medicine	0	In state provider	None	1250 16TH ST	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
41807	Fee-for-Service	1144843004	1144843004	1	1	NEVONEN, GREGORY CRNA	11/1/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
41822	Fee-for-Service	1629478094	1629478094	1	1	NGUYEN, VU DPM	9/12/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	18035 BROOKHURST ST	1100	FOUNTAIN VALLEY	CA	92708	6738	30	06059	33.701184	-117.9544385	Orange County
41839	Fee-for-Service	1750469565	1750469565	1	1	NGUYEN, DANIEL MD	9/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85688	None	None	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
41901	Fee-for-Service	1285603639	1285603639	1	1	NGUYEN, VINH-LINH B MD	12/21/2008	207RH0003X	NA	Oncology	026	PHYSICIANS	99397	None	None	0	In state provider	None	500 OLD RIVER RD	STE 205	BAKERSFIELD	CA	93311	9511	15	06029	35.35127492	-119.1142991	Kern County
41964	Fee-for-Service	1831571280	1831571280	1	1	NGUYEN, JULIE T MD INC	4/19/2016	207L00000X	NA	Other	026	PHYSICIANS	103761	05	Anesthesiology	0	In state provider	None	1600 N ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
41974	Fee-for-Service	1881925519	1881925519	1	1	NOUR, CHELAN A MD	8/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114616	05	Anesthesiology	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92359	2808	36	06071	34.049547	-117.264078	San Bernardino County
42063	Fee-for-Service	1720239858	1720239858	1	1	NAVARRETTE, JOSE MD	11/30/1988	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	36377	47	Miscellaneous	0	In state provider	None	6831 SEVILLE AVE	None	HUNTINGTON PARK	CA	90255	4805	19	06037	33.97706276	-118.2225577	Los Angeles County
42078	Fee-for-Service	1932117512	1932117512	1	1	NEWMAN, STEPHANIE NP	9/15/2010	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95817	1532	34	06067	38.546091	-121.447305	Sacramento County
42090	Fee-for-Service	1154786846	1154786846	1	11	NEIGHBORHOOD HEALTHCARE	10/8/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	26926 CHERRY HILLS BLVD	SUITE C	MENIFEE	CA	92586	2500	33	06065	33.71084821	-117.1899782	Riverside County
42124	Fee-for-Service	1801082003	1801082003	1	1	NOURBAKHSH, NOUREDDIN D DO	7/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11746	41	Internal Medicine	0	In state provider	None	3020 CHILDREN'S WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
42165	Fee-for-Service	1043971211	1043971211	1	1	NGO, CASSANDRA CCC-SLP	8/1/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2262 N. 1ST ST	None	SAN JOSE	CA	95131	2022	43	06085	37.37772646	-121.921374	Santa Clara County
42190	Fee-for-Service	1760548010	1760548010	1	1	NADIG, RASHMI S MD	2/20/2008	207RR0500X	NA	Other	026	PHYSICIANS	96382	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
42234	Fee-for-Service	1053352815	1053352815	1	1	NAPPER, CLAY H MD	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	78045	None	None	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
42242	Fee-for-Service	1477809291	1477809291	1	1	NATIONAL COUNCIL ON	12/23/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	6166 VESPER AVE	None	VAN NUYS	CA	91411	2851	19	06037	34.182189	-118.450893	Los Angeles County
42245	Fee-for-Service	1538391271	1538391271	1	1	NARRA, SWAPNA R MD	8/3/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112773	41	Internal Medicine	0	In state provider	None	1180 EAST SHAW	#125	FRESNO	CA	93710	7812	10	06019	36.80891142	-119.768244	Fresno County
42292	Fee-for-Service	1568826345	1568826345	1	1	NOORBAKHSH, ABRAHAM MD	1/10/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	152745	None	None	0	In state provider	None	8933 ACTIVITY RD	None	SAN DIEGO	CA	92126	4427	37	06073	32.89637448	-117.133497	San Diego County
42333	Fee-for-Service	1992983472	1992983472	1	1	NORTH PARK FAMILY HLTH	1/2/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER	3544 30TH ST	None	SAN DIEGO	CA	92104	4120	37	06073	32.742936	-117.130118	San Diego County
42343	Fee-for-Service	1134772577	1134772577	1	1	NGUGI, HANNAH LPCC	12/6/2024	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
42362	Fee-for-Service	1932469889	1932469889	1	1	NEBENZAHL, SAMARA S MD	9/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128601	01	General Practice	0	In state provider	None	2500 MILVIA STREET	None	BERKELEY	CA	94704	2636	01	06001	37.86338897	-122.2698455	Alameda County
42376	Fee-for-Service	1154786846	1154786846	1	11	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	26926 CHERRY HILLS BLVD	SUITE C	MENIFEE	CA	92586	2500	33	06065	33.71084821	-117.1899782	Riverside County
42414	Fee-for-Service	1801082003	1801082003	1	1	NOURBAKHSH, NOUREDDIN D DO	7/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11746	45	Nephrology (Renal-Kidney)	0	In state provider	None	3020 CHILDREN'S WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
42442	Fee-for-Service	1740253228	1740253228	1	1	NARAHARI, PRANEETHA R MD	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	66871	02	General Surgery	0	In state provider	None	2020 SUTTER PL	# 204	DAVIS	CA	95616	6201	57	06113	38.56287659	-121.7715536	Yolo County
42448	Fee-for-Service	1790839702	1790839702	1	1	NORTHERN SISKIYOU AMB	3/28/1985	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	SERVICE	553 N MAIN ST	None	YREKA	CA	96097	2524	47	06093	41.73825538	-122.6338454	Siskiyou County
42465	Fee-for-Service	1063866572	1063866572	1	1	NGUYEN, THONG DO	9/8/2022	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	19920	None	None	0	In state provider	None	500 DOYLE PARK DR	STE G-04	SANTA ROSA	CA	95405	4559	49	06097	38.44332	-122.6985255	Sonoma County
42517	Fee-for-Service	1770112054	1770112054	1	1	NWAGWU, CHINEDU C MD	6/13/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	183092	None	None	0	In state provider	None	4770 HERNDON	105	FRESNO	CA	93722	8401	10	06019	36.83717984	-119.8778388	Fresno County
42556	Fee-for-Service	1821147786	1821147786	1	16	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	RADIATION THERAPY SRVS	1860 PENNSYLVANIA AVE	None	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
42647	Fee-for-Service	1275829533	1275829533	1	1	NUNE, SUNITHA L MD	1/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152905	01	General Practice	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3857	36	06071	34.04824949	-117.2401425	San Bernardino County
42653	Fee-for-Service	1487713087	1487713087	1	1	NIELSEN, VIRGIL J MD	8/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	45297	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
42663	Fee-for-Service	1154786846	1154786846	1	11	NEIGHBORHOOD HEALTHCARE	7/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	26926 CHERRY HILLS BLVD	SUITE C	MENIFEE	CA	92586	2500	33	06065	33.71084821	-117.1899782	Riverside County
42684	Fee-for-Service	1144253774	1144253774	1	1	NAMINI, KOUSHAN S MD	7/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	85655	22	Pathology (M.D. only)	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
42701	Fee-for-Service	1801082003	1801082003	1	1	NOURBAKHSH, NOUREDDIN D DO	7/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11746	40	Pediatrics	0	In state provider	None	3020 CHILDREN'S WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
42710	Fee-for-Service	1750588034	1750588034	1	1	NGUYEN, ANNE M MD	7/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118164	18	Ophthalmology	0	In state provider	None	850 S ATLANTIC BLVD	STE 301	MONTEREY PARK	CA	91754	6710	19	06037	34.05097684	-118.1379979	Los Angeles County
42749	Fee-for-Service	1750490413	1750490413	1	1	NGUYEN, THY T OD	9/5/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	207 S SANTA ANITA ST	SUITE P-25	SAN GABRIEL	CA	91776	1145	19	06037	34.10072807	-118.1066296	Los Angeles County
42814	Fee-for-Service	1053424044	1053424044	1	1	NADLER, DAN MD	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	65360	66	Emergency Medicine (Urgent Care)	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
42933	Fee-for-Service	1275829533	1275829533	1	1	NUNE, SUNITHA L MD	1/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152905	79	Neurology-Child	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3857	36	06071	34.04824949	-117.2401425	San Bernardino County
42940	Fee-for-Service	1487713087	1487713087	1	1	NIELSEN, VIRGIL J MD	8/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	45297	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
43008	Fee-for-Service	1699222117	1699222117	1	1	NEW HOPE IMAGING SERVICES, L	2/11/2020	261QR0200X	NA	Mammography/MRI Provider	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	LC	2414 S FAIRVIEW STREET	SUITE 202B	SANTA ANA	CA	92704	5318	30	06059	33.71437705	-117.9079237	Orange County
43024	Fee-for-Service	1336106640	1336106640	1	1	NASHED, EZZAT A MD	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	48771	41	Internal Medicine	0	In state provider	None	16200 BEAR VALLEY RD	STE 102	VICTORVILLE	CA	92395	8764	36	06071	34.47081448	-117.3097211	San Bernardino County
43045	Fee-for-Service	1659330488	1659330488	1	1	NIGRO, RICHARD P MD	4/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	68753	05	Anesthesiology	0	In state provider	None	333 N PRAIRIE AVE	None	INGLEWOOD	CA	90301	4501	19	06037	33.9670722	-118.3439911	Los Angeles County
43046	Fee-for-Service	1477613339	1477613339	1	1	NGO, CHAU M MD	2/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	72718	41	Internal Medicine	0	In state provider	None	101 THE CITY DR SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
43084	Fee-for-Service	1639571599	1639571599	1	1	NEW PROVIDENCE CARE, INC	4/2/2019	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1342 PASEO ENCINAS	None	SAN DIMAS	CA	91773	4217	19	06037	34.07831666	-117.8338667	Los Angeles County
43126	Fee-for-Service	1073594636	1073594636	1	1	NASSER, THOMAS S DO	7/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	8971	25	Physical Medicine and Rehabilitation	0	In state provider	None	44105 15TH STREET W	SUITE 201	LANCASTER	CA	93534	4090	19	06037	34.684218	-118.1568465	Los Angeles County
43145	Fee-for-Service	1255793857	1255793857	1	1	NEWHIDE, DANNY MD	7/27/2021	207L00000X	NA	Other	026	PHYSICIANS	173349	None	None	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
43195	Fee-for-Service	1922258748	1922258748	1	1	NAKRA, NAVIN C MD	2/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123291	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
43198	Fee-for-Service	1285980060	1285980060	1	1	NAPA COUNTY HEALTH AND HUMAN	2/3/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	650 IMPERIAL WAY	SUITE 100	NAPA	CA	94559	1344	28	06055	38.30691237	-122.283533	Napa County
43217	Fee-for-Service	1538785274	1538785274	1	1	NGUYEN-ESPINO, BARBARA DO	2/5/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20483	None	None	0	In state provider	None	2417 CENTRAL AVE	None	ALAMEDA	CA	94501	4515	01	06001	37.76389996	-122.2420612	Alameda County
43249	Fee-for-Service	1598349839	1598349839	1	1	NAADI MANTECA ASC	6/19/2024	2086S0129X	NA	General Surgery	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	145 TREVINO AVE	None	MANTECA	CA	95337	4200	39	06077	37.79842002	-121.2404921	San Joaquin County
43350	Fee-for-Service	1891221404	1891221404	1	1	NGUYEN, DIEM-CHAU L MD	1/10/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	158446	None	None	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
43374	Fee-for-Service	1548958515	1548958515	1	1	NIXON PSYCHOLOGICAL INSTITUT	10/11/2024	103TC0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	E, INC.	12530 10TH ST	STE C	CHINO	CA	91710	3520	36	06071	34.0258983	-117.6869086	San Bernardino County
43440	Fee-for-Service	1689678625	1689678625	1	1	NORMAN G ZAVELA, M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2600 NAVARRE A	None	OREGON	OH	43616	3207	00	None	41.63666551	-83.485098	Lucas County
43534	Fee-for-Service	1902038078	1902038078	1	1	NGUYEN, DONNA T MD	12/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113876	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
43662	Fee-for-Service	1548958515	1548958515	1	1	NIXON PSYCHOLOGICAL INSTITUT	6/18/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	E, INC.	12530 10TH ST	STE C	CHINO	CA	91710	3520	36	06071	34.0258983	-117.6869086	San Bernardino County
43682	Fee-for-Service	1083691802	1083691802	1	1	NAVARRO, ROSA M	3/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	53858	05	Anesthesiology	0	In state provider	None	2452 FENTON STREET	SUITE C101	FRESNO	CA	91914	3599	37	06073	32.65084353	-116.9551689	San Diego County
43772	Fee-for-Service	1770174971	1770174971	1	1	NURTURE CARE HOSPICE INC	4/27/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	600 W BROADWAY	STE 340	GLENDALE	CA	91204	1034	19	06037	34.14678282	-118.2666498	Los Angeles County
43780	Fee-for-Service	1265660484	1265660484	1	1	NAGEOTTE, RYAN J MD	8/6/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	114682	05	Anesthesiology	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
43817	Fee-for-Service	1447824586	1447824586	1	1	NGUYEN, EMILY MD	11/5/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	182883	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
43820	Fee-for-Service	1881918654	1881918654	1	1	NEWMAN, PATRICK M MD	6/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135196	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
43833	Fee-for-Service	1689289688	1689289688	1	1	NGUYEN, LAURIE L NP	6/24/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
43944	Fee-for-Service	1811228059	1811228059	1	1	NGUYEN, THUY B MD	10/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	107870	22	Pathology (M.D. only)	0	In state provider	None	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	3205	41	06081	37.592811	-122.382351	San Mateo County
43958	Fee-for-Service	1467549030	1467549030	1	1	NERZ, PAUL M MD	2/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	35504	01	General Practice	0	In state provider	None	10390 COLOMA AVE	B	RANCHO CORDOVA	CA	95670	2152	34	06067	38.596176	-121.3042725	Sacramento County
44014	Fee-for-Service	1326342577	1326342577	1	1	NEGRINI, REGINA H	7/18/2013	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
44021	Fee-for-Service	1457397838	1457397838	1	7	NORTHERN CALIFORNIA	6/20/2016	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1375 UNIVERSITY AVE	None	HEALDSBURG	CA	95448	3382	49	06097	38.6272407	-122.8638253	Sonoma County
44025	Fee-for-Service	1205940111	1205940111	1	1	NOBEL, SION MD	8/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	38937	25	Physical Medicine and Rehabilitation	0	In state provider	None	10306 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	2422	19	06037	34.25912963	-118.4672869	Los Angeles County
44060	Fee-for-Service	1770174971	1770174971	1	1	NURTURE CARE HOSPICE INC	4/27/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	600 W BROADWAY	STE 340	GLENDALE	CA	91204	1034	19	06037	34.14678282	-118.2666498	Los Angeles County
44103	Fee-for-Service	1033547245	1033547245	1	1	NEW HOPE HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	818 N MOUNTAIN AVE	SUITE 103	UPLAND	CA	91786	4164	36	06071	34.10424442	-117.6701797	San Bernardino County
44164	Fee-for-Service	1013027150	1013027150	1	1	NGUYEN, HUY TT DO	10/1/1996	193400000X	NA	Other	026	PHYSICIANS	6987	02	General Surgery	0	In state provider	None	175 N JACKSON AVE	STE 100	SAN JOSE	CA	95116	1909	43	06085	37.36217918	-121.8472051	Santa Clara County
44168	Fee-for-Service	1952725178	1952725178	1	1	NELSON, STEVE MD	2/1/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	168312	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
44216	Fee-for-Service	1972997070	1972997070	1	2	NGUYEN, MICHAEL MD	1/8/2025	207R00000X	NA	Other	026	PHYSICIANS	148744	41	Internal Medicine	0	In state provider	None	302 SILVER AVE	None	SAN FRANCISCO	CA	94112	1510	38	06075	37.72851602	-122.4296638	San Francisco County
44328	Fee-for-Service	1316103799	1316103799	1	1	NAGHSHINEH, NIMA MD	7/31/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	141766	24	Plastic Surgery	0	In state provider	None	300 W HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
44331	Fee-for-Service	1255051371	1255051371	1	1	NWADIKE, CHINEDU CNP	3/23/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
44395	Fee-for-Service	1033547245	1033547245	1	1	NEW HOPE HOSPICE INC	5/3/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	818 N MOUNTAIN AVE	SUITE 103	UPLAND	CA	91786	4164	36	06071	34.10424442	-117.6701797	San Bernardino County
44402	Fee-for-Service	1215018254	1215018254	1	1	NGUYEN, TRUNG C MD	8/7/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
44442	Fee-for-Service	1013928811	1013928811	1	1	NGUYEN, VINH D MD	10/15/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	77970	08	Family Practice	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
44500	Fee-for-Service	1902324114	1902324114	1	1	NGANGA, PETER N	10/4/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	14162 TRADING POST CT	None	EASTVALE	CA	92880	3308	33	06065	33.97006329	-117.5921051	Riverside County
44522	Fee-for-Service	1417300245	1417300245	1	1	NORA, ARTHUR LMFT	11/27/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
44599	Fee-for-Service	1386306868	1386306868	1	1	NIBARGER, HAELEY LMFT	1/25/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5743 CORSA AVE	207	WESTLAKE VILLAGE	CA	91362	6464	56	06111	34.156863	-118.7994295	Los Angeles County
44606	Fee-for-Service	1104972819	1104972819	1	1	NEER, DON J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	64316	41	Internal Medicine	0	In state provider	None	85 SIERRA PARK RD	None	MAMMOTH LAKES	CA	93546	2073	26	06051	37.64575895	-118.9638914	Mono County
44651	Fee-for-Service	1396779831	1396779831	1	1	NGUYEN, VAN T MD	12/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	1	Border provider	None	2020 PALOMINO LANE	SUITE 100	LAS VEGAS	NV	89106	4894	00	None	36.16257648	-115.170696	Clark County
44682	Fee-for-Service	1114005923	1114005923	1	1	NAGRANI, ANAND K MD	9/20/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	88284	01	General Practice	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
44689	Fee-for-Service	1609940204	1609940204	1	1	NAZARIAN, ARTIN MD	4/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	95127	None	None	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
44695	Fee-for-Service	1801077953	1801077953	1	1	NAGY AND POTTER ODS	1/1/1979	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	440 E KING AVE	None	TULARE	CA	93274	4223	54	06107	36.20989636	-119.3429817	Tulare County
44713	Fee-for-Service	1265590657	1265590657	1	1	NEW SUNRISE ADULT DAY	9/4/2008	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE CENTER	9350 RESEDA BLVD	None	NORTHRIDGE	CA	91324	2926	19	06037	34.24065428	-118.5360566	Los Angeles County
44730	Fee-for-Service	1447580360	1447580360	1	1	NORTH LAKE EYECARE OPTOMETRY	8/1/2011	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1225 NORTH LAKE BLVD	None	TAHOE CITY	CA	96145	7170	31	06061	39.17647058	-120.134634	Placer County
44740	Fee-for-Service	1821147786	1821147786	1	5	NORTHBAY HEALTHCARE GROUP	1/21/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1010 NUT TREE RD	SUITE 200	VACAVILLE	CA	95687	4173	48	06095	38.35458369	-121.9530637	Solano County
44757	Fee-for-Service	1942510011	1942510011	1	1	NICKLAS, LENA L LCSW	5/3/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
44791	Fee-for-Service	1902324114	1902324114	1	1	NGANGA, PETER N	10/4/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	14162 TRADING POST CT	None	EASTVALE	CA	92880	3308	33	06065	33.97006329	-117.5921051	Riverside County
44796	Fee-for-Service	1841487915	1841487915	1	1	NELSON, KIMBERLY K LCSW	12/3/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
44837	Fee-for-Service	1235855297	1235855297	1	1	NIGHTINGALE CENTER FOR ADVAN	4/23/2024	261QP2300X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	RY CARE & WOMEN'S HEALTH	19526C HILLSDALE DR	None	SONORA	CA	95370	9230	55	06109	37.97673368	-120.3246964	Tuolumne County
44841	Fee-for-Service	1699720573	1699720573	1	1	NARINDER S GREWAL, MD	9/5/2001	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	A MED CORP ADVO PAIN MGT	23861 W MCBEAN PKWY	STE A1	VALENCIA	CA	91355	2003	19	06037	34.39567343	-118.5542698	Los Angeles County
44845	Fee-for-Service	1871689125	1871689125	1	1	NGUYEN, NAM X MD	10/1/1999	2086S0120X	NA	General Surgery	026	PHYSICIANS	85194	85	Surgery-Pediatric	0	In state provider	None	101 CITY DR S	BLDG 10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
44868	Fee-for-Service	1457397838	1457397838	1	6	NORTHERN CALIFORNIA	1/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	IMAGING ASSC MED GRP INC	2550 SIS MARY COLUMBA DR	None	RED BLUFF	CA	96080	4327	52	06103	40.14847323	-122.2180997	Tehama County
44923	Fee-for-Service	1407892391	1407892391	1	1	NACHAT, ARIAN	5/2/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	89991	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
44946	Fee-for-Service	1538329743	1538329743	1	1	NAIR, SEEMA MD	7/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119685	13	Neurology (M.D. only)	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
45074	Fee-for-Service	1467642926	1467642926	1	1	NGUYEN, ANH T MD	4/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111276	None	None	0	In state provider	None	7300 MEDICAL CENTER DR	None	WEST HILLS	CA	91307	1902	19	06037	34.20289797	-118.6294006	Los Angeles County
45082	Fee-for-Service	1255420394	1255420394	1	1	NAKABAYASHI, JOY T OD	8/31/1990	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6309 GREENLEAF AVE	None	WHITTIER	CA	90601	3536	19	06037	33.984207	-118.037378	Los Angeles County
45122	Fee-for-Service	1235855297	1235855297	1	1	NIGHTINGALE CENTER FOR ADVAN	4/23/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	RY CARE & WOMEN'S HEALTH	19526C HILLSDALE DR	None	SONORA	CA	95370	9230	55	06109	37.97673368	-120.3246964	Tuolumne County
45133	Fee-for-Service	1356420913	1356420913	1	1	NEVINS, ANDREW B MD	4/5/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	72976	77	Infectious Disease	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
45257	Fee-for-Service	1508347618	1508347618	1	1	NUGAS, JESUIT P NP	5/12/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
45388	Fee-for-Service	1598188427	1598188427	1	1	NEXTRX PHARMA LLC	5/4/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	38900 TRADE CENTER DR	STE A	PALMDALE	CA	93551	3715	19	06037	34.58824438	-118.1430548	Los Angeles County
45409	Fee-for-Service	1801154364	1801154364	1	1	NALBANDYAN, MARTA DO	9/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13015	41	Internal Medicine	0	In state provider	None	7300 N FRESNO STREET	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
45420	Fee-for-Service	1356420913	1356420913	1	1	NEVINS, ANDREW B MD	4/5/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	72976	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
45423	Fee-for-Service	1619449675	1619449675	1	1	NGUYEN, MITCHELL B OT	5/7/2020	225XP0019X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
45439	Fee-for-Service	1871235556	1871235556	1	1	NGUYEN, KATHERINE DO	10/18/2023	390200000X	NA	Other	026	PHYSICIANS	21616	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
45488	Fee-for-Service	1578731618	1578731618	2	1	N ROSTAMI MEDICAL GROUP INC	7/15/2009	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	1080 N WESTERN AVE	2ND FLOOR	LOS ANGELES	CA	90029	2310	19	06037	34.090281	-118.3091425	Los Angeles County
45525	Fee-for-Service	1811040843	1811040843	1	1	NAMAZIAN, MOHAMMAD OD	3/20/2008	207XS0114X	NA	Orthopedic Surgery	026	PHYSICIANS	9672	20	Orthopedic Surgery	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
45614	Fee-for-Service	1104095256	1104095256	1	1	NGO, TUNG H DO	10/28/2008	207R00000X	NA	Other	026	PHYSICIANS	10316	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
45623	Fee-for-Service	1447338231	1447338231	1	1	NGUYEN, QUYNH N MD	8/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86791	01	General Practice	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
45628	Fee-for-Service	1013183334	1013183334	1	1	NADERI, SAHAR MD	7/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136408	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
45632	Fee-for-Service	1407338908	1407338908	1	1	NGUYEN, DARBY L CRNA	5/25/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
45683	Fee-for-Service	1659558369	1659558369	1	1	NORTH EAST MEDICAL SVCS	4/25/2003	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	LELAND AVENUE	82 LELAND AVE	None	SAN FRANCISCO	CA	94134	2804	38	06075	37.71182396	-122.4052706	San Francisco County
45685	Fee-for-Service	1720169832	1720169832	1	1	NGUYEN, CHAU TUAN MD	6/9/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	88001	None	None	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
45729	Fee-for-Service	1588195432	1588195432	1	1	NGUYEN, LUC-HA H MD	8/26/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164168	08	Family Practice	0	In state provider	None	17762 BEACH BLVD.	220	HUNTINGTON BEACH	CA	92647	6860	30	06059	33.70404013	-117.9890603	Orange County
45798	Fee-for-Service	1558699827	1558699827	1	1	NGUYEN, BENJAMIN MD	8/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110128	05	Anesthesiology	0	In state provider	None	6969 BROCKTON AVE	SUITE B	RIVERSIDE	CA	92506	3813	33	06065	33.94701	-117.396786	Riverside County
45806	Fee-for-Service	1972528297	1972528297	1	1	NUSSBAUM, RICHARD E MD	12/26/2018	174400000X	NA	Other	026	PHYSICIANS	46951	20	Orthopedic Surgery	0	In state provider	None	4955 VAN NUYS BLVD	STE 615	SHERMAN OAKS	CA	91403	1839	19	06037	34.160805	-118.4487295	Los Angeles County
45811	Fee-for-Service	1942574090	1942574090	1	1	NISEWANER, AMANDA K LCSW	11/17/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
45826	Fee-for-Service	1891044640	1891044640	1	1	NGUYEN, MARK V PHD	5/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	None	None	0	In state provider	None	275 VICTORIA ST	STE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
45832	Fee-for-Service	1700059268	1700059268	1	1	NATHAN HARDIN PLUNK MD	5/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	620 SKYLINE DR	None	JACKSON	TN	38301	3923	00	None	35.63721	-88.831359	Madison County
45918	Fee-for-Service	1013183334	1013183334	1	1	NADERI, SAHAR MD	7/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136408	41	Internal Medicine	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
45947	Fee-for-Service	1194870360	1194870360	1	1	NAPA COUNTY CCS	6/14/1994	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	NAPA MTU	2610 YAJOME ST	None	NAPA	CA	94558	5039	28	06055	38.31487466	-122.2926583	Napa County
45955	Fee-for-Service	1760901920	1760901920	1	1	NUFER, KYLIE M LPT	11/27/2018	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3418 LOMA VISTA RD	A	VENTURA	CA	93003	3016	56	06111	34.27643562	-119.2503132	Ventura County
46023	Fee-for-Service	1629393715	1629393715	1	1	NGUYEN, STEPHANIE N T MD	9/16/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117917	40	Pediatrics	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	4121	43	06085	37.43920432	-122.162109	Santa Clara County
46040	Fee-for-Service	1952353351	1952353351	1	1	NGUYEN,MINH P MD	7/11/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89648	41	Internal Medicine	0	In state provider	None	10862 CALLE VERDE	STE A	LA MESA	CA	91941	7338	37	06073	32.74823231	-116.9602609	San Diego County
46080	Fee-for-Service	1720436736	1720436736	1	1	NGUYEN, RON MD	7/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	142461	05	Anesthesiology	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4019	30	06059	33.715035	-117.936993	Orange County
46087	Fee-for-Service	1609262484	1609262484	1	1	NGAI, LYNN K MD	4/24/2019	390200000X	NA	Other	026	PHYSICIANS	143689	05	Anesthesiology	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
46092	Fee-for-Service	1992134688	1992134688	1	1	NELSON, STANLEY F MD	11/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	65639	38	Geriatrics	0	In state provider	None	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
46133	Fee-for-Service	1063825156	1063825156	1	1	NG, TIMOTHY C H OD	6/24/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	36 W 10TH STREET	None	TRACY	CA	95376	3902	39	06077	37.73844816	-121.426868	San Joaquin County
46136	Fee-for-Service	1891723169	1891723169	1	1	NGUYEN, BICH-HOA DO	9/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	6504	08	Family Practice	0	In state provider	None	1062 S K ST	None	TULARE	CA	93274	6421	54	06107	36.19548226	-119.3433058	Tulare County
46210	Fee-for-Service	1023576238	1023576238	1	1	NGUYEN, ANH T	7/9/2024	208800000X	NA	Other	026	PHYSICIANS	None	34	Urology and Urological Surgery	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
46269	Fee-for-Service	1578907325	1578907325	1	1	NORTON, STEPHANIE M DO	10/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15502	13	Neurology (M.D. only)	0	In state provider	None	39400 PASEO PADRE PARKWA	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
46295	Fee-for-Service	1407448756	1407448756	1	1	NOOR HOME HEALTH	7/22/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	12410 BURBANK BLVD	SUITE 103	VALLEY VILLAGE	CA	91607	4728	19	06037	34.17210753	-118.403775	Los Angeles County
46309	Fee-for-Service	1487029567	1487029567	1	1	NISHIMURA, HARUYO LCSW	12/8/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
46330	Fee-for-Service	1821147786	1821147786	1	10	NORTHBAY HEALTHCARE GROUP	12/11/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	5140 BUSINESS CENTER DR	SUITE 100	FAIRFIELD	CA	94534	1794	48	06095	38.21632832	-122.1450436	Solano County
46381	Fee-for-Service	1992134688	1992134688	1	1	NELSON, STANLEY F MD	11/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	65639	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
46516	Fee-for-Service	1881639383	1881639383	1	1	NESIS, HENRY I MD	12/31/1989	207L00000X	NA	Other	026	PHYSICIANS	65892	05	Anesthesiology	0	In state provider	None	6001 NORRIS CANYON RD	None	SAN RAMON	CA	94583	5400	07	06013	37.7755858	-121.958923	Contra Costa County
46539	Fee-for-Service	1881264257	1881264257	1	1	NN MEDICAL, INC.	1/24/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	6552 BOLSA AVE	A	HUNTINGTON BEACH	CA	92647	2622	30	06059	33.74431776	-118.0144684	Orange County
46545	Fee-for-Service	1770556821	1770556821	1	1	NGUYEN,PHOUC H MD	10/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	64287	05	Anesthesiology	0	In state provider	None	310 N CITRUS AVE	STE A	AZUSA	CA	91702	3957	19	06037	34.126839	-117.8900935	Los Angeles County
46552	Fee-for-Service	1023244746	1023244746	1	1	NGUYEN, TONY T DO	8/29/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	9533	01	General Practice	0	In state provider	None	4601 DALE RD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
46574	Fee-for-Service	1982006409	1982006409	1	1	NEMES, YULIANA LMFT	3/18/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	820 N MOUNTAIN AVE	SUITE 105	UPLAND	CA	91786	4111	36	06071	34.10373359	-117.6701283	San Bernardino County
46638	Fee-for-Service	1992990592	1992990592	1	1	NORTHERN CALIFORNIA	1/1/2008	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GASTRO CONSULTANTS INC	2999 REGENT ST	#524	BERKELEY	CA	94705	2119	01	06001	37.85592021	-122.2566436	Alameda County
46639	Fee-for-Service	1841436656	1841436656	1	1	NELSON, JEREMY D PT	9/16/2008	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1940 N ORANGE GROVE AVE	STE A	POMONA	CA	91767	3002	19	06037	34.07889352	-117.7478982	Los Angeles County
46648	Fee-for-Service	1255436515	1255436515	1	1	NGUYENTU, TIM LAC	8/26/2024	111N00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	6937 LINDA VISTA RD	STE E	SAN DIEGO	CA	92111	6366	37	06073	32.78486797	-117.1710179	San Diego County
46668	Fee-for-Service	1306921713	1306921713	1	1	NAJAY SERVICE CORP	8/17/1995	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	NEW IDEALS/OTIS HOUSE	24961 OTIS DR	None	MORENO VALLEY	CA	92553	5865	33	06065	33.91206166	-117.2272416	Riverside County
46717	Fee-for-Service	1801322086	1801322086	1	1	NEW ERA HOME HEALTH CARE	11/1/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	805 E WILSON AVE	STE D	GLENDALE	CA	91206	4457	19	06037	34.14816475	-118.2453196	Los Angeles County
46793	Fee-for-Service	1558701102	1558701102	1	1	NASHID, MAHSA MD	8/15/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	146094	None	None	0	In state provider	None	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
46820	Fee-for-Service	1063426997	1063426997	1	1	NEWPORT-HUNTINGTON MED	8/2/1991	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	19582 BEACH BLVD	STE 302	HUNTINGTON BEACH	CA	92648	5923	30	06059	33.67831649	-117.9885198	Orange County
46828	Fee-for-Service	1063703270	1063703270	1	1	NAYYAR, SAMIR MD	10/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	144350	None	None	0	In state provider	None	16850 BEAR VALLEY RD	None	VICTORVILLE	CA	92395	5794	36	06071	34.47092468	-117.2977236	San Bernardino County
46864	Fee-for-Service	1013218544	1013218544	1	1	NGUYEN, CHRISTOPHER D MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	119815	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
46909	Fee-for-Service	1730337536	1730337536	1	1	NEWPORT MESA DIALYSIS	10/15/2009	261QE0700X	NA	Other	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	SERVICES, LLC	1175 BAKER ST	STE B	COSTA MESA	CA	92626	4139	30	06059	33.68010451	-117.906543	Orange County
46954	Fee-for-Service	1255945663	1255945663	1	1	NICHOLAS C. SAGUAN, MD INC.	10/15/2020	2086S0129X	NA	General Surgery	026	PHYSICIANS	None	02	General Surgery	0	In state provider	None	1818 N ORANGE GROVE AVE	STE 307	POMONA	CA	91767	3028	19	06037	34.07694934	-117.7489598	Los Angeles County
46984	Fee-for-Service	1033154018	1033154018	1	1	NASSIM-YAZD, ARASH MD	11/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52794	41	Internal Medicine	0	In state provider	None	4400 DUCKHORN DR	STE 100	SACRAMENTO	CA	95834	2589	34	06067	38.65086	-121.531833	Sacramento County
47054	Fee-for-Service	1740217942	1740217942	1	1	NGUYEN, TU SONG-ANH MD	1/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	78838	None	None	0	In state provider	None	12526 WESTMINSTER AVE	None	SANTA ANA	CA	92706	2166	30	06059	33.7597437	-117.906968	Orange County
47064	Fee-for-Service	1356467690	1356467690	1	1	NELSON, VALERIE W	2/3/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2224 5TH AVE	None	OROVILLE	CA	95965	5816	04	06007	39.50224076	-121.5649012	Butte County
47109	Fee-for-Service	1831225432	1831225432	1	1	NELSON GARY BO	1/1/1979	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1801 SANTA CLARA AVE	None	ALAMEDA	CA	94501	2631	01	06001	37.77073393	-122.2542471	Alameda County
47152	Fee-for-Service	1013218544	1013218544	1	1	NGUYEN, CHRISTOPHER D MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	119815	41	Internal Medicine	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
47198	Fee-for-Service	1629156351	1629156351	1	1	NAGY, STEPHEN M III MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	55232	20	Orthopedic Surgery	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
47310	Fee-for-Service	1699248401	1699248401	1	1	NEIL LOUWRENS MD	1/26/2021	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	2550 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4327	52	06103	40.14847323	-122.2180997	Tehama County
47340	Fee-for-Service	1134367436	1134367436	1	1	NORRIS, RANDALL S PHD	8/14/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4715 VIEWRIDGE AVE	STE 230	SAN DIEGO	CA	92123	1680	37	06073	32.82422034	-117.1210743	San Diego County
47343	Fee-for-Service	1043308539	1043308539	1	1	NORTH SONOMA COUNTY HOSP	2/27/2003	275N00000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HEALDSBURG DIST HOSP	1375 UNIVERSITY ST	None	HEALDSBURG	CA	95448	3382	49	06097	38.627145	-122.863779	Sonoma County
47351	Fee-for-Service	1447362934	1447362934	1	1	NGUYEN, THUY T MD	9/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93782	41	Internal Medicine	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
47353	Fee-for-Service	1023189883	1023189883	1	1	NEWTON, PETER, O MD	2/28/1998	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	45168	20	Orthopedic Surgery	0	In state provider	None	3030 CHILDRENS WAY	STE 410	SAN DIEGO	CA	92123	4228	37	06073	32.798889	-117.150826	San Diego County
47383	Fee-for-Service	1700150794	1700150794	1	2	NOAH D. WEISS, MD INC	12/31/2020	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	100 ROWLAND WAY	SUITE 200	NOVATO	CA	94945	5011	21	06041	38.09698106	-122.5587348	Marin County
47440	Fee-for-Service	1306339916	1306339916	1	1	NEXTGEN MEDICAL SUPPLIES, IN	7/15/2019	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	C.	601 N CONGRESS AVENUE	439B	DELRAY BEACH	FL	33445	4703	00	None	26.47089936	-80.09248993	Palm Beach County
47445	Fee-for-Service	1467607077	1467607077	1	1	NAEGLE, DEREK W DPM	12/21/2017	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	7117 BROCKTON AVE	None	RIVERSIDE	CA	92506	3912	33	06065	33.94354395	-117.394926	Riverside County
47470	Fee-for-Service	1942286307	1942286307	1	1	NOBLE, PAUL W MD	2/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	57025	66	Emergency Medicine (Urgent Care)	0	In state provider	None	8700 BEVERLY BLVD	None	WEST LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
47471	Fee-for-Service	1821147786	1821147786	1	7	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1101 B GALE WILSON BLVD	SUITE 203 & 204	FAIRFIELD	CA	94533	3771	48	06095	38.26103575	-122.0462501	Solano County
47473	Fee-for-Service	1629135843	1629135843	1	1	NAEEM M AKHTAR	5/21/1993	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	ENDOSCOPY CTR	451 E ALMOND AVE	STE 105	MADERA	CA	93637	5562	20	06039	36.94554615	-120.0523936	Madera County
47514	Fee-for-Service	1831896794	1831896794	1	1	NEEQUAYE, AILEEN CNP	5/16/2023	163WG0100X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9802 STOCKDALE HWY	STE 102	BAKERSFIELD	CA	93311	3653	15	06029	35.3544067	-119.1113372	Kern County
47576	Fee-for-Service	1154786846	1154786846	1	16	NEIGHBORHOOD HEALTHCARE	6/28/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	308 W 6TH ST	STE 109	CORONA	CA	92882	3349	33	06065	33.874497	-117.569682	Riverside County
47611	Fee-for-Service	1205042215	1205042215	1	1	NAGAHORI, LYNDA M PSYD	7/6/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5755 COTTLE RD	None	SAN JOSE	CA	95123	3640	43	06085	37.246896	-121.8040865	Santa Clara County
47649	Fee-for-Service	1801192117	1801192117	1	1	NAJMUDDIN, UZMA MD	5/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114071	41	Internal Medicine	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
47658	Fee-for-Service	1730139148	1730139148	1	1	NEWMARK, HARRIS III	5/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	17042	30	Radiology	0	In state provider	None	237 LACIENEGA BLVD	None	BEVERLY HILLS	CA	90211	3301	19	06037	34.06936918	-118.3764212	Los Angeles County
47691	Fee-for-Service	1306028907	1306028907	1	1	NOMAN, ZAID	1/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101666	01	General Practice	0	In state provider	None	131 E 17TH ST	None	COSTA MESA	CA	92627	3792	30	06059	33.63691924	-117.9209867	Orange County
47705	Fee-for-Service	1689710360	1689710360	1	1	NEWMAN, MARK A MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	55922	20	Orthopedic Surgery	0	In state provider	None	351 HOSPITAL RD	STE 309	NEWPORT BEACH	CA	92663	3505	30	06059	33.62579141	-117.9299554	Orange County
47748	Fee-for-Service	1508147356	1508147356	1	1	NUNEZ, ELIZABETH A LCSW	6/22/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
47754	Fee-for-Service	1942286307	1942286307	1	1	NOBLE, PAUL W MD	2/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	57025	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	WEST LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
47816	Fee-for-Service	1811483316	1811483316	1	1	NAGAOKA, RYOTO PT	11/8/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
47831	Fee-for-Service	1417146150	1417146150	1	1	NUNEZ, DAVID G III	9/22/2003	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1630 LORETTA ST	None	OCEANSIDE	CA	92054	2253	37	06073	33.20995332	-117.3708967	San Diego County
47839	Fee-for-Service	1659684223	1659684223	1	1	NGUYEN, HONG MD INC	8/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	90724	41	Internal Medicine	0	In state provider	None	1245 WILSHIRE BLVD	STE 812	LOS ANGELES	CA	90017	4808	19	06037	34.05362775	-118.2661889	Los Angeles County
47865	Fee-for-Service	1154786846	1154786846	1	16	NEIGHBORHOOD HEALTHCARE	6/19/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	308 W 6TH ST	STE 109	CORONA	CA	92882	3349	33	06065	33.874497	-117.569682	Riverside County
47905	Fee-for-Service	1639171606	1639171606	1	1	NALLASIVAN, MANI MD	11/9/1989	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	44096	None	None	0	In state provider	None	780 W OLIVE AVE	STE 105	MERCED	CA	95348	2437	24	06047	37.31916174	-120.4814268	Merced County
48006	Fee-for-Service	1336392422	1336392422	1	1	NEXUS HOME HEALTH INC	1/19/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	911 WEST 7TH ST	None	OXNARD	CA	93030	6755	56	06111	34.19516388	-119.1889217	Ventura County
48047	Fee-for-Service	1942286307	1942286307	1	1	NOBLE, PAUL W MD	2/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	57025	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	WEST LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
48051	Fee-for-Service	1710209622	1710209622	1	1	NGUYEN, JOSEPH T DO	6/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	11023	08	Family Practice	0	In state provider	None	9089 BASELINE ROAD	SUITE 100	RANCHO CUCAMONGA	CA	91730	1295	36	06071	34.12151248	-117.6074505	San Bernardino County
48080	Fee-for-Service	1437393899	1437393899	1	1	NAUSHEEN, JAMAL MD	6/3/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113915	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	200 MEDICAL PLAZA	STE 550	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
48095	Fee-for-Service	1972725851	1972725851	1	1	NELSON, AUDRE E LMFT	9/4/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9057 B SOQUEL DRIVE	STE B	APTOS	CA	95003	4044	44	06087	36.97569852	-121.8897495	Santa Cruz County
48133	Fee-for-Service	1659684223	1659684223	1	1	NGUYEN, HONG MD INC	8/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	90724	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1245 WILSHIRE BLVD	STE 812	LOS ANGELES	CA	90017	4808	19	06037	34.05362775	-118.2661889	Los Angeles County
48134	Fee-for-Service	1245350123	1245350123	1	1	NOBLE, KAVITA J CNM	6/2/2020	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	3101 TELEGRAPH AVE	None	BERKELEY	CA	94705	1984	01	06001	37.85361291	-122.2600247	Alameda County
48137	Fee-for-Service	1124177928	1124177928	1	1	NORRIS, ROBERT L JR MD	4/30/1991	207P00000X	NA	Other	026	PHYSICIANS	72988	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
48150	Fee-for-Service	1154786846	1154786846	1	16	NEIGHBORHOOD HEALTHCARE	6/19/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	308 W 6TH ST	STE 109	CORONA	CA	92882	3349	33	06065	33.874497	-117.569682	Riverside County
48181	Fee-for-Service	1447447776	1447447776	1	1	NELSON, CLAIRE MD	8/24/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	101635	-	NOT APPLICABLE	0	In state provider	None	125 WEST F ST	SUITE 101	ONTARIO	CA	91762	3201	36	06071	34.069302	-117.652158	San Bernardino County
48213	Fee-for-Service	1316619430	1316619430	1	1	NORTON, CALEB J NP	10/18/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
48307	Fee-for-Service	1275745358	1275745358	1	1	NOTTINGHAM, EDWARD W III MD	3/7/2011	390200000X	NA	Other	026	PHYSICIANS	111821	66	Emergency Medicine (Urgent Care)	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
48308	Fee-for-Service	1629272083	1629272083	1	1	NAIM, DAN I MD	11/12/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96311	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVENUE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
48322	Fee-for-Service	1003015843	1003015843	1	1	NORTHBAY PHYSICIANS SURGERY	7/25/2008	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	1006 NUT TREE ROAD	None	VACAVILLE	CA	95687	4100	48	06095	38.354868	-121.9503195	Solano County
48335	Fee-for-Service	1295729002	1295729002	1	1	NAEGLE-KAIMOANA, DANIELLE NP	12/15/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
48338	Fee-for-Service	1821147786	1821147786	1	17	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	REHAB SERVICES	1101 B GALE WILSON BLVD	SUITE 101 & 207	FAIRFIELD	CA	94533	3702	48	06095	38.26103575	-122.0462501	Solano County
48359	Fee-for-Service	1013102318	1013102318	1	1	NGUYEN, DANG C DO	6/30/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	10058	08	Family Practice	0	In state provider	None	3132 WEST MARCH LANE	STE 5	STOCKTON	CA	95219	2354	39	06077	37.9839146	-121.3516231	San Joaquin County
48378	Fee-for-Service	1407972656	1407972656	1	1	NELSON, L L MD	9/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	51132	None	None	0	In state provider	None	1555 SHAW AVENUE	SUITE 101	CLOVIS	CA	93611	4096	10	06019	36.80870008	-119.687617	Fresno County
48389	Fee-for-Service	1518144609	1518144609	1	1	NGUYEN, NHIEN H MD	9/27/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	99217	02	General Surgery	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
48526	Fee-for-Service	1326411141	1326411141	1	1	NJUGUNA, LUCY	2/3/2015	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	28342 CRESTWOOD ST	None	MENIFEE	CA	92585	8724	33	06065	33.71522606	-117.1651573	Riverside County
48577	Fee-for-Service	1477845584	1477845584	1	1	NAZZAL, YARA D	4/11/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	167839	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
48607	Fee-for-Service	1114978137	1114978137	1	1	NAIL, STEVEN G. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	551 HILL COUNTRY DR	None	KERRVILLE	TX	78028	6085	00	None	30.04481871	-99.15170303	Kerr County
48662	Fee-for-Service	1043723869	1043723869	1	1	NEW HOPE RX PHARMACY INC	7/20/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	29798 HAUN RD	STE 100	MENIFEE	CA	92586	6451	33	06065	33.68787713	-117.1748638	Riverside County
48673	Fee-for-Service	1992795074	1992795074	1	1	NUNNELLY, DAVID E MD	10/13/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	167831	30	Radiology	0	In state provider	None	1306 MARICOPA HIGHWAY	None	OJAI	CA	93023	3131	56	06111	34.44229705	-119.2645703	Ventura County
48674	Fee-for-Service	1386781466	1386781466	1	1	NIEVES, RAQUEL N MD	11/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150185	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
48698	Fee-for-Service	1003551888	1003551888	1	1	NAVARRO, MA GLAIZA P PT	8/4/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12761 SCHABARUM AVE	None	BALDWIN PARK	CA	91706	6807	19	06037	34.08060971	-117.9958001	Los Angeles County
48811	Fee-for-Service	1326411141	1326411141	1	1	NJUGUNA, LUCY	2/3/2015	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	28342 CRESTWOOD ST	None	MENIFEE	CA	92585	8724	33	06065	33.71522606	-117.1651573	Riverside County
48878	Fee-for-Service	1518429653	1518429653	1	1	NADER KALANTAR, M.D., INC.	9/3/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	1334 W COVINA BLVD	SUITE 201	SAN DIMAS	CA	91773	3211	19	06037	34.097067	-117.833751	Los Angeles County
48887	Fee-for-Service	1811167182	1811167182	1	1	NORTH VALLEY SURGICAL	6/12/2008	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES	251 COHASSET RD	STE 310	CHICO	CA	95926	2239	04	06007	39.75090044	-121.8522609	Butte County
48971	Fee-for-Service	1528134186	1528134186	1	1	NICHOLS, JOY G PHD	8/14/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3899	36	06071	34.04824949	-117.2401425	San Bernardino County
49025	Fee-for-Service	1659351054	1659351054	1	1	NEWMAN, VIVIENNE MD	1/1/1982	2080P0203X	NA	Other	026	PHYSICIANS	35224	40	Pediatrics	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
49088	Fee-for-Service	1063806412	1063806412	1	1	NICOLE LOVIN NP	1/29/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	660 S 13TH ST	None	PEKIN	IL	61554	4936	00	None	40.56244803	-89.63302898	Tazewell County
49160	Fee-for-Service	1003366733	1003366733	1	1	NAOMI M RUIRU	8/7/2022	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1910 SOUTH AVE	None	LA CROSSE	WI	54601	5467	00	None	43.79473653	-91.24623835	La Crosse County
49259	Fee-for-Service	1447283924	1447283924	1	1	NAIDU, JAGANATH A MD	1/12/2015	207R00000X	NA	Other	026	PHYSICIANS	34980	41	Internal Medicine	0	In state provider	None	10515 BALBOA BLVD	STE 240	GRANADA HILLS	CA	91344	6360	19	06037	34.261497	-118.502318	Los Angeles County
49352	Fee-for-Service	1073863155	1073863155	1	1	NAGATA, ALLISON	4/2/2013	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	5 CENTERPOINTE DRIVE	SUITE 200	LA PALMA	CA	90623	1050	30	06059	33.86168254	-118.0308375	Orange County
49399	Fee-for-Service	1841695129	1841695129	1	1	NIELSEN, SHERRI PSYD	9/11/2015	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	953 W 18TH ST	#2	SAN PEDRO	CA	90731	4554	19	06037	33.72788064	-118.2980365	Los Angeles County
49451	Fee-for-Service	1598992489	1598992489	1	1	NISHIGUCHI, BRIAN K MD	9/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132490	05	Anesthesiology	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
49470	Fee-for-Service	1720401474	1720401474	1	1	NOSKOW, SHLOMO DO	11/6/2023	207P00000X	NA	Other	026	PHYSICIANS	18552	None	None	0	In state provider	None	3865 JACKSON ST	None	RIVERSIDE	CA	92503	3919	33	06065	33.92617009	-117.4404151	Riverside County
49527	Fee-for-Service	1619255544	1619255544	1	1	NIPOMO PHARMACY INC	2/17/2012	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	695 W TEFFT STREET	#A	NIPOMO	CA	93444	8931	40	06079	35.03414619	-120.4894206	San Luis Obispo County
49553	Fee-for-Service	1700869708	1700869708	1	1	NYLK, THOMAS M MD	8/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	89193	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
49611	Fee-for-Service	1841427507	1841427507	1	1	NERVE MD INC	4/5/2010	2084N0400X	NA	Neurology	026	PHYSICIANS	72440	13	Neurology (M.D. only)	0	In state provider	AND NEUROPATHY INSTITUT	4408 SEPULVEDA BLVD	None	CULVER CITY	CA	90230	4801	19	06037	34.00322591	-118.4073459	Los Angeles County
49620	Fee-for-Service	1396269338	1396269338	1	1	NONGHIN, CHADCHADIN	12/15/2017	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1500 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
49621	Fee-for-Service	1376545988	1376545988	1	1	NORTHERN CALIFORNIA	11/29/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	MEDICAL ASSOCIATES	244 HOSPITAL DR	STE B	UKIAH	CA	95482	4557	23	06045	39.15258592	-123.2037217	Mendocino County
49656	Fee-for-Service	1225665516	1225665516	1	1	NEAL, JOHN A DO	1/25/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	22350	None	None	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
49704	Fee-for-Service	1225132616	1225132616	1	1	NELSON, ROBERT G MD	6/26/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	58312	08	Family Practice	0	In state provider	None	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	33	06065	33.92721419	-117.561448	Riverside County
49710	Fee-for-Service	1427263516	1427263516	1	1	NGUYEN, EUGENE V MD	8/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94032	08	Family Practice	0	In state provider	None	2505 W HAMMER LN	None	STOCKTON	CA	95209	2839	39	06077	38.02139448	-121.347738	San Joaquin County
49770	Fee-for-Service	1841311461	1841311461	1	1	NOBLE, ALAN J MD	4/6/1972	No Taxonomy Provided	NA	None	026	PHYSICIANS	11345	41	Internal Medicine	0	In state provider	None	2511 BUSH ST	None	SAN FRANCISCO	CA	94115	3001	38	06075	37.78628786	-122.439057	San Francisco County
49796	Fee-for-Service	1508442047	1508442047	1	1	NGUYEN, JOHNNY MD	9/3/2024	208M00000X	NA	Other	026	PHYSICIANS	192186	41	Internal Medicine	0	In state provider	None	1700 PRAIRIE CITY RD	None	FOLSOM	CA	95630	9594	34	06067	38.652012	-121.166901	Sacramento County
49852	Fee-for-Service	1154480762	1154480762	1	1	NAKANO, KATHY JEAN M MD	12/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	62997	02	General Surgery	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
49890	Fee-for-Service	1235596180	1235596180	1	1	NATIONAL TELE-NEPHROLOGY ASS	8/18/2021	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	2	Out of state provider	OCIATES PC	511 UNION ST	STE 1800	NASHVILLE	TN	37219	1733	00	None	36.16415088	-86.78187128	Davidson County
49899	Fee-for-Service	1063482131	1063482131	1	1	NORDGAARD, JON DPM	12/1/1998	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
49909	Fee-for-Service	1720031982	1720031982	1	1	NGUYEN, THELINH Q MD	2/3/2023	2086S0129X	NA	General Surgery	026	PHYSICIANS	-	None	None	1	Border provider	None	670 SIERRA ROSE DR	None	RENO	NV	89511	2072	00	None	39.4735137	-119.7995156	Washoe County
49979	Fee-for-Service	1104985613	1104985613	1	1	NORTON, KENNETH E PHD	2/8/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1231 W ROBINHOOD DR	STE A2	STOCKTON	CA	95207	5506	39	06077	37.9992686	-121.3219878	San Joaquin County
49993	Fee-for-Service	1891843710	1891843710	1	1	NGUYEN, BRIAN LINH D MD	3/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78740	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
50029	Fee-for-Service	1720281454	1720281454	1	1	NGUYEN JOHNATHAN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2901 SQUALICUM PKWY	None	BELLINGHAM	WA	98225	1851	00	None	48.77211992	-122.473101	Whatcom County
50131	Fee-for-Service	1629102082	1629102082	1	1	NELSON, SHANNON C LCSW	5/11/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	111 SMITH RANCH ROAD	None	SAN RAFAEL	CA	94903	1939	21	06041	38.01951576	-122.5315893	Marin County
50144	Fee-for-Service	1194446773	1194446773	1	1	NORTH STATE FAMILY COUNSELIN	6/1/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	G CENTER INC	3330 CHURN CREEK RD	STE D4	REDDING	CA	96002	2532	45	06089	40.55890497	-122.3530646	Shasta County
50186	Fee-for-Service	1619938099	1619938099	1	1	NALBANDIAN, ALLEN B MD	2/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	54742	30	Radiology	0	In state provider	None	15725 POMERADO RD	None	POWAY	CA	92064	2068	37	06073	33.00037882	-117.0580735	San Diego County
50196	Fee-for-Service	1285789248	1285789248	2	1	NA, MICHELLE MINE	6/22/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2528 W OLYMPIC BLVD	STE 102	LOS ANGELES	CA	90006	2922	19	06037	34.05237853	-118.284867	Los Angeles County
50207	Fee-for-Service	1629183710	1629183710	1	1	NESPER, TIMOTHY PAUL	8/5/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53919	66	Emergency Medicine (Urgent Care)	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
50228	Fee-for-Service	1396922068	1396922068	1	1	NGUYEN, HUU MD	2/12/2018	207R00000X	NA	Other	026	PHYSICIANS	32220	08	Family Practice	0	In state provider	None	1220 HEMLOCK WAY	STE 102	SANTA ANA	CA	92707	3656	30	06059	33.70975375	-117.8842792	Orange County
50231	Fee-for-Service	1962467696	1962467696	1	1	NOVICK, STEVEN L MD	7/23/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	159899	30	Radiology	0	In state provider	None	10101 RIVERSIDE DR	None	TOLUCA LAKE	CA	91602	2517	19	06037	34.15223753	-118.3508865	Los Angeles County
50254	Fee-for-Service	1598936254	1598936254	1	1	NATIONAL HEALTH SERVICES	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	PO BOX 917	277 E FRONT ST	None	BUTTONWILLOW	CA	93206	9725	15	06029	35.39969257	-119.4650218	Kern County
50263	Fee-for-Service	1245435767	1245435767	1	1	NG, JOSHUA B MD	11/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120721	05	Anesthesiology	0	In state provider	None	PUEBLO AT BATH STREET	None	SANTA BARBARA	CA	93105	4353	42	06083	34.430526	-119.72196	Santa Barbara County
50301	Fee-for-Service	1013199264	1013199264	1	1	NORTHEAST VALLEY HEALTH CORP	6/1/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SUN VALLEY HEALTH CENTER	7223 FAIR AVE	None	SUN VALLEY	CA	91352	4964	19	06037	34.201944	-118.374718	Los Angeles County
50310	Fee-for-Service	1942485248	1942485248	1	1	NGUYEN, MARGARET B MD	8/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131847	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
50319	Fee-for-Service	1790983237	1790983237	1	1	NICHOLS, BENJAMIN J MD	12/17/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97389	07	Dermatology	0	In state provider	None	1701 E CESAR E CHAVEZ AV	STE 100	LOS ANGELES	CA	90033	2496	19	06037	34.05112725	-118.2173921	Los Angeles County
50320	Fee-for-Service	1013304567	1013304567	1	1	NIEBUHR, ALAINA R CNP	12/12/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1350 FLORIN RD	None	SACRAMENTO	CA	95822	4202	34	06067	38.495232	-121.505409	Sacramento County
50369	Fee-for-Service	1043659881	1043659881	1	1	NGUYEN, KIM N	2/23/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	601 VAN NESS AVE	None	SAN FRANCISCO	CA	94102	3200	38	06075	37.78149353	-122.4206703	San Francisco County
50420	Fee-for-Service	1407080658	1407080658	1	1	NANCE, JULIE A PHD	3/3/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	750 B	2870	SAN DIEGO	CA	92101	8114	37	06073	32.71782447	-117.157905	San Diego County
50431	Fee-for-Service	1457397838	1457397838	1	4	NORTHERN CALIFORNIA	1/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	IMAGING ASSC MED GRP INC	1 MADRONE ST	None	WILLITS	CA	95490	4225	23	06045	39.40088064	-123.3510718	Mendocino County
50472	Fee-for-Service	1619938099	1619938099	1	1	NALBANDIAN, ALLEN B MD	2/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	54742	41	Internal Medicine	0	In state provider	None	15725 POMERADO RD	None	POWAY	CA	92064	2068	37	06073	33.00037882	-117.0580735	San Diego County
50509	Fee-for-Service	1750393617	1750393617	1	1	NAKAGUCHI, PETER M MD	8/21/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	78162	40	Pediatrics	0	In state provider	None	1524 MCHENRY AVE	STE 550 & 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
50510	Fee-for-Service	1497737522	1497737522	1	1	NEW WEST REHAB INC	10/31/1996	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	630 S MAIN ST	STE C	SANTA ANA	CA	92701	5716	30	06059	33.73975912	-117.8677347	Orange County
50515	Fee-for-Service	1396922068	1396922068	1	1	NGUYEN, HUU MD	2/12/2018	207R00000X	NA	Other	026	PHYSICIANS	32220	41	Internal Medicine	0	In state provider	None	1220 HEMLOCK WAY	STE 102	SANTA ANA	CA	92707	3656	30	06059	33.70975375	-117.8842792	Orange County
50521	Fee-for-Service	1508923160	1508923160	2	1	NEMEH, MOUFID N MD	9/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	43231	45	Nephrology (Renal-Kidney)	0	In state provider	None	200 MED PLAZA #365	None	LOS ANGELES	CA	90095	8344	19	06037	34.06527974	-118.4462792	Los Angeles County
50543	Fee-for-Service	1417321746	1417321746	1	1	NORTH COUNTY HEALTH PROJECT	5/22/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INC	1675 N PERRIS BLVD	STE G1	PERRIS	CA	92571	4748	33	06065	33.802137	-117.2260135	Riverside County
50587	Fee-for-Service	1013199264	1013199264	1	2	NORTHEAST VALLEY HEALTH CORP	6/1/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	7107 REMMET AVE	None	CANOGA PARK	CA	91303	2016	19	06037	34.199406	-118.6003185	Los Angeles County
50696	Fee-for-Service	1821147786	1821147786	1	20	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1010 NUT TREE ROAD	SUITE 170	VACAVILLE	CA	95687	4176	48	06095	38.35458369	-121.9530637	Solano County
50707	Fee-for-Service	1588807739	1588807739	1	1	NGO-REYES, LINH N PT	3/6/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
50727	Fee-for-Service	1891289443	1891289443	1	1	NGUYEN, STEVEN DO	9/1/2022	207P00000X	NA	Other	026	PHYSICIANS	19923	None	None	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
50734	Fee-for-Service	1750319620	1750319620	1	1	NELSON, GREGG B MD	1/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	64604	79	Neurology-Child	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
50749	Fee-for-Service	1588612881	1588612881	1	2	NGUYEN, HIEP D MD	10/22/2020	207R00000X	NA	Other	026	PHYSICIANS	73583	41	Internal Medicine	0	In state provider	None	2800 BENEDICT DR	None	SAN LEANDRO	CA	94577	6840	01	06001	37.71593435	-122.131151	Alameda County
50780	Fee-for-Service	1730683350	1730683350	1	1	NESHEIWAT, OMAR MD	10/19/2023	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	174804	None	None	0	In state provider	None	2190 LYNN RD	SUITE 380	THOUSAND OAKS	CA	91360	1856	56	06111	34.20728091	-118.8855456	Ventura County
50797	Fee-for-Service	1013290451	1013290451	1	1	NAGA, YEHIA MD	3/13/2025	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
50799	Fee-for-Service	1750393617	1750393617	1	1	NAKAGUCHI, PETER M MD	7/1/2004	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	1524 MCHENRY AVE	STE 550 & 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
50812	Fee-for-Service	1205425683	1205425683	1	1	NAVASCA, MARK B OT	12/16/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
50824	Fee-for-Service	1851396691	1851396691	1	1	NICHOLS, KELLY B MD	10/30/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	09	Gynecology (D.O. only)	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
50828	Fee-for-Service	1417321746	1417321746	1	1	NORTH COUNTY HEALTH PROJECT	6/15/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INC	1675 N PERRIS BLVD	STE G1	PERRIS	CA	92571	4748	33	06065	33.802137	-117.2260135	Riverside County
50841	Fee-for-Service	1225238306	1225238306	1	1	NORRIS, ANDREW G MD	7/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121190	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	3000 Q STREET	None	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
50846	Fee-for-Service	1629675830	1629675830	1	1	NESIS, LILLIAN RCP	2/11/2022	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	450 6TH AVE	None	SAN FRANCISCO	CA	94118	3010	38	06075	37.7802547	-122.4642049	San Francisco County
50876	Fee-for-Service	1013199264	1013199264	1	2	NORTHEAST VALLEY HEALTH CORP	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	7107 REMMET AVE	None	CANOGA PARK	CA	91303	2016	19	06037	34.199406	-118.6003185	Los Angeles County
50921	Fee-for-Service	1477623460	1477623460	2	1	NURSES PLUS HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11060 ARTESIA BLVD	SUITE C	CERRITOS	CA	90703	2543	19	06037	33.87284866	-118.0979371	Los Angeles County
51010	Fee-for-Service	1265628820	1265628820	1	1	NEDELISKY ZEMAN, ANNA N PHD	2/23/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
51022	Fee-for-Service	1659906030	1659906030	1	2	NANCY P COLLINS LMFT INC	5/10/2023	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	4701 VON KARMAN AVE	STE 331	NEWPORT BEACH	CA	92660	8150	30	06059	33.66894215	-117.8600003	Orange County
51070	Fee-for-Service	1174234777	1174234777	1	1	NEW PERCEPTIONS NORTH, LLC	5/3/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1489 W. LACEY BLVD	SUITE 105	HANFORD	CA	93230	5957	16	06031	36.32797183	-119.6681338	Kings County
51093	Fee-for-Service	1558762716	1558762716	1	1	NOVOA, MARINES M	9/25/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3454 HILLCREST AVE	None	ANTIOCH	CA	94531	8238	07	06013	37.98739901	-121.7808007	Contra Costa County
51112	Fee-for-Service	1851396691	1851396691	1	1	NICHOLS, KELLY B MD	10/30/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	15	Obstetrics (D.O. only)	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
51116	Fee-for-Service	1417321746	1417321746	1	1	NORTH COUNTY HEALTH PROJECT	4/14/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INC	1675 N PERRIS BLVD	STE G1	PERRIS	CA	92571	4748	33	06065	33.802137	-117.2260135	Riverside County
51139	Fee-for-Service	1699708222	1699708222	1	1	NOUNEH, NAJI MD	9/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	90121	41	Internal Medicine	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
51169	Fee-for-Service	1013199264	1013199264	1	1	NORTHEAST VALLEY HEALTH CORP	4/17/2008	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SUN VALLEY HEALTH CENTER	7223 FAIR AVE	None	SUN VALLEY	CA	91352	4964	19	06037	34.201944	-118.374718	Los Angeles County
51205	Fee-for-Service	1477623460	1477623460	2	1	NURSES PLUS HOSPICE, INC	11/7/2008	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11060 ARTESIA BLVD	SUITE C	CERRITOS	CA	90703	2543	19	06037	33.87284866	-118.0979371	Los Angeles County
51227	Fee-for-Service	1356625255	1356625255	1	1	NASHED, EHAB S MD	12/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	127429	40	Pediatrics	0	In state provider	None	25485 MEDICAL CENTER DR	STE 220	MURRIETA	CA	92562	6927	33	06065	33.55785761	-117.1842222	Riverside County
51265	Fee-for-Service	1851351894	1851351894	1	1	NGUYEN, KEN DO	7/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	6914	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
51272	Fee-for-Service	1053065474	1053065474	1	1	N. NICOLE MOAYERI, MD INC	4/6/2022	207T00000X	NA	General Surgery	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	2410 FLETCHER AVE FL 3	None	SANTA BARBARA	CA	93105	4876	42	06083	34.43003406	-119.7251391	Santa Barbara County
51311	Fee-for-Service	1659906030	1659906030	1	2	NANCY P COLLINS LMFT INC	5/10/2023	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	4701 VON KARMAN AVE	STE 331	NEWPORT BEACH	CA	92660	8150	30	06059	33.66894215	-117.8600003	Orange County
51360	Fee-for-Service	1811938749	1811938749	1	1	NADJAT-HAIEM, CARSTEN MD	8/5/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74734	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
51401	Fee-for-Service	1063091858	1063091858	1	1	NAJERA, JACQUELYN D LCSW	12/26/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
51407	Fee-for-Service	1417321746	1417321746	1	1	NORTH COUNTY HEALTH PROJECT	6/15/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INC	1675 N PERRIS BLVD	STE G1	PERRIS	CA	92571	4748	33	06065	33.802137	-117.2260135	Riverside County
51450	Fee-for-Service	1659394021	1659394021	1	1	NATTIV, AURELIA MD	2/28/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	59607	08	Family Practice	0	In state provider	BH 134 CHS	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
51452	Fee-for-Service	1932542750	1932542750	1	1	NGUYEN, RACHEL R MD	3/21/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	134079	36	Psychiatry	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
51455	Fee-for-Service	1013199264	1013199264	1	1	NORTHEAST VALLEY HEALTH CORP	3/11/2009	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SUN VALLEY HEALTH CENTER	7223 FAIR AVE	None	SUN VALLEY	CA	91352	4964	19	06037	34.201944	-118.374718	Los Angeles County
51469	Fee-for-Service	1568922599	1568922599	1	1	NGO, HELEN NP	7/23/2019	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11360 MOUNTAIN VIEW AVE	STE B	LOMA LINDA	CA	92354	3834	36	06071	34.04666844	-117.2436991	San Bernardino County
51486	Fee-for-Service	1427169671	1427169671	1	1	NGUYEN, DUC M DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	HEALTH CHIROPRACTIC CLNC	1610 MCKEE RD	STE 20	SAN JOSE	CA	95116	1259	43	06085	37.35644806	-121.8631036	Santa Clara County
51491	Fee-for-Service	1245452937	1245452937	1	1	NICOLAE, SILVIA MD	9/5/2023	207L00000X	NA	Other	026	PHYSICIANS	87357	None	None	0	In state provider	None	1650 CREEKSIDE DRIVE	None	FOLSOM	CA	95630	3400	34	06067	38.67021	-121.145382	Sacramento County
51512	Fee-for-Service	1578590659	1578590659	1	1	NEEDMAN, MARK R MD	2/23/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	48491	41	Internal Medicine	0	In state provider	None	1920 COLORADO BLVD	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
51545	Fee-for-Service	1346330172	1346330172	1	1	NEDJAT-HAIEM, BEATRICE	7/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	77472	40	Pediatrics	0	In state provider	MD	2850 ARTESIA BLVD	STE 105	REDONDO BEACH	CA	90278	3412	19	06037	33.87277554	-118.357191	Los Angeles County
51547	Fee-for-Service	1821204314	1821204314	1	1	NIEN SHY, YIH LIN MD	9/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	130940	13	Neurology (M.D. only)	0	In state provider	None	26520 CACTUS AVE	STE A2006	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
51567	Fee-for-Service	1538418397	1538418397	1	1	NWIGWE, CHUKWUEM S	1/15/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1526 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
51594	Fee-for-Service	1720085137	1720085137	1	1	NCH HEALTHCARE SYSTEM	12/24/2006	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	350 7TH ST NORTH	None	NAPLES	FL	34102	5730	00	None	26.15048274	-81.79942723	Collier County
51625	Fee-for-Service	1649686684	1649686684	1	1	NIVANO CARE MEDICAL GROUP IN	9/2/2014	193200000X	NA	Other	026	PHYSICIANS	73939	45	Nephrology (Renal-Kidney)	0	In state provider	None	1101 SMITH LANE	None	ROSEVILLE	CA	95661	4103	31	06061	38.73801017	-121.2748212	Placer County
51669	Fee-for-Service	1497065767	1497065767	1	1	NEAL, JAMIE M LCSW	5/17/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2068 ORANGE TREE LANE	216	REDLANDS	CA	92374	0109	36	06071	34.0679639	-117.2250148	San Bernardino County
51704	Fee-for-Service	1437443413	1437443413	1	1	NOUD, MICHAEL J MD	12/7/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116438	None	None	0	In state provider	None	4002 VISTA WAY	None	OCEANSIDE	CA	92056	4506	37	06073	33.1857	-117.290538	San Diego County
51723	Fee-for-Service	1740227297	1740227297	1	1	NAGAR, DINESH MD	3/23/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	82253	41	Internal Medicine	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
51740	Fee-for-Service	1467542266	1467542266	1	1	NECHES,RICHARD B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	111 E 210TH ST	None	BRONX	NY	10469	0000	00	None	40.879872	-73.8798975	Bronx County
51742	Fee-for-Service	1013199264	1013199264	1	1	NORTHEAST VALLEY HEALTH CORP	4/17/2008	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SUN VALLEY HEALTH CENTER	7223 FAIR AVE	None	SUN VALLEY	CA	91352	4964	19	06037	34.201944	-118.374718	Los Angeles County
51772	Fee-for-Service	1962414326	1962414326	1	1	NEALEN, ANNE M. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	SCH CLINICS	10TH & TACOMA AVE	None	SUNNYSIDE	WA	98944	0000	00	None	46.32142194	-120.0058985	Yakima County
51779	Fee-for-Service	1558449314	1558449314	1	1	NIIZAWA, CHARLENE M MD	7/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	77048	None	None	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
51834	Fee-for-Service	1124028568	1124028568	1	1	NELSEN, MICHAEL R. MD	12/31/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	PLAZA ONE 202 N DIVISION	None	AUBURN	WA	98002	0000	00	None	47.3066897	-122.2117967	King County
51884	Fee-for-Service	1720085137	1720085137	1	1	NCH HEALTHCARE SYSTEM	12/24/2006	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	350 7TH ST NORTH	None	NAPLES	FL	34102	5730	00	None	26.15048274	-81.79942723	Collier County
51909	Fee-for-Service	1447437462	1447437462	1	1	NORTHEAST VALLEY HEALTH	7/1/1994	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	12756 VAN NUYS BLVD	None	PACOIMA	CA	91331	1696	19	06037	34.27415381	-118.4110145	Los Angeles County
51949	Fee-for-Service	1013411214	1013411214	1	1	NGUYEN, ANNA DO	7/1/2022	207P00000X	NA	Other	026	PHYSICIANS	17754	None	None	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
51964	Fee-for-Service	1912523655	1912523655	1	1	NATH, NIKITAA MD	12/8/2023	207R00000X	NA	Other	026	PHYSICIANS	192129	None	None	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
52027	Fee-for-Service	1316407562	1316407562	1	1	NGUYEN, KEVIN N DPM	8/2/2024	213E00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
52106	Fee-for-Service	1720086556	1720086556	1	1	NGUYEN, VINH Q MD	2/28/1990	207R00000X	NA	Other	026	PHYSICIANS	53256	41	Internal Medicine	0	In state provider	None	200 JOSE FIGUERES AVE	STE 460	SAN JOSE	CA	95116	1593	43	06085	37.36122014	-121.8505998	Santa Clara County
52123	Fee-for-Service	1386898203	1386898203	1	1	N M HOLDERMAN HOSPITAL	4/6/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	YOUNTVILLE	CA	94599	0000	28	06055	38.39765811	-122.3590658	Napa County
52188	Fee-for-Service	1770636557	1770636557	1	1	NGUYEN, DIEN D OD	10/16/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
52205	Fee-for-Service	1962664847	1962664847	1	1	NASR, NAHID MD	10/20/2008	207L00000X	NA	Other	026	PHYSICIANS	98292	None	None	0	In state provider	None	3630 EAST IMPERIAL HWY	None	LYNWOOD	CA	90262	2653	19	06037	33.93112671	-118.2035532	Los Angeles County
52236	Fee-for-Service	1477624393	1477624393	1	1	NODA, HIROKI R MD	12/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74095	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
52329	Fee-for-Service	1356427603	1356427603	1	1	NAYANA SHAH M.D. INC.	11/27/2019	101YP2500X	NA	Other	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	SERVICES	16152 BEACH BLVD	#200	HUNTINGTON BEACH	CA	92647	3806	30	06059	33.72889962	-117.9891397	Orange County
52344	Fee-for-Service	1821124397	1821124397	1	1	NGUYEN, JIMMY T OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	EYE DOCTOR OPTOMETRY	9972 BOLSA AVE	STE 105	WESTMINSTER	CA	92683	6069	30	06059	33.74482609	-117.9554597	Orange County
52412	Fee-for-Service	1386898203	1386898203	1	1	N M HOLDERMAN HOSPITAL	4/10/1986	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	YOUNTVILLE	CA	94599	0000	28	06055	38.39765811	-122.3590658	Napa County
52424	Fee-for-Service	1952622052	1952622052	1	1	NGUYEN, MAIUYEN T MD	9/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126878	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5821 JAMESON CT	None	CARMICHAEL	CA	95608	0890	34	06067	38.651409	-121.3290945	Sacramento County
52446	Fee-for-Service	1659714533	1659714533	1	1	NGUYEN, THO T DPM	4/15/2020	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	24640 JEFFERSON AVE STE	None	MURRIETA	CA	92562	9027	33	06065	33.56027016	-117.2095112	Riverside County
52464	Fee-for-Service	1548878184	1548878184	1	1	NAKAMURA, LINDSAY LMFT	3/18/2021	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	601 E DAILY DR	210	CAMARILLO	CA	93010	5806	56	06111	34.21906637	-119.0621709	Ventura County
52478	Fee-for-Service	1740506682	1740506682	1	1	NEAVES, BRITTANIE I MD	7/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	121254	41	Internal Medicine	0	In state provider	None	2710 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78449066	-124.1414748	Humboldt County
52496	Fee-for-Service	1952187296	1952187296	1	1	NGUYEN, RYAN NP	8/17/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	18672 FLORIDA ST	#100	HUNTINGTON BEACH	CA	92648	1917	30	06059	33.691185	-117.9910425	Orange County
52522	Fee-for-Service	1275037814	1275037814	1	1	NOOR, BENJAMIN MD	4/18/2022	207R00000X	NA	Other	026	PHYSICIANS	165350	None	None	0	In state provider	None	8670 WILSHIRE BLVD	STE 200	BEVERLY HILLS	CA	90211	2930	19	06037	34.06629779	-118.3807407	Los Angeles County
52618	Fee-for-Service	1356427603	1356427603	1	1	NAYANA SHAH M.D. INC.	11/27/2019	101YP2500X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	SERVICES	16152 BEACH BLVD	#200	HUNTINGTON BEACH	CA	92647	3806	30	06059	33.72889962	-117.9891397	Orange County
52651	Fee-for-Service	1487770871	1487770871	1	1	NASEER, BILAL MD	4/25/2011	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	108471	77	Infectious Disease	0	In state provider	None	77 CADILLAC DRIVE	SUITE 210	SACRAMENTO	CA	95825	5423	34	06067	38.572551	-121.4181585	Sacramento County
52699	Fee-for-Service	1366464653	1366464653	1	1	NAKRA, TANUJ MD	6/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	83435	18	Ophthalmology	0	In state provider	None	200 STEIN PLAZA	RM 1-340	LOS ANGELES	CA	90024	7002	19	06037	34.06482757	-118.4443441	Los Angeles County
52795	Fee-for-Service	1356654065	1356654065	1	1	NEARHOOF, AMY L LCSW	8/12/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 MONTGOMERY	STE 204	SAN FRANCISCO	CA	94104	1902	38	06075	37.7923269	-122.4026145	San Francisco County
52811	Fee-for-Service	1245720978	1245720978	1	1	NEELAM, PRANU R DO	5/6/2022	207R00000X	NA	Other	026	PHYSICIANS	19192	None	None	0	In state provider	None	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	43	06085	37.36893518	-122.0779448	Santa Clara County
52846	Fee-for-Service	1992820518	1992820518	1	1	NICKERSON, EDWARD C PT	7/11/2020	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1252 BROADWAY	SUITE B	PLACERVILLE	CA	95667	5806	09	06017	38.73128098	-120.7852781	El Dorado County
52870	Fee-for-Service	1134756596	1134756596	1	1	NGUYEN, RYAN H MD	3/26/2024	207L00000X	NA	Other	026	PHYSICIANS	186078	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
52988	Fee-for-Service	1164954566	1164954566	1	1	NDUKWE, MICHAEL C MD	8/12/2022	207L00000X	NA	Other	026	PHYSICIANS	172134	None	None	0	In state provider	None	38600 MEDICAL CENTER DR	None	PALMDALE	CA	93551	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
53017	Fee-for-Service	1932367968	1932367968	1	1	NAZARIO MALAVE, MARICARMEN	10/1/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	MD	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
53030	Fee-for-Service	1578038360	1578038360	1	1	NICK'S MAPLE HOME LLC	7/17/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	9008 S MAPLE AVE	None	FONTANA	CA	92335	6038	36	06071	34.09044904	-117.405286	San Bernardino County
53034	Fee-for-Service	1104067230	1104067230	1	1	NGUYEN, KHAI H MD	9/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102172	38	Geriatrics	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
53183	Fee-for-Service	1205152006	1205152006	1	1	NAKAI, JUNKO MD	10/14/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	110795	40	Pediatrics	0	In state provider	None	1201 WEST LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
53185	Fee-for-Service	1679658041	1679658041	1	1	NORTON, TRACEY L DO	7/12/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	4911	08	Family Practice	0	In state provider	None	1350 N ALTADENA DR	STE 100	PASADENA	CA	91107	1488	19	06037	34.16938442	-118.0982267	Los Angeles County
53202	Fee-for-Service	1982754305	1982754305	1	1	NEUROLOGY CONSULTANTS	5/4/1982	174400000X	NA	Other	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MED GRP	12291 WASHINGTON BLVD	STE 303	WHITTIER	CA	90606	2550	19	06037	33.96734104	-118.0508773	Los Angeles County
53218	Fee-for-Service	1275710964	1275710964	1	3	NAVDEEP LOOMBA MD INC.	12/1/2019	208VP0014X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	15632 BEAR VALLEY ROAD	108	VICTORVILLE	CA	92395	8518	36	06071	34.47085445	-117.3226975	San Bernardino County
53322	Fee-for-Service	1104067230	1104067230	1	1	NGUYEN, KHAI H MD	9/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102172	41	Internal Medicine	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
53343	Fee-for-Service	1104057827	1104057827	1	1	NG, CHUN F MD	9/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	118621	68	Hematology	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
53384	Fee-for-Service	1043830326	1043830326	1	1	NAJAR, JULIE	6/19/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	190352	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
53394	Fee-for-Service	1467168245	1467168245	1	1	NANA'S DREAM HOUSE CORP	3/23/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	7333 IRVINE AVE	None	NORTH HOLLYWOOD	CA	91605	0000	19	06037	34.20398817	-118.3856704	Los Angeles County
53406	Fee-for-Service	1649309493	1649309493	1	1	NELSON, TIANNA D LMFT	12/2/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	35588	-	NOT APPLICABLE	0	In state provider	None	2101 ALEXIAN DRIVE	SUITE 110	SAN JOSE	CA	95116	1901	43	06085	37.35943657	-121.848055	Santa Clara County
53473	Fee-for-Service	1679658041	1679658041	1	1	NORTON, TRACEY L DO	7/12/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	4911	01	General Practice	0	In state provider	None	1350 N ALTADENA DR	STE 100	PASADENA	CA	91107	1488	19	06037	34.16938442	-118.0982267	Los Angeles County
53494	Fee-for-Service	1932806197	1932806197	1	1	NOLAN, STEVEN PT	2/13/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1922 HACIENDA DR	None	VISTA	CA	92081	0000	37	06073	33.1855682	-117.2834788	San Diego County
53498	Fee-for-Service	1275710964	1275710964	1	3	NAVDEEP LOOMBA MD INC.	12/1/2019	208VP0014X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	15632 BEAR VALLEY ROAD	108	VICTORVILLE	CA	92395	8518	36	06071	34.47085445	-117.3226975	San Bernardino County
53502	Fee-for-Service	1316179336	1316179336	1	1	NAGARAJU, LAKSHMI MD	7/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121838	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
53538	Fee-for-Service	1619073780	1619073780	1	2	NORTHERN PENINSULA	5/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	52407	77	Infectious Disease	0	In state provider	INFECTIOUS DISEASE	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	4506	41	06081	37.592811	-122.382351	San Mateo County
53550	Fee-for-Service	1801898358	1801898358	1	1	NISKANEN, GRANT W MD	10/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	08	Family Practice	1	Border provider	None	2801 DAGGETT AVE	None	KLAMATH FALLS	OR	97601	1106	00	None	42.25271647	-121.787181	Klamath County
53665	Fee-for-Service	1497137285	1497137285	1	1	NG, ELAYNA M MD	9/20/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	146714	40	Pediatrics	0	In state provider	None	275 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5641	01	06001	37.82397231	-122.2578822	Alameda County
53668	Fee-for-Service	1699154799	1699154799	1	1	NGUYEN, TIEU VY MD	5/23/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	162468	18	Ophthalmology	0	In state provider	None	200 STEIN PLAZA	#1-340	LOS ANGELES	CA	90095	7001	19	06037	34.06482757	-118.4443441	Los Angeles County
53726	Fee-for-Service	1992838684	1992838684	1	1	NARANJO, JORGE MD	2/8/2015	2084P0800X	NA	Psychiatry	026	PHYSICIANS	62504	36	Psychiatry	0	In state provider	None	4542 RUFFNER STREET	SUITE 150	SAN DIEGO	CA	92111	2238	37	06073	32.82332171	-117.1572356	San Diego County
53783	Fee-for-Service	1518049733	1518049733	1	1	NAVA, ADOLPH J MD	10/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	42620	01	General Practice	0	In state provider	None	118 N AKERS ST	None	VISALIA	CA	93291	5121	54	06107	36.330588	-119.3484465	Tulare County
53826	Fee-for-Service	1932134699	1932134699	1	1	NGUYEN, GIAO T DPM	3/22/2011	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	975 SAINT JOHN PL	STE B	HEMET	CA	92543	4428	33	06065	33.74848649	-116.9619975	Riverside County
53833	Fee-for-Service	1780212886	1780212886	1	1	NEWCOMB, AVERY MD	2/15/2024	207P00000X	NA	Other	026	PHYSICIANS	188905	None	None	0	In state provider	None	275 HOSPITAL DR	None	UKIAH	CA	95482	4531	23	06045	39.15305697	-123.2037774	Mendocino County
53873	Fee-for-Service	1073909859	1073909859	1	1	NELLIE GAIL URGENT CARE MEDI	3/28/2018	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CAL CORP	27001 MOULTON PKWY	SUITE A-102	LAGUNA HILLS	CA	92656	3626	30	06059	33.57086878	-117.7000485	Orange County
53920	Fee-for-Service	1386887263	1386887263	1	1	NORDIN, JEFFREY B CRNA	7/2/2009	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
53926	Fee-for-Service	1437226362	1437226362	1	1	NAM, JEESUN MD	10/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	83835	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
53928	Fee-for-Service	1366485732	1366485732	1	1	NGUYEN, ANH N MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	35475	08	Family Practice	0	In state provider	None	780 E GILBERT ST	None	SAN BERNARDINO	CA	92415	1003	36	06071	34.1268333	-117.2705634	San Bernardino County
53990	Fee-for-Service	1982002598	1982002598	1	1	NGUYEN, QUANG B MD	2/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	64392	01	General Practice	0	In state provider	None	9191 WESTMINSTER AVE	None	GARDEN GROVE	CA	92844	2751	30	06059	33.75946879	-117.9688437	Orange County
54006	Fee-for-Service	1376592519	1376592519	1	2	NEVADA EM-I SILVER/HOMAN	1/11/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	2075 E FLAMINGO RD	None	LAS VEGAS	NV	89119	5188	00	None	36.112671	-115.1248725	Clark County
54017	Fee-for-Service	1578679304	1578679304	1	1	NAPONIC, MEARL A MD	11/20/1972	174400000X	NA	Other	026	PHYSICIANS	13970	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5565 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3020	37	06073	32.77978322	-117.0094766	San Diego County
54070	Fee-for-Service	1518049733	1518049733	1	1	NAVA, ADOLPH J MD	10/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	42620	41	Internal Medicine	0	In state provider	None	118 N AKERS ST	None	VISALIA	CA	93291	5121	54	06107	36.330588	-119.3484465	Tulare County
54125	Fee-for-Service	1841302627	1841302627	1	1	NII, DUANE Y MD INC	2/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	47758	18	Ophthalmology	0	In state provider	None	1648 E HERNDON AVE	STE 101	FRESNO	CA	93720	3381	10	06019	36.83757677	-119.7568043	Fresno County
54160	Fee-for-Service	1972655199	1972655199	1	1	NAGANO, VICKI E MD	8/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	58642	01	General Practice	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
54177	Fee-for-Service	1801992631	1801992631	1	1	NYU HOSPITALS CENTER	10/14/2007	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	550 FIRST AVENUE	None	NEW YORK	NY	10016	6402	00	None	40.742307	-73.974303	New York County
54212	Fee-for-Service	1366485732	1366485732	1	1	NGUYEN, ANH N MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	35475	66	Emergency Medicine (Urgent Care)	0	In state provider	None	780 E GILBERT ST	None	SAN BERNARDINO	CA	92415	1003	36	06071	34.1268333	-117.2705634	San Bernardino County
54292	Fee-for-Service	1790711588	1790711588	1	1	NG, CHRISTOPHER C MD	1/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	58520	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
54309	Fee-for-Service	1578679304	1578679304	1	1	NAPONIC, MEARL A MD	11/20/1972	174400000X	NA	Other	026	PHYSICIANS	13970	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5565 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3020	37	06073	32.77978322	-117.0094766	San Diego County
54333	Fee-for-Service	1821128166	1821128166	1	1	NICHOLS, ERICA G CRNA	4/20/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
54430	Fee-for-Service	1043471758	1043471758	1	1	NGUYEN-LE, TRANG Q DO	5/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	2850 W HORIZON RIDGE PKW	SUITE 100	HENDERSON	NV	89052	4395	00	None	35.99891303	-115.1118503	Clark County
54433	Fee-for-Service	1295773836	1295773836	1	1	NG, SZE W MD	4/24/1996	261QP2300X	NA	Other	026	PHYSICIANS	53426	40	Pediatrics	0	In state provider	A PROFESSIONAL CORP	500 N GARFIELD AVE	STE 109	MONTEREY PARK	CA	91754	1242	19	06037	34.0674894	-118.1228646	Los Angeles County
54458	Fee-for-Service	1568551125	1568551125	1	1	NA, SULKYUNG JASMIN OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	16300 CRENSHAW BLVD	STE 213	TORRANCE	CA	90504	1439	19	06037	33.88242243	-118.3264875	Los Angeles County
54465	Fee-for-Service	1801992631	1801992631	1	1	NYU HOSPITALS CENTER	10/14/2007	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	550 FIRST AVENUE	None	NEW YORK	NY	10016	6402	00	None	40.742307	-73.974303	New York County
54485	Fee-for-Service	1851315667	1851315667	1	1	NOH, TAE W MD	6/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	48314	None	None	0	In state provider	None	2101 FOREST AVE	STE 102	SAN JOSE	CA	95128	1472	43	06085	37.3270795	-121.93731	Santa Clara County
54512	Fee-for-Service	1679834006	1679834006	1	1	NAJARRO, JUAN F MD	7/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	133042	01	General Practice	0	In state provider	None	25455 BARTON RD	STE 108 A	LOMA LINDA	CA	92354	3128	36	06071	34.04805253	-117.249534	San Bernardino County
54562	Fee-for-Service	1306910559	1306910559	1	1	NABER, CHRISTINE M PHD	2/26/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3559 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	1763	49	06097	38.47813376	-122.7279674	Sonoma County
54578	Fee-for-Service	1790711588	1790711588	1	1	NG, CHRISTOPHER C MD	1/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	58520	01	General Practice	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
54580	Fee-for-Service	1033477302	1033477302	1	1	NGUYEN, ANH THU T MD	10/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136319	40	Pediatrics	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
54629	Fee-for-Service	1710402649	1710402649	1	1	NGUYEN, KAITLYN T LMFT	2/4/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
54639	Fee-for-Service	1306026299	1306026299	1	1	NGUYEN, MINHTAM T OD	8/8/2013	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	730 STORY RD	STE 8	SAN JOSE	CA	95122	2624	43	06085	37.3292404	-121.8586317	Santa Clara County
54641	Fee-for-Service	1538158878	1538158878	1	1	NADEEM AHMED MD	9/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1400 LOCUST ST	None	PITTSBURGH	PA	15219	5114	00	None	40.43680965	-79.98536742	Allegheny County
54683	Fee-for-Service	1730479700	1730479700	1	1	NAMDARI, BAHRAM DO	8/9/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	13878	05	Anesthesiology	0	In state provider	None	1600 N ROSE AVE	None	OXNARD	CA	93030	3723	56	06111	34.21700406	-119.1582582	Ventura County
54699	Fee-for-Service	1417699869	1417699869	1	1	NGUYEN, NINA NP	11/14/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4520 EXECUTIVE DRIVE	#227	SAN DIEGO	CA	92121	3020	37	06073	32.87608747	-117.2097763	San Diego County
54724	Fee-for-Service	1962865683	1962865683	1	1	NGUYEN, BICH-HA L MD	7/31/2019	207R00000X	NA	Other	026	PHYSICIANS	162313	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
54877	Fee-for-Service	1932596103	1932596103	1	1	NGUYEN, ANDREW B MD	10/19/2020	207W00000X	NA	Ophthalmology	026	PHYSICIANS	168786	18	Ophthalmology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
54905	Fee-for-Service	1932621216	1932621216	1	1	NEWPORT PSYCHOLOGY	12/2/2022	103G00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	30 CORPORATE PARK	STE 201	IRVINE	CA	92606	5131	30	06059	33.68877068	-117.8283449	Orange County
54945	Fee-for-Service	1134401201	1134401201	1	1	NIEMEIER, ROBIN J NP	5/11/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
54954	Fee-for-Service	1992757603	1992757603	1	1	NEUMAN, THOMAS DPM	1/1/1979	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	9017 RESEDA BLVD	STE 100	NORTHRIDGE	CA	91324	3969	19	06037	34.234155	-118.5360975	Los Angeles County
55043	Fee-for-Service	1972097418	1972097418	1	1	NICKLE, TYLER DO	7/20/2022	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	19690	None	None	0	In state provider	None	1739 COLORADO AVE	None	TURLOCK	CA	95382	2714	50	06099	37.508976	-120.835306	Stanislaus County
55046	Fee-for-Service	1780173112	1780173112	1	1	NORRIS HOSPICE INC	8/6/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	10319 NORRIS AVE	STE A	PACOIMA	CA	91331	2220	19	06037	34.25711657	-118.4029313	Los Angeles County
55050	Fee-for-Service	1366830515	1366830515	1	1	NEOMEDX MEDICAL ASSOCIATES	2/4/2015	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	1509 WILSON TERRACE	None	GLENDALE	CA	92106	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
55062	Fee-for-Service	1336344696	1336344696	1	1	NIETO, STEVEN S	10/29/2003	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3191B MISSION INN AVE	None	RIVERSIDE	CA	92507	4138	33	06065	33.98022908	-117.3678047	Riverside County
55068	Fee-for-Service	1235743881	1235743881	1	1	NPMD INC	9/22/2021	207QG0300X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	16101 VENTURA	SUITE 300	ENCINO	CA	91436	2500	19	06037	34.15646951	-118.4842635	Los Angeles County
55102	Fee-for-Service	1285992016	1285992016	1	1	NGO, LARRY MD	6/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	129273	40	Pediatrics	0	In state provider	None	25845 BARTON RD	SUITE F	LOMA LINDA	CA	92354	3857	36	06071	34.04824949	-117.2401425	San Bernardino County
55113	Fee-for-Service	1700512555	1700512555	1	1	NORIMOTO, PEARL G OT	10/18/2022	225XH1200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	301 INDUSTRIAL ROAD	None	SAN CARLOS	CA	94070	2603	41	06081	37.51438187	-122.2607682	San Mateo County
55121	Fee-for-Service	1467482547	1467482547	1	1	NAKATA, NORMAN N MD	9/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	27713	20	Orthopedic Surgery	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
55213	Fee-for-Service	1326246828	1326246828	1	1	NORTH COAST SURGICAL SPECIAL	5/1/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CALIFORNIA, INC	2321 HARRISON AVE	None	EUREKA	CA	95501	3216	12	06023	40.786857	-124.1396125	Humboldt County
55237	Fee-for-Service	1144223926	1144223926	1	1	NAVID, FARIBA MD	11/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	145696	78	Neoplastic Diseases/Oncology	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
55334	Fee-for-Service	1780173112	1780173112	1	1	NORRIS HOSPICE INC	8/6/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	10319 NORRIS AVE	STE A	PACOIMA	CA	91331	2220	19	06037	34.25711657	-118.4029313	Los Angeles County
55337	Fee-for-Service	1366830515	1366830515	1	1	NEOMEDX MEDICAL ASSOCIATES	2/4/2015	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1509 WILSON TERRACE	None	GLENDALE	CA	92106	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
55359	Fee-for-Service	1235743881	1235743881	1	1	NPMD INC	9/22/2021	207QG0300X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	16101 VENTURA	SUITE 300	ENCINO	CA	91436	2500	19	06037	34.15646951	-118.4842635	Los Angeles County
55361	Fee-for-Service	1619164175	1619164175	1	1	NGUYEN-STRONGIN, ROSALYNN K	9/9/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	11370 ANDERSON ST	STE 1800	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
55420	Fee-for-Service	1134473796	1134473796	1	1	NOYES, KENDRA E	1/16/2014	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
55452	Fee-for-Service	1841521614	1841521614	1	1	NORTH, JORDAN W CP	4/3/2014	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	4847 OLD REDWOOD HIGHWAY	None	SANTA ROSA	CA	95403	1415	49	06097	38.50164871	-122.7530165	Sonoma County
55468	Fee-for-Service	1851462758	1851462758	1	1	NGUYEN, QUE HP MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	69659	41	Internal Medicine	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
55526	Fee-for-Service	1144223926	1144223926	1	1	NAVID, FARIBA MD	11/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	145696	68	Hematology	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
55527	Fee-for-Service	1598943649	1598943649	1	1	NGUYEN, STEVE DO INC	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7028	41	Internal Medicine	0	In state provider	None	1045 ATLANTIC AVENUE	#808	LONG BEACH	CA	90813	3410	19	06037	33.780267	-118.1850795	Los Angeles County
55562	Fee-for-Service	1902851199	1902851199	1	1	NADIMI, LIDA MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	92035	05	Anesthesiology	0	In state provider	None	1720 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90033	2414	19	06037	34.04925	-118.2177405	Los Angeles County
55584	Fee-for-Service	1629079009	1629079009	1	4	NORTHEAST VALLEY HEALTH	3/8/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14624 SHERMAN WAY	STE 306	VAN NUYS	CA	91405	2288	19	06037	34.20078354	-118.450843	Los Angeles County
55585	Fee-for-Service	1255491510	1255491510	1	1	NATALE, GUY J MD	11/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	45296	41	Internal Medicine	0	In state provider	None	623 W DUARTE RD	STE 8	ARCADIA	CA	91007	7349	19	06037	34.12648672	-118.0522757	Los Angeles County
55600	Fee-for-Service	1770787137	1770787137	1	1	NEISON, ANGELICA R MD	9/3/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112185	08	Family Practice	0	In state provider	None	632 WEST GIBSON ROAD	None	WOODLAND	CA	95695	5143	57	06113	38.66314048	-121.794696	Yolo County
55620	Fee-for-Service	1194016998	1194016998	1	1	NAKAMURA, SHEA Y MFT	11/17/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	85661	-	NOT APPLICABLE	0	In state provider	None	11643 GLENOAKS BLVD	None	PACOIMA	CA	91331	1050	19	06037	34.28133474	-118.4198166	Los Angeles County
55659	Fee-for-Service	1679168389	1679168389	1	1	NARTEA, MA ELENA A NP	3/13/2025	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9000 MING AVE	STE L-1B	BAKERSFIELD	CA	93311	1318	15	06029	35.33989328	-119.1034715	Kern County
55668	Fee-for-Service	1275640542	1275640542	1	1	NAGLIE, RONALD MD	1/1/1990	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	47629	40	Pediatrics	0	In state provider	None	101 CITY BLVD W	BLDG 27	ORANGE	CA	92668	2901	30	06059	33.78564547	-117.8943599	Orange County
55730	Fee-for-Service	1528650629	1528650629	1	1	NGUYEN, THAO P CNP	4/26/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4235 PACIFIC COAST HWY	None	TORRANCE	CA	90505	5525	19	06037	33.80817211	-118.3588219	Los Angeles County
55770	Fee-for-Service	1578713848	1578713848	2	1	NAPOLES, PHYLLIS E MD	9/4/2018	208600000X	NA	General Surgery	026	PHYSICIANS	116965	89	Surgery-Traumatic	0	In state provider	None	2800 L STREET	STE 200	SACRAMENTO	CA	95816	5616	34	06067	38.571237	-121.469958	Sacramento County
55778	Fee-for-Service	1215282025	1215282025	1	1	NANDA, MITALI MD	6/25/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	150219	40	Pediatrics	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
55806	Fee-for-Service	1043246689	1043246689	1	1	NAGAPPAN, POOMBAVAI O. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	12442 SW SCHOLLS FERRY R	None	TIGARD	OR	97223	3396	00	None	45.44368546	-122.8051991	Washington County
55808	Fee-for-Service	1124123054	1124123054	1	1	NAKKIM, ERIC C MD	3/31/1992	207P00000X	NA	Other	026	PHYSICIANS	72119	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1250 16TH ST	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
55814	Fee-for-Service	1598943649	1598943649	1	1	NGUYEN, STEVE DO INC	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7028	10	Gastroenterology (M.D. only)	0	In state provider	None	1045 ATLANTIC AVENUE	#808	LONG BEACH	CA	90813	3410	19	06037	33.780267	-118.1850795	Los Angeles County
55816	Fee-for-Service	1184894545	1184894545	1	1	NGUYEN, LE CHI T CNP	12/10/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1150 BAKER ST	None	COSTA MESA	CA	92626	4111	30	06059	33.68015852	-117.906831	Orange County
55822	Fee-for-Service	1174743348	1174743348	1	1	NGO, BRIAN H DO	7/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	10834	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
55833	Fee-for-Service	1164050597	1164050597	1	1	NABI, SHARMIN MD	9/20/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	26024 ACERO	None	MISSION VIEJO	CA	92691	2768	30	06059	33.61784172	-117.6769661	Orange County
55855	Fee-for-Service	1750434015	1750434015	1	1	NGUYEN, LEEANNA T Q OD	11/13/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
55876	Fee-for-Service	1629079009	1629079009	1	4	NORTHEAST VALLEY HEALTH	7/25/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14624 SHERMAN WAY	STE 306	VAN NUYS	CA	91405	2288	19	06037	34.20078354	-118.450843	Los Angeles County
55929	Fee-for-Service	1427371228	1427371228	1	1	NEMCEFF, DENNIS MD	10/4/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123910	02	General Surgery	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
55989	Fee-for-Service	1275222135	1275222135	1	1	NVM COMFORT HOMES LLC	6/7/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	16473 MCKEEVER ST	None	GRANADA HILLS	CA	91344	3721	19	06037	34.27469351	-118.4911548	Los Angeles County
56005	Fee-for-Service	1235956608	1235956608	1	1	NOVAES, MELISSA	11/4/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2210 DEL PASO RD	None	SACRAMENTO	CA	95834	9671	34	06067	38.655189	-121.5091575	Sacramento County
56045	Fee-for-Service	1447270376	1447270376	1	1	NOWLIS, MATTHEW MD	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66973	66	Emergency Medicine (Urgent Care)	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1079	38	06075	37.7738933	-122.4544685	San Francisco County
56055	Fee-for-Service	1982709606	1982709606	1	1	NGUYEN, TRI V MD	4/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	99027	05	Anesthesiology	0	In state provider	None	500 S MAIN ST	STE 1210	ORANGE	CA	92868	4556	30	06059	33.77991974	-117.8674745	Orange County
56116	Fee-for-Service	1831475136	1831475136	1	1	NELKIN, CORY S DO	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13311	41	Internal Medicine	0	In state provider	None	2185 CITRACADO PKWY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
56160	Fee-for-Service	1629079009	1629079009	1	4	NORTHEAST VALLEY HEALTH	7/24/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14624 SHERMAN WAY	STE 306	VAN NUYS	CA	91405	2288	19	06037	34.20078354	-118.450843	Los Angeles County
56248	Fee-for-Service	1285696278	1285696278	1	1	NELSON, SCOTT R DO	3/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	12109	66	Emergency Medicine (Urgent Care)	0	In state provider	None	17612 E 17TH ST	None	TUSTIN	CA	92780	1937	30	06059	33.75968738	-117.8248408	Orange County
56282	Fee-for-Service	1093893703	1093893703	1	1	NELSON, RENEE-ALYS MD	8/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	69541	08	Family Practice	0	In state provider	None	3160 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5219	34	06067	38.568393	-121.4658585	Sacramento County
56313	Fee-for-Service	1821581190	1821581190	1	1	NGUYEN, CHRISTINA OD	9/2/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
56340	Fee-for-Service	1760513253	1760513253	1	1	NORTHEY, CHERYL MD	8/18/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	50031	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	75 NEILSON ST	None	WATSONVILLE	CA	95076	2468	44	06087	36.92823955	-121.792905	Santa Cruz County
56361	Fee-for-Service	1649731399	1649731399	1	1	NAIR, RENU DO	9/20/2024	207LP3000X	NA	Other	026	PHYSICIANS	21064	05	Anesthesiology	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
56370	Fee-for-Service	1366466591	1366466591	1	1	NAHID, PAYAM MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67469	41	Internal Medicine	0	In state provider	None	1783 EL CAMINO REAL	None	BURLINGAME	CA	94010	3205	41	06081	37.59324015	-122.3818088	San Mateo County
56417	Fee-for-Service	1326115254	1326115254	1	1	NGUYEN, DAVID M MD	3/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78131	25	Physical Medicine and Rehabilitation	0	In state provider	None	3373 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	2204	15	06029	35.3895987	-119.0087218	Kern County
56421	Fee-for-Service	1053668608	1053668608	1	1	NGUYEN, TAN B MD	6/30/2017	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	130215	30	Radiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
56448	Fee-for-Service	1629079009	1629079009	1	4	NORTHEAST VALLEY HEALTH	7/24/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14624 SHERMAN WAY	STE 306	VAN NUYS	CA	91405	2288	19	06037	34.20078354	-118.450843	Los Angeles County
56453	Fee-for-Service	1740684646	1740684646	1	1	NALGHRANYAN, SOS MD	10/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	146249	41	Internal Medicine	0	In state provider	None	1020 29TH STREET	STE 120	SACRAMENTO	CA	95816	5173	34	06067	38.572803	-121.4685	Sacramento County
56600	Fee-for-Service	1285665570	1285665570	1	1	NICKLES, JULIE P DO	8/11/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16650	None	None	0	In state provider	None	5810 EL CAMINO REAL	STE A	CARLSBAD	CA	92008	8819	37	06073	33.13636931	-117.2729182	San Diego County
56654	Fee-for-Service	1366466591	1366466591	1	1	NAHID, PAYAM MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67469	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1783 EL CAMINO REAL	None	BURLINGAME	CA	94010	3205	41	06081	37.59324015	-122.3818088	San Mateo County
56768	Fee-for-Service	1669610317	1669610317	1	1	NOVALIS-HESHEJIN, LISA D	1/13/2014	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
56814	Fee-for-Service	1871261925	1871261925	1	1	NGAN, BRIAN S CNP	11/16/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	19353 VICTORY BLVD	None	RESEDA	CA	91335	6302	19	06037	34.18659936	-118.5552114	Los Angeles County
56847	Fee-for-Service	1598950651	1598950651	1	1	NGUYEN, MY HANH T NP	1/9/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
56891	Fee-for-Service	1265583587	1265583587	1	1	NUZZO, MICHAEL MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119628	None	None	0	In state provider	None	2210 E. ILLINOIS AVENUE	STE. 401	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
56895	Fee-for-Service	1730285594	1730285594	1	1	NITIN SAJNANI	10/19/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	888 SWIFT BLVD	None	RICHLAND	WA	99352	3514	00	None	46.28046647	-119.28231	Benton County
56978	Fee-for-Service	1164557773	1164557773	1	1	NGUYEN, ROSABELLE L	11/17/2008	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4482 BARRANCA PKWY	STE 195	IRVINE	CA	92604	4706	30	06059	33.68008811	-117.8015383	Orange County
57001	Fee-for-Service	1104315738	1104315738	1	1	NIE, ESTHER H MD	6/28/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	164024	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
57021	Fee-for-Service	1578709440	1578709440	1	1	NATALI, LUIS C MD	7/16/2020	204D00000X	NA	Other	026	PHYSICIANS	115959	13	Neurology (M.D. only)	0	In state provider	None	2110 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3703	15	06029	35.37344851	-119.0261655	Kern County
57036	Fee-for-Service	1902225212	1902225212	1	1	NEW LIGHT PHYSICAL THERAPY A	4/5/2022	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ND WELLNESS CENTER	3 CORPORATE PARK	SUITE #165	IRVINE	CA	92606	5161	30	06059	33.69055394	-117.8260389	Orange County
57041	Fee-for-Service	1750481651	1750481651	1	1	NANGALAMA, ANDREW MD	11/25/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	62253	-	NOT APPLICABLE	0	In state provider	None	1513 SPORTS DRIVE	SUITE 100	SACRAMENTO	CA	95834	1904	34	06067	38.648673	-121.496283	Sacramento County
57108	Fee-for-Service	1295702843	1295702843	1	1	NASTANSKI, FRANK C MD	7/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	68851	89	Surgery-Traumatic	0	In state provider	None	999 N TUSTIN AVE	STE 116	SANTA ANA	CA	92705	6505	30	06059	33.754167	-117.834191	Orange County
57179	Fee-for-Service	1508429143	1508429143	1	1	NIKRAVESH, MASTANEH MD	3/18/2025	207R00000X	NA	Other	026	PHYSICIANS	176795	41	Internal Medicine	0	In state provider	None	2732 NAVAJO RD	202A	EL CAJON	CA	92020	2149	37	06073	32.80217534	-117.0025853	San Diego County
57227	Fee-for-Service	1457625055	1457625055	1	1	NORTH BAY CARDIAC THORACIC	7/2/2012	208G00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	AND VASCULAR SURGERY INC	1860 PENNSYLVANIA AVE	STE 110	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
57228	Fee-for-Service	1609194851	1609194851	1	1	NGUYEN, HUY MD	4/16/2025	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	1600 ESPLANADE	SUITE C	CHICO	CA	95926	3369	04	06007	39.74352822	-121.8495394	Butte County
57261	Fee-for-Service	1205528866	1205528866	1	1	NEW LEAF FAMILY THERAPY INC	8/14/2023	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	740 G ST	STE G	REEDLEY	CA	93654	2629	10	06019	36.60007621	-119.4547214	Fresno County
57268	Fee-for-Service	1013618115	1013618115	1	1	NDIFON, CAROLINE NP	7/8/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
57291	Fee-for-Service	1104871219	1104871219	1	1	NOBLE, SUZANNE M MD	7/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85478	77	Infectious Disease	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
57312	Fee-for-Service	1528015542	1528015542	1	1	NICHOLAS R GOUCHER M.D.	12/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4403 HARRISON BLVD	STE 2400	OGDEN	UT	84403	3297	00	None	41.18328	-111.9536955	Weber County
57315	Fee-for-Service	1235181108	1235181108	1	1	NG, JOHN D MD	1/19/2021	207WX0200X	NA	Ophthalmology	026	PHYSICIANS	-	None	None	2	Out of state provider	None	3181 SW SAM JACKSON PARK	RD	PORTLAND	OR	97239	3011	00	None	45.49936609	-122.6856232	Multnomah County
57322	Fee-for-Service	1619471620	1619471620	1	1	NGUYEN, VIEN P MD	8/15/2022	390200000X	NA	Other	026	PHYSICIANS	166569	None	None	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
57396	Fee-for-Service	1689625451	1689625451	1	1	NGUYEN, CUONG V	3/2/1990	207R00000X	NA	Other	026	PHYSICIANS	39154	None	None	0	In state provider	None	9211 BOLSA AVE	STE 220	WESTMINSTER	CA	92683	5571	30	06059	33.74498712	-117.9684267	Orange County
57400	Fee-for-Service	1295702843	1295702843	1	1	NASTANSKI, FRANK C MD	7/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	68851	02	General Surgery	0	In state provider	None	999 N TUSTIN AVE	STE 116	SANTA ANA	CA	92705	6505	30	06059	33.754167	-117.834191	Orange County
57456	Fee-for-Service	1679169650	1679169650	1	1	NOBLE LIFE HOSPICE INC	11/21/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	850 COLORADO BLVD	STE 105	LOS ANGELES	CA	90041	1763	19	06037	34.13949784	-118.1843467	Los Angeles County
57478	Fee-for-Service	1215253943	1215253943	1	1	NATALIE JACOBOWSKI MD	1/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	700 CHILDRENS DR	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
57549	Fee-for-Service	1992990592	1992990592	1	3	NORTHERN CALIFORNIA	1/1/2008	193400000X	NA	Other	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	GASTRO CONSULTANTS INC	2089 VALE RD	#33	SAN PABLO	CA	94806	3850	07	06013	37.95396781	-122.3375393	Contra Costa County
57584	Fee-for-Service	1952397895	1952397895	1	1	NELSON A PRAGER	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	AURORA DENVER CARDIOLOGY	1501 S POTOMAC ST	None	AURORA	CO	80012	5411	00	None	39.689343	-104.832198	Arapahoe County
57590	Fee-for-Service	1710058797	1710058797	1	1	NORTON, JOHN C MD	5/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	86209	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
57626	Fee-for-Service	1760190789	1760190789	1	1	NARAHEALTH INC	8/11/2023	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	11747 FIRESTONE BLVD	STE A	NORWALK	CA	90650	2886	19	06037	33.91335699	-118.0827671	Los Angeles County
57652	Fee-for-Service	1336208925	1336208925	1	1	NUDELMAN, KENNETH A MD	8/23/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	80610	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
57665	Fee-for-Service	1275734162	1275734162	1	1	NAVARRETTE, MICHELLE A CRNA	7/18/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
57684	Fee-for-Service	1942688452	1942688452	1	1	NGUYEN, ANNE DO	1/26/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	18827	None	None	0	In state provider	None	2050 BLUE OAKS BLVD	None	ROSEVILLE	CA	94747	6506	31	06061	38.79182804	-121.3591888	Placer County
57703	Fee-for-Service	1326528282	1326528282	1	1	NITIN GOPINATH	12/1/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	11001 EXECUTIVE CENTER D	STE 200	LITTLE ROCK	AR	72211	4393	00	None	34.736922	-92.402235	Pulaski County
57719	Fee-for-Service	1548508260	1548508260	1	1	NGUYEN, NANCY V	11/13/2014	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	12643	08	Family Practice	0	In state provider	None	7601 HOSPITAL DRIVE	SUITE 103	SACRAMENTO	CA	95823	5408	34	06067	38.464794	-121.415571	Sacramento County
57739	Fee-for-Service	1629066139	1629066139	1	1	NGUYEN, ANH HUYNH MD	1/1/1985	261QP2300X	NA	Other	026	PHYSICIANS	41601	01	General Practice	0	In state provider	None	5026 FRUITRIDGE RD	# 1	SACRAMENTO	CA	95820	5301	34	06067	38.524473	-121.446999	Sacramento County
57742	Fee-for-Service	1497291223	1497291223	1	1	NORTH OAKS DISCOUNT PHARMACY	10/13/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC	1014 E AVENIDA	DE LOS ARBOLES	THOUSAND OAKS	CA	91360	4709	56	06111	34.2078721	-118.8610868	Ventura County
57745	Fee-for-Service	1679169650	1679169650	1	1	NOBLE LIFE HOSPICE INC	11/21/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	850 COLORADO BLVD	STE 105	LOS ANGELES	CA	90041	1763	19	06037	34.13949784	-118.1843467	Los Angeles County
57747	Fee-for-Service	1720229917	1720229917	1	1	NAGHSHINEH, SHEILA MD	12/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106666	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
57762	Fee-for-Service	1114953601	1114953601	1	1	NEGLIO, MICHAEL J MD	7/31/1982	2085B0100X	NA	MRI Provider	026	PHYSICIANS	21983	30	Radiology	0	In state provider	None	1720 BROOKLYN AVE	None	LOS ANGELES	CA	90033	2462	19	06037	34.040502	-118.191954	Los Angeles County
57775	Fee-for-Service	1588949127	1588949127	1	1	NORCAL PATHOLOGY LABORATORY	2/10/2012	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	39350 CIVIC CENTER DRIVE	#412	FREMONT	CA	94538	2331	01	06001	37.55399458	-121.9756047	Alameda County
57822	Fee-for-Service	1598931446	1598931446	1	1	NOR CAL MEDICAL GROUP INC	9/23/2008	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	100 HOSPITAL DR	STE 303	VALLEJO	CA	94589	2583	48	06095	38.13100118	-122.2403008	Solano County
57832	Fee-for-Service	1336503838	1336503838	1	3	NGUYEN, DOAN Q	5/24/2021	2084P0800X	NA	Psychiatry	086	MEDICAL DIRECTORS	153320	-	NOT APPLICABLE	0	In state provider	None	3535 W COMMONWEALTH AVE	None	FULLERTON	CA	92833	2821	30	06059	33.8700505	-117.9749565	Orange County
57883	Fee-for-Service	1861657934	1861657934	1	1	NASHELSKY, SKYE S LMFT	2/12/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2517 MISSION ST	SUITE 9	SAN FRANCISCO	CA	94110	7506	38	06075	37.75672144	-122.4188604	San Francisco County
57923	Fee-for-Service	1366635997	1366635997	1	1	NEWHALL SCHOOL DISTRICT	10/25/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	25375 ORCHARD VILLAGE RD	STE 200	VALENCIA	CA	91355	3000	19	06037	34.3894183	-118.5473263	Los Angeles County
57957	Fee-for-Service	1326016114	1326016114	1	1	NIHIRA, MIKIO A MD	10/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	60383	34	Urology and Urological Surgery	0	In state provider	None	555 TACHEVAH DR	2E107	PALM SPRINGS	CA	92262	5752	33	06065	33.83753681	-116.5424435	Riverside County
57981	Fee-for-Service	1043602543	1043602543	1	1	NATION CARE INC.	9/22/2015	No Taxonomy Provided	NA	None	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	8611 SOUTH CRENSHAW BLVD	SUITE 210	INGLEWOOD	CA	90305	3306	19	06037	33.959376	-118.326517	Los Angeles County
58053	Fee-for-Service	1881772549	1881772549	1	1	NGUYEN, HUAN MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66646	08	Family Practice	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
58065	Fee-for-Service	1427549526	1427549526	1	1	NGANGA, ANNE T	7/16/2018	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	14004 LEMOLI AVENUE	UNIT A	HAWTHORNE	CA	90250	8949	19	06037	33.904368	-118.3308425	Los Angeles County
58085	Fee-for-Service	1508066341	1508066341	1	1	NANDAN, YOGESH MD	5/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98164	01	General Practice	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
58142	Fee-for-Service	1124481809	1124481809	1	1	NGUYEN, AMIE MD	4/8/2020	207KA0200X	NA	Other	026	PHYSICIANS	152137	03	Allergy	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
58212	Fee-for-Service	1699859769	1699859769	1	1	NGUYEN, PAUL T MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	70691	34	Urology and Urological Surgery	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
58230	Fee-for-Service	1427117126	1427117126	1	1	NELSON, SHANAEYA N MD	2/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	78483	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
58244	Fee-for-Service	1730406729	1730406729	1	1	NGUYEN, ALEXANDER H MD	8/23/2021	2086S0129X	NA	General Surgery	026	PHYSICIANS	172357	None	None	0	In state provider	None	820 S AKERS ST	STE 120	VISALIA	CA	93277	8306	54	06107	36.323757	-119.3491755	Tulare County
58245	Fee-for-Service	1326016114	1326016114	1	1	NIHIRA, MIKIO A MD	10/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	60383	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	555 TACHEVAH DR	2E107	PALM SPRINGS	CA	92262	5752	33	06065	33.83753681	-116.5424435	Riverside County
58256	Fee-for-Service	1356887376	1356887376	1	1	NAN, SANOEUN NP	10/4/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
58299	Fee-for-Service	1790190064	1790190064	1	1	NGUYEN, CHERRELLE DPM	11/15/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	724 MEDICAL CENTER DR E	STE 102	CLOVIS	CA	93611	6811	10	06019	36.84107334	-119.6587409	Fresno County
58330	Fee-for-Service	1205000379	1205000379	1	1	NICHOLS, JESSICA R LMFT	6/15/2016	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	204 E BEACH ST	None	WATSONVILLE	CA	95076	4809	44	06087	36.91224802	-121.7541363	Santa Cruz County
58331	Fee-for-Service	1205413770	1205413770	1	1	NGUYEN, LEON	8/8/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	22777	08	Family Practice	0	In state provider	None	480 PLUMAS BLVD	None	YUBA CITY	CA	95991	5005	51	06101	39.13286634	-121.6142652	Sutter County
58353	Fee-for-Service	1427549526	1427549526	1	1	NGANGA, ANNE T	7/16/2018	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	14004 LEMOLI AVENUE	UNIT A	HAWTHORNE	CA	90250	8949	19	06037	33.904368	-118.3308425	Los Angeles County
58372	Fee-for-Service	1275611386	1275611386	1	1	NGUYEN, QUOC D DO	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	6519	41	Internal Medicine	0	In state provider	None	5601 DEER VALLEY RD	None	ANTIOCH	CA	94531	8577	07	06013	37.9518204	-121.7780768	Contra Costa County
58403	Fee-for-Service	1053334995	1053334995	1	1	NGUYEN, MARK Q DO	7/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	12192	41	Internal Medicine	0	In state provider	None	271 TURN PIKE DRIVE	None	FOLSOM	CA	95630	8098	34	06067	38.65509	-121.170042	Sacramento County
58450	Fee-for-Service	1811061419	1811061419	1	1	NOVOTNY, MICHAEL J MD	3/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	64289	07	Dermatology	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
58468	Fee-for-Service	1073799094	1073799094	1	1	NOH, YUM J LAC	2/8/2015	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	3040 W 7TH STREET	None	LOS ANGELES	CA	90005	1452	19	06037	34.05975451	-118.2902895	Los Angeles County
58494	Fee-for-Service	1407890874	1407890874	1	1	NEVADA CVS PHARMACY LLC	1/10/2013	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	1812 E CHARLESTON BLVD	None	LAS VEGAS	NV	89104	1951	00	None	36.15878048	-115.1246835	Clark County
58540	Fee-for-Service	1023518768	1023518768	1	1	NEIGHBORHOOD HEALTHCARE	8/8/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	13010 POWAY RD	None	POWAY	CA	92064	0000	37	06073	32.9566545	-117.0492208	San Diego County
58546	Fee-for-Service	1902128648	1902128648	1	1	NORTH EAST MEDICAL SERVICES	4/21/2010	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75415191	-122.4788414	San Francisco County
58584	Fee-for-Service	1326156134	1326156134	1	1	NARVARTE, JAVIER MD	11/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	1500 E 2ND ST	STE 106	RENO	NV	89502	1189	00	None	39.52743427	-119.7932613	Washoe County
58657	Fee-for-Service	1275611386	1275611386	1	1	NGUYEN, QUOC D DO	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	6519	08	Family Practice	0	In state provider	None	5601 DEER VALLEY RD	None	ANTIOCH	CA	94531	8577	07	06013	37.9518204	-121.7780768	Contra Costa County
58664	Fee-for-Service	1215295530	1215295530	1	1	NASHED, MARK H MD	5/19/2020	2085R0204X	NA	Other	026	PHYSICIANS	127309	30	Radiology	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
58668	Fee-for-Service	1639185317	1639185317	1	1	NORTH COUNTY HLTH PRJCT, INC	1/6/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	605 CROUCH STREET	BLDG C	OCEANSIDE	CA	92054	4415	37	06073	33.19619156	-117.3537219	San Diego County
58720	Fee-for-Service	1780739896	1780739896	1	1	NORTMAN,DONALD F MD INC	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	34241	45	Nephrology (Renal-Kidney)	0	In state provider	None	8635 W 3RD ST	# 865W	LOS ANGELES	CA	90048	6101	19	06037	34.07361928	-118.3803143	Los Angeles County
58796	Fee-for-Service	1386252518	1386252518	1	1	NJOROGE, REGINA M	7/23/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	13009 QUAIL COURT	None	RANCHO CUCAMONGA	CA	91739	8854	36	06071	34.11840882	-117.5212386	San Bernardino County
58823	Fee-for-Service	1023041449	1023041449	1	1	NOONBERG, SARAH B MD	10/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	81259	41	Internal Medicine	0	In state provider	None	3466 MT DIABLO BLVD	STE C100	LAFAYETTE	CA	94549	3952	07	06013	37.89256947	-122.1150289	Contra Costa County
58831	Fee-for-Service	1023518768	1023518768	1	1	NEIGHBORHOOD HEALTHCARE	8/8/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	13010 POWAY RD	None	POWAY	CA	92064	0000	37	06073	32.9566545	-117.0492208	San Diego County
58935	Fee-for-Service	1407934573	1407934573	1	1	NIVER, DAVID H MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	38875	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
58957	Fee-for-Service	1639185317	1639185317	1	1	NORTH COUNTY HLTH PRJCT, INC	10/28/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	605 CROUCH STREET	BLDG C	OCEANSIDE	CA	92054	4415	37	06073	33.19619156	-117.3537219	San Diego County
58965	Fee-for-Service	1912324757	1912324757	1	1	NGADON, TENZIN NP	6/24/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
58973	Fee-for-Service	1861406886	1861406886	1	2	NGUYEN, TUAN D MD	8/12/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	84883	-	NOT APPLICABLE	0	In state provider	None	1775 CHESTNUT AVE	None	LONG BEACH	CA	90813	1674	19	06037	33.78936169	-118.1964259	Los Angeles County
58976	Fee-for-Service	1104022854	1104022854	1	1	NARAYANAN, SUJATA MD	7/18/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114026	41	Internal Medicine	0	In state provider	None	3288 BELL ROAD	None	AUBURN	CA	95603	9243	31	06061	38.94193048	-121.1046075	Placer County
59000	Fee-for-Service	1780739896	1780739896	1	1	NORTMAN,DONALD F MD INC	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	34241	41	Internal Medicine	0	In state provider	None	8635 W 3RD ST	# 865W	LOS ANGELES	CA	90048	6101	19	06037	34.07361928	-118.3803143	Los Angeles County
59047	Fee-for-Service	1821147786	1821147786	1	19	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	421 NUT TREE RD	SUITE 300	VACAVILLE	CA	95687	3508	48	06095	38.36441975	-121.9525909	Solano County
59083	Fee-for-Service	1386252518	1386252518	1	1	NJOROGE, REGINA M	7/23/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	13009 QUAIL COURT	None	RANCHO CUCAMONGA	CA	91739	8854	36	06071	34.11840882	-117.5212386	San Bernardino County
59089	Fee-for-Service	1619969219	1619969219	1	1	NASH HOSPITALS INC	2/19/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2460 CURTIS ELLIS DRIVE	None	ROCKY MOUNT	NC	27804	2237	00	None	35.97633	-77.852385	Nash County
59100	Fee-for-Service	1962153338	1962153338	1	1	NYINGI, MARTHA MUGURE	1/21/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	15012 MAMMOTH PL	None	FONTANA	CA	92336	5317	36	06071	34.14676365	-117.4772379	San Bernardino County
59119	Fee-for-Service	1023518768	1023518768	1	1	NEIGHBORHOOD HEALTHCARE	7/1/2019	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	13010 POWAY RD	None	POWAY	CA	92064	0000	37	06073	32.9566545	-117.0492208	San Diego County
59204	Fee-for-Service	1912351750	1912351750	1	1	NGO, NANCY P DO	7/1/2021	207P00000X	NA	Other	026	PHYSICIANS	18826	None	None	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
59234	Fee-for-Service	1134277080	1134277080	1	1	NG, HENRY A MD	10/31/1993	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	48493	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
59240	Fee-for-Service	1144455148	1144455148	1	1	NATHAN S CHUNG MD INC	8/26/2020	208600000X	NA	General Surgery	026	PHYSICIANS	None	02	General Surgery	0	In state provider	None	15000 KENSINGTON PK	270	TUSTIN	CA	92872	1835	30	06059	33.71416638	-117.8164973	Orange County
59245	Fee-for-Service	1639185317	1639185317	1	1	NORTH COUNTY HLTH PRJCT, INC	10/28/1991	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	605 CROUCH STREET	BLDG C	OCEANSIDE	CA	92054	4415	37	06073	33.19619156	-117.3537219	San Diego County
59363	Fee-for-Service	1225002231	1225002231	1	1	NG, KENDRICK DO	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	8095	41	Internal Medicine	0	In state provider	None	24 ELGIN ST	UNIT A	ALHAMBRA	CA	91801	2540	19	06037	34.09724864	-118.1271633	Los Angeles County
59365	Fee-for-Service	1427690510	1427690510	1	1	NUGENT, PATRICK J CRNA	4/29/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
59366	Fee-for-Service	1689226649	1689226649	1	1	NORTHERN CALIFORNIA MEDICAL	10/1/2019	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	ASSOCIATES	1701 4TH ST	STE 100	SANTA ROSA	CA	95404	3661	49	06097	38.448801	-122.699439	Sonoma County
59378	Fee-for-Service	1619969219	1619969219	1	1	NASH HOSPITALS INC	2/19/2010	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2460 CURTIS ELLIS DRIVE	None	ROCKY MOUNT	NC	27804	2237	00	None	35.97633	-77.852385	Nash County
59389	Fee-for-Service	1962153338	1962153338	1	1	NYINGI, MARTHA MUGURE	1/21/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	15012 MAMMOTH PL	None	FONTANA	CA	92336	5317	36	06071	34.14676365	-117.4772379	San Bernardino County
59392	Fee-for-Service	1457397838	1457397838	1	2	NORTHERN CALIFORNIA	1/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	IMAGING ASSC MED GRP INC	5176 HILL RD E	None	LAKEPORT	CA	95453	6300	17	06033	39.10557408	-122.9078316	Lake County
59398	Fee-for-Service	1558793281	1558793281	1	1	NABIUNY, IMA MD	7/17/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	153825	40	Pediatrics	0	In state provider	None	900 COLUSA AVE	204	BERKELEY	CA	94707	2321	01	06001	37.89113354	-122.2792919	Alameda County
59404	Fee-for-Service	1023518768	1023518768	1	1	NEIGHBORHOOD HEALTHCARE	2/16/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	13010 POWAY RD	None	POWAY	CA	92064	0000	37	06073	32.9566545	-117.0492208	San Diego County
59423	Fee-for-Service	1083239099	1083239099	1	1	NEE, PING-CHEN PT	4/17/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
59504	Fee-for-Service	1598327736	1598327736	1	1	NOEL, VERONA ESTER L NP	9/20/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
59528	Fee-for-Service	1093893182	1093893182	1	1	NEE, MICHELLE T MD	2/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76834	18	Ophthalmology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
59531	Fee-for-Service	1639185317	1639185317	1	1	NORTH COUNTY HLTH PRJCT, INC	7/1/1994	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	605 CROUCH STREET	BLDG C	OCEANSIDE	CA	92054	4415	37	06073	33.19619156	-117.3537219	San Diego County
59569	Fee-for-Service	1962587634	1962587634	1	1	NEWHOUSE, DAVID C MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	38398	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
59574	Fee-for-Service	1346482106	1346482106	1	1	NGO, HUNG P PT	4/27/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9555 WARNER AVE	STE A	FOUNTAIN VALLEY	CA	92708	2827	30	06059	33.71617072	-117.9626877	Orange County
59595	Fee-for-Service	1083698336	1083698336	1	1	NHU, THUC-TRINH T MD	8/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	80267	18	Ophthalmology	0	In state provider	None	3801 KATELLA AVE	STE 414	LOS ALAMITOS	CA	90720	3386	30	06059	33.80318951	-118.066068	Orange County
59603	Fee-for-Service	1730524026	1730524026	1	1	NETHERLAND, LISA G MD	11/23/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	133471	None	None	0	In state provider	None	1001 POTRERO AVE	BLDG 80 WARD 83	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
59612	Fee-for-Service	1013543727	1013543727	1	1	NAKAMA, TRENTON M PT	5/22/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3602 INLAND EMPIRE BLVD	SUITE A120	ONTARIO	CA	91764	4900	36	06071	34.07022	-117.572877	San Bernardino County
59656	Fee-for-Service	1871533380	1871533380	1	1	NASAR, ABOO MD	3/24/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	51954	41	Internal Medicine	0	In state provider	None	530 LOMAS SANTA FE DR	STE M	SOLANA BEACH	CA	92075	1346	37	06073	32.99511173	-117.2659419	San Diego County
59694	Fee-for-Service	1821147786	1821147786	1	21	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	421 NUT TREE ROAD	SUITE 200	VACAVILLE	CA	95687	3508	48	06095	38.36441975	-121.9525909	Solano County
59697	Fee-for-Service	1427285394	1427285394	1	2	NGUYEN, HOA H MD	2/7/2021	208M00000X	NA	Other	026	PHYSICIANS	118305	None	None	0	In state provider	None	1400 CIRCLE CITY	None	CORONA	CA	92879	1642	33	06065	33.87170974	-117.5490491	Riverside County
59727	Fee-for-Service	1881609436	1881609436	1	1	NEW HAVEN HOME HEALTH &	4/17/2002	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HOSPICE INC	333 GELLERT BLVD	STE 249	DALY CITY	CA	94015	2621	41	06081	37.66672018	-122.4685948	San Mateo County
59765	Fee-for-Service	1205968088	1205968088	1	1	NOVATO UNIFIED SD	2/5/1996	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1015 7TH ST	None	NOVATO	CA	94945	2205	21	06041	38.10958513	-122.5781795	Marin County
59789	Fee-for-Service	1679536262	1679536262	1	1	NORWALK-LA MIRADA USD	5/22/1994	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	NORW ADULT SCH HLTH SERV	12820 PIONEER BLVD	None	NORWALK	CA	90650	2875	19	06037	33.914655	-118.081723	Los Angeles County
59801	Fee-for-Service	1194093229	1194093229	1	1	NIVA INSTITUTE OF	3/22/2012	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	NEUROSCIENCES INC	15963 QUANTICO ROAD	SUITE C	APPLE VALLEY	CA	92307	0840	36	06071	34.54122514	-117.2706519	San Bernardino County
59821	Fee-for-Service	1972651800	1972651800	1	1	NGUYEN, LYSA N MD	6/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80859	08	Family Practice	0	In state provider	None	101 CITY DRIVE S	None	ORANGE	CA	92868	0000	30	06059	33.78674051	-117.8888713	Orange County
59827	Fee-for-Service	1225238678	1225238678	1	1	NGUYEN, NGA THU LCSW	7/31/2015	1041C0700X	NA	Mental Health Outpatient Services	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	1022 W HEDDING ST	None	SAN JOSE	CA	95126	1217	43	06085	37.34156642	-121.9218482	Santa Clara County
59842	Fee-for-Service	1245251222	1245251222	1	1	NEW YORK EYE & EAR INFIRMARY	7/30/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	310 E 14TH ST	None	NEW YORK	NY	10003	4201	00	None	40.731993	-73.984482	New York County
59881	Fee-for-Service	1104484781	1104484781	1	1	NGUYEN, THEODORE T MD	7/1/2022	208M00000X	NA	Other	026	PHYSICIANS	178744	None	None	0	In state provider	None	11234 ANDERSON ST	STE 1617	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
59944	Fee-for-Service	1164849857	1164849857	1	1	NGUYEN, TUNG HUU MD INC	6/30/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	105800	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	9822 BOLSA AVE	SUITE F	WESTMINSTER	CA	92683	6870	30	06059	33.74482554	-117.957555	Orange County
59978	Fee-for-Service	1689752438	1689752438	1	1	NOONEY, ANNE E MD	9/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	79362	05	Anesthesiology	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
59980	Fee-for-Service	1922255306	1922255306	1	1	NEWTON, KATHRYN M CCC-SLP	11/19/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
60035	Fee-for-Service	1093179251	1093179251	1	1	NOBLES, SARAH E MD	6/18/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	171168	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
60039	Fee-for-Service	1639406911	1639406911	1	1	NGUYEN, DAVID MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	125884	05	Anesthesiology	0	In state provider	None	9400 NO NAME UNO	None	GILROY	CA	95020	3528	43	06085	37.03498475	-121.5729235	Santa Clara County
60077	Fee-for-Service	1679536262	1679536262	1	1	NORWALK-LA MIRADA USD	11/1/2018	No Taxonomy Provided	NA	None	101	UNIFIED SCHOOL DISTRICT	-	-	NOT APPLICABLE	0	In state provider	NORW ADULT SCH HLTH SERV	12820 PIONEER BLVD	None	NORWALK	CA	90650	2875	19	06037	33.914655	-118.081723	Los Angeles County
60080	Fee-for-Service	1942241591	1942241591	1	1	NICHOLS, CHRISTOPHER K MD	3/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15845	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
60084	Fee-for-Service	1427393784	1427393784	1	1	NIKAMAL, ARASH J DO	6/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12561	08	Family Practice	0	In state provider	None	15725 E WHITTIER BLVD	None	WHITTIER	CA	90603	3102	19	06037	33.94435533	-117.9931159	Los Angeles County
60100	Fee-for-Service	1376592519	1376592519	1	4	NEVADA EM-I SILVER/HOMAN	1/11/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	5400 S RAINBOW BLVD	None	LAS VEGAS	NV	89118	1859	00	None	36.090072	-115.2405585	Clark County
60149	Fee-for-Service	1437141199	1437141199	1	1	NARDI, CHARLES F. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	6021 NW 1ST PL	None	GAINESVILLE	FL	32607	2025	00	None	29.6534515	-82.407213	Alachua County
60199	Fee-for-Service	1063955987	1063955987	1	1	NARAIN, PUNYA MD	11/7/2019	390200000X	NA	Other	026	PHYSICIANS	153943	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
60213	Fee-for-Service	1588899116	1588899116	1	1	NUWER, JAMIE M MD	4/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	107872	08	Family Practice	0	In state provider	None	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
60217	Fee-for-Service	1255758637	1255758637	1	1	NGUYEN, THUC-QUYEN MD	7/12/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	149692	36	Psychiatry	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
60232	Fee-for-Service	1164849857	1164849857	1	1	NGUYEN, TUNG HUU MD INC	6/30/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	105800	41	Internal Medicine	0	In state provider	None	9822 BOLSA AVE	SUITE F	WESTMINSTER	CA	92683	6870	30	06059	33.74482554	-117.957555	Orange County
60235	Fee-for-Service	1366078289	1366078289	1	1	NGUYEN, KATIE P MD	8/25/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	183065	None	None	0	In state provider	None	2335 E KASHIAN LANE	SUITE 280	FRESNO	CA	93701	2211	10	06019	36.74333844	-119.7831874	Fresno County
60248	Fee-for-Service	1790147965	1790147965	1	1	NJOROGE, JOYCE N MD	8/24/2023	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	162896	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
60280	Fee-for-Service	1700462348	1700462348	1	1	NAM, DOLLY MD	11/22/2024	207R00000X	NA	Other	026	PHYSICIANS	188462	41	Internal Medicine	0	In state provider	None	1100 VAN NESS AVE	None	SAN FRANCISCO	CA	94109	6978	38	06075	37.78594176	-122.421322	San Francisco County
60370	Fee-for-Service	1427393784	1427393784	1	1	NIKAMAL, ARASH J DO	6/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12561	01	General Practice	0	In state provider	None	15725 E WHITTIER BLVD	None	WHITTIER	CA	90603	3102	19	06037	33.94435533	-117.9931159	Los Angeles County
60373	Fee-for-Service	1285690701	1285690701	1	1	NARRA, HEMALATHA MD	5/15/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103941	13	Neurology (M.D. only)	0	In state provider	None	751 S BASCAOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
60548	Fee-for-Service	1760749931	1760749931	1	1	NABULSI, MOHAMMAD Z MD	9/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137764	01	General Practice	0	In state provider	None	731 N BEACH BLVD	None	LA HABRA	CA	90631	3657	30	06059	33.93812202	-117.9680337	Orange County
60613	Fee-for-Service	1336454503	1336454503	1	1	NELSON-MUNSON, KAAREN A MD	2/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113403	08	Family Practice	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
60648	Fee-for-Service	1770839557	1770839557	1	1	NAPA COUNTY HEALTH AND HUMAN	2/3/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	3448 VILLA LANE	SUITE 102 AND 105	NAPA	CA	94558	6471	28	06055	38.32562979	-122.2942496	Napa County
60670	Fee-for-Service	1750303152	1750303152	1	1	NGUYEN, LINDA MD	8/4/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	75033	10	Gastroenterology (M.D. only)	0	In state provider	None	2340 CLAY ST	FL 1-57	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
60690	Fee-for-Service	1144454091	1144454091	1	1	NAVARATNAM, MANCHULA MD	12/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
60715	Fee-for-Service	1447015482	1447015482	1	1	NGO, NATHAN ALEXANDER PT	3/13/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	100 BARRANCA	380	WEST COVINA	CA	91791	1637	19	06037	34.073073	-117.8812535	Los Angeles County
60827	Fee-for-Service	1588623268	1588623268	1	1	NGO, DAVID B OD	6/26/2007	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6540 STOCKTON BLVD	STE 3C	SACRAMENTO	CA	95823	1635	34	06067	38.507094	-121.434858	Sacramento County
60962	Fee-for-Service	1750303152	1750303152	1	1	NGUYEN, LINDA MD	8/4/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	75033	41	Internal Medicine	0	In state provider	None	2340 CLAY ST	FL 1-57	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
60965	Fee-for-Service	1346285855	1346285855	1	1	NANDA, NELLIE MD	12/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	92770	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
61118	Fee-for-Service	1770576225	1770576225	1	1	NGUYEN, HOAN CONG	6/24/1988	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14411 BROOKHURST ST	STE F	GARDEN GROVE	CA	92843	4667	30	06059	33.753348	-117.9550255	Orange County
61136	Fee-for-Service	1588072698	1588072698	1	1	NEWSTART MEDICAL GROUP INC	11/17/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	20601 W PAOLI LN	None	WEIMAR	CA	95736	0486	31	06061	39.03521526	-120.9755343	Placer County
61163	Fee-for-Service	1073684981	1073684981	1	1	NICKOLESCU, ADRIAN C MD	3/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	74534	25	Physical Medicine and Rehabilitation	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
61264	Fee-for-Service	1548246135	1548246135	1	1	NEAL, JAMES D MD	12/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52384	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25470 MEDICAL CENTER DR	STE 205	MURRIETA	CA	92562	4901	33	06065	33.55723646	-117.1859554	Riverside County
61267	Fee-for-Service	1558428466	1558428466	1	1	NORTH LAKE TAHOE FIRE PROTEC	1/10/2021	3416L0300X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	1	Border provider	TION DISTRICT	866 ORIOLE WAY	None	INCLINE VILLAGE	NV	89451	8660	00	None	39.24754273	-119.9549877	Washoe County
61329	Fee-for-Service	1497947964	1497947964	1	1	NIRAJ UPADHAYAY	3/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1 MEDICAL VILLAGE DR	None	EDGEWOOD	KY	41017	3403	00	None	39.01457332	-84.56298791	Kenton County
61391	Fee-for-Service	1144245366	1144245366	1	1	NGUYEN, TUAN N MD	8/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	64605	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
61426	Fee-for-Service	1588072698	1588072698	1	1	NEWSTART MEDICAL GROUP INC	11/17/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	20601 W PAOLI LN	None	WEIMAR	CA	95736	0486	31	06061	39.03521526	-120.9755343	Placer County
61477	Fee-for-Service	1285694018	1285694018	1	1	NAGOURNEY, ROBERT A MD	6/16/1988	174400000X	NA	Other	026	PHYSICIANS	43263	68	Hematology	0	In state provider	None	2840 LONG BEACH BLVD	STE 130	LONG BEACH	CA	90806	1516	19	06037	33.808743	-118.189341	Los Angeles County
61495	Fee-for-Service	1295768919	1295768919	1	1	NAPA VALLEY OPTOMETRIC	4/1/1995	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	GROUP	1104 PEAR TREE LN	None	NAPA	CA	94558	6446	28	06055	38.32088172	-122.2945763	Napa County
61525	Fee-for-Service	1467028829	1467028829	1	1	NAIDU, SHIVANI MD	9/27/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
61639	Fee-for-Service	1194711879	1194711879	1	1	NEIMAN, RAFAEL MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	72506	20	Orthopedic Surgery	0	In state provider	None	151 N SUNRISE AVE	STE 1005	ROSEVILLE	CA	95661	2930	31	06061	38.74746043	-121.2655348	Placer County
61664	Fee-for-Service	1841785326	1841785326	1	1	NGUYEN, NHI T OD	1/25/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1111 S GRAND AVE	SUITE A	DIAMOND BAR	CA	91765	2230	19	06037	34.00172352	-117.813184	Los Angeles County
61716	Fee-for-Service	1154477768	1154477768	1	1	NICHOL, ARAN C MD	10/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	138269	77	Infectious Disease	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
61771	Fee-for-Service	1952461741	1952461741	1	5	NEXUS PHYSICAL THERAPY	3/28/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2970 FIFTH AVE	220	SAN DIEGO	CA	92121	2111	37	06073	32.736375	-117.160368	San Diego County
61811	Fee-for-Service	1801599147	1801599147	1	1	NIELSEN, MADELENE ONEIDA	5/29/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1669 MISSION MEADOWS DR	None	OCEANSIDE	CA	92057	5716	37	06073	33.24563434	-117.2531252	San Diego County
61878	Fee-for-Service	1891894440	1891894440	1	1	NAGER, ALAN LEONARD MD	7/31/1988	2080P0204X	NA	Other	026	PHYSICIANS	64226	40	Pediatrics	0	In state provider	None	100 CONGRESS STREET	None	PASADENA	CA	91105	0000	19	06037	34.13395172	-118.1534955	Los Angeles County
61913	Fee-for-Service	1255770541	1255770541	1	1	NARANG, VIDHI MD	10/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138720	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
61942	Fee-for-Service	1548764400	1548764400	1	1	NGUYEN, JULLIAN P MD	1/19/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	175208	None	None	0	In state provider	None	911 SUNSET DR	None	HOLLISTER	CA	95023	5602	35	06069	36.83504962	-121.3858245	San Benito County
62006	Fee-for-Service	1154477768	1154477768	1	1	NICHOL, ARAN C MD	10/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	138269	41	Internal Medicine	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
62072	Fee-for-Service	1265460232	1265460232	1	1	NORTH BROWARD HOSPITAL DIST	12/26/2007	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6401 NO FEDERAL HWY	None	FORT LAUDERDALE	FL	33308	1427	00	None	26.207001	-80.1108495	Broward County
62097	Fee-for-Service	1801599147	1801599147	1	1	NIELSEN, MADELENE ONEIDA	5/29/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1669 MISSION MEADOWS DR	None	OCEANSIDE	CA	92057	5716	37	06073	33.24563434	-117.2531252	San Diego County
62103	Fee-for-Service	1548416993	1548416993	1	1	NGUYEN, CHERI P MD	8/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129527	30	Radiology	0	In state provider	None	1901 OUTLET CENTER DRIVE	STE 120	OXNARD	CA	93036	0664	56	06111	34.21965581	-119.1491337	Ventura County
62109	Fee-for-Service	1619395027	1619395027	1	1	NSEYO, ONOUWEM U MD	9/6/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	139565	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2500 MILVIA ST	None	BERKELEY	CA	94704	2636	01	06001	37.86338897	-122.2698455	Alameda County
62111	Fee-for-Service	1497752802	1497752802	1	1	NIRANJAN, SANKAR N MD	1/23/2025	207RN0300X	NA	Nephrology	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	420 BROADWAY STREET	None	REDWOOD CITY	CA	94063	3132	41	06081	37.48517644	-122.2022111	San Mateo County
62218	Fee-for-Service	1083724330	1083724330	1	1	NOELLER, KATHY DPM	2/8/2015	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	25405 HANCOCK AVE	STE 105	MURRIETA	CA	92562	5978	33	06065	33.5580833	-117.1850127	Riverside County
62265	Fee-for-Service	1184086639	1184086639	1	1	NAWAZISH, SABA MD	5/9/2020	390200000X	NA	Other	026	PHYSICIANS	165351	18	Ophthalmology	0	In state provider	None	100 E CALIFORNIA BLVD	None	PASADENA	CA	91105	3205	19	06037	34.1357725	-118.148301	Los Angeles County
62277	Fee-for-Service	1164646006	1164646006	1	1	NA, SOON KYONG	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	955 S WESTERN AVE	STE 106	LOS ANGELES	CA	90006	1006	19	06037	34.053957	-118.3091085	Los Angeles County
62285	Fee-for-Service	1609065432	1609065432	1	1	NAIR, SANDHYA G MD	11/10/2009	2084P0800X	NA	Psychiatry	026	PHYSICIANS	100826	36	Psychiatry	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
62299	Fee-for-Service	1912054586	1912054586	1	1	NEO-PEDS MEDICAL GROUP	6/28/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	NEONATOLOGY PEDIATRICS	1798 N GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
62319	Fee-for-Service	1831279009	1831279009	1	1	NGUYEN, THANG D MD	1/15/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	76049	02	General Surgery	0	In state provider	None	9940 TALBERT AVE	STE 303	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.70166347	-117.955494	Orange County
62321	Fee-for-Service	1710934575	1710934575	1	2	NAPA VALLEY ORTHOPAEDIC MEDI	7/22/2020	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	CAL GROUP, INC	3273 CLAREMONT WAY	SUITE 100	NAPA	CA	94558	3306	28	06055	38.32062499	-122.3012501	Napa County
62342	Fee-for-Service	1437654860	1437654860	1	1	NG, MELISSA MD	12/10/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17784	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
62343	Fee-for-Service	1821064239	1821064239	1	1	NEWBURY PARK URGENT CARE	4/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	34536	None	None	0	In state provider	CENTER LTD	2080 NEWBURY ROAD	None	NEWBURY PARK	CA	91320	3385	56	06111	34.18325613	-118.9246441	Ventura County
62348	Fee-for-Service	1235605114	1235605114	1	1	NASRIN ASHOUIAN MD CORP	10/24/2018	207RN0300X	NA	Nephrology	026	PHYSICIANS	None	45	Nephrology (Renal-Kidney)	0	In state provider	None	24 HANOVER LN	STE A	CHICO	CA	95973	7240	04	06007	39.75964988	-121.8651924	Butte County
62358	Fee-for-Service	1265460232	1265460232	1	1	NORTH BROWARD HOSPITAL DIST	12/26/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6401 NO FEDERAL HWY	None	FORT LAUDERDALE	FL	33308	1427	00	None	26.207001	-80.1108495	Broward County
62359	Fee-for-Service	1386610277	1386610277	1	1	NICOLOFF, ALEXANDER D. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	501 N GRAHAM ST	STE 415	PORTLAND	OR	97227	2006	00	None	45.54285348	-122.671035	Multnomah County
62367	Fee-for-Service	1720568843	1720568843	1	1	NAVARRO, DARYL M RCP	8/31/2018	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	4760 SUNSET BLVD	None	LOS ANGELES	CA	90027	6063	19	06037	34.09811852	-118.293408	Los Angeles County
62400	Fee-for-Service	1497752802	1497752802	1	1	NIRANJAN, SANKAR N MD	1/23/2025	207RN0300X	NA	Nephrology	026	PHYSICIANS	None	45	Nephrology (Renal-Kidney)	0	In state provider	None	420 BROADWAY STREET	None	REDWOOD CITY	CA	94063	3132	41	06081	37.48517644	-122.2022111	San Mateo County
62431	Fee-for-Service	1902942535	1902942535	1	1	NACAMULI, RANDALL P MD	5/20/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	72631	24	Plastic Surgery	0	In state provider	None	45 CASTRO ST	STE 140N	SAN FRANCISCO	CA	94114	1010	38	06075	37.76829732	-122.4357056	San Francisco County
62441	Fee-for-Service	1689636680	1689636680	1	1	NARUNS, PETER L MD	3/31/1983	208600000X	NA	General Surgery	026	PHYSICIANS	50961	02	General Surgery	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
62467	Fee-for-Service	1346707353	1346707353	1	1	NWANI, EMMANUEL O	10/10/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	17668 PEACHTREE LN	None	CARSON	CA	90746	7466	19	06037	33.86913289	-118.2545716	Los Angeles County
62473	Fee-for-Service	1851748750	1851748750	1	1	NEPAL, SHIKHA MD	10/22/2018	207L00000X	NA	Other	026	PHYSICIANS	144214	05	Anesthesiology	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
62487	Fee-for-Service	1942240080	1942240080	1	1	NEGRI, SCOTT R MD	11/30/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	73350	08	Family Practice	0	In state provider	None	1235 OSOS ST	None	SAN LUIS OBISPO	CA	93401	3600	40	06079	35.27979518	-120.6596361	San Luis Obispo County
62540	Fee-for-Service	1558529339	1558529339	1	1	NG, LOUIS R MD	8/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94849	05	Anesthesiology	0	In state provider	None	1798 NORTH GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
62557	Fee-for-Service	1023753134	1023753134	1	1	NANCA, VANESSA RCP	7/26/2022	227900000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
62610	Fee-for-Service	1235367681	1235367681	1	1	NG, RACHEL W MD	7/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114301	41	Internal Medicine	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
62611	Fee-for-Service	1699796656	1699796656	1	1	NOGALES PHARMACY INC	3/27/1989	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	18702 COLIMA ROAD	SUITE 103	ROWLAND HEIGHTS	CA	91748	2991	19	06037	33.98780679	-117.8960853	Los Angeles County
62646	Fee-for-Service	1962794701	1962794701	1	1	NASSERI, POUNEH MD	6/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125520	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
62712	Fee-for-Service	1952516981	1952516981	1	1	NISHII, JEFFREY M PSYD	5/12/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	624 W 9TH ST	103	SAN PEDRO	CA	90731	3158	19	06037	33.73607853	-118.290789	Los Angeles County
62734	Fee-for-Service	1336503838	1336503838	1	2	NGUYEN, DOAN Q	11/3/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	153320	-	NOT APPLICABLE	0	In state provider	None	3115 REDHILL AVENUE	None	COSTA MESA	CA	92626	4517	30	06059	33.6763772	-117.8776418	Orange County
62756	Fee-for-Service	1346707353	1346707353	1	1	NWANI, EMMANUEL O	10/10/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	17668 PEACHTREE LN	None	CARSON	CA	90746	7466	19	06037	33.86913289	-118.2545716	Los Angeles County
62776	Fee-for-Service	1942240080	1942240080	1	1	NEGRI, SCOTT R MD	11/30/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	73350	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1235 OSOS ST	None	SAN LUIS OBISPO	CA	93401	3600	40	06079	35.27979518	-120.6596361	San Luis Obispo County
62787	Fee-for-Service	1750630273	1750630273	1	1	NATHAN HUNT LLC	9/12/2013	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	19341 BEAR VALLEY RD	STE 103	APPLE VALLEY	CA	92308	5152	36	06071	34.47101125	-117.2412548	San Bernardino County
62801	Fee-for-Service	1699099358	1699099358	1	1	NUNE, GEORGE MD	7/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	109219	13	Neurology (M.D. only)	0	In state provider	None	1520 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
62877	Fee-for-Service	1295860880	1295860880	1	1	NEANDER, SUSAN E LCSW	12/1/2001	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	801 CRESCENT WAY	STE 3	ARCATA	CA	95521	6781	12	06023	40.85906241	-124.0735719	Humboldt County
62885	Fee-for-Service	1033823489	1033823489	1	1	NELSON, EMMA LOUISE M LMFT	1/17/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8551 NASH DRIVE	None	LOS ANGELES	CA	90046	7705	19	06037	34.10643318	-118.3770187	Los Angeles County
62891	Fee-for-Service	1639531478	1639531478	1	1	NAHN, JEFFREY C MD	5/8/2019	390200000X	NA	Other	026	PHYSICIANS	161698	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1001 POTRERO AVE	RM 1E21	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
62893	Fee-for-Service	1093154932	1093154932	1	1	NIKAHD, NEGIN OD	10/6/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	365 E HILLCREST DR	None	THOUSAND OAKS	CA	91360	5802	56	06111	34.18122452	-118.8704974	Ventura County
62912	Fee-for-Service	1467608521	1467608521	1	1	NASTASI, ROBERT M MD	2/10/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	145576	None	None	0	In state provider	None	5838 EDISON PL	None	CARLSBAD	CA	92008	5520	37	06073	33.12181055	-117.2840499	San Diego County
62952	Fee-for-Service	1013924372	1013924372	1	2	NEW YORK CITY HEALTH AND HOS	10/8/2019	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1901 FIRST AVENUE	None	NEW YORK	NY	10029	7404	00	None	40.784778	-73.9439055	New York County
63003	Fee-for-Service	1104848191	1104848191	1	1	NAIR, SREEKUMAR P MD	12/29/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	143916	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
63036	Fee-for-Service	1154718997	1154718997	1	1	NGUYEN, NGHIA H MD	7/12/2021	163WG0100X	NA	Other	026	PHYSICIANS	144052	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
63090	Fee-for-Service	1164454492	1164454492	1	1	NAPIER-DOVORANY, KIERSTYN A	10/5/2010	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	OD	795 E SECOND ST	STE 2	POMONA	CA	91766	2020	19	06037	34.05845654	-117.7423951	Los Angeles County
63096	Fee-for-Service	1043390214	1043390214	1	1	NEWMAN, RICHARD S MD	8/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	45675	22	Pathology (M.D. only)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
63097	Fee-for-Service	1932231552	1932231552	1	2	NISHIKAWA, TOBI Y LMFT	9/17/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	100 N BRAND BLVD	STE 223	GLENDALE	CA	91203	2641	19	06037	34.14652066	-118.2549229	Los Angeles County
63133	Fee-for-Service	1447380357	1447380357	1	1	NEW WAY SERVICES, INC	4/15/2003	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	92 LOZOYA WAY	None	OAKLEY	CA	94561	2822	07	06013	37.97102419	-121.684323	Contra Costa County
63167	Fee-for-Service	1508950213	1508950213	1	1	NEELY, JOHN D MD	1/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	94848	13	Neurology (M.D. only)	0	In state provider	None	275 HOSPITAL PARKWAY	None	SAN JOSE	CA	95119	1106	43	06085	37.23951066	-121.8013511	Santa Clara County
63242	Fee-for-Service	1013924372	1013924372	1	2	NEW YORK CITY HEALTH AND HOS	10/8/2019	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1901 FIRST AVENUE	None	NEW YORK	NY	10029	7404	00	None	40.784778	-73.9439055	New York County
63251	Fee-for-Service	1902478779	1902478779	1	2	NGUYEN, OLIVIA MD	1/13/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
63278	Fee-for-Service	1346447984	1346447984	1	1	NGUYEN, NGA P MD	9/30/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	90046	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVENUE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
63284	Fee-for-Service	1700311081	1700311081	1	1	NITAHARA, MICHI R MD	7/3/2020	207P00000X	NA	Other	026	PHYSICIANS	159251	66	Emergency Medicine (Urgent Care)	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
63285	Fee-for-Service	1780319038	1780319038	1	1	NEW GROWTH PSYCHOLOGY INC	7/18/2024	103T00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	350 E ST	STE 305	EUREKA	CA	95501	0378	12	06023	40.8030305	-124.1674522	Humboldt County
63320	Fee-for-Service	1225360258	1225360258	1	1	NGUYEN, TU LAN N MD	9/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116704	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
63415	Fee-for-Service	1912149691	1912149691	2	1	NICOLE, JULIE M MD	2/26/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	123758	None	None	0	In state provider	None	1350 S ORANGE AVENUE	None	FRESNO	CA	93702	3463	10	06019	36.728883	-119.763677	Fresno County
63445	Fee-for-Service	1194889345	1194889345	1	1	NUGENT, KRISTEN A MD	10/31/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	59578	08	Family Practice	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
63486	Fee-for-Service	1699791053	1699791053	1	1	NISSEN, TEODORO P MD	4/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	77901	None	None	0	In state provider	None	1580 VALENCIA ST	STE 506	SAN FRANCISCO	CA	94110	4418	38	06075	37.74746923	-122.4202583	San Francisco County
63543	Fee-for-Service	1639308117	1639308117	1	2	NOURI, NIMA	7/16/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	420 S. BEVERLY DRIVE	100	BEVERLY HILLS	CA	90212	4410	19	06037	34.05860174	-118.3978013	Los Angeles County
63558	Fee-for-Service	1376209940	1376209940	1	1	NORTH OC IMAGING JV, LLC	6/15/2022	261QR0200X	NA	Mammography/MRI Provider	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	15855 POMONA RINCON RD	STE. 101	CHINO HILLS	CA	91709	3162	36	06071	33.96437546	-117.6900161	San Bernardino County
63576	Fee-for-Service	1780319038	1780319038	1	1	NEW GROWTH PSYCHOLOGY INC	7/18/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	350 E ST	STE 305	EUREKA	CA	95501	0378	12	06023	40.8030305	-124.1674522	Humboldt County
63650	Fee-for-Service	1265645964	1265645964	1	1	NEIL JAMES FERNANDES, M.D	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	0000	00	None	32.812245	-96.841584	Dallas County
63658	Fee-for-Service	1326229410	1326229410	1	1	NUNNINK, SARAH E PHD	7/15/2008	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	36	Psychiatry	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
63659	Fee-for-Service	1811135627	1811135627	1	1	NGUYEN, Y VIEN T DO	6/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	12652	None	None	0	In state provider	None	5000 SAN BERNARDINO RD	None	MONTCLAIR	CA	91763	2326	36	06071	34.07768647	-117.6957498	San Bernardino County
63689	Fee-for-Service	1144458464	1144458464	1	1	NELSON, JOANNA K MD	8/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	124993	41	Internal Medicine	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
63752	Fee-for-Service	1902478779	1902478779	1	1	NGUYEN, OLIVIA MD	10/30/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	2150 N VICTORIA AVE	None	OXNARD	CA	93036	7791	56	06111	34.22559401	-119.2209704	Ventura County
63870	Fee-for-Service	1962960468	1962960468	1	1	NGUYEN, JASMINE MD	9/15/2022	207R00000X	NA	Other	026	PHYSICIANS	177146	None	None	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
63879	Fee-for-Service	1336111251	1336111251	1	1	NGUYEN, MINH Q DO	12/16/2019	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	7727	39	Preventive (M.D. only)	0	In state provider	None	3930 FOURTH AVE	STE 200	SAN DIEGO	CA	92103	3119	37	06073	32.74892723	-117.1616459	San Diego County
63930	Fee-for-Service	1760463764	1760463764	1	1	NOWROOZI, FRED E MD	2/20/2008	207LP2900X	NA	Other	026	PHYSICIANS	36380	25	Physical Medicine and Rehabilitation	0	In state provider	INC	1440 N HARBOR BLVD	STE 120	FULLERTON	CA	92835	4114	30	06059	33.88513341	-117.926041	Orange County
63935	Fee-for-Service	1407161961	1407161961	1	1	NONIS, PRADEEPA S MD	9/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122501	41	Internal Medicine	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
63940	Fee-for-Service	1639185317	1639185317	1	3	NORTH COUNTY HLTH PRJCT, INC	2/11/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3220 MISSION AVE	SUITE 1	OCEANSIDE	CA	92054	1314	37	06073	33.2141644	-117.3472638	San Diego County
63958	Fee-for-Service	1326323627	1326323627	1	1	NGUYEN, THU T OD	6/12/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	480 4TH AVE	SUITE 412	CHULA VISTA	CA	91910	4413	37	06073	32.63411298	-117.0816772	San Diego County
63963	Fee-for-Service	1871898890	1871898890	1	1	NASR, NAHID MD INC	2/3/2011	207L00000X	NA	Other	026	PHYSICIANS	98292	05	Anesthesiology	0	In state provider	None	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
63975	Fee-for-Service	1356737001	1356737001	1	1	NEPAL, ANSHU MD	10/11/2019	207R00000X	NA	Other	026	PHYSICIANS	154549	41	Internal Medicine	0	In state provider	None	1190 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48941956	-122.2227204	San Mateo County
63976	Fee-for-Service	1144458464	1144458464	1	1	NELSON, JOANNA K MD	8/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	124993	77	Infectious Disease	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
64034	Fee-for-Service	1700863644	1700863644	1	1	NGUYEN, MARIANNE N MD	11/30/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	55741	40	Pediatrics	0	In state provider	None	8341 WESTMINSTER BLVD	SUITE 104	WESTMINSTER	CA	92683	8337	30	06059	33.75934845	-117.983493	Orange County
64039	Fee-for-Service	1851583793	1851583793	1	1	NGUYEN, CHUCK D MD	3/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	97478	05	Anesthesiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
64058	Fee-for-Service	1154765709	1154765709	1	1	NEWPORT CHILDRENS MEDICAL GR	8/22/2013	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GROUP AT MISSION INC	26800 CROWN VALLEY PARKW	STE 510	MISSION VIEJO	CA	92691	6384	30	06059	33.56286021	-117.6673449	Orange County
64061	Fee-for-Service	1215950381	1215950381	1	1	NHAN,TIFFANY MY HANH CA	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	807 E MARSHALL ST	None	SAN GABRIEL	CA	91776	3956	19	06037	34.07486352	-118.090071	Los Angeles County
64071	Fee-for-Service	1073584074	1073584074	1	1	NEGLIA, THOMAS G MD	5/2/1981	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	32536	40	Pediatrics	0	In state provider	None	7690 EL CAMINO REAL	None	CARLSBAD	CA	92009	7935	37	06073	33.08631495	-117.2686717	San Diego County
64138	Fee-for-Service	1144489592	1144489592	1	1	NEWMARK, JORDAN L MD	1/11/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117497	None	None	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
64142	Fee-for-Service	1598703647	1598703647	1	17	NEIGHBORHOOD HEALTHCARE	5/1/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1309 SOUTH MISSION RD	SUITE B	FALLBROOK	CA	92028	4168	37	06073	33.36938909	-117.2510954	San Diego County
64156	Fee-for-Service	1104025204	1104025204	1	1	NGO, TAWNY T MD	4/8/2010	2084N0400X	NA	Neurology	026	PHYSICIANS	92808	13	Neurology (M.D. only)	0	In state provider	None	9850 GENESEE AVE	STE 740	LA JOLLA	CA	92037	1218	37	06073	32.882913	-117.226341	San Diego County
64159	Fee-for-Service	1174081061	1174081061	1	1	NAVARRO, JOE LMFT	3/13/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12246 HIGHGATE	None	RANCHO CUCAMONGA	CA	91739	9147	36	06071	34.13040659	-117.5379408	San Bernardino County
64226	Fee-for-Service	1639185317	1639185317	1	2	NORTH COUNTY HLTH PRJCT, INC	4/13/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	619 CROUCH STREET	SUITE 100	OCEANSIDE	CA	92054	4460	37	06073	33.19572979	-117.3536776	San Diego County
64228	Fee-for-Service	1639185317	1639185317	1	3	NORTH COUNTY HLTH PRJCT, INC	2/24/2025	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3220 MISSION AVE	SUITE 1	OCEANSIDE	CA	92054	1314	37	06073	33.2141644	-117.3472638	San Diego County
64254	Fee-for-Service	1194580498	1194580498	1	1	NURTURING LEGACIES LLC	2/27/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	36	06071	0	0	None
64268	Fee-for-Service	1417227554	1417227554	1	1	NEW AGE ENTERPRISES	2/18/2014	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7340 FIRESTONE BLVD	SUITE 123	DOWNEY	CA	90241	4100	19	06037	33.9470157	-118.1505549	Los Angeles County
64325	Fee-for-Service	1659718203	1659718203	1	1	NOSKER, KALELA C LMFT	3/12/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3558 ROUND BARN BLVD	None	SANTA ROSA	CA	95403	1780	49	06097	38.47617	-122.7235455	Sonoma County
64383	Fee-for-Service	1194805366	1194805366	1	1	NGUYEN, THONG H MD	7/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	44976	30	Radiology	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
64431	Fee-for-Service	1598703647	1598703647	1	17	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1309 SOUTH MISSION RD	SUITE B	FALLBROOK	CA	92028	4168	37	06073	33.36938909	-117.2510954	San Diego County
64443	Fee-for-Service	1104320654	1104320654	1	1	NGUYEN, SON MD	10/3/2023	208800000X	NA	Other	026	PHYSICIANS	163997	None	None	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
64456	Fee-for-Service	1760962757	1760962757	1	1	NDUNGU, SAMSON K	12/22/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	267 MONUMENT PARKWAY	None	PERRIS	CA	92570	5526	33	06065	33.73807405	-117.2335322	Riverside County
64457	Fee-for-Service	1770625139	1770625139	1	1	NELSON, GILLIAN L MD	10/26/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	94207	41	Internal Medicine	0	In state provider	None	1711 W TEMPLE ST	None	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
64459	Fee-for-Service	1255307203	1255307203	1	1	NOE MATEO MD	6/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	222 N 7TH ST	None	BISMARCK	ND	58501	4436	00	None	46.807308	-100.782459	Burleigh County
64489	Fee-for-Service	1396966503	1396966503	1	2	NEAT HOME CARE, INC	2/8/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3800 W BURBANK BLVD	SUITE 102	BURBANK	CA	91505	2115	19	06037	34.17426825	-118.3514576	Los Angeles County
64513	Fee-for-Service	1639185317	1639185317	1	2	NORTH COUNTY HLTH PRJCT, INC	4/13/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	619 CROUCH STREET	SUITE 100	OCEANSIDE	CA	92054	4460	37	06073	33.19572979	-117.3536776	San Diego County
64517	Fee-for-Service	1639185317	1639185317	1	3	NORTH COUNTY HLTH PRJCT, INC	8/30/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3220 MISSION AVE	SUITE 1	OCEANSIDE	CA	92054	1314	37	06073	33.2141644	-117.3472638	San Diego County
64525	Fee-for-Service	1932287679	1932287679	1	1	NGUYEN, TAN M MD	8/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	88002	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
64534	Fee-for-Service	1619106184	1619106184	1	1	NEMES, ANNETTE	6/10/2009	163WH0200X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2305 NEWELL DR	None	APTOS	CA	95003	2507	44	06087	37.00820605	-121.8962376	Santa Cruz County
64556	Fee-for-Service	1427285394	1427285394	1	1	NGUYEN, HOA H MD	5/9/2014	207R00000X	NA	Other	026	PHYSICIANS	118305	41	Internal Medicine	0	In state provider	None	1375 UNIVERSITY ST	None	HEALDSBURG	CA	95448	3382	49	06097	38.627145	-122.863779	Sonoma County
64563	Fee-for-Service	1194509653	1194509653	1	1	NASHED, CHARLES PT	12/15/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8265 WHITE OAK AVE	None	RANCHO CUCAMONGA	CA	91730	7671	36	06071	34.10330723	-117.5642502	San Bernardino County
64586	Fee-for-Service	1003532102	1003532102	1	1	NGUYEN, PHONG T PT	6/7/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
64594	Fee-for-Service	1235699935	1235699935	1	1	NGUYEN, ANTHONY DO	8/11/2023	207L00000X	NA	Other	026	PHYSICIANS	20674	None	None	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
64619	Fee-for-Service	1477558013	1477558013	1	1	NAMAZY,DAVID S MD	5/24/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	74630	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
64710	Fee-for-Service	1366518516	1366518516	1	1	NAWA, JOEY K	10/20/2009	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11105 KNOTT AVE	SUITE B	CYPRESS	CA	90630	5137	30	06059	33.80083909	-118.0111199	Orange County
64715	Fee-for-Service	1851404693	1851404693	1	1	NEONATOLOGY MED GRP INC	6/22/2004	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	FONTANA FAMILY MED CNTR	17264 FOOTHILL BLVD	STE AB	FONTANA	CA	92335	9050	36	06071	34.10678654	-117.4277541	San Bernardino County
64725	Fee-for-Service	1740657972	1740657972	1	1	NG, PAULINE W	10/8/2015	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1201 ALHAMBRA BLVD	STE 210	SACRAMENTO	CA	95816	5241	34	06067	38.570076	-121.4657145	Sacramento County
64748	Fee-for-Service	1760962757	1760962757	1	1	NDUNGU, SAMSON K	12/22/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	267 MONUMENT PARKWAY	None	PERRIS	CA	92570	5526	33	06065	33.73807405	-117.2335322	Riverside County
64805	Fee-for-Service	1639185317	1639185317	1	3	NORTH COUNTY HLTH PRJCT, INC	2/11/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3220 MISSION AVE	SUITE 1	OCEANSIDE	CA	92054	1314	37	06073	33.2141644	-117.3472638	San Diego County
64820	Fee-for-Service	1619106184	1619106184	1	1	NEMES, ANNETTE	6/10/2009	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2305 NEWELL DR	None	APTOS	CA	95003	2507	44	06087	37.00820605	-121.8962376	Santa Cruz County
64829	Fee-for-Service	1548351943	1548351943	1	1	NIKOU EYE SURGICAL AND	4/4/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	47763	18	Ophthalmology	0	In state provider	MEDICAL CENTER INC	222 W EULALIA ST	SUITE 315	GLENDALE	CA	91204	2849	19	06037	34.12653215	-118.257121	Los Angeles County
64847	Fee-for-Service	1881640704	1881640704	1	1	NAZEER, TARIQ MD	2/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	43726	05	Anesthesiology	0	In state provider	None	1450 E ALMOND AVENUE	None	MADERA	CA	93638	5724	20	06039	36.94530875	-120.0386549	Madera County
64848	Fee-for-Service	1669708301	1669708301	1	1	NECHIPORENKO, CLAIRE F MD	2/22/2020	208M00000X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	1919 E THOMAS RD	None	PHOENIX	AZ	85016	7710	00	None	33.478749	-112.0426515	Maricopa County
64885	Fee-for-Service	1497794093	1497794093	1	1	NGUYEN, MYHOANG P MD	3/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	69394	08	Family Practice	0	In state provider	None	1515 CONTRA COSTA BLVD	None	PLEASANT HILL	CA	94523	3054	07	06013	37.95552398	-122.0603308	Contra Costa County
64897	Fee-for-Service	1679102685	1679102685	1	1	NIP, ALYSSA J MD	9/5/2024	207P00000X	NA	Other	026	PHYSICIANS	191520	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1001 POTRERO AVE	RM 1E21	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
64905	Fee-for-Service	1477558013	1477558013	1	1	NAMAZY,DAVID S MD	5/24/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	74630	45	Nephrology (Renal-Kidney)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
64911	Fee-for-Service	1861501025	1861501025	1	1	NAMBIAR, MANI MD	12/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	40026	None	None	0	In state provider	None	130 S BUENA VISTA ST	None	HEMET	CA	92543	4308	33	06065	33.74685979	-116.9672951	Riverside County
64936	Fee-for-Service	1205279726	1205279726	1	1	NIKPOUR, ARIAN M MD	8/1/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	132871	30	Radiology	0	In state provider	None	225 N JACKSON AVE	ATTN RADIOLOGY DEPT	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
64937	Fee-for-Service	1497842835	1497842835	1	1	NORTH COAST FACULTY	11/1/2001	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MEDICAL GROUP INC	652 PETALUMA AVE	STE F	SEBASTOPOL	CA	95472	4266	49	06097	38.39662494	-122.8201368	Sonoma County
64947	Fee-for-Service	1073572814	1073572814	1	1	NUNO GARCIA, CLAUDIA MD	3/21/2005	207L00000X	NA	Other	026	PHYSICIANS	83569	05	Anesthesiology	0	In state provider	None	210 N TUSTIN AVE	None	SANTA ANA	CA	92705	3807	30	06059	33.746805	-117.834147	Orange County
64962	Fee-for-Service	1497905442	1497905442	1	1	NAKANO, ICHIRO MD	10/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	300 MEDICAL PLAZA	STE 200	LOS ANGELES	CA	90095	6975	19	06037	34.06473399	-118.445865	Los Angeles County
65001	Fee-for-Service	1851404693	1851404693	1	1	NEONATOLOGY MED GRP INC	6/22/2004	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	FONTANA FAMILY MED CNTR	17264 FOOTHILL BLVD	STE AB	FONTANA	CA	92335	9050	36	06071	34.10678654	-117.4277541	San Bernardino County
65002	Fee-for-Service	1780097725	1780097725	1	1	NEWBY, QUIN T MD	8/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2306	00	None	36.132948	-115.136874	Clark County
65008	Fee-for-Service	1114998903	1114998903	1	1	NIAZI, ZIAD A MD	12/26/2008	208800000X	NA	Other	026	PHYSICIANS	35335	34	Urology and Urological Surgery	0	In state provider	None	1760 GOLD ST	STE 500	REDDING	CA	96001	1804	45	06089	40.57873165	-122.3934095	Shasta County
65015	Fee-for-Service	1467893859	1467893859	1	1	NIRAGULATHAN, SHANMUGA P MD	7/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141620	41	Internal Medicine	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
65087	Fee-for-Service	1538346192	1538346192	1	1	NERSISSIAN, BENO MD INC	1/22/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	48545	None	None	0	In state provider	None	1030 S GLENDALE AVE	STE 507	GLENDALE	CA	91205	2866	19	06037	34.13381535	-118.2519184	Los Angeles County
65090	Fee-for-Service	1306913769	1306913769	1	1	NAKATA, LISA M PHD	2/22/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1761 BROADWAY STREET	None	VALLEJO	CA	94589	2226	48	06095	38.13049234	-122.2522422	Solano County
65134	Fee-for-Service	1821147786	1821147786	1	8	NORTHBAY HEALTHCARE GROUP	12/12/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1101 B GALE WILSON BLVD	SUITE 301 & 307	FAIRFIELD	CA	94533	3702	48	06095	38.26103575	-122.0462501	Solano County
65145	Fee-for-Service	1174985378	1174985378	1	1	NAGUIB, MONICA N MD	8/16/2022	2080P0205X	NA	Endocrinology	026	PHYSICIANS	161488	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
65150	Fee-for-Service	1265662928	1265662928	1	1	NANDIPATI, HARISH MD	8/6/2023	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	2	Out of state provider	None	1325 N LITCHFIELD RD	110	GOODYEAR	AZ	85395	1228	00	None	33.461118	-112.355739	Maricopa County
65198	Fee-for-Service	1184084048	1184084048	1	1	NOGEN, CARON PSYD	10/17/2022	103G00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2425 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2215	34	06067	38.553012	-121.45545	Sacramento County
65223	Fee-for-Service	1497842835	1497842835	1	1	NORTH COAST FACULTY	11/1/2001	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	MEDICAL GROUP INC	652 PETALUMA AVE	STE F	SEBASTOPOL	CA	95472	4266	49	06097	38.39662494	-122.8201368	Sonoma County
65228	Fee-for-Service	1033109285	1033109285	1	1	NISBET, JOHN J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	ST LUKES WOODLANDS COMM	17200 ST LUKES WAY	None	CONROE	TX	77384	0000	00	None	30.20494949	-95.45934449	Montgomery County
65281	Fee-for-Service	1326573494	1326573494	1	1	NWAOHA-EZEKWO, THERESA A NP	9/20/2020	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
65290	Fee-for-Service	1851404693	1851404693	1	1	NEONATOLOGY MED GRP INC	6/22/2004	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	FONTANA FAMILY MED CNTR	17264 FOOTHILL BLVD	STE AB	FONTANA	CA	92335	9050	36	06071	34.10678654	-117.4277541	San Bernardino County
65301	Fee-for-Service	1780017897	1780017897	1	1	NGUYEN, CHRISTINE V MD	4/20/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	134102	18	Ophthalmology	0	In state provider	None	200 STEIN PLAZA	SUITE 1-340	LOS ANGELES	CA	90095	7001	19	06037	34.06482757	-118.4443441	Los Angeles County
65430	Fee-for-Service	1154740751	1154740751	1	1	NYAKUDARIKA, NATSAI MD	6/1/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	139375	None	None	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
65499	Fee-for-Service	1366517823	1366517823	1	1	NAIMA, IRAJ MD	11/30/1983	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	40883	01	General Practice	0	In state provider	None	1804 SAN MIGUEL DR	None	WALNUT CREEK	CA	94596	8606	07	06013	37.8962882	-122.0537921	Contra Costa County
65502	Fee-for-Service	1023179983	1023179983	1	1	NICHOLS, SARAH E	4/21/2017	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1515 NEWELL AVE	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
65508	Fee-for-Service	1992921332	1992921332	1	1	NGUYEN, NHAN T MD	10/8/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74736	02	General Surgery	0	In state provider	None	45 CASTRO ST	None	SAN FRANCISCO	CA	94114	1010	38	06075	37.76829732	-122.4357056	San Francisco County
65585	Fee-for-Service	1932425683	1932425683	1	1	NGUYEN, DAVID C MD	2/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	121745	41	Internal Medicine	0	In state provider	None	3610 ATLANTIC AVE	None	LONG BEACH	CA	90807	3418	19	06037	33.822621	-118.185002	Los Angeles County
65590	Fee-for-Service	1508108333	1508108333	1	1	NAYLOR, MIRANDA L DO	9/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14096	01	General Practice	0	In state provider	None	333 THALIA ST	None	LAGUNA BEACH	CA	92651	2713	30	06059	33.53651098	-117.7771396	Orange County
65617	Fee-for-Service	1528086279	1528086279	1	1	NGUYEN, TRUNG D MD	11/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	82169	24	Plastic Surgery	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
65625	Fee-for-Service	1013220656	1013220656	1	1	NGUYEN, VU MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126835	05	Anesthesiology	0	In state provider	None	2601 E CHAPMAN AVE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
65705	Fee-for-Service	1295873677	1295873677	1	1	NORIAN, JOHN M MD	6/1/2010	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	105979	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	11370 ANDERSON ST	STE 3900	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
65780	Fee-for-Service	1699971721	1699971721	1	1	NASH, KENDALL B MD	10/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	99578	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
65783	Fee-for-Service	1215121280	1215121280	1	1	NAVI, DANIELS MD	12/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100828	07	Dermatology	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
65933	Fee-for-Service	1871683458	1871683458	1	1	NORTH COAST ORTHOPAEDICS &	12/12/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9669	20	Orthopedic Surgery	0	In state provider	SPORTS MEDICINE AMC	4779 VALLEY EAST BLVD	STE 1	ARCATA	CA	95521	4631	12	06023	40.90127534	-124.0813341	Humboldt County
65937	Fee-for-Service	1932696432	1932696432	1	1	NG, DANIEL MD	5/1/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	165281	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1000 FIVEPOINT	None	IRVINE	CA	92618	2377	30	06059	33.65251244	-117.7317885	Orange County
65973	Fee-for-Service	1669567897	1669567897	1	1	NORTHCREST MEDICAL CENTER	5/5/2009	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	100 NORTHCREST DR	None	SPRINGFIELD	TN	37172	2411	00	None	36.4779354	-86.88587293	Robertson County
66020	Fee-for-Service	1467400853	1467400853	1	1	NGUYEN, HUY A MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7977	08	Family Practice	0	In state provider	None	11010 COMBIE RD	STE 200	AUBURN	CA	95602	8948	31	06061	39.04105091	-121.0788923	Nevada County
66218	Fee-for-Service	1104961630	1104961630	1	1	NOSENZO-GOODMAN, SHANNON LM	3/25/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1132 SAN MARINO DR	204	SAN MARCOS	CA	92078	4600	37	06073	33.12486539	-117.2107986	San Diego County
66222	Fee-for-Service	1932696432	1932696432	1	1	NG, DANIEL MD	5/1/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	165281	41	Internal Medicine	0	In state provider	None	1000 FIVEPOINT	None	IRVINE	CA	92618	2377	30	06059	33.65251244	-117.7317885	Orange County
66248	Fee-for-Service	1649664848	1649664848	1	2	NORTHERN INYO HEALTHCARE DIS	3/17/2021	261Q00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
66265	Fee-for-Service	1669567897	1669567897	1	1	NORTHCREST MEDICAL CENTER	5/5/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	100 NORTHCREST DR	None	SPRINGFIELD	TN	37172	2411	00	None	36.4779354	-86.88587293	Robertson County
66310	Fee-for-Service	1467400853	1467400853	1	1	NGUYEN, HUY A MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7977	41	Internal Medicine	0	In state provider	None	11010 COMBIE RD	STE 200	AUBURN	CA	95602	8948	31	06061	39.04105091	-121.0788923	Nevada County
66405	Fee-for-Service	1811334204	1811334204	1	1	NIGBOR, JOHN E PHD	1/10/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4715 VIEWRIDGE AVENUE	SUITE 230	SAN DIEGO	CA	92123	1680	37	06073	32.82422034	-117.1210743	San Diego County
66423	Fee-for-Service	1396408829	1396408829	1	1	NEOGENOMICS LABORATORIES INC	9/2/2022	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	9490 NEOGENOMICS WAY	None	FORT MYERS	FL	33912	4553	00	None	26.503965	-81.7967115	Lee County
66509	Fee-for-Service	1639639370	1639639370	1	1	NGUYEN, ANGELS DO	10/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19936	None	None	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
66515	Fee-for-Service	1386001212	1386001212	2	2	NORTH HIGHLAND INPATIENT SER	6/18/2019	208M00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	VICES A MEDICAL CORP	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
66527	Fee-for-Service	1407999642	1407999642	1	1	NICKEL, PETER M MD	8/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	35080	05	Anesthesiology	0	In state provider	None	425 W JUNIPERO ST	STE 3	SANTA BARBARA	CA	93105	4294	42	06083	34.42973253	-119.7249544	Santa Barbara County
66535	Fee-for-Service	1649664848	1649664848	1	2	NORTHERN INYO HEALTHCARE DIS	10/4/2021	261Q00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
66592	Fee-for-Service	1033792759	1033792759	1	1	NGUYEN, JENNY T MD	9/25/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	192399	08	Family Practice	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
66653	Fee-for-Service	1336508308	1336508308	1	1	NGUYEN, LUU P	5/24/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2559 S KING ROAD	STE B10	SAN JOSE	CA	95122	1894	43	06085	37.31992537	-121.8236152	Santa Clara County
66689	Fee-for-Service	1780087890	1780087890	1	1	NGUYEN, THAI-BINH OD	6/4/2015	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9324 E GARVEY AVE	STE A	SOUTH EL MONTE	CA	91733	4640	19	06037	34.0626657	-118.0658998	Los Angeles County
66757	Fee-for-Service	1316984974	1316984974	1	1	NURRE, LOUISE E DO	8/25/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	10897	08	Family Practice	0	In state provider	None	1181 SOLANO AVE	None	ALBANY	CA	94706	1637	01	06001	37.89040991	-122.2968845	Alameda County
66791	Fee-for-Service	1174723530	1174723530	1	1	NORWALK SKILLED NURSING	8/1/2007	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	& WELLNESS CENTRE	11510 IMPERIAL HWY	None	NORWALK	CA	90650	2812	19	06037	33.9170619	-118.0878574	Los Angeles County
66815	Fee-for-Service	1124599980	1124599980	1	1	NGUYEN, THUY RCP	7/10/2020	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
66824	Fee-for-Service	1649664848	1649664848	1	2	NORTHERN INYO HEALTHCARE DIS	3/17/2021	261Q00000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
66867	Fee-for-Service	1891721536	1891721536	1	1	NATIONWIDE LAB SRVS INC	1/13/2005	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	ESRD LABORATORY	2030 W MCNAB RD	None	FT LAUDERDALE	FL	33309	1002	00	None	26.20986804	-80.17122355	Broward County
66872	Fee-for-Service	1326389164	1326389164	1	1	NURSE CARE HEALTH GROUP LLC	3/1/2013	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	425 W BROADWAY	SUITE 213	GLENDALE	CA	91204	1269	19	06037	34.14684859	-118.262666	Los Angeles County
66873	Fee-for-Service	1922298371	1922298371	1	1	NASSERI, HAMID R DO	5/23/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11370	41	Internal Medicine	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
66882	Fee-for-Service	1609399500	1609399500	1	1	NUVEEN, NICHOLAS K MD	8/16/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	215 W JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
66980	Fee-for-Service	1346628294	1346628294	1	1	NGUYEN, HA N MD	7/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155312	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
67006	Fee-for-Service	1811185655	1811185655	1	1	NABI, DAVID MD	7/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76639	02	General Surgery	0	In state provider	None	2505 SAMARITAN DR	STE 504	SAN JOSE	CA	95124	4014	43	06085	37.25111447	-121.9483395	Santa Clara County
67010	Fee-for-Service	1598703647	1598703647	1	21	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	33509 VALLEY CENTER RD	None	VALLEY CENTER	CA	92082	6051	37	06073	33.25977083	-116.9557422	San Diego County
67036	Fee-for-Service	1780063024	1780063024	1	1	NGUYEN, NGUYEN V DO	9/6/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	14951	08	Family Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
67061	Fee-for-Service	1356328363	1356328363	1	1	NEWMAN, JOSHUA L MD	8/31/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93319	08	Family Practice	0	In state provider	None	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
67112	Fee-for-Service	1649664848	1649664848	1	2	NORTHERN INYO HEALTHCARE DIS	2/25/2022	261Q00000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
67120	Fee-for-Service	1972259190	1972259190	1	1	NORTHRIDGE MANOR	9/12/2024	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	9501 VANALDEN AVE	None	NORTHRIDGE	CA	91324	1762	19	06037	34.2429999	-118.5492263	Los Angeles County
67133	Fee-for-Service	1023244498	1023244498	1	1	NAKAMURA, DAVID T MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	116103	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
67154	Fee-for-Service	1326063710	1326063710	1	1	NAING, THAN MD	12/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	70863	05	Anesthesiology	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
67161	Fee-for-Service	1922298371	1922298371	1	1	NASSERI, HAMID R DO	5/23/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11370	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
67172	Fee-for-Service	1609399500	1609399500	1	1	NUVEEN, NICHOLAS K MD	8/16/2024	207P00000X	NA	Other	026	PHYSICIANS	None	70	Clinic (mixed specialty)	0	In state provider	None	215 W JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
67232	Fee-for-Service	1740478171	1740478171	1	1	NOURANIAN, HOMA SAHAFI	2/6/2008	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	26972 EL RETIRO	None	MISSION VIEJO	CA	92692	3408	30	06059	33.57115576	-117.6543272	Orange County
67261	Fee-for-Service	1174628226	1174628226	1	1	NUNNA, MEERA V MD	8/24/2004	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	67520	40	Pediatrics	0	In state provider	None	1000 RIVER ROCK DR	STE 114	FOLSOM	CA	95630	2093	34	06067	38.678553	-121.195404	Sacramento County
67270	Fee-for-Service	1376093310	1376093310	1	1	NASSER, AMANDA V NP	9/14/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
67299	Fee-for-Service	1598703647	1598703647	1	21	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	33509 VALLEY CENTER RD	None	VALLEY CENTER	CA	92082	6051	37	06073	33.25977083	-116.9557422	San Diego County
67329	Fee-for-Service	1689020760	1689020760	1	1	NIETO, ELIZABETH A MD	8/11/2020	207R00000X	NA	Other	026	PHYSICIANS	168450	41	Internal Medicine	0	In state provider	None	26800 CROWN VALLEY PKWY	STE 305, 315, 325, 330	MISSION VIEJO	CA	92691	8033	30	06059	33.56286021	-117.6673449	Orange County
67401	Fee-for-Service	1649664848	1649664848	1	2	NORTHERN INYO HEALTHCARE DIS	3/15/2022	261Q00000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
67520	Fee-for-Service	1740478171	1740478171	1	1	NOURANIAN, HOMA SAHAFI	2/6/2008	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	26972 EL RETIRO	None	MISSION VIEJO	CA	92692	3408	30	06059	33.57115576	-117.6543272	Orange County
67583	Fee-for-Service	1700068319	1700068319	1	1	NUNEZ TELLEZ, ABRAHAM LCSW	3/7/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8710 MONROE CT	SUITE 150	RANCHO CUCAMONGA	CA	91730	4883	36	06071	34.09544496	-117.5747968	San Bernardino County
67607	Fee-for-Service	1548640311	1548640311	1	1	NOROOZ CLINIC FOUNDATION	3/15/2024	103TC1900X	NA	Mental Health Outpatient Services	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	1560 BROOKHOLLOW DR	STE 214	SANTA ANA	CA	92705	5411	30	06059	33.7130853	-117.8487414	Orange County
67649	Fee-for-Service	1164059135	1164059135	1	1	NICULESCU, ALEXANDER MD	2/19/2024	208M00000X	NA	Other	026	PHYSICIANS	187471	41	Internal Medicine	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
67675	Fee-for-Service	1720243868	1720243868	1	1	NGUYEN, TRONG B MD INC	9/23/2008	193400000X	NA	Other	026	PHYSICIANS	99679	None	None	0	In state provider	None	18111 BROOKHURST STREET	#5800	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
67687	Fee-for-Service	1649664848	1649664848	1	2	NORTHERN INYO HEALTHCARE DIS	3/17/2021	261Q00000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
67716	Fee-for-Service	1295166882	1295166882	1	1	NIERAETH, MICHAEL J	4/4/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
67733	Fee-for-Service	1578760641	1578760641	1	1	NAM, EDUARDO J MD	12/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85422	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
67739	Fee-for-Service	1568487213	1568487213	1	1	NAKASHIMA, CAROL L MD	6/30/1984	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	47899	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1235 W VINE ST	# 22	LODI	CA	95240	5109	39	06077	38.12279179	-121.2879362	San Joaquin County
67755	Fee-for-Service	1114173838	1114173838	1	1	NIEBRUGGE, JESSICA B	6/6/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	250 TRAVELODGE DR	None	EL CAJON	CA	92020	4126	37	06073	32.79312432	-116.980275	San Diego County
67775	Fee-for-Service	1598703647	1598703647	1	24	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14249 FRUITVALE RD	None	VALLEY CENTER	CA	92082	5970	37	06073	33.24114587	-117.0218805	San Diego County
67790	Fee-for-Service	1902266018	1902266018	1	1	NOLCOX, JASMINE M OT	5/20/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
67842	Fee-for-Service	1164198362	1164198362	1	1	NAVARRO, GLENDA LMFT	1/14/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	550 W ALLUVIAL AVE	STE 108	FRESNO	CA	93711	5857	10	06019	36.84447289	-119.8025883	Fresno County
67871	Fee-for-Service	1467683508	1467683508	1	1	NOORIAN, ALIREZA MD	1/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124055	13	Neurology (M.D. only)	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
68008	Fee-for-Service	1457397838	1457397838	1	1	NORTHERN CALIFORNIA	1/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	IMAGING ASSC MED GRP INC	240 SPRUCE ST	None	GRIDLEY	CA	95948	2216	04	06007	39.36701046	-121.6895355	Butte County
68015	Fee-for-Service	1922275783	1922275783	1	1	NILOOFAR, FADAKI MD	7/27/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112959	02	General Surgery	0	In state provider	None	2340 CLAY STREET	2ND FLOOR	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
68039	Fee-for-Service	1932407632	1932407632	1	1	NEWBOLD, SHANNA R MD	2/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107472	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	95358	6403	15	06029	35.38333823	-119.0188872	Kern County
68064	Fee-for-Service	1598703647	1598703647	1	24	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14249 FRUITVALE RD	None	VALLEY CENTER	CA	92082	5970	37	06073	33.24114587	-117.0218805	San Diego County
68122	Fee-for-Service	1922254630	1922254630	1	1	NELSON, STARLA L PT	7/12/2018	208100000X	NA	Physical Medicine and Rehabilitation	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1676 EAST 6TH ST	None	BEAUMONT	CA	92223	2550	33	06065	33.92948188	-116.9484306	Riverside County
68133	Fee-for-Service	1427117266	1427117266	1	1	NAHREINI, MITRA N CNP	11/19/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16773 BERNARDO CENTER DR	None	SAN DIEGO	CA	92128	2525	37	06073	33.01874412	-117.0752752	San Diego County
68219	Fee-for-Service	1902395213	1902395213	1	1	NGUYEN, LISA P DO	9/22/2024	207L00000X	NA	Other	026	PHYSICIANS	23031	05	Anesthesiology	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
68326	Fee-for-Service	1285616185	1285616185	1	1	NAGAPPAN, SUBBU MD	11/26/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	70352	None	None	0	In state provider	None	4500 BROCKTON AVE	STE 316	RIVERSIDE	CA	92501	4135	33	06065	33.97785263	-117.3836152	Riverside County
68336	Fee-for-Service	1154754539	1154754539	1	1	NASOL, ELISA FRANCES R MD	1/28/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164838	None	None	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
68359	Fee-for-Service	1619265022	1619265022	1	1	NGUYEN, GINA P MD	6/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119781	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVENUE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
68361	Fee-for-Service	1407992076	1407992076	1	1	NG, ROGER K MD	9/22/2022	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	166443	None	None	0	In state provider	None	500 DOYLE PARK DR	STE 200	SANTA ROSA	CA	95405	4559	49	06097	38.44332	-122.6985255	Sonoma County
68414	Fee-for-Service	1871519017	1871519017	1	1	NGHIEMPHU, PHIOANH MD	12/17/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73835	13	Neurology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
68451	Fee-for-Service	1902065279	1902065279	1	1	NELSON, CARLA M MD	1/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101230	40	Pediatrics	0	In state provider	None	780 E WASHINGTON BLVD	STE 202	CRESCENT CITY	CA	95531	8397	08	06015	41.775246	-124.194447	Del Norte County
68457	Fee-for-Service	1043741697	1043741697	1	1	NABEL, ANNA MD	10/9/2021	207P00000X	NA	Other	026	PHYSICIANS	163455	20	Orthopedic Surgery	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
68469	Fee-for-Service	1548757610	1548757610	1	1	NELSON, ALLEN W MD	1/9/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164980	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
68523	Fee-for-Service	1073870374	1073870374	1	1	NORRIS, JEFFREY M MD	4/14/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	136275	-	NOT APPLICABLE	0	In state provider	None	16 15TH STREET	None	SAN DIEGO	CA	92101	7638	37	06073	32.70554105	-117.1503622	San Diego County
68546	Fee-for-Service	1124187877	1124187877	1	1	NGO, CAROLINE MD	5/12/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	45676	30	Radiology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
68571	Fee-for-Service	1982725529	1982725529	1	1	NGUYEN, VINH H MD	4/24/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	90784	08	Family Practice	0	In state provider	None	18035 BROOKHURST ST	STE 2100	FOUNTAIN VALLEY	CA	92708	6738	30	06059	33.701184	-117.9544385	Orange County
68588	Fee-for-Service	1861125478	1861125478	1	1	NEIGHBORHOOD HEALTHCARE	9/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1970 UNIVERSITY AVE	None	RIVERSIDE	CA	92507	5202	33	06065	33.97555819	-117.3545428	Riverside County
68626	Fee-for-Service	1457385890	1457385890	1	1	NISHIKI, MARK H MD	8/31/1989	207ZP0101X	NA	Other	026	PHYSICIANS	56041	22	Pathology (M.D. only)	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
68650	Fee-for-Service	1225319015	1225319015	1	1	NICOLETTI, KAITLIN J DO	8/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14567	05	Anesthesiology	0	In state provider	None	4001 J STREET	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
68658	Fee-for-Service	1023358397	1023358397	1	1	NEW DIRECTIONS ALCOHOL & DRU	8/29/2016	251S00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	DRUG SERVICES INC	1331 W AVE J	SUITE 206	LANCASTER	CA	93534	2954	19	06037	34.68946152	-118.155699	Los Angeles County
68676	Fee-for-Service	1578514048	1578514048	1	1	NANDA, TEJVIR S MD	6/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	66147	30	Radiology	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
68701	Fee-for-Service	1407434533	1407434533	1	1	NISHIKAWA, MOENA I MD	9/6/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	2067 W VISTA WAY	STE 180	VISTA	CA	92083	6033	37	06073	33.18505594	-117.285958	San Diego County
68786	Fee-for-Service	1265506794	1265506794	1	1	NGUYEN, HUONG MD	9/1/1984	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	34653	40	Pediatrics	0	In state provider	None	4444 EL CAJON BLVD	SUITE #6	SAN DIEGO	CA	92115	4312	37	06073	32.75515755	-117.0989261	San Diego County
68833	Fee-for-Service	1043476393	1043476393	1	1	NGUYEN, TAM H DO	9/17/2008	193400000X	NA	Other	026	PHYSICIANS	9636	None	None	0	In state provider	None	340 GARDENIA DRIVE	None	SAN JOSE	CA	95123	4441	43	06085	37.24032686	-121.8110174	Santa Clara County
68878	Fee-for-Service	1861125478	1861125478	1	1	NEIGHBORHOOD HEALTHCARE	9/1/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1970 UNIVERSITY AVE	None	RIVERSIDE	CA	92507	5202	33	06065	33.97555819	-117.3545428	Riverside County
68982	Fee-for-Service	1972569903	1972569903	1	1	NGUYEN CHI M MD	10/31/1995	207P00000X	NA	Other	026	PHYSICIANS	77715	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
69195	Fee-for-Service	1669890067	1669890067	1	1	NAVROOP BADYAL	9/15/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	700 CHILDRENS DR	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
69198	Fee-for-Service	1245540822	1245540822	1	1	NAZIR, MOHAMMAD LCSW	1/4/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4053 LONE TREE WAY	101	ANTIOCH	CA	94531	6210	07	06013	37.97569499	-121.800733	Contra Costa County
69254	Fee-for-Service	1447415609	1447415609	1	1	NGUYEN, PHO MD	1/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	109247	18	Ophthalmology	0	In state provider	None	1450 SAN PABLO ST	SUITE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
69281	Fee-for-Service	1316054174	1316054174	1	1	NGAN, GEORGE G MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	36843	41	Internal Medicine	0	In state provider	None	201 S ALVARADO ST	STE 720	LOS ANGELES	CA	90057	2390	19	06037	34.06417777	-118.2719543	Los Angeles County
69284	Fee-for-Service	1407107550	1407107550	1	1	NEW LIFE MEDICAL ASSOCIATES	11/1/2012	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	18031 US HIGHWAY 18	SUITE C	APPLE VALLEY	CA	92307	2152	36	06071	34.54008717	-117.2706344	San Bernardino County
69295	Fee-for-Service	1356468623	1356468623	1	1	NAIR, VINAY MD	12/21/2023	207R00000X	NA	Other	026	PHYSICIANS	156445	None	None	0	In state provider	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
69309	Fee-for-Service	1033542071	1033542071	1	1	NGO, ANDREW T OD	3/5/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4200 CHINO HILLS PKWY	STE 390	CHINO HILLS	CA	91709	5825	36	06071	33.98274451	-117.7129305	San Bernardino County
69348	Fee-for-Service	1952842221	1952842221	1	1	NGUYEN, STEFAN T MD	9/1/2020	208M00000X	NA	Other	026	PHYSICIANS	157405	41	Internal Medicine	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
69374	Fee-for-Service	1245218759	1245218759	1	1	NIHAR SHAH MD	5/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4801 W 81ST ST	STE 108	MINNEAPOLIS	MN	55437	1111	00	None	44.85623947	-93.34035	Hennepin County
69420	Fee-for-Service	1992293468	1992293468	1	1	NGUYEN, ANTHONY T MD	6/15/2023	2085R0001X	NA	Other	026	PHYSICIANS	164051	None	None	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
69428	Fee-for-Service	1083372205	1083372205	1	1	NEWPORT ADULT DAY HEALTH	6/12/2024	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	CARE CENTER INC	8931 ADAMS AVE	None	HUNTINGTON BEACH	CA	92646	3330	30	06059	33.67233551	-117.972225	Orange County
69465	Fee-for-Service	1598703647	1598703647	1	28	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	33158 COLE GRADE RD	ROOM NURSES OFFICE	PAUMA VALLEY	CA	92061	9578	37	06073	33.31511985	-117.0002279	San Diego County
69468	Fee-for-Service	1205861531	1205861531	1	1	NIELSEN, CRAIG MD	8/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	55539	05	Anesthesiology	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
69501	Fee-for-Service	1952837098	1952837098	1	1	NANEZ, ANDREA I MD	9/19/2024	207VX0201X	NA	Obstetrics & Gynecology	026	PHYSICIANS	157337	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
69526	Fee-for-Service	1366655516	1366655516	1	1	NAVA INCORPORATED	11/6/2003	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	3010 OLCOTT ST	None	SANTA CLARA	CA	95054	3207	43	06085	37.376865	-121.9673575	Santa Clara County
69568	Fee-for-Service	1316054174	1316054174	1	1	NGAN, GEORGE G MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	36843	01	General Practice	0	In state provider	None	201 S ALVARADO ST	STE 720	LOS ANGELES	CA	90057	2390	19	06037	34.06417777	-118.2719543	Los Angeles County
69637	Fee-for-Service	1750380648	1750380648	1	1	NICHOLAS, LISA A MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	37695	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5800 HANNUM AVE	None	CULVER CITY	CA	90230	6502	19	06037	33.98724995	-118.3858338	Los Angeles County
69639	Fee-for-Service	1649454638	1649454638	1	1	NASREEN, TANZINA MD	6/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92620	45	Nephrology (Renal-Kidney)	0	In state provider	None	10941 BLOOMFIELD ST	STE A	LOS ALAMITOS	CA	90720	6702	30	06059	33.804234	-118.0632055	Orange County
69647	Fee-for-Service	1982244208	1982244208	1	1	NJOKU, OBIAGAERI J NP	1/30/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
69662	Fee-for-Service	1497948681	1497948681	1	2	NEIDORF, BARRY S MD INC	11/25/2009	207R00000X	NA	Other	026	PHYSICIANS	21079	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	435 N BEDFORD DRIVE	SUITE 312	BEVERLY HILLS	CA	90210	4314	19	06037	34.06851281	-118.4056736	Los Angeles County
69684	Fee-for-Service	1639190853	1639190853	1	1	NHAN, JENNIFER T DC	2/8/2015	111N00000X	NA	Other	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	MARSHALL HEALTH CLINIC	807 E MARSHALL ST	None	SAN GABRIEL	CA	91776	3956	19	06037	34.07486352	-118.090071	Los Angeles County
69711	Fee-for-Service	1629452529	1629452529	1	1	NGUYEN, ALEX T MD	9/20/2020	207RH0002X	NA	Adult Primary Care	026	PHYSICIANS	145401	None	None	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
69753	Fee-for-Service	1598703647	1598703647	1	28	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	33158 COLE GRADE RD	ROOM NURSES OFFICE	PAUMA VALLEY	CA	92061	9578	37	06073	33.31511985	-117.0002279	San Diego County
69754	Fee-for-Service	1033281043	1033281043	1	1	NGUYEN, KRISTY D	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
69854	Fee-for-Service	1225320039	1225320039	1	1	NAIR, ASHA G MD	1/28/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	157984	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
69857	Fee-for-Service	1841966777	1841966777	1	1	NGUYEN, DIANA CNP	4/25/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1150 BAKER ST	None	COSTA MESA	CA	92626	4111	30	06059	33.68015852	-117.906831	Orange County
69925	Fee-for-Service	1588312581	1588312581	1	1	NGETHE, LUCY	4/28/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	652 DAPHNE LN	None	LEMOORE	CA	93245	4244	16	06031	36.30482274	-119.7679103	Kings County
69951	Fee-for-Service	1497948681	1497948681	1	2	NEIDORF, BARRY S MD INC	11/25/2009	207R00000X	NA	Other	026	PHYSICIANS	21079	41	Internal Medicine	0	In state provider	None	435 N BEDFORD DRIVE	SUITE 312	BEVERLY HILLS	CA	90210	4314	19	06037	34.06851281	-118.4056736	Los Angeles County
69971	Fee-for-Service	1649564311	1649564311	1	1	NUNDKUMAR, ANOOP C MD	7/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	122090	30	Radiology	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
69973	Fee-for-Service	1639379795	1639379795	1	1	NIKOLIC, JELENA MD	12/5/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84334	08	Family Practice	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
69987	Fee-for-Service	1952336059	1952336059	1	1	NEDLEY, NEIL A MD	1/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	88388	41	Internal Medicine	0	In state provider	None	11795 EDUCATION ST	STE 201	AUBURN	CA	95602	2469	31	06061	38.94433757	-121.098912	Placer County
70127	Fee-for-Service	1962769166	1962769166	1	1	NIMICK, CRAIG J JR	9/6/2013	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1400 VETERENS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
70141	Fee-for-Service	1225320039	1225320039	1	1	NAIR, ASHA G MD	1/28/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	157984	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
70148	Fee-for-Service	1811121197	1811121197	1	1	NUNEZ-WALLACE, KAREN R MD	6/11/2020	2084N0400X	NA	Neurology	026	PHYSICIANS	163965	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	19066 MAGNOLIA ST	None	HUNTINGTON BEACH	CA	92646	2232	30	06059	33.68568661	-117.9714001	Orange County
70204	Fee-for-Service	1588312581	1588312581	1	1	NGETHE, LUCY	4/28/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	652 DAPHNE LN	None	LEMOORE	CA	93245	4244	16	06031	36.30482274	-119.7679103	Kings County
70221	Fee-for-Service	1821294943	1821294943	1	1	NIMCHUCKCOOK, KAREN C LMFT	8/31/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
70250	Fee-for-Service	1235471871	1235471871	1	1	NG, ANDREW M MD	8/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141038	40	Pediatrics	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6367	43	06085	37.36797679	-122.0297112	Santa Clara County
70270	Fee-for-Service	1285830737	1285830737	1	1	NG, MATTHEW E MD	10/7/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108266	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
70316	Fee-for-Service	1497948681	1497948681	1	1	NEIDORF, BARRY S MD INC	4/1/1981	207R00000X	NA	Other	026	PHYSICIANS	20179	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2080 CENTURY PARK E	STE 906	LOS ANGELES	CA	90067	2012	19	06037	34.05887194	-118.4122914	Los Angeles County
70385	Fee-for-Service	1801893193	1801893193	1	1	NORTON, MICHAEL P MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	38844	30	Radiology	0	In state provider	None	6600 MADISON AVE	STE 11	CARMICHAEL	CA	95608	0645	34	06067	38.663028	-121.310271	Sacramento County
70422	Fee-for-Service	1073566949	1073566949	1	1	NEOSHO MEMORIAL REGIONAL	11/17/2007	282NC0060X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	629 S. PLUMMER	None	CHANUTE	KS	66720	1928	00	None	37.67527079	-95.47092689	Neosho County
70498	Fee-for-Service	1598703647	1598703647	1	25	NEIGHBORHOOD HEALTHCARE	2/6/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28751 COLE GRADE RD	None	VALLEY CENTER	CA	92082	6575	37	06073	33.236019	-117.021447	San Diego County
70502	Fee-for-Service	1598703647	1598703647	1	19	NEIGHBORHOOD HEALTHCARE	2/6/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28102 N LAKE WOHLFORD RD	None	VALLEY CENTER	CA	92082	6740	37	06073	33.22430578	-116.9756676	San Diego County
70541	Fee-for-Service	1063496024	1063496024	1	1	NEARING, MARCIA Y OD	12/1/2002	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
70558	Fee-for-Service	1396893095	1396893095	1	1	NORTHEAST VALLEY HEALTH	3/1/1966	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CORP PHCY	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	19	06037	34.28899399	-118.4481394	Los Angeles County
70567	Fee-for-Service	1588280135	1588280135	1	1	NICKOWITZ, HARRIS MD	2/20/2024	207R00000X	NA	Other	026	PHYSICIANS	183268	None	None	0	In state provider	None	800 S FAIRMONT ST	STE 310	PASADENA	CA	91105	3153	19	06037	34.13193177	-118.1517805	Los Angeles County
70597	Fee-for-Service	1770749202	1770749202	1	1	NICHOLS, SANDRA W NP	2/1/2019	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	1	Border provider	None	5330 S HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
70680	Fee-for-Service	1932137460	1932137460	1	1	NEAL, MICHAEL J DO	5/28/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10371	41	Internal Medicine	0	In state provider	None	1645 PINE STREET	None	REDDING	CA	96001	1018	45	06089	40.58295477	-122.3888377	Shasta County
70692	Fee-for-Service	1518037225	1518037225	1	1	NAQVI, SYED S MD	2/8/2015	174400000X	NA	Other	026	PHYSICIANS	50613	41	Internal Medicine	0	In state provider	None	1919 N FAIRVIEW ST	STE 300	SANTA ANA	CA	92706	2245	30	06059	33.76258416	-117.9028357	Orange County
70700	Fee-for-Service	1073566949	1073566949	1	1	NEOSHO MEMORIAL REGIONAL	11/17/2007	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	629 S. PLUMMER	None	CHANUTE	KS	66720	1928	00	None	37.67527079	-95.47092689	Neosho County
70712	Fee-for-Service	1003166646	1003166646	1	1	NEVAREZ, IRENE NP	12/21/2018	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
70715	Fee-for-Service	1598849572	1598849572	1	1	NICOLAISEN, GARY S MD	4/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	42970	34	Urology and Urological Surgery	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
70719	Fee-for-Service	1124176177	1124176177	1	1	NITAHARA, JAMES A MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	65792	41	Internal Medicine	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
70730	Fee-for-Service	1992759534	1992759534	1	1	NYENKE, CHINYERE A MD	10/18/2022	207R00000X	NA	Other	026	PHYSICIANS	74480	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
70783	Fee-for-Service	1598703647	1598703647	1	25	NEIGHBORHOOD HEALTHCARE	2/6/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28751 COLE GRADE RD	None	VALLEY CENTER	CA	92082	6575	37	06073	33.236019	-117.021447	San Diego County
70793	Fee-for-Service	1598703647	1598703647	1	10	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	16650 HIGHWAY 76	None	PAUMA VALLEY	CA	92061	9524	37	06073	33.29361295	-116.9693519	San Diego County
70797	Fee-for-Service	1598703647	1598703647	1	19	NEIGHBORHOOD HEALTHCARE	2/6/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28102 N LAKE WOHLFORD RD	None	VALLEY CENTER	CA	92082	6740	37	06073	33.22430578	-116.9756676	San Diego County
70807	Fee-for-Service	1629177753	1629177753	1	1	NUSS, CHARLES R DO	1/8/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	17697	09	Gynecology (D.O. only)	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
70818	Fee-for-Service	1407928153	1407928153	1	1	NELSON, JENNIFER A MD	1/25/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77760	41	Internal Medicine	0	In state provider	None	320 LENNON LN	None	WALNUT CREEK	CA	94598	2419	07	06013	37.92699561	-122.0292732	Contra Costa County
70830	Fee-for-Service	1811950827	1811950827	1	1	NASH, KEVIN M MD	6/30/1991	2085R0204X	NA	Other	026	PHYSICIANS	55537	30	Radiology	0	In state provider	None	1702 ESPLANADE	None	CHICO	CA	95926	3315	04	06007	39.74458257	-121.8503103	Butte County
70831	Fee-for-Service	1992912968	1992912968	1	1	NORTH, JEFFREY P MD	5/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111360	07	Dermatology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
70866	Fee-for-Service	1356304703	1356304703	1	1	NEFF, JOHN T MD	10/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	75198	01	General Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
70898	Fee-for-Service	1689636052	1689636052	1	1	NACHBAUER, CRAIG MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	319 S MANNING BLVD	STE 110	ALBANY	NY	12208	1744	00	None	42.655338	-73.8048645	Albany County
70981	Fee-for-Service	1346333101	1346333101	1	1	NEGASH,DEMAS	6/3/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	8268 164TH ST	None	JAMAICA	NY	11432	1121	00	None	40.717917	-73.804086	Queens County
70996	Fee-for-Service	1396032785	1396032785	1	1	NORWOOD, SAMANTHA D	9/21/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
71083	Fee-for-Service	1598703647	1598703647	1	10	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	16650 HIGHWAY 76	None	PAUMA VALLEY	CA	92061	9524	37	06073	33.29361295	-116.9693519	San Diego County
71095	Fee-for-Service	1629177753	1629177753	1	1	NUSS, CHARLES R DO	1/8/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	17697	15	Obstetrics (D.O. only)	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
71100	Fee-for-Service	1629513924	1629513924	1	1	NISHIKAWA, CHRISTAL MD	12/1/2021	207R00000X	NA	Other	026	PHYSICIANS	174981	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
71106	Fee-for-Service	1609048040	1609048040	1	1	NATIONAL HEALTH SERVICES	3/21/2005	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	RIDGECREST COMM HLTH SER	900 N HERTIAGE DR	STE E	RIDGECREST	CA	93555	5537	15	06029	35.6381566	-117.675128	Kern County
71115	Fee-for-Service	1114975554	1114975554	1	1	NGUYEN, BENJAMIN B MD	5/6/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	178892	13	Neurology (M.D. only)	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	1821	38	06075	37.7634502	-122.4579779	San Francisco County
71152	Fee-for-Service	1316342793	1316342793	1	1	NGUYEN, SALLY Q OT	10/30/2023	282N00000X	NA	Hospitals	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
71182	Fee-for-Service	1265581623	1265581623	1	1	NGUYEN, HELENA H	10/7/1992	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3480 EL CAMINO REAL	None	SANTA CLARA	CA	95051	2809	43	06085	37.35225555	-121.9921875	Santa Clara County
71222	Fee-for-Service	1164798591	1164798591	1	1	NAGAN, JOSEPH D OD	11/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12332	01	General Practice	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
71231	Fee-for-Service	1548226350	1548226350	1	1	NICKEL, FERRIS RAY MD	10/31/1983	207XX0004X	NA	Orthopedic Surgery	026	PHYSICIANS	39284	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	12449 PUTNAM ST	STE B	WHITTIER	CA	90602	1023	19	06037	33.97074057	-118.0458693	Los Angeles County
71240	Fee-for-Service	1043537277	1043537277	1	1	NGUYEN, KEVIN C MD	1/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119782	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1700 COFFEE RD	None	MODESTO	CA	95355	2869	50	06099	37.668645	-120.9756715	Stanislaus County
71294	Fee-for-Service	1548228430	1548228430	1	1	NAVARRO, JEROLYN RENEE	5/1/1991	207L00000X	NA	Other	026	PHYSICIANS	62891	05	Anesthesiology	0	In state provider	None	203 WILLOW ST	STE 302	SAN FRANCISCO	CA	94109	7733	38	06075	37.78326038	-122.4212876	San Francisco County
71351	Fee-for-Service	1891029781	1891029781	1	1	NGA, VISAL D DO	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	10947	41	Internal Medicine	0	In state provider	None	1045 ATLANTIC AVE	STE 708	LONG BEACH	CA	90813	3410	19	06037	33.780267	-118.1850795	Los Angeles County
71391	Fee-for-Service	1407119803	1407119803	1	1	NEWMAN, DAVID A MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141334	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
71443	Fee-for-Service	1134253867	1134253867	1	1	NOOR, SALMAN A MD	10/2/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	86583	41	Internal Medicine	0	In state provider	None	1019 W YOSEMITE AVE	None	MADERA	CA	93637	4584	20	06039	36.95438006	-120.0709254	Madera County
71452	Fee-for-Service	1942450499	1942450499	1	1	NAVEL, JAMIE M MD	11/25/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105759	08	Family Practice	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
71506	Fee-for-Service	1770690505	1770690505	1	1	NAKANISHI, ALAN S MD	9/13/1973	207W00000X	NA	Ophthalmology	026	PHYSICIANS	12131	18	Ophthalmology	0	In state provider	None	1617 SAINT MARKS PLZ	STE D	STOCKTON	CA	95207	6423	39	06077	37.98864819	-121.3268062	San Joaquin County
71568	Fee-for-Service	1336237015	1336237015	1	1	NANSON, STEPHANIE J DPM	4/23/2012	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	300 N EUCLID ST	STE A	FULLERTON	CA	92832	1623	30	06059	33.87250373	-117.9419615	Orange County
71621	Fee-for-Service	1164270591	1164270591	1	1	NEUROLOGY PROCEDURE CENTER L	2/10/2025	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	LC	1002 N VERMONT AVE	None	LOS ANGELES	CA	90029	2620	19	06037	34.090065	-118.2917105	Los Angeles County
71630	Fee-for-Service	1881967123	1881967123	1	1	NGUYEN, LILI K PSYD	8/15/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2373 COLORADO BOULEVARD	None	LOS ANGELES	CA	90041	1157	19	06037	34.13990611	-118.2182985	Los Angeles County
71637	Fee-for-Service	1831119718	1831119718	1	1	NORMAN, RICHARD J DPM	6/8/2007	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	405 TRAFFIC WAY	STE B	ARROYO GRANDE	CA	93420	3346	40	06079	35.11910319	-120.5758753	San Luis Obispo County
71643	Fee-for-Service	1942235734	1942235734	1	1	NGUYEN, BACH-KIM OD	7/13/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1844 SAN MIGUEL DR	STE 312	WALNUT CREEK	CA	94596	4963	07	06013	37.89504879	-122.0529911	Contra Costa County
71653	Fee-for-Service	1942305602	1942305602	1	1	NOWAK, THOMAS P MD	1/12/1987	207T00000X	NA	General Surgery	026	PHYSICIANS	59443	14	Neurological Surgery	0	In state provider	None	515 S SIERRA AVE	STE 109	SOLANA BEACH	CA	92075	0827	37	06073	32.98503013	-117.2714971	San Diego County
71694	Fee-for-Service	1467914770	1467914770	1	1	NIECHAYEV, MICHAEL A MD	6/17/2022	207P00000X	NA	Other	026	PHYSICIANS	177659	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6263	54	06107	36.327888	-119.294919	Tulare County
71698	Fee-for-Service	1619469418	1619469418	1	1	NIGHTINGALE, MYLES A MD	7/19/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	187691	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
71727	Fee-for-Service	1619950524	1619950524	1	1	NAGAPPAN, ALAMELU S MD	2/28/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	49548	05	Anesthesiology	0	In state provider	None	7160 BROCKTON AVE	None	RIVERSIDE	CA	92506	2614	33	06065	33.94273905	-117.3941945	Riverside County
71836	Fee-for-Service	1790887974	1790887974	1	1	NORTHBAY PODIATRIC MEDICAL G	2/28/2020	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	RP INC	1620 PENNSYLVANIA AVE	SUITE A	FAIRFIELD	CA	94533	3509	48	06095	38.2594713	-122.0498661	Solano County
71930	Fee-for-Service	1942235734	1942235734	1	1	NGUYEN, BACH-KIM OD	7/13/2015	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1844 SAN MIGUEL DR	STE 312	WALNUT CREEK	CA	94596	4963	07	06013	37.89504879	-122.0529911	Contra Costa County
71962	Fee-for-Service	1043279037	1043279037	1	1	NEPOMUCENO, ARLENE L MD	3/13/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	64168	41	Internal Medicine	0	In state provider	None	4955 VAN NUYS BLVD	STE 411	SHERMAN OAKS	CA	91403	1824	19	06037	34.160805	-118.4487295	Los Angeles County
72027	Fee-for-Service	1225226855	1225226855	1	1	NEOGENOMICS LABORATORIES INC	9/13/2018	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	618 GRASSMERE PARK	UNIT 20	NASHVILLE	TN	37211	3677	00	None	36.08645033	-86.75228873	Davidson County
72103	Fee-for-Service	1609921667	1609921667	1	1	NIKSCH, JASON L MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74019	36	Psychiatry	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
72127	Fee-for-Service	1033240254	1033240254	1	1	NEHREBECKI, PETER R OD	1/1/1979	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	240 SHOTWELL ST	# 2064	SAN FRANCISCO	CA	94110	1323	38	06075	37.76460716	-122.416335	San Francisco County
72260	Fee-for-Service	1023256534	1023256534	1	1	NIKZAD, VIDA PHD	6/19/2012	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	8631 WEST 3RD ST	STE 1100E	LOS ANGELES	CA	90048	5914	19	06037	34.07361928	-118.3803143	Los Angeles County
72276	Fee-for-Service	1972042661	1972042661	1	1	NGUYEN, MATTHEW L MD	3/22/2021	208M00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
72298	Fee-for-Service	1659466068	1659466068	1	1	NOONAN, JOHN MD	1/1/1982	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	24811	30	Radiology	0	In state provider	None	123 DI SALVO AVE	STE A	SAN JOSE	CA	95128	1717	43	06085	37.32628785	-121.9371289	Santa Clara County
72336	Fee-for-Service	1629079009	1629079009	1	1	NORTHEAST VALLEY HEALTH	3/29/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	14624 SHERMAN WAY	FLOOR 6TH	VAN NUYS	CA	91405	2212	19	06037	34.20078354	-118.450843	Los Angeles County
72339	Fee-for-Service	1699545194	1699545194	1	1	NAPA VALLEY RADIATION ONCOLO	3/25/2024	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	32	Radiation Therapy (D.O. only)	0	In state provider	GY	1000 TRANCAS ST	None	NAPA	CA	94558	2906	28	06055	38.32349768	-122.2963137	Napa County
72352	Fee-for-Service	1265580062	1265580062	1	1	NAME, ELIAS MD	2/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81171	41	Internal Medicine	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
72385	Fee-for-Service	1477677920	1477677920	1	1	NGUYEN, HIEP N	2/8/2015	156FX1800X	NA	Other	012	DISPENSING OPTICIANS	-	-	NOT APPLICABLE	0	In state provider	SAIGON OPTICAL	132 E VALLEY BLVD	None	ALHAMBRA	CA	91801	5130	19	06037	34.07856551	-118.1211051	Los Angeles County
72395	Fee-for-Service	1780850198	1780850198	1	1	NGUYEN, CHIDAO L DO	7/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	10338	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
72401	Fee-for-Service	1366514119	1366514119	1	1	NGUYEN, KEVIN MD	11/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61088	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
72427	Fee-for-Service	1093027559	1093027559	1	1	NGUYEN, CAM T MD	12/10/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117606	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
72587	Fee-for-Service	1972772655	1972772655	1	1	NICKELBERRY, BAMBI L MD	8/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	46679	08	Family Practice	0	In state provider	None	248 N LOCUST ST	None	INGLEWOOD	CA	90301	1258	19	06037	33.96630273	-118.3504074	Los Angeles County
72614	Fee-for-Service	1598997504	1598997504	1	1	NAVARRO, VERONICA C LMFT	4/7/2023	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	710 S BROADWAY	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
72617	Fee-for-Service	1417336827	1417336827	1	1	NIZHEBORSKY, OKSANA N NP	12/27/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5139	37	06073	33.03623896	-117.2837308	San Diego County
72622	Fee-for-Service	1629079009	1629079009	1	1	NORTHEAST VALLEY HEALTH	5/1/1998	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	14624 SHERMAN WAY	FLOOR 6TH	VAN NUYS	CA	91405	2212	19	06037	34.20078354	-118.450843	Los Angeles County
72665	Fee-for-Service	1750895934	1750895934	1	1	NGUYEN, CHLOE T DO	10/28/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	16906	40	Pediatrics	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
72695	Fee-for-Service	1457346413	1457346413	1	2	NEWPORT HOSPITAL	6/9/2024	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	11 FRIENDSHIP ST	None	NEWPORT	RI	02840	2209	00	None	41.49770966	-71.30599449	Newport County
72714	Fee-for-Service	1497348726	1497348726	1	1	NIELSEN, ROSELA J NP	6/17/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
72726	Fee-for-Service	1245467273	1245467273	1	1	NURISTANI, ABDUL WALI MD	11/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121191	41	Internal Medicine	0	In state provider	None	1520 SAN PABLO ST	STE 1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
72793	Fee-for-Service	1821146796	1821146796	1	1	NEGORO, HARVEY L MD	4/3/1989	207R00000X	NA	Other	026	PHYSICIANS	65399	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
72798	Fee-for-Service	1508933433	1508933433	1	1	NGUYEN, DUC Q MD	4/30/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	41176	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
72843	Fee-for-Service	1114506185	1114506185	1	1	NIERENBERG, LINNEA MD	6/28/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
72847	Fee-for-Service	1326415985	1326415985	1	1	NSN FAMILY, INC	1/26/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	33490 OAK GLEN RD	SUITE E	YUCAIPA	CA	92399	2095	36	06071	34.03174889	-117.0747558	San Bernardino County
72886	Fee-for-Service	1275604639	1275604639	1	1	NGUYEN, KEN C DPM	2/15/2024	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
72902	Fee-for-Service	1144763343	1144763343	1	1	NO, YEOJUNG	12/27/2023	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	6000 FAIRWAY DR	STE 2	ROCKLIN	CA	95677	4244	31	06061	38.79220243	-121.2621624	Placer County
72912	Fee-for-Service	1629079009	1629079009	1	1	NORTHEAST VALLEY HEALTH	5/1/1998	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	14624 SHERMAN WAY	FLOOR 6TH	VAN NUYS	CA	91405	2212	19	06037	34.20078354	-118.450843	Los Angeles County
72983	Fee-for-Service	1457346413	1457346413	1	2	NEWPORT HOSPITAL	6/9/2024	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	11 FRIENDSHIP ST	None	NEWPORT	RI	02840	2209	00	None	41.49770966	-71.30599449	Newport County
73056	Fee-for-Service	1871080135	1871080135	1	1	NAYAK, ROHITH	4/27/2020	207R00000X	NA	Other	026	PHYSICIANS	164523	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
73081	Fee-for-Service	1821146796	1821146796	1	1	NEGORO, HARVEY L MD	4/3/1989	207R00000X	NA	Other	026	PHYSICIANS	65399	01	General Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
73094	Fee-for-Service	1558404558	1558404558	1	1	NARVASA, OFELIA L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	73322	08	Family Practice	0	In state provider	INC	3626 GRAND AVE	STE A	CHINO HILLS	CA	91709	1478	36	06071	34.0021044	-117.7282237	San Bernardino County
73095	Fee-for-Service	1174507099	1174507099	1	1	NISSEN, NICK N MD	6/24/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85301	02	General Surgery	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
73121	Fee-for-Service	1992789028	1992789028	1	1	NGUYEN, MIRELLA B NP	12/13/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
73145	Fee-for-Service	1275636383	1275636383	1	1	NORBUTAS, CATHERINE M MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74535	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	0000	34	06067	38.470392	-121.4223975	Sacramento County
73176	Fee-for-Service	1235422882	1235422882	1	1	NGUYEN, ANNA N MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124222	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2801 L STREET	None	SACRAMENTO	CA	95816	5615	34	06067	38.57202	-121.4692695	Sacramento County
73179	Fee-for-Service	1902676331	1902676331	1	1	NJOROGE, JANE WANJIRU	6/11/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	8109 LAGUNA BROOK WAY	None	ELK GROVE	CA	95758	8040	34	06067	38.427498	-121.4045955	Sacramento County
73226	Fee-for-Service	1770082943	1770082943	1	1	NGUYEN, MIMI MD	8/11/2023	207N00000X	NA	Dermatology	026	PHYSICIANS	178402	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
73254	Fee-for-Service	1003963133	1003963133	1	1	NEMEH, MOUFID N MD	2/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	18250 ROSCOE BLVD	STE 235	NORTHRIDGE	CA	91325	4270	19	06037	34.22076142	-118.5313223	Los Angeles County
73257	Fee-for-Service	1932671518	1932671518	1	1	NAZARIAN, BITA PSYD	4/19/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	14540 VICTORY	STE 101	VAN NUYS	CA	91411	1697	19	06037	34.1866315	-118.4501385	Los Angeles County
73280	Fee-for-Service	1497808208	1497808208	1	1	NGUYEN, ANDRIAN OD	2/2/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9200 BOLSA AVE	#119A	WESTMINSTER	CA	92683	5500	30	06059	33.74474049	-117.9686809	Orange County
73302	Fee-for-Service	1316021678	1316021678	1	1	NG, BRENDA W MD	7/1/2000	207ZP0101X	NA	Other	026	PHYSICIANS	60332	22	Pathology (M.D. only)	0	In state provider	None	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	43	06085	37.36893518	-122.0779448	Santa Clara County
73303	Fee-for-Service	1245732155	1245732155	1	1	NGUYEN, BARBARA NP	6/23/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3801 KATELLA AVE	STE 330	LOS ALAMITOS	CA	90720	6900	30	06059	33.80318951	-118.066068	Orange County
73405	Fee-for-Service	1568598969	1568598969	1	1	NORMAL LIFE CALIFORNIA	2/20/1998	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1011 MAGNOLIA DR	None	ARROYO GRANDE	CA	93420	4234	40	06079	35.10709349	-120.5949793	San Luis Obispo County
73413	Fee-for-Service	1669942819	1669942819	1	1	NAVARRO, ROCIO M LMFT	12/17/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	26441 CROWN VALLEY PKWY	SUITE 101	MISSION VIEJO	CA	92691	8529	30	06059	33.56387066	-117.6595368	Orange County
73431	Fee-for-Service	1093160319	1093160319	1	1	NERIA, GUADALUPE A MD MPH	1/21/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	159637	08	Family Practice	0	In state provider	None	222 WEST HENDERSON AVE	None	PORTERVILLE	CA	93257	1731	54	06107	36.0804034	-119.0217006	Tulare County
73463	Fee-for-Service	1346295391	1346295391	1	1	NOVOM, ANDREW P MD	8/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	62673	40	Pediatrics	0	In state provider	SUITE 200	600 S COMMONWEALTH AVE	None	LOS ANGELES	CA	90005	4001	19	06037	34.06328086	-118.2856343	Los Angeles County
73467	Fee-for-Service	1902676331	1902676331	1	1	NJOROGE, JANE WANJIRU	6/11/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	8109 LAGUNA BROOK WAY	None	ELK GROVE	CA	95758	8040	34	06067	38.427498	-121.4045955	Sacramento County
73478	Fee-for-Service	1841722550	1841722550	1	1	NAVRKAL, ROSEMARY C LMFT	6/14/2021	1041C0700X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
73493	Fee-for-Service	1891755278	1891755278	1	1	NEWFIELD, DAVID L MD	11/30/1988	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	36695	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2701 W ALAMEDA AVE	STE 406	BURBANK	CA	91505	4409	19	06037	34.15751343	-118.3303715	Los Angeles County
73540	Fee-for-Service	1003963133	1003963133	1	1	NEMEH, MOUFID N MD	2/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	45	Nephrology (Renal-Kidney)	0	In state provider	None	18250 ROSCOE BLVD	STE 235	NORTHRIDGE	CA	91325	4270	19	06037	34.22076142	-118.5313223	Los Angeles County
73610	Fee-for-Service	1417396235	1417396235	1	1	NUNEZ-DAVIS, ROSEMARY DO	8/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14780	40	Pediatrics	0	In state provider	None	2415 W VINE ST	100	LODI	CA	95242	3525	39	06077	38.1228953	-121.3052826	San Joaquin County
73632	Fee-for-Service	1457486433	1457486433	1	1	NORTH COUNTY ONCOLOGY	6/1/1980	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL CLINIC INC	3617 VISTA WAY	None	OCEANSIDE	CA	92056	4522	37	06073	33.18120419	-117.3088909	San Diego County
73639	Fee-for-Service	1942692660	1942692660	1	1	NELSON, DANESHA	3/11/2015	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	3017 SOUTH SYCAMORE AVE	APT #5	LOS ANGELES	CA	90016	3843	19	06037	34.02614205	-118.3568296	Los Angeles County
73641	Fee-for-Service	1376743823	1376743823	1	1	NADIA A TOSHANI MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	900 S AUBURN	None	KENNEWICK	WA	99336	0000	00	None	46.19896647	-119.11855	Benton County
73678	Fee-for-Service	1831828607	1831828607	1	1	NGANGA, DAVID WILLIAM	6/7/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	7296 BLUE OAK RD	None	RIVERSIDE	CA	92507	0139	33	06065	34.01467567	-117.3044741	Riverside County
73761	Fee-for-Service	1821178633	1821178633	1	1	NARAYANAN, BHAVADHARINI MD	1/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	68048	40	Pediatrics	0	In state provider	None	9375 SAN FERNANDO ROAD	None	SUN VALLEY	CA	91352	1418	19	06037	34.2395322	-118.3939944	Los Angeles County
73794	Fee-for-Service	1811989254	1811989254	1	1	NEFFIAN HARTUNE O	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5151 N PALM AVE	STE 850	FRESNO	CA	93704	2265	10	06019	36.81119879	-119.808555	Fresno County
73820	Fee-for-Service	1669458394	1669458394	1	1	NEWMAN, ALAN W MD	7/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131457	36	Psychiatry	0	In state provider	None	2340 CLAY ST	7TH FLOOR	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
73840	Fee-for-Service	1366487993	1366487993	1	1	NAMBIAR, ANAKHA R MD	4/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	54283	01	General Practice	0	In state provider	None	1220 ROSSMOOR PKWY	None	WALNUT CREEK	CA	94595	2501	07	06013	37.87825259	-122.0703705	Contra Costa County
73928	Fee-for-Service	1942692660	1942692660	1	1	NELSON, DANESHA	3/11/2015	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	3017 SOUTH SYCAMORE AVE	APT #5	LOS ANGELES	CA	90016	3843	19	06037	34.02614205	-118.3568296	Los Angeles County
73939	Fee-for-Service	1598703647	1598703647	1	1	NEIGHBORHOOD HEALTHCARE	1/1/1993	193200000X	NA	Other	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	ESCONDIDO	460 N ELM ST	None	ESCONDIDO	CA	92025	3002	37	06073	33.12850258	-117.0729169	San Diego County
73947	Fee-for-Service	1538160783	1538160783	1	1	NGUYEN, TRINH, & GRIMES	7/13/2006	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CAL PHARMACY	9746 WESTMINSTER AVE	STE D4	GARDEN GROVE	CA	92844	2984	30	06059	33.75949073	-117.9590728	Orange County
73960	Fee-for-Service	1831828607	1831828607	1	1	NGANGA, DAVID WILLIAM	6/7/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	7296 BLUE OAK RD	None	RIVERSIDE	CA	92507	0139	33	06065	34.01467567	-117.3044741	Riverside County
73961	Fee-for-Service	1386949535	1386949535	1	1	NOREN, ERIN M MD	6/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	142497	41	Internal Medicine	0	In state provider	None	200 MED PLAZA	365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
73992	Fee-for-Service	1598703647	1598703647	1	13	NEIGHBORHOOD HEALTHCARE	6/1/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	460 N ELM ST	None	ESCONDIDO	CA	92025	3002	37	06073	33.12850258	-117.0729169	San Diego County
74009	Fee-for-Service	1548058787	1548058787	1	1	NEW MOTHER CAREGIVING, LLC	5/6/2025	No Taxonomy Provided	NA	None	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
74054	Fee-for-Service	1205890498	1205890498	1	1	NGUYEN, NATHALIE T MD	6/13/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	89545	78	Neoplastic Diseases/Oncology	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
74074	Fee-for-Service	1770685752	1770685752	1	1	NOGUCHI, NELSON N MD	7/31/1985	207W00000X	NA	Ophthalmology	026	PHYSICIANS	45971	01	General Practice	0	In state provider	None	1211 W LA PALMA AVE	609	ANAHEIM	CA	92801	2815	30	06059	33.84718298	-117.933758	Orange County
74080	Fee-for-Service	1740760966	1740760966	1	1	NEOANALYTICS LABORATORY INC	6/14/2022	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	25 S RAYMOND AVE	204	ALHAMBRA	CA	91801	7144	19	06037	34.09042452	-118.1450725	Los Angeles County
74085	Fee-for-Service	1518038595	1518038595	1	1	NI, CHING-LONG C MD	10/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	77113	30	Radiology	0	In state provider	ATTN MGA OFFICE	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
74109	Fee-for-Service	1891038436	1891038436	1	1	NGUYEN, JANET MD	6/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	132211	30	Radiology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
74111	Fee-for-Service	1790086874	1790086874	1	1	NGUYEN, TERESA LMFT	6/27/2023	101Y00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
74114	Fee-for-Service	1114994274	1114994274	1	1	NIKU, SOHIEL D MD	11/30/1994	174400000X	NA	Other	026	PHYSICIANS	70580	34	Urology and Urological Surgery	0	In state provider	None	10515 BALBOA BLVD	STE 140	GRANADA HILLS	CA	91344	6350	19	06037	34.261497	-118.502318	Los Angeles County
74138	Fee-for-Service	1154825768	1154825768	1	1	NELSON, ASHLEIGH MD	11/4/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	163397	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
74139	Fee-for-Service	1588752356	1588752356	1	1	NGHIEM, JANET OD AN OPC	3/28/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	SEASIDE OPTOMETRY	27270 ALICIA PKWY	STE D	LAGUNA NIGUEL	CA	92677	3413	30	06059	33.56785146	-117.7148701	Orange County
74145	Fee-for-Service	1063612802	1063612802	1	1	NYKIEL, MATTHEW J MD	8/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120256	24	Plastic Surgery	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
74230	Fee-for-Service	1598703647	1598703647	1	1	NEIGHBORHOOD HEALTHCARE	12/20/2019	193200000X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	ESCONDIDO	460 N ELM ST	None	ESCONDIDO	CA	92025	3002	37	06073	33.12850258	-117.0729169	San Diego County
74289	Fee-for-Service	1629234323	1629234323	1	1	NIELSEN, MICAH K MD	8/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	1	Border provider	None	3001 ST ROSE PARKWAY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
74309	Fee-for-Service	1104103001	1104103001	1	1	NORTH EAST MEDICAL SERVICES	12/19/2011	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	211 EASTMOOR AVE	None	DALY CITY	CA	94015	2036	41	06081	37.6847337	-122.4787562	San Mateo County
74321	Fee-for-Service	1447661889	1447661889	1	1	NGUYEN, NGUYEN T MD	7/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	149497	41	Internal Medicine	0	In state provider	None	24411 HEALTH CENTER DR	STE 680	LAGUNA HILLS	CA	92653	3692	30	06059	33.6087201	-117.7076948	Orange County
74427	Fee-for-Service	1578536322	1578536322	1	1	NICHOLS,JOE L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2901 N CENTRAL AVE	STE 500	PHOENIX	AZ	85012	2738	00	None	33.480666	-112.0729905	Maricopa County
74454	Fee-for-Service	1811307069	1811307069	2	1	NGUYEN, THOMAS X MD	4/15/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	172071	None	None	0	In state provider	None	1900 GARDEN RD	STE 120	MONTEREY	CA	93940	5334	27	06053	36.58681385	-121.8623548	Monterey County
74507	Fee-for-Service	1003053950	1003053950	1	1	NARAYAN, ARCHANA K MD	5/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	101773	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
74510	Fee-for-Service	1598703647	1598703647	1	12	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	426 N DATE ST	None	ESCONDIDO	CA	92025	3409	37	06073	33.12911363	-117.0715093	San Diego County
74518	Fee-for-Service	1598703647	1598703647	1	1	NEIGHBORHOOD HEALTHCARE	1/1/1993	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	ESCONDIDO	460 N ELM ST	None	ESCONDIDO	CA	92025	3002	37	06073	33.12850258	-117.0729169	San Diego County
74528	Fee-for-Service	1447275631	1447275631	1	3	NGUYEN, HA SON MD	6/3/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	67118	15	Obstetrics (D.O. only)	0	In state provider	None	1951 PACIFIC AVENUE	None	LONG BEACH	CA	90806	5321	19	06037	33.792642	-118.1937995	Los Angeles County
74583	Fee-for-Service	1154853745	1154853745	1	1	NI, ANDREW MD	1/29/2021	208M00000X	NA	Other	026	PHYSICIANS	160334	None	None	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
74599	Fee-for-Service	1104103001	1104103001	1	1	NORTH EAST MEDICAL SERVICES	12/19/2011	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	211 EASTMOOR AVE	None	DALY CITY	CA	94015	2036	41	06081	37.6847337	-122.4787562	San Mateo County
74662	Fee-for-Service	1104213073	1104213073	1	1	NAGY, CELESTE MD	4/11/2025	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	None	04	Otology, Laryngology, Rhinology	0	In state provider	None	1700 E CESAR E CHAVEZ AV	SUITE 2500	LOS ANGELES	CA	90033	2434	19	06037	34.05101259	-118.217259	Los Angeles County
74730	Fee-for-Service	1235486044	1235486044	1	1	NARAYAN, NITHYA PSYD	8/8/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3555 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
74747	Fee-for-Service	1053739425	1053739425	1	1	NGUYEN, IVY MD	6/27/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	141143	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
74766	Fee-for-Service	1881799096	1881799096	1	1	NAWAR, MAGDY T MD	7/1/1988	207RN0300X	NA	Nephrology	026	PHYSICIANS	42320	41	Internal Medicine	0	In state provider	SUITE 318	26800 CROWN VALLEY PKWY	STE 485	MISSION VIEJO	CA	92691	8025	30	06059	33.56286021	-117.6673449	Orange County
74767	Fee-for-Service	1639382344	1639382344	1	1	NAMSANG, ABIGAIL M CCC-SLP	1/23/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	197 E CAROLINE ST	None	SAN BERNARDINO	CA	92408	3731	36	06071	34.06143353	-117.2822085	San Bernardino County
74796	Fee-for-Service	1598703647	1598703647	1	12	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	426 N DATE ST	None	ESCONDIDO	CA	92025	3409	37	06073	33.12911363	-117.0715093	San Diego County
74810	Fee-for-Service	1326028853	1326028853	1	1	NEWSOM, ELIZABETH A MD	12/31/1988	208800000X	NA	Other	026	PHYSICIANS	66124	31	Roentgenology, Radiology (M.D. only)	0	In state provider	None	1711 W TEMPLE ST	None	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
74816	Fee-for-Service	1447275631	1447275631	1	3	NGUYEN, HA SON MD	6/3/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	67118	09	Gynecology (D.O. only)	0	In state provider	None	1951 PACIFIC AVENUE	None	LONG BEACH	CA	90806	5321	19	06037	33.792642	-118.1937995	Los Angeles County
74909	Fee-for-Service	1992315360	1992315360	1	1	NOVA MED HOME HEALTH	8/3/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2550 HONOLULU AVE	STE 102	MONTROSE	CA	91020	1859	19	06037	34.20821099	-118.234833	Los Angeles County
74994	Fee-for-Service	1639814510	1639814510	1	1	NORTHERN CALIFORNIA FAMILY C	9/25/2024	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	OUNSELING AND WELLNESS	2395 BECHELLI LN	B	REDDING	CA	96002	0120	45	06089	40.57229298	-122.3627512	Shasta County
74995	Fee-for-Service	1760557300	1760557300	1	1	NEELY, HEATHER W	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
75005	Fee-for-Service	1497892137	1497892137	1	1	NEUROLOGY CONSULTANTS	5/4/1982	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MED GRP	101 E BEVERLY BLVD	STE 206	MONTEBELLO	CA	90640	4315	19	06037	34.01556395	-118.0983878	Los Angeles County
75015	Fee-for-Service	1295752384	1295752384	1	6	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	MOBILE	207 N BUTTE ST	None	WILLOWS	CA	95988	2803	11	06021	39.52212468	-122.195408	Glenn County
75052	Fee-for-Service	1881799096	1881799096	1	1	NAWAR, MAGDY T MD	7/1/1988	207RN0300X	NA	Nephrology	026	PHYSICIANS	42320	45	Nephrology (Renal-Kidney)	0	In state provider	SUITE 318	26800 CROWN VALLEY PKWY	STE 485	MISSION VIEJO	CA	92691	8025	30	06059	33.56286021	-117.6673449	Orange County
75094	Fee-for-Service	1043569361	1043569361	1	1	NACKOUD, YAMEN N MD	6/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137244	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
75213	Fee-for-Service	1134331549	1134331549	1	1	NGUYEN, TRUNG T DO	8/10/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	10394	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
75215	Fee-for-Service	1982623468	1982623468	1	1	NGO, MARK M MD	9/20/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	73755	78	Neoplastic Diseases/Oncology	0	In state provider	None	1043 ELM AVE	STE 104	LONG BEACH	CA	90813	3244	19	06037	33.779655	-118.1880065	Los Angeles County
75216	Fee-for-Service	1326651688	1326651688	1	1	NEBI PC	10/20/2021	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	None	8221 ROCHESTER AVE.	SUITE 130	RANCHO CUCAMONGA	CA	91730	0721	36	06071	34.104249	-117.5430105	San Bernardino County
75224	Fee-for-Service	1306223730	1306223730	1	1	NGUYEN, HIEU T MD	7/31/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	153424	40	Pediatrics	0	In state provider	None	1820 41ST AVE	STE D	CAPITOLA	CA	95010	2516	44	06087	36.975573	-121.964832	Santa Cruz County
75255	Fee-for-Service	1679339170	1679339170	1	1	NGUYEN, CHARLY PT	3/15/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8805 HAVEN AVE	SUITE 110	RANCHO CUCAMONGA	CA	91730	5149	36	06071	34.09424614	-117.5756838	San Bernardino County
75272	Fee-for-Service	1376607176	1376607176	1	1	NELSON, JOHN C OD	1/1/1995	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	18194 COLIMA RD	None	ROWLAND HEIGHTS	CA	91748	2665	19	06037	33.98844506	-117.9074218	Los Angeles County
75290	Fee-for-Service	1629397799	1629397799	1	1	NGUYEN, THAO T MD	8/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110663	40	Pediatrics	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
75293	Fee-for-Service	1710907811	1710907811	1	1	NICOL, BARBARA L MD	2/8/2015	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	77616	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1580 VALENCIA ST	STE 506	SAN FRANCISCO	CA	94110	4418	38	06075	37.74746923	-122.4202583	San Francisco County
75303	Fee-for-Service	1295752384	1295752384	1	6	NORTHERN VALLEY INDIAN	11/30/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MOBILE	207 N BUTTE ST	None	WILLOWS	CA	95988	2803	11	06021	39.52212468	-122.195408	Glenn County
75348	Fee-for-Service	1194440107	1194440107	1	1	NJIE, LYDIA NP	5/1/2023	2084P0800X	NA	Psychiatry	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
75395	Fee-for-Service	1568434546	1568434546	1	1	NELSON, JAMES E JR MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	55868	None	None	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
75419	Fee-for-Service	1306897053	1306897053	1	1	NESHKES, ROBERT E MD	6/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	39929	36	Psychiatry	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
75425	Fee-for-Service	1114286770	1114286770	1	1	NELSON, CHAIM MD	11/12/2024	207L00000X	NA	Other	026	PHYSICIANS	168419	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
75440	Fee-for-Service	1437207339	1437207339	1	1	NGO, ERIC MD	3/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	21172	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
75443	Fee-for-Service	1013065846	1013065846	1	1	NGUYEN, JENNIFER T MD	7/13/2010	207R00000X	NA	Other	026	PHYSICIANS	81442	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90806	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
75480	Fee-for-Service	1164540902	1164540902	1	1	NIFTY AFTER FIFTY PHYSICAL	4/15/2010	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	THERAPY INC	24258 EL TORO RD	None	LAGUNA WOODS	CA	92637	3488	30	06059	33.61088364	-117.7236433	Orange County
75499	Fee-for-Service	1134331549	1134331549	1	1	NGUYEN, TRUNG T DO	8/10/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	10394	09	Gynecology (D.O. only)	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
75502	Fee-for-Service	1326651688	1326651688	1	1	NEBI PC	10/20/2021	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	8221 ROCHESTER AVE.	SUITE 130	RANCHO CUCAMONGA	CA	91730	0721	36	06071	34.104249	-117.5430105	San Bernardino County
75503	Fee-for-Service	1982623468	1982623468	1	1	NGO, MARK M MD	9/20/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	73755	68	Hematology	0	In state provider	None	1043 ELM AVE	STE 104	LONG BEACH	CA	90813	3244	19	06037	33.779655	-118.1880065	Los Angeles County
75534	Fee-for-Service	1972559631	1972559631	1	1	NAGEOTTE, MICHAEL P MD	6/4/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	35079	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3325 PALO VERDE AVE	STE 105	LONG BEACH	CA	90808	4132	19	06037	33.81701249	-118.1078791	Los Angeles County
75539	Fee-for-Service	1679299903	1679299903	1	1	NOVA PHYSICAL THERAPY PROF.	12/6/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	CORP.	4795 VINELAND AVE	SUITE E	NORTH HOLLYWOOD	CA	91602	3546	19	06037	34.15735406	-118.3706703	Los Angeles County
75607	Fee-for-Service	1154369551	1154369551	1	1	NAKAMURA, JEAN L MD	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	71767	78	Neoplastic Diseases/Oncology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
75613	Fee-for-Service	1033281126	1033281126	1	1	NORTH SHORE MEDICAL LABS INC	3/1/2020	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	463 WILLIS AVE	None	WILLISTON PARK	NY	11596	1724	00	None	40.756473	-73.6453935	Nassau County
75704	Fee-for-Service	1417338898	1417338898	1	1	NGUYEN, JIM H DO	9/25/2020	207R00000X	NA	Other	026	PHYSICIANS	16296	None	None	0	In state provider	None	1335 CYPRESS ST	STE 205-206	SAN DIMAS	CA	91773	9962	19	06037	34.09583252	-117.834134	Los Angeles County
75726	Fee-for-Service	1457425068	1457425068	1	1	NEPACENA, FRANCIS A MD	8/23/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87792	41	Internal Medicine	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
75780	Fee-for-Service	1174677975	1174677975	1	1	NGUYEN, KHANH L MD	2/8/2015	2084N0400X	NA	Neurology	026	PHYSICIANS	106183	36	Psychiatry	0	In state provider	None	9888 GENESSE AVENUE	None	LA JOLLA	CA	93037	1205	37	06073	32.8865608	-117.2250386	San Diego County
75798	Fee-for-Service	1467065797	1467065797	1	1	NISKANEN, RACHEL OD	7/19/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1668 E 2ND ST	STE B	BEAUMONT	CA	92223	3168	33	06065	33.92359885	-116.9480354	Riverside County
75897	Fee-for-Service	1134276405	1134276405	1	1	NAPOD, JOCELYN C MD	4/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	61469	41	Internal Medicine	0	In state provider	None	5051 VERDUGO WAY	SUITE 100	CAMARILLO	CA	95695	5169	56	06111	34.21524684	-119.0033176	Ventura County
75933	Fee-for-Service	1992022842	1992022842	1	1	NUNEZ, S CHRISTOPHER PHD	8/10/2010	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 MEDICAL PLAZA	STE B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
75949	Fee-for-Service	1578799037	1578799037	1	1	NAM, ENOCH H J MD	7/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110996	18	Ophthalmology	0	In state provider	None	122 LA CASA VIA	SUITE 222	WALNUT CREEK	CA	94598	3014	07	06013	37.91198028	-122.041845	Contra Costa County
75981	Fee-for-Service	1508121674	1508121674	1	1	NIKZAD, JASON DO	2/18/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	12653	None	None	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
75986	Fee-for-Service	1083281679	1083281679	1	1	NIEDZWIECKI, MARIUSZ CNP	11/17/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2514 BERRYESSA RD	None	SAN JOSE	CA	95132	2947	43	06085	37.38738217	-121.8595232	Santa Clara County
76036	Fee-for-Service	1073889895	1073889895	1	1	NAYAK, RENUKA R MD	9/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129193	83	Rheumatology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
76041	Fee-for-Service	1144407487	1144407487	1	1	NORTH EAST MEDICAL SVS	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
76045	Fee-for-Service	1336272871	1336272871	1	1	NGUYEN, THOMAS T MD	11/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	97300	41	Internal Medicine	0	In state provider	None	5920 W MALL	None	ATASCADERO	CA	93422	4232	40	06079	35.48947517	-120.668025	San Luis Obispo County
76068	Fee-for-Service	1174677975	1174677975	1	1	NGUYEN, KHANH L MD	2/8/2015	2084N0400X	NA	Neurology	026	PHYSICIANS	106183	13	Neurology (M.D. only)	0	In state provider	None	9888 GENESSE AVENUE	None	LA JOLLA	CA	93037	1205	37	06073	32.8865608	-117.2250386	San Diego County
76074	Fee-for-Service	1689878373	1689878373	1	1	NGO, ANNE N DPM	6/6/2011	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92111	2418	37	06073	32.79293009	-117.0952438	San Diego County
76090	Fee-for-Service	1477585370	1477585370	1	1	NELSON, LARA P MD	8/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	54294	41	Internal Medicine	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
76128	Fee-for-Service	1538404777	1538404777	1	1	NGUYEN, TUYEN T CRNA	12/11/2012	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
76184	Fee-for-Service	1215282082	1215282082	1	1	NORTHART, DAYNA L PHD	5/18/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	611 S MILPITAS BLVD	None	MILPITAS	CA	95035	5473	43	06085	37.4246225	-121.8944566	Santa Clara County
76203	Fee-for-Service	1427113059	1427113059	1	1	NEWHOUSE, BEVERLY J MD	8/6/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90511	05	Anesthesiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
76333	Fee-for-Service	1912909177	1912909177	1	1	NURSING & REHAB AT HOME	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1710 S AMPHLETT BLVD	SUITE 110	SAN MATEO	CA	94402	2704	41	06081	37.55823076	-122.3014602	San Mateo County
76338	Fee-for-Service	1104103001	1104103001	1	3	NORTH EAST MEDICAL SERVICES	1/24/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2308 TARAVAL ST	None	SAN FRANCISCO	CA	94116	2252	38	06075	37.74240656	-122.4910367	San Francisco County
76341	Fee-for-Service	1710515788	1710515788	1	1	NGUYEN, MICHELLE T DO	9/12/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20559	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
76379	Fee-for-Service	1477585370	1477585370	1	1	NELSON, LARA P MD	8/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	54294	40	Pediatrics	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
76417	Fee-for-Service	1265826374	1265826374	1	1	NATH, SHEFALI MD	11/7/2018	207R00000X	NA	Other	026	PHYSICIANS	147134	41	Internal Medicine	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
76469	Fee-for-Service	1992731137	1992731137	1	1	NOWLIN, SCOTT W. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	7900 FM 1826	# D	AUSTIN	TX	78737	1407	00	None	30.226617	-97.8921405	Travis County
76471	Fee-for-Service	1912547571	1912547571	1	1	NEW START CLHFS INDEPENDENT	5/13/2020	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	TRAINING CENTERS-WILBUR	18900 MAYALL ST	None	NORTHRIDGE	CA	91324	1214	19	06037	34.25361517	-118.5451426	Los Angeles County
76511	Fee-for-Service	1285212704	1285212704	1	1	NGUYEN, VINCENT G DO	1/9/2025	207R00000X	NA	Other	026	PHYSICIANS	23178	41	Internal Medicine	0	In state provider	None	245 MOUNT HERMON RD	STE L	SCOTTS VALLEY	CA	95066	4035	44	06087	37.0460243	-122.0286812	Santa Cruz County
76538	Fee-for-Service	1841876372	1841876372	1	1	NGO, BELLE MD	12/13/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	187434	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
76549	Fee-for-Service	1033717327	1033717327	1	1	NOVA HOSPICE CARE INC	9/12/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	8119 FOOTHILL BLVD	SUITE 2	SUNLAND	CA	91040	2904	19	06037	34.2596885	-118.3099545	Los Angeles County
76594	Fee-for-Service	1518994235	1518994235	1	1	NELSON, TIMOTHY D OD	8/13/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1414 E MAIN ST	None	SANTA MARIA	CA	93454	4806	42	06083	34.95286853	-120.4139295	Santa Barbara County
76622	Fee-for-Service	1104103001	1104103001	1	3	NORTH EAST MEDICAL SERVICES	1/24/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2308 TARAVAL ST	None	SAN FRANCISCO	CA	94116	2252	38	06075	37.74240656	-122.4910367	San Francisco County
76664	Fee-for-Service	1598703647	1598703647	1	20	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	30109 LILAC RD	None	VALLEY CENTER	CA	92082	3318	37	06073	33.25673562	-117.0692191	San Diego County
76673	Fee-for-Service	1134302847	1134302847	1	1	NGAYAN, RONALD P MD	7/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	109563	08	Family Practice	0	In state provider	None	420 S BRISTOL ST	None	SANTA ANA	CA	92703	4527	30	06059	33.74216489	-117.8852849	Orange County
76746	Fee-for-Service	1124221767	1124221767	1	1	NELSON, DANIELLE S MD	8/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106223	08	Family Practice	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
76760	Fee-for-Service	1689609166	1689609166	1	1	NARA, VENKATESH MD	5/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
76795	Fee-for-Service	1831750603	1831750603	1	1	NARENRAJ ARULPRAKASH	12/27/2023	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9601 BAPTIST HEALTH DR	None	LITTLE ROCK	AR	72205	6321	00	None	34.744437	-92.3813595	Pulaski County
76828	Fee-for-Service	1447252788	1447252788	1	1	NORMAN,T WARREN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	15155 HWY 43	None	RUSSELLVILLE	AL	35653	0000	00	None	34.51139228	-87.71760385	Franklin County
76839	Fee-for-Service	1033717327	1033717327	1	1	NOVA HOSPICE CARE INC	9/12/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	8119 FOOTHILL BLVD	SUITE 2	SUNLAND	CA	91040	2904	19	06037	34.2596885	-118.3099545	Los Angeles County
76844	Fee-for-Service	1669826384	1669826384	1	1	NGUYEN, NGA MD	2/13/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	176028	None	None	0	In state provider	None	8170 LAGUNA BLVD	STE 210	ELK GROVE	CA	95758	7902	34	06067	38.421054	-121.405365	Sacramento County
76862	Fee-for-Service	1043872898	1043872898	1	1	NOWRX INC	3/12/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7067 COMMERCE CIR	None	PLEASANTON	CA	94588	8008	01	06001	37.69874724	-121.9169094	Alameda County
76869	Fee-for-Service	1689722613	1689722613	1	1	NGUYEN, DENISE H MD	2/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93659	01	General Practice	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1249	34	06067	38.425365	-121.4068185	Sacramento County
76894	Fee-for-Service	1750425229	1750425229	1	1	NGUYEN, JONATHAN T MD INC	10/10/2014	193400000X	NA	Other	026	PHYSICIANS	73239	41	Internal Medicine	0	In state provider	None	555 E PACIFIC COAST HWY	#102	LONG BEACH	CA	90806	5579	19	06037	33.7899015	-118.1860425	Los Angeles County
76902	Fee-for-Service	1144284001	1144284001	1	1	NAKASHIOYA, HOWARD K MD	4/30/1986	207P00000X	NA	Other	026	PHYSICIANS	52805	01	General Practice	0	In state provider	None	3828 DELMAS TER	None	CULVER CITY	CA	90232	2713	19	06037	34.02308948	-118.3972101	Los Angeles County
76950	Fee-for-Service	1598703647	1598703647	1	20	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	30109 LILAC RD	None	VALLEY CENTER	CA	92082	3318	37	06073	33.25673562	-117.0692191	San Diego County
76993	Fee-for-Service	1689947376	1689947376	1	1	NAPIER, SHAUNIC N PT	6/13/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
77019	Fee-for-Service	1831377001	1831377001	1	1	NAZARIAN, FRANCINE DPM	2/13/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	26357 MCBEAN PARKWAY	STE 255	VALENCIA	CA	91355	5504	19	06037	34.41257644	-118.5597683	Los Angeles County
77210	Fee-for-Service	1427674688	1427674688	1	1	NORIEGA, LIZBETH LMFT	11/25/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
77226	Fee-for-Service	1912468497	1912468497	1	1	NGUYEN, JULIAN C DO	9/27/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20153	None	None	0	In state provider	None	3200 KEARNEY ST	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
77252	Fee-for-Service	1649552548	1649552548	1	1	NGUYEN, MEGGIE N OD	4/16/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2446 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	3041	19	06037	34.01449625	-118.1287912	Los Angeles County
77320	Fee-for-Service	1417416454	1417416454	1	1	NGUYEN, THOMAS MD	8/9/2023	207L00000X	NA	Other	026	PHYSICIANS	184913	None	None	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
77330	Fee-for-Service	1003267642	1003267642	1	1	NOTI, VINISHA MD	5/16/2020	207R00000X	NA	Other	026	PHYSICIANS	161304	41	Internal Medicine	0	In state provider	None	1721 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735353	-121.2443415	San Joaquin County
77358	Fee-for-Service	1982866562	1982866562	1	1	NASAB, SEVED M MD	8/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113873	01	General Practice	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
77389	Fee-for-Service	1790833283	1790833283	1	1	NACO, GILBERT J MD	5/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	63318	41	Internal Medicine	0	In state provider	None	4311 3RD AVE	None	SAN DIEGO	CA	92103	1407	37	06073	32.758578	-117.1637685	San Diego County
77416	Fee-for-Service	1073603361	1073603361	1	1	NGUYEN, VINCENT D DO	1/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	4629	08	Family Practice	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
77438	Fee-for-Service	1235138926	1235138926	1	1	NORTHERN CALIFORNIA	11/3/1992	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL ASSOCIATES	5196 HILL RD E	STE 202	LAKEPORT	CA	95453	6362	17	06033	39.10527946	-122.9080599	Lake County
77449	Fee-for-Service	1811163884	1811163884	1	1	NICKERSON, SUSAN N CRNA	2/17/2009	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
77459	Fee-for-Service	1902894835	1902894835	1	1	NORMAN, BARBIE L MD	1/14/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	99805	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
77478	Fee-for-Service	1376030593	1376030593	1	1	NGUYEN, CLARICE D MD	7/11/2024	207L00000X	NA	Other	026	PHYSICIANS	165910	05	Anesthesiology	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
77482	Fee-for-Service	1477012508	1477012508	1	1	NOORIAN, SHAYA J MD	6/3/2022	207R00000X	NA	Other	026	PHYSICIANS	177515	None	None	0	In state provider	None	1000 VETERAN AVE	RM 2226	LOS ANGELES	CA	90024	2704	19	06037	34.0605595	-118.4499527	Los Angeles County
77551	Fee-for-Service	1417426578	1417426578	1	1	NEEDLES HOSPICE, INC	7/6/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	813 W BROADWAY STREET	UNIT B	NEEDLES	CA	92363	2727	36	06071	34.83897671	-114.6054177	San Bernardino County
77567	Fee-for-Service	1073020004	1073020004	1	1	NAVARRO RAMOS, SUSANA LMFT	10/11/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	134745	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVE	SUITE 150	SAN JOSE	CA	95119	1371	43	06085	37.23598537	-121.7783065	Santa Clara County
77582	Fee-for-Service	1942497060	1942497060	1	1	NGUYEN, VIET D MD	8/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	96888	13	Neurology (M.D. only)	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
77601	Fee-for-Service	1033672993	1033672993	1	1	NGUYEN, MICHELLE T DO	7/6/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	19601	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
77604	Fee-for-Service	1912268657	1912268657	1	1	NAVARRO, JUAN M PSYD	8/21/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	13193 CENTRAL AVENUE	SUITE 200	CHINO	CA	91710	4179	36	06071	34.01406506	-117.6891684	San Bernardino County
77608	Fee-for-Service	1063830172	1063830172	1	1	NESTING, AMY C CNM	7/1/2020	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
77702	Fee-for-Service	1184731184	1184731184	1	1	NORTH BAY ALLERGY AND ASTHMA	7/1/2002	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL ASSOCIATES	1100 PEAR TREE LN	None	NAPA	CA	94558	6446	28	06055	38.32087983	-122.2946228	Napa County
77765	Fee-for-Service	1376030593	1376030593	1	1	NGUYEN, CLARICE D MD	7/11/2024	207L00000X	NA	Other	026	PHYSICIANS	165910	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
77784	Fee-for-Service	1700038577	1700038577	1	1	NGUYEN, TUNG H MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	105800	41	Internal Medicine	0	In state provider	None	18800 MAIN ST	STE 103	HUNTINGTON BEACH	CA	92648	1717	30	06059	33.68890364	-117.9949974	Orange County
77800	Fee-for-Service	1619723897	1619723897	1	1	NUNO, MARIA C CNM	5/23/2024	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	2001 SANTA MONICA BLVD	380, 1070, 1080, 1090	SANTA MONICA	CA	90404	2179	19	06037	34.02891163	-118.4797466	Los Angeles County
77814	Fee-for-Service	1588770762	1588770762	1	1	NGUYEN, HUY T T DO	12/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	6987	02	General Surgery	0	In state provider	None	200 JOSE FIGUERES AVE	STE 225	SAN JOSE	CA	95116	1588	43	06085	37.36122014	-121.8505998	Santa Clara County
77840	Fee-for-Service	1417426578	1417426578	1	1	NEEDLES HOSPICE, INC	7/6/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	813 W BROADWAY STREET	UNIT B	NEEDLES	CA	92363	2727	36	06071	34.83897671	-114.6054177	San Bernardino County
77870	Fee-for-Service	1154479988	1154479988	1	1	NISBET, KENNETH MD	10/31/1982	207P00000X	NA	Other	026	PHYSICIANS	39026	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
77880	Fee-for-Service	1104830116	1104830116	1	1	NOONE, PATRICK BRIAN MD	4/3/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	82247	66	Emergency Medicine (Urgent Care)	0	In state provider	0	2333 BUCHANAN ST	None	SAN FRANCISCO	CA	94115	1925	38	06075	37.79071145	-122.4308506	San Francisco County
77897	Fee-for-Service	1316525405	1316525405	1	1	NGUYEN, LINDA LCSW	3/18/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
77909	Fee-for-Service	1124470281	1124470281	1	1	NGUYEN, AMY M OD	3/3/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8120 TIMBERLAKE WAY	STE 211	SACRAMENTO	CA	95823	5414	34	06067	38.461023	-121.41414	Sacramento County
77981	Fee-for-Service	1184731184	1184731184	1	2	NORTH BAY ALLERGY AND ASTHMA	10/6/2022	207K00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATES INC	414 WEST NAPA STREET	A	SONOMA	CA	95476	6519	49	06097	38.29274887	-122.4659898	Sonoma County
78049	Fee-for-Service	1326000217	1326000217	1	1	NAJIBI, SASAN MD	10/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	64485	02	General Surgery	0	In state provider	LA VASCULAR & ENDOVASCUL	201 S BUENA VISTA ST	STE 325	BURBANK	CA	91505	4571	19	06037	34.15978726	-118.3289164	Los Angeles County
78075	Fee-for-Service	1295824266	1295824266	1	1	NOWAK, RICHARD W PT	1/20/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1700 CESAR E CHAVEZ AVE	STE 2200	LOS ANGELES	CA	90033	2476	19	06037	34.05101259	-118.217259	Los Angeles County
78094	Fee-for-Service	1043542871	1043542871	1	1	NEWMAN, ERIN G MD	12/12/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	110997	41	Internal Medicine	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
78112	Fee-for-Service	1528280930	1528280930	1	1	NGUYEN, DAT T MD INC	10/8/2009	193200000X	NA	Other	026	PHYSICIANS	75447	02	General Surgery	0	In state provider	None	5565 W LAS POSITAS BLVD	STE 360	PLEASANTON	CA	94588	5809	01	06001	37.69215143	-121.8800337	Alameda County
78138	Fee-for-Service	1366578676	1366578676	1	1	NASSER, MAHMOUD FARID MD	4/20/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	62707	41	Internal Medicine	0	In state provider	None	370 9TH ST	None	CRESCENT CITY	CA	95531	3432	08	06015	41.7541885	-124.2055122	Del Norte County
78169	Fee-for-Service	1104830116	1104830116	1	1	NOONE, PATRICK BRIAN MD	4/3/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	82247	01	General Practice	0	In state provider	0	2333 BUCHANAN ST	None	SAN FRANCISCO	CA	94115	1925	38	06075	37.79071145	-122.4308506	San Francisco County
78179	Fee-for-Service	1417723024	1417723024	1	1	NORTH COUNTY RADIOLOGY ASSOC	5/31/2024	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	IATES INC	1955 CITRACADO PKWY	SUITE 100	ESCONDIDO	CA	92029	4111	37	06073	33.11301099	-117.1202081	San Diego County
78195	Fee-for-Service	1679764781	1679764781	1	1	NAMIHAS, B N MD INC APMC	11/2/2017	193400000X	NA	Other	026	PHYSICIANS	58791	05	Anesthesiology	0	In state provider	None	2510 AIRPARK DR	STE 102	REDDING	CA	96001	2461	45	06089	40.57119566	-122.4016582	Shasta County
78231	Fee-for-Service	1255390050	1255390050	1	1	NICKLES, DEAN J MD	11/30/1996	207R00000X	NA	Other	026	PHYSICIANS	44039	41	Internal Medicine	0	In state provider	None	350 30TH ST	STE 320	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
78238	Fee-for-Service	1063699080	1063699080	1	1	NORTHEAST VALLEY HOSPITA	4/28/2007	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	19	06037	34.28899399	-118.4481394	Los Angeles County
78270	Fee-for-Service	1184731184	1184731184	1	2	NORTH BAY ALLERGY AND ASTHMA	10/6/2022	207K00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	414 WEST NAPA STREET	A	SONOMA	CA	95476	6519	49	06097	38.29274887	-122.4659898	Sonoma County
78343	Fee-for-Service	1770954042	1770954042	1	1	NILFOROUSHAN, NESHAT MD	7/21/2021	207ZP0102X	NA	Other	026	PHYSICIANS	150864	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
78369	Fee-for-Service	1962664581	1962664581	1	1	NATIONAL COUNCIL ON	4/21/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ALCOHOLISM AND DRUG DEP	1440 ETHAN WAY	STE 101	SACRAMENTO	CA	95825	2225	34	06067	38.592126	-121.4190765	Sacramento County
78384	Fee-for-Service	1043542871	1043542871	1	1	NEWMAN, ERIN G MD	12/12/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	110997	40	Pediatrics	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
78396	Fee-for-Service	1598703647	1598703647	1	26	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	33158 COLE GRADE RD	None	PAUMA VALLEY	CA	92061	9578	37	06073	33.31511985	-117.0002279	San Diego County
78406	Fee-for-Service	1326384637	1326384637	1	1	NARDOS BELAYNEH	8/21/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2801 DEKALB MEDICAL PKWY	None	LITHONIA	GA	30058	4996	00	None	33.70756905	-84.14688751	DeKalb County
78419	Fee-for-Service	1346305166	1346305166	1	2	NGUYEN, BRIAN MD INC	9/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	53427	41	Internal Medicine	0	In state provider	None	29798 HAUN ROAD	SUITE 108	SUN CITY	CA	92586	6541	33	06065	33.68787713	-117.1748638	Riverside County
78435	Fee-for-Service	1992747109	1992747109	1	1	NORTH EAST MEDICAL SERVICES	12/31/2009	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
78452	Fee-for-Service	1942822176	1942822176	1	1	NGUYEN, TIFFANY DO	8/25/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
78517	Fee-for-Service	1376540518	1376540518	1	1	NORTHERN CALIFORNIA	3/28/1978	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	MEDICAL ASSOCIATES	3536 MENDOCINO AVE	STE 200	SANTA ROSA	CA	95403	3634	49	06097	38.473326	-122.725935	Sonoma County
78654	Fee-for-Service	1407233984	1407233984	1	1	NGUYEN, NGOCHANH H	8/15/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16231	08	Family Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
78684	Fee-for-Service	1598703647	1598703647	1	26	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	33158 COLE GRADE RD	None	PAUMA VALLEY	CA	92061	9578	37	06073	33.31511985	-117.0002279	San Diego County
78737	Fee-for-Service	1518599711	1518599711	1	1	NDAME, JEAN-MARC J CRNA	5/21/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1700 MOUNT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
78741	Fee-for-Service	1689654964	1689654964	1	3	NOVATO COMMUNITY HOSPIT	2/3/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	KALMANOVITZ CHILD DEV	4000 CIVIC CENTER DR	SUITE 210B	SAN RAFAEL	CA	94903	5233	21	06041	38.0041783	-122.538861	Marin County
78765	Fee-for-Service	1952461741	1952461741	1	2	NEXUS PHYSICAL THERAPY	3/26/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3191 SPORTS ARENA BLVD	#B	SAN DIEGO	CA	92110	4569	37	06073	32.752414	-117.2068869	San Diego County
78788	Fee-for-Service	1124302716	1124302716	1	1	NATH, TIFFANY D LMFT	6/8/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	134 N WASHINGTON ST	STE 1	SONORA	CA	95370	4756	55	06109	37.9868806	-120.3845377	Tuolumne County
78823	Fee-for-Service	1346233954	1346233954	1	1	NGUYEN, SHANNON P OD	12/7/2004	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12107 BEACH BLVD	None	STANTON	CA	90680	3706	30	06059	33.78728249	-117.9931227	Orange County
78833	Fee-for-Service	1306826847	1306826847	1	1	NOVIC, JOSH P MD	12/31/1989	2084N0400X	NA	Neurology	026	PHYSICIANS	62866	13	Neurology (M.D. only)	0	In state provider	None	1505 W ROSS RD	None	EL CENTRO	CA	92243	9585	13	06025	32.78190481	-115.6640317	Imperial County
78874	Fee-for-Service	1760453179	1760453179	1	1	NIKHIL,AMESUR B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3705 FIFTH AVE	STE 3950	PITTSBURGH	PA	15213	0000	00	None	40.44154544	-79.95885126	Allegheny County
78895	Fee-for-Service	1629224373	1629224373	1	1	NADING, LORI D CRNA	4/1/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	5176 HILL RD E.	None	LAKEPORT	CA	95453	6300	17	06033	39.10557408	-122.9078316	Lake County
78932	Fee-for-Service	1790567014	1790567014	1	1	NEW BEGINNINGS REINTEGRATION	4/18/2024	364SC1501X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	4200 LATHAM ST	A	RIVERSIDE	CA	92501	1780	33	06065	34.00148305	-117.3721328	Riverside County
78961	Fee-for-Service	1154969269	1154969269	1	2	NARAYAN DRUGS INC	4/22/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	13132 STUDEBAKER RD	STE 8	NORWALK	CA	90650	2577	19	06037	33.911874	-118.099151	Los Angeles County
79018	Fee-for-Service	1538123930	1538123930	2	1	NOFFSINGER, JULIE M MD	7/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13123 E 16TH AVE	None	AURORA	CO	80045	7106	00	None	39.742164	-104.8350375	Adams County
79025	Fee-for-Service	1538191689	1538191689	1	1	NUDELL, NANCY G MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	34292	40	Pediatrics	0	In state provider	None	15 E ARRELLAGA ST	None	SANTA BARBARA	CA	93101	2531	42	06083	34.42731739	-119.7094444	Santa Barbara County
79029	Fee-for-Service	1831598119	1831598119	1	1	NEJATI, FRESHTA NP	1/7/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
79031	Fee-for-Service	1942685094	1942685094	1	1	NANDANWAR, DEEPMALA MD	11/17/2021	2251N0400X	NA	Physical Therapist	026	PHYSICIANS	172844	None	None	0	In state provider	None	9940 TALBERT AVENUE	SUITE 204	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.70166347	-117.955494	Orange County
79104	Fee-for-Service	1730389263	1730389263	1	1	NGUYEN, OANH K MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117182	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
79127	Fee-for-Service	1649215492	1649215492	1	1	NARAYAN, SANJIV MD	8/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	56441	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
79149	Fee-for-Service	1487976577	1487976577	1	1	NICK PURACI	5/10/2010	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	ADMINISTRATOR	34034 NEBRASKA LANE	None	YUCAIPA	CA	92399	2344	36	06071	34.01651423	-117.0621612	San Bernardino County
79219	Fee-for-Service	1790567014	1790567014	1	1	NEW BEGINNINGS REINTEGRATION	6/21/2024	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	4200 LATHAM ST	A	RIVERSIDE	CA	92501	1780	33	06065	34.00148305	-117.3721328	Riverside County
79352	Fee-for-Service	1528586856	1528586856	1	1	NGOTHO, ALICE V	10/3/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	14162 TRADING POST CT	None	EASTVALE	CA	92880	3308	33	06065	33.97006329	-117.5921051	Riverside County
79448	Fee-for-Service	1275853061	1275853061	1	1	NEWMAN, ANGELA L LMFT	9/10/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	534 B ST	None	SANTA ROSA	CA	95401	5211	49	06097	38.44296	-122.7177585	Sonoma County
79455	Fee-for-Service	1245289503	1245289503	1	1	NGUYEN, JOANNE H DO	10/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8713	08	Family Practice	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
79489	Fee-for-Service	1861901191	1861901191	1	1	NORTHRIDGE KIDNEY CARE	12/13/2018	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	19333 BUSINESS CTR DR	None	NORTHRIDGE	CA	91324	3528	19	06037	34.23123628	-118.5549654	Los Angeles County
79527	Fee-for-Service	1023111481	1023111481	1	1	NG, VALERIE L MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	42195	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
79542	Fee-for-Service	1417208141	1417208141	1	2	NEW GENESIS MEDICAL ASSOCIAT	12/26/2023	207Q00000X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	RAM	710 EUCLID ST	203	ANAHEIM	CA	92801	4122	30	06059	33.8420837	-117.9415765	Orange County
79628	Fee-for-Service	1669690921	1669690921	1	1	NEIGHBORHOOD HOUSE ADHC	7/1/1993	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	851 S 35TH ST	None	SAN DIEGO	CA	92113	2798	37	06073	32.69780667	-117.1187158	San Diego County
79641	Fee-for-Service	1528586856	1528586856	1	1	NGOTHO, ALICE V	10/3/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	14162 TRADING POST CT	None	EASTVALE	CA	92880	3308	33	06065	33.97006329	-117.5921051	Riverside County
79663	Fee-for-Service	1124011952	1124011952	1	1	NGUYEN, HOANG D MD	5/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	60675	08	Family Practice	0	In state provider	None	22135 ROSCOE BLVD	STE 107	CANOGA PARK	CA	91304	3858	19	06037	34.2196242	-118.609438	Los Angeles County
79686	Fee-for-Service	1881761765	1881761765	1	1	NGUYEN, ERIC H MD	12/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73238	36	Psychiatry	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
79741	Fee-for-Service	1598142820	1598142820	1	1	NING ZHANG	4/3/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	10 E 31ST ST	None	KEARNEY	NE	68847	2908	00	None	40.70647332	-99.08130081	Buffalo County
79780	Fee-for-Service	1447539374	1447539374	1	1	NORTHERN CALIFORNIA CANCER	10/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	75542	78	Neoplastic Diseases/Oncology	0	In state provider	CENTER	1541 FLORIDA AVE	STE 306	MODESTO	CA	95350	4439	50	06099	37.666863	-120.9962775	Stanislaus County
79799	Fee-for-Service	1861482671	1861482671	1	1	NEUFELD-TRUJILLO, JENNIF	9/16/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78572	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	# B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
79831	Fee-for-Service	1417208141	1417208141	1	2	NEW GENESIS MEDICAL ASSOCIAT	8/24/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	RAM	710 EUCLID ST	203	ANAHEIM	CA	92801	4122	30	06059	33.8420837	-117.9415765	Orange County
79908	Fee-for-Service	1942235734	1942235734	1	2	NGUYEN, BACH-KIM OD	7/13/2015	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2103 REDWOOD ST	STE 100	VALLEJO	CA	94590	3608	48	06095	38.12221962	-122.2372664	Solano County
79967	Fee-for-Service	1669757506	1669757506	1	1	NEIL, STEPHANIE L	7/8/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9961 SIERRA AVENUE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
80080	Fee-for-Service	1811077787	1811077787	1	1	NGUYEN, THUY T MD	10/1/2001	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	62612	40	Pediatrics	0	In state provider	None	9741 BOLSA AVE	STE 117	WESTMINSTER	CA	92683	6682	30	06059	33.74502448	-117.9595626	Orange County
80125	Fee-for-Service	1417477712	1417477712	1	1	NELSON, BENJAMIN MD	1/9/2024	207L00000X	NA	Other	026	PHYSICIANS	183858	None	None	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
80173	Fee-for-Service	1851652739	1851652739	1	1	NUTRITION AS THERAPY INC.	10/7/2020	133V00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	6285 E. SPRING STREET	#284	LONG BEACH	CA	90808	4020	19	06037	33.81057451	-118.109808	Los Angeles County
80203	Fee-for-Service	1801207857	1801207857	1	1	NATHAN HILL	2/24/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9601 BAPTIST HEALTH DR	None	LITTLE ROCK	AR	72205	6321	00	None	34.744437	-92.3813595	Pulaski County
80238	Fee-for-Service	1073589222	1073589222	1	1	NAGAR, CHAITHRA MD	2/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	88752	01	General Practice	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
80294	Fee-for-Service	1730729856	1730729856	1	1	NAKARMI, SAMAN	2/15/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1110 CIVIC CENTER BLVD	STE 502	YUBA CITY	CA	95993	3013	51	06101	39.143016	-121.639237	Sutter County
80341	Fee-for-Service	1942704135	1942704135	1	1	NG, DAVID MD	10/18/2024	208VP0014X	NA	Other	026	PHYSICIANS	189917	70	Clinic (mixed specialty)	0	In state provider	None	25495 MEDICAL CENTER DR	STE 102	MURRIETA	CA	92562	4903	33	06065	33.55804188	-117.1834064	Riverside County
80363	Fee-for-Service	1588952832	1588952832	1	1	NGUYEN, HUE T MD	10/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124151	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
80380	Fee-for-Service	1437787645	1437787645	1	1	NGO, QUOC-TUAN P MD	8/27/2024	207W00000X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	None	11180 WARNER AVENUE	SUITE 151	FOUNTAIN VALLEY	CA	92708	7515	30	06059	33.71632048	-117.9334575	Orange County
80469	Fee-for-Service	1124601513	1124601513	1	1	NGUEMENI TIAKO, MAX JORDAN	6/10/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	MD	200 UCLA MEDICAL PLAZA	None	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
80503	Fee-for-Service	1194832469	1194832469	1	1	NIELSEN, KARIN A MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	64837	77	Infectious Disease	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
80512	Fee-for-Service	1497784193	1497784193	1	1	NEWPORT BEACH OB/GYN	3/2/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MEDICAL GROUP INC	351 HOSPITAL RD	STE 316	NEWPORT BEACH	CA	92663	3505	30	06059	33.62579141	-117.9299554	Orange County
80524	Fee-for-Service	1073589222	1073589222	1	1	NAGAR, CHAITHRA MD	2/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	88752	08	Family Practice	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
80581	Fee-for-Service	1043654874	1043654874	1	1	NOBLE MYCLE	10/13/2020	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5492 N RONALD REAGAN PKW	None	BROWNSBURG	IN	46112	5618	00	None	39.84647324	-86.35596359	Hendricks County
80582	Fee-for-Service	1285011254	1285011254	1	1	NGUYEN, KY NAM B MD	10/27/2020	2085R0001X	NA	Other	026	PHYSICIANS	146042	None	None	0	In state provider	None	618 5TH ST	None	MARYSVILLE	CA	95901	5612	58	06115	39.13999558	-121.5929238	Yuba County
80668	Fee-for-Service	1700119823	1700119823	1	1	NADELLA, GANGA D MD	10/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107550	41	Internal Medicine	0	In state provider	None	210 CANAL ST	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
80738	Fee-for-Service	1710123732	1710123732	1	1	NI, SHIRLEY S MD	2/4/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116291	05	Anesthesiology	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3587	48	06095	38.26109552	-122.0470245	Solano County
80774	Fee-for-Service	1437932605	1437932605	1	1	NORTHERN BLUE LLC	6/12/2024	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	253 S LINCOLN WAY	None	GALT	CA	95632	1711	34	06067	38.25360421	-121.300748	Sacramento County
80782	Fee-for-Service	1538159124	1538159124	1	1	NISCO, MICHAEL J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	55139	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
80790	Fee-for-Service	1760756670	1760756670	1	1	NG, JENNIFER MD	1/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76220	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	254 N KESSING ST	None	PORTERVILLE	CA	93257	3424	54	06107	36.07048847	-119.025139	Tulare County
80792	Fee-for-Service	1194832469	1194832469	1	1	NIELSEN, KARIN A MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	64837	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
80957	Fee-for-Service	1093911349	1093911349	1	1	NG, CASEY K MD	10/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111202	34	Urology and Urological Surgery	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
80994	Fee-for-Service	1265019483	1265019483	1	1	NGUYEN, MARTIN MD	7/21/2023	390200000X	NA	Other	026	PHYSICIANS	20748	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
81007	Fee-for-Service	1093795684	1093795684	1	1	NAIDU, AJANTA MD	7/20/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	41593	None	None	0	In state provider	None	17660 LAKEWOOD BLVD	None	BELLFLOWER	CA	90706	6410	19	06037	33.87138705	-118.142548	Los Angeles County
81009	Fee-for-Service	1992179584	1992179584	1	1	NGUYEN, ELIZABETH L MD	6/21/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	178846	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
81030	Fee-for-Service	1528166105	1528166105	1	1	NGUYEN, MINH N MD	3/4/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	59442	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2315 E ANAHEIM ST	None	LONG BEACH	CA	90804	3501	19	06037	33.78263692	-118.1640686	Los Angeles County
81156	Fee-for-Service	1295944841	1295944841	1	1	NASMYTH, MARY C MD	7/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	95260	25	Physical Medicine and Rehabilitation	0	In state provider	None	2080 CENTURY PARK E	STE 300	LOS ANGELES	CA	90067	2006	19	06037	34.05887194	-118.4122914	Los Angeles County
81257	Fee-for-Service	1336307974	1336307974	1	1	NGUYEN, TINA A MD	5/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116769	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 MEDICAL PLAZA	#430	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
81316	Fee-for-Service	1528166105	1528166105	1	1	NGUYEN, MINH N MD	3/4/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	59442	41	Internal Medicine	0	In state provider	None	2315 E ANAHEIM ST	None	LONG BEACH	CA	90804	3501	19	06037	33.78263692	-118.1640686	Los Angeles County
81343	Fee-for-Service	1194181834	1194181834	1	1	NGUYEN, DAU D	3/29/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4510 VIEWRIDGE AVENUE	None	SAN DIEGO	CA	92123	1637	37	06073	32.82283469	-117.1248707	San Diego County
81382	Fee-for-Service	1447469457	1447469457	1	1	NORTHLAKE INTERNAL	11/1/2000	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	MEDICINE MEDICAL CORP	5150 HILL RD E	STE B	LAKEPORT	CA	95453	5100	17	06033	39.10437349	-122.9088331	Lake County
81397	Fee-for-Service	1780143040	1780143040	1	1	NAMBOODIRI, HIMA N MD	8/12/2024	207R00000X	NA	Other	026	PHYSICIANS	179307	41	Internal Medicine	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
81416	Fee-for-Service	1770969701	1770969701	1	1	NUDTAVUTHTISIT, SUTERA OD	10/29/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5237 ARROW HWY	None	MONTCLAIR	CA	91763	1308	36	06071	34.0922757	-117.6906956	San Bernardino County
81436	Fee-for-Service	1033394663	1033394663	1	1	NGUYEN, SANG T DO	2/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11006	40	Pediatrics	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
81442	Fee-for-Service	1164866901	1164866901	1	1	NGUYEN, NATHALIE DO	1/11/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	13787	None	None	0	In state provider	None	1401 GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
81454	Fee-for-Service	1760001127	1760001127	1	1	NANAYAKKARA, SAMANTHA MD	6/5/2024	207P00000X	NA	Other	026	PHYSICIANS	182530	66	Emergency Medicine (Urgent Care)	0	In state provider	None	BUENA VISTA & ALAMEDA ST	None	BURBANK	CA	91505	0000	19	06037	34.158213	-118.328112	Los Angeles County
81464	Fee-for-Service	1508837444	1508837444	1	1	NKWOCHA, MIKE	4/20/2007	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	MICKS ENTERPRISES	13122 SHERMAN WAY	None	NORTH HOLLYWOOD	CA	91605	4645	19	06037	34.20117448	-118.4188095	Los Angeles County
81506	Fee-for-Service	1295987675	1295987675	1	1	NGUYEN, JOSEPH OD	4/22/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1290 E ONTARIO AVE	None	CORONA	CA	92881	3618	33	06065	33.84697297	-117.5405763	Riverside County
81579	Fee-for-Service	1003341777	1003341777	1	1	NISAM, SEAN MD	10/30/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	161550	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
81604	Fee-for-Service	1528166105	1528166105	1	1	NGUYEN, MINH N MD	3/4/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	59442	01	General Practice	0	In state provider	None	2315 E ANAHEIM ST	None	LONG BEACH	CA	90804	3501	19	06037	33.78263692	-118.1640686	Los Angeles County
81619	Fee-for-Service	1407091051	1407091051	1	1	NELSON, PARVINDER	10/20/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	565 BRUNSWICK RD	SUITE 4	GRASS VALLEY	CA	95945	9529	29	06057	39.23341432	-121.0294421	Nevada County
81635	Fee-for-Service	1407318009	1407318009	1	1	NGUYEN, NHI Y MD	6/20/2022	207R00000X	NA	Other	026	PHYSICIANS	176992	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
81650	Fee-for-Service	1376190496	1376190496	1	1	NELSON, SARAH M PT	10/23/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	500 LIGHTHOUSE AVE.	SUITE B	MONTEREY	CA	93940	1423	27	06053	36.61269281	-121.9009435	Monterey County
81684	Fee-for-Service	1780143040	1780143040	1	1	NAMBOODIRI, HIMA N MD	8/12/2024	207R00000X	NA	Other	026	PHYSICIANS	179307	45	Nephrology (Renal-Kidney)	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
81745	Fee-for-Service	1144273491	1144273491	1	1	NGUYEN, TAN K MD	2/13/2009	207N00000X	NA	Dermatology	026	PHYSICIANS	70331	07	Dermatology	0	In state provider	None	1866 N ORANGE GROVE	STE 202	POMONA	CA	91767	3031	19	06037	34.07771682	-117.7485431	Los Angeles County
81751	Fee-for-Service	1619909975	1619909975	1	1	NGUYEN, THAO T MD	7/8/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76835	01	General Practice	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
81775	Fee-for-Service	1992049720	1992049720	1	1	NEWHARD, HEATHER M DPM	6/24/2016	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2020 J STREET	None	SACRAMENTO	CA	95811	3120	34	06067	38.576331	-121.4791155	Sacramento County
81852	Fee-for-Service	1265004303	1265004303	1	1	NGUYEN, TIFFANY M MD	10/4/2024	207R00000X	NA	Other	026	PHYSICIANS	191819	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
81867	Fee-for-Service	1598299471	1598299471	1	1	NGUYEN, BRIAN T MD	6/4/2021	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	18858	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
81877	Fee-for-Service	1073920583	1073920583	1	1	NAVARRO, ALEJANDRA MD	5/17/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	138049	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
81880	Fee-for-Service	1346897063	1346897063	1	1	NGUYEN, ANNIE CRNA	3/24/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
81923	Fee-for-Service	1659488864	1659488864	1	1	NOBEL MEDICAL SUPPLIES INC	9/19/2003	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	12362 PERRIS BLVD	None	MORENO VALLEY	CA	92557	7423	33	06065	33.94122349	-117.2263214	Riverside County
81924	Fee-for-Service	1952332801	1952332801	1	1	NEW YORK & PRESBYTERIAN	1/11/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	525 E 68TH ST	None	NEW YORK	NY	10021	4870	00	None	40.764357	-73.9545075	New York County
81953	Fee-for-Service	1275665606	1275665606	1	1	NOVELL, DENISE M PSYD	7/3/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2547 W SHAW AVE	STE 117	FRESNO	CA	93711	3321	10	06019	36.80804173	-119.8385565	Fresno County
81960	Fee-for-Service	1427114602	1427114602	1	1	NGO, BAY V MD	10/31/1992	207ZC0500X	NA	Other	026	PHYSICIANS	42976	30	Radiology	0	In state provider	None	1251 W LAMBERT RD	None	LA HABRA	CA	90631	6614	30	06059	33.9247203	-117.9597086	Orange County
81975	Fee-for-Service	1073689113	1073689113	1	1	NABATIAN, IRADJ MD	12/6/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	55354	36	Psychiatry	0	In state provider	None	6367 ALVARADO CT	STE 102	SAN DIEGO	CA	92120	4914	37	06073	32.77665968	-117.0614306	San Diego County
82028	Fee-for-Service	1770110694	1770110694	1	1	NISHIMORI, KALIN MD	8/14/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
82031	Fee-for-Service	1396773701	1396773701	1	1	NGUYEN, ANDRE C MD	9/8/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	71405	02	General Surgery	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
82044	Fee-for-Service	1013068105	1013068105	2	1	NORTH COUNTY ENDOCRINE MEDIC	7/26/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SEARCH	625 W CITRACADO PKWY	108	ESCONDIDO	CA	92025	6428	37	06073	33.09166731	-117.0784699	San Diego County
82098	Fee-for-Service	1366495145	1366495145	1	1	NORTHCAL HEMATOLOGY	1/23/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ONCOLOGY	11795 EDUCATION ST	STE 220	AUBURN	CA	95602	2469	31	06061	38.94433757	-121.098912	Placer County
82099	Fee-for-Service	1518908847	1518908847	1	1	NEWPORT COAST RADIATION	1/1/2000	193400000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ONCOLOGY MEDICAL GRP INC	1 HOAG DR	BUILDING 41	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
82109	Fee-for-Service	1205807484	1205807484	1	1	NANIGIAN, BRAD R MD	8/24/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	78169	24	Plastic Surgery	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
82152	Fee-for-Service	1487327979	1487327979	1	1	NAOMI KERUBO BOGONKO	8/10/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1606 DANTE CIRCLE	None	ROSEVILLE	CA	95678	2935	31	06061	38.792367	-121.287004	Placer County
82159	Fee-for-Service	1043498397	1043498397	1	1	NAJJAR, REIAD Y MD	8/20/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110402	45	Nephrology (Renal-Kidney)	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
82210	Fee-for-Service	1952332801	1952332801	1	1	NEW YORK & PRESBYTERIAN	1/11/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	525 E 68TH ST	None	NEW YORK	NY	10021	4870	00	None	40.764357	-73.9545075	New York County
82293	Fee-for-Service	1255132072	1255132072	1	1	NARANJO BERNABE, HERLINDA	4/22/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	44	06087	0	0	None
82309	Fee-for-Service	1124486865	1124486865	1	1	NOVENO, HILARIO C NP	12/9/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
82326	Fee-for-Service	1942210695	1942210695	1	1	NAVARRO, MINERVA C MD	12/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	92603	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
82385	Fee-for-Service	1366495145	1366495145	1	1	NORTHCAL HEMATOLOGY	1/23/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	ONCOLOGY	11795 EDUCATION ST	STE 220	AUBURN	CA	95602	2469	31	06061	38.94433757	-121.098912	Placer County
82386	Fee-for-Service	1518908847	1518908847	1	1	NEWPORT COAST RADIATION	1/1/2000	193400000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ONCOLOGY MEDICAL GRP INC	1 HOAG DR	BUILDING 41	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
82388	Fee-for-Service	1477660983	1477660983	1	1	NGUYEN, TUAN G MD	10/22/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	62809	30	Radiology	0	In state provider	None	438 LAS TUNAS	None	SAN GABRIEL	CA	91776	1216	19	06037	34.10243051	-118.105902	Los Angeles County
82433	Fee-for-Service	1114943933	1114943933	1	1	NAZEMI, REZA	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	81680	41	Internal Medicine	0	In state provider	None	3392 MOTOR AVE	None	LOS ANGELES	CA	90034	3712	19	06037	34.02780514	-118.4095758	Los Angeles County
82440	Fee-for-Service	1487327979	1487327979	1	1	NAOMI KERUBO BOGONKO	8/10/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1606 DANTE CIRCLE	None	ROSEVILLE	CA	95678	2935	31	06061	38.792367	-121.287004	Placer County
82447	Fee-for-Service	1043498397	1043498397	1	1	NAJJAR, REIAD Y MD	8/20/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110402	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
82454	Fee-for-Service	1235794538	1235794538	1	1	NGUYEN, SAMANTHA K DO	7/8/2022	207R00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	1050 WEST GALLERIA DRIVE	None	HENDERSON	NV	89011	4800	00	None	36.07123413	-115.0308684	Clark County
82463	Fee-for-Service	1073961553	1073961553	1	1	NENTWIG, MICHELLE MD	8/25/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	176044	None	None	0	In state provider	None	1405 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4557	49	06097	38.44377	-122.699016	Sonoma County
82490	Fee-for-Service	1851811301	1851811301	1	1	NGUYEN, PHUONG	10/31/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
82519	Fee-for-Service	1023369907	1023369907	1	1	NINA F ROSLOVIC,NP	2/8/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1445 W MAIN ST	None	NEWARK	OH	43055	1989	00	None	40.04557225	-82.4557188	Licking County
82527	Fee-for-Service	1245283217	1245283217	1	2	NORTH COAST IMAGING RAD	10/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
82570	Fee-for-Service	1073075040	1073075040	1	1	NAGARAJ, SHALINI MD	6/30/2023	207L00000X	NA	Other	026	PHYSICIANS	176991	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
82591	Fee-for-Service	1003127234	1003127234	1	1	NATARAJAN, SIVA V MD	12/9/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107471	05	Anesthesiology	0	In state provider	None	1111 W LA PALMA AVE	None	ANAHEIM	CA	92928	0128	30	06059	33.84718298	-117.933758	Orange County
82658	Fee-for-Service	1861814394	1861814394	1	1	NAMASTE COUNSELING SERVICES	6/22/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	INC.	4750 QUAIL LAKES DR	C-4	STOCKTON	CA	95207	5274	39	06077	37.98582556	-121.3398554	San Joaquin County
82667	Fee-for-Service	1760141253	1760141253	1	1	NAI, ALLISON J NP	8/3/2023	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
82682	Fee-for-Service	1467741728	1467741728	1	1	NGUYEN, LENA DO	4/19/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	13833	None	None	0	In state provider	None	ONE HOAG DR	6100	NEWPORT BEACH	CA	92658	6100	30	06059	33.62421676	-117.9309656	Orange County
82684	Fee-for-Service	1154884583	1154884583	1	1	NGUYEN, VU V DO	7/1/2022	208M00000X	NA	Other	026	PHYSICIANS	19603	None	None	0	In state provider	None	11234 ANDERSON ST	STE 1617	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
82708	Fee-for-Service	1629528682	1629528682	1	1	NEWHIDE MEDICAL GROUP, INC.	2/15/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	4950 SAN BERNARDINO ST	SUITE 102	MONTCLAIR	CA	91763	2328	36	06071	34.07768363	-117.6968874	San Bernardino County
82719	Fee-for-Service	1114943933	1114943933	1	1	NAZEMI, REZA	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	81680	67	Endocrinology	0	In state provider	None	3392 MOTOR AVE	None	LOS ANGELES	CA	90034	3712	19	06037	34.02780514	-118.4095758	Los Angeles County
82727	Fee-for-Service	1124029319	1124029319	1	1	NELSON, JOHN C MD	9/20/2007	207R00000X	NA	Other	026	PHYSICIANS	74722	01	General Practice	0	In state provider	None	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	12	06023	40.89808837	-124.0923819	Humboldt County
82773	Fee-for-Service	1659909000	1659909000	1	1	NGUYEN, JUSTIN DO	3/19/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	21212	None	None	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
82867	Fee-for-Service	1104103001	1104103001	1	4	NORTH EAST MEDICAL SERVICES	9/9/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3431 TARAVAL ST	None	SAN FRANCISCO	CA	94116	2050	38	06075	37.74176633	-122.5030059	San Francisco County
82869	Fee-for-Service	1619505583	1619505583	1	1	NGO, ANNIE MD	2/7/2025	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
82913	Fee-for-Service	1619171766	1619171766	1	1	NGUYEN, DANH H MD	4/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93831	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
82920	Fee-for-Service	1467421594	1467421594	1	1	NELSON, JOY M PT	10/26/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	27107 TOURNEY RD	None	SANTA CLARITA	CA	91355	1860	19	06037	34.41607441	-118.5761057	Los Angeles County
83035	Fee-for-Service	1255539649	1255539649	1	1	NOVAK, MATTHEW R MD	11/12/2020	207L00000X	NA	Other	026	PHYSICIANS	168333	None	None	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
83092	Fee-for-Service	1669429957	1669429957	1	1	NGUYEN, NIEM L MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78088	41	Internal Medicine	0	In state provider	None	11525 BROOKSHIRE AVE	None	DOWNEY	CA	90241	4985	19	06037	33.93544635	-118.1318321	Los Angeles County
83135	Fee-for-Service	1316520224	1316520224	1	1	NORTH, RILEY MD	8/14/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	20103 LAKE CHABOT	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
83156	Fee-for-Service	1104103001	1104103001	1	4	NORTH EAST MEDICAL SERVICES	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3431 TARAVAL ST	None	SAN FRANCISCO	CA	94116	2050	38	06075	37.74176633	-122.5030059	San Francisco County
83205	Fee-for-Service	1649701731	1649701731	1	1	NANAVATI, MRUGA MD	7/13/2021	390200000X	NA	Other	026	PHYSICIANS	169463	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
83245	Fee-for-Service	1891163010	1891163010	1	1	NATHAN SORENSON	7/16/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1034 N 500 W	None	PROVO	UT	84604	3380	00	None	40.248072	-111.6673905	Utah County
83264	Fee-for-Service	1265474456	1265474456	1	1	NEVADA CVS PHARMACY LLC	11/14/2012	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	1	Border provider	None	8116 S LAS VEGAS BLVD	None	LAS VEGAS	NV	89123	1015	00	None	36.04180637	-115.172355	Clark County
83277	Fee-for-Service	1619932142	1619932142	1	1	NICHOLAU, THEODORA K MD	1/1/1991	207L00000X	NA	Other	026	PHYSICIANS	62636	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
83328	Fee-for-Service	1063561967	1063561967	1	1	NAVAS, RICARDO MD	1/23/1993	174400000X	NA	Other	026	PHYSICIANS	38885	02	General Surgery	0	In state provider	None	8631 W 3RD ST	None	LOS ANGELES	CA	90048	5901	19	06037	34.07361928	-118.3803143	Los Angeles County
83332	Fee-for-Service	1760458103	1760458103	1	2	NEEL DHARIA	4/4/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1432 S DOBSON RD	STE 106	MESA	AZ	85202	4769	00	None	33.388785	-111.877335	Maricopa County
83336	Fee-for-Service	1750578126	1750578126	1	1	NGUYEN, PHOUC H MD	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	64287	05	Anesthesiology	0	In state provider	None	310 N CITRUS AVE	STE A	AZUSA	CA	91702	3957	19	06037	34.126839	-117.8900935	Los Angeles County
83350	Fee-for-Service	1174968325	1174968325	1	1	NGUYEN, JAMES MD	6/20/2018	390200000X	NA	Other	026	PHYSICIANS	154433	02	General Surgery	0	In state provider	None	101 CITY DR S	# B10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
83373	Fee-for-Service	1801399860	1801399860	1	1	NORTHEAST VALLEY HEALTH	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	12759 VAN NUYS BLVD	None	PACOIMA	CA	91331	1627	19	06037	34.27413859	-118.4111289	Los Angeles County
83441	Fee-for-Service	1093882813	1093882813	1	1	NGUYEN, AN DAC MD	11/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	44254	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
83459	Fee-for-Service	1245266618	1245266618	1	1	NOSRATI, SAEID	2/28/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	74447	41	Internal Medicine	0	In state provider	None	1510 SAN PABLO ST	STE 145	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
83491	Fee-for-Service	1003534124	1003534124	1	1	NOGID, YANA LMFT	8/11/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	111 N MARKET	STE 950	SAN JOSE	CA	95113	1112	43	06085	37.33791617	-121.8939388	Santa Clara County
83559	Fee-for-Service	1972163103	1972163103	1	1	NP HOME SERVICES LLC	10/25/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10723 SHERMAN WAY	UNIT B	SUN VALLEY	CA	91352	5155	19	06037	34.2012395	-118.3641435	Los Angeles County
83643	Fee-for-Service	1811243041	1811243041	1	1	NANJIREDDY, PRIYANKA M	10/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	144022	40	Pediatrics	0	In state provider	None	2450 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4356	52	06103	40.14921426	-122.2216794	Tehama County
83649	Fee-for-Service	1417920760	1417920760	1	1	NYGAARD, AIRELL L MD	4/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	37479	20	Orthopedic Surgery	0	In state provider	None	680 GUZZI LN	STE 102	SONORA	CA	95370	5288	55	06109	37.97611058	-120.3719921	Tuolumne County
83661	Fee-for-Service	1801399860	1801399860	1	1	NORTHEAST VALLEY HEALTH	7/7/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	12759 VAN NUYS BLVD	None	PACOIMA	CA	91331	1627	19	06037	34.27413859	-118.4111289	Los Angeles County
83678	Fee-for-Service	1265827802	1265827802	1	1	NAGENDRA, GAUTAM MD	7/16/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	155780	None	None	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3857	36	06071	34.04824949	-117.2401425	San Bernardino County
83687	Fee-for-Service	1467471177	1467471177	1	1	NGO, LINH K MD	12/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	90575	08	Family Practice	0	In state provider	None	11211 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1115	19	06037	34.27497644	-118.4679634	Los Angeles County
83701	Fee-for-Service	1740383611	1740383611	1	1	NEWTH, CHRISTOPHER J MD	7/3/1997	2080P0203X	NA	Other	026	PHYSICIANS	38570	40	Pediatrics	0	In state provider	UNIV CHILDRENS MED CTR	4650 W SUNSET BLVD	MS 12	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
83707	Fee-for-Service	1679665004	1679665004	1	1	NELSON, MICHAEL S MD	2/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	51627	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
83729	Fee-for-Service	1093882813	1093882813	1	1	NGUYEN, AN DAC MD	11/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	44254	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
83775	Fee-for-Service	1710127774	1710127774	1	1	NORTHERN CALIFORNIA	11/9/2009	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	ADVANCED SURGERY CTR, LP	5771 GREENBACK LANE	None	SACRAMENTO	CA	95841	2013	34	06067	38.682279	-121.32711	Sacramento County
83950	Fee-for-Service	1801399860	1801399860	1	1	NORTHEAST VALLEY HEALTH	3/4/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	12759 VAN NUYS BLVD	None	PACOIMA	CA	91331	1627	19	06037	34.27413859	-118.4111289	Los Angeles County
84041	Fee-for-Service	1750533253	1750533253	1	1	NUGENT, LYNN D MD	11/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111822	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
84238	Fee-for-Service	1801399860	1801399860	1	1	NORTHEAST VALLEY HEALTH	9/23/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	12759 VAN NUYS BLVD	None	PACOIMA	CA	91331	1627	19	06037	34.27413859	-118.4111289	Los Angeles County
84243	Fee-for-Service	1598703647	1598703647	1	31	NEIGHBORHOOD HEALTHCARE	11/20/2023	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2085 MONTIEL RD	SUITE 102	SAN MARCOS	CA	92069	3563	37	06073	33.13260363	-117.1183917	San Diego County
84255	Fee-for-Service	1508127960	1508127960	1	1	NHAN, TINA T DO	11/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13432	41	Internal Medicine	0	In state provider	None	20103 LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
84350	Fee-for-Service	1326520131	1326520131	1	1	NEVIUS, SARA LMFT	3/2/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	123781	-	NOT APPLICABLE	0	In state provider	None	20094 MISSION BLVD	None	HAYWARD	CA	94541	1237	01	06001	37.68697869	-122.1024518	Alameda County
84425	Fee-for-Service	1548881253	1548881253	1	1	NORRIS, VY T CRNA	6/3/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	603 E LATHAM AVE	None	HEMET	CA	92543	4342	33	06065	33.74933852	-116.96598	Riverside County
84467	Fee-for-Service	1740634286	1740634286	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	500 COHASSET ROAD	STE 15	CHICO	CA	95926	2260	04	06007	39.75142109	-121.8506286	Butte County
84483	Fee-for-Service	1225487531	1225487531	1	1	NAMIHAS, BRET N MD	9/25/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	157869	08	Family Practice	0	In state provider	None	3130 DEL MONTE BLVD	None	MARINA	CA	93933	3047	27	06053	36.68590557	-121.8010492	Monterey County
84502	Fee-for-Service	1437385705	1437385705	1	1	NAGAKAWA, ITO S MD	11/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103479	40	Pediatrics	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
84524	Fee-for-Service	1750483590	1750483590	1	1	NGUYEN, CHRISTINE K MD	11/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	51750	68	Hematology	0	In state provider	None	910 SYCAMORE AVE	SUITE 102	VISTA	CA	92081	7833	37	06073	33.15991913	-117.2205623	San Diego County
84532	Fee-for-Service	1598703647	1598703647	1	31	NEIGHBORHOOD HEALTHCARE	10/17/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2085 MONTIEL RD	SUITE 102	SAN MARCOS	CA	92069	3563	37	06073	33.13260363	-117.1183917	San Diego County
84574	Fee-for-Service	1215050380	1215050380	1	1	NAKHAEE, BEHESHTEH MD	11/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105758	41	Internal Medicine	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
84589	Fee-for-Service	1740361187	1740361187	1	1	NGUYEN, JOE H T MD	3/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	81215	41	Internal Medicine	0	In state provider	None	26732 CROWN VALLEY PKWY	SUITE 151	MISSION VIEJO	CA	92691	6337	30	06059	33.56347704	-117.66546	Orange County
84650	Fee-for-Service	1114936010	1114936010	1	1	NEWPORT PULMONARY	3/1/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	ASSOCIATES MEDICAL GRP	320 SUPERIOR AVE	STE 200	NEWPORT BEACH	CA	92663	2741	30	06059	33.62657138	-117.9330754	Orange County
84708	Fee-for-Service	1730520552	1730520552	1	1	NAGESH, DEEPTI MD	11/24/2020	2084N0402X	NA	Neurology	026	PHYSICIANS	163269	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
84729	Fee-for-Service	1720191737	1720191737	1	1	NAHEEDY, MOHAMMAD H MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	38252	30	Radiology	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
84742	Fee-for-Service	1285802256	1285802256	1	1	NORDT, SEAN P MD	7/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97301	66	Emergency Medicine (Urgent Care)	0	In state provider	None	200 WEST ARBOR DR	None	SAN DIEGO	CA	92103	8676	37	06073	32.7537975	-117.1658298	San Diego County
84757	Fee-for-Service	1740634286	1740634286	1	1	NORTHERN VALLEY INDIAN	8/18/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	500 COHASSET ROAD	STE 15	CHICO	CA	95926	2260	04	06007	39.75142109	-121.8506286	Butte County
84811	Fee-for-Service	1750483590	1750483590	1	1	NGUYEN, CHRISTINE K MD	11/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	51750	78	Neoplastic Diseases/Oncology	0	In state provider	None	910 SYCAMORE AVE	SUITE 102	VISTA	CA	92081	7833	37	06073	33.15991913	-117.2205623	San Diego County
84817	Fee-for-Service	1710468574	1710468574	1	1	NWAEZEAPU, KENNETH C CRNA	8/2/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
84818	Fee-for-Service	1598703647	1598703647	1	31	NEIGHBORHOOD HEALTHCARE	11/30/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2085 MONTIEL RD	SUITE 102	SAN MARCOS	CA	92069	3563	37	06073	33.13260363	-117.1183917	San Diego County
84835	Fee-for-Service	1841330149	1841330149	1	1	NEVEL, PATRICIA G LCSW	1/4/2019	1041C0700X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
84842	Fee-for-Service	1356762876	1356762876	1	1	NORTH EAST MEDICAL SERVICES	5/8/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1870 LUNDY AVENUE	None	SAN JOSE	CA	95131	1826	43	06085	37.39271022	-121.8903238	Santa Clara County
84851	Fee-for-Service	1013440015	1013440015	1	1	NGUYEN, DIEU T NP	9/3/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
84935	Fee-for-Service	1255580494	1255580494	1	1	NAREZ, PATRICIA	8/14/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	61198	-	NOT APPLICABLE	0	In state provider	None	6500 MORRO ROAD	STE C & D	ATASCADERO	CA	93422	4142	40	06079	35.48364845	-120.6655946	San Luis Obispo County
84937	Fee-for-Service	1114936010	1114936010	1	1	NEWPORT PULMONARY	3/1/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	ASSOCIATES MEDICAL GRP	320 SUPERIOR AVE	STE 200	NEWPORT BEACH	CA	92663	2741	30	06059	33.62657138	-117.9330754	Orange County
84939	Fee-for-Service	1023213592	1023213592	1	1	NORTH COUNTY LIFELINE, INC.	1/7/2021	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	707 OCEANSIDE	None	OCEANSIDE	CA	92054	5225	37	06073	33.18441489	-117.3678276	San Diego County
85001	Fee-for-Service	1790024297	1790024297	1	1	NGUYEN, VIEN T NP	2/12/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4312 WOODMAN AVENUE	SUITE 102	SHERMAN OAKS	CA	91423	5546	19	06037	34.148637	-118.4312035	Los Angeles County
85047	Fee-for-Service	1740634286	1740634286	1	1	NORTHERN VALLEY INDIAN	5/16/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	500 COHASSET ROAD	STE 15	CHICO	CA	95926	2260	04	06007	39.75142109	-121.8506286	Butte County
85107	Fee-for-Service	1598703647	1598703647	1	31	NEIGHBORHOOD HEALTHCARE	10/17/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2085 MONTIEL RD	SUITE 102	SAN MARCOS	CA	92069	3563	37	06073	33.13260363	-117.1183917	San Diego County
85149	Fee-for-Service	1649442088	1649442088	1	1	NATIONAL HEALTH SERVICES	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	21138 PASO ROBLES HWY	None	LOST HILLS	CA	93249	9731	15	06029	35.6161173	-119.695251	Kern County
85152	Fee-for-Service	1053597864	1053597864	1	1	NORTH PARK FAMILY HLTH	1/1/1995	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	3544 30TH ST	None	SAN DIEGO	CA	92104	4120	37	06073	32.742936	-117.130118	San Diego County
85235	Fee-for-Service	1861479057	1861479057	1	1	NOORIAN, NADER MD	1/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	76596	41	Internal Medicine	0	In state provider	None	24411 HEALTH CENTER DR	STE 550	LAGUNA HILLS	CA	92653	3687	30	06059	33.6087201	-117.7076948	Orange County
85266	Fee-for-Service	1083711568	1083711568	1	1	NATRAJ SURGERY CENTER	8/10/2006	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	INC	555 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3286	54	06107	36.06956396	-119.0291153	Tulare County
85281	Fee-for-Service	1104103001	1104103001	1	8	NORTH EAST MEDICAL SERVICES	8/26/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1850 SULLIVAN AVENUE	SUITE 190	DALY CITY	CA	94015	2230	41	06081	37.68085904	-122.4728842	San Mateo County
85289	Fee-for-Service	1760263636	1760263636	1	1	NGUYEN, KATIE CNP	12/3/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11103 VENICE BLVD	None	LOS ANGELES	CA	90034	6914	19	06037	34.01379685	-118.4159354	Los Angeles County
85298	Fee-for-Service	1902989064	1902989064	1	1	NGUYEN, LI Q MD	12/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	63837	04	Otology, Laryngology, Rhinology	0	In state provider	None	9191 WESTMINSTER AVE	STE 205	GARDEN GROVE	CA	92844	2751	30	06059	33.75946879	-117.9688437	Orange County
85307	Fee-for-Service	1700407426	1700407426	1	1	NUNOO, JOAN N NP	1/6/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1332 W HERNDON AVE	STE 101	FRESNO	CA	93711	7118	10	06019	36.83737137	-119.8148304	Fresno County
85413	Fee-for-Service	1740250323	1740250323	2	1	NUSSDORFER, MICHAEL C MD	9/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	73914	30	Radiology	0	In state provider	None	1700 SOUTH COURT STREET	SUITE F	VISALIA	CA	93277	4931	54	06107	36.315108	-119.2916925	Tulare County
85424	Fee-for-Service	1013406859	1013406859	1	1	NITTUR, NANDINI R MD	9/14/2022	390200000X	NA	Other	026	PHYSICIANS	165845	None	None	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
85434	Fee-for-Service	1669465449	1669465449	1	1	NAST, JUSTIN B MD	9/14/2021	2083A0100X	NA	Adult Primary Care	026	PHYSICIANS	172660	None	None	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
85446	Fee-for-Service	1730892357	1730892357	1	1	NIGHTFALL HEALTHCARE INC	2/1/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	16955 VANOWEN STREET	None	VAN NUYS	CA	91406	4542	19	06037	34.19389751	-118.503342	Los Angeles County
85447	Fee-for-Service	1457081424	1457081424	1	1	NGUYEN, KEVIN OD	9/29/2023	390200000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	77 CADILLAC DRIVE	SUITE 240	SACRAMENTO	CA	95825	8363	34	06067	38.572551	-121.4181585	Sacramento County
85456	Fee-for-Service	1124633722	1124633722	1	1	NORIEGA, ANGELICA V	7/8/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
85494	Fee-for-Service	1295983906	1295983906	1	1	NADEL, JENNIFER MD	6/3/2024	207P00000X	NA	Other	026	PHYSICIANS	184673	66	Emergency Medicine (Urgent Care)	0	In state provider	None	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	19	06037	34.06704253	-118.3835029	Los Angeles County
85543	Fee-for-Service	1235298977	1235298977	1	1	NEWELL, RICHARD G MD	5/21/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	92951	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3037	31	06061	38.76553806	-121.2497067	Placer County
85571	Fee-for-Service	1104103001	1104103001	1	8	NORTH EAST MEDICAL SERVICES	8/26/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1850 SULLIVAN AVENUE	SUITE 190	DALY CITY	CA	94015	2230	41	06081	37.68085904	-122.4728842	San Mateo County
85602	Fee-for-Service	1285726646	1285726646	1	1	NEJADNIK, BIJAN MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	64970	41	Internal Medicine	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
85654	Fee-for-Service	1235426289	1235426289	1	1	NGUYEN, LISA OD	11/26/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
85660	Fee-for-Service	1316942022	1316942022	1	1	NASSR, KUSSAY MD	3/9/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	168427	None	None	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
85692	Fee-for-Service	1417261983	1417261983	1	1	NATIONAL COUNCIL ON	1/4/2016	101YA0400X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ALCOHOLISM AND DRUG	4626 N GRAND AVE	None	COVINA	CA	91724	2055	19	06037	34.096419	-117.872472	Los Angeles County
85727	Fee-for-Service	1235565920	1235565920	1	1	NADERI MAHABADI, ALI MD	8/1/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	141097	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3220	33	06065	33.763572	-116.4056895	Riverside County
85740	Fee-for-Service	1710143573	1710143573	1	1	NIELSEN, BRIAN L DO	8/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	10451	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVENUE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
85818	Fee-for-Service	1184664237	1184664237	1	1	NUKAL, SAVITHA MD	1/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	72912	41	Internal Medicine	0	In state provider	None	1250 PEACH STREET	STE A	SAN LUIS OBISPO	CA	93401	2837	40	06079	35.28647825	-120.6599674	San Luis Obispo County
85893	Fee-for-Service	1487960027	1487960027	1	1	NGUYEN, NHI T LCSW	5/1/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
85921	Fee-for-Service	1407388010	1407388010	1	1	NGUYEN, NGAN T DO	7/12/2023	207RH0003X	NA	Oncology	026	PHYSICIANS	17494	None	None	0	In state provider	None	4646 BROCKTON AVE	SUITE 203-2	RIVERSIDE	CA	92506	0173	33	06065	33.9760171	-117.3860626	Riverside County
85925	Fee-for-Service	1447319199	1447319199	1	1	NEEDEL, NORMAN H MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	35065	34	Urology and Urological Surgery	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
86061	Fee-for-Service	1821653957	1821653957	1	1	NORWALK RETIREMENT VILLA LLC	3/11/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	11515 FIRESTONE BLVD	None	NORWALK	CA	90650	2804	19	06037	33.9161868	-118.0881536	Los Angeles County
86144	Fee-for-Service	1922443498	1922443498	1	1	NGUYEN, QUYET	4/29/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
86192	Fee-for-Service	1831478395	1831478395	1	1	NAHAS, SAMAR HAMED A MD	10/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137858	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	555 TACHEVAH DR	2E107	PALM SPRINGS	CA	92262	5752	33	06065	33.83753681	-116.5424435	Riverside County
86196	Fee-for-Service	1871853077	1871853077	1	1	NGUYEN, BAC T MD	5/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142273	18	Ophthalmology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
86198	Fee-for-Service	1063638690	1063638690	1	2	NAPA CO OFFICE OF EDUC	7/1/2023	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	2121 IMOLA AVE	None	NAPA	CA	94558	3625	28	06055	38.277783	-122.256963	Napa County
86201	Fee-for-Service	1881940989	1881940989	1	1	NANADIEGO, BERNARD S MD	8/29/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	132975	36	Psychiatry	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
86212	Fee-for-Service	1033381553	1033381553	1	1	NGUYEN, TINA N MD	6/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	91221	13	Neurology (M.D. only)	0	In state provider	None	300 PASTEUR DR	MC: 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
86231	Fee-for-Service	1083149660	1083149660	1	1	NADHAN, ANNA MD	9/25/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	157288	None	None	0	In state provider	None	901 CAMPUS DR.	None	DALY CITY	CA	94015	4900	41	06081	37.66535778	-122.4763793	San Mateo County
86345	Fee-for-Service	1154498020	1154498020	1	1	NAITO, LAURIE M MD	5/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64788	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
86358	Fee-for-Service	1720525892	1720525892	1	1	NEWBURY PHARMACY INC	5/23/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1236 N MAGNOLIA AVE	None	ANAHEIM	CA	92801	2607	30	06059	33.8508897	-117.9761562	Orange County
86360	Fee-for-Service	1184279606	1184279606	1	3	NEW VISION TELEMEDICINE AND	3/25/2020	261QP2300X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	MEDICAL CONSULTANT, INC.	830 E. CHAPEL STREET	None	SANTA MARIA	CA	93454	4610	42	06083	34.95423149	-120.4232535	Santa Barbara County
86407	Fee-for-Service	1457307688	1457307688	1	1	NISHIMURA, STEPHEN L MD	8/18/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	68337	22	Pathology (M.D. only)	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
86448	Fee-for-Service	1205841665	1205841665	1	1	NIEWIADOMSKI, SLAWOMIR T	10/12/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	50674	22	Pathology (M.D. only)	0	In state provider	MD	4077 5TH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
86479	Fee-for-Service	1922179845	1922179845	1	1	NAMBA, ROBERT S MD	6/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	59199	20	Orthopedic Surgery	0	In state provider	ATTN MGA OFFICE	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
86560	Fee-for-Service	1598703647	1598703647	1	18	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1002 E GRAND AVE	None	ESCONDIDO	CA	92025	4608	37	06073	33.12639838	-117.0682191	San Diego County
86571	Fee-for-Service	1710910336	1710910336	1	1	NOTARIO, LILY T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	64410	41	Internal Medicine	0	In state provider	None	430 PINE ST	None	GALT	CA	95632	2045	34	06067	38.251926	-121.294449	Sacramento County
86671	Fee-for-Service	1265727762	1265727762	1	1	NAVARRO PAIN CONTROL GROUP	3/2/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	2452 FENTON ST	STE C101	CHULA VISTA	CA	91914	3599	37	06073	32.65084353	-116.9551689	San Diego County
86695	Fee-for-Service	1457307688	1457307688	1	1	NISHIMURA, STEPHEN L MD	8/18/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	68337	90	Pathology-Forensic	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
86710	Fee-for-Service	1689800690	1689800690	1	1	NOTARFRANCESCO, LE T MD	1/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138915	36	Psychiatry	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
86800	Fee-for-Service	1972579118	1972579118	1	1	NAZIR, JAWAD MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	800 E 21ST ST	STE 505	SIOUX FALLS	SD	57105	1016	00	None	43.534251	-96.7157055	Minnehaha County
86847	Fee-for-Service	1598703647	1598703647	1	18	NEIGHBORHOOD HEALTHCARE	12/6/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1002 E GRAND AVE	None	ESCONDIDO	CA	92025	4608	37	06073	33.12639838	-117.0682191	San Diego County
86868	Fee-for-Service	1093997181	1093997181	1	1	NAGLE, JACKSON C DO	7/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	11275	08	Family Practice	0	In state provider	None	13350 BIG BASIN WAY	None	SANTA CRUZ	CA	95006	9237	44	06087	37.12492123	-122.1245364	Santa Cruz
86971	Fee-for-Service	1154914703	1154914703	1	1	NATURE'S CURE HOME HEALTH	3/15/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	15125 VENTURA BLVD	STE 2-25	SHERMAN OAKS	CA	91403	3306	19	06037	34.15324933	-118.4626202	Los Angeles County
86981	Fee-for-Service	1417995622	1417995622	1	1	NASSOURA, ZAHI E MD	3/31/1995	174400000X	NA	Other	026	PHYSICIANS	62315	02	General Surgery	0	In state provider	None	18372 CLARK ST	STE 218	TARZANA	CA	91356	3579	19	06037	34.16975876	-118.533174	Los Angeles County
86999	Fee-for-Service	1598703647	1598703647	1	29	NEIGHBORHOOD HEALTHCARE	1/18/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28477 LIZARD ROCKS RD	None	VALLEY CENTER	CA	92082	6206	37	06073	33.23082596	-117.0218035	San Diego County
87007	Fee-for-Service	1225053598	1225053598	1	1	NOLAN, FRANK J MD	1/9/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	27560	01	General Practice	0	In state provider	None	2023 W VISTA WAY	STE H	VISTA	CA	92083	6030	37	06073	33.18569169	-117.2846332	San Diego County
87011	Fee-for-Service	1780115261	1780115261	1	1	NICHOLSON, LOWELL T MD	4/10/2025	207N00000X	NA	Dermatology	026	PHYSICIANS	159922	07	Dermatology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
87020	Fee-for-Service	1861075731	1861075731	1	1	NOVA VITA HOME CARE INC	8/16/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17029 CHATSWORTH ST	STE 202A	GRANADA HILLS	CA	91344	5846	19	06037	34.26482948	-118.5033735	Los Angeles County
87059	Fee-for-Service	1104103001	1104103001	1	7	NORTH EAST MEDICAL SERVICES	12/5/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1798 19TH AVENUE	None	SAN FRANCISCO	CA	94122	4510	38	06075	37.75446953	-122.4764297	San Francisco County
87083	Fee-for-Service	1396366977	1396366977	1	1	NORTHPOINT HOSPICE LLC	10/20/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11838 BERNARDO PLAZA CT	260C	SAN DIEGO	CA	92128	2434	37	06073	33.02037119	-117.0760729	San Diego County
87088	Fee-for-Service	1386651834	1386651834	1	1	NGUYEN, DAO G MD	7/29/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77352	05	Anesthesiology	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
87117	Fee-for-Service	1104088400	1104088400	1	1	NYBAKKEN, GRANT E MD	9/23/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120789	22	Pathology (M.D. only)	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
87124	Fee-for-Service	1063935591	1063935591	1	1	NG, BRIAN E OD	11/20/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	125 E GONZALEZ RD	None	OXNARD	CA	93036	8259	56	06111	34.21917544	-119.1759418	Ventura County
87150	Fee-for-Service	1447423488	1447423488	1	1	NWAFOR-ANENE, VICTORIA N MD	3/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	76135	40	Pediatrics	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
87161	Fee-for-Service	1699962936	1699962936	1	2	NELSON, JAMES C MD	11/7/2023	2085R0001X	NA	Other	026	PHYSICIANS	104003	None	None	0	In state provider	None	350 TERRACINA BLVD	None	RED MOUNTAIN	CA	92373	0742	36	06071	34.03717616	-117.2046115	San Bernardino County
87170	Fee-for-Service	1346582335	1346582335	1	1	NGUYEN, VIET T MD	4/5/2018	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	135532	-	NOT APPLICABLE	0	In state provider	None	2330 BEVERLY BOULEVARD	None	LOS ANGELES	CA	90057	0000	19	06037	34.0681396	-118.2738016	Los Angeles County
87264	Fee-for-Service	1023268869	1023268869	1	1	NYAMU, SAMUEL M	12/27/2020	207R00000X	NA	Other	026	PHYSICIANS	165968	None	None	0	In state provider	None	11333 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1116	19	06037	34.27684353	-118.4684024	Los Angeles County
87266	Fee-for-Service	1538563705	1538563705	1	1	NELSON, MICHAEL K CPO	5/18/2022	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	23033 LYONS AVE	#6	NEWHALL	CA	91321	2777	19	06037	34.38013033	-118.5361055	Los Angeles County
87286	Fee-for-Service	1598703647	1598703647	1	29	NEIGHBORHOOD HEALTHCARE	4/15/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28477 LIZARD ROCKS RD	None	VALLEY CENTER	CA	92082	6206	37	06073	33.23082596	-117.0218035	San Diego County
87294	Fee-for-Service	1225053598	1225053598	1	1	NOLAN, FRANK J MD	1/9/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	27560	41	Internal Medicine	0	In state provider	None	2023 W VISTA WAY	STE H	VISTA	CA	92083	6030	37	06073	33.18569169	-117.2846332	San Diego County
87347	Fee-for-Service	1376060319	1376060319	1	1	NGUYEN, DUC CNP	6/30/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	19353 VICTORY BLVD	None	RESEDA	CA	91335	6302	19	06037	34.18659936	-118.5552114	Los Angeles County
87349	Fee-for-Service	1104103001	1104103001	1	7	NORTH EAST MEDICAL SERVICES	12/5/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1798 19TH AVENUE	None	SAN FRANCISCO	CA	94122	4510	38	06075	37.75446953	-122.4764297	San Francisco County
87357	Fee-for-Service	1164868733	1164868733	1	1	NICHOLS, ROBIN L LMFT	8/21/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5053 LA MART DR	STE 207	RIVERSIDE	CA	92507	5990	33	06065	33.95818206	-117.3320081	Riverside County
87363	Fee-for-Service	1447821251	1447821251	1	1	NELCH, HEATHER R NP	11/17/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11370 ANDERSON ST	STE B100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
87367	Fee-for-Service	1396366977	1396366977	1	1	NORTHPOINT HOSPICE LLC	10/20/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11838 BERNARDO PLAZA CT	260C	SAN DIEGO	CA	92128	2434	37	06073	33.02037119	-117.0760729	San Diego County
87376	Fee-for-Service	1225128770	1225128770	1	1	NISHIURA, YASUHIRO V MD	5/31/1989	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	64059	40	Pediatrics	0	In state provider	None	16707 ARROW BLVD	None	FONTANA	CA	92335	3801	36	06071	34.09913829	-117.4394986	San Bernardino County
87402	Fee-for-Service	1487016762	1487016762	1	1	NGUYEN, BRIAN MD	8/1/2020	207L00000X	NA	Other	026	PHYSICIANS	153478	05	Anesthesiology	0	In state provider	None	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
87440	Fee-for-Service	1942305412	1942305412	1	1	NEWPORT NEUROHOSPITALIST	8/30/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	MEDICAL GROUP INC	1 HOAG DR	# 2	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
87489	Fee-for-Service	1023436912	1023436912	1	1	NARCISCO, HEATHER E MD	6/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	138301	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
87501	Fee-for-Service	1447444930	1447444930	1	1	NASSERI-NOORI, KEVIN A MD	8/9/2022	207L00000X	NA	Other	026	PHYSICIANS	106555	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
87510	Fee-for-Service	1073553954	1073553954	1	1	NEAL, JOE F MD	7/3/2010	2086S0129X	NA	General Surgery	026	PHYSICIANS	20792	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
87535	Fee-for-Service	1952489775	1952489775	1	1	NG, SERENA A MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	73944	05	Anesthesiology	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
87553	Fee-for-Service	1265972970	1265972970	1	1	NATIONAL HEALTH CARE	4/10/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3350 LOMA VISTA RD	None	VENTURA	CA	93003	3024	56	06111	34.27630127	-119.2512603	Ventura County
87576	Fee-for-Service	1598703647	1598703647	1	29	NEIGHBORHOOD HEALTHCARE	1/18/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28477 LIZARD ROCKS RD	None	VALLEY CENTER	CA	92082	6206	37	06073	33.23082596	-117.0218035	San Diego County
87611	Fee-for-Service	1437443983	1437443983	1	1	NGUYEN, FILBERT L MD	7/30/2018	207W00000X	NA	Ophthalmology	026	PHYSICIANS	155532	18	Ophthalmology	0	In state provider	None	1321 COTTONWOOD ST	STE 202	WOODLAND	CA	95695	5131	57	06113	38.66479566	-121.7933418	Yolo County
87617	Fee-for-Service	1710251939	1710251939	1	2	NOLEN, JOAN ELOUISE	5/21/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	3211 RUBIO CANYON RD	None	ALTADENA	CA	91001	1523	19	06037	34.19891733	-118.1243228	Los Angeles County
87643	Fee-for-Service	1750776647	1750776647	1	1	NGUYEN, ALBERT H LCSW	8/15/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
87671	Fee-for-Service	1306873799	1306873799	2	1	NUNEZ, RUDY CP	11/1/2007	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1550 S ANAHEIM BLVD	STE G	ANAHEIM	CA	92805	6218	30	06059	33.808707	-117.905882	Orange County
87699	Fee-for-Service	1295099034	1295099034	1	1	NAING, LIN H MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139930	None	None	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
87731	Fee-for-Service	1942305412	1942305412	1	1	NEWPORT NEUROHOSPITALIST	8/30/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MEDICAL GROUP INC	1 HOAG DR	# 2	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
87808	Fee-for-Service	1134145840	1134145840	1	1	NALEWAY, STEVEN MD	12/1/2003	207L00000X	NA	Other	026	PHYSICIANS	63170	05	Anesthesiology	0	In state provider	None	815 POLLARD RD	None	LOS GATOS	CA	95032	1438	43	06085	37.26214754	-121.9701986	Santa Clara County
87864	Fee-for-Service	1598703647	1598703647	1	29	NEIGHBORHOOD HEALTHCARE	4/28/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	28477 LIZARD ROCKS RD	None	VALLEY CENTER	CA	92082	6206	37	06073	33.23082596	-117.0218035	San Diego County
87887	Fee-for-Service	1740590306	1740590306	1	1	NORTH BAY HOSPITAL MEDICINE	3/8/2011	193400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	GROUP INC	180 ROWLAND WAY	None	NOVATO	CA	94945	5009	21	06041	38.09825699	-122.5598561	Marin County
87901	Fee-for-Service	1710251939	1710251939	1	2	NOLEN, JOAN ELOUISE	5/21/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	3211 RUBIO CANYON RD	None	ALTADENA	CA	91001	1523	19	06037	34.19891733	-118.1243228	Los Angeles County
87946	Fee-for-Service	1134248263	1134248263	1	1	NIVATPUMIN, THASANA MD	4/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	37300	41	Internal Medicine	0	In state provider	None	9735 WILSHIRE BLVD	STE 207	BEVERLY HILLS	CA	90212	2102	19	06037	34.06711051	-118.4074605	Los Angeles County
87948	Fee-for-Service	1053605618	1053605618	1	1	NGO, ELIZABETH DO	4/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	11860	25	Physical Medicine and Rehabilitation	0	In state provider	None	2071 E HERNDON	None	CLOVIS	CA	93611	6101	10	06019	36.8375685	-119.6781105	Fresno County
87951	Fee-for-Service	1578759742	1578759742	1	1	NUNEZ, JERANIL MD	10/23/2007	2080P0204X	NA	Other	026	PHYSICIANS	99153	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
87982	Fee-for-Service	1679534374	1679534374	1	1	NERCESSIAN, ARMEN Y DO	12/15/1995	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	6784	None	None	0	In state provider	None	561 S AZUSA WAY	None	LA PUENTE	CA	91744	5113	19	06037	34.01165627	-117.9241631	Los Angeles County
87992	Fee-for-Service	1932465051	1932465051	1	1	NG, TIMOTHY W MD	9/24/2018	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	156181	30	Radiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
88162	Fee-for-Service	1104544246	1104544246	1	1	NUNEZ, FRANCISCO J PT	11/27/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3555 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
88234	Fee-for-Service	1134248263	1134248263	1	1	NIVATPUMIN, THASANA MD	4/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	37300	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	9735 WILSHIRE BLVD	STE 207	BEVERLY HILLS	CA	90212	2102	19	06037	34.06711051	-118.4074605	Los Angeles County
88275	Fee-for-Service	1235612607	1235612607	1	1	NATIONAL SEATING & MOBILITY,	4/2/2019	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	310 PINE AVE STE A	None	GOLETA	CA	93117	3735	42	06083	34.43451781	-119.8266063	Santa Barbara County
88297	Fee-for-Service	1730571373	1730571373	1	1	NOBAKHT, LAILA MD	10/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142838	41	Internal Medicine	0	In state provider	None	3610 ATLANTIC AVE	None	LONG BEACH	CA	90807	3418	19	06037	33.822621	-118.185002	Los Angeles County
88357	Fee-for-Service	1306208392	1306208392	1	1	NAVARRO, JULIE	11/9/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16370	08	Family Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
88369	Fee-for-Service	1649282674	1649282674	1	1	NEWELL, DAVID C MD	10/31/1993	207R00000X	NA	Other	026	PHYSICIANS	55799	41	Internal Medicine	0	In state provider	None	895 SEQUOIA CIR	None	FORT BRAGG	CA	95437	5422	23	06045	39.4300159	-123.8024883	Mendocino County
88374	Fee-for-Service	1851820872	1851820872	1	1	NORCO VALLEY OPTOMETRY, INC	8/6/2018	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1524 4TH STREET	STE 101	NORCO	CA	92860	1974	33	06065	33.92418679	-117.5548566	Riverside County
88411	Fee-for-Service	1962634071	1962634071	1	1	NGUYEN, CONNIE N	8/24/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	330 E LAMBER ROAD	225	BREA	CA	92821	4100	30	06059	33.92494139	-117.8918336	Orange County
88445	Fee-for-Service	1093264749	1093264749	1	1	NEWVILLE, HOWARD I PSY	9/26/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
88492	Fee-for-Service	1366400145	1366400145	1	1	NGUYEN, QUY VAN MD	4/4/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	44652	41	Internal Medicine	0	In state provider	None	9126 VALLEY BLVD	STE B	ROSEMEAD	CA	91770	1987	19	06037	34.08089747	-118.0704869	Los Angeles County
88496	Fee-for-Service	1629497565	1629497565	1	1	NG, ANDREW MD	7/18/2019	390200000X	NA	Other	026	PHYSICIANS	141104	13	Neurology (M.D. only)	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
88519	Fee-for-Service	1093058323	1093058323	1	1	NARALA, RAMSUDHA MD	7/7/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147844	18	Ophthalmology	0	In state provider	None	1450 SAN PABLO STREET	SUITE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
88525	Fee-for-Service	1366758369	1366758369	1	1	NELSON, RYAN K MD	9/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	112812	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
88538	Fee-for-Service	1871980136	1871980136	1	1	NEMATI, KIAVASH MD	10/10/2018	207L00000X	NA	Other	026	PHYSICIANS	134634	05	Anesthesiology	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
88567	Fee-for-Service	1629079009	1629079009	1	7	NORTHEAST VALLEY HEALTH	7/20/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	6551 VAN NUYS BLVD	SUITE 201	VAN NUYS	CA	91401	1490	19	06037	34.189902	-118.448758	Los Angeles County
88654	Fee-for-Service	1760504815	1760504815	1	1	NEWELL, PETER J MD	3/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	18213	66	Emergency Medicine (Urgent Care)	0	In state provider	None	110 E NORTH ST	None	TAFT	CA	93268	3606	15	06029	35.13933309	-119.4508927	Kern County
88769	Fee-for-Service	1972586600	1972586600	1	1	NAIR, BAISHALI MD	9/10/2019	207RN0300X	NA	Nephrology	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	None	36.143271	-115.1254975	Clark County
88806	Fee-for-Service	1679271704	1679271704	1	1	NEERAJ PATEL MD INC	8/19/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
88855	Fee-for-Service	1629079009	1629079009	1	7	NORTHEAST VALLEY HEALTH	7/20/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	6551 VAN NUYS BLVD	SUITE 201	VAN NUYS	CA	91401	1490	19	06037	34.189902	-118.448758	Los Angeles County
88915	Fee-for-Service	1801208475	1801208475	1	1	NELSON, JESSE S DO	8/10/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	16366	05	Anesthesiology	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
88937	Fee-for-Service	1174949226	1174949226	1	1	NAPA SOLANO FOOT AND ANKLE	4/21/2015	193400000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1460 N CAMINO ALTO	STE 101	VALLEJO	CA	94589	2567	48	06095	38.13262019	-122.2386804	Solano County
88942	Fee-for-Service	1760504815	1760504815	1	1	NEWELL, PETER J MD	3/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	18213	01	General Practice	0	In state provider	None	110 E NORTH ST	None	TAFT	CA	93268	3606	15	06029	35.13933309	-119.4508927	Kern County
88975	Fee-for-Service	1992901250	1992901250	1	1	NGUYEN, CHANH D MD	6/5/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	91152	30	Radiology	0	In state provider	None	1867 E FIR AVE	STE 104	FRESNO	CA	93720	3808	10	06019	36.8391095	-119.7486135	Fresno County
88978	Fee-for-Service	1336193663	1336193663	1	1	NADLER, PAUL L MD	12/11/2002	207R00000X	NA	Other	026	PHYSICIANS	74653	41	Internal Medicine	0	In state provider	None	285 HOSPITAL DR	None	CHOWCHILLA	CA	93610	2041	20	06039	37.12121243	-120.2732198	Madera County
88989	Fee-for-Service	1437524220	1437524220	1	1	NGUYEN, JACQUELINE PSYD	7/4/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
89018	Fee-for-Service	1932132297	1932132297	1	1	NORTH BAY PEDIATRICS	7/24/2020	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	160 GLEN COVE MARINA	103	VALLEJO	CA	94591	7290	48	06095	38.07062486	-122.2124251	Solano County
89045	Fee-for-Service	1639460744	1639460744	1	1	NEWSOM, EMILY C MD	9/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142707	None	None	0	In state provider	None	200 MEDICAL PLAZA	SUITES 450 465	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
89094	Fee-for-Service	1225744790	1225744790	1	1	NORCAL TRANSIT AUTHORITY LLC	6/23/2023	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1332 GEORGIA WAY	None	YREKA	CA	96097	2019	47	06093	41.74097094	-122.6558047	Siskiyou County
89124	Fee-for-Service	1033738281	1033738281	1	1	NEUPANE, DILASHA S MD	7/15/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
89298	Fee-for-Service	1184726481	1184726481	1	1	N'GOUAMBA, RASHIDA B MD	1/14/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	95982	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
89301	Fee-for-Service	1710566047	1710566047	1	1	NGUYEN, DOAN-THUY D NP	6/5/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2020 SANTA MONICA BLVD	510	SANTA MONICA	CA	90404	2000	19	06037	34.02901811	-118.4795396	Los Angeles County
89316	Fee-for-Service	1982770350	1982770350	1	1	NICOLOFF, ROBERT S MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	64774	41	Internal Medicine	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
89319	Fee-for-Service	1285175430	1285175430	1	1	NAPIER, ANDREW B MD	8/31/2020	207P00000X	NA	Other	026	PHYSICIANS	169489	70	Clinic (mixed specialty)	0	In state provider	None	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
89361	Fee-for-Service	1205004306	1205004306	1	1	NAZARI, NAHID MD	2/8/2015	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	89258	01	General Practice	0	In state provider	None	4940 VAN NUYS BLVD	STE 301	SHERMAN OAKS	CA	91403	1742	19	06037	34.160589	-118.4486715	Los Angeles County
89427	Fee-for-Service	1902954878	1902954878	1	1	NARGIZIAN, DANIEL MD	10/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8567	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
89429	Fee-for-Service	1427285394	1427285394	1	4	NGUYEN, HOA H MD	2/7/2021	207R00000X	NA	Other	026	PHYSICIANS	118305	41	Internal Medicine	0	In state provider	None	1280 MARSHALL ST	None	CRESCENT CITY	CA	95531	2217	08	06015	41.76858461	-124.2003575	Del Norte County
89430	Fee-for-Service	1629032735	1629032735	1	1	NGUYEN, THUAN T MD	5/31/1995	2086S0122X	NA	General Surgery	026	PHYSICIANS	55079	02	General Surgery	0	In state provider	None	1510 SAN PABLO ST	STE 514	LOS ANGELES	CA	90033	5324	19	06037	34.06287152	-118.2029433	Los Angeles County
89431	Fee-for-Service	1477563518	1477563518	1	1	NORTHEASTERN HEALTH CTR	9/11/1996	207Q00000X	NA	Adult Primary Care	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
89432	Fee-for-Service	1285258194	1285258194	1	1	NAJAR RANJBAR, MILAD MD	9/13/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184621	None	None	0	In state provider	None	2280 HARRISON AVE	SUITE B	EUREKA	CA	95501	3200	12	06023	40.78745765	-124.1396643	Humboldt County
89519	Fee-for-Service	1033642392	1033642392	1	1	NGUYEN, PHUONG T OD	7/11/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9972 BOLSA AVE	STE 105	WESTMINSTER	CA	92683	6069	30	06059	33.74482609	-117.9554597	Orange County
89554	Fee-for-Service	1730191776	1730191776	1	1	NAZ, AFTAB AHMAD MD	2/22/1990	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	36535	40	Pediatrics	0	In state provider	None	500 E ALMOND AVE	None	MADERA	CA	93637	5600	20	06039	36.94548547	-120.0518941	Madera County
89606	Fee-for-Service	1285175430	1285175430	1	1	NAPIER, ANDREW B MD	8/31/2020	207P00000X	NA	Other	026	PHYSICIANS	169489	66	Emergency Medicine (Urgent Care)	0	In state provider	None	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
89631	Fee-for-Service	1083679807	1083679807	1	1	NGUYEN, BIHN V MD	10/24/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	73236	30	Radiology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
89645	Fee-for-Service	1821441114	1821441114	1	1	NUNEZ, NOEL NP	10/3/2016	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4929 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91403	1702	19	06037	34.1602022	-118.4487313	Los Angeles County
89656	Fee-for-Service	1164841086	1164841086	1	1	NGUYEN, LAURA MD	12/23/2021	2080P0203X	NA	Other	026	PHYSICIANS	147100	None	None	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
89675	Fee-for-Service	1871630152	1871630152	2	1	NARRA, RUPA MD	11/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	122550	08	Family Practice	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
89679	Fee-for-Service	1356529531	1356529531	1	1	NORDLICHT, JONATHAN MD	11/17/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	32963	41	Internal Medicine	0	In state provider	None	1375 SUTTER STREET	2ND FLOOR	SAN FRANCISCO	CA	94101	5438	38	06075	37.78738239	-122.4229066	San Francisco County
89695	Fee-for-Service	1598703647	1598703647	1	30	NEIGHBORHOOD HEALTHCARE	6/20/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 E VALLEY PKWY	STE 411	ESCONDIDO	CA	92025	3002	37	06073	33.12523814	-117.0769715	San Diego County
89719	Fee-for-Service	1477563518	1477563518	1	1	NORTHEASTERN HEALTH CTR	9/1/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
89735	Fee-for-Service	1144714973	1144714973	1	1	NUHN, JOHN S MD	5/27/2020	390200000X	NA	Other	026	PHYSICIANS	166432	08	Family Practice	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
89742	Fee-for-Service	1942656731	1942656731	1	1	NGUYEN, DAT V MD	9/11/2020	208M00000X	NA	Other	026	PHYSICIANS	153527	41	Internal Medicine	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
89748	Fee-for-Service	1730110529	1730110529	1	1	NIELSEN, AMY MD	7/18/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11494	13	Neurology (M.D. only)	0	In state provider	None	9850 GENESSEE AVENUE	STE 740	LA JOLLA	CA	92037	1218	37	06073	32.882913	-117.226341	San Diego County
89846	Fee-for-Service	1245354141	1245354141	1	1	NICHOLS, FREDERICK S DO	10/26/2021	208600000X	NA	General Surgery	026	PHYSICIANS	19026	None	None	0	In state provider	None	6555 COYLE	SUITE 220	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
89866	Fee-for-Service	1477264059	1477264059	1	1	NORTHSTATE FAMILY THERAPY IN	1/21/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	C	2628 VICTOR AVE	SUITE A	REDDING	CA	96002	1454	45	06089	40.56894199	-122.3392301	Shasta County
89883	Fee-for-Service	1144308917	1144308917	1	1	NAVARRO, DANIEL A MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	35845	66	Emergency Medicine (Urgent Care)	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
89884	Fee-for-Service	1184781833	1184781833	1	1	NEVADA COUNTY OFFICE	3/12/2025	No Taxonomy Provided	NA	None	112	CYBHI FEE SCHEDULE	-	-	NOT APPLICABLE	0	In state provider	OF EDUCATION	380 CROWN POINT CIRCLE	None	GRASS VALLEY	CA	95945	9089	29	06057	39.21876224	-121.0281972	Nevada County
89936	Fee-for-Service	1073219879	1073219879	1	1	NICOLE WILLIAMS MARRIAGE AND	4/29/2023	261QM0801X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FAMILY THERAPY INC.	911 21ST ST	202	PASO ROBLES	CA	93446	1722	40	06079	35.63623522	-120.6893646	San Luis Obispo County
89967	Fee-for-Service	1306500871	1306500871	1	1	NIELSEN, HOLLY L LMFT	3/15/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	NIELSEN LMFT	60 INDEPENDENCE CIRCLE	202	CHICO	CA	95973	4921	04	06007	39.77187833	-121.8730402	Butte County
89985	Fee-for-Service	1598703647	1598703647	1	30	NEIGHBORHOOD HEALTHCARE	10/4/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 E VALLEY PKWY	STE 411	ESCONDIDO	CA	92025	3002	37	06073	33.12523814	-117.0769715	San Diego County
90007	Fee-for-Service	1477563518	1477563518	1	1	NORTHEASTERN HEALTH CTR	9/1/1991	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
90014	Fee-for-Service	1326144841	1326144841	1	1	NGUYEN, KHAHN H MD	7/17/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96168	78	Neoplastic Diseases/Oncology	0	In state provider	None	1500 DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
90033	Fee-for-Service	1912479866	1912479866	1	2	NURTURE COLLECTIVE	1/12/2022	174N00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1028 W AVE. L-12	103-105	LANCASTER	CA	93534	7089	19	06037	34.64937353	-118.1488884	Los Angeles County
90085	Fee-for-Service	1316298938	1316298938	2	1	NEXT LEVEL HOME HEALTH LLC	10/9/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	39420 LIBERTY ST	STE 155	FREMONT	CA	94538	2215	01	06001	37.54914567	-121.9786657	Alameda County
90094	Fee-for-Service	1437141660	1437141660	1	1	NGUYEN, CUONG R MD	11/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85516	41	Internal Medicine	0	In state provider	None	4580 CALIFORNIA AVE	None	BAKERSFIELD	CA	93309	1104	15	06029	35.36605632	-119.0531502	Kern County
90098	Fee-for-Service	1295079200	1295079200	1	1	NAJARIAN, CASSANDRA LMFT	7/26/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
90105	Fee-for-Service	1003803685	1003803685	1	1	NG, KIM T MD	5/18/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	33989	78	Neoplastic Diseases/Oncology	0	In state provider	None	6501 TRUXTUN AVE	None	BAKERSFIELD	CA	93309	0633	15	06029	35.36196445	-119.0749413	Kern County
90111	Fee-for-Service	1801176805	1801176805	1	1	NIMMAGADDA, KRISHNA C MD	9/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
90148	Fee-for-Service	1639308117	1639308117	1	1	NOURI, NIMA	7/8/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	27239	-	NOT APPLICABLE	0	In state provider	None	3580 WILSHIRE BLVD	2000	LOS ANGELES	CA	90010	2521	19	06037	34.06170677	-118.302787	Los Angeles County
90154	Fee-for-Service	1649298910	1649298910	1	1	NEAL, THOMAS ALAN MD	12/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	59441	08	Family Practice	0	In state provider	None	717 CENTER ST	None	HEALDSBURG	CA	95448	3654	49	06097	38.61783	-122.8707965	Sonoma County
90172	Fee-for-Service	1184781833	1184781833	1	1	NEVADA COUNTY OFFICE	8/1/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	OF EDUCATION	380 CROWN POINT CIRCLE	None	GRASS VALLEY	CA	95945	9089	29	06057	39.21876224	-121.0281972	Nevada County
90183	Fee-for-Service	1508183328	1508183328	1	1	NGO, HUY V MD	12/31/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	132077	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
90193	Fee-for-Service	1194761056	1194761056	1	1	NOLASCO-ALONZO, S S MD	6/30/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	38527	40	Pediatrics	0	In state provider	None	1251 W TENNYSON RD	STE 5	HAYWARD	CA	94544	4400	01	06001	37.63146808	-122.0783775	Alameda County
90211	Fee-for-Service	1720344617	1720344617	1	1	NGUYEN, DON MD	10/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149266	01	General Practice	0	In state provider	None	2425 GEARY BOULEVARD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
90225	Fee-for-Service	1487958229	1487958229	1	1	NORLANDER, BRADLEY J PHD	5/9/2017	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	49370 ROAD 426	STE B	OAKHURST	CA	93644	9051	20	06039	37.32775834	-119.647531	Madera County
90273	Fee-for-Service	1598703647	1598703647	1	30	NEIGHBORHOOD HEALTHCARE	4/25/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 E VALLEY PKWY	STE 411	ESCONDIDO	CA	92025	3002	37	06073	33.12523814	-117.0769715	San Diego County
90296	Fee-for-Service	1477563518	1477563518	1	1	NORTHEASTERN HEALTH CTR	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
90303	Fee-for-Service	1326144841	1326144841	1	1	NGUYEN, KHAHN H MD	7/17/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96168	30	Radiology	0	In state provider	None	1500 DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
90333	Fee-for-Service	1639865967	1639865967	1	1	NIELSEN, LINDSEY NP	6/1/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1700 COFFEE RD	None	MODESTO	CA	95355	2803	50	06099	37.668645	-120.9756715	Stanislaus County
90351	Fee-for-Service	1932643251	1932643251	1	1	NGUYEN, DIANA T CNM	8/17/2023	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
90392	Fee-for-Service	1003803685	1003803685	1	1	NG, KIM T MD	5/18/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	33989	41	Internal Medicine	0	In state provider	None	6501 TRUXTUN AVE	None	BAKERSFIELD	CA	93309	0633	15	06029	35.36196445	-119.0749413	Kern County
90435	Fee-for-Service	1962550764	1962550764	1	1	NGUYEN, MICHAEL Q MD	10/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83837	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
90461	Fee-for-Service	1073218186	1073218186	1	1	NGUYEN, TAM CNP	1/24/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8850 VALLEY VIEW ST	None	BUENA PARK	CA	90620	3562	30	06059	33.833988	-118.0282915	Orange County
90483	Fee-for-Service	1326479213	1326479213	1	1	NOBILETTE, BRITTANY N DO	7/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15893	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
90504	Fee-for-Service	1801955562	1801955562	1	1	NAGASANDRA, VASANTHA T MD	10/13/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	40239	05	Anesthesiology	0	In state provider	None	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
90552	Fee-for-Service	1013403401	1013403401	1	1	NEGRETTE, DOMINIQUE LMFT	1/31/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6904 VILLAGE PARKWAY	None	DUBLIN	CA	94568	2406	01	06001	37.70726135	-121.9248393	Alameda County
90559	Fee-for-Service	1598703647	1598703647	1	30	NEIGHBORHOOD HEALTHCARE	4/25/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 E VALLEY PKWY	STE 411	ESCONDIDO	CA	92025	3002	37	06073	33.12523814	-117.0769715	San Diego County
90563	Fee-for-Service	1740062223	1740062223	1	1	NGUYEN, DONNA OD	8/20/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	61 SERRA WAY	STE 128	MILPITAS	CA	95035	8519	43	06085	37.42799329	-121.907974	Santa Clara County
90576	Fee-for-Service	1912128323	1912128323	1	1	NEAL, CHARLES K MD INC	3/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	47901	05	Anesthesiology	0	In state provider	None	4929 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91403	1702	19	06037	34.1602022	-118.4487313	Los Angeles County
90653	Fee-for-Service	1144615642	1144615642	1	1	NI, AMY H MD	8/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	148471	01	General Practice	0	In state provider	None	2110 N BELLFLOWER BLVD	None	LONG BEACH	CA	90815	3126	19	06037	33.795261	-118.125222	Los Angeles County
90657	Fee-for-Service	1295989572	1295989572	1	1	NICHOLS, SCOTT D MD	7/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	105801	36	Psychiatry	0	In state provider	None	1531 ESPLANADE	None	CHICO	CA	95926	3310	04	06007	39.74248474	-121.8493369	Butte County
90666	Fee-for-Service	1033880224	1033880224	1	1	NEXX GEN LABORATORIES	11/12/2024	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	10461 AUSTIN DR	SUITE G	SPRING VALLEY	CA	91978	1519	37	06073	32.73132187	-116.9661355	San Diego County
90696	Fee-for-Service	1487706289	1487706289	1	1	NEWCOMB, CHARLOTTE MD	7/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61219	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
90697	Fee-for-Service	1588780324	1588780324	1	1	NEWELL, CHAD R MD	5/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99432	40	Pediatrics	0	In state provider	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	37	06073	32.70162897	-117.1465065	San Diego County
90777	Fee-for-Service	1356504856	1356504856	1	1	NUNNELLEY, MATTHEW J MD	1/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
90854	Fee-for-Service	1740741420	1740741420	1	1	NAMETH, DANIELLE J MD	11/9/2022	208M00000X	NA	Other	026	PHYSICIANS	177655	None	None	0	In state provider	None	20101 LAKE CHABOT RD	1ST FLOOR	CASTRO VALLEY	CA	94546	5305	01	06001	37.69819004	-122.0873124	Alameda County
90884	Fee-for-Service	1952367542	1952367542	1	1	NORTHERN ORANGE COUNTY ENT	6/11/2015	193400000X	NA	Other	026	PHYSICIANS	73421	None	None	0	In state provider	MEDICAL CORP	1955 SUNNYCREST DR	SUITE 108	FULLERTON	CA	92835	3654	30	06059	33.89346742	-117.9312001	Orange County
90905	Fee-for-Service	1407893555	1407893555	1	1	NEKI, ANTERPREET S MD	6/1/2023	207RH0003X	NA	Oncology	026	PHYSICIANS	185023	None	None	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
90949	Fee-for-Service	1538286778	1538286778	2	2	NARCOTIC ADDICTION TREATMENT	6/4/2021	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	8741 LAUREL CANYON BLVD.	None	SUN VALLEY	CA	91352	2919	19	06037	34.2284836	-118.4000486	Los Angeles County
90996	Fee-for-Service	1346366093	1346366093	1	1	NGUYEN, MELODY T	4/1/1999	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9191 BOLSA AVE	STE 116	WESTMINSTER	CA	92683	1301	30	06059	33.74494947	-117.969093	Orange County
91002	Fee-for-Service	1801455522	1801455522	1	1	NAVA, KARINA LCSW	3/11/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
91016	Fee-for-Service	1891984894	1891984894	1	1	NAPA VALLEY UNIFIED SD	4/7/2007	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	2425 JEFFERSON ST	None	NAPA	CA	94558	4931	28	06055	38.30937697	-122.2960617	Napa County
91022	Fee-for-Service	1497159545	1497159545	1	1	NAPA COUNTY HEALTH AND HUMAN	10/27/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1141 PEAR TREE LANE	None	NAPA	CA	94558	6484	28	06055	38.32125908	-122.2921523	Napa County
91087	Fee-for-Service	1740654896	1740654896	1	1	NOBLE, HYLAN CCC-SLP	10/8/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9565 WAPLES STREET	SUITE 100	SAN DIEGO	CA	92121	2973	37	06073	32.90339001	-117.1821141	San Diego County
91097	Fee-for-Service	1780629691	1780629691	1	1	NAGAVALLI, SUDESH MD	11/5/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	53077	41	Internal Medicine	0	In state provider	None	1524 W LACEY BLVD	SUITE 103	HANFORD	CA	93230	5974	16	06031	36.32816338	-119.6690189	Kings County
91119	Fee-for-Service	1962536649	1962536649	1	1	NGUYEN, SON Q OD	12/6/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	318 E COMPTON BLVD	None	COMPTON	CA	90221	3206	19	06037	33.89597324	-118.2191747	Los Angeles County
91203	Fee-for-Service	1326253972	1326253972	1	1	NELSEN, LISA K MD INC	11/28/2007	174400000X	NA	Other	026	PHYSICIANS	62910	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	151 N SUNRISE AVE	STE 1107	ROSEVILLE	CA	95661	2930	31	06061	38.74746043	-121.2655348	Placer County
91224	Fee-for-Service	1104385483	1104385483	1	1	NUDELL, JEREMY M MD	12/27/2022	207R00000X	NA	Other	026	PHYSICIANS	180157	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
91238	Fee-for-Service	1538286778	1538286778	2	2	NARCOTIC ADDICTION TREATMENT	6/4/2021	No Taxonomy Provided	NA	None	051	OUTPATIENT HEROIN DETOX CENTER	-	-	NOT APPLICABLE	0	In state provider	None	8741 LAUREL CANYON BLVD.	None	SUN VALLEY	CA	91352	2919	19	06037	34.2284836	-118.4000486	Los Angeles County
91312	Fee-for-Service	1598703647	1598703647	1	14	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 EAST VALLEY PARKWAY	SUITE 404	ESCONDIDO	CA	92025	3379	37	06073	33.12523814	-117.0769715	San Diego County
91314	Fee-for-Service	1629335260	1629335260	1	1	NADKARNI, DIVYA S MD	8/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	127629	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
91352	Fee-for-Service	1760458103	1760458103	1	1	NEEL DHARIA	4/4/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1400 S DOBSON RD	None	MESA	AZ	85202	4707	00	None	33.38982	-111.8760885	Maricopa County
91401	Fee-for-Service	1255391181	1255391181	1	1	NGUYEN, YTHANH MD	8/3/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84989	41	Internal Medicine	0	In state provider	None	1866 N ORANGE GROVE AVE	STE 202	POMONA	CA	91767	3031	19	06037	34.07771682	-117.7485431	Los Angeles County
91406	Fee-for-Service	1134344153	1134344153	1	1	NOUFAL, MAZEN MD	9/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142811	30	Radiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
91409	Fee-for-Service	1770531659	1770531659	1	1	NANCY RANDOLPH PENNINGTON MD	5/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4300 W MEMORIAL RD	None	OKLAHOMA CITY	OK	73120	8304	00	None	35.606601	-97.6003605	Oklahoma County
91429	Fee-for-Service	1750495933	1750495933	1	1	NGUYEN, CHI VAN MD	2/8/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	52731	08	Family Practice	0	In state provider	None	869 N CHERRY ST	None	TULARE	CA	93274	2210	54	06107	36.220932	-119.337698	Tulare County
91494	Fee-for-Service	1255033569	1255033569	1	1	NEW LIFE MARRIAGE THERAPY IN	5/1/2023	193400000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	16800 DEVONSHIRE ST	STE 201	GRANADA HILLS	CA	91344	7403	19	06037	34.25745651	-118.4982159	Los Angeles County
91515	Fee-for-Service	1932429289	1932429289	1	1	NIDAY, TAKESHIA C MD	3/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	113548	36	Psychiatry	0	In state provider	None	1908 SWEETWATER RD	None	NATIONAL CITY	CA	91950	7628	37	06073	32.66119079	-117.0786584	San Diego County
91589	Fee-for-Service	1891938403	1891938403	1	1	NELSON, MIKI K MD	9/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125672	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
91600	Fee-for-Service	1598703647	1598703647	1	14	NEIGHBORHOOD HEALTHCARE	10/27/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 EAST VALLEY PARKWAY	SUITE 404	ESCONDIDO	CA	92025	3379	37	06073	33.12523814	-117.0769715	San Diego County
91612	Fee-for-Service	1487125019	1487125019	1	1	NES WESTERN GROUP, A PROFESS	1/1/2019	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	PROFESSIONAL CORPORATION	465 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
91613	Fee-for-Service	1801553979	1801553979	1	1	NEXT LEVEL HOME HEALTH INC	10/15/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	21243 VENTURA BLVD	STE 121	WOODLAND HILLS	CA	91364	2162	19	06037	34.16736368	-118.5947825	Los Angeles County
91684	Fee-for-Service	1225551146	1225551146	1	1	NIA, BINDI A DO	7/26/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	20174	None	None	0	In state provider	None	26585 W AGOURA ROAD	330	CALABASAS	CA	91302	1958	19	06037	34.14240621	-118.7027109	Los Angeles County
91799	Fee-for-Service	1154406775	1154406775	1	1	NADEEM HUSAIN M.D.	1/20/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	20701 N SCOTTSDALE RD	STE 107-601	SCOTTSDALE	AZ	85255	6413	00	None	33.6750627	-111.9253307	Maricopa County
91873	Fee-for-Service	1598703647	1598703647	1	16	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	550 WEST WASHINGTON AVE	SUITE 101	ESCONDIDO	CA	92025	1643	37	06073	33.12462731	-117.0914704	San Diego County
91881	Fee-for-Service	1598703647	1598703647	1	14	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 EAST VALLEY PARKWAY	SUITE 404	ESCONDIDO	CA	92025	3379	37	06073	33.12523814	-117.0769715	San Diego County
91895	Fee-for-Service	1033388491	1033388491	1	1	NIDECKER, ANNA E MD	7/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117450	30	Radiology	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
91898	Fee-for-Service	1841677861	1841677861	1	1	NEELY, MICHELLE N MD	7/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145236	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
91932	Fee-for-Service	1548313141	1548313141	1	1	NOIA RESIDENTIAL SERVICES	4/15/1987	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	5555 N MAROA AVE	None	FRESNO	CA	93704	2006	10	06019	36.81848465	-119.7994287	Fresno County
91961	Fee-for-Service	1437416625	1437416625	1	1	NGUYEN, TIN T MD	8/6/2018	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	151145	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	9394 BIG HORN BLVD	None	ELK GROVE	CA	95758	7977	34	06067	38.420028	-121.40712	Sacramento County
91980	Fee-for-Service	1932184561	1932184561	1	2	NURSES ON WHEELS, INC	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	16660 PARAMOUNT BLVD	304	PARAMOUNT	CA	90723	5459	19	06037	33.882723	-118.1599535	Los Angeles County
92036	Fee-for-Service	1114155215	1114155215	1	1	NGUYEN, MOOK-LAN MD	3/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	124327	01	General Practice	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
92055	Fee-for-Service	1194816058	1194816058	1	1	NEVITT, JUDITH B MD	6/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	60652	18	Ophthalmology	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
92124	Fee-for-Service	1730901422	1730901422	1	1	NEUMAN, IDO M MD	11/20/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
92146	Fee-for-Service	1912479866	1912479866	1	4	NURTURE COLLECTIVE	4/4/2025	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1034 WEST AVENUE L12	SUITE 105 AND 107	LANCASTER	CA	93534	7083	19	06037	34.64939211	-118.1491318	Los Angeles County
92162	Fee-for-Service	1598703647	1598703647	1	16	NEIGHBORHOOD HEALTHCARE	5/20/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	550 WEST WASHINGTON AVE	SUITE 101	ESCONDIDO	CA	92025	1643	37	06073	33.12462731	-117.0914704	San Diego County
92179	Fee-for-Service	1598703647	1598703647	1	14	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	488 EAST VALLEY PARKWAY	SUITE 404	ESCONDIDO	CA	92025	3379	37	06073	33.12523814	-117.0769715	San Diego County
92199	Fee-for-Service	1699555227	1699555227	1	1	NERPEL, SAMANTHA E PT	12/22/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
92209	Fee-for-Service	1144782152	1144782152	1	1	NADIMPALLI, SUMA DO	3/1/2024	208M00000X	NA	Other	026	PHYSICIANS	22323	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
92290	Fee-for-Service	1508187113	1508187113	1	1	NJOKU, LILLY EMILIA	6/28/2010	164X00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	14002 OCANA AVENUE	None	BELLFLOWER	CA	90706	2533	19	06037	33.904908	-118.119352	Los Angeles County
92299	Fee-for-Service	1548704612	1548704612	1	1	NELSON-CHUNG, MICHELE LMFT	1/1/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3801 KATELLA AVE	STE 330	LOS ALAMITOS	CA	90720	6900	30	06059	33.80318951	-118.066068	Orange County
92312	Fee-for-Service	1063799617	1063799617	1	1	NAVARRO, DIANA LMFT	7/26/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	419 W FOOTHILL BLVD	None	MONROVIA	CA	91016	2025	19	06037	34.15128951	-118.008477	Los Angeles County
92346	Fee-for-Service	1952461741	1952461741	1	3	NEXUS PHYSICAL THERAPY	3/29/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5353 MISSION CENTER RD	STE 120	SAN DIEGO	CA	92108	1304	37	06073	32.77207362	-117.154699	San Diego County
92363	Fee-for-Service	1285657163	1285657163	1	1	NEW WEST MEDICAL, INC	4/14/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	2971 CHURN CREEK RD	None	REDDING	CA	96002	1120	45	06089	40.564584	-122.3530905	Shasta County
92382	Fee-for-Service	1417361429	1417361429	1	1	NAVARRO, MARIA N MD	12/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	142798	41	Internal Medicine	0	In state provider	None	1020 29TH STREET	SUITE 120	SACRAMENTO	CA	95816	5173	34	06067	38.572803	-121.4685	Sacramento County
92393	Fee-for-Service	1912022443	1912022443	1	1	NGUYEN, STEPHEN P MD	11/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	90482	10	Gastroenterology (M.D. only)	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
92397	Fee-for-Service	1376006973	1376006973	1	1	NAVALES, MICHAEL K CRNA	5/10/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
92411	Fee-for-Service	1528428703	1528428703	1	1	NATSUHARA, KYLE MD	3/30/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	144665	None	None	0	In state provider	None	2488 N CALIFORNIA ST	None	STOCKTON	CA	95204	3494	39	06077	37.97587328	-121.2911856	San Joaquin County
92437	Fee-for-Service	1871911644	1871911644	1	1	NGUYEN, QUOC-SY K MD	6/24/2019	207L00000X	NA	Other	026	PHYSICIANS	153760	05	Anesthesiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
92527	Fee-for-Service	1285194092	1285194092	1	1	NAGY, OMAR DO	7/1/2023	207R00000X	NA	Other	026	PHYSICIANS	19490	None	None	0	In state provider	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	4850	36	06071	34.03717616	-117.2046115	San Bernardino County
92538	Fee-for-Service	1679519821	1679519821	1	1	NGUYEN, TUAN X MD	2/7/2010	207R00000X	NA	Other	026	PHYSICIANS	48636	01	General Practice	0	In state provider	None	10212 WESTMINSTER AVE	STE 108	GARDEN GROVE	CA	92843	4800	30	06059	33.75947657	-117.9513797	Orange County
92577	Fee-for-Service	1508187113	1508187113	1	1	NJOKU, LILLY EMILIA	6/28/2010	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	14002 OCANA AVENUE	None	BELLFLOWER	CA	90706	2533	19	06037	33.904908	-118.119352	Los Angeles County
92632	Fee-for-Service	1598703647	1598703647	1	22	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	31322 COLE GRANDE RD	None	VALLEY CENTER	CA	92082	3867	37	06073	33.280974	-117.0235565	San Diego County
92702	Fee-for-Service	1386716322	1386716322	1	1	NUTIG, MELVIN H MD INC	5/1/1993	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	29399	20	Orthopedic Surgery	0	In state provider	None	9301 WILSHIRE BLVD	STE 402	BEVERLY HILLS	CA	90210	6134	19	06037	34.06707307	-118.3946743	Los Angeles County
92726	Fee-for-Service	1326071432	1326071432	1	1	NINO, MARICA G MD	5/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	43264	05	Anesthesiology	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
92805	Fee-for-Service	1730611930	1730611930	1	1	NATESAN, ALAMELU MD	5/22/2020	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	160530	40	Pediatrics	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
92826	Fee-for-Service	1679519821	1679519821	1	1	NGUYEN, TUAN X MD	2/7/2010	207R00000X	NA	Other	026	PHYSICIANS	48636	41	Internal Medicine	0	In state provider	None	10212 WESTMINSTER AVE	STE 108	GARDEN GROVE	CA	92843	4800	30	06059	33.75947657	-117.9513797	Orange County
92920	Fee-for-Service	1598703647	1598703647	1	22	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	31322 COLE GRANDE RD	None	VALLEY CENTER	CA	92082	3867	37	06073	33.280974	-117.0235565	San Diego County
92967	Fee-for-Service	1518000207	1518000207	1	1	NUNEZ, SANDRA LCSW	6/7/2023	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
92970	Fee-for-Service	1467442418	1467442418	1	1	NORTHWEST TEXAS HEALTHCARE S	11/19/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1501 S COULTER ST	None	AMARILLO	TX	79106	1770	00	None	35.200053	-101.921862	Potter County
92978	Fee-for-Service	1013932730	1013932730	1	1	NAYYAR, KANWAL K MD INC	2/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	56226	13	Neurology (M.D. only)	0	In state provider	TRI VALLEY NEUROLOGY MED	14901 RINALDI ST	STE 325	MISSION HILLS	CA	91345	1235	19	06037	34.27903452	-118.457433	Los Angeles County
93022	Fee-for-Service	1548608581	1548608581	1	1	NGUYEN, ANGELINE M MD	8/15/2017	207R00000X	NA	Other	026	PHYSICIANS	148098	05	Anesthesiology	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
93040	Fee-for-Service	1598703647	1598703647	1	27	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1001 E GRAND AVE	None	ESCONDIDO	CA	92025	4604	37	06073	33.12634291	-117.0682058	San Diego County
93093	Fee-for-Service	1073523957	1073523957	1	1	NAM-CHOI, YOUNG MD	1/31/1996	207R00000X	NA	Other	026	PHYSICIANS	77046	40	Pediatrics	0	In state provider	None	15446 PARTHENIA ST	None	NORTH HILLS	CA	91343	5108	19	06037	34.22825155	-118.468917	Los Angeles County
93103	Fee-for-Service	1649452822	1649452822	1	1	NOBLE, JEANNE A MD	6/23/2008	207P00000X	NA	Other	026	PHYSICIANS	93406	66	Emergency Medicine (Urgent Care)	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
93142	Fee-for-Service	1477131308	1477131308	1	1	NASEEM, AZMMOHAMMAD DO	11/19/2024	207R00000X	NA	Other	026	PHYSICIANS	22844	41	Internal Medicine	0	In state provider	None	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
93214	Fee-for-Service	1831682137	1831682137	1	1	NAVARRO, MARIANA B MSW LCSW	7/11/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	333 UNIVERSITY AVENUE	STE 200	SACRAMENTO	CA	95825	6531	34	06067	38.570976	-121.416651	Sacramento County
93232	Fee-for-Service	1427206093	1427206093	1	1	NGUYEN, THERESA T T DO	4/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13717	18	Ophthalmology	0	In state provider	None	910 MAPLE ST	None	REDWOOD CITY	CA	94063	2034	41	06081	37.48867968	-122.2222351	San Mateo County
93262	Fee-for-Service	1467442418	1467442418	1	1	NORTHWEST TEXAS HEALTHCARE S	11/19/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1501 S COULTER ST	None	AMARILLO	TX	79106	1770	00	None	35.200053	-101.921862	Potter County
93299	Fee-for-Service	1023313772	1023313772	1	1	NATTIV, ROY MD	9/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116897	40	Pediatrics	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
93317	Fee-for-Service	1730237637	1730237637	1	1	NGUYEN, NGA T MD	11/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86490	40	Pediatrics	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
93329	Fee-for-Service	1598703647	1598703647	1	27	NEIGHBORHOOD HEALTHCARE	2/9/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1001 E GRAND AVE	None	ESCONDIDO	CA	92025	4604	37	06073	33.12634291	-117.0682058	San Diego County
93333	Fee-for-Service	1760878037	1760878037	1	1	NAZERTEHRANI, SOHRAB MD	7/19/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	156657	None	None	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
93385	Fee-for-Service	1003443052	1003443052	1	1	NAICKER, SEETHIM MD	12/29/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	183811	None	None	0	In state provider	None	1000 FRANKLIN PARKWAY	None	SAN MATEO	CA	94403	1922	41	06081	37.54350476	-122.2913782	San Mateo County
93386	Fee-for-Service	1568883627	1568883627	1	1	NSANGOU-NJOYA, CHANELLE R	12/19/2018	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	CNM	44105 15TH ST WEST	STE 301	LANCASTER	CA	93534	4089	19	06037	34.684218	-118.1568465	Los Angeles County
93411	Fee-for-Service	1881048254	1881048254	1	1	NAKRANI, RAVI N MD	6/26/2020	390200000X	NA	Other	026	PHYSICIANS	152485	09	Gynecology (D.O. only)	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
93498	Fee-for-Service	1619448628	1619448628	1	1	NGETHE, TERESIA N	8/4/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	652 DAPHNE LN	None	LEMOORE	CA	93245	4244	16	06031	36.30482274	-119.7679103	Kings County
93566	Fee-for-Service	1952794059	1952794059	1	1	NGUYEN, JOHN T	11/2/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	795 E SECOND STREET	SUITE 4	POMONA	CA	91766	2007	19	06037	34.05845654	-117.7423951	Los Angeles County
93586	Fee-for-Service	1629175534	1629175534	1	1	NELSON, H PRESTON MD	10/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	54797	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3779 PIEDMONT AVE	None	OAKLAND	CA	94611	5347	01	06001	37.82384659	-122.2558913	Alameda County
93616	Fee-for-Service	1598703647	1598703647	1	27	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1001 E GRAND AVE	None	ESCONDIDO	CA	92025	4604	37	06073	33.12634291	-117.0682058	San Diego County
93644	Fee-for-Service	1679880934	1679880934	1	1	NGUYEN, JAMES T MD	7/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11965	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
93695	Fee-for-Service	1639217235	1639217235	1	1	NEUNZIG, CARY M OD	6/16/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7520 ARROYO CIR	None	GILROY	CA	95020	7303	43	06085	37.01225317	-121.5604444	Santa Clara County
93699	Fee-for-Service	1881048254	1881048254	1	1	NAKRANI, RAVI N MD	6/26/2020	390200000X	NA	Other	026	PHYSICIANS	152485	15	Obstetrics (D.O. only)	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
93703	Fee-for-Service	1336311778	1336311778	1	1	NATIONAL HEALTH SERVICES	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	TAFT COMM MED & DENTAL	1100 4TH ST	None	TAFT	CA	93268	2415	15	06029	35.14905085	-119.4534352	Kern County
93746	Fee-for-Service	1821075367	1821075367	1	1	NACHAZEL, JOHN P MD	8/31/1982	207ZP0102X	NA	Other	026	PHYSICIANS	10944	22	Pathology (M.D. only)	0	In state provider	None	1401 SOUTH GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
93785	Fee-for-Service	1619448628	1619448628	1	1	NGETHE, TERESIA N	8/4/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	652 DAPHNE LN	None	LEMOORE	CA	93245	4244	16	06031	36.30482274	-119.7679103	Kings County
93811	Fee-for-Service	1043322233	1043322233	1	1	NIJAGAL, MALINI A MD	1/24/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	84556	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	361 3RD ST	STE E	SAN RAFAEL	CA	94901	3580	21	06041	37.97011695	-122.5160089	Marin County
93818	Fee-for-Service	1295199966	1295199966	1	1	NENNINGER, EILEEN K MD	9/19/2023	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	186925	None	None	0	In state provider	None	1447 CEDARWOOD LANE	STE A	PLEASANTON	CA	94566	6175	01	06001	37.67102566	-121.8742221	Alameda County
93852	Fee-for-Service	1497951875	1497951875	1	1	NEWMAN, SAM LMFT	10/5/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
93857	Fee-for-Service	1780758722	1780758722	1	1	NGAI, DENNIS K DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	DALY CITY CHIROPRACTIC	151 87TH ST	STE 4	DALY CITY	CA	94015	1696	41	06081	37.69324047	-122.471595	San Mateo County
93903	Fee-for-Service	1013577113	1013577113	1	1	NAKATSUCHI, MARCIE MD	7/29/2024	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
93932	Fee-for-Service	1881085900	1881085900	1	1	NOSTER DIALYSIS LLC	10/16/2017	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	8080 LIMONITE AVE	None	JURUPA VALLEY	CA	92509	6107	33	06065	33.9759	-117.461169	Riverside County
93936	Fee-for-Service	1265738355	1265738355	1	1	NEMER, MARTHA S MD	2/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	97113	41	Internal Medicine	0	In state provider	None	25500 MEDICAL CENTER DRI	None	MURRIETA	CA	92562	9565	33	06065	33.5580705	-117.1835458	Riverside County
93939	Fee-for-Service	1013990076	1013990076	1	1	NEIL PHELAN M.D.	5/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1973 SLOAN PL	STE 100	SAINT PAUL	MN	55117	2180	00	None	45.00074258	-93.08743702	Ramsey County
93951	Fee-for-Service	1437220589	1437220589	1	1	NGUYEN, TUAN M LAC	12/20/2018	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
93973	Fee-for-Service	1508910787	1508910787	1	1	NGO, MAI P MD	1/24/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90185	None	None	0	In state provider	None	747 52ND STREET	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
93984	Fee-for-Service	1598763138	1598763138	1	1	NUDEL, BELLA MD	10/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	44416	01	General Practice	0	In state provider	None	2320 SUTTER ST	STE 101	SAN FRANCISCO	CA	94115	3023	38	06075	37.78543348	-122.4386415	San Francisco County
93994	Fee-for-Service	1588132344	1588132344	1	1	NAVARRETE-MOTE, OLGA G NP	4/12/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
94084	Fee-for-Service	1689671570	1689671570	1	1	NORTHERN CALIFORNIA	2/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	MEDICAL ASSOCIATES, INC	721 RIVER DR	STE A	FORT BRAGG	CA	95437	5402	23	06045	39.43204627	-123.801581	Mendocino County
94110	Fee-for-Service	1225298342	1225298342	1	1	NGO, DONALD H MD	2/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122938	None	None	0	In state provider	None	3626 RUFFIN ROAD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
94129	Fee-for-Service	1003830258	1003830258	1	1	NIETO, SANDRA MD	11/23/2010	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	84185	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	433 N 4TH ST	STE 211	MONTEBELLO	CA	90640	4309	19	06037	34.01561115	-118.1019888	Los Angeles County
94140	Fee-for-Service	1447723937	1447723937	1	1	NOVENCIDO, ANDREW PT	3/22/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1392 E PALOMAR ST	503	CHULA VISTA	CA	91913	1892	37	06073	32.62360793	-116.9969964	San Diego County
94149	Fee-for-Service	1760734974	1760734974	1	1	NDETTI, CHRISTINE M NP	3/8/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	847 W CHILDS AVE	None	MERCED	CA	95341	6805	24	06047	37.28825369	-120.4963159	Merced County
94180	Fee-for-Service	1174340426	1174340426	1	1	NEWAY, TSADAE	2/24/2025	225700000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	01	06001	0	0	None
94215	Fee-for-Service	1780793612	1780793612	1	1	NAIR, BEENA S MD	7/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80055	36	Psychiatry	0	In state provider	None	4785 N FIRST ST	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
94251	Fee-for-Service	1316938780	1316938780	1	1	NAKANO, MILTON M OD	1/1/1979	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2795 W LINCOLN AVE	STE L	ANAHEIM	CA	92801	6334	30	06059	33.8322415	-117.984087	Orange County
94262	Fee-for-Service	1508910787	1508910787	1	1	NGO, MAI P MD	1/1/2013	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	747 52ND STREET	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
94301	Fee-for-Service	1720155575	1720155575	1	1	NAKIELSKI, DEBORAH A CNM	10/18/2013	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
94319	Fee-for-Service	1255674065	1255674065	1	1	NAKAE, ELIZABETH A DO	8/7/2019	2080P0203X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
94329	Fee-for-Service	1679531818	1679531818	1	1	NARANG, KAMINI MD	6/1/1998	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	56440	40	Pediatrics	0	In state provider	None	300 HOMER AVE	None	PALO ALTO	CA	94301	2726	43	06085	37.44411082	-122.157252	Santa Clara County
94462	Fee-for-Service	1699782912	1699782912	1	1	NORWOOD,DONALD B. MD	8/19/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1301 SUNSET DRIVE	STE 3	JOHNSON CITY	TN	37604	0000	00	None	36.329022	-82.3912785	Washington County
94554	Fee-for-Service	1083825913	1083825913	1	1	NELSON, SARA C MD	11/10/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	96957	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
94561	Fee-for-Service	1386960334	1386960334	1	1	NGUYEN, DANNY MD	8/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	140186	78	Neoplastic Diseases/Oncology	0	In state provider	None	19582 BEACH BLVD	212	HUNTINGTON BEACH	CA	92648	5923	30	06059	33.67831649	-117.9885198	Orange County
94594	Fee-for-Service	1598703647	1598703647	1	23	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	635 N HICKORY ST	None	ESCONDIDO	CA	92025	1917	37	06073	33.12902848	-117.0785006	San Diego County
94615	Fee-for-Service	1780661249	1780661249	1	1	NADERI, SIMA MD	6/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	82808	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
94623	Fee-for-Service	1316274871	1316274871	1	1	NYSTROM, MICHAEL J MD	8/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	107003	22	Pathology (M.D. only)	0	In state provider	None	350 ST JOSEPHS AVE	None	SAN FRANCISCO	CA	94115	3255	38	06075	37.78245426	-122.4421849	San Francisco County
94673	Fee-for-Service	1285867846	1285867846	1	1	NOCHEZ, CHRISTOPHER LCSW	7/31/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	29619	-	NOT APPLICABLE	0	In state provider	None	7101 BAIRD AVENUE	None	RESEDA	CA	91335	4150	19	06037	34.1995012	-118.5373824	Los Angeles County
94679	Fee-for-Service	1396925525	1396925525	1	1	NEW HAVEN UNIFIED SD	10/22/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	34200 ALVARADO NILES RD	None	UNION CITY	CA	94587	4402	01	06001	37.58826979	-122.0247566	Alameda County
94688	Fee-for-Service	1528467818	1528467818	1	1	NNN HOSPICE	6/5/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	8001 LAUREL CANYON BLVD	SUITE 207	NORTH HOLLYWOOD	CA	91605	8001	19	06037	34.216164	-118.396559	Los Angeles County
94756	Fee-for-Service	1487125019	1487125019	1	2	NES WESTERN GROUP, A PROFESS	4/19/2021	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	27200 CALAROGA	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
94871	Fee-for-Service	1386960334	1386960334	1	1	NGUYEN, DANNY MD	8/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	140186	68	Hematology	0	In state provider	None	19582 BEACH BLVD	212	HUNTINGTON BEACH	CA	92648	5923	30	06059	33.67831649	-117.9885198	Orange County
94881	Fee-for-Service	1598703647	1598703647	1	23	NEIGHBORHOOD HEALTHCARE	1/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	635 N HICKORY ST	None	ESCONDIDO	CA	92025	1917	37	06073	33.12902848	-117.0785006	San Diego County
94902	Fee-for-Service	1437148632	1437148632	1	1	NAZARI, PARVIN H MD	12/13/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	92806	41	Internal Medicine	0	In state provider	None	1236 N MAGNOLIA AVE	None	ANAHEIM	CA	92801	2607	30	06059	33.8508897	-117.9761562	Orange County
94926	Fee-for-Service	1700829090	1700829090	1	1	NORTON, VALERIE C MD	9/30/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	75200	None	None	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
94941	Fee-for-Service	1144461831	1144461831	1	1	NIRVANA CARE HOSPICE	5/10/2024	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	737 GLENDORA AVE	STE 103	LA PUENTE	CA	91744	4068	19	06037	34.0318482	-117.9504547	Los Angeles County
94973	Fee-for-Service	1528467818	1528467818	1	1	NNN HOSPICE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	8001 LAUREL CANYON BLVD	SUITE 207	NORTH HOLLYWOOD	CA	91605	8001	19	06037	34.216164	-118.396559	Los Angeles County
94976	Fee-for-Service	1619423282	1619423282	1	1	NEWPORT HARBOR PATHOLOGY MED	9/20/2023	291U00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CAL GROUP INC	805 W LA VETA AVE	SUITE 104	ORANGE	CA	92868	3901	30	06059	33.78064152	-117.8606475	Orange County
95044	Fee-for-Service	1982087383	1982087383	1	1	NOORAEI, NAZANIN	11/26/2018	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1100 TRANCAS ST	STE 210	NAPA	CA	94558	2909	28	06055	38.32316569	-122.2981938	Napa County
95067	Fee-for-Service	1417273038	1417273038	1	1	NAUSS, KATHRYN L DO	4/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	11973	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
95120	Fee-for-Service	1699366898	1699366898	1	1	NO PAIN HOSPICE CARE, INC	7/26/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	273 W ALAMEDA AVE	None	BURBANK	CA	91502	2559	19	06037	34.16723083	-118.3075057	Los Angeles County
95182	Fee-for-Service	1881977619	1881977619	1	1	NARAGALU BOREGOWDA, UMESHA	9/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131265	41	Internal Medicine	0	In state provider	None	2335 E KASHIAN LN	STE 450	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
95217	Fee-for-Service	1790072130	1790072130	1	1	NGUYEN, DENNIS C MD	2/14/2023	2086S0122X	NA	General Surgery	026	PHYSICIANS	183118	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
95223	Fee-for-Service	1962762054	1962762054	1	1	NGUYEN, CHI	9/12/2012	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5026 FRUITRIDGE RD	SUITE 3	SACRAMENTO	CA	95820	5302	34	06067	38.524473	-121.446999	Sacramento County
95228	Fee-for-Service	1144461831	1144461831	1	1	NIRVANA CARE HOSPICE	5/10/2024	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	737 GLENDORA AVE	STE 103	LA PUENTE	CA	91744	4068	19	06037	34.0318482	-117.9504547	Los Angeles County
95231	Fee-for-Service	1750902292	1750902292	1	1	NOH, JUNG-HO LMFT	12/13/2024	1041C0700X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
95283	Fee-for-Service	1326474602	1326474602	1	1	NOH, SOO J OD	10/17/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 N BRAND BLVD	STE 110	GLENDALE	CA	91203	2308	19	06037	34.15116156	-118.2549512	Los Angeles County
95286	Fee-for-Service	1184791089	1184791089	1	1	NOBEL, CATHERINE K MD	4/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	62317	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
95304	Fee-for-Service	1205860491	1205860491	1	1	NIELSEN, MARTIN M MD AMC	12/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	25528	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	3231 WARING CT	STE L	OCEANSIDE	CA	92056	4510	37	06073	33.18776771	-117.2893136	San Diego County
95315	Fee-for-Service	1649811159	1649811159	1	1	NHT FAMILY COUNSELING INC	10/20/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2331 HONOLULU AVE.	SUITE G	MONTROSE	CA	91020	1844	19	06037	34.20604709	-118.2293958	Los Angeles County
95327	Fee-for-Service	1447872452	1447872452	1	1	NYECK, AGNES MD	1/27/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	191929	None	None	0	In state provider	None	1114 6TH ST	None	MODESTO	CA	95354	2203	50	06099	37.63901905	-121.0057149	Stanislaus County
95364	Fee-for-Service	1326306994	1326306994	1	1	NGUYEN, HAU N MD	8/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	127430	41	Internal Medicine	0	In state provider	None	2823 FRESNO STREET	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
95367	Fee-for-Service	1235130600	1235130600	1	1	NORTHEAST VALLEY HEALTH	2/1/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	19	06037	34.28899399	-118.4481394	Los Angeles County
95406	Fee-for-Service	1043743669	1043743669	1	1	NAVES JARDIN, CHARLENE E MD	7/20/2023	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	184327	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
95409	Fee-for-Service	1699366898	1699366898	1	1	NO PAIN HOSPICE CARE, INC	7/26/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	273 W ALAMEDA AVE	None	BURBANK	CA	91502	2559	19	06037	34.16723083	-118.3075057	Los Angeles County
95413	Fee-for-Service	1427210277	1427210277	1	1	NOWELL, JOSEPHINE LMFT	9/17/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
95464	Fee-for-Service	1992839161	1992839161	1	1	NGUYEN, ALYSSA OD	4/21/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5300 LENNOX AVE	STE 101	BAKERSFIELD	CA	93309	1662	15	06029	35.35899025	-119.0625824	Kern County
95486	Fee-for-Service	1104818608	1104818608	1	1	NOVARK, PETER J. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1160 E 3900 S	STE 500	SALT LAKE CTY	UT	84124	1202	00	None	40.68703647	-111.85785	Salt Lake County
95566	Fee-for-Service	1093292831	1093292831	1	1	NOJOOMI, SAYEH OD	8/7/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3800 DALE ROAD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
95576	Fee-for-Service	1184791089	1184791089	1	1	NOBEL, CATHERINE K MD	4/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	62317	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
95584	Fee-for-Service	1740636455	1740636455	1	1	NELSON, THEODORE P DO	8/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15710	01	General Practice	0	In state provider	None	11333 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1116	19	06037	34.27684353	-118.4684024	Los Angeles County
95645	Fee-for-Service	1174789630	1174789630	1	1	NGUYEN, TINA A MD	2/7/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109145	66	Emergency Medicine (Urgent Care)	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
95653	Fee-for-Service	1235130600	1235130600	1	1	NORTHEAST VALLEY HEALTH	2/1/1992	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	19	06037	34.28899399	-118.4481394	Los Angeles County
95678	Fee-for-Service	1982019071	1982019071	1	1	NEIHEISEL, RACHEL PT	8/2/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
95680	Fee-for-Service	1366693376	1366693376	1	1	NELSON, JULIE A LCSW	8/4/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	461 TENNESSEE ST	SUITE C	REDLANDS	CA	92373	8161	36	06071	34.058745	-117.2000975	San Bernardino County
95738	Fee-for-Service	1750743878	1750743878	1	1	NAGEL, CASEY J MD	3/10/2021	207R00000X	NA	Other	026	PHYSICIANS	155295	None	None	0	In state provider	None	1245 16TH STREET	SUITE 125, 204, 307	SANTA MONICA	CA	90404	1240	19	06037	34.02726451	-118.4857138	Los Angeles County
95750	Fee-for-Service	1134486160	1134486160	1	1	NGUYENTAT, ANNIE L DPM	4/1/2015	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	151 SUNRISE AVE	STE 1005	ROSEVILLE	CA	95661	2990	31	06061	38.74343876	-121.2682224	Placer County
95783	Fee-for-Service	1588637086	1588637086	1	1	NIGUIDULA, CARLO H MD	5/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77247	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
95786	Fee-for-Service	1073596243	1073596243	1	1	NGUYEN, KIMYA DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	375 SE NORTON LN	STE A	MCMINNVILLE	OR	97128	8484	00	None	45.19909255	-123.167007	Yamhill County
95897	Fee-for-Service	1659690733	1659690733	1	1	NWAJUAKU, PATRICIA I MD	11/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155730	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
95930	Fee-for-Service	1659969376	1659969376	1	1	NOBILITY HEALTH, INC.	10/12/2022	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	435 ARDEN AVE	370	GLENDALE	CA	91203	1130	19	06037	34.15848148	-118.2628845	Los Angeles County
95944	Fee-for-Service	1396293312	1396293312	1	1	NELAMAKANAHALLY SIDDEGOWDA,	9/2/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	SIDDESH PT	41421 DATE STREET	101	MURRIETA	CA	92562	7079	33	06065	33.53012372	-117.174507	Riverside County
96082	Fee-for-Service	1356702286	1356702286	1	1	NGO, JUSTINE V MD	10/31/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	153783	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
96111	Fee-for-Service	1811149792	1811149792	1	1	NGUYEN, NANCY N OD	9/4/2008	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13020 CHAPMAN AVE	None	GARDEN GROVE	CA	92840	4349	30	06059	33.78880048	-117.905445	Orange County
96146	Fee-for-Service	1679078018	1679078018	1	1	NGUYEN, CYNTHIA D DO	9/1/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	20144	None	None	0	In state provider	None	10 CONGRESS ST	505	PASADENA	CA	91105	3042	19	06037	34.13396893	-118.1528162	Los Angeles County
96162	Fee-for-Service	1093771628	1093771628	1	1	NASSER, MICHAEL	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3333 BURNET AVE	None	CINCINNATI	OH	45229	3026	00	None	39.14105892	-84.50040782	Hamilton County
96166	Fee-for-Service	1508065319	1508065319	1	1	NEWTON, CHRISTOPHER R MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71180	85	Surgery-Pediatric	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
96190	Fee-for-Service	1043547656	1043547656	1	1	NORI, PHALGUN MD	7/26/2021	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	174002	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
96194	Fee-for-Service	1831247154	1831247154	1	1	NOLAN, STEVEN C	2/25/2014	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	4501 SAND CREEK RD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
96217	Fee-for-Service	1174859284	1174859284	1	1	NIEDZWIECKI, MATTHEW J MD	1/9/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	156972	None	None	0	In state provider	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	4850	36	06071	34.03717616	-117.2046115	San Bernardino County
96219	Fee-for-Service	1851127179	1851127179	1	1	NITSCHKE, HEATHER M	9/12/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5807 UNIVERSITY AVE	SUITE 6	SAN DIEGO	CA	92115	6295	37	06073	32.74918877	-117.0721384	San Diego County
96270	Fee-for-Service	1033201587	1033201587	1	1	NICHOLS, GARY M MD	7/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	73872	None	None	0	In state provider	None	2525 STOCKTON BLVD	# 2008	SACRAMENTO	CA	95817	2207	34	06067	38.551311	-121.454433	Sacramento County
96288	Fee-for-Service	1730134651	1730134651	1	1	NAMBIAR, RAMESH S MD	1/4/2021	207L00000X	NA	Other	026	PHYSICIANS	170699	None	None	0	In state provider	None	975 SOUTH FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
96321	Fee-for-Service	1083638480	1083638480	1	1	NASH, ROGER G DO	7/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	4776	08	Family Practice	0	In state provider	None	5979 ATLANTIC AVE	None	LONG BEACH	CA	90805	3510	19	06037	33.86324935	-118.1850847	Los Angeles County
96393	Fee-for-Service	1730243965	1730243965	1	1	NIAZI, SUHAD Z MD	7/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	86582	None	None	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
96483	Fee-for-Service	1821572371	1821572371	1	1	NEKAI, PHILIP R LPCC	9/13/2023	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	29	06057	39.33573744	-120.180872	Nevada County
96495	Fee-for-Service	1538696836	1538696836	1	1	NGUYEN, ANDY P MD	9/10/2020	207P00000X	NA	Other	026	PHYSICIANS	169250	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DR S	STE 1A	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
96547	Fee-for-Service	1366817983	1366817983	1	1	NORMAN, JILL K MD	7/15/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	151142	None	None	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
96575	Fee-for-Service	1750877262	1750877262	1	1	NADEL, HELEN R MD	8/7/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	156733	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
96583	Fee-for-Service	1386642866	1386642866	1	1	NGUYEN, PHU T DO	12/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	7161	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	12555 GARDEN GROVE BLVD	STE 301	GARDEN GROVE	CA	92843	1903	30	06059	33.77450946	-117.913041	Orange County
96601	Fee-for-Service	1578612933	1578612933	1	1	NOVELL, BENNIE R JR LMFT	7/16/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
96611	Fee-for-Service	1851550834	1851550834	1	1	NATHANIEL, BRANDON L MD	8/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	112673	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
96683	Fee-for-Service	1770859084	1770859084	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH INCORPORATED	1515 SPRINGFIELD DRIVE	SUITE 175	CHICO	CA	95926	5995	04	06007	39.73096434	-121.8089646	Butte County
96696	Fee-for-Service	1376621110	1376621110	1	1	NAU, JASON MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	68590	66	Emergency Medicine (Urgent Care)	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
96768	Fee-for-Service	1891923025	1891923025	1	1	NAZER, EYAD H MD	5/12/2020	207R00000X	NA	Other	026	PHYSICIANS	168341	41	Internal Medicine	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	0001	39	06077	37.97026329	-121.2890849	San Joaquin County
96785	Fee-for-Service	1548701709	1548701709	1	1	NYAHANGA, KENNEDY O CRNA	5/23/2017	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
96824	Fee-for-Service	1447293493	1447293493	1	1	NGUYEN, THAI Q MD	8/31/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39322	41	Internal Medicine	0	In state provider	None	14558 BROOKHURST ST	None	WESTMINSTER	CA	92683	5750	30	06059	33.7515705	-117.9548401	Orange County
96874	Fee-for-Service	1386642866	1386642866	1	1	NGUYEN, PHU T DO	12/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	7161	09	Gynecology (D.O. only)	0	In state provider	None	12555 GARDEN GROVE BLVD	STE 301	GARDEN GROVE	CA	92843	1903	30	06059	33.77450946	-117.913041	Orange County
96877	Fee-for-Service	1033711106	1033711106	1	1	NICOLE SERRANO LICENSED MARR	10/13/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	IAGE FAMILY THERAPIST IN	10601 CIVIC CENTER DR	120 C	RANCHO CUCAMONGA	CA	91730	3878	36	06071	34.1023554	-117.5735696	San Bernardino County
96881	Fee-for-Service	1568499630	1568499630	1	1	NGUYEN, LOC V MD	4/11/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	45406	01	General Practice	0	In state provider	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
96976	Fee-for-Service	1770859084	1770859084	1	1	NORTHERN VALLEY INDIAN	12/11/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH INCORPORATED	1515 SPRINGFIELD DRIVE	SUITE 175	CHICO	CA	95926	5995	04	06007	39.73096434	-121.8089646	Butte County
97037	Fee-for-Service	1265428403	1265428403	1	1	NARALA AND MADIREDDY MD	3/1/1996	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	INTERNAL MED & PEDIA MED	568 E HERNDON AVE	STE 102	FRESNO	CA	93720	2989	10	06019	36.83752653	-119.7776433	Fresno County
97067	Fee-for-Service	1710944129	1710944129	1	1	NARKEWICZ, KAREN MD	10/10/2024	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	154987	40	Pediatrics	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
97113	Fee-for-Service	1447293493	1447293493	1	1	NGUYEN, THAI Q MD	8/31/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39322	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	14558 BROOKHURST ST	None	WESTMINSTER	CA	92683	5750	30	06059	33.7515705	-117.9548401	Orange County
97114	Fee-for-Service	1386685774	1386685774	1	1	NIKRAVESH, TANNAZ MD	1/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	88061	25	Physical Medicine and Rehabilitation	0	In state provider	None	6404 WILSHIRE BLVD	STE 600	LOS ANGELES	CA	90048	5508	19	06037	34.06373411	-118.3685394	Los Angeles County
97152	Fee-for-Service	1922273192	1922273192	1	1	NEWFIELD, EMILY S MD	9/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112275	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
97200	Fee-for-Service	1790758340	1790758340	1	1	NATIONAL SEATTING &	4/12/1998	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	MOBILITY, INC	4705 NEW HORIZON BLVD	STE 2	BAKERSFIELD	CA	93313	2369	15	06029	35.314088	-119.0546112	Kern County
97229	Fee-for-Service	1851463111	1851463111	1	1	NEW WAY SERVICES, INC	1/24/2003	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2601 TRUMAN CT	None	ANTIOCH	CA	94509	4356	07	06013	37.99971202	-121.8516944	Contra Costa County
97286	Fee-for-Service	1568630911	1568630911	1	1	NISWONGER, SARAH A	9/19/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
97312	Fee-for-Service	1104103001	1104103001	1	2	NORTH EAST MEDICAL SERVICES	6/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	650 POLK ST	None	SAN FRANCISCO	CA	94102	3328	38	06075	37.78279757	-122.4190966	San Francisco County
97323	Fee-for-Service	1265428403	1265428403	1	1	NARALA AND MADIREDDY MD	3/1/1996	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	INTERNAL MED & PEDIA MED	568 E HERNDON AVE	STE 102	FRESNO	CA	93720	2989	10	06019	36.83752653	-119.7776433	Fresno County
97356	Fee-for-Service	1477113116	1477113116	1	1	NI, GARRETT K MD	5/23/2024	207YX0905X	NA	ENT/Otolaryngology	026	PHYSICIANS	None	04	Otology, Laryngology, Rhinology	0	In state provider	None	200 MEDICAL PLAZA	565	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
97402	Fee-for-Service	1013422732	1013422732	1	1	NERIO, JASON LMFT	8/24/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13200 CROSSROADS PARKWAY	SUITE 335	CITY OF INDUSTRY	CA	91746	3409	19	06037	34.03038726	-118.0130115	Los Angeles County
97411	Fee-for-Service	1255866968	1255866968	1	1	NORTH BAY PROSTHETICS AND OR	5/5/2021	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	THOTICS LLC	671 ELMIRA RD	SUITE 120	VACAVILLE	CA	95687	4655	48	06095	38.35181103	-121.9516181	Solano County
97423	Fee-for-Service	1639312614	1639312614	1	1	NGUYEN, DOROTHY	8/21/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	13193 CENTRAL AVENUE	SUITE 200	CHINO	CA	91710	4179	36	06071	34.01406506	-117.6891684	San Bernardino County
97431	Fee-for-Service	1093763401	1093763401	1	1	NOORBEHESHT, BEHZAD MD	6/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	62917	None	None	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
97466	Fee-for-Service	1265945117	1265945117	1	1	NGUJI, JOHN M	1/24/2018	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	9952 RED GINGER WAY	None	ELK GROVE	CA	95757	6269	34	06067	38.395584	-121.404456	Sacramento County
97477	Fee-for-Service	1396764072	1396764072	1	1	NATTERSON, BARBARA J MD	3/31/1992	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	65765	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 MED PLAZA #365	None	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
97509	Fee-for-Service	1134458151	1134458151	1	1	NU IMAGE NOW WELLNESS CENTER	3/12/2024	111N00000X	NA	Other	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	3351 HILL ST	None	LONG BEACH	CA	90755	1219	19	06037	33.79714622	-118.1521051	Los Angeles County
97520	Fee-for-Service	1730546029	1730546029	1	1	NADDOUR, MOUHIB MD	12/3/2019	207R00000X	NA	Other	026	PHYSICIANS	157611	41	Internal Medicine	0	In state provider	None	8851 CENTER DR	STE 305	LA MESA	CA	91942	3048	37	06073	32.78189749	-117.0075062	San Diego County
97601	Fee-for-Service	1104103001	1104103001	1	2	NORTH EAST MEDICAL SERVICES	6/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	650 POLK ST	None	SAN FRANCISCO	CA	94102	3328	38	06075	37.78279757	-122.4190966	San Francisco County
97644	Fee-for-Service	1578771689	1578771689	1	1	NIKRAVAN, SARA MD	9/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117142	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
97668	Fee-for-Service	1003071507	1003071507	1	1	NESBITT, MATTHEW R	1/23/2009	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2216 S EL CAMINO REAL	STE 113	OCEANSIDE	CA	92054	6356	37	06073	33.18564585	-117.3279882	San Diego County
97755	Fee-for-Service	1265945117	1265945117	1	1	NGUJI, JOHN M	1/24/2018	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	9952 RED GINGER WAY	None	ELK GROVE	CA	95757	6269	34	06067	38.395584	-121.404456	Sacramento County
97787	Fee-for-Service	1518905942	1518905942	1	1	NARIAN P RAJAN	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	SENTARA SPECIALITY SER	2300 OPITZ BLVD	None	WOODBRIDGE	VA	22192	3360	00	None	38.63718	-77.2863255	Prince William County
97825	Fee-for-Service	1346804945	1346804945	1	1	NIU, JEANNE OT	8/8/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
97827	Fee-for-Service	1407822943	1407822943	1	1	NEWSOM, CHRISTINE M MD	5/5/1985	207R00000X	NA	Other	026	PHYSICIANS	25383	41	Internal Medicine	0	In state provider	None	123 MARGARET LN	STE A2	GRASS VALLEY	CA	95945	5268	29	06057	39.22839146	-121.0455763	Nevada County
97839	Fee-for-Service	1851578751	1851578751	1	1	NORTHEAST VALLEY HEALTH	10/1/1996	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	LAC-VALENCIA	23763 VALENCIA BLVD	None	VALENCIA	CA	91355	2105	19	06037	34.41433111	-118.5509046	Los Angeles County
97884	Fee-for-Service	1427219120	1427219120	1	1	NICOLAOU, DAEMEON A MD	5/1/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	111473	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
97899	Fee-for-Service	1548317993	1548317993	1	1	NEUMANN, ROBERT G MD	1/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	131965	24	Plastic Surgery	0	In state provider	None	3333 MENDOCINO AVENUE	None	SANTA ROSA	CA	95403	2261	49	06097	38.469825	-122.723145	Sonoma County
97921	Fee-for-Service	1194884775	1194884775	1	1	NEWMAN, NANCY MD	9/15/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	42246	18	Ophthalmology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
97931	Fee-for-Service	1578771689	1578771689	1	1	NIKRAVAN, SARA MD	9/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117142	05	Anesthesiology	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
98037	Fee-for-Service	1932329091	1932329091	1	1	NORTH FORK INDIAN & COMM	9/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	PO BOX 1122	32938 ROAD 222	STE 2	NORTH FORK	CA	93643	9562	20	06039	37.22625814	-119.509911	Madera County
98067	Fee-for-Service	1902576325	1902576325	1	1	NOVA HOME HEALTH CARE INC	11/28/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10521 BURBANK BLVD	None	NORTH HOLLYWOOD	CA	91601	0000	19	06037	34.17216449	-118.360188	Los Angeles County
98079	Fee-for-Service	1336158583	1336158583	1	1	NOUR, SAMEH I MD	9/26/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	85183	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
98101	Fee-for-Service	1336503838	1336503838	1	1	NGUYEN, DOAN Q MD	9/9/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	153320	36	Psychiatry	0	In state provider	None	9942 BROADWAY	None	ANAHEIM	CA	92804	2308	30	06059	33.82885329	-117.9595736	Orange County
98190	Fee-for-Service	1265936413	1265936413	1	1	NATSUHARA, KELSEY H MD	6/28/2021	207R00000X	NA	Other	026	PHYSICIANS	165347	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
98218	Fee-for-Service	1851408116	1851408116	1	1	NERY, GENEROSO MD	1/1/1979	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	31007	08	Family Practice	0	In state provider	None	8263 GROVE AVE	STE 202	RANCHO CUCAMONGA	CA	91730	3107	36	06071	34.10436536	-117.6285141	San Bernardino County
98234	Fee-for-Service	1528825007	1528825007	1	1	NGUYEN, CHRIS T RCP	5/23/2024	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
98270	Fee-for-Service	1578740890	1578740890	1	2	NJA THERAPY SERVICES, INC	5/15/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3629 LYNOAK ST	UNIT B	POMONA	CA	91767	1232	19	06037	34.108038	-117.739827	Los Angeles County
98312	Fee-for-Service	1457430589	1457430589	1	1	NAKANO, DAVID H MD	10/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	66122	40	Pediatrics	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
98324	Fee-for-Service	1932329091	1932329091	1	1	NORTH FORK INDIAN & COMM	9/1/2002	261Q00000X	NA	Other	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	PO BOX 1122	32938 ROAD 222	STE 2	NORTH FORK	CA	93643	9562	20	06039	37.22625814	-119.509911	Madera County
98346	Fee-for-Service	1538431804	1538431804	1	1	NELKEN, PETER M NP	6/5/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
98349	Fee-for-Service	1376591719	1376591719	1	1	NEWTON, PATRICIA L MD	12/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	76548	08	Family Practice	0	In state provider	None	12291 WASHINGTON BLVD	STE 500	WHITTIER	CA	90606	2551	19	06037	33.96734104	-118.0508773	Los Angeles County
98370	Fee-for-Service	1336158583	1336158583	1	1	NOUR, SAMEH I MD	9/26/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	85183	05	Anesthesiology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
98380	Fee-for-Service	1174723159	1174723159	1	1	NAHMIAS, JEFFRY T MD	4/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	118693	02	General Surgery	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
98451	Fee-for-Service	1841764198	1841764198	1	1	NOVSHADYAN, ANAHIT	2/7/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	633 HAWTHORNE STREET	None	GLENDALE	CA	91204	1001	19	06037	34.14500101	-118.2681203	Los Angeles County
98477	Fee-for-Service	1043236458	1043236458	1	1	NAZARIAN, ALAN MD	10/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	65901	41	Internal Medicine	0	In state provider	None	5525 ETIWANDA AVE	STE 320	TARZANA	CA	91356	6130	19	06037	34.17046451	-118.5308463	Los Angeles County
98515	Fee-for-Service	1891799227	1891799227	1	1	NORTON HOSPITALS INC	2/4/2004	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NORTON HOSPITAL	200 E CHESTNUT ST	None	LOUISVILLE	KY	40202	1831	00	None	38.24813211	-85.7507777	Jefferson County
98519	Fee-for-Service	1306475645	1306475645	1	1	NORCAL ANESTHESIA AND PAIN A	5/11/2022	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	615 W EAST AVE	None	CHICO	CA	95926	7201	04	06007	39.75064171	-121.8715471	Butte County
98556	Fee-for-Service	1629331905	1629331905	1	1	NENSEY, CYRUS K	2/17/2020	208M00000X	NA	Other	026	PHYSICIANS	134998	41	Internal Medicine	0	In state provider	None	15031 RINALDI STREET	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
98557	Fee-for-Service	1598729980	1598729980	1	1	NGUYEN, TOM L DO	7/3/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9384	08	Family Practice	0	In state provider	None	1701 SANTA ANITA AVE	None	SOUTH EL MONTE	CA	91733	3411	19	06037	34.04810648	-118.0424794	Los Angeles County
98568	Fee-for-Service	1740220482	1740220482	1	1	NEWPORT CRITICAL CARE PHYSIC	9/4/2001	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	IANS MEDICAL GROUP INC	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
98716	Fee-for-Service	1366453854	1366453854	2	1	NESOR INC	10/3/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2731 OCEAN PARK BLVD	None	SANTA MONICA	CA	90405	5205	19	06037	34.01879999	-118.4561496	Los Angeles County
98740	Fee-for-Service	1841764198	1841764198	1	1	NOVSHADYAN, ANAHIT	2/7/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	633 HAWTHORNE STREET	None	GLENDALE	CA	91204	1001	19	06037	34.14500101	-118.2681203	Los Angeles County
98752	Fee-for-Service	1497984777	1497984777	1	1	NGUYEN, UYEN M OD	5/28/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	865 B ST	None	HAYWARD	CA	94541	5107	01	06001	37.67179004	-122.084486	Alameda County
98755	Fee-for-Service	1750911582	1750911582	1	1	NATIONAL TRANSPORTATION LLC	10/28/2020	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ANY	333 H ST	SUITE 5000	CHULA VISTA	CA	91910	5561	37	06073	32.63411233	-117.0783636	San Diego County
98766	Fee-for-Service	1043236458	1043236458	1	1	NAZARIAN, ALAN MD	10/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	65901	77	Infectious Disease	0	In state provider	None	5525 ETIWANDA AVE	STE 320	TARZANA	CA	91356	6130	19	06037	34.17046451	-118.5308463	Los Angeles County
98799	Fee-for-Service	1891799227	1891799227	1	1	NORTON HOSPITALS INC	2/4/2004	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NORTON HOSPITAL	200 E CHESTNUT ST	None	LOUISVILLE	KY	40202	1831	00	None	38.24813211	-85.7507777	Jefferson County
98898	Fee-for-Service	1255449906	1255449906	1	1	NAGARAJ, HOSAHALLY MD	2/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	53338	05	Anesthesiology	0	In state provider	None	1600 W AVE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
98983	Fee-for-Service	1972600344	1972600344	1	1	NISHI, GREGG MD	7/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	75418	02	General Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
99007	Fee-for-Service	1194150383	1194150383	1	1	NDUBAKU, VICTORIA I NP	12/4/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
99016	Fee-for-Service	1942200548	1942200548	1	1	NG, STANLEY MD	6/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76047	41	Internal Medicine	0	In state provider	None	5575 W LAS POSITAS BLVD	STE 130	PLEASANTON	CA	94588	5800	01	06001	37.69214859	-121.8796532	Alameda County
99062	Fee-for-Service	1376876235	1376876235	1	1	NADJI, ERFAN J MD	8/9/2024	207W00000X	NA	Ophthalmology	026	PHYSICIANS	129096	18	Ophthalmology	0	In state provider	None	1301 20TH ST	SUITE 260	SANTA MONICA	CA	90404	2052	19	06037	34.02976782	-118.4812493	Los Angeles County
99090	Fee-for-Service	1720092315	1720092315	1	1	NGUYEN, DAT Q MD	9/9/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	77541	41	Internal Medicine	0	In state provider	None	10362 BOLSA AVE	None	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
99098	Fee-for-Service	1831357029	1831357029	1	1	NGUYEN, KIM-SON H MD	8/18/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	116347	68	Hematology	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
99117	Fee-for-Service	1912402322	1912402322	1	1	NEWTON, ALEXANDER D DO	10/13/2021	207R00000X	NA	Other	026	PHYSICIANS	19147	None	None	0	In state provider	None	20101 LAKE CHABOT RD	1ST FLOOR	CASTRO VALLEY	CA	94546	5305	01	06001	37.69819004	-122.0873124	Alameda County
99202	Fee-for-Service	1740578392	1740578392	1	1	NEWELL, ABIGAEL M LMFT	3/3/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	45445 PORTOLA AVE	SUITE 1	PALM DESERT	CA	92260	4844	33	06065	33.7186073	-116.3737698	Riverside County
99271	Fee-for-Service	1447718994	1447718994	1	1	NATIONAL SEATING & MOBILITY,	12/18/2019	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	825 ARNOLD DRIVE	SUITE 112	MARTINEZ	CA	94553	6837	07	06013	37.99702505	-122.1145087	Contra Costa County
99353	Fee-for-Service	1821020595	1821020595	1	1	NG ERIC W MD	8/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80290	05	Anesthesiology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
99378	Fee-for-Service	1720092315	1720092315	1	1	NGUYEN, DAT Q MD	9/9/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	77541	08	Family Practice	0	In state provider	None	10362 BOLSA AVE	None	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
99385	Fee-for-Service	1831357029	1831357029	1	1	NGUYEN, KIM-SON H MD	8/18/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	116347	78	Neoplastic Diseases/Oncology	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
99398	Fee-for-Service	1063571941	1063571941	1	1	NICHOLS, STEVEN L PHD	2/11/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4785 N FIRST ST	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
99403	Fee-for-Service	1235187972	1235187972	1	1	NOBLE SURGERY CENTER	8/5/2003	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	5021 W NOBLE	STE B	VISALIA	CA	93277	8310	54	06107	36.326655	-119.345895	Tulare County
99415	Fee-for-Service	1992864615	1992864615	1	1	NUGENT, EILEEN T NP	10/18/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	12001 W WASHINGTON BLVD	None	LOS ANGELES	CA	90066	5801	19	06037	33.99760695	-118.4228296	Los Angeles County
99455	Fee-for-Service	1710259114	1710259114	1	1	NELSON, ANNE KARIN LMFT	11/19/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1840 ELENA AVE	205	REDONDO BEACH	CA	90277	5703	19	06037	33.81689725	-118.3863885	Los Angeles County
99536	Fee-for-Service	1053817551	1053817551	1	1	NGUYEN, BEN MD	8/18/2021	390200000X	NA	Other	026	PHYSICIANS	173451	None	None	0	In state provider	None	15111 WHITTIER BLVD	102	WHITTIER	CA	90603	2180	19	06037	33.94841455	-118.0049729	Los Angeles County
99539	Fee-for-Service	1881611606	1881611606	1	1	NOBLE, MARILYN L APC	9/1/1983	193200000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	7106 EDINGER AVE	None	HUNTINGTON BEACH	CA	92647	3568	30	06059	33.73008051	-118.005885	Orange County
99547	Fee-for-Service	1992858591	1992858591	1	1	NOIA RESDIENTIAL SERVICES	6/8/1987	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	1580 E ALMENDRA DR	None	FRESNO	CA	93710	6409	10	06019	36.81863624	-119.7592093	Fresno County
99597	Fee-for-Service	1629090022	1629090022	1	1	NICHOLLS, TIM MD	8/27/2003	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	73793	40	Pediatrics	0	In state provider	None	2340 CLAY ST	FL 3	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
99627	Fee-for-Service	1598848624	1598848624	1	1	NEUDORF, STEVEN M MD	5/14/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85193	68	Hematology	0	In state provider	None	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
99666	Fee-for-Service	1154352185	1154352185	1	1	NGUYEN, THAO P MD	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	81689	18	Ophthalmology	0	In state provider	None	2406 ULRIC ST	None	SAN DIEGO	CA	92111	6040	37	06073	32.78682108	-117.1710633	San Diego County
99679	Fee-for-Service	1750311494	1750311494	1	1	NTESO, THATO Y MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	93371	None	None	0	In state provider	None	3032 SILVER AVE	None	SAN FRANCISCO	CA	94117	1079	38	06075	37.72854819	-122.4287808	San Francisco County
99698	Fee-for-Service	1538247127	1538247127	1	1	NI, JIE MD	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	79853	41	Internal Medicine	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
99754	Fee-for-Service	1912214495	1912214495	1	1	NANDA, MAYA MD	4/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145681	03	Allergy	0	In state provider	None	10800 MAGNOLIA AVENUE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
99801	Fee-for-Service	1629194667	1629194667	1	1	NATSUHARA, KAREN NP	2/9/2012	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1532	34	06067	38.546091	-121.447305	Sacramento County
99910	Fee-for-Service	1598848624	1598848624	1	1	NEUDORF, STEVEN M MD	5/14/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85193	78	Neoplastic Diseases/Oncology	0	In state provider	None	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
99923	Fee-for-Service	1629098397	1629098397	1	1	NAPOLITANO, JASON D MD	8/30/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84951	None	None	0	In state provider	None	200 MED PLAZA STE 420	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
99960	Fee-for-Service	1417954090	1417954090	1	1	NAYLOR, FREDRICK J MD	12/31/1985	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	40644	08	Family Practice	0	In state provider	None	298 N VERMONT AVE	None	DINUBA	CA	93618	1629	54	06107	36.54744856	-119.3894099	Tulare County
99978	Fee-for-Service	1730126103	1730126103	1	1	NEUROVASCULAR MED GROUP	12/12/1986	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	RM L-351	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
99999	Fee-for-Service	1275021925	1275021925	1	1	NUGENT, PATRICK P PHD	5/23/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	565 CASTRO STREET	None	MOUNTIAN VIEW	CA	94041	2009	43	06085	37.38903016	-122.0819046	Santa Clara County
100104	Fee-for-Service	1740252964	1740252964	1	1	NORTHAMPTON HOSP CORP	1/1/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	250 SOUTH 21ST ST	None	EASTON	PA	18042	3851	00	None	40.68753898	-75.24304034	Northampton County
100187	Fee-for-Service	1326067919	1326067919	1	1	NEUWIRTH, HARRY MD	3/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	41137	34	Urology and Urological Surgery	0	In state provider	None	1000 SO. ELISEO DR.	#201	GREENBRAE	CA	94904	2151	21	06041	37.94348559	-122.5335273	Marin County
100196	Fee-for-Service	1619014776	1619014776	1	1	NASTASKIN, IGOR MD	9/4/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	93318	10	Gastroenterology (M.D. only)	0	In state provider	None	116 S PALISADE DR	None	SANTA MARIA	CA	93454	8904	42	06083	34.9523869	-120.4120717	Santa Barbara County
100226	Fee-for-Service	1235159856	1235159856	1	1	NARAGHI, FRED F MD	2/8/2015	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	85181	20	Orthopedic Surgery	0	In state provider	None	1580 VALENCIA ST	STE 703	SAN FRANCISCO	CA	94110	4415	38	06075	37.74746923	-122.4202583	San Francisco County
100243	Fee-for-Service	1922704535	1922704535	1	1	NJENGA, DANIEL MIRU	3/16/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	17062 COBBLE CREEK WAY	None	LATHROP	CA	95330	8858	39	06077	37.80572458	-121.3010565	San Joaquin County
100246	Fee-for-Service	1760534267	1760534267	2	1	NGUYEN, KIM O OD	9/29/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	25401 ALICIA PARKWAY	SUITE E	LAGUNA HILLS	CA	92653	4958	30	06059	33.59345765	-117.6980349	Orange County
100324	Fee-for-Service	1548292881	1548292881	1	1	NORTH COAST UROLOGY	1/1/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	MEDICAL ASSOC, INC	3230 WARING CT	STE A	OCEANSIDE	CA	92056	4509	37	06073	33.18776771	-117.2893136	San Diego County
100392	Fee-for-Service	1740252964	1740252964	1	1	NORTHAMPTON HOSP CORP	1/7/2007	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	250 SOUTH 21ST ST	None	EASTON	PA	18042	3851	00	None	40.68753898	-75.24304034	Northampton County
100450	Fee-for-Service	1609062728	1609062728	1	1	NICOLE MARSHALL, M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3181 SW SAM JACKSON PARK	RD	PORTLAND	OR	97239	0000	00	None	45.49936609	-122.6856232	Multnomah County
100501	Fee-for-Service	1578699385	1578699385	1	1	NAVANI, ANNU MD	12/5/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	77246	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
100530	Fee-for-Service	1922704535	1922704535	1	1	NJENGA, DANIEL MIRU	3/16/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	17062 COBBLE CREEK WAY	None	LATHROP	CA	95330	8858	39	06077	37.80572458	-121.3010565	San Joaquin County
100559	Fee-for-Service	1073535027	1073535027	1	2	NEW YORK CITY HEALTH AND HOS	4/29/2021	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	462 FIRST AVENUE	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
100585	Fee-for-Service	1922259159	1922259159	1	1	NGUYEN, DINH T MD	3/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122677	01	General Practice	0	In state provider	None	9191 WESTMINSTER BLVD	None	GARDEN GROVE	CA	95361	3519	30	06059	33.75950574	-117.9684615	Orange County
100612	Fee-for-Service	1750674727	1750674727	1	1	NIJJAR, GAGAN V MD	9/30/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113271	36	Psychiatry	0	In state provider	None	3554 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	0929	49	06097	38.47599	-122.725557	Sonoma County
100619	Fee-for-Service	1811920432	1811920432	1	1	NEWSOME, LARS R MD	4/30/1988	207L00000X	NA	Other	026	PHYSICIANS	42281	05	Anesthesiology	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
100682	Fee-for-Service	1720004450	1720004450	1	1	NORTH COLORADO MED CTR	9/1/1997	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1801 16TH ST	None	GREELEY	CO	80631	5154	00	None	40.41386551	-104.7097035	Weld County
100692	Fee-for-Service	1225894736	1225894736	1	1	NGUYEN, TRANG NP	5/7/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9126 VALLEY BLVD STE B	None	ROSEMEAD	CA	91770	1987	19	06037	34.08089747	-118.0704869	Los Angeles County
100794	Fee-for-Service	1760566400	1760566400	2	1	NEUROCENTER FOR PAIN &	3/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	38243	None	None	0	In state provider	TREMOR, A MEDICAL GROUP,	1125 BEVERLY DRIVE	SUITE 610	LOS ANGELES	CA	90035	1148	19	06037	34.05696658	-118.3966613	Los Angeles County
100847	Fee-for-Service	1073535027	1073535027	1	2	NEW YORK CITY HEALTH AND HOS	4/29/2021	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	462 FIRST AVENUE	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
100893	Fee-for-Service	1255471371	1255471371	1	1	NORTON, JEFFREY A MD	5/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	84037	02	General Surgery	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
100918	Fee-for-Service	1760630883	1760630883	1	1	NASIRI, MALALAI MD	8/31/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111092	08	Family Practice	0	In state provider	None	7601 STONERIDGE DR	None	PLEASANTON	CA	94588	4501	01	06001	37.69013379	-121.9265243	Alameda County
100933	Fee-for-Service	1275276230	1275276230	1	1	NUPUR SINHA, M.D, MEDICAL CO	8/30/2022	207LC0200X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	RPORATION	23625 HOLMAN HWY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
100956	Fee-for-Service	1750437026	1750437026	1	1	NUGENT, GRANT G	6/30/1992	207P00000X	NA	Other	026	PHYSICIANS	33639	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1650 CREEKSIDE DR	None	FOLSOM	CA	95630	3400	34	06067	38.67021	-121.145382	Sacramento County
100957	Fee-for-Service	1366444101	1366444101	2	1	NOEL, ALAN C MD	12/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	37160	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	8540 S SEPULVEDA	SUITE 1002	LOS ANGELES	CA	90045	3808	19	06037	33.96022076	-118.3961982	Los Angeles County
100972	Fee-for-Service	1720004450	1720004450	1	1	NORTH COLORADO MED CTR	9/1/1997	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1801 16TH ST	None	GREELEY	CO	80631	5154	00	None	40.41386551	-104.7097035	Weld County
100980	Fee-for-Service	1417039405	1417039405	1	1	NABONG, BENJAMIN Y PT	7/9/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	7320 WOODLAKE AVE STE 27	None	WEST HILLS	CA	91307	1477	19	06037	34.20245266	-118.6321273	Los Angeles County
101076	Fee-for-Service	1679184386	1679184386	1	1	NAJERA, ELAINA LCSW	5/31/2024	103TC1900X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	800 COFFEE RD	None	MODESTO	CA	95355	4233	50	06099	37.654308	-120.9755515	Stanislaus County
101144	Fee-for-Service	1295928042	1295928042	1	1	NIGUIDULA, TROY H MD INC	10/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	92543	41	Internal Medicine	0	In state provider	None	610 EUCLID AVE	STE 201	NATIONAL CITY	CA	91950	2952	37	06073	32.68419388	-117.0829524	San Diego County
101172	Fee-for-Service	1053552620	1053552620	1	1	NELSON-VASQUEZ, CARRIE A MD	7/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	104132	08	Family Practice	0	In state provider	None	4311 THIRD AVE	None	SAN DIEGO	CA	92103	1407	37	06073	32.758578	-117.1637685	San Diego County
101174	Fee-for-Service	1962601583	1962601583	1	1	NGUYEN, PAMELA D MD	12/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107208	01	General Practice	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
101182	Fee-for-Service	1689924151	1689924151	1	1	NGUYEN, HOA MAI MD	9/18/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	145957	08	Family Practice	0	In state provider	None	34052 LA PLAZA	STE 103	DANA POINT	CA	92629	2587	30	06059	33.46815147	-117.6989145	Orange County
101296	Fee-for-Service	1760974299	1760974299	1	1	NAVARRETE, ROBERTO MD	6/1/2023	208800000X	NA	Other	026	PHYSICIANS	185689	None	None	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
101330	Fee-for-Service	1356769319	1356769319	1	1	NOURI, GOLNAZ DO	2/9/2024	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	19150	None	None	0	In state provider	None	18040 SHERMAN WAY	SUITE 304	RESEDA	CA	91335	4656	19	06037	34.20103048	-118.526787	Los Angeles County
101352	Fee-for-Service	1568104784	1568104784	1	1	NOROLOUNI, SOHEILA	7/11/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1451 QUAIL ST	102	NEWPORT BEACH	CA	92660	2747	30	06059	33.66105363	-117.8688433	Orange County
101395	Fee-for-Service	1144281320	1144281320	1	1	NIEBERG, KENNETH C MD	6/23/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	8386	22	Pathology (M.D. only)	0	In state provider	None	6245 DE LONGPRE AVE	None	HOLLYWOOD	CA	90028	8253	19	06037	34.0962065	-118.325178	Los Angeles County
101432	Fee-for-Service	1427007988	1427007988	1	1	NGO, TON V MD	7/20/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	72653	41	Internal Medicine	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
101497	Fee-for-Service	1215147103	1215147103	2	1	NAIR, ABHILASH P MD	10/10/2019	207RC0200X	NA	Other	026	PHYSICIANS	150863	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	FIVE MEDICAL PLAZA	STE 190	ROSEVILLE	CA	95661	2865	31	06061	38.76523677	-121.2493453	Placer County
101588	Fee-for-Service	1356308050	1356308050	1	1	NASEEM, RAO H MD	2/8/2015	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	-	06	Cardiovascular Disease (M.D. only)	2	Out of state provider	UNIV OF TEXAS SW MED	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7208	00	None	32.812245	-96.841584	Dallas County
101594	Fee-for-Service	1881923688	1881923688	1	1	NORMA JORDAN MINISTRIES	1/17/2017	251S00000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1620 CENTINELA AVE	SUITE 201A, 204	INGLEWOOD	CA	90302	1093	19	06037	33.97711068	-118.3677329	Los Angeles County
101675	Fee-for-Service	1861567299	1861567299	1	1	NEWPORT LANGUAGE & SPEECH	1/25/2011	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	CENTER, INC.	23361 MADERO	STE. 200	MISSION VIEJO	CA	92691	2715	30	06059	33.62396345	-117.6790373	Orange County
101681	Fee-for-Service	1194953430	1194953430	1	1	NICOLAS, MICHELLE K F	10/20/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1100 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
101711	Fee-for-Service	1942770656	1942770656	1	1	NEIRA, SHEILA E NP	8/25/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1851 NORTH LOMBARD	STE 100	OXNARD	CA	93030	8230	56	06111	34.2183512	-119.1493247	Ventura County
101718	Fee-for-Service	1346877917	1346877917	1	1	NEZAM, AHMAD	12/13/2023	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
101720	Fee-for-Service	1497259568	1497259568	1	1	NGUYEN, ALBERT H MD	10/28/2024	208600000X	NA	General Surgery	026	PHYSICIANS	165372	02	General Surgery	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
101741	Fee-for-Service	1164063491	1164063491	1	1	NOBLE'S MARRIAGE AND FAMILY	10/10/2019	251S00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	THERAPY	30900 RANCHO VIEJO RD	STE 140245	SAN JUAN CAPISTRA	CA	92675	1762	30	06059	33.51426052	-117.6622402	Orange County
101771	Fee-for-Service	1275193674	1275193674	1	1	NERSESIAN, MARIE LMFT	8/30/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3434 MENDOCINO AVE	A	SANTA ROSA	CA	95403	2274	49	06097	38.472156	-122.7241935	Sonoma County
101871	Fee-for-Service	1649569245	1649569245	1	1	NAMJOSHI, SHWETA S MD	9/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123822	40	Pediatrics	0	In state provider	None	6041 CADILLAC AVENUE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
101889	Fee-for-Service	1689808693	1689808693	1	1	NUNEZ, WILLIE L MD	10/1/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	163270	30	Radiology	0	In state provider	None	225 N JACKSON AVE	ATTN RADIOLOGY DEPT	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
101896	Fee-for-Service	1902125537	1902125537	1	1	NORDGREN, NINA N MD	4/17/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	156375	18	Ophthalmology	0	In state provider	None	1208 FLOYD AVE	BLDG D	MODESTO	CA	95350	2470	50	06099	37.67801219	-120.977686	Stanislaus County
101958	Fee-for-Service	1437491321	1437491321	1	1	NAIG, SUMIT R MD	2/12/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	147410	36	Psychiatry	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
102033	Fee-for-Service	1306847116	1306847116	1	1	NIETO, ROBERTA L MD	1/26/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	79361	08	Family Practice	0	In state provider	None	1770 N ORANGE GROVE AVE	STE 101	POMONA	CA	91767	3027	19	06037	34.07637624	-117.7492622	Los Angeles County
102067	Fee-for-Service	1518540053	1518540053	1	1	NWOSU, EBERE A NP	10/3/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
102112	Fee-for-Service	1740532878	1740532878	1	1	NINO, DENVER E	4/22/2013	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	12100 EUCLID ST	None	GARDEN GROVE	CA	92840	3304	30	06059	33.786882	-117.9410535	Orange County
102149	Fee-for-Service	1760556468	1760556468	1	1	NYBERG, RICHARD A JR LCSW	5/18/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
102186	Fee-for-Service	1497941397	1497941397	1	1	NIEMI, ANNA-KAISA MD	10/21/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	104907	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	MC 5500	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
102220	Fee-for-Service	1194102962	1194102962	1	1	NGUYEN, JONATHAN K DO MD	7/5/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16109	08	Family Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
102269	Fee-for-Service	1255580494	1255580494	1	2	NAREZ, PATRICIA	5/21/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5250 CLAREMONT AVE STE 1	None	STOCKTON	CA	95207	5700	39	06077	37.99861886	-121.3102123	San Joaquin County
102283	Fee-for-Service	1881765816	1881765816	1	1	NGUYEN, HAROLD H MD	11/6/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	59942	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
102291	Fee-for-Service	1578957478	1578957478	1	1	NEGRETE, LINDSEY M	6/23/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	147852	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
102313	Fee-for-Service	1780011437	1780011437	1	1	NICKERSON, DWAYNE LMFT	11/21/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4193 FLAT ROCK	SUITE 200	RIVERSIDE	CA	92505	7113	33	06065	33.90361212	-117.4930456	Riverside County
102317	Fee-for-Service	1679587679	1679587679	1	1	NEW YORK CITY HEALTH AND HOS	7/10/2021	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1400 PELHAM PARKWAY SOUT	None	BRONX	NY	10461	1138	00	None	40.857111	-73.847448	Bronx County
102359	Fee-for-Service	1245283217	1245283217	1	1	NORTH COAST IMAGING RAD	2/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
102423	Fee-for-Service	1982946281	1982946281	1	1	NGUYEN, GERARD K MD	5/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	148005	30	Radiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3095	19	06037	34.06373445	-118.443537	Los Angeles County
102428	Fee-for-Service	1053748459	1053748459	1	1	NGUYEN, ANDY H DO	10/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14947	None	None	0	In state provider	None	555 WASHINGTON ST	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
102448	Fee-for-Service	1457559783	1457559783	1	1	NGUYEN, CAN PSYD	1/27/2023	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	710 S BROADWAY	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
102497	Fee-for-Service	1477687416	1477687416	1	1	NELSON, SHANNA D LCSW	9/17/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
102531	Fee-for-Service	1386957124	1386957124	1	1	NGO, DANNY K H OD	1/2/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
102594	Fee-for-Service	1679587679	1679587679	1	1	NEW YORK CITY HEALTH AND HOS	7/10/2021	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1400 PELHAM PARKWAY SOUT	None	BRONX	NY	10461	1138	00	None	40.857111	-73.847448	Bronx County
102610	Fee-for-Service	1457348310	1457348310	1	1	NWADEI, FABIAN A MD	3/18/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128694	41	Internal Medicine	0	In state provider	None	2335 E KASHIAN LANE	SUITE 450	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
102707	Fee-for-Service	1790127819	1790127819	1	1	NASIRI, ARIAN K MD	8/12/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	131663	30	Radiology	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
102759	Fee-for-Service	1275653586	1275653586	1	1	NAMATH, ALLEN F MD	7/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80406	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
102814	Fee-for-Service	1649270596	1649270596	1	1	NEUMANN, CHRISTIAN H MD	1/27/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	38431	30	Radiology	0	In state provider	None	1133 N PALM CANYON DR	STE B	PALM SPRINGS	CA	92262	4431	33	06065	33.838164	-116.546796	Riverside County
102929	Fee-for-Service	1558990515	1558990515	1	1	NELSON, ANDREW MD	6/21/2024	207W00000X	NA	Ophthalmology	026	PHYSICIANS	177534	18	Ophthalmology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
102984	Fee-for-Service	1174055149	1174055149	1	1	NGO, DALLIS DO	7/17/2023	207RP1001X	NA	Pulmonology	026	PHYSICIANS	16871	None	None	0	In state provider	None	1940 N ORANGE GROVE AVE	None	POMONA	CA	91767	3002	19	06037	34.07889352	-117.7478982	Los Angeles County
103021	Fee-for-Service	1356617518	1356617518	1	1	NATHAN RAINWATER	7/29/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1034 N 500 W	None	PROVO	UT	84604	3380	00	None	40.248072	-111.6673905	Utah County
103026	Fee-for-Service	1346741469	1346741469	1	1	NGUYEN, DOMINIQUE C LMFT	2/10/2025	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2001 JUNIPERO SERRA BLVD	STE 650	DALY CITY	CA	94014	3891	41	06081	37.70124814	-122.4706974	San Mateo County
103032	Fee-for-Service	1508640582	1508640582	1	1	NGUYEN, ANH NP	5/7/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9126 VALLEY BLVD STE B	None	ROSEMEAD	CA	91770	1987	19	06037	34.08089747	-118.0704869	Los Angeles County
103045	Fee-for-Service	1073344172	1073344172	1	1	NGUYEN, ALEXANDRA PT	9/4/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1392 E PALOMAR ST	503	CHULA VISTA	CA	91913	1892	37	06073	32.62360793	-116.9969964	San Diego County
103047	Fee-for-Service	1275653586	1275653586	1	1	NAMATH, ALLEN F MD	7/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80406	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
103051	Fee-for-Service	1730913658	1730913658	1	1	NATIONAL TRANSIT INC.	10/2/2024	No Taxonomy Provided	NMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1301 W 2ND ST	STE 115	LOS ANGELES	CA	90026	5860	19	06037	34.06071325	-118.2584177	Los Angeles County
103088	Fee-for-Service	1710482955	1710482955	1	1	NEWTON, KEITH	4/15/2024	207L00000X	NA	Other	026	PHYSICIANS	174527	05	Anesthesiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
103140	Fee-for-Service	1588716393	1588716393	1	1	NGUYEN, TUAN M. NP	2/8/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1901 N MACARTHUR BLVD	None	IRVING	TX	75061	2220	00	None	32.834691	-96.95924802	Dallas County
103158	Fee-for-Service	1538651948	1538651948	1	1	NGUYEN, AMY T OD	12/11/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4210 HIGHLAND AVE	None	HIGHLAND	CA	92346	2742	36	06071	34.137684	-117.1947915	San Bernardino County
103175	Fee-for-Service	1851317564	1851317564	1	1	NOSE, PETER S MD	6/21/2000	207L00000X	NA	Other	026	PHYSICIANS	67948	05	Anesthesiology	0	In state provider	None	16795 LARK AVE	STE 230	LOS GATOS	CA	95032	7650	43	06085	37.25302151	-121.966891	Santa Clara County
103179	Fee-for-Service	1093776304	1093776304	1	1	NEPHROLOGY MED GRP INC	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	None	1019 W LA PALMA AVE	STE A	ANAHEIM	CA	92801	1825	30	06059	33.84719151	-117.931329	Orange County
103220	Fee-for-Service	1730524059	1730524059	1	1	NHAN, DANNY MD	1/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132489	01	General Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
103303	Fee-for-Service	1457771461	1457771461	1	1	NASIR, ALI A DO	12/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15691	41	Internal Medicine	0	In state provider	None	2160 APPIAN WAY	STE 200	PINOLE	CA	94564	2565	07	06013	37.99585174	-122.3021549	Contra Costa County
103336	Fee-for-Service	1346616695	1346616695	1	2	NUVATION PAIN GROUP	10/18/2024	208VP0014X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	None	5832 BEACH BLVD	209	BUENA PARK	CA	90621	5501	30	06059	33.875469	-117.9981525	Orange County
103354	Fee-for-Service	1790854958	1790854958	1	1	NG, NOLAN R	2/16/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	795 E SECOND ST	STE 2	POMONA	CA	91766	2020	19	06037	34.05845654	-117.7423951	Los Angeles County
103449	Fee-for-Service	1376614735	1376614735	1	1	NORTHERN CALIFORNIA TRAUMA	5/12/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	89	Surgery-Traumatic	0	In state provider	MEDICAL GROUP INC	2505 SAMARITAN DR	STE 601	SAN JOSE	CA	95124	4017	43	06085	37.25111447	-121.9483395	Santa Clara County
103518	Fee-for-Service	1205914983	1205914983	1	1	NGUYEN, QUANG LE MD	5/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78947	None	None	0	In state provider	None	6405 DAY ST	None	RIVERSIDE	CA	92507	0901	33	06065	33.934059	-117.2789475	Riverside County
103592	Fee-for-Service	1467056879	1467056879	1	1	NC HOSPICE INC	5/26/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	224 E OLIVE AVE	STE 219	BURBANK	CA	91502	1234	19	06037	34.18109046	-118.3084839	Los Angeles County
103600	Fee-for-Service	1720321755	1720321755	1	1	NARDI, MELISSA A DO	7/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13524	41	Internal Medicine	0	In state provider	None	4077 5TH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
103625	Fee-for-Service	1346616695	1346616695	1	2	NUVATION PAIN GROUP	10/18/2024	208VP0014X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	5832 BEACH BLVD	209	BUENA PARK	CA	90621	5501	30	06059	33.875469	-117.9981525	Orange County
103674	Fee-for-Service	1265753040	1265753040	1	1	NGUYEN, LAN T MD	5/31/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118694	41	Internal Medicine	0	In state provider	None	1165 MONTGOMERY DRIVE	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
103693	Fee-for-Service	1871977199	1871977199	1	1	NGHE, LILLIAN OD	3/14/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12100 WILSHIRE BLVD.	SUITE 1275	LOS ANGELES	CA	90025	7143	19	06037	34.04370122	-118.4678993	Los Angeles County
103719	Fee-for-Service	1407963382	1407963382	1	1	NAUENBERG, TERESA MD	6/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66148	41	Internal Medicine	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
103739	Fee-for-Service	1376614735	1376614735	1	1	NORTHERN CALIFORNIA TRAUMA	5/12/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	MEDICAL GROUP INC	2505 SAMARITAN DR	STE 601	SAN JOSE	CA	95124	4017	43	06085	37.25111447	-121.9483395	Santa Clara County
103752	Fee-for-Service	1952957904	1952957904	1	1	NACHEMBE MUSONDA, HAZEL N LC	9/5/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	SW	357 W 2ND ST	3	SAN BERNARDINO	CA	92401	1800	36	06071	34.10268251	-117.2909205	San Bernardino County
103805	Fee-for-Service	1619962552	1619962552	1	1	NICHOLAS, KHANH T MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	53920	07	Dermatology	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
103875	Fee-for-Service	1528626595	1528626595	1	1	NABIYEV, LAUREN M CNM	6/21/2020	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
103883	Fee-for-Service	1467056879	1467056879	1	1	NC HOSPICE INC	5/26/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	224 E OLIVE AVE	STE 219	BURBANK	CA	91502	1234	19	06037	34.18109046	-118.3084839	Los Angeles County
103924	Fee-for-Service	1992978324	1992978324	1	1	NORTHPARK OPTOMETRY INC	7/9/2008	193400000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3971 IRVINE BLVD	SUITE 110	IRVINE	CA	92602	2483	30	06059	33.72261953	-117.7725183	Orange County
103978	Fee-for-Service	1689998775	1689998775	1	1	NGUYEN, KIM T MD	8/31/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108267	67	Endocrinology	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
104024	Fee-for-Service	1831126036	1831126036	1	1	NGUYEN, THAO N MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77899	40	Pediatrics	0	In state provider	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
104056	Fee-for-Service	1942468525	1942468525	1	1	NGUYEN, TAN Q MD	8/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103725	08	Family Practice	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
104064	Fee-for-Service	1477591139	1477591139	1	1	NABIL METWALLY MD	11/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5450 FORT ST	None	TRENTON	MI	48183	4601	00	None	42.116814	-83.213901	Wayne County
104131	Fee-for-Service	1154692598	1154692598	1	1	NGUYEN, THUAN T A	11/4/2011	208200000X	NA	General Surgery	026	PHYSICIANS	55079	24	Plastic Surgery	0	In state provider	PROFESSIONAL CORPORATION	11190 WARNER AVE	SUITE 400	FOUNTAIN VALLEY	CA	92708	4019	30	06059	33.714	-117.9333585	Orange County
104148	Fee-for-Service	1942339569	1942339569	1	1	NGUYEN, CYNTHIS THU OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1964 N TUSTIN ST	None	ORANGE	CA	92865	3950	30	06059	33.820767	-117.836028	Orange County
104166	Fee-for-Service	1669669297	1669669297	1	1	NORDLIN, KRISTINA A LMFT	4/25/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
104180	Fee-for-Service	1437537966	1437537966	1	1	NOSAVAN, NINA MD	5/17/2022	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	147590	None	None	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
104181	Fee-for-Service	1164788782	1164788782	1	1	NOEL, KATHERINE R MD	5/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	335 KATHERINE AVENUE	SUITE 1	SALINAS	CA	93901	3176	27	06053	36.65981144	-121.6491192	Monterey County
104209	Fee-for-Service	1639396104	1639396104	1	1	NOIWANGMUANG, WANLOP	8/16/2010	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
104266	Fee-for-Service	1689998775	1689998775	1	1	NGUYEN, KIM T MD	8/31/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108267	01	General Practice	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
104279	Fee-for-Service	1912479866	1912479866	1	1	NURTURE COLLECTIVE	11/29/2020	224ZF0002X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7313 WHITTIER AVE	None	WHITTIER	CA	90602	1132	19	06037	33.975027	-118.043219	Los Angeles County
104287	Fee-for-Service	1124559885	1124559885	1	1	NEILL, EMILY H MD	7/12/2021	207P00000X	NA	Other	026	PHYSICIANS	159927	None	None	0	In state provider	None	1001 POTRERO AVE	RM 1E21	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
104314	Fee-for-Service	1831126036	1831126036	1	1	NGUYEN, THAO N MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77899	41	Internal Medicine	0	In state provider	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
104357	Fee-for-Service	1720180094	1720180094	1	1	NACIANCENO, SALOME E MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	29762	41	Internal Medicine	0	In state provider	None	175 N JACKSON AVE	STE 110	SAN JOSE	CA	95116	1909	43	06085	37.36217918	-121.8472051	Santa Clara County
104375	Fee-for-Service	1306422399	1306422399	1	1	NGUYEN, DEREK MD	10/7/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1100 VAN NESS AVE	None	SAN FRANCISCO	CA	94109	6978	38	06075	37.78594176	-122.421322	San Francisco County
104388	Fee-for-Service	1376505867	1376505867	1	1	NICHOLLS,CHAD MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3460 S PIONEER PRKWY	None	WEST VALLEY CITY	UT	84120	2049	00	None	40.697982	-111.9903965	Salt Lake County
104420	Fee-for-Service	1841272523	1841272523	1	1	NAPAN INTERNATIONAL INC	3/30/2007	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	NAPAN MEDICAL SUPPLIES	4511 ORANGE AVE	None	LONG BEACH	CA	90807	2309	19	06037	33.84065977	-118.1763407	Los Angeles County
104421	Fee-for-Service	1861477044	1861477044	1	1	NGUYEN, BANG T DO	9/3/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	9726	41	Internal Medicine	0	In state provider	None	2141 N HARBOR BLVD	STE 25000	FULLERTON	CA	92835	3830	30	06059	33.89443025	-117.9288328	Orange County
104423	Fee-for-Service	1467824177	1467824177	1	1	NEFF, KATHLEEN CD	7/3/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	33	06065	0	0	None
104475	Fee-for-Service	1427241975	1427241975	1	1	NGUYEN, MARIELLE MD	2/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77844	40	Pediatrics	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
104567	Fee-for-Service	1912479866	1912479866	1	1	NURTURE COLLECTIVE	11/29/2020	224ZF0002X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7313 WHITTIER AVE	None	WHITTIER	CA	90602	1132	19	06037	33.975027	-118.043219	Los Angeles County
104584	Fee-for-Service	1164954145	1164954145	1	1	NGUYEN, STANLEY DO	8/20/2021	207R00000X	NA	Other	026	PHYSICIANS	17845	None	None	0	In state provider	None	24411 HEALTH CENTER DR	STE 680	LAGUNA HILLS	CA	92653	3692	30	06059	33.6087201	-117.7076948	Orange County
104591	Fee-for-Service	1588808547	1588808547	1	1	NUESTRA CLINICA INC	10/30/2009	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	4477 WHITTIER BLVD	None	LOS ANGELES	CA	90022	1535	19	06037	34.02343297	-118.1714844	Los Angeles County
104616	Fee-for-Service	1043629504	1043629504	1	1	NASEHI, LEYLA MD	5/7/2019	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	160034	30	Radiology	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
104633	Fee-for-Service	1083626212	1083626212	1	1	NGHIEM, ELIZABETH MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	62911	77	Infectious Disease	0	In state provider	None	11160 WARNER AVE	STE 323	FOUNTAIN VALLEY	CA	92708	4055	30	06059	33.71630854	-117.934317	Orange County
104662	Fee-for-Service	1427462290	1427462290	1	1	NGUYEN, SHAWN V DO	10/4/2018	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	14272	20	Orthopedic Surgery	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
104672	Fee-for-Service	1619439833	1619439833	1	1	NGUYEN, AN MD	7/18/2024	207RE0101X	NA	Endocrinology	026	PHYSICIANS	176077	41	Internal Medicine	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
104702	Fee-for-Service	1821130774	1821130774	1	1	NAGY, THOMAS F PHD	9/30/1990	103TP2700X	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
104763	Fee-for-Service	1427241975	1427241975	1	1	NGUYEN, MARIELLE MD	2/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77844	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
104772	Fee-for-Service	1629079009	1629079009	1	5	NORTHEAST VALLEY HEALTH	1/13/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	7843 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	2523	19	06037	34.213581	-118.3878055	Los Angeles County
104858	Fee-for-Service	1912479866	1912479866	1	1	NURTURE COLLECTIVE	4/12/2022	224ZF0002X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	7313 WHITTIER AVE	None	WHITTIER	CA	90602	1132	19	06037	33.975027	-118.043219	Los Angeles County
104866	Fee-for-Service	1922593912	1922593912	1	1	NEZHEVENKO, OLGA PT	9/9/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
104907	Fee-for-Service	1295718211	1295718211	1	1	NATHAN, THUSA MD	12/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87830	10	Gastroenterology (M.D. only)	0	In state provider	None	801 S CHEVY CHASE DR	STE 102	GLENDALE	CA	91205	4437	19	06037	34.136757	-118.2396195	Los Angeles County
104952	Fee-for-Service	1538562996	1538562996	1	1	NAPA VALLEY COMMUNITY	7/1/2016	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	2277 NAPA VALLEJO HWY	None	NAPA	CA	94558	6236	28	06055	38.272905	-122.276601	Napa County
104960	Fee-for-Service	1619439833	1619439833	1	1	NGUYEN, AN MD	7/18/2024	207RE0101X	NA	Endocrinology	026	PHYSICIANS	176077	67	Endocrinology	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
104982	Fee-for-Service	1548465149	1548465149	1	1	NARAPASETTY, KALPANA MD	9/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101916	41	Internal Medicine	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95015	5173	43	06085	37.33578	-121.999329	Santa Clara County
105058	Fee-for-Service	1629079009	1629079009	1	5	NORTHEAST VALLEY HEALTH	1/13/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	7843 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	2523	19	06037	34.213581	-118.3878055	Los Angeles County
105075	Fee-for-Service	1205193828	1205193828	1	1	NGUYEN, KEN D MD	9/20/2018	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	127222	10	Gastroenterology (M.D. only)	0	In state provider	None	50 ALESSANDRO PLACE	SUITE 440	PASADENA	CA	91105	0000	19	06037	34.13101049	-118.151532	Los Angeles County
105110	Fee-for-Service	1841451143	1841451143	1	1	NASSIRI, ARMIN K MD	3/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	131960	36	Psychiatry	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
105144	Fee-for-Service	1912479866	1912479866	1	1	NURTURE COLLECTIVE	4/21/2022	224ZF0002X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	7313 WHITTIER AVE	None	WHITTIER	CA	90602	1132	19	06037	33.975027	-118.043219	Los Angeles County
105148	Fee-for-Service	1982771713	1982771713	1	1	NG, PATRICIA M MD	12/31/2007	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	94618	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
105177	Fee-for-Service	1942662747	1942662747	1	1	NGUYEN, CRYSTAL MD	10/17/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	157999	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
105184	Fee-for-Service	1538836903	1538836903	1	1	NAKAMURA, KELSEY PT	9/8/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3413 W PACIFIC AVE	100, 200	BURBANK	CA	91505	1555	19	06037	34.18839272	-118.3485967	Los Angeles County
105198	Fee-for-Service	1295718211	1295718211	1	1	NATHAN, THUSA MD	12/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87830	41	Internal Medicine	0	In state provider	None	801 S CHEVY CHASE DR	STE 102	GLENDALE	CA	91205	4437	19	06037	34.136757	-118.2396195	Los Angeles County
105213	Fee-for-Service	1013072081	1013072081	1	1	NAGEL, MARNI C S PHD	10/19/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
105242	Fee-for-Service	1538562996	1538562996	1	1	NAPA VALLEY COMMUNITY	5/21/2015	261QS1000X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	2277 NAPA VALLEJO HWY	None	NAPA	CA	94558	6236	28	06055	38.272905	-122.276601	Napa County
105265	Fee-for-Service	1457390650	1457390650	1	1	NEUMANN, JOHN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	401 S BALLENGER HWY	None	FLINT	MI	48532	3638	00	None	43.01432039	-83.73359605	Genesee County
105268	Fee-for-Service	1730428053	1730428053	1	1	NGUYEN, MYLINH T MD	6/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	124436	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
105325	Fee-for-Service	1881709673	1881709673	1	2	NEUROSURGICAL MEDICAL	8/8/2017	207T00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	CLINIC, INC	3750 CONVOY ST	STE 301	SAN DIEGO	CA	92111	3741	37	06073	32.81201122	-117.1531108	San Diego County
105345	Fee-for-Service	1376571323	1376571323	1	1	NORTH BROWARD HOSPITAL DISTR	10/19/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	201 E SAMPLE RD	None	POMPANO BEACH	FL	33064	3502	00	None	26.277021	-80.121357	Broward County
105452	Fee-for-Service	1801390042	1801390042	1	1	NIKOOMANESH, TINA DO	2/5/2023	207RE0101X	NA	Endocrinology	026	PHYSICIANS	17855	None	None	0	In state provider	None	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	19	06037	34.06704253	-118.3835029	Los Angeles County
105468	Fee-for-Service	1215296348	1215296348	1	1	NARAYANAN, RAMKISHEN MD	12/16/2019	208800000X	NA	Other	026	PHYSICIANS	147813	34	Urology and Urological Surgery	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
105475	Fee-for-Service	1992991418	1992991418	1	1	NGUYEN, HIEU N LCSW	5/8/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2900 BRISTOL ST	BLDG J STE 204	GARDEN GROVE	CA	92626	8010	30	06059	33.67689875	-117.8872016	Orange County
105502	Fee-for-Service	1336644129	1336644129	1	1	NGO, DANNY MD	11/2/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	165011	None	None	0	In state provider	None	955 W IMPERIAL HWY	SUITE 110	BREA	CA	92821	3812	30	06059	33.91745451	-117.9133065	Orange County
105517	Fee-for-Service	1730203316	1730203316	1	1	NORCAL IMAGING	3/13/2007	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	3200 TELEGRAPH AVE	None	OAKLAND	CA	94609	3016	01	06001	37.82094258	-122.2666409	Alameda County
105547	Fee-for-Service	1598703647	1598703647	1	11	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	728 EAST VALLEY PARKWAY	None	ESCONDIDO	CA	92025	3052	37	06073	33.12769389	-117.0730873	San Diego County
105556	Fee-for-Service	1730428053	1730428053	1	1	NGUYEN, MYLINH T MD	6/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	124436	40	Pediatrics	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
105562	Fee-for-Service	1265727762	1265727762	1	2	NAVARRO PAIN CONTROL GROUP	3/2/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	2452 FENTON STREET	SUITE C203	CHULA VISTA	CA	91914	3599	37	06073	32.65084353	-116.9551689	San Diego County
105614	Fee-for-Service	1003886615	1003886615	1	1	NOTA, DAVID J OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	SAN CLEMENTE OPTOMETRY	224 AVENIDA DEL MAR	STE A	SAN CLEMENTE	CA	92672	4011	30	06059	33.42517497	-117.6162212	Orange County
105621	Fee-for-Service	1548851280	1548851280	1	1	NAVNEET K. BODDU, M. D. A PR	5/26/2021	207LP2900X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	VE SPECIALISTS	2125 S EL CAMINO REAL	STE 200	OCEANSIDE	CA	92054	6260	37	06073	33.18895278	-117.3283467	San Diego County
105631	Fee-for-Service	1376571323	1376571323	1	1	NORTH BROWARD HOSPITAL DISTR	10/19/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	201 E SAMPLE RD	None	POMPANO BEACH	FL	33064	3502	00	None	26.277021	-80.121357	Broward County
105796	Fee-for-Service	1770970352	1770970352	1	1	NGUYEN, ASHLEY B MD	4/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147366	41	Internal Medicine	0	In state provider	None	1 HOAG DRIVE	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
105823	Fee-for-Service	1922020007	1922020007	1	1	NEASE, JOYCE PHD	3/7/2001	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	8322 CLAIREMONT MESA BLV	STE 203	SAN DIEGO	CA	92111	1317	37	06073	32.83292631	-117.1448963	San Diego County
105835	Fee-for-Service	1598703647	1598703647	1	11	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	728 EAST VALLEY PARKWAY	None	ESCONDIDO	CA	92025	3052	37	06073	33.12769389	-117.0730873	San Diego County
105924	Fee-for-Service	1295752384	1295752384	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH	207 N BUTTE ST	None	WILLOWS	CA	95988	2803	11	06021	39.52212468	-122.195408	Glenn County
105926	Fee-for-Service	1851711733	1851711733	1	1	NGUYEN, ANNIE MD	7/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155551	18	Ophthalmology	0	In state provider	None	1450 SAN PABLO ST	STE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
105937	Fee-for-Service	1548028079	1548028079	1	1	NOELLE'S TOUCH	3/16/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	19	06037	0	0	None
105967	Fee-for-Service	1639497316	1639497316	1	1	NI, JAKE J MD	11/8/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	134943	None	None	0	In state provider	None	632 W GIBSON RD	None	WOODLAND	CA	95695	5169	57	06113	38.66314048	-121.794696	Yolo County
105990	Fee-for-Service	1982776639	1982776639	1	1	NGUYEN, DANIEL D MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	80436	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
106041	Fee-for-Service	1215021167	1215021167	1	1	NGUYEN, LIEU S MD APC	12/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	43217	08	Family Practice	0	In state provider	None	15032 PRAIRIE AVE	None	HAWTHORNE	CA	90250	8316	19	06037	33.89526	-118.3437705	Los Angeles County
106046	Fee-for-Service	1033785852	1033785852	1	1	NYAMWEYA TEKESTE, CAROLINE	11/18/2024	208M00000X	NA	Other	026	PHYSICIANS	23179	08	Family Practice	0	In state provider	DO	1000 GREENLEY RD	None	SONORA	CA	95370	5200	55	06109	37.97749352	-120.3700335	Tuolumne County
106123	Fee-for-Service	1598703647	1598703647	1	11	NEIGHBORHOOD HEALTHCARE	1/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	728 EAST VALLEY PARKWAY	None	ESCONDIDO	CA	92025	3052	37	06073	33.12769389	-117.0730873	San Diego County
106174	Fee-for-Service	1912032392	1912032392	1	1	NGO, UYEN T OD	10/11/1996	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1155 N CAPITOL AVE	STE 180	SAN JOSE	CA	95132	2500	43	06085	37.38760003	-121.8618498	Santa Clara County
106209	Fee-for-Service	1295752384	1295752384	1	1	NORTHERN VALLEY INDIAN	9/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH	207 N BUTTE ST	None	WILLOWS	CA	95988	2803	11	06021	39.52212468	-122.195408	Glenn County
106228	Fee-for-Service	1811709108	1811709108	1	1	NORMAN, LINDSEY LPCC	2/17/2025	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	27412 ENTERPRISE CIR W	STE. 205	TEMECULA	CA	92590	4875	33	06065	33.51594134	-117.1669025	Riverside County
106303	Fee-for-Service	1114309457	1114309457	1	1	NIBBER, AMISHA MD	5/24/2019	207R00000X	NA	Other	026	PHYSICIANS	152320	41	Internal Medicine	0	In state provider	None	2335 E KASHIAN LANE	STE 450	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
106387	Fee-for-Service	1477613735	1477613735	1	1	NGUYEN, VAN T CRNA	1/19/2007	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
106412	Fee-for-Service	1598703647	1598703647	1	11	NEIGHBORHOOD HEALTHCARE	10/27/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	728 EAST VALLEY PARKWAY	None	ESCONDIDO	CA	92025	3052	37	06073	33.12769389	-117.0730873	San Diego County
106446	Fee-for-Service	1679657449	1679657449	1	1	NGUYEN, JAMES Q	12/1/2001	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1125 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	4640	19	06037	34.01086884	-118.1125396	Los Angeles County
106455	Fee-for-Service	1962277475	1962277475	1	1	NGUY, MATTHEW	1/1/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2115 MONTIEL RD	STE 103	SAN MARCOS	CA	92069	3587	37	06073	33.1322413	-117.1176172	San Diego County
106465	Fee-for-Service	1124556592	1124556592	1	1	NORTH COUNTY SENIOR SERVICES	2/1/2019	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	11391 ACACIA PARKWAY	None	GARDEN GROVE	CA	92840	5310	30	06059	33.77613256	-117.9339721	Orange County
106476	Fee-for-Service	1750484101	1750484101	1	1	NEASE, MICHAEL C	11/16/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	17815 COUNTRYSIDE CT	None	SALINAS	CA	93907	8804	27	06053	36.79560029	-121.6680603	Monterey County
106498	Fee-for-Service	1295752384	1295752384	1	1	NORTHERN VALLEY INDIAN	7/15/2000	261Q00000X	NA	Other	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HEALTH	207 N BUTTE ST	None	WILLOWS	CA	95988	2803	11	06021	39.52212468	-122.195408	Glenn County
106502	Fee-for-Service	1063197382	1063197382	1	1	NOVA VITAE INC	9/19/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	5985 TOPANGA CANYON BLVD	None	WOODLAND HILLS	CA	91367	3623	19	06037	34.17887145	-118.60526	Los Angeles County
106521	Fee-for-Service	1538208640	1538208640	1	1	NOURI, SARA MD	10/19/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	97023	84	Surgery-Head and Neck	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
106544	Fee-for-Service	1154783645	1154783645	1	1	NGUYEN, MINHVU H MD	1/2/2025	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	152992	77	Infectious Disease	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
106545	Fee-for-Service	1063881886	1063881886	1	1	NIEWALD, RONALD LMFT	3/19/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2185 W GRANT LINE RD	None	TRACY	CA	95377	7309	39	06077	37.75425686	-121.4567805	San Joaquin County
106674	Fee-for-Service	1306413893	1306413893	1	1	NEPTUNE HOME HEALTH CARE,	1/18/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	1341 E COLORADO ST	None	GLENDALE	CA	91205	1462	19	06037	34.14274439	-118.2359635	Los Angeles County
106679	Fee-for-Service	1902194715	1902194715	1	1	NGUYEN, TRAM MAI OD	6/20/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	557 H STREET	STE B	CHULA VISTA	CA	91910	6666	37	06073	32.63145066	-117.087815	San Diego County
106700	Fee-for-Service	1750667192	1750667192	1	2	NGUYEN, THERESA THANH N MD	11/17/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	INC	15576 BROOKHURST ST	STE B	WESTMINSTER	CA	92683	7571	30	06059	33.73645405	-117.9546868	Orange County
106753	Fee-for-Service	1669976882	1669976882	1	1	NAYAK, ASHWIN K MD	5/21/2021	207R00000X	NA	Other	026	PHYSICIANS	163627	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
106777	Fee-for-Service	1023033875	1023033875	1	1	NEUHAUSER, CATHY G PHD	2/8/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	523 G STREET	SUITE 3	DAVIS	CA	95616	3860	57	06113	38.5482128	-121.7401682	Yolo County
106800	Fee-for-Service	1548484215	1548484215	1	1	NGUYEN, LINHKIEU T MD INC	9/8/2004	193400000X	NA	Other	026	PHYSICIANS	83886	08	Family Practice	0	In state provider	None	3575 EUCLID AVE	STE 100	SAN DIEGO	CA	92105	2921	37	06073	32.7436984	-117.0923282	San Diego County
106814	Fee-for-Service	1154875789	1154875789	1	1	NICHOLS, MARY KAITLYN PSYD	5/18/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
106823	Fee-for-Service	1366520926	1366520926	1	1	NIMNI, BRIAN S MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	79097	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
106852	Fee-for-Service	1467480459	1467480459	1	1	NIIHARA, YUTAKA MD	10/31/1991	207RH0003X	NA	Oncology	026	PHYSICIANS	64227	68	Hematology	0	In state provider	None	1000 W CARSON ST	None	TORRANCE	CA	90502	2004	19	06037	33.83155851	-118.2920625	Los Angeles County
106859	Fee-for-Service	1023358397	1023358397	1	2	NEW DIRECTIONS ALCOHOL & DRU	5/21/2021	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	G SERVICES, INC.	1331 WEST AVE J	SUITE 103 AND SUITE 206	LANCASTER	CA	93534	2954	19	06037	34.68946152	-118.155699	Los Angeles County
106860	Fee-for-Service	1225667991	1225667991	1	1	NEMOVI, KHASHAYAR MD	5/17/2023	207R00000X	NA	Other	026	PHYSICIANS	183014	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
106885	Fee-for-Service	1750736260	1750736260	1	1	NIMZ, ABIGAIL MD	6/14/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	152891	08	Family Practice	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
106926	Fee-for-Service	1831288034	1831288034	1	1	NOVA CONNER PATEL, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
106974	Fee-for-Service	1598780736	1598780736	1	1	NG, BERNARDO MD	10/24/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	48774	-	NOT APPLICABLE	0	In state provider	None	535 W CESAR CHAVEZ BLVD	None	CALEXICO	CA	92231	2103	13	06025	32.67021337	-115.5022183	Imperial County
106990	Fee-for-Service	1225299043	1225299043	1	1	NGUYEN, SON B DO	12/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11837	01	General Practice	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
106995	Fee-for-Service	1629553730	1629553730	1	1	NARINDER S. GREWAL MD	5/26/2021	261QP3300X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	ICAL GROUP	23861 MCBEAN PKWY	STE. B18	VALENCIA	CA	91355	4456	19	06037	34.39567343	-118.5542698	Los Angeles County
107045	Fee-for-Service	1093147613	1093147613	1	1	NGUYEN, CINDY P OD	7/20/2016	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2980 E CAPITOL EXPY	STE 20	SAN JOSE	CA	95148	4246	43	06085	37.33024428	-121.8119226	Santa Clara County
107066	Fee-for-Service	1154429793	1154429793	1	1	NEELY, MICHAEL N MD	11/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	80761	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
107138	Fee-for-Service	1467480459	1467480459	1	1	NIIHARA, YUTAKA MD	10/31/1991	207RH0003X	NA	Oncology	026	PHYSICIANS	64227	41	Internal Medicine	0	In state provider	None	1000 W CARSON ST	None	TORRANCE	CA	90502	2004	19	06037	33.83155851	-118.2920625	Los Angeles County
107148	Fee-for-Service	1952697617	1952697617	1	2	NOMAN MEDICAL CORPORATION	3/14/2017	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	131 E 17TH ST	None	COSTA MESA	CA	92627	3792	30	06059	33.63691924	-117.9209867	Orange County
107181	Fee-for-Service	1356315410	1356315410	1	1	NGUYEN, DUC C MD	3/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	76681	02	General Surgery	0	In state provider	None	473 WEST EATON	None	TRACY	CA	95376	8335	39	06077	37.74337767	-121.4327182	San Joaquin County
107200	Fee-for-Service	1508824178	1508824178	1	1	NORCROSS, WILLIAM A MD	11/17/1981	207QG0300X	NA	Adult Primary Care	026	PHYSICIANS	30804	None	None	0	In state provider	None	2027 SUNSET CLIFFS BLVD	None	SAN DIEGO	CA	92107	2515	37	06073	32.74692901	-117.2456884	San Diego County
107283	Fee-for-Service	1629553730	1629553730	1	1	NARINDER S. GREWAL MD	2/26/2021	261QP3300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ICAL GROUP	23861 MCBEAN PKWY	STE. B18	VALENCIA	CA	91355	4456	19	06037	34.39567343	-118.5542698	Los Angeles County
107305	Fee-for-Service	1285245936	1285245936	1	1	NIRVANA HOSPICE INC	10/18/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14120 VICTORY BLVD	#104	VAN NUYS	CA	91401	1927	19	06037	34.18663554	-118.440702	Los Angeles County
107321	Fee-for-Service	1043730435	1043730435	1	1	NGUYEN, THANH HUONG L MD	7/17/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	158249	40	Pediatrics	0	In state provider	None	7720 N FRESNO ST	104	FRESNO	CA	93720	2407	10	06019	36.85068226	-119.7836282	Fresno County
107364	Fee-for-Service	1487121562	1487121562	1	1	NEW HOPE FAMILY COUNSELING C	1/17/2022	103TP2701X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ENTER	11455 PARAMOUNT BLVD	SUITE F	DOWNEY	CA	90241	4550	19	06037	33.94022241	-118.1398143	Los Angeles County
107375	Fee-for-Service	1124550926	1124550926	1	1	NAPIAL, JOSHUA MD	8/16/2022	208M00000X	NA	Other	026	PHYSICIANS	17826	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
107425	Fee-for-Service	1467480459	1467480459	1	1	NIIHARA, YUTAKA MD	10/31/1991	207RH0003X	NA	Oncology	026	PHYSICIANS	64227	78	Neoplastic Diseases/Oncology	0	In state provider	None	1000 W CARSON ST	None	TORRANCE	CA	90502	2004	19	06037	33.83155851	-118.2920625	Los Angeles County
107452	Fee-for-Service	1124000757	1124000757	1	1	NOURISAMIE, KOUROSH MD	7/11/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81741	None	None	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
107488	Fee-for-Service	1104032028	1104032028	1	1	NADIR, EHREEMA J. MD	12/6/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4530 E MUIRWOOD DR	STE 105	PHOENIX	AZ	85048	0000	00	None	33.303006	-111.9855375	Maricopa County
107490	Fee-for-Service	1649307802	1649307802	1	1	NORTH COUNTY HEALTH PROJECT,	8/2/2010	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC.	605 CROUCH STREET	BUILDING C	OCEANSIDE	CA	92054	4415	37	06073	33.19619156	-117.3537219	San Diego County
107520	Fee-for-Service	1821441114	1821441114	1	2	NUNEZ, NOEL NP	10/3/2016	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16237 VENTURA BLVD	None	ENCINO	CA	91436	2201	19	06037	34.15686987	-118.4871369	Los Angeles County
107524	Fee-for-Service	1942773734	1942773734	1	1	NOWRX INC	3/12/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1310 TULLY RD	SUITE 101	SAN JOSE	CA	95122	3054	43	06085	37.31710924	-121.8334186	Santa Clara County
107542	Fee-for-Service	1104221704	1104221704	1	1	NIJJAR, JASREENA K MD	11/12/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	156297	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
107593	Fee-for-Service	1285245936	1285245936	1	1	NIRVANA HOSPICE INC	10/18/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14120 VICTORY BLVD	#104	VAN NUYS	CA	91401	1927	19	06037	34.18663554	-118.440702	Los Angeles County
107617	Fee-for-Service	1194764423	1194764423	1	1	NEHRA, ARVIND MD	3/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	65700	30	Radiology	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
107634	Fee-for-Service	1679505333	1679505333	1	1	NIEVES, MIGUEL A MD	8/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	56040	01	General Practice	0	In state provider	None	2110 PROFESSIONAL DR	STE 100	ROSEVILLE	CA	95661	3752	31	06061	38.74234873	-121.2521259	Placer County
107658	Fee-for-Service	1760709976	1760709976	1	1	NOURBAKHSH, BARDIA MD	5/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127912	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
107707	Fee-for-Service	1851820872	1851820872	1	2	NORCO VALLEY OPTOMETRY, INC	10/24/2021	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1700 HAMNER AVE	102	NORCO	CA	92860	2957	33	06065	33.90719003	-117.5615198	Riverside County
107715	Fee-for-Service	1851310452	1851310452	1	1	NATHANSON, STEPHEN M MD	7/31/1987	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	43977	40	Pediatrics	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
107742	Fee-for-Service	1497381461	1497381461	1	1	NARRA, GOPI	6/6/2024	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1050 WEST GALLERIA DRIVE	None	HENDERSON	NV	89011	4800	00	None	36.07123413	-115.0308684	Clark County
107836	Fee-for-Service	1366046211	1366046211	1	1	NORTH AIRPORT RIDE LLC	5/13/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1245 THARP RD	F	YUBA CITY	CA	95993	2647	51	06101	39.14499709	-121.6484309	Sutter County
107847	Fee-for-Service	1700026416	1700026416	1	1	NG, VIVIAN MD	8/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111047	41	Internal Medicine	0	In state provider	None	1190 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48941956	-122.2227204	San Mateo County
107912	Fee-for-Service	1750658951	1750658951	1	1	NABHANI, JAMAL A MD	5/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	118765	34	Urology and Urological Surgery	0	In state provider	None	200 UCLA MEDICAL PLAZA	None	LOS ANGELES	CA	90095	2141	19	06037	34.065126	-118.446237	Los Angeles County
107947	Fee-for-Service	1629079009	1629079009	1	6	NORTHEAST VALLEY HEALTH	4/14/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	7138 VAN NUYS BLVD	None	VAN NUYS	CA	91405	3005	19	06037	34.200464	-118.4487407	Los Angeles County
108067	Fee-for-Service	1295942381	1295942381	1	1	NASIR, JAVED M MD	1/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135842	None	None	0	In state provider	None	1783 EL CAMINO REAL	None	BURLINGAME	CA	94010	3205	41	06081	37.59324015	-122.3818088	San Mateo County
108079	Fee-for-Service	1598737926	1598737926	1	1	NEUROLOGY MED GRP OF	9/5/1980	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	DIABLO VALLEY INC	400 TAYLOR BLVD	SUITE 301	PLEASANT HILL	CA	94523	2160	07	06013	37.96132631	-122.0740275	Contra Costa County
108118	Fee-for-Service	1326073644	1326073644	2	1	NGUYEN, TAN V MD	9/13/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	53027	01	General Practice	0	In state provider	None	9646 E GARVEY AVE	SUITE 101	SOUTH EL MONTE	CA	91733	4600	19	06037	34.0626837	-118.0584064	Los Angeles County
108134	Fee-for-Service	1700026416	1700026416	1	1	NG, VIVIAN MD	8/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111047	10	Gastroenterology (M.D. only)	0	In state provider	None	1190 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48941956	-122.2227204	San Mateo County
108150	Fee-for-Service	1457728396	1457728396	1	1	NARURKAR, ROSHNI MD	2/1/2023	207RH0003X	NA	Oncology	026	PHYSICIANS	173738	None	None	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
108219	Fee-for-Service	1063989127	1063989127	1	1	NGUIFFO, ROSEMOND N NP	6/10/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
108235	Fee-for-Service	1629079009	1629079009	1	6	NORTHEAST VALLEY HEALTH	4/14/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	7138 VAN NUYS BLVD	None	VAN NUYS	CA	91405	3005	19	06037	34.200464	-118.4487407	Los Angeles County
108239	Fee-for-Service	1659342020	1659342020	1	1	NEELEY, JEAN A OD	1/31/1990	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1220 WASHINGTON ST	STE 1	CALISTOGA	CA	94515	1450	28	06055	38.57877538	-122.5792259	Napa County
108335	Fee-for-Service	1851488795	1851488795	1	1	NICHOLS, MONICA C MD	9/25/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	62070	01	General Practice	0	In state provider	None	31493 RANCHO PUEBLO RD	STE 203	TEMECULA	CA	92592	4832	33	06065	33.47938964	-117.1100864	Riverside County
108354	Fee-for-Service	1760162028	1760162028	1	1	NARKEVIC, ELIZABETH CRNA	1/31/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
108406	Fee-for-Service	1336440957	1336440957	1	1	NOVIKOV, ALEKSANDRA M MD	12/8/2017	207RN0300X	NA	Nephrology	026	PHYSICIANS	119627	45	Nephrology (Renal-Kidney)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
108452	Fee-for-Service	1639565070	1639565070	1	1	NGUYEN, TAMMIE P MD	9/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	134332	40	Pediatrics	0	In state provider	None	1840 SIERRA GARDENS	None	ROSEVILLE	CA	95661	2912	31	06061	38.74730831	-121.2613758	Placer County
108624	Fee-for-Service	1124165006	1124165006	1	1	NEWCOMB, CHARLES M LCSW	11/30/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	67159	-	NOT APPLICABLE	0	In state provider	None	1111 MARKET STREET	None	SAN FRANCISCO	CA	94103	1513	38	06075	37.78018987	-122.4128297	San Francisco County
108690	Fee-for-Service	1669498622	1669498622	1	1	NASSAR, PETER T MD	6/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80372	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
108708	Fee-for-Service	1619036282	1619036282	1	1	NEWMAN, KERRY L MD	12/1/1997	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	60484	40	Pediatrics	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
108767	Fee-for-Service	1184307829	1184307829	1	1	NAVARRO, APRIL PT	12/9/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
108822	Fee-for-Service	1780862169	1780862169	1	1	NEGUSSE, DEBORAH A MD	9/30/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	95164	10	Gastroenterology (M.D. only)	0	In state provider	None	15141 E WHITTIER BLVD	None	WHITTIER	CA	90603	2135	19	06037	33.94810044	-118.0039419	Los Angeles County
108862	Fee-for-Service	1972501179	1972501179	1	1	NOVAK, MICHAEL R MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	54822	08	Family Practice	0	In state provider	None	15322 LAKESHORE DR	STE 202	CLEARLAKE	CA	95422	9815	17	06033	38.95045805	-122.6255271	Lake County
108911	Fee-for-Service	1700869526	1700869526	1	1	NICHOLAS, SHAY MD	4/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
109037	Fee-for-Service	1124314679	1124314679	1	1	NATT, GUNEET S MD	7/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127153	41	Internal Medicine	0	In state provider	None	3000 Q STREET	None	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
109085	Fee-for-Service	1578906723	1578906723	1	1	NARSANA, NIYATI MD	8/15/2022	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	172652	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
109251	Fee-for-Service	1376621904	1376621904	1	1	NG,KAI Y MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70803	41	Internal Medicine	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
109270	Fee-for-Service	1962439265	1962439265	1	1	NGUYEN, HOA PHUONG T OD	6/13/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3408 COLLEGE AVE	None	SAN DIEGO	CA	92115	7134	37	06073	32.74299138	-117.0518763	San Diego County
109273	Fee-for-Service	1902984461	1902984461	1	1	NORTH VALLEY ORTHOPAEDIC	9/22/1980	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	& HAND SURG MEDICAL CORP	370 DEL NORTE AVE	STE 201	YUBA CITY	CA	95991	4142	51	06101	39.14466521	-121.6166961	Sutter County
109334	Fee-for-Service	1013321520	1013321520	1	1	NGUYEN, TRAM T MD	11/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150522	36	Psychiatry	0	In state provider	None	222 WEST 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
109336	Fee-for-Service	1346627478	1346627478	1	1	NGUYEN, MINH N MD	11/19/2018	208M00000X	NA	Other	026	PHYSICIANS	144156	None	None	0	In state provider	None	250 HOSPITAL PARKWAY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
109341	Fee-for-Service	1710020201	1710020201	1	1	NORTH COUNTY GASTROENTER	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MED GRP INC	3923 WARING RD	STE A	OCEANSIDE	CA	92056	4499	37	06073	33.18776771	-117.2893136	San Diego County
109360	Fee-for-Service	1003994773	1003994773	1	1	NGUYEN, QUAN TRUNG MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	73411	41	Internal Medicine	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
109387	Fee-for-Service	1053622548	1053622548	1	1	NEUMAN, BRADLEY MD	9/5/2024	208600000X	NA	General Surgery	026	PHYSICIANS	None	02	General Surgery	0	In state provider	None	6555 COYLE	SUITE 220	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
109433	Fee-for-Service	1932408598	1932408598	1	1	NOROZIAN, FARNAZ MD	8/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
109592	Fee-for-Service	1801941596	1801941596	1	1	NOBLE, JULIE E	3/28/1996	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	38553	40	Pediatrics	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
109606	Fee-for-Service	1952614562	1952614562	1	1	NGUYEN, THANH M MD INC	2/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	56554	01	General Practice	0	In state provider	None	13920 BROOKHURST ST	STE A	GARDEN GROVE	CA	92843	4335	30	06059	33.761034	-117.954832	Orange County
109610	Fee-for-Service	1548625718	1548625718	1	1	NORTHERN CALIFORNIA	5/10/2017	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1325 HOUSER LANE	None	MODESTO	CA	95351	2109	50	06099	37.62775729	-121.0276038	Stanislaus County
109629	Fee-for-Service	1639889165	1639889165	1	1	NASSIRI AFSHAR, FARHAD MD	11/4/2024	207R00000X	NA	Other	026	PHYSICIANS	180347	41	Internal Medicine	0	In state provider	None	722 BAKER ST	None	COSTA MESA	CA	92626	4385	30	06059	33.68016047	-117.886563	Orange County
109639	Fee-for-Service	1386698660	1386698660	1	1	NGUYEN, ANHTUAN D MD	1/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	62375	41	Internal Medicine	0	In state provider	None	10362 BOLSA AVE	None	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
109654	Fee-for-Service	1063700623	1063700623	1	1	NEWMAN, JENNIFER A	1/23/2014	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3555 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
109656	Fee-for-Service	1477688059	1477688059	1	1	NAVARRO, KIMBERLY A LMFT	6/10/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18000 STUDEBAKER RD	STE 700	CERRITOS	CA	90703	2684	19	06037	33.86863289	-118.0988933	Los Angeles County
109666	Fee-for-Service	1700943131	1700943131	1	1	NORTHERN CALIFORNIA CHILDEN'	9/6/1994	2080P0207X	NA	Hematology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	'S HEMATOLOGY ONCOLOGY M	2825 J STREET	435	SACRAMENTO	CA	95816	4300	34	06067	38.573757	-121.468248	Sacramento County
109764	Fee-for-Service	1437134939	1437134939	1	1	NYLK, JANINA MD	4/15/2008	207RN0300X	NA	Nephrology	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	50 KIRMAN AVE	SUITE 201	RENO	NV	89502	1186	00	None	39.52637074	-119.7983511	Washoe County
109854	Fee-for-Service	1942340625	1942340625	1	1	NGUYEN, LINH P DO	12/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	7360	08	Family Practice	0	In state provider	None	749 STORY RD	STE 20	SAN JOSE	CA	95122	2600	43	06085	37.32807743	-121.8607052	Santa Clara County
109864	Fee-for-Service	1982730859	1982730859	1	1	NORMAL LIFE OF CALIF	3/1/2000	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	228 PETIT AVE	None	VENTURA	CA	93004	1744	56	06111	34.27969385	-119.179337	Ventura County
109866	Fee-for-Service	1659346435	1659346435	1	1	NGUYEN, DAT TIEN MD	10/27/1992	208600000X	NA	General Surgery	026	PHYSICIANS	75447	02	General Surgery	0	In state provider	None	4601 DALE RD 4TH FL	SUITE 4AS	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
109877	Fee-for-Service	1063270015	1063270015	1	1	NGUYEN, TODD	7/10/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2140 CHAPMAN AVENUE	SUITE 109	ORANGE	CA	92868	2331	30	06059	33.78787403	-117.8757819	Orange County
109879	Fee-for-Service	1801248588	1801248588	1	1	NEONATAL SPECIALTY CARE	7/1/2016	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP, INC	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
109941	Fee-for-Service	1396796140	1396796140	1	1	NATALE, JOANNE E MD	11/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87616	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
109958	Fee-for-Service	1558893297	1558893297	1	1	NGUYEN, CINDY M DO	6/30/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	16920	40	Pediatrics	0	In state provider	None	726 N MEDICAL CTR DR E	STE 209	CLOVIS	CA	93611	6886	10	06019	36.84186593	-119.6624867	Fresno County
109983	Fee-for-Service	1659857910	1659857910	1	1	NGUYEN, TRACY	3/27/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1020 EL PASEO DE SARATOG	None	SAN JOSE	CA	95130	1630	43	06085	37.29016784	-121.9909058	Santa Clara County
109994	Fee-for-Service	1770143687	1770143687	1	1	NORDSTROM, BRIAN MD	1/13/2025	207L00000X	NA	Other	026	PHYSICIANS	185403	05	Anesthesiology	0	In state provider	None	2170 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	7026	09	06017	38.91229842	-119.9978133	El Dorado County
110004	Fee-for-Service	1558484618	1558484618	1	1	NG, DAVID G MD	12/4/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	83139	41	Internal Medicine	0	In state provider	None	250 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1788	19	06037	34.0696407	-118.3836988	Los Angeles County
110006	Fee-for-Service	1871817189	1871817189	1	1	NAWAZ, HAMAYUN M MD	1/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	108784	41	Internal Medicine	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
110028	Fee-for-Service	1598939589	1598939589	1	1	NARAYAN, VASANTHI L MD	2/7/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93293	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
110053	Fee-for-Service	1689025116	1689025116	2	1	NEW SCHRYVER LLC	9/2/2022	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	3414 MIDCOURT RD	112	CARROLLTON	TX	75006	5092	00	None	32.96366451	-96.84164281	Dallas County
110159	Fee-for-Service	1982820437	1982820437	1	1	NEWTON, DONALD F CPO	7/1/1996	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	624 E MAIN ST	None	SANTA MARIA	CA	93454	4506	42	06083	34.95311351	-120.4272315	Santa Barbara County
110191	Fee-for-Service	1982194213	1982194213	1	1	NAQVI, SYED ABBAS A DO	12/3/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17537	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
110313	Fee-for-Service	1689679631	1689679631	1	1	NICELL, DONALD T MD	7/26/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	51659	30	Radiology	0	In state provider	None	29101 HOSPITAL RD	None	LAKE ARROWHEAD	CA	92352	9706	36	06071	34.26577765	-117.1695461	San Bernardino County
110364	Fee-for-Service	1396257275	1396257275	1	1	NEPOMUCENO, FELICIA R AU	5/4/2020	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
110416	Fee-for-Service	1194832477	1194832477	1	1	NEW YORK & PRESBYTERIAN	8/1/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITALS	622 W 168TH ST	None	NEW YORK	NY	10032	3720	00	None	40.841307	-73.9406475	New York County
110474	Fee-for-Service	1104103001	1104103001	1	6	NORTH EAST MEDICAL SERVICES	2/14/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1850 SULLIVAN AVE	SUITE 150	DALY CITY	CA	94015	2230	41	06081	37.68085904	-122.4728842	San Mateo County
110490	Fee-for-Service	1982963005	1982963005	1	1	NGUYEN, NANCY H MD	12/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141336	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
110584	Fee-for-Service	1912102328	1912102328	1	1	NGO, LILY L MD	5/13/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	92807	40	Pediatrics	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
110588	Fee-for-Service	1063823680	1063823680	1	1	NEWMAN, ALEXANDER M MD	7/16/2021	2080P0208X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	172983	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
110605	Fee-for-Service	1952061301	1952061301	1	1	NGO, JENNIFER S CRNA	8/29/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
110678	Fee-for-Service	1225122674	1225122674	1	1	NAGARAJ, MYTHILI MD	12/6/2007	207R00000X	NA	Other	026	PHYSICIANS	52265	41	Internal Medicine	0	In state provider	None	271 TURN PIKE DR	None	FOLSOM	CA	95630	8098	34	06067	38.65509	-121.170042	Sacramento County
110705	Fee-for-Service	1194832477	1194832477	1	1	NEW YORK & PRESBYTERIAN	8/1/2005	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITALS	622 W 168TH ST	None	NEW YORK	NY	10032	3720	00	None	40.841307	-73.9406475	New York County
110722	Fee-for-Service	1336174366	1336174366	1	1	NAIK, NIRAV MEDICAL	10/1/2003	208600000X	NA	General Surgery	026	PHYSICIANS	67017	02	General Surgery	0	In state provider	CORPORATION	4817 CENTENNIAL PLZ WAY	SUITE B	BAKERSFIELD	CA	93312	1957	15	06029	35.40389036	-119.093518	Kern County
110761	Fee-for-Service	1104103001	1104103001	1	6	NORTH EAST MEDICAL SERVICES	2/14/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1850 SULLIVAN AVE	SUITE 150	DALY CITY	CA	94015	2230	41	06081	37.68085904	-122.4728842	San Mateo County
110796	Fee-for-Service	1346885738	1346885738	1	1	NEWTON, ROSE J CNP	5/19/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16420 PERRIS	STE Q	MORENO VALLEY	CA	92551	1135	33	06065	33.8815293	-117.2260941	Riverside County
110809	Fee-for-Service	1881930949	1881930949	1	1	NORTH COUNTY VASCULAR CENTER	11/19/2014	2085R0204X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	A CA	255 NORTH ELM STREET	SUITE 204	ESCONDIDO	CA	92025	3431	37	06073	33.12666024	-117.0719931	San Diego County
110815	Fee-for-Service	1629079009	1629079009	1	3	NORTHEAST VALLEY HEALTH	7/25/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14624 SHERMAN WAY	SUITE 307	VAN NUYS	CA	91405	2288	19	06037	34.20078354	-118.450843	Los Angeles County
110836	Fee-for-Service	1003256843	1003256843	1	1	NGUYEN, TAN M MD	9/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	140731	41	Internal Medicine	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6367	43	06085	37.36797679	-122.0297112	Santa Clara County
110895	Fee-for-Service	1659083871	1659083871	1	1	NOUNNAN, JENNIFER	5/1/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	7910 FROST ST	420	SAN DIEGO	CA	92123	2771	37	06073	32.80027449	-117.153846	San Diego County
110897	Fee-for-Service	1821618778	1821618778	1	1	NGUYEN, NINA N CRNA	10/20/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
110909	Fee-for-Service	1881915924	1881915924	1	1	NAVARRO, JAYVEEH D V MD	8/29/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	130075	25	Physical Medicine and Rehabilitation	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
110972	Fee-for-Service	1740424118	1740424118	1	1	NAQVI AND NAQVI MD INC	4/27/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	351 HOSPITAL ROAD	#415	NEWPORT BEACH	CA	92663	3507	30	06059	33.62579141	-117.9299554	Orange County
111049	Fee-for-Service	1588704365	1588704365	1	2	NEELY KRYSTAL M	12/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	69107	40	Pediatrics	0	In state provider	None	403 S LONG BEACH BLVD	STE B	COMPTON	CA	90221	3491	19	06037	33.89318091	-118.2078742	Los Angeles County
111072	Fee-for-Service	1720236532	1720236532	1	1	NABESHIMA, ELIZABETH N PHD	7/8/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	710 S BROADWAY STREET	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
111096	Fee-for-Service	1881930949	1881930949	1	1	NORTH COUNTY VASCULAR CENTER	11/19/2014	2085R0204X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	A CA	255 NORTH ELM STREET	SUITE 204	ESCONDIDO	CA	92025	3431	37	06073	33.12666024	-117.0719931	San Diego County
111102	Fee-for-Service	1629079009	1629079009	1	3	NORTHEAST VALLEY HEALTH	7/25/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14624 SHERMAN WAY	SUITE 307	VAN NUYS	CA	91405	2288	19	06037	34.20078354	-118.450843	Los Angeles County
111122	Fee-for-Service	1871753905	1871753905	1	1	NASRALLAH, FADY S MD	3/1/2013	208600000X	NA	General Surgery	026	PHYSICIANS	123254	89	Surgery-Traumatic	0	In state provider	None	9888 GENESEE AVENUE	LJ-601	LA JOLLA	CA	92037	1205	37	06073	32.8865608	-117.2250386	San Diego County
111141	Fee-for-Service	1275654295	1275654295	1	1	NOLL, ROBERT E JR MD	8/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	54369	02	General Surgery	0	In state provider	None	3 MEDICAL PLAZA	None	ROSEVILLE	CA	95661	3087	31	06061	38.76566391	-121.2457432	Placer County
111233	Fee-for-Service	1356302517	1356302517	1	1	NIEBERG, KENNETH MD INC	10/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	235 N HOOVER ST	None	LOS ANGELES	CA	90004	3627	19	06037	34.07580952	-118.283404	Los Angeles County
111263	Fee-for-Service	1740424118	1740424118	1	1	NAQVI AND NAQVI MD INC	4/27/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	31	Roentgenology, Radiology (M.D. only)	0	In state provider	None	351 HOSPITAL ROAD	#415	NEWPORT BEACH	CA	92663	3507	30	06059	33.62579141	-117.9299554	Orange County
111268	Fee-for-Service	1831325174	1831325174	1	1	NGUYEN, TUAN A MD	8/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	115354	41	Internal Medicine	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
111281	Fee-for-Service	1396248191	1396248191	1	1	NG, QUINN MD	10/15/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	166059	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
111383	Fee-for-Service	1881930949	1881930949	1	1	NORTH COUNTY VASCULAR CENTER	11/19/2014	2085R0204X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	A CA	255 NORTH ELM STREET	SUITE 204	ESCONDIDO	CA	92025	3431	37	06073	33.12666024	-117.0719931	San Diego County
111392	Fee-for-Service	1629079009	1629079009	1	3	NORTHEAST VALLEY HEALTH	7/25/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	14624 SHERMAN WAY	SUITE 307	VAN NUYS	CA	91405	2288	19	06037	34.20078354	-118.450843	Los Angeles County
111406	Fee-for-Service	1215146014	1215146014	1	1	NORTH COUNTY HEALTH CTR	2/1/1996	261Q00000X	NA	Other	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	380 90TH ST	None	DALY CITY	CA	94015	1807	41	06081	37.69110985	-122.4742036	San Mateo County
111552	Fee-for-Service	1437326410	1437326410	1	1	NANDI, SHANKHA DO	9/3/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	10347	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
111562	Fee-for-Service	1679881346	1679881346	1	1	NIAMEHR, NOURIEL DO	5/24/2018	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	11311	25	Physical Medicine and Rehabilitation	0	In state provider	None	14600 SHERMAN WAY	SUITE 250	VAN NUYS	CA	91405	2283	19	06037	34.20025916	-118.4500763	Los Angeles County
111723	Fee-for-Service	1891050712	1891050712	1	1	NGUYEN, DAVID T DO	5/18/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	14415	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
111780	Fee-for-Service	1144786203	1144786203	1	1	NEVIS-PERRIEN, ANGELIQUE T L	5/3/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	CSW	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
111789	Fee-for-Service	1083050819	1083050819	1	1	NAZIR, ASAD S MD	10/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149251	66	Emergency Medicine (Urgent Care)	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
111869	Fee-for-Service	1821589565	1821589565	1	1	NAYDICH, LEZA MD	8/2/2021	207P00000X	NA	Other	026	PHYSICIANS	173849	None	None	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
111875	Fee-for-Service	1396823068	1396823068	1	1	NGUYEN, TRAN MD	8/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	62037	40	Pediatrics	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
111902	Fee-for-Service	1649444787	1649444787	1	1	NAKAMURA, ELIZABETH I MD	12/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116137	36	Psychiatry	0	In state provider	None	760 WESTWOOD BLVD	None	LOS ANGELES	CA	90095	8631	19	06037	34.07067	-118.4432445	Los Angeles County
111905	Fee-for-Service	1558980144	1558980144	1	1	NAYAK, RAHUL MD	6/28/2024	207P00000X	NA	Other	026	PHYSICIANS	189394	66	Emergency Medicine (Urgent Care)	0	In state provider	None	280 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23931375	-121.8014189	Santa Clara County
111929	Fee-for-Service	1780093518	1780093518	1	1	NICHOLS, BENJAMIN S	2/12/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
111930	Fee-for-Service	1700840238	1700840238	1	1	NIXON, BRUCE R MD	5/30/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	45677	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
111985	Fee-for-Service	1760681191	1760681191	1	1	NGUYEN, DUNG H MD	9/21/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	94970	24	Plastic Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
111992	Fee-for-Service	1720433220	1720433220	1	1	NUSRAT, OSAMA MD	2/27/2020	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2075 EAST FLAMINGO RD	None	LAS VEGAS	NV	89119	5188	00	None	36.112671	-115.1248725	Clark County
112035	Fee-for-Service	1306917851	1306917851	1	1	NASSER, JULIA G MD	9/2/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	175689	None	None	0	In state provider	None	526 W 17TH ST	None	SANTA ANA	CA	92706	3619	30	06059	33.75995449	-117.8736165	Orange County
112039	Fee-for-Service	1629157367	1629157367	1	1	NWYNN, MICHAEL T M MD	7/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	70271	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1505 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5209	19	06037	34.098408	-118.296167	Los Angeles County
112110	Fee-for-Service	1386223246	1386223246	1	1	NEWCOMER, KRYSTEN A DO	7/31/2024	207P00000X	NA	Other	026	PHYSICIANS	20602	66	Emergency Medicine (Urgent Care)	0	In state provider	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	4850	36	06071	34.03717616	-117.2046115	San Bernardino County
112118	Fee-for-Service	1073558565	1073558565	1	1	NICOLL-MERSON, HEIDI G	4/29/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	56098	05	Anesthesiology	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
112125	Fee-for-Service	1952641136	1952641136	1	1	NORTHEAST COMMUNITY CLINICS	8/12/2013	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1403 LOMITA BLVD	STE 100,101, & 106	HARBOR CITY	CA	90710	2084	19	06037	33.79783692	-118.30188	Los Angeles County
112221	Fee-for-Service	1033214176	1033214176	1	1	NEFT, MARTIN G MD	4/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	39687	08	Family Practice	0	In state provider	None	3 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3087	31	06061	38.76566391	-121.2457432	Placer County
112262	Fee-for-Service	1851416499	1851416499	1	1	NARASIMHAN, SUDHA R MD	10/17/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	82224	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
112300	Fee-for-Service	1417035148	1417035148	1	1	NGUYEN,LUU PHUC MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70432	41	Internal Medicine	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
112304	Fee-for-Service	1659750487	1659750487	1	1	NGUYEN, TU-ANH DO	9/18/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16164	08	Family Practice	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
112332	Fee-for-Service	1568410520	1568410520	1	1	NEMIROVSKY, ALEXANDER MD	5/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	76455	None	None	0	In state provider	None	7300 MEDICAL CENTER DR	None	WEST HILLS	CA	91307	1902	19	06037	34.20289797	-118.6294006	Los Angeles County
112412	Fee-for-Service	1952641136	1952641136	1	1	NORTHEAST COMMUNITY CLINICS	8/12/2013	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1403 LOMITA BLVD	STE 100,101, & 106	HARBOR CITY	CA	90710	2084	19	06037	33.79783692	-118.30188	Los Angeles County
112416	Fee-for-Service	1073558565	1073558565	1	1	NICOLL-MERSON, HEIDI G	4/29/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	56098	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
112433	Fee-for-Service	1669425286	1669425286	1	1	NANGIA, CHAITALI S MD	7/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	54781	68	Hematology	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
112434	Fee-for-Service	1891314852	1891314852	1	1	NIKROO, NAHAL G MD	6/20/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	24451 HEALTH CENTER DR	None	LAGUNA HILLS	CA	92653	3689	30	06059	33.60848903	-117.7079742	Orange County
112435	Fee-for-Service	1285014852	1285014852	1	1	NICHOLS, ANN MARIE LCSW	2/28/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
112456	Fee-for-Service	1487125019	1487125019	1	3	NES WESTERN GROUP, A PROFESS	12/1/2022	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1900 SULLIVAN AVE	None	DALY CITY	CA	94015	2200	41	06081	37.67984327	-122.4730264	San Mateo County
112460	Fee-for-Service	1487047569	1487047569	1	1	NURSES CARE HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	909 S CUCAMONGA AVE	SUITE 115B	ONTARIO	CA	91761	1977	36	06071	34.054398	-117.6313725	San Bernardino County
112464	Fee-for-Service	1417034760	1417034760	1	1	NOVAK, KERRY W MD	12/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1600 MEDICAL PARKWAY	None	CARSON CITY	NV	89703	4625	00	None	39.202263	-119.7841095	Consolidated Municipality of Carson City
112471	Fee-for-Service	1831400498	1831400498	1	1	NWANKWO, JOHN I MD	2/24/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	118483	None	None	0	In state provider	None	1600 ESPLANADE	SUITE C	CHICO	CA	95926	3369	04	06007	39.74352822	-121.8495394	Butte County
112531	Fee-for-Service	1831751049	1831751049	1	1	NELSON, JESSICA CNP	7/5/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	726 4TH ST	None	MARYSVILLE	CA	95901	5656	58	06115	39.13872267	-121.5944372	Yuba County
112547	Fee-for-Service	1851416499	1851416499	1	1	NARASIMHAN, SUDHA R MD	10/17/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	82224	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
112558	Fee-for-Service	1952347205	1952347205	1	1	NEW YORK HOSPITAL MEDICAL CE	8/15/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5645 MAIN ST	None	FLUSHING	NY	11355	5045	00	None	40.746969	-73.825713	Queens County
112620	Fee-for-Service	1922426097	1922426097	1	1	NGUYEN, THUY-TRANG 0D	12/9/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	874 BLOSSOM HILL RD	STE C	SAN JOSE	CA	95123	2725	43	06085	37.25024248	-121.8567285	Santa Clara County
112702	Fee-for-Service	1952641136	1952641136	1	1	NORTHEAST COMMUNITY CLINICS	8/12/2013	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1403 LOMITA BLVD	STE 100,101, & 106	HARBOR CITY	CA	90710	2084	19	06037	33.79783692	-118.30188	Los Angeles County
112718	Fee-for-Service	1558051664	1558051664	1	1	NASRAH, JESSICA LMFT	4/7/2025	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	307 S. B ST.	None	SAN MATEO	CA	94401	4053	41	06081	37.56539871	-122.3222584	San Mateo County
112721	Fee-for-Service	1669425286	1669425286	1	1	NANGIA, CHAITALI S MD	7/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	54781	78	Neoplastic Diseases/Oncology	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
112746	Fee-for-Service	1487047569	1487047569	1	1	NURSES CARE HOSPICE, INC	8/29/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	909 S CUCAMONGA AVE	SUITE 115B	ONTARIO	CA	91761	1977	36	06071	34.054398	-117.6313725	San Bernardino County
112773	Fee-for-Service	1467546846	1467546846	1	1	NISHIMURA, ELENA M MD	1/29/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52408	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
112787	Fee-for-Service	1366869216	1366869216	1	1	NEVO, ZEV DO	8/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	16400	25	Physical Medicine and Rehabilitation	0	In state provider	None	3421 VILLA LANE	SUITE 2B	NAPA	CA	94558	3060	28	06055	38.32459323	-122.2934714	Napa County
112817	Fee-for-Service	1538522099	1538522099	1	1	NGUYEN, ANNA T LCSW	2/11/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
112894	Fee-for-Service	1437476272	1437476272	1	1	NGUYEN, DAVID K MD	10/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	119299	02	General Surgery	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
113047	Fee-for-Service	1689763724	1689763724	1	1	NEILAN, ROBERT L MD	4/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	70376	41	Internal Medicine	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
113057	Fee-for-Service	1821616897	1821616897	1	1	NEST HOME HEALTH INC	8/17/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	207 W ALAMEDA AVE	STE 202	BURBANK	CA	91502	3022	19	06037	34.16890032	-118.3057575	Los Angeles County
113104	Fee-for-Service	1386954048	1386954048	1	1	NAGARAJ, SUMA MD	10/6/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	186933	None	None	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
113117	Fee-for-Service	1598129249	1598129249	1	1	NIELSEN, KATHERINE M MD	7/17/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	150744	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
113242	Fee-for-Service	1285733238	1285733238	1	1	NARAIN, GURINDER P MD IN	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77395	41	Internal Medicine	0	In state provider	NARAIN MD	800 N ST	None	SANGER	CA	93657	3116	10	06019	36.70500385	-119.5569573	Fresno County
113336	Fee-for-Service	1790971471	1790971471	1	1	NGUYEN, TOM C MD	1/6/2021	208G00000X	NA	General Surgery	026	PHYSICIANS	85689	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
113342	Fee-for-Service	1144381278	1144381278	1	1	NICHOLSON, WILLIAM F	1/31/1988	208G00000X	NA	General Surgery	026	PHYSICIANS	47903	41	Internal Medicine	0	In state provider	None	2557 MOWRY AVE	STE 33	FREMONT	CA	94538	1614	01	06001	37.55561575	-121.9826617	Alameda County
113345	Fee-for-Service	1811525991	1811525991	1	1	NGUYEN, JESSICA MD	11/21/2023	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	184790	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
113372	Fee-for-Service	1588779466	1588779466	1	1	NGUYEN, DUC H	9/22/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9168	08	Family Practice	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
113399	Fee-for-Service	1538766266	1538766266	1	1	NOWRX INC	3/12/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	16517-16521 ARMINTA STRE	None	VAN NUYS	CA	91406	1745	19	06037	34.21489245	-118.4930788	Los Angeles County
113477	Fee-for-Service	1033385307	1033385307	1	1	NAHM, CHARLIE Y MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	70052	05	Anesthesiology	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
113499	Fee-for-Service	1497581623	1497581623	1	1	NEW DAY, NEW WAY PSYCHOTHERA	9/30/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	PY	107 W FAIRVIEW BLVD	None	INGLEWOOD	CA	90302	1202	19	06037	33.97924422	-118.3583448	Los Angeles County
113510	Fee-for-Service	1447577515	1447577515	1	1	NGUYEN, BRIAN T MD	9/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144012	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
113512	Fee-for-Service	1548359474	1548359474	1	1	NGUYEN, KHANH B MD	7/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	67515	01	General Practice	0	In state provider	None	13830 BROOKHURST ST	None	GARDEN GROVE	CA	92843	3121	30	06059	33.761034	-117.954832	Orange County
113528	Fee-for-Service	1285733238	1285733238	1	1	NARAIN, GURINDER P MD IN	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77395	66	Emergency Medicine (Urgent Care)	0	In state provider	NARAIN MD	800 N ST	None	SANGER	CA	93657	3116	10	06019	36.70500385	-119.5569573	Fresno County
113552	Fee-for-Service	1023551256	1023551256	1	1	NGUYEN, CHRISTINA K CNM	7/6/2017	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	276 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.2402111	-121.8021684	Santa Clara County
113557	Fee-for-Service	1497832349	1497832349	1	1	NOMURA, WAKAKO	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67898	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1860 PENNSYLVANIA AVE	None	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
113629	Fee-for-Service	1144381278	1144381278	1	1	NICHOLSON, WILLIAM F	1/31/1988	208G00000X	NA	General Surgery	026	PHYSICIANS	47903	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2557 MOWRY AVE	STE 33	FREMONT	CA	94538	1614	01	06001	37.55561575	-121.9826617	Alameda County
113679	Fee-for-Service	1245345941	1245345941	1	1	NIAZI, ZAHID B M MD INC	5/9/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	51628	24	Plastic Surgery	0	In state provider	None	8021 LAGUNA BLVD	STE 3	ELK GROVE	CA	95758	7920	34	06067	38.422647	-121.4087805	Sacramento County
113691	Fee-for-Service	1396852455	1396852455	1	3	NORTH COUNTY HEALTH PROJ	11/19/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2210 MESA DR	SUITE 100	OCEANSIDE	CA	92054	3701	37	06073	33.20786753	-117.3579677	San Diego County
113710	Fee-for-Service	1518107630	1518107630	1	1	NAYLOR, DANIELLE LMFT	7/15/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
113722	Fee-for-Service	1982609442	1982609442	1	1	NORTON HOSPITAL INC	6/13/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	231 E CHESTNUT ST	None	LOUISVILLE	KY	40202	1821	00	None	38.24808635	-85.74984853	Jefferson County
113801	Fee-for-Service	1548359474	1548359474	1	1	NGUYEN, KHANH B MD	7/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	67515	08	Family Practice	0	In state provider	None	13830 BROOKHURST ST	None	GARDEN GROVE	CA	92843	3121	30	06059	33.761034	-117.954832	Orange County
113823	Fee-for-Service	1255386330	1255386330	1	1	NEUFELD, TIMOTHY E MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68585	08	Family Practice	0	In state provider	INC	12980 FREDERICK ST	None	MORENO VALLEY	CA	92553	5263	33	06065	33.931872	-117.2613835	Riverside County
113849	Fee-for-Service	1649848524	1649848524	1	1	NELSON, AMANDA N MD	3/26/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	187564	None	None	0	In state provider	None	10250 SANTA MONICA BLVD	2440	LOS ANGELES	CA	90067	6469	19	06037	34.05998846	-118.4200204	Los Angeles County
113922	Fee-for-Service	1174694152	1174694152	1	1	NGUYEN, THUY T MD	10/5/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	61504	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
113931	Fee-for-Service	1184279606	1184279606	1	2	NEW VISION TELEMEDICINE AND	3/25/2020	261QP2300X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	MEDICAL CONSULTANT, INC.	1428 W. NORTH AVENUE	None	LOMPOC	CA	93436	3961	42	06083	34.65348456	-120.4735457	Santa Barbara County
113938	Fee-for-Service	1568811420	1568811420	1	1	NOSS, NATALIE M	8/29/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8250 WOODMAN AVE	None	PANORAMA CITY	CA	91402	5427	19	06037	34.22078654	-118.4326211	Los Angeles County
113977	Fee-for-Service	1396852455	1396852455	1	3	NORTH COUNTY HEALTH PROJ	11/19/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2210 MESA DR	SUITE 100	OCEANSIDE	CA	92054	3701	37	06073	33.20786753	-117.3579677	San Diego County
114014	Fee-for-Service	1982609442	1982609442	1	1	NORTON HOSPITAL INC	1/1/2003	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	231 E CHESTNUT ST	None	LOUISVILLE	KY	40202	1821	00	None	38.24808635	-85.74984853	Jefferson County
114209	Fee-for-Service	1174694152	1174694152	1	1	NGUYEN, THUY T MD	10/5/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	61504	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
114345	Fee-for-Service	1275750747	1275750747	1	1	NGUYEN, AIDAN N DPM	1/11/2008	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	460 PLUMAS BLVD	None	YUBA CITY	CA	95991	5005	51	06101	39.13140416	-121.6141951	Sutter County
114367	Fee-for-Service	1891212114	1891212114	1	1	NGUYEN, DUC C MD INC	3/26/2018	208600000X	NA	General Surgery	026	PHYSICIANS	76681	02	General Surgery	0	In state provider	None	1546 N TRACY BLVD	None	TRACY	CA	95376	2903	39	06077	37.7457941	-121.4349385	San Joaquin County
114444	Fee-for-Service	1811047251	1811047251	1	1	NGUYEN, THANH-HUONG D OD	2/22/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
114480	Fee-for-Service	1497850531	1497850531	1	1	NAIR, BINDU MD	8/24/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	72908	08	Family Practice	0	In state provider	None	3 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3087	31	06061	38.76566391	-121.2457432	Placer County
114558	Fee-for-Service	1316941966	1316941966	2	1	NGUYEN, TRUNG M MD	12/10/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	79014	None	None	0	In state provider	None	11180 WARNER AVENUE	STE 151	FOUNTAIN VALLEY	CA	92708	7515	30	06059	33.71632048	-117.9334575	Orange County
114592	Fee-for-Service	1225402662	1225402662	1	1	NIEVES, SAMANTHA J	4/29/2016	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
114604	Fee-for-Service	1457985244	1457985244	1	1	NEIDHARDT, NANCY L LMFT	1/4/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1600 HUMBOLDT RD	SUITE 3	CHICO	CA	95928	8100	04	06007	39.73660489	-121.8115227	Butte County
114616	Fee-for-Service	1649263880	1649263880	1	2	NORWALK HOSPITAL ASSOCIATION	12/26/2019	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	24 STEVENS ST	None	NORWALK	CT	06850	3815	00	None	41.11045994	-73.42138378	Western Connecticut
114665	Fee-for-Service	1790091940	1790091940	1	1	NGUYEN, AN V LMFT	4/20/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17111 BEACH BLVD	STE 205	HUNTINGTON BEACH	CA	92647	5947	30	06059	33.713937	-117.9892085	Orange County
114786	Fee-for-Service	1972846954	1972846954	1	1	NELSON, GERGANA T MD	8/1/2018	207RP1001X	NA	Pulmonology	026	PHYSICIANS	134750	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1910 OUTLET CENTER DR	None	OXNARD	CA	93036	0677	56	06111	34.2202663	-119.1484221	Ventura County
114807	Fee-for-Service	1154348068	1154348068	1	1	NATOMAS DIALYSIS LLC	1/4/2007	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	30 GOLDEN LAND CT	BLDG G	SACRAMENTO	CA	95834	2423	34	06067	38.650887	-121.504257	Sacramento County
114866	Fee-for-Service	1659069672	1659069672	1	1	NORTHERN CALIFORNIA P.E.T. I	11/16/2023	207U00000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MAGING CENTER	3718 ATHERTON RD	None	ROCKLIN	CA	95765	3717	31	06061	38.8157705	-121.2938244	Placer County
114905	Fee-for-Service	1649263880	1649263880	1	2	NORWALK HOSPITAL ASSOCIATION	12/26/2019	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	24 STEVENS ST	None	NORWALK	CT	06850	3815	00	None	41.11045994	-73.42138378	Western Connecticut
114909	Fee-for-Service	1407117302	1407117302	1	1	NELSON, CASEY M MD	12/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129778	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
115000	Fee-for-Service	1629337076	1629337076	1	1	NANAYAKKARA, DEEPA D MD	5/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	130091	40	Pediatrics	0	In state provider	None	200 MED PLAZA	365, 420, 120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
115052	Fee-for-Service	1093943508	1093943508	1	1	NUMIS, ADAM L MD	5/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116439	79	Neurology-Child	0	In state provider	None	10833 LE CONTE AVE	32-263 CHS	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
115077	Fee-for-Service	1972846954	1972846954	1	1	NELSON, GERGANA T MD	8/1/2018	207RP1001X	NA	Pulmonology	026	PHYSICIANS	134750	41	Internal Medicine	0	In state provider	None	1910 OUTLET CENTER DR	None	OXNARD	CA	93036	0677	56	06111	34.2202663	-119.1484221	Ventura County
115103	Fee-for-Service	1912920125	1912920125	2	1	NITTA, DOUGLAS MD	1/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	45491	08	Family Practice	0	In state provider	None	301 W BASTANCHURY ROAD	SUITE 155	FULLERTON	CA	92835	3477	30	06059	33.89397383	-117.9316737	Orange County
115121	Fee-for-Service	1710907274	1710907274	1	1	NICKAS, GIGI MD	11/30/1995	207R00000X	NA	Other	026	PHYSICIANS	80232	41	Internal Medicine	0	In state provider	None	1010 MURRAY STREET	None	SAN LUIS OBISPO	CA	93405	8800	40	06079	35.29101669	-120.6663647	San Luis Obispo County
115152	Fee-for-Service	1801150354	1801150354	1	1	NAQVI, ALI R MD	10/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	130074	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
115181	Fee-for-Service	1437624061	1437624061	1	1	NAVARRETE, BRENDA	12/26/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
115252	Fee-for-Service	1275160475	1275160475	1	1	NGUYEN, BECKY DO	7/5/2022	207R00000X	NA	Other	026	PHYSICIANS	19465	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
115278	Fee-for-Service	1518195288	1518195288	3	1	NNE MEDICAL SUPPLY & EQUIPME	11/20/2014	332BC3200X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	ENT, INC.	13105 RAMONA BLVD.	STE. B	IRWINDALE	CA	91706	3857	19	06037	34.08021536	-117.9871456	Los Angeles County
115285	Fee-for-Service	1629337076	1629337076	1	1	NANAYAKKARA, DEEPA D MD	5/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	130091	41	Internal Medicine	0	In state provider	None	200 MED PLAZA	365, 420, 120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
115286	Fee-for-Service	1053603068	1053603068	1	1	NARVAEZ, YIZZA MD	12/8/2023	207P00000X	NA	Other	026	PHYSICIANS	191782	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
115300	Fee-for-Service	1578582029	1578582029	1	1	NGUYEN, LOAN P DO	2/28/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	6198	13	Neurology (M.D. only)	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	0000	39	06077	37.88652418	-121.2820956	San Joaquin County
115305	Fee-for-Service	1215247895	1215247895	1	1	NELSON, RANDI B MD	12/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120106	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	MC 5500	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
115332	Fee-for-Service	1225231343	1225231343	1	1	NICOLAS, LAKANA S LCSW	6/10/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
115391	Fee-for-Service	1033160338	1033160338	1	1	NASERI, AYMAN MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	65699	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	1001 POTRERO AVE	RM 4M31	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
115396	Fee-for-Service	1689037632	1689037632	1	1	NGUYEN, THU Q MD	8/5/2020	207L00000X	NA	Other	026	PHYSICIANS	155083	05	Anesthesiology	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
115438	Fee-for-Service	1548639313	1548639313	1	1	NELSON, ARACELI R CNM	6/1/2016	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	207 W LEGION ROAD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
115445	Fee-for-Service	1700894672	1700894672	1	1	NADARAJA, RAVEENDRA MD	12/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	02	General Surgery	0	In state provider	FACS, INC	20055 LAKE CHABOT RD	STE 330	CASTRO VALLEY	CA	94546	5334	01	06001	37.69836512	-122.0873587	Alameda County
115515	Fee-for-Service	1205135977	1205135977	1	1	NAFDAY, HEIDI MD	2/27/2022	208G00000X	NA	General Surgery	026	PHYSICIANS	175222	None	None	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
115638	Fee-for-Service	1922232206	1922232206	1	1	NGUYEN, TRUONGSON X MD	7/28/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101982	41	Internal Medicine	0	In state provider	None	1310 W STEWART DRIVE	SUITE 410	ORANGE	CA	92868	3895	30	06059	33.78236048	-117.8664975	Orange County
115657	Fee-for-Service	1336524016	1336524016	1	1	NGUYEN, TU LMFT	1/10/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
115696	Fee-for-Service	1437502606	1437502606	1	1	NOVOA, SHANNON R LMFT	4/27/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15437 ANACAPA RD	STE 31	VICTORVILLE	CA	92392	2458	36	06071	34.50557513	-117.3250277	San Bernardino County
115698	Fee-for-Service	1427461821	1427461821	1	1	NAJAFI, ROSHAN F MD	5/25/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	162797	08	Family Practice	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
115717	Fee-for-Service	1336388719	1336388719	1	1	NAHLA SALEM, M.D., INC.	2/27/2009	193400000X	NA	Other	026	PHYSICIANS	106233	08	Family Practice	0	In state provider	None	8101 NEWMAN AVE	STE B	HUNTINGTON BEACH	CA	92647	7042	30	06059	33.70483151	-117.987264	Orange County
115732	Fee-for-Service	1700894672	1700894672	1	1	NADARAJA, RAVEENDRA MD	12/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	33	Thoracic Surgery	0	In state provider	FACS, INC	20055 LAKE CHABOT RD	STE 330	CASTRO VALLEY	CA	94546	5334	01	06001	37.69836512	-122.0873587	Alameda County
115737	Fee-for-Service	1538931019	1538931019	1	1	NGAYA, EUFEMIA GANO	11/21/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	413 SAMUEL RD	None	VACAVILLE	CA	95687	7541	48	06095	38.318976	-121.944798	Solano County
115755	Fee-for-Service	1124075502	1124075502	1	1	NUCHNIYOM, BURIN MD	12/24/2007	207P00000X	NA	Other	026	PHYSICIANS	52887	41	Internal Medicine	0	In state provider	None	500 ALAMITOS	None	LONG BEACH	CA	90802	1614	19	06037	33.77330398	-118.1807838	Los Angeles County
115780	Fee-for-Service	1205601507	1205601507	1	1	NNEBE, JOY NP	1/24/2025	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
115813	Fee-for-Service	1437237930	1437237930	1	1	NAZARI, MOHAMMAD MD	1/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	88701	66	Emergency Medicine (Urgent Care)	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
115837	Fee-for-Service	1598963407	1598963407	1	1	NAKAYAMA, STEPHANIE A LMFT	10/29/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25825 VERMONT AVENUE	None	HARBOR CITY	CA	90710	3581	19	06037	33.78673844	-118.2965289	Los Angeles County
115845	Fee-for-Service	1558574640	1558574640	1	1	NORTH & SOUTH OF MARKET	7/11/1994	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	GOLDEN GATE DAY HEALTH	350 GOLDEN GATE AVE	None	SAN FRANCISCO	CA	94102	3689	38	06075	37.78157542	-122.4163167	San Francisco County
115867	Fee-for-Service	1477730166	1477730166	1	1	NGUYEN, THANG P MD A MEDICAL	8/1/2000	193400000X	NA	Other	026	PHYSICIANS	66089	01	General Practice	0	In state provider	CORPORATION	1271 S UNION AVE	None	LOS ANGELES	CA	90015	2043	19	06037	34.0451151	-118.2767455	Los Angeles County
115904	Fee-for-Service	1588828719	1588828719	1	1	NGUYEN, THOMAS B MD	4/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	93742	30	Radiology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
115943	Fee-for-Service	1265408314	1265408314	1	1	NAYLOR, CHRISTOPHER S MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	56045	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	AMC	4201 TORRANCE BLVD	STE 540	TORRANCE	CA	90503	4581	19	06037	33.8375955	-118.358748	Los Angeles County
115990	Fee-for-Service	1578729232	1578729232	1	1	NGUYEN, MINHCHAU T MD	10/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	105080	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
116000	Fee-for-Service	1033351184	1033351184	1	1	NELSON CORDERO-TORRES	8/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1400 E OAKLAND PARK BLVD	STE 210	OAKLAND PARK	FL	33334	4400	00	None	26.16680287	-80.1285156	Broward County
116020	Fee-for-Service	1700894672	1700894672	1	1	NADARAJA, RAVEENDRA MD	12/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	06	Cardiovascular Disease (M.D. only)	0	In state provider	FACS, INC	20055 LAKE CHABOT RD	STE 330	CASTRO VALLEY	CA	94546	5334	01	06001	37.69836512	-122.0873587	Alameda County
116026	Fee-for-Service	1538931019	1538931019	1	1	NGAYA, EUFEMIA GANO	11/21/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	413 SAMUEL RD	None	VACAVILLE	CA	95687	7541	48	06095	38.318976	-121.944798	Solano County
116057	Fee-for-Service	1497776041	1497776041	1	1	NAGARAJ, HARITHEERTHAM MD	8/21/2007	207RC0200X	NA	Other	026	PHYSICIANS	52104	29	Pulmonary Diseases (M.D. only)	0	In state provider	MD	3637 MISSION AVE	STE 6	CARMICHAEL	CA	95608	2946	34	06067	38.631564	-121.355874	Sacramento County
116081	Fee-for-Service	1588929483	1588929483	1	1	NECESITO, DENNIS OT	2/27/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	630 S INDIAN HILL BLVD S	None	CLAREMONT	CA	91711	5461	19	06037	34.084494	-117.7191945	Los Angeles County
116085	Fee-for-Service	1861134785	1861134785	1	1	NICOLE MASNADA DO PROFESSION	3/5/2024	163WP0807X	NA	Other	022	PHYSICIANS GROUP	-	26	Psychiatry (child)	0	In state provider	AL MEDICAL CORPORATION	4051 BROAD STREET,	SUITE 110	SAN LUIS OBISPO	CA	95811	5226	40	06079	35.24735725	-120.6425269	San Luis Obispo County
116094	Fee-for-Service	1477845972	1477845972	1	1	NGUYEN, TAN D	5/1/2017	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
116126	Fee-for-Service	1578268462	1578268462	1	1	NGUYEN, KATRINA T OD	7/30/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
116144	Fee-for-Service	1194764308	1194764308	1	1	NEUBARTH, JESSE L MD	1/1/1995	207L00000X	NA	Other	026	PHYSICIANS	50452	05	Anesthesiology	0	In state provider	None	841 MOHAWK ST	STE 270	BAKERSFIELD	CA	93309	1547	15	06029	35.36193277	-119.0628694	Kern County
116173	Fee-for-Service	1366939043	1366939043	1	1	NGUYEN, MICHAEL H DO	11/3/2021	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	3865 JACKSON ST	None	RIVERSIDE	CA	92503	3919	33	06065	33.92617009	-117.4404151	Riverside County
116186	Fee-for-Service	1568404879	1568404879	1	1	NEW DIMENSION HOME CARE	4/24/1996	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	2490 HONOLULU AVE	SUITE 120	MONTROSE	CA	91020	1800	19	06037	34.20724586	-118.2331114	Los Angeles County
116198	Fee-for-Service	1205310463	1205310463	1	1	NARASIMHALU, TARA MD	4/25/2024	207ZP0102X	NA	Other	026	PHYSICIANS	187438	22	Pathology (M.D. only)	0	In state provider	None	10833 LECONTE AVENUE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
116201	Fee-for-Service	1376577023	1376577023	2	1	NEELEY FAMILY, INC.	4/24/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NO 2	347 LAKEPORT	None	LAKEPORT	CA	95453	5412	17	06033	39.03461182	-122.918483	Lake County
116223	Fee-for-Service	1043789456	1043789456	1	1	NITAKE, MARK A PT	8/9/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
116230	Fee-for-Service	1962865303	1962865303	1	1	NANEY, TIMOTHY DO	12/29/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	21402	None	None	0	In state provider	None	28400 MCCALL BLVD	None	SUN CITY	CA	92585	9658	33	06065	33.71805454	-117.1672547	Riverside County
116237	Fee-for-Service	1356418289	1356418289	1	1	NGUYEN, OLIVER Q MD	1/1/1993	207R00000X	NA	Other	026	PHYSICIANS	78281	41	Internal Medicine	0	In state provider	None	2600 REDONDO AVE	None	LONG BEACH	CA	90806	2325	19	06037	33.806097	-118.151378	Los Angeles County
116290	Fee-for-Service	1023161759	1023161759	1	1	NGUYEN, VU A OD	8/5/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15855 SOQUEL CANYON PKWY	120	CHINO HILLS	CA	91709	7866	36	06071	33.9641021	-117.6923301	San Bernardino County
116317	Fee-for-Service	1952307027	1952307027	1	1	NORTON AUDUBON HOSPITAL	10/19/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1 AUDUBON PLAZA DR	None	LOUISVILLE	KY	40217	1318	00	None	38.21500013	-85.72191064	Jefferson County
116324	Fee-for-Service	1649652926	1649652926	1	1	NOH, YEON-KYEONG MD	10/30/2021	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	156473	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
116359	Fee-for-Service	1124032982	1124032982	1	1	NEW YORK CITY HEALTH AND HOS	8/29/2021	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2601 OCEAN PKWY	None	BROOKLYN	NY	11235	7745	00	None	40.586031	-73.9657305	Kings County
116374	Fee-for-Service	1861134785	1861134785	1	1	NICOLE MASNADA DO PROFESSION	3/5/2024	163WP0807X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	AL MEDICAL CORPORATION	4051 BROAD STREET,	SUITE 110	SAN LUIS OBISPO	CA	95811	5226	40	06079	35.24735725	-120.6425269	San Luis Obispo County
116477	Fee-for-Service	1205088705	1205088705	1	1	NGATI, JARVIS B MD	11/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	102568	36	Psychiatry	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
116480	Fee-for-Service	1942293550	1942293550	1	1	NYD LTD	9/24/1984	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	INC	904 E BRUNDAGE LN	None	BAKERSFIELD	CA	93307	3467	15	06029	35.35394851	-118.992744	Kern County
116568	Fee-for-Service	1649318056	1649318056	1	1	NGUYEN, NATHALIE MD	9/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143784	07	Dermatology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
116645	Fee-for-Service	1558516963	1558516963	1	1	NGUYEN, HAI D MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114137	41	Internal Medicine	0	In state provider	None	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
116646	Fee-for-Service	1124032982	1124032982	1	1	NEW YORK CITY HEALTH AND HOS	8/29/2021	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2601 OCEAN PKWY	None	BROOKLYN	NY	11235	7745	00	None	40.586031	-73.9657305	Kings County
116693	Fee-for-Service	1982374484	1982374484	1	1	NUCLEUS BEHAVIORAL PSYCHOLOG	8/13/2023	193200000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5080 N FRUIT AVE	102	FRESNO	CA	93711	3062	10	06019	36.80974442	-119.8173823	Fresno County
116705	Fee-for-Service	1457324204	1457324204	1	1	NASSER HAJAIG MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2301 N 44TH ST	None	PHOENIX	AZ	85008	2420	00	None	33.47325	-111.9866535	Maricopa County
116709	Fee-for-Service	1740482603	1740482603	1	1	NGUYEN, DENNIS H MD	8/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	107638	07	Dermatology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
116722	Fee-for-Service	1679532162	1679532162	1	1	NGUYEN, KHIEM P	3/24/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	57301	None	None	0	In state provider	None	9500 BOLSA AVE	STE P	WESTMINSTER	CA	92683	5943	30	06059	33.74475113	-117.9634694	Orange County
116742	Fee-for-Service	1316989932	1316989932	1	1	NG, LYRA W MD	6/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76998	40	Pediatrics	0	In state provider	None	7601 STONERIDGE DR	None	PLEASANTON	CA	94588	4501	01	06001	37.69013379	-121.9265243	Alameda County
116749	Fee-for-Service	1912618174	1912618174	1	1	NMT TRANSPORT LLC.	2/29/2024	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	5300 CALIFORNIA AVE	#400	BAKERSFIELD	CA	93309	1664	15	06029	35.35932416	-119.0610078	Kern County
116758	Fee-for-Service	1730274614	1730274614	1	1	NGUYEN, DOUG T MD	5/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77506	08	Family Practice	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
116783	Fee-for-Service	1104103001	1104103001	1	5	NORTH EAST MEDICAL SERVICES	9/7/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1443 OCEAN AVE	None	SAN FRANCISCO	CA	94112	1731	38	06075	37.72421849	-122.4578632	San Francisco County
116841	Fee-for-Service	1508560046	1508560046	1	1	NJP RX LLC	4/13/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	348 W GRANT LINE RD	STE A	TRACY	CA	95376	2597	39	06077	37.75412824	-121.4310462	San Joaquin County
116913	Fee-for-Service	1760594089	1760594089	1	2	NISPEROS, CARMELITA C MD	12/20/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	51093	40	Pediatrics	0	In state provider	None	330 NORTHGATE DR	None	MANTECA	CA	95336	3139	39	06077	37.81903505	-121.2213788	San Joaquin County
116999	Fee-for-Service	1912666058	1912666058	1	1	NYABOYE, KENNETH KAUNDA	2/3/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	3171 HIGHGATE TERRACE LO	None	FOLSOM	CA	95630	7053	34	06067	38.635641	-121.0935285	Sacramento County
117014	Fee-for-Service	1861636037	1861636037	1	1	NGUYEN, TUAN A DO	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11388	66	Emergency Medicine (Urgent Care)	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
117040	Fee-for-Service	1467077107	1467077107	1	1	NEDI, JALLISAE M	10/6/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
117090	Fee-for-Service	1104103001	1104103001	1	5	NORTH EAST MEDICAL SERVICES	9/7/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1443 OCEAN AVE	None	SAN FRANCISCO	CA	94112	1731	38	06075	37.72421849	-122.4578632	San Francisco County
117099	Fee-for-Service	1407877608	1407877608	1	1	NALLAMOTHU, RATNAJI B MD	8/1/1999	174400000X	NA	Other	026	PHYSICIANS	69392	45	Nephrology (Renal-Kidney)	0	In state provider	None	300 UNIVERSITY AVE	STE 100	SACRAMENTO	CA	95825	6507	34	06067	38.570796	-121.415409	Sacramento County
117122	Fee-for-Service	1700030954	1700030954	1	1	NGUYEN, KIM A	7/18/2024	208600000X	NA	General Surgery	026	PHYSICIANS	-	02	General Surgery	1	Border provider	None	5920 S RAINBOW BLVD	SUITE 5	LAS VEGAS	NV	89118	4209	00	None	36.08098821	-115.2426863	Clark County
117138	Fee-for-Service	1013013416	1013013416	1	1	NGUYEN, DUC M MD	12/8/1995	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	56493	20	Orthopedic Surgery	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
117211	Fee-for-Service	1811284102	1811284102	1	1	NIKACHINA, ANNA MD	9/24/2018	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	120159	20	Orthopedic Surgery	0	In state provider	None	15095 AMARGOSA RD BLDG 1	SUITE 108	VICTORVILLE	CA	92394	1879	36	06071	34.52479785	-117.3303132	San Bernardino County
117278	Fee-for-Service	1982940409	1982940409	1	1	NABITY, STEPHANIE R G CRNA	4/5/2013	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
117289	Fee-for-Service	1003815606	1003815606	1	1	NORTHERN CALIFORNIA	1/1/1991	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	719 SOUTHPOINT BLVD	STE B	PETALUMA	CA	94954	1495	49	06097	38.25822438	-122.6469015	Sonoma County
117292	Fee-for-Service	1912666058	1912666058	1	1	NYABOYE, KENNETH KAUNDA	2/3/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	3171 HIGHGATE TERRACE LO	None	FOLSOM	CA	95630	7053	34	06067	38.635641	-121.0935285	Sacramento County
117322	Fee-for-Service	1770590002	1770590002	1	1	NEFF, DEENA MD	8/1/1993	207R00000X	NA	Other	026	PHYSICIANS	76830	08	Family Practice	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
117346	Fee-for-Service	1699264655	1699264655	1	1	NGUYEN, TRACEY H OD	5/25/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL OPTOMETRY	1401 WASHINGTON ST	None	KINGSBURG	CA	93631	1946	10	06019	36.51585302	-119.5486956	Fresno County
117348	Fee-for-Service	1184785016	1184785016	1	1	NGUYEN, LAN DO	12/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10643	20	Orthopedic Surgery	0	In state provider	None	7901 FROST STREET	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
117352	Fee-for-Service	1497845176	1497845176	1	1	NICOLLS, MARK R MD	7/30/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80438	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
117435	Fee-for-Service	1215209093	1215209093	1	1	NOWROOZI, MICHELLE G DO	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12508	41	Internal Medicine	0	In state provider	None	1310 W STEWART DRIVE	SUITE 410	ORANGE	CA	92868	3855	30	06059	33.78236048	-117.8664975	Orange County
117438	Fee-for-Service	1770724544	1770724544	1	1	NGUYEN, JOHN MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	106896	05	Anesthesiology	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
117524	Fee-for-Service	1720198971	1720198971	1	1	NARAIN-MENDOZA, RITA S	12/1/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	OD	2201 BOYNTON AVE	None	FAIRFIELD	CA	94533	4301	48	06095	38.24981148	-122.06655	Solano County
117526	Fee-for-Service	1346365855	1346365855	1	1	NERI, MICHAEL A MD	1/1/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	13224	01	General Practice	0	In state provider	None	9985 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.07253232	-117.4356028	San Bernardino County
117583	Fee-for-Service	1528117181	1528117181	1	1	NALAM, BHASKARARAO MD	11/30/1993	208600000X	NA	General Surgery	026	PHYSICIANS	35263	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1180 N INDIAN CANYON DR	STE 304	PALM SPRINGS	CA	92262	4858	33	06065	33.839505	-116.5455735	Riverside County
117652	Fee-for-Service	1104646041	1104646041	1	1	NORMAN, BRANDI CRNA	11/13/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	465 PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
117675	Fee-for-Service	1508469339	1508469339	1	1	NGUYEN, PAUL P PT	12/5/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2755 BRISTOL ST.	STE 130	COSTA MESA	CA	92626	5985	30	06059	33.67368064	-117.889108	Orange County
117692	Fee-for-Service	1841626546	1841626546	1	1	NGUYEN, TIEN V	4/4/2023	207N00000X	NA	Dermatology	026	PHYSICIANS	183734	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
117698	Fee-for-Service	1144838053	1144838053	1	1	NEELIMA HOME HEALTH INC	11/3/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17620 SHERMAN WAY	STE 102	VAN NUYS	CA	91406	3527	19	06037	34.20105176	-118.5171046	Los Angeles County
117778	Fee-for-Service	1376057182	1376057182	1	1	NORTH COAST SUBSTANCE ABUSE	4/24/2020	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1205 MYRTLE AVE	None	EUREKA	CA	95501	1224	12	06023	40.79877881	-124.1468296	Humboldt County
117780	Fee-for-Service	1235316480	1235316480	1	1	NGO, MICHAEL H MD	9/9/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	89853	30	Radiology	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
117788	Fee-for-Service	1477963908	1477963908	1	1	NELSON, JENNIFER L CRNA	5/31/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
117833	Fee-for-Service	1669660114	1669660114	1	1	NAZERI, MANA PT	8/24/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1425 S MAIN STREET	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
117857	Fee-for-Service	1881709673	1881709673	1	1	NEUROSURGICAL MEDICAL	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	CLINIC INC	501 WASHINGTON ST	STE 700	SAN DIEGO	CA	92103	2231	37	06073	32.74986289	-117.1599343	San Diego County
117879	Fee-for-Service	1336283811	1336283811	1	1	NEW HOPE CANCER AND	5/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RESEARCH INSTITUTE	350 VINTON AVE	STE 101	POMONA	CA	91767	3000	19	06037	34.07937061	-117.746663	Los Angeles County
117880	Fee-for-Service	1083600449	1083600449	1	1	NGUYEN, TUAN D MD	3/10/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	67517	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
117881	Fee-for-Service	1528117181	1528117181	1	1	NALAM, BHASKARARAO MD	11/30/1993	208600000X	NA	General Surgery	026	PHYSICIANS	35263	02	General Surgery	0	In state provider	None	1180 N INDIAN CANYON DR	STE 304	PALM SPRINGS	CA	92262	4858	33	06065	33.839505	-116.5455735	Riverside County
117893	Fee-for-Service	1427737287	1427737287	1	1	NIHEI, KARLI CRNA	12/8/2023	163W00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
117947	Fee-for-Service	1356468169	1356468169	1	1	NISSEN, JAMES C LMFT	11/8/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3033 MOORPARK AVE	SUITE 8	SAN JOSE	CA	95128	2521	43	06085	37.31608152	-121.9485105	Santa Clara County
117966	Fee-for-Service	1346812161	1346812161	1	1	NISIM SURGICAL	8/25/2021	208600000X	NA	General Surgery	026	PHYSICIANS	None	None	None	0	In state provider	None	500 OLD RIVER RD	185	BAKERSFIELD	CA	93311	9505	15	06029	35.35127492	-119.1142991	Kern County
117977	Fee-for-Service	1386944783	1386944783	1	1	NEMLEY, DEBORAH M LCSW	10/19/2021	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
118036	Fee-for-Service	1407235625	1407235625	1	1	NGUYEN, EMILY D MD	8/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	143752	40	Pediatrics	0	In state provider	None	10362 BOLSA AVENUE	None	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
118045	Fee-for-Service	1518997402	1518997402	1	1	NASH, ANDREW L MD	7/1/1993	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	74855	40	Pediatrics	0	In state provider	None	3100 SUMMIT ST	None	OAKLAND	CA	94609	3410	01	06001	37.82018974	-122.2643221	Alameda County
118106	Fee-for-Service	1891453338	1891453338	1	1	NGHIEM, JESSICA L CNM	4/11/2022	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
118140	Fee-for-Service	1336119213	1336119213	2	1	NEW SUTTER PROFESSIONAL	3/25/2008	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	SUTTER PROFESSIONAL PMCY	2300 SUTTER ST	#101	SAN FRANCISCO	CA	94115	3037	38	06075	37.78546004	-122.4384038	San Francisco County
118165	Fee-for-Service	1083600449	1083600449	1	1	NGUYEN, TUAN D MD	3/10/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	67517	01	General Practice	0	In state provider	None	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
118187	Fee-for-Service	1366419640	1366419640	1	1	NATIVIDAD, ROSSANA F MD	8/28/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	51038	41	Internal Medicine	0	In state provider	None	1355 SAN PABLO ST	FL 1	LOS ANGELES	CA	90033	1035	19	06037	34.06080447	-118.203734	Los Angeles County
118200	Fee-for-Service	1366496044	1366496044	1	1	NGO, LINH A OD	10/24/2007	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9418 FIRESTONE BLVD	None	DOWNEY	CA	90241	5504	19	06037	33.93147456	-118.1159463	Los Angeles County
118206	Fee-for-Service	1669490744	1669490744	1	1	NATH, ASHA B MD	2/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	39104	41	Internal Medicine	0	In state provider	None	81709 DR CARREON BLVD	STE C3	INDIO	CA	92201	5577	33	06065	33.70733082	-116.2400326	Riverside County
118211	Fee-for-Service	1972667079	1972667079	2	1	NGUYEN, HUNG M OD	11/10/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7841 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4033	30	06059	33.75927749	-117.992169	Orange County
118266	Fee-for-Service	1083812028	1083812028	1	1	NGUYEN, EMILY DO	10/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1155 MILL ST	MAIL CODE J-10	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
118268	Fee-for-Service	1447202742	1447202742	1	1	NESBITT, WILLIAM III MD	4/19/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	37298	08	Family Practice	0	In state provider	A PROF MED CORP	11600 EDUCATION ST	None	AUBURN	CA	95602	2468	31	06061	38.94384696	-121.1061469	Placer County
118269	Fee-for-Service	1316471527	1316471527	1	1	NISBETT, KENISHA A DO	9/1/2021	207RA0401X	NA	Other	026	PHYSICIANS	17194	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
118277	Fee-for-Service	1033435987	1033435987	1	1	NGUYEN, SHEILA P	5/19/2022	207R00000X	NA	Other	026	PHYSICIANS	174484	None	None	0	In state provider	None	18035 BROOKHURST ST	STE 2100	FOUNTAIN VALLEY	CA	92708	6738	30	06059	33.701184	-117.9544385	Orange County
118300	Fee-for-Service	1548697444	1548697444	1	1	NORTH EAST MEDICAL SERVICES	12/30/2013	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1870 LUNDY AVENUE	None	SAN JOSE	CA	95131	1826	43	06085	37.39271022	-121.8903238	Santa Clara County
118326	Fee-for-Service	1487209268	1487209268	1	1	NASTASOIU, ANDREEA	6/28/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1481 E PLAZA BLVD	None	NATIONAL CITY	CA	91950	3613	37	06073	32.6768163	-117.0909096	San Diego County
118354	Fee-for-Service	1669153672	1669153672	1	1	NAMAKULA, HALIMA SERUNJOGI	10/24/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2850 CAUTHEN WAY	None	ANTELOPE	CA	95843	4070	34	06067	38.716254	-121.3971615	Sacramento County
118416	Fee-for-Service	1700806981	1700806981	1	1	NG, FERGUS SHU-FAI	11/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	63694	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
118449	Fee-for-Service	1568024677	1568024677	1	1	NGO, KIMBERLY MD	7/16/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	192511	08	Family Practice	0	In state provider	None	1001 POTRERO AVE	BLDG 80 WARD 83	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
118483	Fee-for-Service	1730174913	1730174913	1	1	NARUSE, ROBERT T MD	11/1/1984	207L00000X	NA	Other	026	PHYSICIANS	50232	05	Anesthesiology	0	In state provider	None	11601 SANTA MONICA BLVD	None	LOS ANGELES	CA	90025	2907	19	06037	34.04458879	-118.4542015	Los Angeles County
118524	Fee-for-Service	1750446001	1750446001	1	1	NGUYEN, JOHN D OD	1/29/2007	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1912 W COMMONWEALTH AVE	STE D	FULLERTON	CA	92833	3040	30	06059	33.87005769	-117.9645701	Orange County
118561	Fee-for-Service	1447202742	1447202742	1	1	NESBITT, WILLIAM III MD	4/19/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	37298	38	Geriatrics	0	In state provider	A PROF MED CORP	11600 EDUCATION ST	None	AUBURN	CA	95602	2468	31	06061	38.94384696	-121.1061469	Placer County
118580	Fee-for-Service	1376919555	1376919555	1	1	NAZARIAN, CHRISTINE LMFT	6/17/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
118588	Fee-for-Service	1548697444	1548697444	1	1	NORTH EAST MEDICAL SERVICES	12/30/2013	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1870 LUNDY AVENUE	None	SAN JOSE	CA	95131	1826	43	06085	37.39271022	-121.8903238	Santa Clara County
118641	Fee-for-Service	1669153672	1669153672	1	1	NAMAKULA, HALIMA SERUNJOGI	10/24/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2850 CAUTHEN WAY	None	ANTELOPE	CA	95843	4070	34	06067	38.716254	-121.3971615	Sacramento County
118705	Fee-for-Service	1700806981	1700806981	1	1	NG, FERGUS SHU-FAI	11/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	63694	01	General Practice	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
118730	Fee-for-Service	1386703908	1386703908	1	1	NGUYEN, TIN D MD	12/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	76950	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
118789	Fee-for-Service	1013168046	1013168046	1	1	N YOUR HOME HEALTH CARE	3/20/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	515 W MAIN STREET	STE A	EL CENTRO	CA	92243	2913	13	06025	32.79280049	-115.55523	Imperial County
118797	Fee-for-Service	1811974843	1811974843	1	1	NGUYEN, HIEN H MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66151	77	Infectious Disease	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
118814	Fee-for-Service	1669808739	1669808739	1	1	NELSON, JOSEPH D	9/18/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3047	33	06065	33.904782	-117.469323	Riverside County
118822	Fee-for-Service	1124422977	1124422977	1	1	NAPA COUNTY HEALTH AND HUMAN	10/27/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1435 N OAK STREET	None	CALISTOGA	CA	94515	1336	28	06055	38.5832758	-122.584818	Napa County
118844	Fee-for-Service	1659450310	1659450310	1	1	NGUYEN,ANDY MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71077	41	Internal Medicine	0	In state provider	None	3000 LAS POSITAS RD	None	LIVERMORE	CA	94551	9627	01	06001	37.69960369	-121.7628917	Alameda County
118866	Fee-for-Service	1902335904	1902335904	1	1	NGUYEN, HIEN T DO	9/2/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17081	08	Family Practice	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
118909	Fee-for-Service	1558434381	1558434381	1	1	NAVARRO, DANIEL	3/31/1992	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	ORANGE PLAZA OPTOMETRY	568 ORANGE ST	None	REDLANDS	CA	92374	3208	36	06071	34.06061163	-117.1825093	San Bernardino County
118925	Fee-for-Service	1124195094	1124195094	1	1	NAIR, SANKARI L MD	3/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	41546	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
118940	Fee-for-Service	1730284878	1730284878	1	1	NISHIMURA, KAREN Y MD	3/1/1999	207N00000X	NA	Dermatology	026	PHYSICIANS	60747	07	Dermatology	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
118957	Fee-for-Service	1538720891	1538720891	1	1	NACHALON, YUVAL MD	7/1/2019	207YX0905X	NA	ENT/Otolaryngology	026	PHYSICIANS	None	04	Otology, Laryngology, Rhinology	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
118997	Fee-for-Service	1265567127	1265567127	1	2	NORTHERN VALLEY INDIAN	7/11/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MOBILE	845 W EAST AVE	None	CHICO	CA	95926	2002	04	06007	39.74764347	-121.8765412	Butte County
119011	Fee-for-Service	1790892354	1790892354	1	1	NGO, JAMES MD	3/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94397	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	44105 N 15TH ST W	STE 304	LANCASTER	CA	93534	4089	19	06037	34.684218	-118.1568465	Los Angeles County
119027	Fee-for-Service	1861406316	1861406316	2	1	NORTHFIELD, MARK R MD	6/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	77114	20	Orthopedic Surgery	0	In state provider	None	1496 PROFESSIONAL DR	SUITE 601	PETALUMA	CA	94954	6698	49	06097	38.25575122	-122.6329158	Sonoma County
119084	Fee-for-Service	1811974843	1811974843	1	1	NGUYEN, HIEN H MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66151	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
119096	Fee-for-Service	1174525554	1174525554	1	1	NORTHERN CALIFORNIA	11/29/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	MEDICAL ASSOCIATES	84 MADRONE ST	None	WILLITS	CA	95490	4249	23	06045	39.40096275	-123.3520916	Mendocino County
119105	Fee-for-Service	1619291481	1619291481	1	1	NAKAMURA, YOKO MD	2/8/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1301 PUNCHBOWL ST	None	HONOLULU	HI	96813	2402	00	None	21.30800017	-157.8550765	Honolulu County
119112	Fee-for-Service	1104343904	1104343904	1	1	NOLAN, KARA LMFT	11/1/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
119124	Fee-for-Service	1083630529	1083630529	1	1	NAPOLITANO, RALPH A MD	11/19/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	69492	-	NOT APPLICABLE	0	In state provider	None	314 W 4TH STREET	None	OXNARD	CA	93030	5910	56	06111	34.1989635	-119.180308	Ventura County
119126	Fee-for-Service	1659450310	1659450310	1	1	NGUYEN,ANDY MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71077	08	Family Practice	0	In state provider	None	3000 LAS POSITAS RD	None	LIVERMORE	CA	94551	9627	01	06001	37.69960369	-121.7628917	Alameda County
119175	Fee-for-Service	1669042438	1669042438	1	1	NIEVES, ALDRIN U NP	2/6/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2160 APPIAN WAY	SUITE 200	PINOLE	CA	94564	2565	07	06013	37.99585174	-122.3021549	Contra Costa County
119181	Fee-for-Service	1902529621	1902529621	1	1	NANCY UBERTO, LICENSED CLINI	12/2/2022	1041C0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1055 COLORADO BLVD	5TH FLOOR	PASADENA	CA	91106	2327	19	06037	34.14595648	-118.1287575	Los Angeles County
119187	Fee-for-Service	1457340259	1457340259	1	1	NEAL F. JUNCK M.D.	1/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1301 S CRISMON RD	None	MESA	AZ	85209	3767	00	None	33.391494	-111.611862	Maricopa County
119207	Fee-for-Service	1669405478	1669405478	1	1	NAGER, CHARLES W MD	3/1/1984	207VG0400X	NA	Obstetrics & Gynecology	026	PHYSICIANS	50449	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
119215	Fee-for-Service	1124195094	1124195094	1	1	NAIR, SANKARI L MD	3/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	41546	40	Pediatrics	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
119250	Fee-for-Service	1790810802	1790810802	1	1	NAKAHARA, TAMI MD	5/1/1998	174400000X	NA	Other	026	PHYSICIANS	80496	40	Pediatrics	0	In state provider	None	550 WASHINGTON ST	STE 111	SAN DIEGO	CA	92103	2213	37	06073	32.75003652	-117.1603431	San Diego County
119251	Fee-for-Service	1902337645	1902337645	1	1	NGUYEN, VAN D	7/2/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	171924	None	None	0	In state provider	None	1450 SAN PABLO ST	STE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
119269	Fee-for-Service	1255644100	1255644100	1	1	NANAYAKKARA, TANYA MD	2/10/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	165533	08	Family Practice	0	In state provider	None	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	33	06065	33.92721419	-117.561448	Riverside County
119283	Fee-for-Service	1124105077	1124105077	1	1	NASIRI, HEKMAT U MD	6/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	90875	01	General Practice	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
119285	Fee-for-Service	1265567127	1265567127	1	2	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	MOBILE	845 W EAST AVE	None	CHICO	CA	95926	2002	04	06007	39.74764347	-121.8765412	Butte County
119316	Fee-for-Service	1861406316	1861406316	2	1	NORTHFIELD, MARK R MD	6/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	77114	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1496 PROFESSIONAL DR	SUITE 601	PETALUMA	CA	94954	6698	49	06097	38.25575122	-122.6329158	Sonoma County
119379	Fee-for-Service	1235310723	1235310723	1	1	NEHA MEDICAL CORPORATION	3/24/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	9604 E ARTSIA BLVD	STE 102	BELLFLOWER	CA	90706	8041	19	06037	33.87472842	-118.1288599	Los Angeles County
119415	Fee-for-Service	1659364271	1659364271	1	1	NASR, HAFEZ MD	10/9/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	156000	08	Family Practice	0	In state provider	None	1225 NORTH H STREET	None	LOMPOC	CA	93436	3301	42	06083	34.65803329	-120.4576446	Santa Barbara County
119435	Fee-for-Service	1427420231	1427420231	1	1	NATOCI, KAREN O	10/26/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
119468	Fee-for-Service	1902529621	1902529621	1	1	NANCY UBERTO, LICENSED CLINI	12/2/2022	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1055 COLORADO BLVD	5TH FLOOR	PASADENA	CA	91106	2327	19	06037	34.14595648	-118.1287575	Los Angeles County
119487	Fee-for-Service	1013921360	1013921360	1	1	NORUM, THOMAS M MD	11/29/2010	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	27427	10	Gastroenterology (M.D. only)	0	In state provider	None	W 5TH & ESPLANADE	None	CHICO	CA	95926	0000	04	06007	39.741948	-121.848921	Butte County
119502	Fee-for-Service	1124195094	1124195094	1	1	NAIR, SANKARI L MD	3/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	41546	01	General Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
119513	Fee-for-Service	1669769717	1669769717	1	1	NAJAND, SADAF MD	12/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124150	01	General Practice	0	In state provider	None	15611 POMERADO RD	SUITE 400	POWAY	CA	92064	1968	37	06073	32.99706	-117.05544	San Diego County
119552	Fee-for-Service	1366595019	1366595019	1	1	NORTH KERN TULARE	11/20/1991	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HOSPITAL DISTRICT	1509 TOKAY ST	None	DELANO	CA	93215	3603	15	06029	35.7622524	-119.2377058	Kern County
119554	Fee-for-Service	1093901449	1093901449	1	1	NDJEE, CHRISTINE A	8/5/2019	207R00000X	NA	Other	026	PHYSICIANS	147494	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1680 E 120 ST	None	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
119642	Fee-for-Service	1952439796	1952439796	1	1	NORTH BAY PROSTHETICS AND OR	7/25/2007	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	THOTICS LLC	712 EMPIRE ST	None	FAIRFIELD	CA	94534	9612	48	06095	38.25035747	-122.0423085	Solano County
119695	Fee-for-Service	1225236268	1225236268	1	1	NGUYEN, VINH-LINH B MD	8/15/2007	193400000X	NA	Other	026	PHYSICIANS	99397	78	Neoplastic Diseases/Oncology	0	In state provider	None	500 OLD RIVER RD	STE 205	BAKERSFIELD	CA	93311	9511	15	06029	35.35127492	-119.1142991	Kern County
119717	Fee-for-Service	1275853061	1275853061	1	2	NEWMAN, ANGELA L LMFT	11/14/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	659 CHERRY STREET	SUITE 206	SANTA ROSA	CA	95404	4207	49	06097	38.444841	-122.7151035	Sonoma County
119755	Fee-for-Service	1689039281	1689039281	1	1	NOBILIS INC	12/8/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	206 NORTH JACKSON STREET	SUITE 301	GLENDALE	CA	91206	4330	19	06037	34.14852285	-118.2501237	Los Angeles County
119793	Fee-for-Service	1275055675	1275055675	1	1	NABAR, SHRUTI N MD	8/8/2023	390200000X	NA	Other	026	PHYSICIANS	188076	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
119822	Fee-for-Service	1225392228	1225392228	1	1	NGO, PHONG T MD	11/24/2019	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	133666	08	Family Practice	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
119827	Fee-for-Service	1477789485	1477789485	1	1	NICHOLS, JAMIE A CCC-SLP	8/3/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	41689 ENTERPRISE CR. NO.	SUITE 118	TEMECULA	CA	92590	5630	33	06065	33.51953516	-117.1693891	Riverside County
119867	Fee-for-Service	1114104015	1114104015	1	1	NORTHEAST VLY HLTH CORP	5/1/1998	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	EARLY INTERVENTION	6551 VAN NUYS BLVD	STE 201	VAN NUYS	CA	91402	4839	19	06037	34.189902	-118.448758	Los Angeles County
119919	Fee-for-Service	1487125019	1487125019	1	4	NES WESTERN GROUP, A PROFESS	12/1/2022	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	600 MARINE BLVD	None	MOSS BEACH	CA	94038	9641	41	06081	37.52703039	-122.5075216	San Mateo County
119949	Fee-for-Service	1053486944	1053486944	1	1	NINO, EDWARD B NP	3/14/2019	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7840 IMPERIAL HWY	B	DOWNEY	CA	90242	3457	19	06037	33.92542657	-118.1549366	Los Angeles County
119980	Fee-for-Service	1225236268	1225236268	1	1	NGUYEN, VINH-LINH B MD	8/15/2007	193400000X	NA	Other	026	PHYSICIANS	99397	68	Hematology	0	In state provider	None	500 OLD RIVER RD	STE 205	BAKERSFIELD	CA	93311	9511	15	06029	35.35127492	-119.1142991	Kern County
119997	Fee-for-Service	1386148781	1386148781	1	1	NGUYEN, NIKKI NHU P MD	5/17/2021	390200000X	NA	Other	026	PHYSICIANS	166177	None	None	0	In state provider	None	9191 WESTMINSTER AVE	STE 106	GARDEN GROVE	CA	92844	2751	30	06059	33.75946879	-117.9688437	Orange County
119998	Fee-for-Service	1346746211	1346746211	1	1	NG, CHRISTI MD	9/25/2023	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	187332	None	None	0	In state provider	None	275 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5641	01	06001	37.82397231	-122.2578822	Alameda County
120087	Fee-for-Service	1588008890	1588008890	1	1	NAIM, ALAN J MD	12/26/2019	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	133099	10	Gastroenterology (M.D. only)	0	In state provider	None	201 S ALVARADO ST	STE 711	LOS ANGELES	CA	90057	2390	19	06037	34.06417777	-118.2719543	Los Angeles County
120129	Fee-for-Service	1194738849	1194738849	1	1	NGUYEN, SAN T MD INC	9/30/1987	174400000X	NA	Other	026	PHYSICIANS	32179	40	Pediatrics	0	In state provider	None	1021 S GARFIELD AVE	None	ALHAMBRA	CA	91801	4710	19	06037	34.083891	-118.1230975	Los Angeles County
120138	Fee-for-Service	1851814164	1851814164	1	1	NEVE, MORTEN MD	8/9/2021	207L00000X	NA	Other	026	PHYSICIANS	166404	None	None	0	In state provider	None	4001 J ST	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
120155	Fee-for-Service	1023083888	1023083888	1	1	NISHIKUBO, CAROL Y MD	1/1/1998	207RH0003X	NA	Oncology	026	PHYSICIANS	78746	78	Neoplastic Diseases/Oncology	0	In state provider	None	2021 SANTA MONICA BLVD	SUITE 400E	SANTA MONICA	CA	90404	2103	19	06037	34.02922048	-118.4793681	Los Angeles County
120168	Fee-for-Service	1669914552	1669914552	1	1	NORTHERN ARIZONA HEALTHCARE	1/7/2020	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	2	Out of state provider	CORPORATION	1200 N. BEAVER STREET	None	FLAGSTAFF	AZ	86001	3118	00	None	35.208594	-111.645099	Coconino County
120193	Fee-for-Service	1326124819	1326124819	1	1	NORTON, MARILYN SANDRA	9/8/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	S0 CNTY HEMATOLOGY ONCOL	752 MEDICAL CENTER CT	STE 304	CHULA VISTA	CA	91911	6660	37	06073	32.61800405	-117.0232585	San Diego County
120270	Fee-for-Service	1104820075	1104820075	1	1	NUNEZ, GEORGINA M LCSW	3/30/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVENUE	SUITE 110	SAN JOSE	CA	95119	1325	43	06085	37.23598537	-121.7783065	Santa Clara County
120328	Fee-for-Service	1720030208	1720030208	1	1	NAKAI, BHUPINDER S	9/20/2007	2084P0800X	NA	Psychiatry	026	PHYSICIANS	50549	None	None	0	In state provider	None	9209 ARCHIBALD AVE	None	RCH CUCAMONGA	CA	91730	5207	36	06071	34.086231	-117.5934245	San Bernardino County
120358	Fee-for-Service	1942713441	1942713441	1	1	NGO, CHELSEA PT	12/23/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
120442	Fee-for-Service	1346671815	1346671815	2	1	NOBBE, RALPH W CPO	1/13/2014	222Z00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	2345 S BROADWAY	#E	SANTA MARIA	CA	93454	7840	42	06083	34.91787028	-120.4361185	Santa Barbara County
120443	Fee-for-Service	1023083888	1023083888	1	1	NISHIKUBO, CAROL Y MD	1/1/1998	207RH0003X	NA	Oncology	026	PHYSICIANS	78746	68	Hematology	0	In state provider	None	2021 SANTA MONICA BLVD	SUITE 400E	SANTA MONICA	CA	90404	2103	19	06037	34.02922048	-118.4793681	Los Angeles County
120458	Fee-for-Service	1669914552	1669914552	1	1	NORTHERN ARIZONA HEALTHCARE	7/24/2024	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	2	Out of state provider	CORPORATION	1200 N. BEAVER STREET	None	FLAGSTAFF	AZ	86001	3118	00	None	35.208594	-111.645099	Coconino County
120480	Fee-for-Service	1326124819	1326124819	1	1	NORTON, MARILYN SANDRA	9/8/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	S0 CNTY HEMATOLOGY ONCOL	752 MEDICAL CENTER CT	STE 304	CHULA VISTA	CA	91911	6660	37	06073	32.61800405	-117.0232585	San Diego County
120558	Fee-for-Service	1659535797	1659535797	1	1	NAIMA, NILOUFAR N MD	1/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	112531	None	None	0	In state provider	None	17772 BEACH BLVD	None	HUNTINGTON BEACH	CA	92647	6819	30	06059	33.703677	-117.9865035	Orange County
120561	Fee-for-Service	1073916649	1073916649	1	1	NGUMAN, CINDY LCSW	1/30/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	21125 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91355	1356	19	06037	34.41164827	-118.5053439	Los Angeles County
120581	Fee-for-Service	1700536430	1700536430	1	1	NELSON, ANNA M CNP	8/2/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2510 EL CAMINO REAL	None	CARLSBAD	CA	92008	1273	37	06073	33.17942276	-117.3266425	San Diego County
120583	Fee-for-Service	1952512873	1952512873	1	1	NABILI, VISHAD MD	6/4/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	82633	None	None	0	In state provider	None	200 MEDICAL PLAZA	STE 550	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
120591	Fee-for-Service	1841382421	1841382421	1	1	NATALE, ANDREA MD	12/29/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	50726	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2 BON AIR RD	STE 200	LARKSPUR	CA	94939	1141	21	06041	37.94364568	-122.5396483	Marin County
120614	Fee-for-Service	1740485101	1740485101	1	1	NIKOO, FARHAD G CNP	6/25/2019	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	17782 COWAN STE A	None	IRVINE	CA	92614	6041	30	06059	33.69590054	-117.862371	Orange County
120691	Fee-for-Service	1235447418	1235447418	1	1	NAOMI LEAL	9/21/2010	164X00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1009 DOUGLAS AVENUE	None	OXNARD	CA	93030	4751	56	06111	34.2089382	-119.1893807	Ventura County
120753	Fee-for-Service	1386330470	1386330470	1	1	NAMAYANJA, BARBARA NP	1/22/2025	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	800 E LUGONIA AVE	STE F	REDLANDS	CA	92374	2550	36	06071	34.07000118	-117.1731789	San Bernardino County
120769	Fee-for-Service	1427223676	1427223676	1	1	NIJAGAL, AMAR MD	6/20/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103244	02	General Surgery	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
120829	Fee-for-Service	1568518827	1568518827	1	1	NATHAN, SUDHA R MD	9/6/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	53595	41	Internal Medicine	0	In state provider	None	8510 BALBOA BLVD	SUITE 150	NORTHRIDGE	CA	91325	3583	19	06037	34.224507	-118.5026015	Los Angeles County
120902	Fee-for-Service	1780935650	1780935650	1	1	NGUYEN, KIM N OD	1/23/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6945 EL CAJON BLVD	None	SAN DIEGO	CA	92115	1754	37	06073	32.76862715	-117.048093	San Diego County
120938	Fee-for-Service	1326086661	1326086661	1	1	NIMELSTEIN, STEPHEN H MD	9/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	27128	41	Internal Medicine	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
120946	Fee-for-Service	1073846754	1073846754	1	1	NICOLAS, NINA C NP	4/8/2010	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	43112 N 15TH STREET	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
120947	Fee-for-Service	1144427287	1144427287	1	1	NORMINGTON, DEVIN L PHD	7/16/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1400 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
121013	Fee-for-Service	1134805146	1134805146	1	1	NEMETH, KATALIN	6/30/2023	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	10	06019	0	0	None
121059	Fee-for-Service	1427223676	1427223676	1	1	NIJAGAL, AMAR MD	6/20/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103244	85	Surgery-Pediatric	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
121090	Fee-for-Service	1720059579	1720059579	1	1	NG, JUDY W MD	4/6/2004	207N00000X	NA	Dermatology	026	PHYSICIANS	78745	07	Dermatology	0	In state provider	None	450 SUTTER ST	RM 1306	SAN FRANCISCO	CA	94108	4002	38	06075	37.78934929	-122.4077786	San Francisco County
121106	Fee-for-Service	1558946954	1558946954	1	1	NOVAKOVIC, SVETLANA	3/30/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2288 VIA APRILIA	None	DEL MAR	CA	92014	3707	37	06073	32.93435271	-117.2532117	San Diego County
121113	Fee-for-Service	1952824872	1952824872	1	1	NIA, HAMID DO	7/31/2023	207P00000X	NA	Other	026	PHYSICIANS	20175	None	None	0	In state provider	None	215 W JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
121128	Fee-for-Service	1912905480	1912905480	1	1	NEE, GREGORY T MD	3/1/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84881	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
121130	Fee-for-Service	1487623724	1487623724	1	1	NATHAN, RAMANI MD	4/24/1987	207RN0300X	NA	Nephrology	026	PHYSICIANS	26761	41	Internal Medicine	0	In state provider	None	12665 GARDEN GROVE BLVD	# 21	GARDEN GROVE	CA	92843	1901	30	06059	33.77450141	-117.9123364	Orange County
121146	Fee-for-Service	1023308665	1023308665	1	1	NATHAN L. WHITFIELD, M.D.	2/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1200 N BEAVER ST	None	FLAGSTAFF	AZ	86001	3118	00	None	35.208594	-111.645099	Coconino County
121231	Fee-for-Service	1669714143	1669714143	1	1	NAQVI, MOHAMMAD I DO	4/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13596	41	Internal Medicine	0	In state provider	None	345 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03619096	-117.2847386	San Diego County
121278	Fee-for-Service	1255541058	1255541058	1	1	NISENBERG, OLEG MD	1/6/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	99081	41	Internal Medicine	0	In state provider	None	13652 CANTARA STREET	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
121286	Fee-for-Service	1013371343	1013371343	1	1	NI, CATHERINE S MD	10/1/2019	207N00000X	NA	Dermatology	026	PHYSICIANS	152607	07	Dermatology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
121308	Fee-for-Service	1649614215	1649614215	1	1	NGAI, PHILIP T MD	6/28/2017	207W00000X	NA	Ophthalmology	026	PHYSICIANS	135894	18	Ophthalmology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
121368	Fee-for-Service	1144456831	1144456831	1	1	NORRIS, JANE A LMFT	12/19/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6809 INDIANA AVE	STE 137	RIVERSIDE	CA	92506	4221	33	06065	33.94312844	-117.3918196	Riverside County
121395	Fee-for-Service	1558946954	1558946954	1	1	NOVAKOVIC, SVETLANA	3/30/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2288 VIA APRILIA	None	DEL MAR	CA	92014	3707	37	06073	32.93435271	-117.2532117	San Diego County
121407	Fee-for-Service	1033129135	1033129135	1	1	NASSAR, ALLAN T MD	12/1/1997	207R00000X	NA	Other	026	PHYSICIANS	61181	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
121411	Fee-for-Service	1518122209	1518122209	1	1	NASSERI, YOSEF Y MD	8/14/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96075	02	General Surgery	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
121418	Fee-for-Service	1487623724	1487623724	1	1	NATHAN, RAMANI MD	4/24/1987	207RN0300X	NA	Nephrology	026	PHYSICIANS	26761	45	Nephrology (Renal-Kidney)	0	In state provider	None	12665 GARDEN GROVE BLVD	# 21	GARDEN GROVE	CA	92843	1901	30	06059	33.77450141	-117.9123364	Orange County
121469	Fee-for-Service	1295749737	1295749737	1	1	NELSON, HOWARD T MD	1/1/1982	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	30200	30	Radiology	0	In state provider	None	208 GREEN VALLEY RD	None	FREEDOM	CA	95019	3135	44	06087	36.93777813	-121.7711905	Santa Cruz County
121590	Fee-for-Service	1275396434	1275396434	1	1	NURTURING MIND, BODY & SPIRI	8/30/2024	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	T, A LICENSED CLINICAL S	15200 HESPERIAN BLVD	STE 202	SAN LEANDRO	CA	94578	3927	01	06001	37.69863049	-122.1299049	Alameda County
121705	Fee-for-Service	1922077668	1922077668	1	1	NOLAND, HORACE W. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2450 E RIVER RD	None	TUCSON	AZ	85718	6522	00	None	32.285088	-110.934765	Pima County
121710	Fee-for-Service	1093970691	1093970691	1	1	NGUYEN, LONG T DO	10/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	10948	08	Family Practice	0	In state provider	None	9400 ROSECRANS AVENUE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
121796	Fee-for-Service	1609187616	1609187616	1	1	NARAYAN, SHILPA MD	3/4/2025	2080P0203X	NA	Other	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	1359 PARK AVE	None	ALAMEDA	CA	94501	4511	01	06001	37.76329307	-122.2420565	Alameda County
121823	Fee-for-Service	1982281465	1982281465	1	1	NAIR, VISHNU P MD	3/30/2024	207R00000X	NA	Other	026	PHYSICIANS	192101	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
121878	Fee-for-Service	1275396434	1275396434	1	1	NURTURING MIND, BODY & SPIRI	8/30/2024	1041C0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	T, A LICENSED CLINICAL S	15200 HESPERIAN BLVD	STE 202	SAN LEANDRO	CA	94578	3927	01	06001	37.69863049	-122.1299049	Alameda County
121881	Fee-for-Service	1669001749	1669001749	1	1	NG, CHRISTOPHER L DO	8/8/2023	207R00000X	NA	Other	026	PHYSICIANS	20642	None	None	0	In state provider	None	2600 REDONDO AVE	None	LONG BEACH	CA	90806	2325	19	06037	33.806097	-118.151378	Los Angeles County
121909	Fee-for-Service	1861948580	1861948580	1	1	NASEER, ASMA MSW LCSW	1/1/2025	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8775 AERO DRIVE	STE 238	SAN DIEGO	CA	92123	1756	37	06073	32.80965551	-117.1391563	San Diego County
121942	Fee-for-Service	1275996472	1275996472	1	1	NGUYEN, KHOA MD	5/7/2019	390200000X	NA	Other	026	PHYSICIANS	153949	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
121968	Fee-for-Service	1497884860	1497884860	1	1	NGO-AGARD, ALEXUS L	4/26/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
122013	Fee-for-Service	1578940615	1578940615	1	1	NAZARENO, DON M S CRNA	12/22/2017	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
122059	Fee-for-Service	1639559099	1639559099	1	1	NADADUR, MALINI MD	10/28/2019	207R00000X	NA	Other	026	PHYSICIANS	152633	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
122081	Fee-for-Service	1912105594	1912105594	1	1	NEVO, RUTH PHD	9/26/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5755 COTTLE ROAD	None	SAN JOSE	CA	95123	3640	43	06085	37.246896	-121.8040865	Santa Clara County
122159	Fee-for-Service	1093897860	1093897860	1	1	NORK, JUSTIN J DO	9/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	16623	34	Urology and Urological Surgery	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
122160	Fee-for-Service	1831695584	1831695584	1	1	NGUYEN, IVY DO	6/21/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	21211	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
122191	Fee-for-Service	1700886975	1700886975	1	1	NELSON, DAVID	12/31/1989	207RC0200X	NA	Other	026	PHYSICIANS	60128	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2000 STADIUM WAY	None	LOS ANGELES	CA	90026	2606	19	06037	34.07578277	-118.248587	Los Angeles County
122374	Fee-for-Service	1013478676	1013478676	1	1	NATHANSON, DAVID DO	10/28/2022	207QA0505X	NA	Adult Primary Care	026	PHYSICIANS	19491	None	None	0	In state provider	None	320 LENNON LANE	None	WALNUT CREEK	CA	94598	2419	07	06013	37.92699561	-122.0292732	Contra Costa County
122416	Fee-for-Service	1295752384	1295752384	1	7	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	500 COHASSET RD	STE 15	CHICO	CA	95926	2260	04	06007	39.75142109	-121.8506286	Butte County
122425	Fee-for-Service	1669819702	1669819702	1	1	NAVAL, VANESSA NP	4/4/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
122650	Fee-for-Service	1023205879	1023205879	1	1	NARVID, JARED A MD	5/13/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	104956	30	Radiology	0	In state provider	None	1001 POTRERO AVE	RM 1X	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
122699	Fee-for-Service	1295752384	1295752384	1	7	NORTHERN VALLEY INDIAN	5/13/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	500 COHASSET RD	STE 15	CHICO	CA	95926	2260	04	06007	39.75142109	-121.8506286	Butte County
122739	Fee-for-Service	1356095541	1356095541	1	1	NIMARA-DIGITAL,INC	2/14/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1160 BRICKYARD COVE RD	SUITE 200 PRIVATE OFFICE	RICHMOND	CA	94801	4173	07	06013	37.91060122	-122.3777913	Contra Costa County
122742	Fee-for-Service	1760773014	1760773014	1	1	NGO, MICHELLE DO	8/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	12477	83	Rheumatology	0	In state provider	None	2141 N HARBOR BLVD	STE 25000	FULLERTON	CA	92835	3830	30	06059	33.89443025	-117.9288328	Orange County
122808	Fee-for-Service	1679667364	1679667364	1	1	NGUYEN, KHANH T MD	9/12/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96169	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1701 SANTA ANITA AVE	None	SOUTH EL MONTE	CA	91733	3411	19	06037	34.04810648	-118.0424794	Los Angeles County
122997	Fee-for-Service	1437251584	1437251584	1	1	NEWMAN, HOWARD K MD	7/1/2010	208600000X	NA	General Surgery	026	PHYSICIANS	34941	02	General Surgery	0	In state provider	None	412 W CARROLL AVE	STE 106	GLENDORA	CA	91741	4706	19	06037	34.13415622	-117.8702547	Los Angeles County
123020	Fee-for-Service	1366553273	1366553273	1	1	NEENO, TERESA A MD	8/29/2022	207K00000X	NA	Other	026	PHYSICIANS	150211	None	None	0	In state provider	None	1451 SECRET RAVINE PKWY	STE 150	ROSEVILLE	CA	95661	6052	31	06061	38.7647101	-121.2431538	Placer County
123028	Fee-for-Service	1760773014	1760773014	1	1	NGO, MICHELLE DO	8/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	12477	41	Internal Medicine	0	In state provider	None	2141 N HARBOR BLVD	STE 25000	FULLERTON	CA	92835	3830	30	06059	33.89443025	-117.9288328	Orange County
123127	Fee-for-Service	1639620974	1639620974	1	1	NIAMEH, FRANCISCA V PHD	9/21/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
123281	Fee-for-Service	1730569229	1730569229	1	1	NEW ROSE HOME HEALTH CARE, I	8/22/2023	251E00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	NC.	4645 HOLLYWOOD BLVD	STE. 5	LOS ANGELES	CA	90027	5455	19	06037	34.10033387	-118.290438	Los Angeles County
123330	Fee-for-Service	1205948312	1205948312	1	1	NGUYEN, DOMINIC DO	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	7488	None	None	0	In state provider	None	16850 BEAR VALLEY RD	None	VICTORVILLE	CA	92395	5794	36	06071	34.47092468	-117.2977236	San Bernardino County
123345	Fee-for-Service	1366510869	1366510869	1	1	NG, BRIAN C MD	12/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89073	40	Pediatrics	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
123346	Fee-for-Service	1770859084	1770859084	1	2	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	MOBILE	1515 SPRINGFIELD DR	SUITE 175	CHICO	CA	95926	5995	04	06007	39.73096434	-121.8089646	Butte County
123379	Fee-for-Service	1730343971	1730343971	1	1	NGUYEN, ANNMARIE MD INC	1/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	69150	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	12665 GARDEN GROVE BLVD	STE 611	GARDEN GROVE	CA	92843	1920	30	06059	33.77450141	-117.9123364	Orange County
123413	Fee-for-Service	1417185588	1417185588	1	1	NGUYEN, KIM M T MD	8/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143443	41	Internal Medicine	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
123432	Fee-for-Service	1831160019	1831160019	1	1	NAMAZY, JENNIFER A MD	9/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74328	03	Allergy	0	In state provider	None	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
123435	Fee-for-Service	1316113269	1316113269	1	1	NGUYEN, NICHOLE J MD INC	6/18/2008	193400000X	NA	Other	026	PHYSICIANS	70498	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	15725 POMERADO RD	STE 201	POWAY	CA	92064	2058	37	06073	33.00037882	-117.0580735	San Diego County
123462	Fee-for-Service	1609311018	1609311018	1	1	NEEDHAM, RACHEL M LMFT	1/21/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
123463	Fee-for-Service	1891248662	1891248662	1	1	NETHERY, KATHARINE E	8/1/2016	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
123494	Fee-for-Service	1306230669	1306230669	1	1	NIELSEN, HAILYN MD	7/14/2020	207RR0500X	NA	Other	026	PHYSICIANS	148465	83	Rheumatology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
123498	Fee-for-Service	1366756215	1366756215	2	1	NGUYEN, KHANH BAO MD INC	4/25/2013	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	67515	08	Family Practice	0	In state provider	None	13830 BROOKHURST ST	None	GARDEN GROVE	CA	92843	3121	30	06059	33.761034	-117.954832	Orange County
123628	Fee-for-Service	1336181080	1336181080	1	1	NOURMOHAMMADI, NOUREDDIN MD	6/24/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	54563	30	Radiology	0	In state provider	None	3320 LOS COYOTES DIAGONA	None	LONG BEACH	CA	90808	3918	19	06037	33.8173793	-118.1104908	Los Angeles County
123631	Fee-for-Service	1770859084	1770859084	1	2	NORTHERN VALLEY INDIAN	11/30/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MOBILE	1515 SPRINGFIELD DR	SUITE 175	CHICO	CA	95926	5995	04	06007	39.73096434	-121.8089646	Butte County
123642	Fee-for-Service	1831217264	1831217264	1	1	NARASIMHAN, ANANDHI	1/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	89101	None	None	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1865	19	06037	34.07671715	-118.3799413	Los Angeles County
123719	Fee-for-Service	1831160019	1831160019	1	1	NAMAZY, JENNIFER A MD	9/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74328	41	Internal Medicine	0	In state provider	None	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
123828	Fee-for-Service	1316149511	1316149511	1	1	NGUYEN, RAYMOND Q MD	8/17/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99975	05	Anesthesiology	0	In state provider	None	500 S MAIN ST	STE 1210	ORANGE	CA	92868	4556	30	06059	33.77991974	-117.8674745	Orange County
123870	Fee-for-Service	1790267292	1790267292	1	1	NEVITT, JENNIFER A PSYD	10/25/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA ST	STE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
123905	Fee-for-Service	1851116925	1851116925	1	1	NELIDA LOUDEN PSYCHOTHERAPY,	12/3/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	INC.	643 3RD ST	None	ENCINITAS	CA	92024	3513	37	06073	33.04364029	-117.295476	San Diego County
123940	Fee-for-Service	1215984992	1215984992	1	1	NEWFIELD, PHILIPPA MD	2/1/1997	207L00000X	NA	Other	026	PHYSICIANS	35730	05	Anesthesiology	0	In state provider	None	3700 CALIFORNIA ST	None	SAN FRANCISCO	CA	94118	1618	38	06075	37.78614008	-122.4556866	San Francisco County
124054	Fee-for-Service	1659734317	1659734317	1	1	NOLTEMEYER, ANGELA C MD	8/2/2022	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	179583	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
124119	Fee-for-Service	1770357147	1770357147	1	1	NEBULA HEALTH, P. C.	4/9/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	None	6833 INDIANA AVE	101	RIVERSIDE	CA	92506	4223	33	06065	33.94276454	-117.3923357	Riverside County
124150	Fee-for-Service	1427235670	1427235670	1	1	NAVARRETE, ERIKA A LCSW	6/25/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1012 11TH ST	STE LL4	MODESTO	CA	95354	0827	50	06099	37.64159985	-120.999755	Stanislaus County
124210	Fee-for-Service	1770686834	1770686834	1	1	NATRAJAN, KALPANA MD	12/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90413	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
124214	Fee-for-Service	1275066870	1275066870	1	1	NGUYEN, SONHA T MD	9/28/2023	207R00000X	NA	Other	026	PHYSICIANS	160560	None	None	0	In state provider	None	10243 GENETIC CENTER DR	None	SAN DIEGO	CA	92121	6310	37	06073	32.90618683	-117.1814064	San Diego County
124237	Fee-for-Service	1639641699	1639641699	1	1	NUR, ZAHRA J NP	6/21/2019	363LX0001X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8635 FIRESTONE BLVD	STE 100	DOWNEY	CA	90241	5242	19	06037	33.93691837	-118.1265474	Los Angeles County
124265	Fee-for-Service	1700415049	1700415049	1	1	NELSON, BRETT MD	10/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184742	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
124298	Fee-for-Service	1265553986	1265553986	1	1	NGUYEN, CHINH D DPM	3/4/2005	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	806 W 7TH ST	None	HANFORD	CA	93230	4926	16	06031	36.32523151	-119.657079	Kings County
124406	Fee-for-Service	1770357147	1770357147	1	1	NEBULA HEALTH, P. C.	4/9/2025	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	6833 INDIANA AVE	101	RIVERSIDE	CA	92506	4223	33	06065	33.94276454	-117.3923357	Riverside County
124413	Fee-for-Service	1841756053	1841756053	1	1	NASSERIAN, NEGIN LMFT	5/8/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
124425	Fee-for-Service	1083971972	1083971972	1	1	NGUYEN, DAVID-HUY N MD	6/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	129714	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
124457	Fee-for-Service	1821161860	1821161860	1	1	NASSIR, ALBERT A MD	6/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	82337	None	None	0	In state provider	None	12511 BROOKHURST	None	GARDEN GROVE	CA	92540	4806	30	06059	33.78109145	-117.9586735	Orange County
124460	Fee-for-Service	1760825855	1760825855	1	1	NGUYEN, CAITLYN N MD	7/1/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	25455 BARTON RD	STE 108A	LOMA LINDA	CA	92354	3129	36	06071	34.04805253	-117.249534	San Bernardino County
124485	Fee-for-Service	1225617228	1225617228	1	1	NAGAKI, COOPER MD	7/5/2024	2086S0120X	NA	General Surgery	026	PHYSICIANS	None	85	Surgery-Pediatric	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
124495	Fee-for-Service	1770686834	1770686834	1	1	NATRAJAN, KALPANA MD	12/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90413	77	Infectious Disease	0	In state provider	None	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
124608	Fee-for-Service	1831448703	1831448703	1	1	NARD, JAMIE D LMFT	8/23/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13200 CROSSROADS PARKWAY	SUITE 335	CITY OF INDUSTRY	CA	91746	3409	19	06037	34.03038726	-118.0130115	Los Angeles County
124648	Fee-for-Service	1487842365	1487842365	1	1	NGUYEN, DUC V MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	53620	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2650 JONES WAY	STE 7	SIMI VALLEY	CA	93065	1216	56	06111	34.28861251	-118.745991	Ventura County
124649	Fee-for-Service	1447831086	1447831086	1	1	NIU, KEVYN DO	4/29/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	22877	41	Internal Medicine	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
124663	Fee-for-Service	1477601052	1477601052	1	1	NEWPORT-MESA UNIFIED SD	11/1/2018	No Taxonomy Provided	NA	None	101	UNIFIED SCHOOL DISTRICT	-	-	NOT APPLICABLE	0	In state provider	None	2045 MEYER PLACE	None	COSTA MESA	CA	92627	2967	30	06059	33.6489513	-117.9249088	Orange County
124724	Fee-for-Service	1689610990	1689610990	1	1	NIJJAR, JAGRAJ S MD	12/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	69180	41	Internal Medicine	0	In state provider	None	481 PLUMAS BLVD	STE 104	YUBA CITY	CA	95991	5075	51	06101	39.13306148	-121.6140103	Sutter County
124823	Fee-for-Service	1447693742	1447693742	1	1	NAJAFI, FARHAD MD	11/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139098	41	Internal Medicine	0	In state provider	None	800 S MAIN STREET	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
124869	Fee-for-Service	1275745317	1275745317	1	1	NIELSEN, ERIC Z MD	6/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
124874	Fee-for-Service	1639154289	1639154289	1	1	NGUYEN, MYHANH OD	8/26/2003	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
124908	Fee-for-Service	1679294938	1679294938	1	1	NASOLO, FLORENCE	1/26/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10748 PARAMOUNT BLVD	None	DOWNEY	CA	90241	3306	19	06037	33.94646337	-118.135174	Los Angeles County
124933	Fee-for-Service	1487842365	1487842365	1	1	NGUYEN, DUC V MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	53620	41	Internal Medicine	0	In state provider	None	2650 JONES WAY	STE 7	SIMI VALLEY	CA	93065	1216	56	06111	34.28861251	-118.745991	Ventura County
124951	Fee-for-Service	1477601052	1477601052	1	1	NEWPORT-MESA UNIFIED SD	7/17/1996	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	2045 MEYER PLACE	None	COSTA MESA	CA	92627	2967	30	06059	33.6489513	-117.9249088	Orange County
124952	Fee-for-Service	1972846822	1972846822	1	1	NGUYEN, VINCENT Q MD	9/5/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	162319	18	Ophthalmology	0	In state provider	None	7695 CARDINAL COURT	SUITE 100	SAN DIEGO	CA	92123	3357	37	06073	32.79146985	-117.1578472	San Diego County
124970	Fee-for-Service	1730359530	1730359530	1	1	NGUYEN, HOANG T MD INC	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80321	41	Internal Medicine	0	In state provider	None	16040 HARBOR BLVD	STE G	FOUNTAIN VALLEY	CA	92708	1327	30	06059	33.730461	-117.919794	Orange County
124973	Fee-for-Service	1184657082	1184657082	1	1	NEWMARK, SANFORD C MD	8/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	88450	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.7634502	-122.4579779	San Francisco County
125000	Fee-for-Service	1851711014	1851711014	1	1	NGUYEN, ANHTHU T DO	7/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13290	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
125020	Fee-for-Service	1811934797	1811934797	1	1	NEVITT, ADAM W MD	3/1/2000	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	68049	None	None	0	In state provider	None	735 GALVESTON DR	None	REDWOOD CITY	CA	94063	4722	41	06081	37.4989557	-122.2170646	San Mateo County
125056	Fee-for-Service	1245341601	1245341601	1	1	NELSON, MARK C MD	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80416	20	Orthopedic Surgery	0	In state provider	None	5471 KEARNY VILLA RD	STE 200	SAN DIEGO	CA	92123	1143	37	06073	32.83480543	-117.138158	San Diego County
125090	Fee-for-Service	1568502367	1568502367	1	1	NORTHROP, LYNN M PHD	2/1/2003	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4715 VIEWRIDGE AVE	STE 230	SAN DIEGO	CA	92123	1680	37	06073	32.82422034	-117.1210743	San Diego County
125196	Fee-for-Service	1679294938	1679294938	1	1	NASOLO, FLORENCE	1/26/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10748 PARAMOUNT BLVD	None	DOWNEY	CA	90241	3306	19	06037	33.94646337	-118.135174	Los Angeles County
125220	Fee-for-Service	1790346856	1790346856	1	1	NOWRX INC	3/12/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	800 BURLWAY RD	None	BURLINGAME	CA	94010	1706	41	06081	37.59652354	-122.3655683	San Mateo County
125222	Fee-for-Service	1487842365	1487842365	1	1	NGUYEN, DUC V MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	53620	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2650 JONES WAY	STE 7	SIMI VALLEY	CA	93065	1216	56	06111	34.28861251	-118.745991	Ventura County
125276	Fee-for-Service	1790870491	1790870491	1	1	N & D HEALTHCARE SERVICES	9/21/2007	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	3452 E FOOTHILL BLVD	SUITE 700N	PASADENA	CA	91107	3167	19	06037	34.15010239	-118.0788233	Los Angeles County
125408	Fee-for-Service	1184779779	1184779779	1	1	NEW WAY SERVICES, INC	4/15/2003	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	385 HILL AVE	None	OAKLEY	CA	94561	2710	07	06013	37.97428516	-121.6890462	Contra Costa County
125420	Fee-for-Service	1255036349	1255036349	1	1	NGO, MARIELLE ANNE S CRNA	3/4/2025	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
125464	Fee-for-Service	1437611522	1437611522	1	1	NERALLA, ANAMIKA MD	10/4/2022	207R00000X	NA	Other	026	PHYSICIANS	175976	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
125482	Fee-for-Service	1699954271	1699954271	1	1	NGO, JAMES T DO	8/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10141	08	Family Practice	0	In state provider	None	2505 WEST HAMMER LANE	None	STOCKTON	CA	95209	2839	39	06077	38.02139448	-121.347738	San Joaquin County
125497	Fee-for-Service	1437247384	1437247384	1	1	NG, REGINA A MD	9/15/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	75280	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
125536	Fee-for-Service	1861567380	1861567380	1	1	NORTH VALLEY NEPHROLOGY	3/30/2006	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	INC	1525 PLUMAS ST	STE C	YUBA CITY	CA	95991	2900	51	06101	39.15194658	-121.6178898	Sutter County
125611	Fee-for-Service	1386754208	1386754208	1	1	NARAYAN, UMA MD	8/1/1987	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	60580	40	Pediatrics	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
125671	Fee-for-Service	1457965279	1457965279	1	1	NGUYEN, NAM V PT	3/11/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	350 JOHN MUIR PKWY	250	BRENTWOOD	CA	94513	5183	07	06013	37.91980577	-121.734715	Contra Costa County
125704	Fee-for-Service	1467693044	1467693044	1	1	NGUYEN-LEE, JENNIFER W MD	6/9/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107031	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
125823	Fee-for-Service	1861567380	1861567380	1	1	NORTH VALLEY NEPHROLOGY	2/28/2025	No Taxonomy Provided	NA	None	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	INC	1525 PLUMAS ST	STE C	YUBA CITY	CA	95991	2900	51	06101	39.15194658	-121.6178898	Sutter County
125853	Fee-for-Service	1336299437	1336299437	1	1	NANGIA, SAMEER PT	5/22/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
125860	Fee-for-Service	1063040921	1063040921	1	1	NGUYEN, THALIA M MD	5/11/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	181501	None	None	0	In state provider	None	1920 COLORADO AVENUE	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
125905	Fee-for-Service	1902096977	1902096977	1	1	NGUYEN, ANNIE T MD	1/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	104814	None	None	0	In state provider	None	2801 ATLANTIC AVENUE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
125914	Fee-for-Service	1487010906	1487010906	1	1	NGUYEN AND LAC, A PROFESSION	1/24/2025	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12345 MOUNTAIN AVE	SUITE X	CHINO	CA	91710	2783	36	06071	34.02882	-117.667613	San Bernardino County
126007	Fee-for-Service	1982716627	1982716627	1	1	NAKASHIMA, PHILIP F MD	12/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	60359	41	Internal Medicine	0	In state provider	None	2300 SUTTER ST	STE 301	SAN FRANCISCO	CA	94115	3029	38	06075	37.78546004	-122.4384038	San Francisco County
126113	Fee-for-Service	1861567380	1861567380	1	1	NORTH VALLEY NEPHROLOGY	3/30/2006	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	INC	1525 PLUMAS ST	STE C	YUBA CITY	CA	95991	2900	51	06101	39.15194658	-121.6178898	Sutter County
126130	Fee-for-Service	1710326087	1710326087	1	1	NAJIBI, ROSHANAK MD	9/22/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144028	None	None	0	In state provider	None	250 BON AIR RD	None	GREENBRAE	CA	94904	1731	21	06041	37.9469952	-122.5373892	Marin County
126143	Fee-for-Service	1730101296	1730101296	1	1	NGUYEN, HUAN H MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	36595	05	Anesthesiology	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
126176	Fee-for-Service	1811406499	1811406499	1	1	NEWCOMB, JESSICA P CRNA	10/8/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
126241	Fee-for-Service	1922430586	1922430586	1	1	NG, CHRISTOPHER K OD	11/21/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	610 E CHAPEL ST	SUITE C	SANTA MARIA	CA	93454	4522	42	06083	34.95427648	-120.4279965	Santa Barbara County
126251	Fee-for-Service	1528079621	1528079621	1	1	NOUSAINE, DENNIS A MD	3/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	35000	41	Internal Medicine	0	In state provider	None	815 COURT ST	STE 7	JACKSON	CA	95642	2154	03	06005	38.35293152	-120.7676346	Amador County
126276	Fee-for-Service	1063406007	1063406007	1	1	NICHOLS, BRADLEY G. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3390 N CAMPBELL AVE	STE 110	TUCSON	AZ	85719	2380	00	None	32.26833	-110.94327	Pima County
126322	Fee-for-Service	1285260158	1285260158	1	1	NAM, JENNIFER D MD	3/5/2024	207L00000X	NA	Other	026	PHYSICIANS	188392	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
126325	Fee-for-Service	1316009418	1316009418	1	1	NGUYEN, FRANKLIN C DO	2/27/2007	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	6736	08	Family Practice	0	In state provider	GOLDEN MEDICAL CENTER	9251 GARVEY AVE	STE F	SOUTH EL MONTE	CA	91733	4610	19	06037	34.06274303	-118.0671806	Los Angeles County
126343	Fee-for-Service	1720239783	1720239783	1	1	NICOL, RAYELENE CRNA	3/16/2009	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1425 S MAIN STREET	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
126418	Fee-for-Service	1962520478	1962520478	1	1	NGUYEN, TAM H DO	7/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9636	None	None	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
126423	Fee-for-Service	1629424866	1629424866	1	1	NEW HORIZON SURGICAL CENTER,	3/18/2022	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	4500 TRADE CENTER DRIVE	SUITE A	BAKERSFIELD	CA	93311	0000	15	06029	35.31410008	-119.1313466	Kern County
126426	Fee-for-Service	1295397925	1295397925	1	1	NIMMAGADDA, KIRAN MD	7/21/2023	207L00000X	NA	Other	026	PHYSICIANS	181272	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
126429	Fee-for-Service	1336355957	1336355957	1	1	NAMM, JUKES P MD	7/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	97112	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
126444	Fee-for-Service	1811174022	1811174022	1	1	NORTHEAST VALLEY HEALTH	2/7/2000	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	HOMELESS CLINIC	7843 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	2523	19	06037	34.213581	-118.3878055	Los Angeles County
126519	Fee-for-Service	1659604080	1659604080	1	1	NOBRIGA, CHRISTINA V	3/5/2014	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11370 ANDERSON ST	SUITE 2100	LOMA LINDA	CA	92408	3234	36	06071	34.047153	-117.2611485	San Bernardino County
126538	Fee-for-Service	1952461741	1952461741	1	1	NEXUS PHYSICAL THERAPY	8/12/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12411 POWAY RD	STE 202B	POWAY	CA	92064	4302	37	06073	32.95170468	-117.0621893	San Diego County
126571	Fee-for-Service	1871539817	1871539817	1	1	NGUYEN, THINK T. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1301 PUNCHBOWL ST	None	HONOLULU	HI	96813	2402	00	None	21.30800017	-157.8550765	Honolulu County
126663	Fee-for-Service	1538275920	1538275920	1	1	NORTHERN CALIFORNIA RETINA	9/15/2010	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2485 HOSPITAL DR	STE 200	MOUNTAIN VIEW	CA	94040	4123	43	06085	37.368918	-122.081761	Santa Clara County
126686	Fee-for-Service	1972062867	1972062867	1	1	NAIMON, NIELS D MD	6/6/2023	207P00000X	NA	Other	026	PHYSICIANS	179071	None	None	0	In state provider	None	6655 ALVARADO RD	None	SAN DIEGO	CA	92120	5208	37	06073	32.77718098	-117.0571332	San Diego County
126715	Fee-for-Service	1275790941	1275790941	1	1	NAWATHE, POOJA A MD	3/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125840	40	Pediatrics	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
126812	Fee-for-Service	1306896436	1306896436	1	1	NEWBORN CRITICAL CARE	4/21/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	1	Border provider	ASSOCIATES, PC	2825 E BARNETT RD	None	MEDFORD	OR	97504	8332	00	None	42.31650147	-122.8306005	Jackson County
126835	Fee-for-Service	1104858687	1104858687	1	1	NOURELDINE, MAYSOUN A	5/13/2005	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	3650 E SOUTH ST	STE 208	LOS ANGELES	CA	90808	0000	19	06037	33.8601747	-118.1494013	Los Angeles
126899	Fee-for-Service	1073808994	1073808994	1	1	NIEVES, LAURA C MD	7/2/2018	207R00000X	NA	Other	026	PHYSICIANS	152521	41	Internal Medicine	0	In state provider	None	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	33	06065	33.92721419	-117.561448	Riverside County
126926	Fee-for-Service	1215900683	1215900683	1	1	NEIFELD, GRANT B	4/30/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	49419	08	Family Practice	0	In state provider	None	7430 JACKSON DR	None	SAN DIEGO	CA	92119	2319	37	06073	32.80342449	-117.0457937	San Diego County
126929	Fee-for-Service	1114924966	1114924966	1	1	NICHOL, JAMES W MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	101845	None	None	0	In state provider	None	1065 BUCKS LAKE RD	None	QUINCY	CA	95971	9507	32	06063	39.93916024	-120.9619096	Plumas County
126932	Fee-for-Service	1942866389	1942866389	1	1	NGUYEN, BAO-QUYEN	2/13/2025	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	15	Obstetrics (D.O. only)	0	In state provider	None	765 MEDICAL CENTER CT	SUITE 203	CHULA VISTA	CA	91911	6600	37	06073	32.619069	-117.020835	San Diego County
126957	Fee-for-Service	1033317771	1033317771	1	1	NOHO HOME HEALTH CARE	3/26/2010	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	6422 1/2 COLDWATER	CANYON AVE	NORTH HOLLYWOOD	CA	91606	1113	19	06037	34.18745576	-118.4137814	Los Angeles County
126968	Fee-for-Service	1548241912	1548241912	1	1	NARASIMHAN, ASHWIN MD	12/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	103436	41	Internal Medicine	0	In state provider	None	1020 29TH ST	STE 120	SACRAMENTO	CA	95816	5173	34	06067	38.572803	-121.4685	Sacramento County
126991	Fee-for-Service	1255695474	1255695474	1	1	NJOKU, ULUMMA B LCSW	5/18/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
126998	Fee-for-Service	1134364334	1134364334	1	1	NAJJAR, EMAD S MD	2/5/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	53559	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
127003	Fee-for-Service	1275790941	1275790941	1	1	NAWATHE, POOJA A MD	3/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125840	66	Emergency Medicine (Urgent Care)	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
127031	Fee-for-Service	1295229441	1295229441	1	1	NAJIBI, SKENDER S MD	9/26/2019	390200000X	NA	Other	026	PHYSICIANS	163441	08	Family Practice	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
127073	Fee-for-Service	1275724361	1275724361	1	1	NGUYEN, RICHARD T MD	12/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	97934	38	Geriatrics	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
127137	Fee-for-Service	1730569229	1730569229	1	2	NEW ROSE HOME HEALTH CARE, I	8/19/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	1830 W OLYMPIC	UNIT 206	LOS ANGELES	CA	90006	3734	19	06037	34.05055886	-118.2773468	Los Angeles County
127144	Fee-for-Service	1104973023	1104973023	1	1	NADEL, MICHEL W OD	11/26/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
127176	Fee-for-Service	1992937478	1992937478	1	1	NUNEZ, JESSICA E LCSW	12/13/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12021 WILMINGTON AVE	BUILDING 11, SUITE 1000	LOS ANGELES	CA	90059	3019	19	06037	33.922863	-118.2431655	Los Angeles County
127188	Fee-for-Service	1205845237	1205845237	2	1	NGUYEN, VAN T DO	9/14/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	6915	None	None	0	In state provider	None	1400 MAIN ST	None	SANTA ANA	CA	92701	2304	30	06059	33.75688822	-117.8676134	Orange County
127191	Fee-for-Service	1285712828	1285712828	1	1	NINO, JOANNE M MD	9/3/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	48841	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
127210	Fee-for-Service	1902006075	1902006075	1	1	NGUYEN, JOHN D MD	10/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	103212	40	Pediatrics	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
127220	Fee-for-Service	1942866389	1942866389	1	1	NGUYEN, BAO-QUYEN	2/13/2025	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	09	Gynecology (D.O. only)	0	In state provider	None	765 MEDICAL CENTER CT	SUITE 203	CHULA VISTA	CA	91911	6600	37	06073	32.619069	-117.020835	San Diego County
127221	Fee-for-Service	1659811693	1659811693	1	1	NUNEZ, VINCENT LMFT	11/20/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
127278	Fee-for-Service	1932161189	1932161189	1	1	NGO, WILLIAM L DO	8/30/1991	207QG0300X	NA	Adult Primary Care	026	PHYSICIANS	6015	01	General Practice	0	In state provider	None	8342 GARDEN GROVE BLVD	STE 5	GARDEN GROVE	CA	92844	1192	30	06059	33.7737429	-117.9861937	Orange County
127292	Fee-for-Service	1689786840	1689786840	1	1	NAGESETTY, RAJIV MD	3/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	78168	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
127348	Fee-for-Service	1871529248	1871529248	1	1	NADIM, MITRA K MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	63716	45	Nephrology (Renal-Kidney)	0	In state provider	None	1355 SAN PABLO ST	None	LOS ANGELES	CA	90033	1035	19	06037	34.06080447	-118.203734	Los Angeles County
127367	Fee-for-Service	1881874709	1881874709	1	1	NICKEL, BONNIE L MD	4/30/1981	207W00000X	NA	Ophthalmology	026	PHYSICIANS	36248	40	Pediatrics	0	In state provider	None	750 LAS GALLINAS AVE	STE 114	SAN RAFAEL	CA	94903	3431	21	06041	38.00688138	-122.5463961	Marin County
127419	Fee-for-Service	1295710325	1295710325	1	1	NGUYEN, KHANH V MD	10/9/2020	208M00000X	NA	Other	026	PHYSICIANS	81065	41	Internal Medicine	0	In state provider	None	3501 S HARBOR BLVD	None	SANTA ANA	CA	92704	6919	30	06059	33.69981147	-117.9194272	Orange County
127429	Fee-for-Service	1083132260	1083132260	1	1	NGUYEN, EVE U PHD	12/5/2018	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1120 W LA VETA AVE	SUITE 470	ORANGE	CA	92868	4233	30	06059	33.78029455	-117.864369	Orange County
127431	Fee-for-Service	1609395672	1609395672	1	1	NIXON, KYLE H PHD	6/19/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	12530 10TH ST	STE C	CHINO	CA	91710	3520	36	06071	34.0258983	-117.6869086	San Bernardino County
127454	Fee-for-Service	1588860134	1588860134	1	1	NIZNIK, FRANCES M	11/8/2010	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
127545	Fee-for-Service	1215027966	1215027966	1	1	NEWARK BETH ISRAEL	9/18/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	201 LYONS AVE	None	NEWARK	NJ	07112	2027	00	None	40.71018356	-74.21396108	Essex County
127548	Fee-for-Service	1609938570	1609938570	1	1	NORTHERN CALIFORNIA	2/26/1998	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	LASER SURGERY CTR, LTD	2021 YGNACIO VALLEY RD	STE H102	WALNUT CREEK	CA	94598	3352	07	06013	37.92103754	-122.0334867	Contra Costa County
127570	Fee-for-Service	1932161189	1932161189	1	1	NGO, WILLIAM L DO	8/30/1991	207QG0300X	NA	Adult Primary Care	026	PHYSICIANS	6015	38	Geriatrics	0	In state provider	None	8342 GARDEN GROVE BLVD	STE 5	GARDEN GROVE	CA	92844	1192	30	06059	33.7737429	-117.9861937	Orange County
127618	Fee-for-Service	1336162858	1336162858	1	1	NGUYEN, THUY T MD	5/11/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80322	08	Family Practice	0	In state provider	None	420 W ROWLAND ST	None	COVINA	CA	91723	2943	19	06037	34.078949	-117.8963031	Los Angeles County
127702	Fee-for-Service	1821659558	1821659558	1	1	NASH, CAROLYN LCSW	3/28/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9135 ARCHIBALD AVE	STE B	RANCHO CUCAMONGA	CA	91730	5227	36	06071	34.08763562	-117.5934458	San Bernardino County
127720	Fee-for-Service	1477673770	1477673770	1	1	NEPOMUCENO, JOHN E	1/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	50728	None	None	0	In state provider	None	1441 LIBERTY ST	STE 306	REDDING	CA	96001	0848	45	06089	40.5857177	-122.3870781	Shasta County
127724	Fee-for-Service	1720631708	1720631708	1	2	NORCAL PAIN TREATMENT CENTER	8/12/2020	2081P2900X	NA	Physical Medicine and Rehabilitation	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	CORP	1739 COLORADO AVE	None	TURLOCK	CA	95382	2714	50	06099	37.508976	-120.835306	Stanislaus County
127737	Fee-for-Service	1265540843	1265540843	1	1	NODURFT, RICHARD MD	8/2/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	73323	10	Gastroenterology (M.D. only)	0	In state provider	None	15025 INNOVATION DR	None	SAN DIEGO	CA	92128	3409	37	06073	32.98956795	-117.0767228	San Diego County
127741	Fee-for-Service	1558394163	1558394163	1	1	NGUYEN, THINH VAN MD	4/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	41885	41	Internal Medicine	0	In state provider	None	2470 ALVIN AVE	STE 5	SAN JOSE	CA	95121	1664	43	06085	37.31946663	-121.8268813	Santa Clara County
127748	Fee-for-Service	1528292471	1528292471	1	1	NEELY, JOHN C MD	6/20/2017	207R00000X	NA	Other	026	PHYSICIANS	149450	66	Emergency Medicine (Urgent Care)	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
127760	Fee-for-Service	1962731281	1962731281	1	1	NGUYEN, CAROLYN V MD	2/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115353	04	Otology, Laryngology, Rhinology	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
127781	Fee-for-Service	1336173772	1336173772	1	2	NEWCOMER OLIVER, SCOTT C MD	8/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	18	Ophthalmology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
127805	Fee-for-Service	1629078852	1629078852	1	2	NGUYEN, PHUC D MD	8/4/2021	207QG0300X	NA	Adult Primary Care	026	PHYSICIANS	32505	None	None	0	In state provider	None	7901 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4001	30	06059	33.75930046	-117.991053	Orange County
127819	Fee-for-Service	1356549398	1356549398	1	1	N V DANEKAR M D	7/11/2012	208600000X	NA	General Surgery	026	PHYSICIANS	25061	33	Thoracic Surgery	0	In state provider	A PROFESSIONAL CORPORATI	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
127834	Fee-for-Service	1215027966	1215027966	1	1	NEWARK BETH ISRAEL	9/18/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	201 LYONS AVE	None	NEWARK	NJ	07112	2027	00	None	40.71018356	-74.21396108	Essex County
127928	Fee-for-Service	1629163035	1629163035	1	1	NARIYANTS, JHANNA A DO	10/28/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	9323	67	Endocrinology	0	In state provider	None	1025 W OLYMPIC BLVD	None	LOS ANGELES	CA	90015	1329	19	06037	34.04624254	-118.267606	Los Angeles County
127967	Fee-for-Service	1053540534	1053540534	1	1	NGUYEN, VI T MD	12/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144937	40	Pediatrics	0	In state provider	None	7910 FROST STREET	SUITE 400	SAN DIEGO	CA	92123	2753	37	06073	32.80027449	-117.153846	San Diego County
127993	Fee-for-Service	1851605554	1851605554	1	1	NICOLAS, KRISTINE G MD	10/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122983	41	Internal Medicine	0	In state provider	None	5256 MISSION BLVD	None	RIVERSIDE	CA	92509	4624	33	06065	33.99261717	-117.3987262	Riverside County
128010	Fee-for-Service	1649250424	1649250424	1	1	NACCASHA, NIHAL MD	8/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77210	None	None	0	In state provider	None	100 CASA ST	STE D3	SAN LUIS OBISPO	CA	93405	5827	40	06079	35.29273885	-120.6647926	San Luis Obispo County
128025	Fee-for-Service	1265540843	1265540843	1	1	NODURFT, RICHARD MD	8/2/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	73323	41	Internal Medicine	0	In state provider	None	15025 INNOVATION DR	None	SAN DIEGO	CA	92128	3409	37	06073	32.98956795	-117.0767228	San Diego County
128030	Fee-for-Service	1346465796	1346465796	1	1	NICHOLS, HEATHER F MD	11/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96230	40	Pediatrics	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
128047	Fee-for-Service	1306355573	1306355573	1	1	NAPA AMBULATORY SURGERY CENT	5/28/2019	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	ER INC	935 TRANCAS ST	3A	NAPA	CA	94558	2942	28	06055	38.32367324	-122.294977	Napa County
128132	Fee-for-Service	1659936193	1659936193	1	1	NELSON, TARA CCC-SLP	6/12/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
128144	Fee-for-Service	1912535618	1912535618	1	1	NALAMALA, NISHA MD	11/5/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
128179	Fee-for-Service	1174781132	1174781132	1	1	NGUYEN, CARIE C MD	6/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106103	08	Family Practice	0	In state provider	None	865 3RD AVE	STE 133	CHULA VISTA	CA	91910	1349	37	06073	32.62189562	-117.0722453	San Diego County
128193	Fee-for-Service	1730935511	1730935511	1	1	NARANJO MEDICAL TRANSPORTATI	7/22/2024	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ON LLC	308 N LORENA ST	None	LOS ANGELES	CA	90063	2833	19	06037	34.0390131	-118.1938255	Los Angeles County
128238	Fee-for-Service	1780736736	1780736736	1	2	NORTHBAY HEALTHCARE GROUP	4/8/2020	193200000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	CARE	2458 HILBORN RD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
128263	Fee-for-Service	1316142490	1316142490	1	1	NAMATH, SARAH N MD	10/9/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	88525	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
128265	Fee-for-Service	1043512668	1043512668	1	1	NGIN, JULIE A PSYD	5/16/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5755 COTTLE RD	None	SAN JOSE	CA	95123	3640	43	06085	37.246896	-121.8040865	Santa Clara County
128315	Fee-for-Service	1083706253	1083706253	1	1	NAYLOR, BRAD L DPM	2/8/2015	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
128470	Fee-for-Service	1295877876	1295877876	1	1	NICHOLL, MICHAEL B MD	6/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94797	78	Neoplastic Diseases/Oncology	0	In state provider	None	1328 22ND ST	FL 3	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
128521	Fee-for-Service	1255917910	1255917910	1	1	NGUYEN, ANTHONY MD	9/2/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	192359	08	Family Practice	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
128523	Fee-for-Service	1780736736	1780736736	1	2	NORTHBAY HEALTHCARE GROUP	9/18/2023	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	CARE	2458 HILBORN RD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
128537	Fee-for-Service	1336263946	1336263946	1	1	NORCAL IMAGING	3/13/2007	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2450 WASHINGTON AVE	STE 120	SAN LEANDRO	CA	94577	5996	01	06001	37.7139863	-122.1490905	Alameda County
128570	Fee-for-Service	1750355657	1750355657	1	1	NICHOLS, CLINTON R MD	5/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	71406	30	Radiology	0	In state provider	None	3020 CHILDREN WAY	None	SAN DIEGO	CA	92123	0000	37	06073	32.798691	-117.150829	San Diego County
128616	Fee-for-Service	1144645813	1144645813	1	1	NIGHTINGALE HOME HEALTHCARE	5/22/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	OF NORTHERN CA INC	545 FORBES AVENUE	None	YUBA CITY	CA	95991	4448	51	06101	39.1376587	-121.6180315	Sutter County
128623	Fee-for-Service	1083932255	1083932255	1	1	NELSON, ARIANA M MD	9/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137655	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
128634	Fee-for-Service	1528209103	1528209103	1	1	NUCKOLS, MATTHEW C MD	7/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	108006	05	Anesthesiology	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
128647	Fee-for-Service	1528298338	1528298338	1	1	NADERI, NADIA MD	9/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131736	22	Pathology (M.D. only)	0	In state provider	None	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	21	06041	37.9469952	-122.5373892	Marin County
128668	Fee-for-Service	1073236717	1073236717	1	1	NELSON, ISABELA D NP	1/1/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
128705	Fee-for-Service	1720631708	1720631708	1	3	NORCAL PAIN TREATMENT CENTER	3/24/2022	2081P2900X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	None	25	Physical Medicine and Rehabilitation	0	In state provider	None	123 W NORTH BEAR CREEK D	None	MERCED	CA	95348	3420	24	06047	37.31144034	-120.4716162	Merced County
128711	Fee-for-Service	1669961801	1669961801	1	1	NGUYEN, DAVID DO	7/15/2020	390200000X	NA	Other	026	PHYSICIANS	17696	None	None	0	In state provider	None	9089 BASELINE RD	STE 100	RANCHO CUCAMONGA	CA	91730	1295	36	06071	34.12151248	-117.6074505	San Bernardino County
128719	Fee-for-Service	1366523201	1366523201	1	1	NORMAN,CHRISTINE	6/13/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	760 BROADWAY	None	BROOKLYN	NY	11206	4922	00	None	40.700349	-73.9416015	Kings County
128730	Fee-for-Service	1790529105	1790529105	1	1	NETANYA MULLEN DO INC	8/1/2024	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2509	45	06089	40.57278686	-122.3958519	Shasta County
128756	Fee-for-Service	1316635998	1316635998	1	1	NAIRIMA, SOPHIA NP	10/10/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	95025011	-	NOT APPLICABLE	0	In state provider	None	907 W LANCASTER BLVD	None	LANCASTER	CA	93534	2305	19	06037	34.69735779	-118.1471724	Los Angeles County
128757	Fee-for-Service	1336181338	1336181338	1	1	NORRIS, TERESA E CRNA	8/1/2002	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1200 N STATE ST	None	LOS ANGELES	CA	90033	1029	19	06037	34.05855992	-118.209755	Los Angeles County
128781	Fee-for-Service	1699962936	1699962936	1	1	NELSON, JAMES C MD	8/24/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	104003	None	None	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.049547	-117.264078	San Bernardino County
128793	Fee-for-Service	1447482666	1447482666	1	1	NEAL, JAMILA T MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	115024	None	None	0	In state provider	None	1050 LINDEN AVENUE	None	LONG BEACH	CA	90813	3321	19	06037	33.78003775	-118.1866604	Los Angeles County
128811	Fee-for-Service	1780736736	1780736736	1	2	NORTHBAY HEALTHCARE GROUP	7/24/2020	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	CARE	2458 HILBORN RD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
128848	Fee-for-Service	1467882480	1467882480	1	1	NGUYEN, TRACEY H OD	12/7/2016	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1401 WASHINGTON ST	None	KINGSBURG	CA	93631	1946	10	06019	36.51585302	-119.5486956	Fresno County
128861	Fee-for-Service	1023019205	1023019205	1	1	NICK, BRENT MD	2/24/2025	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	345 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	42	06083	34.444782	-119.7794675	Santa Barbara County
128889	Fee-for-Service	1609965417	1609965417	1	1	NICHOLS, IVAN R MD	6/30/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	24810	01	General Practice	0	In state provider	None	2623 E CHAPMAN AVE	None	ORANGE	CA	92869	3206	30	06059	33.7878753	-117.8254557	Orange County
129017	Fee-for-Service	1174137491	1174137491	1	1	NEW HORIZON HOME HEALTH	9/1/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES	8949 RESEDA BLVD	STE 208	NORTHRIDGE	CA	91324	5820	19	06037	34.233255	-118.536109	Los Angeles County
129020	Fee-for-Service	1851305809	1851305809	1	1	NORCROSS, JAMES W DO	7/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	4878	08	Family Practice	0	In state provider	None	5865 E NAPLES PLZ	None	LONG BEACH	CA	90803	5040	19	06037	33.75569352	-118.1195343	Los Angeles County
129088	Fee-for-Service	1669447967	1669447967	1	1	NORTHERN MONTANA HOSPITAL	6/8/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	30 13TH ST	None	HAVRE	MT	59501	5222	00	None	48.53929723	-109.6878799	Hill County
129099	Fee-for-Service	1780736736	1780736736	1	2	NORTHBAY HEALTHCARE GROUP	9/14/2021	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	CARE	2458 HILBORN RD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
129152	Fee-for-Service	1265567127	1265567127	1	1	NORTHERN VALLEY INDIAN	9/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	845 W EAST AVE	None	CHICO	CA	95926	2002	04	06007	39.74764347	-121.8765412	Butte County
129253	Fee-for-Service	1912479866	1912479866	1	3	NURTURE COLLECTIVE	4/7/2022	101YM0800X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2105 BEVERLY BLVD	STE 129	LOS ANGELES	CA	90057	2216	19	06037	34.06682861	-118.2706286	Los Angeles County
129272	Fee-for-Service	1063542140	1063542140	1	1	NALLAMOTHU, BHUVANESWARI MD	1/4/2021	2084P0804X	NA	Psychiatry	026	PHYSICIANS	89852	None	None	0	In state provider	None	28125 BRADLEY RD	220	SUN CITY	CA	92586	2288	33	06065	33.71309746	-117.1898349	Riverside County
129296	Fee-for-Service	1356609036	1356609036	1	1	NGUYEN, EMILY T MD	1/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127892	01	General Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
129362	Fee-for-Service	1124200159	1124200159	1	1	NORMAN-BRIVET, TATIANA R NP	10/9/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
129387	Fee-for-Service	1780736736	1780736736	1	2	NORTHBAY HEALTHCARE GROUP	3/9/2023	193200000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	CARE	2458 HILBORN RD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
129443	Fee-for-Service	1265567127	1265567127	1	1	NORTHERN VALLEY INDIAN	4/28/2006	261Q00000X	NA	Other	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	845 W EAST AVE	None	CHICO	CA	95926	2002	04	06007	39.74764347	-121.8765412	Butte County
129493	Fee-for-Service	1316004328	1316004328	1	1	NAGAS, ATOUSA P	5/8/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	633 WEST FIFTH STREET	OFFICE #2876B	LOS ANGELES	CA	90071	2005	19	06037	34.05071143	-118.25466	Los Angeles County
129509	Fee-for-Service	1265509814	1265509814	1	1	NORTH VLY SLEEP DISORDER	10/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	CENTER A MED GROUP INC	11550 INDIAN HILLS RD	STE 368	MISSION HILLS	CA	91345	1200	19	06037	34.28024575	-118.4588775	Los Angeles County
129534	Fee-for-Service	1730317256	1730317256	1	1	NOERENBERG, JENNIFER S MD	7/24/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	116348	05	Anesthesiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
129540	Fee-for-Service	1912479866	1912479866	1	3	NURTURE COLLECTIVE	4/7/2022	101YM0800X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2105 BEVERLY BLVD	STE 129	LOS ANGELES	CA	90057	2216	19	06037	34.06682861	-118.2706286	Los Angeles County
129579	Fee-for-Service	1386688471	1386688471	1	1	NGUYEN, THUY A DO	2/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	6916	08	Family Practice	0	In state provider	None	3130 S HARBOR BLVD	STE 250	SANTA ANA	CA	92704	6864	30	06059	33.70467057	-117.919705	Orange County
129662	Fee-for-Service	1881953362	1881953362	1	1	NOSRATI, NAVEED N MD	4/22/2020	207XS0106X	NA	Orthopedic Surgery	026	PHYSICIANS	155185	20	Orthopedic Surgery	0	In state provider	None	1220 LAS TABLAS RD	SUITE 1418	TEMPLETON	CA	93465	9756	40	06079	35.55442452	-120.7211175	San Luis Obispo County
129674	Fee-for-Service	1780736736	1780736736	1	2	NORTHBAY HEALTHCARE GROUP	4/16/2019	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	CARE	2458 HILBORN RD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
129678	Fee-for-Service	1902959034	1902959034	1	1	NIJHER, NAVDEEP S MD	7/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97757	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
129690	Fee-for-Service	1598826695	1598826695	1	1	NORMAN, SLOAN L PHD	1/11/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
129732	Fee-for-Service	1265567127	1265567127	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	845 W EAST AVE	None	CHICO	CA	95926	2002	04	06007	39.74764347	-121.8765412	Butte County
129741	Fee-for-Service	1275716920	1275716920	1	1	NGUYEN, HOA X. MD (PETER)	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3819 24TH ST	None	LUBBOCK	TX	79410	1829	00	None	33.57228854	-101.898252	Lubbock County
129813	Fee-for-Service	1912326943	1912326943	1	1	NOGGLE, ANISE Z MD	5/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	140689	36	Psychiatry	0	In state provider	None	2060 FAIRMONT AVENUE	None	SAN LEANDRO	CA	94578	1001	01	06001	37.71083326	-122.1208841	Alameda County
129818	Fee-for-Service	1205368008	1205368008	1	1	NARALA, SAISINDHU MD	4/19/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	172013	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
129834	Fee-for-Service	1780118984	1780118984	1	1	NGUYEN, NHA T CRNA	8/24/2017	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	450 GREENFIELD AVENUE	None	HANFORD	CA	93230	3513	16	06031	36.328968	-119.6582195	Kings County
129848	Fee-for-Service	1629554571	1629554571	1	1	NESTOR, DANE L NP	6/22/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9000 MING AVE	STE L-1B	BAKERSFIELD	CA	93311	1318	15	06029	35.33989328	-119.1034715	Kern County
129944	Fee-for-Service	1396852455	1396852455	1	2	NORTH COUNTY HEALTH PROJ	8/8/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2210 MESA DRIVE	SUITE 12	OCEANSIDE	CA	92054	3700	37	06073	33.20786753	-117.3579677	San Diego County
129947	Fee-for-Service	1881953362	1881953362	1	1	NOSRATI, NAVEED N MD	4/22/2020	207XS0106X	NA	Orthopedic Surgery	026	PHYSICIANS	155185	24	Plastic Surgery	0	In state provider	None	1220 LAS TABLAS RD	SUITE 1418	TEMPLETON	CA	93465	9756	40	06079	35.55442452	-120.7211175	San Luis Obispo County
129956	Fee-for-Service	1790044642	1790044642	1	1	NGUYEN, TO DUNG K MD	2/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	128196	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	SC05	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
129978	Fee-for-Service	1467908178	1467908178	1	1	NEIGHBOR, TRAVIS DO	8/7/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18286	08	Family Practice	0	In state provider	None	30131 TOWN CENTER DR	STE 135	LAGUNA NIGUEL	CA	92677	2010	30	06059	33.52530096	-117.7148334	Orange County
130021	Fee-for-Service	1235289364	1235289364	1	1	NGUYEN, LIEUKO MD	10/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108993	45	Nephrology (Renal-Kidney)	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
130068	Fee-for-Service	1295766145	1295766145	1	1	NGUYEN, CHAU M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	73209	07	Dermatology	0	In state provider	None	14501 MAGNOLIA ST	STE 103	WESTMINSTER	CA	92683	5542	30	06059	33.75188963	-117.9723601	Orange County
130170	Fee-for-Service	1023103793	1023103793	1	1	NEUBUERGER, CHRISTOPHER	10/1/1998	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	79994	66	Emergency Medicine (Urgent Care)	0	In state provider	None	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
130181	Fee-for-Service	1598813453	1598813453	1	1	NELSON, DAVID G MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	40621	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
130228	Fee-for-Service	1396852455	1396852455	1	2	NORTH COUNTY HEALTH PROJ	8/8/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2210 MESA DRIVE	SUITE 12	OCEANSIDE	CA	92054	3700	37	06073	33.20786753	-117.3579677	San Diego County
130242	Fee-for-Service	1790876480	1790876480	1	1	NELSON, SCOTT C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	63664	20	Orthopedic Surgery	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
130276	Fee-for-Service	1508059122	1508059122	1	1	NESHEIM, SANDRA M PSYD	8/21/2019	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	30 E SAN JOAQUIN ST	SUITE 102	SALINAS	CA	93901	2945	27	06053	36.65855693	-121.6578301	Monterey County
130308	Fee-for-Service	1235289364	1235289364	1	1	NGUYEN, LIEUKO MD	10/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108993	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
130345	Fee-for-Service	1184968430	1184968430	1	1	NIKOLLA, IRISI CNP	9/12/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	95 3RD ST	STE 293	SAN FRANCISCO	CA	94103	3103	38	06075	37.78653271	-122.402286	San Francisco County
130385	Fee-for-Service	1376685958	1376685958	1	1	NGUYEN, PETER HOA OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	14506 CRENSHAW BLVD	None	GARDENA	CA	90249	3158	19	06037	33.89965656	-118.3264725	Los Angeles County
130445	Fee-for-Service	1023103793	1023103793	1	1	NEUBUERGER, CHRISTOPHER	10/1/1998	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	79994	10	Gastroenterology (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
130469	Fee-for-Service	1598813453	1598813453	1	1	NELSON, DAVID G MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	40621	01	General Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
130521	Fee-for-Service	1962427146	1962427146	1	1	NAIDU, MURALI N MD	7/1/2008	208600000X	NA	General Surgery	026	PHYSICIANS	83713	02	General Surgery	0	In state provider	None	1505 S MAIN ST	None	WALNUT CREEK	CA	94596	0000	07	06013	37.89003052	-122.0574583	Contra Costa County
130525	Fee-for-Service	1053637702	1053637702	1	1	NORTHWEST EYELID AND ORBITAL	6/24/2024	261Q00000X	NA	Other	022	PHYSICIANS GROUP	-	18	Ophthalmology	2	Out of state provider	SPECIALISTS, P.S.	626 S SHERIDAN ST	None	SPOKANE	WA	99202	1325	00	None	47.650167	-117.4020345	Spokane County
130571	Fee-for-Service	1588002802	1588002802	1	1	NORRIS, KELLY K CRNA	2/26/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
130734	Fee-for-Service	1023103793	1023103793	1	1	NEUBUERGER, CHRISTOPHER	10/1/1998	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	79994	20	Orthopedic Surgery	0	In state provider	None	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
130780	Fee-for-Service	1225432370	1225432370	1	1	NAPA COUNTY HEALTH AND HUMAN	10/27/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	911 WASHINGTON STREET	None	CALISTOGA	CA	94515	1433	28	06055	38.57812737	-122.5772111	Napa County
130848	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	10/1/2018	124Q00000X	NA	Dental Provider	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
130877	Fee-for-Service	1447716097	1447716097	1	1	NOVOTNY, MARGARET M LCSW	3/28/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
130893	Fee-for-Service	1790105955	1790105955	1	1	NAJAFIAN JAZI, ALI MD	6/8/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	152431	36	Psychiatry	0	In state provider	None	4502 EAST AVE S	None	PALMDALE	CA	93552	4480	19	06037	34.55800153	-118.0488825	Los Angeles County
130963	Fee-for-Service	1821109844	1821109844	1	1	NAVISKY, STEVE LMFT	9/17/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14618 TYLER FOOTE RD	None	NEVADA CITY	CA	95959	9316	29	06057	39.366369	-121.0540005	Nevada County
131001	Fee-for-Service	1720631708	1720631708	1	5	NORCAL PAIN TREATMENT CENTER	3/14/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	CORP	1117 W TOKAY ST	SUITE A	LODI	CA	95240	3844	39	06077	38.12636853	-121.2867765	San Joaquin County
131083	Fee-for-Service	1578523049	1578523049	1	1	NGUYEN, THANH-VAN N MD	10/1/2000	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	85166	04	Otology, Laryngology, Rhinology	0	In state provider	A PROFESSIONAL MED CORP	10760 WARNER AVE	STE 201	FOUNTAIN VALLEY	CA	92708	3852	30	06059	33.71627097	-117.9410205	Orange County
131102	Fee-for-Service	1033534607	1033534607	1	1	NAPA FOOT AND ANKLE INC	8/13/2014	193400000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	935 TRANCAS STREET	SUITE 2C	NAPA	CA	94555	2944	28	06055	38.32367324	-122.294977	Napa County
131113	Fee-for-Service	1902002769	1902002769	1	1	NEEDLEMAN, MARTIN C LMFT	8/27/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
131129	Fee-for-Service	1306280714	1306280714	1	1	NAGATA, JASON M MD	6/27/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	132042	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
131136	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	6/9/2021	124Q00000X	NA	Dental Provider	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
131158	Fee-for-Service	1356561880	1356561880	1	1	NAVE, MARY M MD INC	6/23/2009	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	262 POSADA LANE	SUITE A	TEMPLETON	CA	93465	4057	40	06079	35.5535294	-120.7214694	San Luis Obispo County
131182	Fee-for-Service	1346257854	1346257854	1	1	NAKAGAWA, JOE MD	5/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78943	66	Emergency Medicine (Urgent Care)	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
131201	Fee-for-Service	1538421979	1538421979	1	1	NANNI, SARAH D MD	10/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137905	40	Pediatrics	0	In state provider	None	1000 FRANKLIN PKWY	None	SAN MATEO	CA	94403	1922	41	06081	37.54350476	-122.2913782	San Mateo County
131212	Fee-for-Service	1588290555	1588290555	1	1	NGUYEN, THIEN P MD	9/15/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	177148	None	None	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
131214	Fee-for-Service	1821517780	1821517780	1	1	NOVOA, COURTNEY A NP	3/8/2022	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
131288	Fee-for-Service	1487429221	1487429221	1	1	NOEL TORRES JR. MD., A PROFE	2/23/2024	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	6758 PASSONS BLVD	None	PICO RIVERA	CA	90660	3666	19	06037	33.97999121	-118.0894442	Los Angeles County
131407	Fee-for-Service	1487094041	1487094041	1	1	NAIR, ARCHANA R MD	10/7/2022	207R00000X	NA	Other	026	PHYSICIANS	180349	None	None	0	In state provider	None	7601 STONERIDGE	None	PLEASANTON	CA	94588	4501	01	06001	37.69013379	-121.9265243	Alameda County
131427	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	4/29/2022	124Q00000X	NA	Dental Provider	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
131449	Fee-for-Service	1164915302	1164915302	1	1	NUNN, DEREK J LPCC	4/28/2021	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4849 RONSON CT	SUITE 207	SAN DIEGO	CA	92111	1805	37	06073	32.83028739	-117.1459009	San Diego County
131465	Fee-for-Service	1730586959	1730586959	1	1	NEHME, RANIA	6/1/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
131468	Fee-for-Service	1649811050	1649811050	1	1	NGUYEN, DIANE PT	1/8/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1520 W BEVERLY BLVD	None	MONTEBELLO	CA	90640	2379	19	06037	34.01926577	-118.1154058	Los Angeles County
131576	Fee-for-Service	1184884405	1184884405	1	1	NGUYEN, NANCY H LMFT	2/26/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17284 NEWHOPE ST	STE 100	FOUNTAIN VALLEY	CA	92708	8202	30	06059	33.712389	-117.9258975	Orange County
131586	Fee-for-Service	1245322353	1245322353	1	1	NEMAZIE, SIAMACK MD	10/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143566	45	Nephrology (Renal-Kidney)	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
131613	Fee-for-Service	1780736736	1780736736	1	5	NORTHBAY HEALTHCARE GROUP	6/3/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	NORTH BAY AFFILIATE	1860 PENNSYLVANIA AVE	SUITE 300	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
131615	Fee-for-Service	1154717288	1154717288	1	1	NELSON, AISLYN M MD	6/20/2019	390200000X	NA	Other	026	PHYSICIANS	147913	07	Dermatology	0	In state provider	None	655 EUCLID AVE	STE 401	NATIONAL CITY	CA	91950	2978	37	06073	32.68353398	-117.082625	San Diego County
131632	Fee-for-Service	1477564094	1477564094	1	1	NGUYEN, KARL P MD	4/24/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53253	30	Radiology	0	In state provider	None	1695 ALUM ROCK AVE	STE 3	SAN JOSE	CA	95116	2445	43	06085	37.35259805	-121.8559999	Santa Clara County
131678	Fee-for-Service	1427364579	1427364579	1	1	NISKA, JARED A MD	9/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115435	20	Orthopedic Surgery	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
131698	Fee-for-Service	1609062132	1609062132	1	1	NYGAARD, AIRELL MD	9/11/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	37479	20	Orthopedic Surgery	0	In state provider	None	680 GUZZI LN	STE 102	SONORA	CA	95370	5288	55	06109	37.97611058	-120.3719921	Tuolumne County
131713	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	11/5/2019	124Q00000X	NA	Dental Provider	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
131744	Fee-for-Service	1437412129	1437412129	1	1	NARAMALA, SRIKANTH MD	3/3/2022	207RR0500X	NA	Other	026	PHYSICIANS	145595	83	Rheumatology	0	In state provider	None	5319 W HILLSDALE AVE	None	VISALIA	CA	93291	5118	54	06107	36.329139	-119.3500755	Tulare County
131756	Fee-for-Service	1114931961	1114931961	1	1	NGUYEN, TU V MD	5/8/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105350	05	Anesthesiology	0	In state provider	None	2626 N CALIFORNIA	STE G	STOCKTON	CA	95204	5500	39	06077	37.97724966	-121.2917368	San Joaquin County
131804	Fee-for-Service	1780999250	1780999250	1	1	NGUYEN, BRIAN M MD	7/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118240	02	General Surgery	0	In state provider	None	863 N DOUGLAS STREET	SUITE 100	EL SEGUNDO	CA	90245	2081	19	06037	33.92830583	-118.3831669	Los Angeles County
131897	Fee-for-Service	1780736736	1780736736	1	9	NORTHBAY HEALTHCARE GROUP	9/12/2022	163WP0000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	AGEMENT	1860 PENNSYLVANIA AVE	SUITE 310	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
131901	Fee-for-Service	1780736736	1780736736	1	5	NORTHBAY HEALTHCARE GROUP	9/12/2022	207V00000X	NA	Obstetrics & Gynecology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	NORTH BAY AFFILIATE	1860 PENNSYLVANIA AVE	SUITE 300	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
131947	Fee-for-Service	1982977054	1982977054	1	1	NALLASIVAN, MANI MD INC	7/12/2012	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	44096	06	Cardiovascular Disease (M.D. only)	0	In state provider	A PROFESSIONAL CORP	424 E YOSEMITE AVENUE	SUITE A	MERCED	CA	95340	8499	24	06047	37.33210852	-120.462453	Merced County
131949	Fee-for-Service	1437338803	1437338803	1	1	NOLAN, DAVID M MD	5/25/2010	207R00000X	NA	Other	026	PHYSICIANS	107562	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
131974	Fee-for-Service	1124002845	1124002845	1	1	NG, CHRISTOPHER S MD	11/6/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	82299	34	Urology and Urological Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
132000	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	10/1/2018	124Q00000X	NA	Dental Provider	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
132011	Fee-for-Service	1760916589	1760916589	1	1	NGUYEN, JANICE M MD	10/27/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	157335	None	None	0	In state provider	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	37	06073	32.70162897	-117.1465065	San Diego County
132014	Fee-for-Service	1669641940	1669641940	1	1	NORTH COUNTY WOMENS	5/1/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MEDICAL CLINIC	120 CRAVEN RD	STE 209	SAN MARCOS	CA	92078	4237	37	06073	33.12748853	-117.1662795	San Diego County
132026	Fee-for-Service	1285951442	1285951442	1	1	NARAYANA, SIRISHA MD	10/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131103	01	General Practice	0	In state provider	None	400 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
132061	Fee-for-Service	1568812774	1568812774	1	1	NESTOROVSKI, DOUGLAS MD	7/14/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	172070	None	None	0	In state provider	None	160 E ARTESIA STREET	SUITE 310	POMONA	CA	91767	2922	19	06037	34.07556833	-117.7507835	Los Angeles County
132077	Fee-for-Service	1497789846	1497789846	1	1	NEHLMAN, DAVID MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	680 N LAKE SHORE DR	STE 1000	CHICAGO	IL	60611	8709	00	None	41.89498774	-87.61585515	Cook County
132091	Fee-for-Service	1366072340	1366072340	1	1	NELSON, MARISSA J NP	1/28/2024	363LG0600X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
132095	Fee-for-Service	1477282812	1477282812	1	1	NURTUREFUL PSYCHOLOGICAL SER	6/22/2022	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	VICES, PC	11500 W OLYMPIC BLVD	STE 400	LOS ANGELES	CA	90064	1525	19	06037	34.03617514	-118.4445122	Los Angeles County
132107	Fee-for-Service	1922136647	1922136647	1	1	NGUYEN, TONY T C DPM	2/8/2015	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	4761 HOEN AVE	None	SANTA ROSA	CA	95405	7862	49	06097	38.44341	-122.663448	Sonoma County
132114	Fee-for-Service	1679277214	1679277214	1	1	NUEVA VIDA DOULA LLC	4/12/2023	251E00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	12	06023	0	0	None
132115	Fee-for-Service	1043905359	1043905359	1	1	NEGRETE, BRITTANY G	5/3/2023	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
132149	Fee-for-Service	1093705485	1093705485	1	1	NGUYEN, TAN V MD	3/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	88448	08	Family Practice	0	In state provider	None	11000 OLSON DR	STE 100	RANCHO CORDOVA	CA	95670	5605	34	06067	38.595123	-121.2820155	Sacramento County
132186	Fee-for-Service	1780736736	1780736736	1	9	NORTHBAY HEALTHCARE GROUP	3/9/2023	163WP0000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	AGEMENT	1860 PENNSYLVANIA AVE	SUITE 310	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
132190	Fee-for-Service	1780736736	1780736736	1	5	NORTHBAY HEALTHCARE GROUP	3/9/2023	207V00000X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	NORTH BAY AFFILIATE	1860 PENNSYLVANIA AVE	SUITE 300	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
132192	Fee-for-Service	1407813561	1407813561	1	1	NESBIT, DENNIS E. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2929 5TH ST	STE 100	RAPID CITY	SD	57701	7355	00	None	44.05598594	-103.2274757	Pennington County
132225	Fee-for-Service	1649341629	1649341629	1	1	NGUYEN, TUAN A MD	10/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87714	41	Internal Medicine	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
132287	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	10/1/2018	124Q00000X	NA	Dental Provider	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
132292	Fee-for-Service	1831247642	1831247642	1	1	NAVARRO, RAFAEL A MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	56044	02	General Surgery	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
132300	Fee-for-Service	1043530413	1043530413	1	1	NGUYEN, TANY T	6/5/2017	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
132331	Fee-for-Service	1912932781	1912932781	1	1	NGUYEN, HIEU T DO	7/26/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8235	08	Family Practice	0	In state provider	None	25455 BARTON RD	STE 204	LOMA LINDA	CA	92354	3128	36	06071	34.04805253	-117.249534	San Bernardino County
132419	Fee-for-Service	1427147289	1427147289	1	1	NATOMAS UNIFIED SD	9/26/2001	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1901 ARENA BLVD	None	SACRAMENTO	CA	95834	3721	34	06067	38.647404	-121.5033885	Sacramento County
132472	Fee-for-Service	1780736736	1780736736	1	9	NORTHBAY HEALTHCARE GROUP	6/15/2022	163WP0000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	AGEMENT	1860 PENNSYLVANIA AVE	SUITE 310	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
132486	Fee-for-Service	1740461466	1740461466	1	1	NAZARIAN, DAVID MD	7/28/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102096	41	Internal Medicine	0	In state provider	None	1025 W OLYMPIC BLVD	None	LOS ANGELES	CA	90015	1329	19	06037	34.04624254	-118.267606	Los Angeles County
132494	Fee-for-Service	1194131268	1194131268	1	1	NATAN, CHRISTINE NP	7/29/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
132504	Fee-for-Service	1134456437	1134456437	1	1	NGUYEN, KIM-ANH T MD	8/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	109641	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
132530	Fee-for-Service	1215929831	1215929831	1	1	NEWSOME, JAY A OD	1/31/1990	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	145 N CLOVIS AVE	STE 101	CLOVIS	CA	93612	0361	10	06019	36.83301132	-119.6999314	Fresno County
132536	Fee-for-Service	1760997217	1760997217	1	1	NAOMI JACKSON THE PROFESSION	8/15/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	OF MARRIAGE AND FAMILY	101 E REDLANDS BLVD	STE 246	REDLANDS	CA	92373	4725	36	06071	34.05731952	-117.181197	San Bernardino County
132578	Fee-for-Service	1831247642	1831247642	1	1	NAVARRO, RAFAEL A MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	56044	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
132580	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	10/18/2019	124Q00000X	NA	Dental Provider	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
132642	Fee-for-Service	1780095711	1780095711	1	1	NGUYEN, MY LINH T NP	8/5/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
132696	Fee-for-Service	1780736736	1780736736	1	7	NORTHBAY HEALTHCARE GROUP	6/3/2022	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	E & THROAT	1860 PENNSYLVANIA AVE	SUITE 305	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
132711	Fee-for-Service	1851390751	1851390751	1	1	NGUYEN, MYANH C MD	9/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83621	41	Internal Medicine	0	In state provider	None	9930 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.70166152	-117.955521	Orange County
132718	Fee-for-Service	1063413623	1063413623	1	1	NITSOS, PAMELA W MD	11/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52319	41	Internal Medicine	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
132784	Fee-for-Service	1952461741	1952461741	1	4	NEXUS PHYSICAL THERAPY	3/25/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9333 GENESEE AVE	350 B	SAN DIEGO	CA	92121	2111	37	06073	32.875668	-117.2139225	San Diego County
132856	Fee-for-Service	1629156724	1629156724	1	1	NAVARRETE, RICARDO J MD	6/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	52425	40	Pediatrics	0	In state provider	None	5601 DEER VALLEY RD	None	ANTIOCH	CA	94531	8577	07	06013	37.9518204	-121.7780768	Contra Costa County
132865	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	10/1/2018	124Q00000X	NA	Dental Provider	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
132879	Fee-for-Service	1508173808	1508173808	1	1	NUTTER, CYNTHIA L LMFT	8/21/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
132961	Fee-for-Service	1912935909	1912935909	1	1	NWOSU, CHIZOBA R MD	12/21/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84335	38	Geriatrics	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
132984	Fee-for-Service	1780736736	1780736736	1	7	NORTHBAY HEALTHCARE GROUP	9/12/2022	207Y00000X	NA	ENT/Otolaryngology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	E & THROAT	1860 PENNSYLVANIA AVE	SUITE 305	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
133041	Fee-for-Service	1538114962	1538114962	1	1	NATIONAL RADIOLOGICAL	5/16/2006	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	IMAGING ASSOCIATES LLC	9281 OFFICE PARK CIR	STE 115	ELK GROVE	CA	95758	8069	34	06067	38.418264	-121.39641	Sacramento County
133047	Fee-for-Service	1326589870	1326589870	1	1	NASSAR, AUSSAMA K MD	4/20/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148059	02	General Surgery	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
133054	Fee-for-Service	1215994892	1215994892	1	1	NANADA,ARDAMAN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	12266 DE PAUL DRIVE	STE #205	BRIDGETON	MO	63044	2510	00	None	38.74959844	-90.43138942	St. Louis County
133063	Fee-for-Service	1104934256	1104934256	1	1	NGUYEN, CAROLINE MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77132	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2000 SUTTER PL	None	DAVIS	CA	95616	6201	57	06113	38.56289303	-121.7715238	Yolo County
133067	Fee-for-Service	1215161203	1215161203	1	1	NATIONWIDE DIABETIC INC	6/10/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	777 SHOTGUN RD	None	SUNRISE	FL	33326	1940	00	None	26.11045604	-80.35179737	Broward County
133116	Fee-for-Service	1528083664	1528083664	1	1	NGUYEN, HOA P MD	5/8/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77714	41	Internal Medicine	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
133142	Fee-for-Service	1730336520	1730336520	1	1	NORTH COUNTY LIFELINE, INC	2/27/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	200 MICHIGAN AVE	None	VISTA	CA	92084	5424	37	06073	33.2038743	-117.2421678	San Diego County
133149	Fee-for-Service	1497742399	1497742399	2	1	NORMANDY PHARMACY INC	3/11/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5112 HOLLYWOOD BLVD	STE 104	LOS ANGELES	CA	90027	6124	19	06037	34.10172051	-118.3011885	Los Angeles County
133154	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	10/1/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
133169	Fee-for-Service	1104023266	1104023266	1	1	NUNEZ, ROSA M LCSW	7/24/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9400 E ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
133182	Fee-for-Service	1851902746	1851902746	1	1	NEW DAY REHAB CENTER	4/10/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1805 WEST AVENUE K	121	LANCASTER	CA	93534	5925	19	06037	34.67503146	-118.163763	Los Angeles County
133273	Fee-for-Service	1780736736	1780736736	1	7	NORTHBAY HEALTHCARE GROUP	3/9/2023	207Y00000X	NA	ENT/Otolaryngology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	E & THROAT	1860 PENNSYLVANIA AVE	SUITE 305	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
133282	Fee-for-Service	1508825332	1508825332	1	1	NAJI, MOHAMMED MD	12/31/2009	207L00000X	NA	Other	026	PHYSICIANS	51126	05	Anesthesiology	0	In state provider	None	150 WEST ROUTE 66	None	GLENDORA	CA	91740	6207	19	06037	34.12866152	-117.86535	Los Angeles County
133334	Fee-for-Service	1326589870	1326589870	1	1	NASSAR, AUSSAMA K MD	4/20/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148059	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
133392	Fee-for-Service	1003127341	1003127341	1	1	NIELSEN, JEREMY MD	1/7/2020	207L00000X	NA	Other	026	PHYSICIANS	-	None	None	2	Out of state provider	None	1200 N. BEAVER STREET	None	FLAGSTAFF	AZ	86001	3118	00	None	35.208594	-111.645099	Coconino County
133397	Fee-for-Service	1437192200	1437192200	1	1	NIKRAVESH, PAYAM B DPM	3/11/2014	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	8500 WILSHIRE BLVD	STE 705	BEVERLY HILLS	CA	90211	3105	19	06037	34.06521956	-118.3764689	Los Angeles County
133407	Fee-for-Service	1669058962	1669058962	1	1	NIAGARA HOSPICE INC	11/11/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6308 WOODMAN AVE	STE 110	VAN NUYS	CA	91401	2374	19	06037	34.185123	-118.4312405	Los Angeles County
133419	Fee-for-Service	1558372508	1558372508	1	1	NIAZI, LAILA MD	4/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	91451	40	Pediatrics	0	In state provider	None	425 UNIVERSITY AVE	STE 200	SACRAMENTO	CA	95825	6509	34	06067	38.570067	-121.4177265	Sacramento County
133421	Fee-for-Service	1033328604	1033328604	1	1	NIMNI, ELIZABETH MD	11/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	54906	None	None	0	In state provider	None	14600 SHERMAN WAY	None	VAN NUYS	CA	91405	2283	19	06037	34.20025916	-118.4500763	Los Angeles County
133427	Fee-for-Service	1588740872	1588740872	1	1	NESSIM, BRIAN D MD	4/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	75927	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
133439	Fee-for-Service	1689023582	1689023582	1	1	NEW FOUNDATION MEDICAL INC.	2/25/2019	124Q00000X	NA	Dental Provider	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	30	06059	33.749316	-117.868123	Orange County
133496	Fee-for-Service	1538796313	1538796313	1	1	NGUYEN, CATHERINE M MD	9/25/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	188427	None	None	0	In state provider	None	2652 EL CAMINO REAL	None	SANTA CLARA	CA	95051	3041	43	06085	37.35228637	-121.9754073	Santa Clara County
133507	Fee-for-Service	1497166466	1497166466	1	1	NGUYEN, ANDY H DO	2/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14232	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
133549	Fee-for-Service	1396239075	1396239075	1	1	NGUYEN, LARRY D PT	8/27/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
133579	Fee-for-Service	1073694691	1073694691	2	1	NORTHWEST MED TRANS INC.	5/19/2009	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	NORTHWEST MED TRANS INC.	417 W. ARDEN AVE	ST 211	GLENDALE	CA	91203	4047	19	06037	34.15847866	-118.2621835	Los Angeles County
133678	Fee-for-Service	1396852455	1396852455	1	1	NORTH COUNTY HEALTH PROJ	1/1/2000	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	2210 MESA DR	STE 5&7	OCEANSIDE	CA	92054	3756	37	06073	33.20786753	-117.3579677	San Diego County
133679	Fee-for-Service	1871014522	1871014522	1	1	NG, LILLIAN DO	5/21/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18313	None	None	0	In state provider	None	1600 OWENS ST	None	SAN FRANCISCO	CA	94158	2261	38	06075	37.76850146	-122.3949365	San Francisco County
133694	Fee-for-Service	1669058962	1669058962	1	1	NIAGARA HOSPICE INC	11/11/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6308 WOODMAN AVE	STE 110	VAN NUYS	CA	91401	2374	19	06037	34.185123	-118.4312405	Los Angeles County
133697	Fee-for-Service	1265695498	1265695498	1	1	NADIR, NUR AIN MD	9/10/2020	207P00000X	NA	Other	026	PHYSICIANS	150097	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
133705	Fee-for-Service	1538672027	1538672027	1	1	NEMATOLLAHI, RAMIN LMFT	9/4/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1750 OCEAN PARK BLVD	STE 206	SANTA MONICA	CA	90405	4938	19	06037	34.01292956	-118.4650687	Los Angeles County
133714	Fee-for-Service	1407853062	1407853062	1	1	NUTTING, ROBERT O MD	6/30/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	24356	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	301 N PRAIRIE AVE	STE 501	INGLEWOOD	CA	90301	4512	19	06037	33.965712	-118.3439965	Los Angeles County
133761	Fee-for-Service	1336406156	1336406156	1	1	NAEEM, FOUZIA MD	7/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	106554	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
133799	Fee-for-Service	1073118907	1073118907	1	1	NGUYEN, THUY MINH NP	9/14/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11234 ANDERSON ST	STE 1617	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
133814	Fee-for-Service	1790858942	1790858942	1	1	NEAL, JOEL W MD	9/8/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111199	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
133820	Fee-for-Service	1467092015	1467092015	1	1	NEW START CLHFS INDEPENDENT	5/13/2020	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	TRAINING CENTERS-LARAMIE	10318 LARAMIE AVE	None	CHATSWORTH	CA	91311	2530	19	06037	34.258023	-118.5728305	Los Angeles County
133833	Fee-for-Service	1902486129	1902486129	1	1	NOBLE HOME HEALTHCARE SYSTEM	3/21/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4730 WOODMAN AVE	STE 420	SHERMAN OAKS	CA	91423	2400	19	06037	34.156701	-118.4312045	Los Angeles County
133881	Fee-for-Service	1184720757	1184720757	1	1	NGUYEN, TIM T DPM	8/31/1993	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1700 N ROSE AVE	STE 410	OXNARD	CA	93030	7655	56	06111	34.21746	-119.155545	Ventura County
133905	Fee-for-Service	1346291440	1346291440	1	1	NGUYEN, KHA N MD	8/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67648	66	Emergency Medicine (Urgent Care)	0	In state provider	None	17772 BEACH BLVD	None	HUNTINGTON BEACH	CA	92647	6819	30	06059	33.703677	-117.9865035	Orange County
133925	Fee-for-Service	1306966007	1306966007	1	1	NAROTAM, SANJAY MD	12/7/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	191526	None	None	0	In state provider	None	101 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3809	30	06059	33.89356031	-117.9271656	Orange County
133943	Fee-for-Service	1548206113	1548206113	1	1	NGUYEN, DAN-ANH	9/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	66968	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2100 FOREST AVE	STE 105	SAN JOSE	CA	95128	1422	43	06085	37.3270195	-121.9368645	Santa Clara County
133959	Fee-for-Service	1821055351	1821055351	1	1	NYE, HEATHER E MD	6/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83321	41	Internal Medicine	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
133968	Fee-for-Service	1396852455	1396852455	1	1	NORTH COUNTY HEALTH PROJ	11/19/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	2210 MESA DR	STE 5&7	OCEANSIDE	CA	92054	3756	37	06073	33.20786753	-117.3579677	San Diego County
133969	Fee-for-Service	1134706757	1134706757	1	1	NGO, THONG A DO	4/1/2025	207R00000X	NA	Other	026	PHYSICIANS	22327	41	Internal Medicine	0	In state provider	None	3330 LOMITA BLVD	CARDIOLOGY DEPARTMENT	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
133998	Fee-for-Service	1063918845	1063918845	1	1	NGUYEN, HAN DPM	9/30/2019	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	333 CORPORATE DRIVE	230	LADERA RANCH	CA	92694	2180	30	06059	33.55836094	-117.6292574	Orange County
134002	Fee-for-Service	1407853062	1407853062	1	1	NUTTING, ROBERT O MD	6/30/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	24356	02	General Surgery	0	In state provider	None	301 N PRAIRIE AVE	STE 501	INGLEWOOD	CA	90301	4512	19	06037	33.965712	-118.3439965	Los Angeles County
134028	Fee-for-Service	1134109671	1134109671	1	1	NOUNNAN, DARYL MD	11/19/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	66931	08	Family Practice	0	In state provider	None	1203 MISSION ST	None	SANTA CRUZ	CA	95060	3549	44	06087	36.96939671	-122.0373587	Santa Cruz County
134035	Fee-for-Service	1659448538	1659448538	1	1	NGUYEN, JOHN H MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	76445	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
134058	Fee-for-Service	1730569005	1730569005	1	1	NGUYEN, CATHERINE K MD	12/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	144732	01	General Practice	0	In state provider	None	722 BAKER STREET	None	COSTA MESA	CA	92626	4320	30	06059	33.68016047	-117.886563	Orange County
134091	Fee-for-Service	1356385025	1356385025	1	1	NGUYEN, TIEN T MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	81962	14	Neurological Surgery	0	In state provider	None	11190 WARNER AVE	SUITE 305	FOUNTAIN VALLEY	CA	92708	4047	30	06059	33.714	-117.9333585	Orange County
134099	Fee-for-Service	1790858942	1790858942	1	1	NEAL, JOEL W MD	9/8/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111199	78	Neoplastic Diseases/Oncology	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
134117	Fee-for-Service	1043399173	1043399173	1	1	NEWSWANGER, DAVID W MD	3/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	50453	08	Family Practice	0	In state provider	None	145 RIVENDELL LN	None	PARADISE	CA	95969	6122	04	06007	39.73019982	-121.6494325	Butte County
134118	Fee-for-Service	1225164999	1225164999	1	1	NASSIRI, JAMES A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	86743	05	Anesthesiology	0	In state provider	None	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	2508	19	06037	34.12811155	-118.2577764	Los Angeles County
134183	Fee-for-Service	1902001621	1902001621	1	1	NORRIS, BARRY DREW MD	1/1/1980	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	42711	08	Family Practice	0	In state provider	None	2930 PARK AVE	None	SOQUEL	CA	95073	2833	44	06087	36.98775737	-121.9360984	Santa Cruz County
134191	Fee-for-Service	1104894096	1104894096	1	1	NOVELL, LAURA A MD	5/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	88754	30	Radiology	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
134228	Fee-for-Service	1679693105	1679693105	1	1	NGUYEN, VINH TRUYEN Q MD	8/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
134247	Fee-for-Service	1821055351	1821055351	1	1	NYE, HEATHER E MD	6/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83321	01	General Practice	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
134254	Fee-for-Service	1396852455	1396852455	1	1	NORTH COUNTY HEALTH PROJ	1/1/2000	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	2210 MESA DR	STE 5&7	OCEANSIDE	CA	92054	3756	37	06073	33.20786753	-117.3579677	San Diego County
134323	Fee-for-Service	1659448538	1659448538	1	1	NGUYEN, JOHN H MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	76445	30	Radiology	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
134335	Fee-for-Service	1164590246	1164590246	1	3	NEVADA GEM HOME HEALTH	7/30/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	12235 BEACH BLVD	SUITE 115A	STANTON	CA	90680	3842	30	06059	33.784425	-117.9930265	Orange County
134369	Fee-for-Service	1740347939	1740347939	1	1	NEWMAN, JEFFREY L DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	NEWMAN CHIROPRACTIC CARE	16661 VENTURA BLVD	STE 704	ENCINO	CA	91436	1989	19	06037	34.15820737	-118.496492	Los Angeles County
134500	Fee-for-Service	1558365320	1558365320	1	1	NAM, HOWARD K MD	9/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	68391	04	Otology, Laryngology, Rhinology	0	In state provider	None	460 PLUMAS BLVD	None	YUBA CITY	CA	95991	5005	51	06101	39.13140416	-121.6141951	Sutter County
134510	Fee-for-Service	1750361267	1750361267	1	1	NAZIR, ADNAN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	945 N 12TH ST	STE 3506	MILWAUKEE	WI	53233	1305	00	None	43.042428	-87.92718546	Milwaukee County
134541	Fee-for-Service	1396852455	1396852455	1	1	NORTH COUNTY HEALTH PROJ	9/21/2007	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	2210 MESA DR	STE 5&7	OCEANSIDE	CA	92054	3756	37	06073	33.20786753	-117.3579677	San Diego County
134560	Fee-for-Service	1518137868	1518137868	1	1	NANAVATI, RUPA L MD	1/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	98348	13	Neurology (M.D. only)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
134613	Fee-for-Service	1891344305	1891344305	1	1	NORTHERN CALIFORNIA MEDICAL	2/26/2020	207RR0500X	NA	Other	022	PHYSICIANS GROUP	-	83	Rheumatology	0	In state provider	ASSOCIATES	4690 HOEN AVE	None	SANTA ROSA	CA	95405	7823	49	06097	38.441646	-122.665032	Sonoma County
134623	Fee-for-Service	1609454065	1609454065	1	1	NGUYEN, TWEELYNN	10/28/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
134644	Fee-for-Service	1346534138	1346534138	1	1	NGUYEN, DON D MD	11/26/2018	207L00000X	NA	Other	026	PHYSICIANS	122551	05	Anesthesiology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
134647	Fee-for-Service	1154586659	1154586659	1	1	NGUYEN, VIVIEN A MD	7/28/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101918	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
134653	Fee-for-Service	1740437961	1740437961	1	1	NORTHEAST VALLEY HEALTH	5/20/2008	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	NEVHC HOMELESS MOBILE CL	1172 N MACLAY AVE	None	SAN FERNANDO	CA	91340	1328	19	06037	34.29582554	-118.4241314	Los Angeles County
134657	Fee-for-Service	1770538373	1770538373	1	1	NGUYEN, MATTHEW H DPM	4/12/2021	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	12260 FOOTHILL BLVD	None	SYLMAR	CA	91342	6001	19	06037	34.28200485	-118.4030797	Los Angeles County
134728	Fee-for-Service	1003824434	1003824434	1	1	NORTHRIDGE FACIAL PLASTIC	11/2/2010	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SURGERY MEDICAL GROUP	18350 ROSCOE BLVD	# 318A	NORTHRIDGE	CA	91325	4164	19	06037	34.22071855	-118.5341175	Los Angeles County
134746	Fee-for-Service	1114145760	1114145760	1	2	NEW HORIZONS	1/26/2024	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INDIVIDUALS WITH SPECIAL	8903 BALBOA BLVD	None	NORTHRIDGE	CA	91325	2608	19	06037	34.232418	-118.5025695	Los Angeles County
134826	Fee-for-Service	1770695769	1770695769	1	1	NORTH RIALTO SHOPPING	4/11/2006	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NORTH RIALTO DRUG	531 E FOOTHILL BLVD	None	RIALTO	CA	92376	5223	36	06071	34.1067117	-117.3605459	San Bernardino County
134856	Fee-for-Service	1922049899	1922049899	1	1	NEVADA CVS PHARMACY LLC	11/14/2012	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	1600 N BUFFALO DR	None	LAS VEGAS	NV	89128	8900	00	None	36.18974374	-115.2599771	Clark County
134940	Fee-for-Service	1194856708	1194856708	1	1	NOVAK, NAOMI S MFT	6/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	83636	-	NOT APPLICABLE	0	In state provider	None	43520 DIVISION STREET	None	LANCASTER	CA	93535	4089	19	06037	34.673445	-118.130143	Los Angeles County
134941	Fee-for-Service	1740437961	1740437961	1	1	NORTHEAST VALLEY HEALTH	5/20/2008	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	NEVHC HOMELESS MOBILE CL	1172 N MACLAY AVE	None	SAN FERNANDO	CA	91340	1328	19	06037	34.29582554	-118.4241314	Los Angeles County
134987	Fee-for-Service	1407002033	1407002033	1	1	NUZON CORPORATION	8/15/2008	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	24522 QUINTANA DR	None	MISSION VIEJO	CA	92691	5010	30	06059	33.6068117	-117.659044	Orange County
135033	Fee-for-Service	1144724576	1144724576	1	1	NOURBAKHSH, POURANDOKHT S MD	6/16/2021	207R00000X	NA	Other	026	PHYSICIANS	166259	None	None	0	In state provider	None	15503 VENTURA BLVD	240, 340, 350	ENCINO	CA	91436	3115	19	06037	34.15483303	-118.4722163	Los Angeles County
135056	Fee-for-Service	1609164300	1609164300	1	1	NASER, ODAY S MD	3/1/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	130073	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
135057	Fee-for-Service	1528599776	1528599776	2	1	NGUYEN, TRI M DO	5/3/2023	207R00000X	NA	Other	026	PHYSICIANS	17391	None	None	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
135122	Fee-for-Service	1174816821	1174816821	1	1	NGUYEN, KELVIN T MD	5/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125787	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
135163	Fee-for-Service	1215608476	1215608476	1	1	NEO-BALANCE MARRIAGE THERAPY	9/29/2021	261QM0850X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	AND RECOVERY, PC	1414 4TH ST	None	CORONADO	CA	92118	1906	37	06073	32.6927737	-117.1708716	San Diego County
135164	Fee-for-Service	1093027799	1093027799	1	1	NELSON, BRADLEY C MD	6/15/2021	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	-	None	None	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
135193	Fee-for-Service	1467447284	1467447284	1	1	NAHM, WALTER K MD INC	5/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	78569	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4060 4TH AVE	STE 650	SAN DIEGO	CA	92103	2121	37	06073	32.75053673	-117.1616539	San Diego County
135231	Fee-for-Service	1760917280	1760917280	1	1	NORBY, MARIAH DO	12/3/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	20223	None	None	0	In state provider	None	770 MASON ST	None	VACAVILLE	CA	95688	4646	48	06095	38.35504697	-121.983852	Solano County
135235	Fee-for-Service	1538453303	1538453303	1	1	NGUYEN, THU-HA T MD	7/27/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	148849	36	Psychiatry	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
135278	Fee-for-Service	1134758931	1134758931	1	1	NOESEKABEL, ALLISON MD	9/26/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	176834	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
135283	Fee-for-Service	1790711927	1790711927	2	8	NEWPORT HARBOR PATHOLOGY MED	9/20/2023	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	20 FAIRBANKS	STE 173	IRVINE	CA	92618	1644	30	06059	33.66099666	-117.7066132	Orange County
135306	Fee-for-Service	1750724431	1750724431	1	1	NGUYEN, SHAWN MD	8/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135459	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
135314	Fee-for-Service	1104350040	1104350040	1	1	NEELKANTAN, NIKHIL MD	1/15/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	169828	None	None	0	In state provider	None	3285 CLAREMONT WAY	None	NAPA	CA	94558	3313	28	06055	38.32103673	-122.3025002	Napa County
135378	Fee-for-Service	1124255518	1124255518	1	1	NEIL, MANDANA MD	11/13/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116212	40	Pediatrics	0	In state provider	None	2001 FOURTH AVENUE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
135410	Fee-for-Service	1821451766	1821451766	1	1	NGUYEN, LYANNA G L DO	5/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15810	01	General Practice	0	In state provider	None	1570 E HERNDON AVENUE	None	FRESNO	CA	93720	3303	10	06019	36.83756046	-119.759841	Fresno County
135481	Fee-for-Service	1467447284	1467447284	1	1	NAHM, WALTER K MD INC	5/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	78569	07	Dermatology	0	In state provider	None	4060 4TH AVE	STE 650	SAN DIEGO	CA	92103	2121	37	06073	32.75053673	-117.1616539	San Diego County
135485	Fee-for-Service	1952924359	1952924359	1	1	NORTH COUNTY LIFELINE INC.	5/20/2021	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	334 VIA VERA CRUZ	152	SAN MARCOS	CA	92078	2635	37	06073	33.13698477	-117.1888034	San Diego County
135510	Fee-for-Service	1194039826	1194039826	1	1	NEWCARE MEDICAL GROUP, APC	10/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	53423	36	Psychiatry	0	In state provider	None	960 E GREEN STREET	SUITE 104	PASADENA	CA	91106	0241	19	06037	34.14451994	-118.1301695	Los Angeles County
135527	Fee-for-Service	1922379288	1922379288	1	1	NGUYEN, DIANA V MD	9/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113995	41	Internal Medicine	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
135571	Fee-for-Service	1790711927	1790711927	2	8	NEWPORT HARBOR PATHOLOGY MED	9/20/2023	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	20 FAIRBANKS	STE 173	IRVINE	CA	92618	1644	30	06059	33.66099666	-117.7066132	Orange County
135595	Fee-for-Service	1225001894	1225001894	3	1	NATIONAL SEATING & MOBILITY,	2/1/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	1650 TRIBUTE RD	None	SACRAMENTO	CA	95815	4400	34	06067	38.595204	-121.4456175	Sacramento County
135631	Fee-for-Service	1851368567	1851368567	1	1	NEVILLE FERNANDES M.D	7/31/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	800 W 5TH AVE	None	SPOKANE	WA	99204	2803	00	None	47.651778	-117.423477	Spokane County
135636	Fee-for-Service	1821280264	1821280264	1	1	NGUYEN, HUY T MD	9/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92726	30	Radiology	0	In state provider	None	4860 Y STREET	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
135656	Fee-for-Service	1508946864	1508946864	1	1	NAOMI KERTESZ MD	4/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	700 CHILDRENS DR	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
135705	Fee-for-Service	1588001416	1588001416	1	1	NYCHOLAT, DESIREE R MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135346	40	Pediatrics	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3899	36	06071	34.04824949	-117.2401425	San Bernardino County
135707	Fee-for-Service	1336843614	1336843614	1	1	NYAGAH, JOHN MAINA	4/20/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	14 LONG WARF PLACE	None	SACRAMENTO	CA	95835	2615	34	06067	38.674989	-121.533606	Sacramento County
135736	Fee-for-Service	1932108115	1932108115	1	1	NORTH COUNTY INPATIENT	8/24/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	MEDICAL ALLIANCE, INC	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
135819	Fee-for-Service	1689054884	1689054884	1	1	NGUYEN, TIFFANY T OD	8/20/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	44407 10TH ST W	None	LANCASTER	CA	93534	3345	19	06037	34.68965953	-118.148053	Los Angeles County
135861	Fee-for-Service	1528520301	1528520301	1	1	NGUYEN, PETER DO	9/20/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180648	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
135862	Fee-for-Service	1558300772	1558300772	1	1	NISHIJIMA, DEAN K OD	3/7/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	FRESNO VALLEY OPTOM GR	5770 N 1ST ST	None	FRESNO	CA	93710	6204	10	06019	36.822231	-119.7721825	Fresno County
135995	Fee-for-Service	1336843614	1336843614	1	1	NYAGAH, JOHN MAINA	4/20/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	14 LONG WARF PLACE	None	SACRAMENTO	CA	95835	2615	34	06067	38.674989	-121.533606	Sacramento County
136038	Fee-for-Service	1285320259	1285320259	1	1	NGUYEN, NGUYENTHAO NP	8/8/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	43360 MISSION BLVD	SUITE 100	FREMONT	CA	94539	5829	01	06001	37.53249631	-121.9198141	Alameda County
136039	Fee-for-Service	1407932312	1407932312	1	1	NEURODYNAMICS INC	8/19/2016	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2815 CAMINO DEL RIO S	STE 220	SAN DIEGO	CA	92108	3817	37	06073	32.77000054	-117.1343627	San Diego County
136045	Fee-for-Service	1285791756	1285791756	1	1	NEGRIN, ROBERT MD	7/31/1985	207RH0003X	NA	Oncology	026	PHYSICIANS	55538	41	Internal Medicine	0	In state provider	None	1 CENTRAL AVE	None	SAN FRANCISCO	CA	94117	4114	38	06075	37.7690226	-122.443365	San Francisco County
136077	Fee-for-Service	1831402155	1831402155	1	1	NOWAK, JASON D DPM	7/1/2013	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1255 LIBERTY ST	None	REDDING	CA	96001	0814	45	06089	40.58769807	-122.3879041	Shasta County
136082	Fee-for-Service	1750392262	1750392262	2	1	NEWPORT HILLS DRUG CORP	9/4/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2610 SAN MIGUEL	None	NEWPORT BEACH	CA	92660	5437	30	06059	33.62593907	-117.8501939	Orange County
136173	Fee-for-Service	1053497172	1053497172	1	1	NGUYEN, TAMMY OD	11/20/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1818 TULLY RD	STE 158B	SAN JOSE	CA	95122	1888	43	06085	37.32297177	-121.8247897	Santa Clara County
136177	Fee-for-Service	1437354487	1437354487	1	1	NIJHAWAN, TARUNA MD	2/11/2008	207R00000X	NA	Other	026	PHYSICIANS	96958	41	Internal Medicine	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
136185	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	9/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
136205	Fee-for-Service	1114952983	1114952983	1	1	NGUYEN, ANH T MD	4/25/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92066	08	Family Practice	0	In state provider	None	25455 BARTON RD	STE 204B	LOMA LINDA	CA	92354	3172	36	06071	34.04805253	-117.249534	San Bernardino County
136233	Fee-for-Service	1134246390	1134246390	1	1	NOORIZADEH, KIARASH MD	10/30/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	55629	41	Internal Medicine	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
136268	Fee-for-Service	1811570971	1811570971	1	1	NGUYEN, LISA	5/13/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8265 WHITE OAK AVE	None	RANCHO CUCAMONGA	CA	91730	7671	36	06071	34.10330723	-117.5642502	San Bernardino County
136326	Fee-for-Service	1790261097	1790261097	1	1	NGUYEN, MINA T AU	6/13/2020	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	280 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23931375	-121.8014189	Santa Clara County
136343	Fee-for-Service	1164511051	1164511051	1	1	NADLER, JACK S MD	11/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	63717	08	Family Practice	0	In state provider	None	3900 LAKEVILLE HWY	None	PETALUMA	CA	94954	5698	49	06097	38.2304311	-122.5827918	Sonoma County
136388	Fee-for-Service	1467932277	1467932277	1	1	NG, BETTY OD FAAO	11/4/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1575 B STREET	None	HAYWARD	CA	94541	3017	01	06001	37.67905755	-122.072805	Alameda County
136390	Fee-for-Service	1487718953	1487718953	1	1	NOVIKOFF, THAYS S MD	5/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	101919	01	General Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
136431	Fee-for-Service	1912129412	1912129412	1	1	NIJJAR, JAGRAJ S MD INC	8/1/2002	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	69180	41	Internal Medicine	0	In state provider	None	1531 PLUMAS CTD	STE A	YUBA CITY	CA	95991	2960	51	06101	39.15297377	-121.6185928	Sutter County
136454	Fee-for-Service	1497140446	1497140446	1	1	NGUYEN, HUY V MD	7/2/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	161710	18	Ophthalmology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
136472	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	11/12/2019	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
136492	Fee-for-Service	1790173292	1790173292	1	1	NGUYEN, MY-LINH T MD	11/5/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	129274	09	Gynecology (D.O. only)	0	In state provider	None	400 TAYLOR BLVD	STE 202	PLEASANT HILL	CA	94523	2160	07	06013	37.96132631	-122.0740275	Contra Costa County
136519	Fee-for-Service	1760656250	1760656250	1	1	NANAMORI, MASAKATSU MD	5/21/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
136528	Fee-for-Service	1972727683	1972727683	1	1	NGUYEN, ANN M OD	8/22/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	10525 S DE ANZA BLVD	STE 190	CUPERTINO	CA	95014	4448	43	06085	37.31526	-122.032408	Santa Clara County
136537	Fee-for-Service	1811337199	1811337199	1	1	NELSON, JEFFREY H DO	7/12/2016	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	13684	01	General Practice	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
136583	Fee-for-Service	1235200148	1235200148	1	1	NAING, SOE MD	12/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73754	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
136623	Fee-for-Service	1043326226	1043326226	1	1	NGUYEN, NANG DO	8/17/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8813	02	General Surgery	0	In state provider	None	200 JOSE FIGUERES AVENUE	#225	SAN JOSE	CA	95116	1588	43	06085	37.36122014	-121.8505998	Santa Clara County
136624	Fee-for-Service	1518426584	1518426584	1	1	NARLA, AKHILA MD	4/23/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	178360	41	Internal Medicine	0	In state provider	None	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	19	06037	34.06704253	-118.3835029	Los Angeles County
136682	Fee-for-Service	1073710752	1073710752	1	1	NAULT, JENNIFER L PT	8/28/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	120 S CHAPARRAL CT	150	ANAHEIM	CA	92808	2237	30	06059	33.86492127	-117.7445525	Orange County
136686	Fee-for-Service	1811164528	1811164528	1	1	NGUYEN, HOANG P MD	6/3/2010	207R00000X	NA	Other	026	PHYSICIANS	103724	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
136758	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	2/12/2020	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
136762	Fee-for-Service	1558755496	1558755496	1	2	NEXTGEN LABORATORIES	6/9/2017	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	4229 BIRCH STREET	STE 130	NEWPORT BEACH	CA	92660	1960	30	06059	33.66692938	-117.8676286	Orange County
136792	Fee-for-Service	1699882415	1699882415	1	1	NADEMANEE, KOONLAWEE MD	1/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	32891	41	Internal Medicine	0	In state provider	None	575 E HARDY ST	STE 201	INGLEWOOD	CA	90301	4043	19	06037	33.94909392	-118.3477665	Los Angeles County
136885	Fee-for-Service	1760099857	1760099857	1	1	NEXT CARE HOME HEALTH INC	9/29/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	220 S KENWOOD ST	SUITE 103	GLENDALE	CA	91205	1671	19	06037	34.14355865	-118.2513018	Los Angeles County
136890	Fee-for-Service	1710988175	1710988175	1	1	NARINE, NALAN MD	7/26/2012	207L00000X	NA	Other	026	PHYSICIANS	69432	05	Anesthesiology	0	In state provider	None	28062 BAXTER RD	None	MURRIETA	CA	92563	1401	33	06065	33.61350847	-117.1691225	Riverside County
136946	Fee-for-Service	1790179372	1790179372	1	1	NERIA, JERRY A MD	8/1/2018	208M00000X	NA	Other	026	PHYSICIANS	152045	41	Internal Medicine	0	In state provider	None	1141 ROSE AVE	None	SELMA	CA	93662	3241	10	06019	36.56881144	-119.5985344	Fresno County
136975	Fee-for-Service	1811164528	1811164528	1	1	NGUYEN, HOANG P MD	6/3/2010	207R00000X	NA	Other	026	PHYSICIANS	103724	41	Internal Medicine	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
136985	Fee-for-Service	1568502581	1568502581	1	1	NWOSU, COSMAS N PA	11/30/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	17230	-	NOT APPLICABLE	0	In state provider	None	1926 W BEVERLY BOULEVARD	None	LOS ANGELES	CA	90057	2402	19	06037	34.06588198	-118.2686209	Los Angeles County
136994	Fee-for-Service	1528404993	1528404993	1	1	NEUSNER, ALEXANDER MD	2/27/2024	2082S0105X	NA	General Surgery	026	PHYSICIANS	185081	None	None	0	In state provider	None	16311 VENTURA BLVD	SUITE #1150	ENCINO	CA	91436	4386	19	06037	34.15706864	-118.4885978	Los Angeles County
137022	Fee-for-Service	1124695184	1124695184	1	1	NORAS RESIDENCE CARE	9/16/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1217 WARREN ST	None	PLACENTIA	CA	92870	3639	30	06059	33.88453019	-117.847075	Orange County
137045	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	8/10/2017	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
137093	Fee-for-Service	1659939510	1659939510	1	1	NAVARRO, JESUS NP	10/17/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11234 ANDERSON ST	STE 1617	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
137103	Fee-for-Service	1003827056	1003827056	1	1	NESBURN, KRISTIN E MD	1/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	60925	18	Ophthalmology	0	In state provider	None	8635 W 3RD ST	# 390W	LOS ANGELES	CA	90048	6101	19	06037	34.07361928	-118.3803143	Los Angeles County
137108	Fee-for-Service	1912687898	1912687898	1	1	NGUYEN, ALINE M OD	9/4/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2722 ABORN RD	None	SAN JOSE	CA	95121	1204	43	06085	37.31364749	-121.7928998	Santa Clara County
137111	Fee-for-Service	1285139899	1285139899	1	1	NARGIZYAN, TAISYA MD	10/20/2021	207R00000X	NA	Other	026	PHYSICIANS	173480	None	None	0	In state provider	None	11333 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1116	19	06037	34.27684353	-118.4684024	Los Angeles County
137154	Fee-for-Service	1164736203	1164736203	1	1	NEUMANN, ANNE M DO	8/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11903	08	Family Practice	0	In state provider	None	632 WEST GIBSON ROAD	None	WOODLAND	CA	95695	5143	57	06113	38.66314048	-121.794696	Yolo County
137190	Fee-for-Service	1750031548	1750031548	1	1	NORTHERN VALLEY INDIAN	10/5/2022	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	1990 CONCORD AVE	None	CHICO	CA	95928	0000	04	06007	39.72768476	-121.7912855	Butte County
137254	Fee-for-Service	1669827531	1669827531	1	1	NAPUTI, HOSON LMFT	4/7/2016	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17130 SEQUOIA ST	STE 103	HESPERIA	CA	92345	1827	36	06071	34.46911749	-117.289755	San Bernardino County
137305	Fee-for-Service	1871279562	1871279562	1	1	NOLAN, RACHEL CCC-SLP	2/11/2025	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3660 CLAIREMONT DR,	STE 2	SAN DIEGO	CA	92117	5968	37	06073	32.80759429	-117.2010737	San Diego County
137335	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	6/7/2021	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
137378	Fee-for-Service	1952563421	1952563421	1	1	NAVARRO, VANESSA M MD	7/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113624	08	Family Practice	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
137392	Fee-for-Service	1578534020	1578534020	1	1	NGUYEN, HENRY H MD	9/16/2019	207YX0905X	NA	ENT/Otolaryngology	026	PHYSICIANS	83603	84	Surgery-Head and Neck	0	In state provider	None	8241 ROCHESTER AVE	SUITE 130	RANCHO CUCAMONGA	CA	91730	0713	36	06071	34.103979	-117.542898	San Bernardino County
137395	Fee-for-Service	1114172897	1114172897	1	1	NAVABI, KASRA MD	9/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116768	41	Internal Medicine	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4404	50	06099	37.66508443	-120.9962589	Stanislaus County
137429	Fee-for-Service	1013030337	1013030337	1	1	NOSEK, CARL A MD	1/31/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	95540	40	Pediatrics	0	In state provider	None	2333 BUCHANAN ST	EMERGENCY DEPT	SAN FRANCISCO	CA	94115	1925	38	06075	37.79071145	-122.4308506	San Francisco County
137436	Fee-for-Service	1538189204	1538189204	1	1	NGUYEN, MINHTRI K MD	9/1/1995	207RN0300X	NA	Nephrology	026	PHYSICIANS	48847	None	None	0	In state provider	None	200 MEDICAL PLAZA	STE 365	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
137443	Fee-for-Service	1164736203	1164736203	1	1	NEUMANN, ANNE M DO	8/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11903	15	Obstetrics (D.O. only)	0	In state provider	None	632 WEST GIBSON ROAD	None	WOODLAND	CA	95695	5143	57	06113	38.66314048	-121.794696	Yolo County
137477	Fee-for-Service	1750031548	1750031548	1	1	NORTHERN VALLEY INDIAN	3/26/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	1990 CONCORD AVE	None	CHICO	CA	95928	0000	04	06007	39.72768476	-121.7912855	Butte County
137481	Fee-for-Service	1043240450	1043240450	1	1	NGUYEN, QUOC B MD	9/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94436	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
137494	Fee-for-Service	1376754127	1376754127	1	1	NORTHEAST COMM CLINIC	10/29/2007	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CLINICA PARA LAS MUJERES	231 W VERNON AVE	STE 203	LOS ANGELES	CA	90037	2779	19	06037	34.0038305	-118.2774195	Los Angeles County
137505	Fee-for-Service	1730359530	1730359530	1	2	NGUYEN, HOANG T MD INC	6/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	80321	41	Internal Medicine	0	In state provider	None	10672 CHAPMAN AVENUE	STE 4	GARDEN GROVE	CA	92840	3103	30	06059	33.7886095	-117.9470295	Orange County
137537	Fee-for-Service	1861876542	1861876542	1	1	NOORANI, MUHAMMAD MD	10/1/2024	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
137567	Fee-for-Service	1760697247	1760697247	1	1	NELKIN, RYAN L MD	8/27/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	98955	66	Emergency Medicine (Urgent Care)	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
137577	Fee-for-Service	1851436810	1851436810	2	1	NAMJOO, SHARAREH	8/1/2024	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4231 LARWIN AVE	None	CYPRESS	CA	90630	4147	30	06059	33.8173113	-118.0593165	Orange County
137600	Fee-for-Service	1053384990	1053384990	3	1	NATIONAL SEATING & MOBILITY,	1/18/2022	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	16509 ARMINTA STREET	None	VAN NUYS	CA	91406	1745	19	06037	34.21489245	-118.4930788	Los Angeles County
137625	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	4/6/2017	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
137634	Fee-for-Service	1790168722	1790168722	1	1	NGUYEN, LEE H MD	5/14/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
137682	Fee-for-Service	1013220128	1013220128	1	1	NAVIDI, BIJAN MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	113875	05	Anesthesiology	0	In state provider	None	1328 22ND STREET	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
137699	Fee-for-Service	1710972195	1710972195	1	1	NGUYEN, PHONG QUOC OD	1/3/2005	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	INC	2402 S AZUSA AVE	None	WEST COVINA	CA	91792	1512	19	06037	34.03254023	-117.9139983	Los Angeles County
137707	Fee-for-Service	1598747156	1598747156	1	1	NARAG,REYNALDO B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1077 NEW RIVER	PARKWAY	FALLON	NV	89406	0000	00	None	39.46531781	-118.761101	Churchill County
137758	Fee-for-Service	1497776322	1497776322	1	1	NABIL & JANET F SOLIMAN	8/17/1992	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CENTRO MEDICO INC	11946 S HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	3016	19	06037	33.92479532	-118.3524458	Los Angeles County
137771	Fee-for-Service	1750031548	1750031548	1	1	NORTHERN VALLEY INDIAN	10/5/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	1990 CONCORD AVE	None	CHICO	CA	95928	0000	04	06007	39.72768476	-121.7912855	Butte County
137787	Fee-for-Service	1275196305	1275196305	1	1	NOURIAN, MAZIAR M MD	5/3/2024	207L00000X	NA	Other	026	PHYSICIANS	189808	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
137865	Fee-for-Service	1144859752	1144859752	1	1	NGUYEN, REGINALD MD	11/17/2023	207P00000X	NA	Other	026	PHYSICIANS	189843	None	None	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
137878	Fee-for-Service	1083632061	1083632061	1	1	NELSON, JOHN E MD	4/28/2009	2084P0800X	NA	Psychiatry	026	PHYSICIANS	19171	36	Psychiatry	0	In state provider	None	530 W OJAI AVE	STE 206	OJAI	CA	93023	2472	56	06111	34.44574111	-119.2516473	Ventura County
137909	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	8/14/2017	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
137989	Fee-for-Service	1932543451	1932543451	1	1	NEVIN, EMILY L MD	8/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	136673	40	Pediatrics	0	In state provider	None	63532 TWENTYNINE PALMS	STE C	JOSHUA TREE	CA	92252	1202	36	06071	34.13510347	-116.277102	San Bernardino County
138021	Fee-for-Service	1790312791	1790312791	1	1	NGUYEN, TREVOR D DO	10/18/2022	207R00000X	NA	Other	026	PHYSICIANS	19948	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
138119	Fee-for-Service	1326188210	1326188210	2	1	NEGUSSIE, SUZANNA S MD	9/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	68336	40	Pediatrics	0	In state provider	None	3756 SANTA ROSALIA DR	STE 320	LOS ANGELES	CA	90008	3615	19	06037	34.00888336	-118.3389334	Los Angeles County
138157	Fee-for-Service	1780926261	1780926261	1	1	NAGAMINE, IRIS S MD	6/13/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	102 EAST LAKE MEAD PKWY	None	HENDERSON	NV	89015	5775	00	None	36.03815706	-114.9842287	Clark County
138198	Fee-for-Service	1780736736	1780736736	1	1	NORTHBAY HEALTHCARE GROUP	8/16/2017	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
138219	Fee-for-Service	1013273499	1013273499	1	1	NAKODARY, UZMA J MD	9/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	135819	36	Psychiatry	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
138232	Fee-for-Service	1326579822	1326579822	1	1	NGUYEN, THUY TRANG J MD	3/1/2021	390200000X	NA	Other	026	PHYSICIANS	160409	None	None	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
138284	Fee-for-Service	1881842755	1881842755	1	1	NYBERG, ERIC M MD	10/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
138320	Fee-for-Service	1962457176	1962457176	1	1	NELSON, ELAINE E MD	3/31/1994	207P00000X	NA	Other	026	PHYSICIANS	77615	66	Emergency Medicine (Urgent Care)	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
138324	Fee-for-Service	1790368967	1790368967	1	1	NWACHUKWU, OBINNA K MD	5/20/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	1510 FLORIDA AVE	STE B	MODESTO	CA	95350	4437	50	06099	37.666053	-120.996222	Stanislaus County
138356	Fee-for-Service	1457798977	1457798977	1	1	NELSON, LISA M LMFT	2/13/2017	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5910 CLARK ROAD	STE M9	PARADISE	CA	95969	4856	04	06007	39.75749014	-121.6070408	Butte County
138375	Fee-for-Service	1568466001	1568466001	1	1	NGUYEN, HENNY DPM INC	2/8/2015	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	14360 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4608	30	06059	33.753825	-117.954801	Orange County
138499	Fee-for-Service	1578723110	1578723110	1	1	NAHER, KAMRUN MD	2/24/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101125	08	Family Practice	0	In state provider	None	3733 SAN DIMAS STREET	None	BAKERSFIELD	CA	99330	1407	15	06029	35.393499	-119.008257	Kern County
138607	Fee-for-Service	1346527918	1346527918	1	1	NORTHEAST MEDICAL SERVICES	8/14/2012	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	211 EASTMOOR AVE	None	DALY CITY	CA	94015	2036	41	06081	37.6847337	-122.4787562	San Mateo County
138625	Fee-for-Service	1154403640	1154403640	1	1	NGUYEN, MINH Q MD	1/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89951	41	Internal Medicine	0	In state provider	None	400 OLD RIVER RD	None	BAKERSFIELD	CA	93311	9781	15	06029	35.351487	-119.1143025	Kern County
138652	Fee-for-Service	1306221197	1306221197	1	3	NEW WAVE HEARING AIDS	10/22/2024	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	15 JAN COURT	None	CHICO	CA	95928	4418	04	06007	39.71827331	-121.791958	Butte County
138686	Fee-for-Service	1194143230	1194143230	1	1	NG, STEPHANIE R MD	10/29/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	138217	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7300 N FRESNO	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
138709	Fee-for-Service	1124041801	1124041801	1	1	NISHIO, MATTHEW M OD	3/25/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4433 FLORIN RD	STE 890	SACRAMENTO	CA	95823	2544	34	06067	38.497536	-121.4541495	Sacramento County
138798	Fee-for-Service	1629300652	1629300652	1	1	NOGEE, JULIE M MD	8/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125439	40	Pediatrics	0	In state provider	None	3700 CALIFORNIA STREET	None	SAN FRANCISCO	CA	94118	1618	38	06075	37.78614008	-122.4556866	San Francisco County
138835	Fee-for-Service	1497377527	1497377527	1	1	NA, YURIANNA LCSW	2/3/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
138895	Fee-for-Service	1982231676	1982231676	1	1	NISHIBUN, TREVIN MD	4/17/2024	207L00000X	NA	Other	026	PHYSICIANS	186601	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
138919	Fee-for-Service	1497763536	1497763536	1	1	NGO, HIEP QUY MD	7/11/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79159	13	Neurology (M.D. only)	0	In state provider	None	3160 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5219	34	06067	38.568393	-121.4658585	Sacramento County
138941	Fee-for-Service	1306221197	1306221197	1	3	NEW WAVE HEARING AIDS	10/22/2024	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	15 JAN COURT	None	CHICO	CA	95928	4418	04	06007	39.71827331	-121.791958	Butte County
138948	Fee-for-Service	1558438150	1558438150	2	1	NARAHARA, ROBERT K OD	7/19/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 E PINE STREET	None	EXETER	CA	93221	1844	54	06107	36.2971685	-119.1382884	Tulare County
138953	Fee-for-Service	1376572107	1376572107	1	1	NORITZ, GAREY H MD	10/28/2016	2080P0008X	NA	Neurology	026	PHYSICIANS	-	None	None	2	Out of state provider	None	700 CHILDRENS DR	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
138993	Fee-for-Service	1619921095	1619921095	1	1	NGUYEN, HUNG HUU MD	4/11/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	34250	41	Internal Medicine	0	In state provider	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
139040	Fee-for-Service	1922116987	1922116987	1	1	NGUYEN, DINH N MD	4/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	76328	89	Surgery-Traumatic	0	In state provider	None	600 W I ST	STE E	LOS BANOS	CA	93635	3460	24	06047	37.06305336	-120.8610993	Merced County
139245	Fee-for-Service	1225420250	1225420250	1	1	NATHANAEL HOGG	1/17/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1717 ARLINGTON AVE	None	CALDWELL	ID	83605	4802	00	None	43.654374	-116.694738	Canyon County
139255	Fee-for-Service	1750138897	1750138897	1	1	NGUYEN, ANWELL	6/3/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	117 PELTON CENTER WAY	None	SAN LEANDRO	CA	94577	4815	01	06001	37.72269703	-122.1538905	Alameda County
139325	Fee-for-Service	1922116987	1922116987	1	1	NGUYEN, DINH N MD	4/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	76328	02	General Surgery	0	In state provider	None	600 W I ST	STE E	LOS BANOS	CA	93635	3460	24	06047	37.06305336	-120.8610993	Merced County
139393	Fee-for-Service	1558410506	1558410506	1	1	NALLASAMY, SUDHA MD	10/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121868	18	Ophthalmology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
139417	Fee-for-Service	1285163121	1285163121	1	1	NES ARIZONA INC	6/8/2018	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	None	5330 S HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
139432	Fee-for-Service	1508887969	1508887969	1	1	NASCA, DAVID MD	12/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	46715	22	Pathology (M.D. only)	0	In state provider	None	1798 N GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
139469	Fee-for-Service	1225070667	1225070667	1	6	NORTHLAND HEARING CENTERS, I	8/14/2024	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	23822 VALENCIA BLVD	STE 103	SANTA CLARITA	CA	91355	5302	19	06037	34.41372708	-118.5513626	Los Angeles County
139478	Fee-for-Service	1164437935	1164437935	1	1	NADARAJAH, SENTHILRAJ	6/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	53084	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
139496	Fee-for-Service	1902347347	1902347347	1	1	NGUYEN, CATHERINE T MD	8/1/2024	2088P0231X	NA	Other	026	PHYSICIANS	158051	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
139563	Fee-for-Service	1619226347	1619226347	1	2	NOALAB MEDICAL CLINIC INC	9/11/2020	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	6428 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91606	1113	19	06037	34.18757276	-118.4137803	Los Angeles County
139597	Fee-for-Service	1558679696	1558679696	1	1	NOVUS MINDFUL LIFE INST FC&R	2/12/2020	1041C0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	PROF	6695 E PACIFIC COAST HWY	SUITE 135	LONG BEACH	CA	90803	4235	19	06037	33.75412596	-118.1075029	Los Angeles County
139647	Fee-for-Service	1407413511	1407413511	1	1	NGUYEN, KHA D PT	6/18/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	126 AVOCADO AVE	STE 107	PERRIS	CA	92571	2605	33	06065	33.8102395	-117.2244465	Riverside County
139684	Fee-for-Service	1780371005	1780371005	1	1	NEPHROLOGY AND HYPERTENSION	10/11/2023	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CONSULTANTS BURBANK INC	2211 W MAGNOLIA BLVD	210	BURBANK	CA	91506	1771	19	06037	34.1728873	-118.3320905	Los Angeles County
139688	Fee-for-Service	1063972834	1063972834	1	1	NASH, KEVIN MD	9/7/2023	207L00000X	NA	Other	026	PHYSICIANS	182433	None	None	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
139695	Fee-for-Service	1780698233	1780698233	1	1	NOURI, BAHMAN J MD	3/23/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69321	41	Internal Medicine	0	In state provider	None	1174 CASTRO ST	STE 201	MOUNTAIN VIEW	CA	94040	2569	43	06085	37.3822628	-122.0861276	Santa Clara County
139704	Fee-for-Service	1285163121	1285163121	1	1	NES ARIZONA INC	6/8/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	5330 S HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
139715	Fee-for-Service	1831586288	1831586288	1	1	NGUYEN TRINH, THANH NGOC NP	10/4/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
139717	Fee-for-Service	1063637080	1063637080	1	1	NGUYEN, HUNG M DO APC	8/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	8568	08	Family Practice	0	In state provider	A PROFESSIONAL CORP	10230 ARTESIA BLVD	STE 115	BELLFLOWER	CA	90706	6768	19	06037	33.8728276	-118.1160403	Los Angeles County
139722	Fee-for-Service	1215017140	1215017140	1	1	NG, MAN BUN	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1312 MARENGO AVE	None	SOUTH PASDENA	CA	91030	3958	19	06037	34.11064624	-118.1466887	Los Angeles County
139732	Fee-for-Service	1245527357	1245527357	1	1	NORTH FRESNO PRIMARY CARE	10/22/2012	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	1805 E FIR AVE	SUITE 101	FRESNO	CA	93720	3859	10	06019	36.83911347	-119.749869	Fresno County
139788	Fee-for-Service	1902347347	1902347347	1	1	NGUYEN, CATHERINE T MD	8/1/2024	2088P0231X	NA	Other	026	PHYSICIANS	158051	34	Urology and Urological Surgery	0	In state provider	None	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
139797	Fee-for-Service	1205177854	1205177854	1	1	NGUYEN, JOANN MD	5/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122870	41	Internal Medicine	0	In state provider	None	333 MERCY AVENUE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
139817	Fee-for-Service	1629180872	1629180872	1	1	NARAGHI, DARIUS E MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	66532	41	Internal Medicine	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
139873	Fee-for-Service	1083803134	1083803134	1	1	NEWMAN, AIMEE R MD	1/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	101716	40	Pediatrics	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
139888	Fee-for-Service	1558679696	1558679696	1	1	NOVUS MINDFUL LIFE INST FC&R	2/12/2020	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	PROF	6695 E PACIFIC COAST HWY	SUITE 135	LONG BEACH	CA	90803	4235	19	06037	33.75412596	-118.1075029	Los Angeles County
139956	Fee-for-Service	1538230024	1538230024	1	1	NGUYEN, PHUC V MD INC	6/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	50626	41	Internal Medicine	0	In state provider	None	9500 BOLSA AVE	STE M	WESTMINSTER	CA	92683	5943	30	06059	33.74475113	-117.9634694	Orange County
139986	Fee-for-Service	1780698233	1780698233	1	1	NOURI, BAHMAN J MD	3/23/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69321	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1174 CASTRO ST	STE 201	MOUNTAIN VIEW	CA	94040	2569	43	06085	37.3822628	-122.0861276	Santa Clara County
140063	Fee-for-Service	1730124611	1730124611	1	1	NASSIF, TAREK R MD	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53919	66	Emergency Medicine (Urgent Care)	0	In state provider	None	420 W LAS TUNAS DR	None	SAN GABRIEL	CA	91776	1268	19	06037	34.1024295	-118.1052135	Los Angeles County
140067	Fee-for-Service	1619961257	1619961257	1	1	NOVATT, GARY S MD	2/8/2015	207N00000X	NA	Dermatology	026	PHYSICIANS	56325	04	Otology, Laryngology, Rhinology	0	In state provider	None	2320 BATH ST	STE 205	SANTA BARBARA	CA	93105	5313	42	06083	34.43082689	-119.7223032	Santa Barbara County
140091	Fee-for-Service	1326119090	1326119090	1	1	NGUYEN, TUAN D DC	10/29/2011	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	15563 BROOKHURST ST	None	WESTMINSTER	CA	92683	7554	30	06059	33.73646856	-117.9548249	Orange County
140128	Fee-for-Service	1255408134	1255408134	1	1	NUCKOLS, ERIK B MD	8/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	67774	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
140147	Fee-for-Service	1093229312	1093229312	1	1	NORTHERN CALIFORNIA MEDICAL	2/1/2018	204D00000X	NA	Other	022	PHYSICIANS GROUP	-	12	Manipulative Therapy (D.O. only)	0	In state provider	ASSOCIATES, INC.	506 S MAIN ST	None	SEBASTOPOL	CA	95472	4261	49	06097	38.39799405	-122.8220018	Sonoma County
140169	Fee-for-Service	1437492147	1437492147	1	1	NGUYEN, JENNA T MD	5/11/2020	207K00000X	NA	Other	026	PHYSICIANS	136672	41	Internal Medicine	0	In state provider	None	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
140241	Fee-for-Service	1922201003	1922201003	1	1	NIRAULA, RAJENDRA P MD	11/9/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106860	41	Internal Medicine	0	In state provider	None	1600 NORTH ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
140245	Fee-for-Service	1891833182	1891833182	1	1	NAIM, ARJANG MD INC	7/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74735	None	None	0	In state provider	None	326 VERMONT AVE	#A	LOS ANGELES	CA	90004	3511	19	06037	34.077159	-118.2916705	Los Angeles County
140264	Fee-for-Service	1699228908	1699228908	1	1	NAGAPPAN, BELLA S MD	4/30/2021	207P00000X	NA	Other	026	PHYSICIANS	168542	None	None	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
140273	Fee-for-Service	1780698233	1780698233	1	1	NOURI, BAHMAN J MD	3/23/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69321	01	General Practice	0	In state provider	None	1174 CASTRO ST	STE 201	MOUNTAIN VIEW	CA	94040	2569	43	06085	37.3822628	-122.0861276	Santa Clara County
140293	Fee-for-Service	1235688193	1235688193	1	1	NGUYEN, HAILEY X CNP	11/19/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	12358 POWAY RD	None	POWAY	CA	92064	4219	37	06073	32.9519463	-117.0635682	San Diego County
140294	Fee-for-Service	1780692244	1780692244	1	1	NAKAMURA, ROBERT K MD	1/1/1982	207P00000X	NA	Other	026	PHYSICIANS	38628	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
140306	Fee-for-Service	1780736736	1780736736	1	6	NORTHBAY HEALTHCARE GROUP	9/12/2022	282N00000X	NA	Hospitals	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	Y CARE	1860 PENNSYLVANIA AVE	SUITE 200	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
140317	Fee-for-Service	1720076383	1720076383	1	1	NEWKUMET, KATHLEEN	6/30/1992	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	74504	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	725 WELCH RD	MC 5500	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
140335	Fee-for-Service	1649659632	1649659632	1	1	NURKSE, DAVID M MD	4/25/2022	207L00000X	NA	Other	026	PHYSICIANS	147086	None	None	0	In state provider	None	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
140349	Fee-for-Service	1730124611	1730124611	1	1	NASSIF, TAREK R MD	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53919	08	Family Practice	0	In state provider	None	420 W LAS TUNAS DR	None	SAN GABRIEL	CA	91776	1268	19	06037	34.1024295	-118.1052135	Los Angeles County
140385	Fee-for-Service	1386606465	1386606465	1	1	NATT, BALBIR K MD	6/12/2002	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	46022	01	General Practice	0	In state provider	None	742 W HIGHLAND AVE	None	SAN BERNARDINO	CA	92405	3839	36	06071	34.13604853	-117.29952	San Bernardino County
140413	Fee-for-Service	1629177241	1629177241	1	1	NASIR, MA'AN A MD	5/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50917	01	General Practice	0	In state provider	None	23861 MCBEAN PKWY	STE E28	VALENCIA	CA	91355	4457	19	06037	34.39567343	-118.5542698	Los Angeles County
140455	Fee-for-Service	1437492147	1437492147	1	1	NGUYEN, JENNA T MD	5/11/2020	207K00000X	NA	Other	026	PHYSICIANS	136672	03	Allergy	0	In state provider	None	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
140522	Fee-for-Service	1043238371	1043238371	1	1	NAYYAR, KANWAL K MD	1/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	56226	13	Neurology (M.D. only)	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
140595	Fee-for-Service	1780736736	1780736736	1	6	NORTHBAY HEALTHCARE GROUP	3/9/2023	282N00000X	NA	Hospitals	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	Y CARE	1860 PENNSYLVANIA AVE	SUITE 200	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
140701	Fee-for-Service	1629177241	1629177241	1	1	NASIR, MA'AN A MD	5/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50917	18	Ophthalmology	0	In state provider	None	23861 MCBEAN PKWY	STE E28	VALENCIA	CA	91355	4457	19	06037	34.39567343	-118.5542698	Los Angeles County
140738	Fee-for-Service	1528565249	1528565249	1	1	NOORI, NOORI I MD	9/21/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173851	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
140773	Fee-for-Service	1750540902	1750540902	1	1	NODLER, TAMMY CRNA	9/18/2008	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	400 N PEPPER AVENUE	None	COLTON	CA	92324	1819	36	06071	34.073505	-117.3505995	San Bernardino County
140782	Fee-for-Service	1063626893	1063626893	1	1	NAKAMURA, LEAH Y MD	8/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120197	None	None	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	7001	19	06037	34.06373445	-118.443537	Los Angeles County
140799	Fee-for-Service	1801086764	1801086764	1	1	NAYLOR, MELISSA J NP	10/2/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
140817	Fee-for-Service	1750690814	1750690814	1	1	NG, CHUCK M DO	10/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14729	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW BLVD	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
140881	Fee-for-Service	1104834142	1104834142	1	1	NICHOLS, PETER W MD	10/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	38456	22	Pathology (M.D. only)	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
140882	Fee-for-Service	1548287394	1548287394	1	1	NIBO, OBIAGELI BENEDETTE	10/2/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	ESSENTIAL MED SUPPLIES	12852 HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	4407	19	06037	33.91559486	-118.3524674	Los Angeles County
140883	Fee-for-Service	1780736736	1780736736	1	6	NORTHBAY HEALTHCARE GROUP	6/8/2022	282N00000X	NA	Hospitals	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	Y CARE	1860 PENNSYLVANIA AVE	SUITE 200	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
140952	Fee-for-Service	1265575997	1265575997	1	1	NGUYEN, LINH K OD	2/8/2015	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	20/20 IMAGE OPTOMETRY	39718 CEDAR BLVD	None	NEWARK	CA	94560	3796	01	06001	37.52090564	-121.9966075	Alameda County
141077	Fee-for-Service	1760971402	1760971402	1	1	NGUYEN, VU OD	4/10/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1689 ARDEN WAY	STE 1091	SACRAMENTO	CA	95815	4096	34	06067	38.601549	-121.4274825	Sacramento County
141101	Fee-for-Service	1780736736	1780736736	1	3	NORTHBAY HEALTHCARE GROUP	7/24/2020	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	CARE	4520 BUSINESS CENTER DR	200	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
141108	Fee-for-Service	1033140207	1033140207	1	1	NAREDDY, CHINNAPA MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	62606	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7215 N FRESNO ST	STE 102	FRESNO	CA	93720	2969	10	06019	36.84149009	-119.7829064	Fresno County
141145	Fee-for-Service	1851645006	1851645006	1	1	NATIONAL COUNCIL ON	12/23/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ALCOHOLISM AND DRUG	24460 LYONS AVE	None	SANTA CLARITA	CA	91312	2347	19	06037	34.3782417	-118.5627938	Los Angeles County
141291	Fee-for-Service	1952076135	1952076135	1	1	NORTH COUNTY LIFELINE, INC.	1/28/2022	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1601 LONGHORN DR	None	VISTA	CA	92081	5423	37	06073	33.16455254	-117.2469684	San Diego County
141318	Fee-for-Service	1407865348	1407865348	1	1	NURSE, LESLEY A MD	7/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76282	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
141333	Fee-for-Service	1760054423	1760054423	1	1	NAKAMURA, AMANDA CNP	2/17/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	511 N HOLLYWOOD WAY	None	BURBANK	CA	91505	3406	19	06037	34.15985598	-118.3431272	Los Angeles County
141334	Fee-for-Service	1265657191	1265657191	1	1	NEUROLOGY & REHAB MED	3/29/1985	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	GROUP	100 UCLA MEDICAL PLZ STE	None	LOS ANGELES	CA	90095	0001	19	06037	34.0651473	-118.4458393	Los Angeles County
141389	Fee-for-Service	1225070667	1225070667	1	7	NORTHLAND HEARING CENTERS, I	8/14/2024	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	4764 PARK GRANADA	109	CALABASAS	CA	91302	1545	19	06037	34.15386115	-118.6423716	Los Angeles County
141392	Fee-for-Service	1780736736	1780736736	1	3	NORTHBAY HEALTHCARE GROUP	4/30/2019	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	CARE	4520 BUSINESS CENTER DR	200	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
141394	Fee-for-Service	1033140207	1033140207	1	1	NAREDDY, CHINNAPA MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	62606	41	Internal Medicine	0	In state provider	None	7215 N FRESNO ST	STE 102	FRESNO	CA	93720	2969	10	06019	36.84149009	-119.7829064	Fresno County
141421	Fee-for-Service	1477689131	1477689131	1	1	NALLAMSHETTY, SHRIRAM MD	12/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	84801	41	Internal Medicine	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
141454	Fee-for-Service	1649817560	1649817560	1	1	NORMAN, RONALD LPCC	3/3/2025	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
141471	Fee-for-Service	1831226497	1831226497	1	1	NGUYEN, ANN V OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2317 E ANAHEIM ST	STE C	LONG BEACH	CA	90804	3501	19	06037	33.7826643	-118.1639003	Los Angeles County
141479	Fee-for-Service	1972548741	1972548741	1	1	NOVIKOV, VIKTOR Y MD	1/24/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	88497	01	General Practice	0	In state provider	None	2300 CAMINO RAMON	None	SAN RAMON	CA	94583	1354	07	06013	37.77580025	-121.9664884	Contra Costa County
141497	Fee-for-Service	1013170026	1013170026	1	1	NEWTON, RICHARD J MD	7/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98524	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
141508	Fee-for-Service	1023351939	1023351939	1	1	NORTON, GARRETT MD	6/13/2023	207L00000X	NA	Other	026	PHYSICIANS	184235	None	None	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3522	48	06095	38.26109552	-122.0470245	Solano County
141539	Fee-for-Service	1225704356	1225704356	1	1	NANOOM PHARMACY, INC.	9/22/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	866 S WESTMORELAND AVE	SE 101 B	LOS ANGELES	CA	90005	2372	19	06037	34.05609	-118.289054	Los Angeles County
141567	Fee-for-Service	1558433896	1558433896	1	1	NGUYEN, STEVE S MD	6/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	45325	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
141579	Fee-for-Service	1669531315	1669531315	1	1	NILLES, PATRICIA A MD	10/1/1995	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	81445	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4747 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
141595	Fee-for-Service	1699705400	1699705400	1	2	NADJMABADI, ESMAIL MD	8/17/2022	207R00000X	NA	Other	026	PHYSICIANS	56456	None	None	0	In state provider	None	300 OLD RIVER	150	BAKERSFIELD	CA	93311	9512	15	06029	35.352648	-119.1122505	Kern County
141596	Fee-for-Service	1912071655	1912071655	1	1	NEWTON, KIMBERLY P MD	1/2/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	101980	10	Gastroenterology (M.D. only)	0	In state provider	None	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
141601	Fee-for-Service	1174985386	1174985386	1	1	NAJMI, NOOSHIN MD	6/2/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	159173	None	None	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
141607	Fee-for-Service	1497717672	1497717672	1	1	NIEVA, JORGE J MD	5/22/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	67649	41	Internal Medicine	0	In state provider	None	1441 EASTLAKE AVE	NOR8302E	LOS ANGELES	CA	90031	0309	19	06037	34.06169385	-118.2044698	Los Angeles County
141672	Fee-for-Service	1689106486	1689106486	1	1	NINAN, VINU MD	5/15/2020	390200000X	NA	Other	026	PHYSICIANS	157391	08	Family Practice	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
141678	Fee-for-Service	1780736736	1780736736	1	3	NORTHBAY HEALTHCARE GROUP	9/14/2021	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	CARE	4520 BUSINESS CENTER DR	200	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
141707	Fee-for-Service	1336522788	1336522788	1	1	NGUYEN, DUC T	1/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152658	None	None	0	In state provider	None	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
141709	Fee-for-Service	1477689131	1477689131	1	1	NALLAMSHETTY, SHRIRAM MD	12/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	84801	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
141725	Fee-for-Service	1114039997	1114039997	1	1	NGUYEN, DUNG-HOA T MD	1/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	86366	08	Family Practice	0	In state provider	None	317 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4310	42	06083	34.42967671	-119.7228362	Santa Barbara County
141766	Fee-for-Service	1427357995	1427357995	1	1	NEVEROVA, NATALIA MD	6/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123495	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
141819	Fee-for-Service	1568966653	1568966653	1	1	NAGASUNDER, ARABHI DO	2/21/2023	207R00000X	NA	Other	026	PHYSICIANS	17957	None	None	0	In state provider	None	1011 E DEVONSHIRE AVE	STE 201	HEMET	CA	92543	3033	33	06065	33.75118151	-116.9615025	Riverside County
141822	Fee-for-Service	1174623920	1174623920	1	1	NASIM, SOHAIL MD	8/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	63319	41	Internal Medicine	0	In state provider	None	7331 BONNIE PL	None	RESEDA	CA	91335	8007	19	06037	34.2038816	-118.5553095	Los Angeles County
141861	Fee-for-Service	1649357732	1649357732	1	1	NGUYEN, STEVE DO INC	10/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	7028	41	Internal Medicine	0	In state provider	None	2690 PACIFIC AVE	STE 240	LONG BEACH	CA	90806	2661	19	06037	33.805854	-118.1936805	Los Angeles County
141878	Fee-for-Service	1902023682	1902023682	1	1	NASSER, MOSES S DO	2/8/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	9301	08	Family Practice	0	In state provider	None	10841 WHITE OAK AVE	STE 103	RANCHO CUCAMONGA	CA	91730	3811	36	06071	34.10467596	-117.5661881	San Bernardino County
141882	Fee-for-Service	1497717672	1497717672	1	1	NIEVA, JORGE J MD	5/22/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	67649	78	Neoplastic Diseases/Oncology	0	In state provider	None	1441 EASTLAKE AVE	NOR8302E	LOS ANGELES	CA	90031	0309	19	06037	34.06169385	-118.2044698	Los Angeles County
141884	Fee-for-Service	1912071655	1912071655	1	1	NEWTON, KIMBERLY P MD	1/2/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	101980	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
141902	Fee-for-Service	1841249331	1841249331	1	1	NARADZAY, JEROME F X MD	11/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
141946	Fee-for-Service	1962557504	1962557504	1	1	NAGATANI, BRETT T OD	3/4/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6101 CENTINELA AVE	SUITE 150	CULVER CITY	CA	90230	6637	19	06037	33.98156541	-118.3957895	Los Angeles County
141947	Fee-for-Service	1750602223	1750602223	1	1	NADIPURAM, SANTHOSH M MD	10/9/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	112411	40	Pediatrics	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
141963	Fee-for-Service	1780736736	1780736736	1	3	NORTHBAY HEALTHCARE GROUP	3/9/2023	193200000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	CARE	4520 BUSINESS CENTER DR	200	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
141967	Fee-for-Service	1124066931	1124066931	1	1	NGUYEN, LIEN T OD	4/22/2004	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	MODERN OPTOMETRIC EYECAR	400 E KETTLEMAN LN	STE 18	LODI	CA	95240	5956	39	06077	38.11601911	-121.264153	San Joaquin County
141990	Fee-for-Service	1669486445	1669486445	1	1	NGUYEN, TUAN D MD	3/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	66874	01	General Practice	0	In state provider	None	260 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
142026	Fee-for-Service	1588083026	1588083026	1	1	NGUYEN, ELAINE N MD	10/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	134296	05	Anesthesiology	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
142066	Fee-for-Service	1366507519	1366507519	1	1	NIZZI, FRANCISCO A JR DO	4/10/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	2	Out of state provider	None	1919 E THOMAS RD	None	PHOENIX	AZ	85016	7716	00	None	33.478749	-112.0426515	Maricopa County
142076	Fee-for-Service	1144717588	1144717588	1	1	NGUYEN, HAI T LMFT	12/5/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
142091	Fee-for-Service	1346232576	1346232576	1	1	NGUYEN, DINH-CHI A DPM	4/27/2004	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	4580 CALIFORNIA AVE	None	BAKERSFIELD	CA	93309	1104	15	06029	35.36605632	-119.0531502	Kern County
142094	Fee-for-Service	1396982336	1396982336	1	1	NICKEL, BARBARA MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125283	30	Radiology	0	In state provider	None	757 WESTWOOD PLAZA	SUITE 1638	LOS ANGELES	CA	90095	0001	19	06037	34.06633051	-118.4452686	Los Angeles County
142095	Fee-for-Service	1922240522	1922240522	1	1	NEUBRAND, TARA L MD	9/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
142108	Fee-for-Service	1295000453	1295000453	1	1	NOTZON, MANDA J MD	9/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143383	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1301 PINOLE VALLEY RD	None	PINOLE	CA	94564	1384	07	06013	37.9991883	-122.2867117	Contra Costa County
142151	Fee-for-Service	1649357732	1649357732	1	1	NGUYEN, STEVE DO INC	10/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	7028	10	Gastroenterology (M.D. only)	0	In state provider	None	2690 PACIFIC AVE	STE 240	LONG BEACH	CA	90806	2661	19	06037	33.805854	-118.1936805	Los Angeles County
142166	Fee-for-Service	1811979016	1811979016	1	1	NUVAL, ARTHUR Q MD	11/30/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	49335	08	Family Practice	0	In state provider	None	910 S KNOTT AVE	None	ANAHEIM	CA	92804	3604	30	06059	33.818409	-118.010783	Orange County
142167	Fee-for-Service	1902023682	1902023682	1	1	NASSER, MOSES S DO	2/8/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	9301	12	Manipulative Therapy (D.O. only)	0	In state provider	None	10841 WHITE OAK AVE	STE 103	RANCHO CUCAMONGA	CA	91730	3811	36	06071	34.10467596	-117.5661881	San Bernardino County
142168	Fee-for-Service	1548329147	1548329147	1	1	NGUYEN, NICHOLAS V MD	12/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	68050	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
142186	Fee-for-Service	1497717672	1497717672	1	1	NIEVA, JORGE J MD	5/22/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	67649	68	Hematology	0	In state provider	None	1441 EASTLAKE AVE	NOR8302E	LOS ANGELES	CA	90031	0309	19	06037	34.06169385	-118.2044698	Los Angeles County
142236	Fee-for-Service	1235147521	1235147521	1	1	NUR, KHALID MD	12/5/1995	207R00000X	NA	Other	026	PHYSICIANS	43444	41	Internal Medicine	0	In state provider	None	433 N 4TH ST	STE 219	MONTEBELLO	CA	90640	4309	19	06037	34.01561115	-118.1019888	Los Angeles County
142237	Fee-for-Service	1750602223	1750602223	1	1	NADIPURAM, SANTHOSH M MD	10/9/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	112411	77	Infectious Disease	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
142253	Fee-for-Service	1780736736	1780736736	1	3	NORTHBAY HEALTHCARE GROUP	9/16/2019	193200000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	CARE	4520 BUSINESS CENTER DR	200	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
142290	Fee-for-Service	1982829305	1982829305	1	1	NEWMAN, GILBERT H PHD	1/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	20 ALLEN STREET	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
142374	Fee-for-Service	1578839486	1578839486	1	1	NISSLY, JENNIFER J MD	10/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122827	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
142447	Fee-for-Service	1508229451	1508229451	1	1	NOGGLE, JOSEPH C MD	6/17/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	171449	None	None	0	In state provider	None	10250 SANTA MONICA BLVD	2440	LOS ANGELES	CA	90067	6469	19	06037	34.05998846	-118.4200204	Los Angeles County
142473	Fee-for-Service	1942445887	1942445887	1	1	NIESS, KELLY M LMFT	7/15/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1400 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
142486	Fee-for-Service	1831282268	1831282268	1	1	NGUYEN, TRUNG V DO	12/27/2007	207RP1001X	NA	Pulmonology	026	PHYSICIANS	7728	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
142506	Fee-for-Service	1962005611	1962005611	1	1	NGUYEN, JESSIE	3/25/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	7525 METROPOLITAN DR	STE 306	SAN DIEGO	CA	92108	4404	37	06073	32.77677653	-117.1592911	San Diego County
142540	Fee-for-Service	1346425733	1346425733	1	1	NORTH BAY REGIONAL SURGERY	4/29/2016	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	100 ROWLAND WAY	SUITE 145	NOVATO	CA	94945	5014	21	06041	38.09698106	-122.5587348	Marin County
142611	Fee-for-Service	1790711927	1790711927	2	10	NEWPORT HARBOR PATHOLOGY MED	9/20/2023	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	ICAL GROUP INC	15375 BARRANCA PKWY	STE F101	IRVINE	CA	92618	2217	30	06059	33.66174175	-117.7431116	Orange County
142628	Fee-for-Service	1568785913	1568785913	1	1	NGUYEN, THONG H MD	7/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125282	05	Anesthesiology	0	In state provider	None	25500 MEDICAL CTR DR	None	MURRIETA	CA	92592	6837	33	06065	33.5580705	-117.1835458	Riverside County
142714	Fee-for-Service	1265820575	1265820575	1	1	NEVAREZ-VIVOLO, DEBORAH LMF	11/24/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	122545	-	NOT APPLICABLE	0	In state provider	T	929 SPRING ST	None	PLACERVILLE	CA	95667	4543	09	06017	38.73228232	-120.8022214	El Dorado County
142723	Fee-for-Service	1881674539	1881674539	1	1	NAKAGAWA, KAZUMA MD	4/4/2008	2084N0400X	NA	Neurology	026	PHYSICIANS	102966	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
142740	Fee-for-Service	1316370265	1316370265	1	1	NGUYEN, CHRISTAN L LMFT	9/21/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	16168 BEACH BLVD	STE 241	HUNTINGTON BEACH	CA	92647	3890	30	06059	33.728283	-117.9891305	Orange County
142772	Fee-for-Service	1144381815	1144381815	1	1	NICHOLSON, MARTINA MD	10/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	43956	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1667 DOMINICAN WAY	STE 234	SANTA CRUZ	CA	95065	1560	44	06087	36.99032635	-121.9811719	Santa Cruz County
142802	Fee-for-Service	1558096669	1558096669	1	1	NEZHAD, SADAF PSYD	7/27/2022	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5005 CANYON CREST DR	None	RIVERSIDE	CA	92507	7721	33	06065	33.95957554	-117.3311659	Riverside County
142828	Fee-for-Service	1386416394	1386416394	1	1	NADELA, ELIZABETH NP	8/14/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
142882	Fee-for-Service	1548457674	1548457674	1	1	NANDALIKE, KIRAN MD	6/18/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	119233	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
142899	Fee-for-Service	1790711927	1790711927	2	10	NEWPORT HARBOR PATHOLOGY MED	9/20/2023	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	ICAL GROUP INC	15375 BARRANCA PKWY	STE F101	IRVINE	CA	92618	2217	30	06059	33.66174175	-117.7431116	Orange County
142919	Fee-for-Service	1710419346	1710419346	1	1	NOUD, ERIN DO	1/11/2022	207P00000X	NA	Other	026	PHYSICIANS	19136	None	None	0	In state provider	None	600 N HIGHLAND SPRINGS A	None	BANNING	CA	92220	3046	33	06065	33.9316595	-116.9468639	Riverside County
142983	Fee-for-Service	1841290434	1841290434	1	1	NAVARRO, MISTY L MD	10/6/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	80097	66	Emergency Medicine (Urgent Care)	0	In state provider	None	450 E ROMIE LANE	None	SALINAS	CA	93901	4029	27	06053	36.65983988	-121.6458041	Monterey County
143006	Fee-for-Service	1235368184	1235368184	1	1	NANDYAL, DEEPA MD	7/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128074	None	None	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
143011	Fee-for-Service	1154775385	1154775385	1	1	NICHOLS, JANET E MD	9/16/2019	207R00000X	NA	Other	026	PHYSICIANS	162359	41	Internal Medicine	0	In state provider	None	2929 HEALTH CENTER DR	None	SAN DIEGO	CA	92123	2762	37	06073	32.79692047	-117.1567137	San Diego County
143023	Fee-for-Service	1396267134	1396267134	1	1	NAVARRO-GOMEZ, VERENICE LCS	2/13/2024	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	W	818 MOUNTAIN AVE	UNIT 203	UPLAND	CA	91786	4167	36	06071	34.10424442	-117.6701797	San Bernardino County
143026	Fee-for-Service	1427345230	1427345230	1	1	NG, DEREK C MD	12/29/2018	207P00000X	NA	Other	026	PHYSICIANS	156383	40	Pediatrics	0	In state provider	None	589 LOS COCHES	None	MILPITAS	CA	95035	5423	43	06085	37.43176807	-121.8935163	Santa Clara County
143117	Fee-for-Service	1013099381	1013099381	1	1	NAJAY SERVICE CORP	9/19/2002	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	24888 HEIL DR	None	MORENO VALLEY	CA	92553	5879	33	06065	33.91285171	-117.2282871	Riverside County
143172	Fee-for-Service	1982631222	1982631222	1	3	NEPHROLOGY ASSOCIATES OF	2/28/1986	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	UPLAND & POMONA	536 E FOOTHILL BLVD	STE B	UPLAND	CA	91786	3988	36	06071	34.10683091	-117.6438976	San Bernardino County
143198	Fee-for-Service	1215025291	1215025291	1	1	NATHAN, RAMESH MD	5/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	77898	41	Internal Medicine	0	In state provider	None	2220 LYNN RD	STE 301	THOUSAND OAKS	CA	91360	8005	56	06111	34.20863046	-118.8852156	Ventura County
143370	Fee-for-Service	1962963710	1962963710	1	1	NOMURA, STEVEN	8/21/2024	2084P0805X	NA	Psychiatry	026	PHYSICIANS	177512	36	Psychiatry	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
143413	Fee-for-Service	1679003826	1679003826	1	1	NJOROGE, SCOLASTICA W MD	9/28/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	173291	None	None	0	In state provider	None	1423 MAGNOLIA	None	CHICO	CA	95926	3226	04	06007	39.74063551	-121.8499048	Butte County
143421	Fee-for-Service	1952478968	1952478968	1	1	NGUYEN, KHANH X DO	6/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	8984	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
143425	Fee-for-Service	1114928595	1114928595	1	1	NORTHEAST VALLEY HEALTH	1/1/1992	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	12756 VAN NUYS BLVD	None	PACOIMA	CA	91331	1696	19	06037	34.27415381	-118.4110145	Los Angeles County
143460	Fee-for-Service	1982631222	1982631222	1	3	NEPHROLOGY ASSOCIATES OF	2/28/1986	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	UPLAND & POMONA	536 E FOOTHILL BLVD	STE B	UPLAND	CA	91786	3988	36	06071	34.10683091	-117.6438976	San Bernardino County
143471	Fee-for-Service	1437569175	1437569175	1	1	NGUYEN, BRIAN V DO	8/7/2017	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	15509	40	Pediatrics	0	In state provider	None	632 W GIBSON RD	None	WOODLAND	CA	95695	5169	57	06113	38.66314048	-121.794696	Yolo County
143472	Fee-for-Service	1851724959	1851724959	1	1	NELSON, ROBERT G LMFT	7/1/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1111 RIVERSIDE AVE	STE 404	PASO ROBLES	CA	93446	2682	40	06079	35.62633682	-120.6869278	San Luis Obispo County
143488	Fee-for-Service	1215025291	1215025291	1	1	NATHAN, RAMESH MD	5/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	77898	77	Infectious Disease	0	In state provider	None	2220 LYNN RD	STE 301	THOUSAND OAKS	CA	91360	8005	56	06111	34.20863046	-118.8852156	Ventura County
143506	Fee-for-Service	1679624142	1679624142	1	1	NORVILLE, ROXANA L	3/4/1991	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	134 CLEMENT ST	None	SAN FRANCISCO	CA	94118	2420	38	06075	37.78314177	-122.4607601	San Francisco County
143521	Fee-for-Service	1356873293	1356873293	1	1	NYKIN, DAVID S MD	8/30/2020	207P00000X	NA	Other	026	PHYSICIANS	158431	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
143604	Fee-for-Service	1770979502	1770979502	1	1	NADERI, HODAD MD	8/16/2022	208600000X	NA	General Surgery	026	PHYSICIANS	145289	None	None	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
143620	Fee-for-Service	1811216963	1811216963	1	1	NISHIMOTO, TAKAKO	5/27/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9961 SIERRA AVENUE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
143652	Fee-for-Service	1841451556	1841451556	1	1	NAYAK, JAYAKAR V MD	8/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109144	01	General Practice	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
143670	Fee-for-Service	1629044417	1629044417	1	1	NELSON, SHARON E MD	9/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	48275	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1809 VERDUGO BLVD	STE 350	GLENDALE	CA	91208	1476	19	06037	34.20568088	-118.2154356	Los Angeles County
143674	Fee-for-Service	1720464944	1720464944	1	1	NOBLE HOSPICE CARE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	41305 ALBRAE ST	None	FREMONT	CA	94538	3157	01	06001	37.51677632	-121.9797196	Alameda County
143691	Fee-for-Service	1578979340	1578979340	1	1	NOFAL, ROFIDA O MD	8/18/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	147035	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
143711	Fee-for-Service	1114928595	1114928595	1	1	NORTHEAST VALLEY HEALTH	1/1/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	12756 VAN NUYS BLVD	None	PACOIMA	CA	91331	1696	19	06037	34.27415381	-118.4110145	Los Angeles County
143736	Fee-for-Service	1851344907	1851344907	1	1	NORTH MEMORIAL HEALTH CARE	9/16/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	BOARD OF TRUSTEES	3300 OAKDALE AVE N	None	ROBBINSDALE	MN	55422	2926	00	None	45.01443093	-93.32190604	Hennepin County
143756	Fee-for-Service	1164678512	1164678512	1	1	NAIDU, RAMANA K MD	9/19/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117313	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
143786	Fee-for-Service	1184718280	1184718280	1	1	NOEL, MARSHALL E MD	11/7/1989	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	40003	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5677 N FRESNO ST	# 101	FRESNO	CA	93710	6008	10	06019	36.820908	-119.7813475	Fresno County
143863	Fee-for-Service	1003017666	1003017666	1	1	NITZEL, CORY M MD	7/16/2018	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	155200	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
143871	Fee-for-Service	1528559242	1528559242	1	1	NAYAK, KESHAV R MD AMC	10/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	72112	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	501 WASHINGTON ST	SUITE 512	SAN DIEGO	CA	92103	2238	37	06073	32.74986289	-117.1599343	San Diego County
143959	Fee-for-Service	1720464944	1720464944	1	1	NOBLE HOSPICE CARE, INC	4/25/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	41305 ALBRAE ST	None	FREMONT	CA	94538	3157	01	06001	37.51677632	-121.9797196	Alameda County
143974	Fee-for-Service	1275695181	1275695181	1	1	NEWMED HEALTH CENTER INC	1/15/2021	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	3925 ROSEMEAD BLVD	#102	ROSEMEAD	CA	91770	1933	19	06037	34.07930385	-118.0732531	Los Angeles County
144024	Fee-for-Service	1851344907	1851344907	1	1	NORTH MEMORIAL HEALTH CARE	1/9/2002	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	BOARD OF TRUSTEES	3300 OAKDALE AVE N	None	ROBBINSDALE	MN	55422	2926	00	None	45.01443093	-93.32190604	Hennepin County
144050	Fee-for-Service	1841442449	1841442449	1	1	NEYER, JONATHAN R MD	4/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111358	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
144151	Fee-for-Service	1649601113	1649601113	1	1	NR MEDICAL ASSOCIATES	6/26/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	555 WASHINGTON STREET	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
144199	Fee-for-Service	1043424575	1043424575	1	1	NGUYEN, WILLIAM T M	5/20/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98370	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
144203	Fee-for-Service	1780736736	1780736736	1	10	NORTHBAY HEALTHCARE GROUP	6/30/2022	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	NTER	1860 PENNSYLVANIA AVE	120	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
144243	Fee-for-Service	1861785859	1861785859	1	1	NUNEZ, SANDRA LMFT	3/13/2025	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
144252	Fee-for-Service	1821445909	1821445909	1	1	NGWANYAM, REMY R MD	6/6/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	181438	None	None	0	In state provider	None	1306 MARICOPA HIGHWAY	None	OJAI	CA	93023	3131	56	06111	34.44229705	-119.2645703	Ventura County
144263	Fee-for-Service	1275695181	1275695181	1	1	NEWMED HEALTH CENTER INC	1/15/2021	171100000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3925 ROSEMEAD BLVD	#102	ROSEMEAD	CA	91770	1933	19	06037	34.07930385	-118.0732531	Los Angeles County
144276	Fee-for-Service	1356311427	1356311427	1	1	NGUYEN, DON H MD	4/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	12423	41	Internal Medicine	0	In state provider	None	271 TURN PIKE DRIVE	None	FOLSOM	CA	95630	8098	34	06067	38.65509	-121.170042	Sacramento County
144295	Fee-for-Service	1164475307	1164475307	1	1	NGUYEN, TRAIHOA T MD	3/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	40243	01	General Practice	0	In state provider	None	1450 TREAT BLVD	STE 160	WALNUT CREEK	CA	94597	2168	07	06013	37.92643968	-122.0521822	Contra Costa County
144380	Fee-for-Service	1396402582	1396402582	1	1	NG, CHRISTOPHER PT	1/17/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	905 MAPLE ST	None	REDWOOD CITY	CA	94063	0000	41	06081	37.48767797	-122.223049	San Mateo County
144411	Fee-for-Service	1184228454	1184228454	1	1	NGUYEN, HELEN OT	3/5/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
144439	Fee-for-Service	1649601113	1649601113	1	1	NR MEDICAL ASSOCIATES	6/26/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	555 WASHINGTON STREET	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
144474	Fee-for-Service	1134519846	1134519846	1	1	NORTHCUTT, JENNIFER M B	5/4/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	245 TERRACINA BLVD	SUITE 105	REDLANDS	CA	92373	4879	36	06071	34.03858912	-117.2066515	San Bernardino County
144488	Fee-for-Service	1780736736	1780736736	1	10	NORTHBAY HEALTHCARE GROUP	9/12/2022	207RC0000X	NA	Cardiology/Interventional Cardiology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	NTER	1860 PENNSYLVANIA AVE	120	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
144490	Fee-for-Service	1134152986	1134152986	1	1	NATIONWIDE CHILDRENS	1/10/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	700 CHILDRENS DR	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
144542	Fee-for-Service	1215949722	1215949722	1	2	NAMIHAS, BRETT N MD	6/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	58791	10	Gastroenterology (M.D. only)	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
144549	Fee-for-Service	1275695181	1275695181	1	1	NEWMED HEALTH CENTER INC	1/15/2021	171100000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3925 ROSEMEAD BLVD	#102	ROSEMEAD	CA	91770	1933	19	06037	34.07930385	-118.0732531	Los Angeles County
144562	Fee-for-Service	1922625995	1922625995	1	1	NATIONAL SURGICAL CENTERS	6/30/2021	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	STOCKTON LLC	415 E HARDING WAY	#E	STOCKTON	CA	95204	6118	39	06077	37.96819912	-121.2900761	San Joaquin County
144571	Fee-for-Service	1982250106	1982250106	1	1	NOVA VITA HEALTH SERVICES	12/24/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	1241 S GLENDALE AVE	STE 202C	GLENDALE	CA	91205	3388	19	06037	34.13065269	-118.2524619	Los Angeles County
144572	Fee-for-Service	1124108956	1124108956	1	1	NAVAID SIDDIQI, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	7727 LAKE UNDERHILL RD	None	ORLANDO	FL	32822	8224	00	None	28.53926046	-81.2806335	Orange County
144592	Fee-for-Service	1841431079	1841431079	1	1	NGUYEN, TONY T MD	8/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111277	05	Anesthesiology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
144598	Fee-for-Service	1174546840	1174546840	1	1	NG, SHERALENE MD	2/28/1992	207R00000X	NA	Other	026	PHYSICIANS	72306	41	Internal Medicine	0	In state provider	None	2 W FERN AVE	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
144605	Fee-for-Service	1962805168	1962805168	1	1	NGUYEN, LEINAH OD	2/26/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13916 BROOKHURST STREET	SUITE F	GARDEN GROVE	CA	92843	4331	30	06059	33.761034	-117.954832	Orange County
144607	Fee-for-Service	1982641916	1982641916	1	1	NGUYEN, BAO C MD	1/3/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	164149	30	Radiology	0	In state provider	None	1000 GREENLEY RD	None	SONORA	CA	95370	5200	55	06109	37.97749352	-120.3700335	Tuolumne County
144644	Fee-for-Service	1093888182	1093888182	1	1	NOVAK, MICHAEL MD INC	4/9/1975	No Taxonomy Provided	NA	None	026	PHYSICIANS	8405	07	Dermatology	0	In state provider	None	633 N CENTRAL AVE	STE 305	GLENDALE	CA	91203	1828	19	06037	34.155054	-118.2579675	Los Angeles County
144668	Fee-for-Service	1881198000	1881198000	1	1	NEWHART, RICHARD A MD	8/23/2024	207L00000X	NA	Other	026	PHYSICIANS	165217	05	Anesthesiology	0	In state provider	None	600 HIGHLAND SPRINGS AVE	None	BANNING	CA	92220	3046	33	06065	33.9316595	-116.9468639	Riverside County
144728	Fee-for-Service	1649601113	1649601113	1	1	NR MEDICAL ASSOCIATES	6/26/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	555 WASHINGTON STREET	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
144748	Fee-for-Service	1104364017	1104364017	1	1	NGUYEN, MICHELLE MD	8/28/2023	390200000X	NA	Other	026	PHYSICIANS	151127	None	None	0	In state provider	None	12264 EL CAMINO REAL	STE 204	SAN DIEGO	CA	92130	3061	37	06073	32.93959909	-117.2401598	San Diego County
144754	Fee-for-Service	1912157645	1912157645	1	1	NIEGAS, GLENN N DO	11/18/2008	207R00000X	NA	Other	026	PHYSICIANS	10503	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
144775	Fee-for-Service	1811577638	1811577638	1	1	NEWELL, NICHOLAS J MD	5/13/2024	207P00000X	NA	Other	026	PHYSICIANS	191833	66	Emergency Medicine (Urgent Care)	0	In state provider	None	600 N HIGHLAND SPRINGS A	None	BANNING	CA	92220	3046	33	06065	33.9316595	-116.9468639	Riverside County
144777	Fee-for-Service	1780736736	1780736736	1	10	NORTHBAY HEALTHCARE GROUP	6/30/2022	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	23	Peripheral Vascular Disease or Surgery (D.O. only)	0	In state provider	NTER	1860 PENNSYLVANIA AVE	120	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
144778	Fee-for-Service	1134152986	1134152986	1	1	NATIONWIDE CHILDRENS	5/1/1998	284300000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	700 CHILDRENS DR	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
144780	Fee-for-Service	1699755264	1699755264	1	1	NAFICY, K. M MD	7/12/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	72771	08	Family Practice	0	In state provider	None	20331 FLANAGAN ROAD	SUITE 493	TRABUCO CANYON	CA	92678	0493	30	06059	33.66711239	-117.5844411	Orange County
144799	Fee-for-Service	1235862277	1235862277	1	1	NELSON, SHARON A	7/26/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	129 DANIELLE WAY	None	FOLSOM	CA	95630	1754	34	06067	38.707515	-121.173597	Sacramento County
144804	Fee-for-Service	1164516043	1164516043	1	1	NANDA, NIRMALA T MD	9/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	41178	08	Family Practice	0	In state provider	None	5979 ATLANTIC AVE	None	LONG BEACH	CA	90805	3510	19	06037	33.86324935	-118.1850847	Los Angeles County
144817	Fee-for-Service	1881155752	1881155752	1	1	NAIR, POOJA R	10/3/2022	208M00000X	NA	Other	026	PHYSICIANS	177296	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
144921	Fee-for-Service	1861655524	1861655524	1	1	NGUYEN, GEORGE L MD	10/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	142836	41	Internal Medicine	0	In state provider	None	1515 NEWELL AVENUE	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
144926	Fee-for-Service	1790711927	1790711927	2	5	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MEDICAL GROUP INC	27700 MEDICAL CENTER RD	None	MISSION VIEJO	CA	92691	6426	30	06059	33.56008604	-117.6657795	Orange County
144976	Fee-for-Service	1871720581	1871720581	1	1	NETT, ANDREW S MD	2/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	114769	10	Gastroenterology (M.D. only)	0	In state provider	None	2333 BUCHANAN ST	5TH FLOOR GI LAB	SAN FRANCISCO	CA	94115	1931	38	06075	37.79071145	-122.4308506	San Francisco County
145067	Fee-for-Service	1780736736	1780736736	1	10	NORTHBAY HEALTHCARE GROUP	6/30/2022	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	NTER	1860 PENNSYLVANIA AVE	120	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
145069	Fee-for-Service	1699755264	1699755264	1	1	NAFICY, K. M MD	6/11/2019	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	72771	-	NOT APPLICABLE	0	In state provider	None	20331 FLANAGAN ROAD	SUITE 493	TRABUCO CANYON	CA	92678	0493	30	06059	33.66711239	-117.5844411	Orange County
145086	Fee-for-Service	1235862277	1235862277	1	1	NELSON, SHARON A	7/26/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	129 DANIELLE WAY	None	FOLSOM	CA	95630	1754	34	06067	38.707515	-121.173597	Sacramento County
145091	Fee-for-Service	1164516043	1164516043	1	1	NANDA, NIRMALA T MD	9/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	41178	01	General Practice	0	In state provider	None	5979 ATLANTIC AVE	None	LONG BEACH	CA	90805	3510	19	06037	33.86324935	-118.1850847	Los Angeles County
145183	Fee-for-Service	1144682428	1144682428	1	1	NOVIKOV, YEVGENY M MD	6/6/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
145202	Fee-for-Service	1366697443	1366697443	1	1	NEKUDOVA, KRYSTAL K PSYD	2/2/2025	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
145215	Fee-for-Service	1790711927	1790711927	2	5	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	MEDICAL GROUP INC	27700 MEDICAL CENTER RD	None	MISSION VIEJO	CA	92691	6426	30	06059	33.56008604	-117.6657795	Orange County
145235	Fee-for-Service	1205530383	1205530383	1	1	NGUKU, ANNABEL NJERI	7/12/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1280 SIERRA MORENA WAY	None	ROSEVILLE	CA	95747	4540	31	06061	38.75650966	-121.3919898	Placer County
145266	Fee-for-Service	1871720581	1871720581	1	1	NETT, ANDREW S MD	2/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	114769	41	Internal Medicine	0	In state provider	None	2333 BUCHANAN ST	5TH FLOOR GI LAB	SAN FRANCISCO	CA	94115	1931	38	06075	37.79071145	-122.4308506	San Francisco County
145323	Fee-for-Service	1336297290	1336297290	1	1	NISHANIAN, GARABED P MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52537	02	General Surgery	0	In state provider	None	3475 TORRANCE BLVD	STE B	TORRANCE	CA	90503	5800	19	06037	33.83762089	-118.3467904	Los Angeles County
145355	Fee-for-Service	1780736736	1780736736	1	10	NORTHBAY HEALTHCARE GROUP	3/9/2023	207RC0000X	NA	Cardiology/Interventional Cardiology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	NTER	1860 PENNSYLVANIA AVE	120	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
145364	Fee-for-Service	1801849450	1801849450	1	1	NEMAZEE, MAHMOUD MD	11/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	50799	66	Emergency Medicine (Urgent Care)	0	In state provider	None	10445 BALBOA BLVD	None	GRANADA HILLS	CA	91344	7323	19	06037	34.259094	-118.5023365	Los Angeles County
145400	Fee-for-Service	1952912396	1952912396	1	1	NOWRX INC	3/12/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	29233 PACIFIC ST	None	HAYWARD	CA	94544	6015	01	06001	37.629616	-122.0557446	Alameda County
145403	Fee-for-Service	1366923823	1366923823	1	1	NOBLEZA, EDGAR Q NP	9/8/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1400 E PALOMAR ST	None	CHULA VISTA	CA	91931	1800	37	06073	32.62382113	-116.9960539	San Diego County
145412	Fee-for-Service	1821612854	1821612854	1	1	NEILSEN, BETH K MD	5/16/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	187482	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
145414	Fee-for-Service	1316123011	1316123011	1	1	NICHOLAS PERERA, M.D	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	101 N MAIN ST	None	COUPEVILLE	WA	98239	3413	00	None	48.213756	-122.686102	Island County
145429	Fee-for-Service	1689750101	1689750101	1	1	NACHBAUR, T M MD	1/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	29343	40	Pediatrics	0	In state provider	None	805 VETERANS BLVD	# N339	REDWOOD CITY	CA	94063	1734	41	06081	37.49076853	-122.2291439	San Mateo County
145449	Fee-for-Service	1093917247	1093917247	1	1	NEUWELT, MELISSA MD	8/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	150163	18	Ophthalmology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
145469	Fee-for-Service	1215963160	1215963160	1	1	NICKEL, ROBERT E MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	OHSU MEDICAL GROUP	2858 EBERLEIN AVE	None	KLAMATH FALLS	OR	97603	4402	00	None	42.21766086	-121.7548503	Klamath County
145505	Fee-for-Service	1871812008	1871812008	1	1	NAVA, ADOLPH J MD INC	7/12/2010	207R00000X	NA	Other	026	PHYSICIANS	42620	41	Internal Medicine	0	In state provider	None	118 N AKERS	None	VISALIA	CA	93291	5121	54	06107	36.330588	-119.3484465	Tulare County
145520	Fee-for-Service	1205530383	1205530383	1	1	NGUKU, ANNABEL NJERI	7/12/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1280 SIERRA MORENA WAY	None	ROSEVILLE	CA	95747	4540	31	06061	38.75650966	-121.3919898	Placer County
145627	Fee-for-Service	1790711927	1790711927	2	4	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	MEDICAL GROUP INC	1201 W LA VETA AVE	None	ORANGE	CA	92868	3874	30	06059	33.78034779	-117.8655767	Orange County
145635	Fee-for-Service	1790711927	1790711927	2	2	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MEDICAL GROUP INC	16250 SAND CANYON AVE	None	IRVINE	CA	92618	3714	30	06059	33.66136831	-117.7739731	Orange County
145793	Fee-for-Service	1477278901	1477278901	1	1	NAVARRO, RACHEL LCSW	10/3/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	710 S BROADWAY	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
145872	Fee-for-Service	1861966632	1861966632	1	1	NWANI, CHIBUIKEM VICTOR	2/8/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	9258 MARLEMONT CIRCLE	None	ELK GROVE	CA	95758	7604	34	06067	38.416482	-121.4754075	Sacramento County
145880	Fee-for-Service	1760667950	1760667950	1	1	NEIGHBORHOOD HEALTHCARE	8/1/2002	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	EL CAJON	855 E MADISON AVENUE	None	EL CAJON	CA	92020	3819	37	06073	32.80046744	-116.9522315	San Diego County
145914	Fee-for-Service	1790711927	1790711927	2	4	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MEDICAL GROUP INC	1201 W LA VETA AVE	None	ORANGE	CA	92868	3874	30	06059	33.78034779	-117.8655767	Orange County
145925	Fee-for-Service	1790711927	1790711927	2	2	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	MEDICAL GROUP INC	16250 SAND CANYON AVE	None	IRVINE	CA	92618	3714	30	06059	33.66136831	-117.7739731	Orange County
145944	Fee-for-Service	1073691739	1073691739	1	1	NAKANO, STACEY A MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	81536	08	Family Practice	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
145948	Fee-for-Service	1306016696	1306016696	1	1	NUGENT, ALEXANDER K MD	6/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118241	18	Ophthalmology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
146005	Fee-for-Service	1962471276	1962471276	1	1	NORMAN, DANIEL A MD	10/17/1975	No Taxonomy Provided	NA	None	026	PHYSICIANS	31028	10	Gastroenterology (M.D. only)	0	In state provider	None	2170 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	7026	09	06017	38.91229842	-119.9978133	El Dorado County
146066	Fee-for-Service	1598054108	1598054108	1	1	NGUYEN, DAVID H MD	5/3/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125603	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
146126	Fee-for-Service	1326822727	1326822727	1	1	NORIEGA, BRENDA	9/12/2023	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	12062 VALLEY VIEW ST	STE 100	GARDEN GROVE	CA	92845	1738	30	06059	33.78720885	-118.028413	Orange County
146158	Fee-for-Service	1376542753	1376542753	1	1	NIGAM, VINOD MD	10/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	54274	30	Radiology	0	In state provider	None	210 W SAN BERNARDINO RD	None	COVINA	CA	91723	1515	19	06037	34.088004	-117.893475	Los Angeles County
146159	Fee-for-Service	1518314905	1518314905	1	1	NGUYEN, KATHERINE M LMFT	11/16/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	576 B ST	STE 1A	SANTA ROSA	CA	95401	5269	49	06097	38.44377	-122.718393	Sonoma County
146161	Fee-for-Service	1861966632	1861966632	1	1	NWANI, CHIBUIKEM VICTOR	2/8/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	9258 MARLEMONT CIRCLE	None	ELK GROVE	CA	95758	7604	34	06067	38.416482	-121.4754075	Sacramento County
146168	Fee-for-Service	1760667950	1760667950	1	1	NEIGHBORHOOD HEALTHCARE	8/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	EL CAJON	855 E MADISON AVENUE	None	EL CAJON	CA	92020	3819	37	06073	32.80046744	-116.9522315	San Diego County
146183	Fee-for-Service	1467537340	1467537340	1	1	NAIR, AJIT V MD	8/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114968	30	Radiology	0	In state provider	None	3800 DALE ROAD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
146210	Fee-for-Service	1720153182	1720153182	1	1	NGUYEN, TAM K MD	7/31/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	55848	41	Internal Medicine	0	In state provider	None	7761 GARDEN GROVE	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
146273	Fee-for-Service	1508843632	1508843632	1	1	NOWICK, DAVID MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2525 S DOWNING ST	None	DENVER	CO	80210	5817	00	None	39.670326	-104.9735195	Denver County
146282	Fee-for-Service	1619962164	1619962164	1	1	NAGPAL, SHAKU MD	7/31/1986	207ZP0102X	NA	Other	026	PHYSICIANS	25652	22	Pathology (M.D. only)	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
146284	Fee-for-Service	1457454845	1457454845	1	1	NG-LAU, LORETTA T OD	9/12/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	795 E SECOND ST	None	POMONA	CA	91766	2007	19	06037	34.05845654	-117.7423951	Los Angeles County
146294	Fee-for-Service	1962471276	1962471276	1	1	NORMAN, DANIEL A MD	10/17/1975	No Taxonomy Provided	NA	None	026	PHYSICIANS	31028	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	2170 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	7026	09	06017	38.91229842	-119.9978133	El Dorado County
146308	Fee-for-Service	1740285618	1740285618	1	1	NATUZZI, EILEEN S MD	6/1/1998	2086S0129X	NA	General Surgery	026	PHYSICIANS	71891	02	General Surgery	0	In state provider	None	3998 VISTA WAY	STE C200	OCEANSIDE	CA	92056	4519	37	06073	33.18370179	-117.292963	San Diego County
146317	Fee-for-Service	1033285689	1033285689	1	1	NGUYEN, LETHUY T OD	10/27/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	27001 MOULTON PKWY	A100	ALISO VIEJO	CA	92656	3626	30	06059	33.57086878	-117.7000485	Orange County
146350	Fee-for-Service	1518042407	1518042407	1	2	NEW LIFE VENTURE CORP	2/9/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	226 WEST E STREET	None	ONTARIO	CA	91762	3420	36	06071	34.068393	-117.653427	San Bernardino County
146400	Fee-for-Service	1255502456	1255502456	1	1	NANDA, NEHA MD	1/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139389	41	Internal Medicine	0	In state provider	None	1520 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
146402	Fee-for-Service	1639559081	1639559081	1	1	NAIK, MRINMAYEE V MD	7/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152536	41	Internal Medicine	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
146408	Fee-for-Service	1700020955	1700020955	1	1	NELSON, DANIEL	9/10/2024	2086X0206X	NA	General Surgery	026	PHYSICIANS	14631	02	General Surgery	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
146421	Fee-for-Service	1043363658	1043363658	1	1	NORTH MONTEREY CO USD	11/13/2001	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	13994 CASTROVILLE BLVD	None	CASTROVILLE	CA	95012	9749	27	06053	36.78563915	-121.7321589	Monterey County
146455	Fee-for-Service	1760667950	1760667950	1	1	NEIGHBORHOOD HEALTHCARE	1/2/1997	193200000X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	EL CAJON	855 E MADISON AVENUE	None	EL CAJON	CA	92020	3819	37	06073	32.80046744	-116.9522315	San Diego County
146478	Fee-for-Service	1487298261	1487298261	1	1	NATALIA SALINAS LICENSED CLI	1/24/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	NICAL SOCIAL WORKER, INC	128 N CITRUS AVE STE D	None	COVINA	CA	91723	2039	19	06037	34.08692321	-117.890091	Los Angeles County
146483	Fee-for-Service	1689741423	1689741423	1	1	NOWZARI, FARSHAD B MD	7/25/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75966	34	Urology and Urological Surgery	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
146511	Fee-for-Service	1831531565	1831531565	1	1	NGUYEN, TUONG C MD	7/14/2020	208600000X	NA	General Surgery	026	PHYSICIANS	167013	02	General Surgery	0	In state provider	None	7111 INDIANA AVE	STE 100	RIVERSIDE	CA	92504	4543	33	06065	33.93924242	-117.3973049	Riverside County
146518	Fee-for-Service	1033116546	1033116546	1	1	NEUROMEDICAL DIAGNOSTIC	7/23/1980	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MEDICAL GROUP	1045 ATLANTIC AVE	STE 719	LONG BEACH	CA	90813	3412	19	06037	33.780267	-118.1850795	Los Angeles County
146552	Fee-for-Service	1063637080	1063637080	1	2	NGUYEN, HUNG M DO APC	2/23/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	11411 BROOKSHIRE AVE	SUITE 304	DOWNEY	CA	90241	7010	19	06037	33.93667091	-118.1309273	Los Angeles County
146634	Fee-for-Service	1487801148	1487801148	1	1	NATHAN, SARAH F NP	4/17/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
146690	Fee-for-Service	1255502456	1255502456	1	1	NANDA, NEHA MD	1/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139389	77	Infectious Disease	0	In state provider	None	1520 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
146721	Fee-for-Service	1508933482	1508933482	1	1	NAGEH, MAGED F MD	5/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	75540	41	Internal Medicine	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
146738	Fee-for-Service	1710171996	1710171996	1	1	NATARAJAN, VASANTHA MD	10/6/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	98369	None	None	0	In state provider	None	2615 EYE ST	None	BAKERSFIELD	CA	93301	2006	15	06029	35.38291587	-119.0199632	Kern County
146745	Fee-for-Service	1760667950	1760667950	1	1	NEIGHBORHOOD HEALTHCARE	3/1/2004	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	EL CAJON	855 E MADISON AVENUE	None	EL CAJON	CA	92020	3819	37	06073	32.80046744	-116.9522315	San Diego County
146752	Fee-for-Service	1003117292	1003117292	1	1	NGO, CATHY K CRNA	1/21/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06238259	-118.2030986	Los Angeles County
146850	Fee-for-Service	1558967786	1558967786	1	1	NEXT DOOR HOME HEALTH SERVIC	5/27/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	125 S LOUISE ST	STE 21	GLENDALE	CA	91205	1024	19	06037	34.14566113	-118.252704	Los Angeles County
146897	Fee-for-Service	1265675722	1265675722	1	1	NG, VALERIE P MD	12/29/2018	207P00000X	NA	Other	026	PHYSICIANS	155572	66	Emergency Medicine (Urgent Care)	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
146953	Fee-for-Service	1689685331	1689685331	1	1	NGUYEN, HELENE T DO	1/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	9079	08	Family Practice	0	In state provider	None	8120 TIMBERLAKE WY	STE 207	SACRAMENTO	CA	95823	5414	34	06067	38.461023	-121.41414	Sacramento County
146971	Fee-for-Service	1891833182	1891833182	1	2	NAIM, ARJANG MD INC	7/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74735	None	None	0	In state provider	BISHOP FAMILY & MATERNIT	8631 W 3RD ST	# 444E	LOS ANGELES	CA	90048	5901	19	06037	34.07361928	-118.3803143	Los Angeles County
146981	Fee-for-Service	1114273901	1114273901	1	1	NAPA COUNTY HEALTH AND HUMAN	2/3/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	4381 BROADWAY ST	SUITE 101	AMERICAN CANYON	CA	94503	9682	28	06055	38.18390327	-122.2554929	Napa County
147002	Fee-for-Service	1881845485	1881845485	1	1	NEGUSSE, JOHNNY A MD	5/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124851	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2101 NORTH WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
147010	Fee-for-Service	1508933482	1508933482	1	1	NAGEH, MAGED F MD	5/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	75540	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
147039	Fee-for-Service	1356541759	1356541759	1	1	NAGPAL, SEEMA MD	8/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	96310	13	Neurology (M.D. only)	0	In state provider	None	300 PASTEUR DR	MC: 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
147100	Fee-for-Service	1386845204	1386845204	1	1	NERLINGER, ANDREW S MD	10/5/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	104304	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1191 PHELPS AVE	None	COALINGA	CA	93210	9609	10	06019	36.15152163	-120.340676	Fresno County
147102	Fee-for-Service	1750745758	1750745758	1	1	NEVITT, BRIAN W MD	10/11/2021	207L00000X	NA	Other	026	PHYSICIANS	175104	None	None	0	In state provider	None	2900 CHANTICLEER AVE	None	SANTA CRUZ	CA	95065	1816	44	06087	36.98791813	-121.9781795	Santa Cruz County
147160	Fee-for-Service	1639246549	1639246549	1	1	NGO, PETER D MD	4/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86580	08	Family Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
147203	Fee-for-Service	1619339751	1619339751	1	1	NOORZAY, MYRA MD	5/4/2020	207R00000X	NA	Other	026	PHYSICIANS	161715	41	Internal Medicine	0	In state provider	None	1550 GATEWAY BLVD	None	FAIRFIELD	CA	94533	6901	48	06095	38.2629133	-122.0560176	Solano County
147502	Fee-for-Service	1477888782	1477888782	2	1	NCA HOME HEALTH CARE, INC	1/1/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4533 VAN NUYS BLVD	SUITE 202	SHERMAN OAKS	CA	91403	2950	19	06037	34.154037	-118.4487285	Los Angeles County
147507	Fee-for-Service	1710278767	1710278767	1	1	NAVAB, KAVEH D MD	8/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124933	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
147519	Fee-for-Service	1871556969	1871556969	1	1	NGUYEN, HIEN N MD	5/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	55436	24	Plastic Surgery	0	In state provider	NGUYEN PLASTIC SURGERY	429 S MAIN ST	None	MILPITAS	CA	95035	5318	43	06085	37.42434798	-121.905263	Santa Clara County
147530	Fee-for-Service	1922198712	1922198712	1	1	NORTHERN INYO HEALTHCARE	12/1/1977	282NC0060X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	150 PIONEER LN	None	BISHOP	CA	93514	2599	14	06027	37.36193834	-118.4073304	Inyo County
147543	Fee-for-Service	1427093756	1427093756	1	1	NELMS, LISA N DPM	2/1/2002	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	5333 HOLLISTER AVE	STE 120	SANTA BARBARA	CA	93111	3314	42	06083	34.43491982	-119.8105484	Santa Barbara County
147563	Fee-for-Service	1104886753	1104886753	1	1	NAZARENO, ANGELO J	11/30/1989	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	45071	40	Pediatrics	0	In state provider	TIMBERLAKE PEDIATRICS	8118 TIMBERLAKE WAY	STE 230	SACRAMENTO	CA	95823	5400	34	06067	38.462715	-121.414176	Sacramento County
147608	Fee-for-Service	1033244108	1033244108	1	1	NIC USA, INC	6/16/1999	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HAPPY VALLEY #5	1200 SAINT ELIZABETH CT	None	CONCORD	CA	94518	1624	07	06013	37.96279527	-122.0108281	Contra Costa County
147615	Fee-for-Service	1578637880	1578637880	1	1	NICHOLSON, MARTHA K MD	7/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	63320	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
147628	Fee-for-Service	1851479448	1851479448	1	1	NUSSBAUM, RHODA I MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	39695	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
147668	Fee-for-Service	1902433964	1902433964	1	1	NGUYEN, BELLA DO	9/5/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	22307	36	Psychiatry	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
147684	Fee-for-Service	1780813543	1780813543	1	1	NOWATZKY, JOHANNES MD	9/30/2024	207RR0500X	NA	Other	026	PHYSICIANS	173035	83	Rheumatology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
147689	Fee-for-Service	1811552177	1811552177	1	1	NAYLOR, SUSAN T NP	7/2/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
147692	Fee-for-Service	1710291869	1710291869	1	1	NARAYAN, MELIN J MD	5/30/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	128195	45	Nephrology (Renal-Kidney)	0	In state provider	None	3351 M ST	STE 125	MERCED	CA	95348	2731	24	06047	37.32477488	-120.4783805	Merced County
147704	Fee-for-Service	1417032921	1417032921	1	1	NORTHERN INYO COUNTY	11/8/2001	261QR1300X	NA	Rural Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	LOCAL HOSPITAL DISTRICT	153 PIONEER LN	None	BISHOP	CA	93514	2517	14	06027	37.3624356	-118.4073711	Inyo County
147720	Fee-for-Service	1851464838	1851464838	2	1	NATIVIDAD, ALBERTO V MD	1/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	40458	01	General Practice	0	In state provider	None	1711 W TEMPLE ST	STE 3200	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
147818	Fee-for-Service	1922198712	1922198712	1	1	NORTHERN INYO HEALTHCARE	12/1/1977	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	150 PIONEER LN	None	BISHOP	CA	93514	2599	14	06027	37.36193834	-118.4073304	Inyo County
147886	Fee-for-Service	1992993893	1992993893	1	1	NGUYEN, JOHN H MD	8/24/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	96779	None	None	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
147903	Fee-for-Service	1578637880	1578637880	1	1	NICHOLSON, MARTHA K MD	7/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	63320	67	Endocrinology	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
147913	Fee-for-Service	1306817572	1306817572	1	1	NIRMALA,ARYAL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	10474 W THUNDERBIRD BLVD	None	SUN CITY	AZ	85351	0000	00	None	33.60555	-112.284072	Maricopa County
147932	Fee-for-Service	1124258116	1124258116	1	1	NGUYEN, THUY R DO	9/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11486	08	Family Practice	0	In state provider	None	550 W RANCH VIEW DRIVE	None	ROCKLIN	CA	95765	5391	31	06061	38.83760761	-121.2972372	Placer County
147961	Fee-for-Service	1750450540	1750450540	1	1	NAUDE, GIDEON P MD	9/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	53424	02	General Surgery	0	In state provider	None	137 S SHEPHERD ST	None	SONORA	CA	95370	3833	55	06109	37.98406603	-120.3812326	Tuolumne County
147967	Fee-for-Service	1174252928	1174252928	1	1	NEWPORT BEACH HOLDINGS, LLC	6/1/2022	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3580 PAYNE AVENUE	None	SAN JOSE	CA	95117	2925	43	06085	37.3012412	-121.9625767	Santa Clara County
147973	Fee-for-Service	1487774485	1487774485	1	1	NOU, CHANLY P	3/30/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
147978	Fee-for-Service	1710291869	1710291869	1	1	NARAYAN, MELIN J MD	5/30/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	128195	41	Internal Medicine	0	In state provider	None	3351 M ST	STE 125	MERCED	CA	95348	2731	24	06047	37.32477488	-120.4783805	Merced County
147992	Fee-for-Service	1417032921	1417032921	1	1	NORTHERN INYO COUNTY	11/8/2001	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	LOCAL HOSPITAL DISTRICT	153 PIONEER LN	None	BISHOP	CA	93514	2517	14	06027	37.3624356	-118.4073711	Inyo County
148012	Fee-for-Service	1851464838	1851464838	2	1	NATIVIDAD, ALBERTO V MD	1/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	40458	41	Internal Medicine	0	In state provider	None	1711 W TEMPLE ST	STE 3200	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
148067	Fee-for-Service	1265424204	1265424204	1	1	NEES, JEFFREY P MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3400 W TECUMSEH RD, #305	None	NORMAN	OK	73072	0000	00	None	35.26191651	-97.4914785	Cleveland County
148104	Fee-for-Service	1083000368	1083000368	1	1	NGO, NOREEN P PT	2/20/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
148117	Fee-for-Service	1356128490	1356128490	1	1	NYAGUTHII, DAVID KARANJA	11/8/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2603 MULHOLLAND DRIVE	None	LATHROP	CA	95330	7128	39	06077	37.81318969	-121.3429788	San Joaquin County
148163	Fee-for-Service	1538324140	1538324140	1	1	NG, DAMON J MD	10/15/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109179	20	Orthopedic Surgery	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
148209	Fee-for-Service	1427439801	1427439801	1	1	NORMAN, ZACHARY MD	4/17/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	147767	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA # B200	None	LOS ANGELES	CA	90095	8346	19	06037	34.06473399	-118.445865	Los Angeles County
148234	Fee-for-Service	1619957149	1619957149	1	1	NAUENBERG, TANYA MD	2/6/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	76219	40	Pediatrics	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
148237	Fee-for-Service	1124032230	1124032230	1	1	NELSON, ADAM P MD	2/8/2015	2084P0800X	NA	Psychiatry	026	PHYSICIANS	68858	36	Psychiatry	0	In state provider	None	433 TOWN CTR	None	CORTE MADERA	CA	94925	1215	21	06041	0	0	None
148250	Fee-for-Service	1922340843	1922340843	1	1	NUOFFER, MAJA S LMFT	10/8/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14156 MAGNOLIA BLVD	STE 200	SHERMAN OAKS	CA	91423	1182	19	06037	34.1648345	-118.4420025	Los Angeles County
148272	Fee-for-Service	1821175779	1821175779	1	1	NGUYEN, ANH THE MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	74815	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	770 E CALAVERAS BLVD	None	MILPITAS	CA	95035	5491	43	06085	37.43378232	-121.8920598	Santa Clara County
148280	Fee-for-Service	1417032921	1417032921	1	1	NORTHERN INYO COUNTY	7/10/2013	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	LOCAL HOSPITAL DISTRICT	153 PIONEER LN	None	BISHOP	CA	93514	2517	14	06027	37.3624356	-118.4073711	Inyo County
148296	Fee-for-Service	1104323146	1104323146	1	1	NGUYEN, DIEM N MD	6/30/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	179057	None	None	0	In state provider	None	726 N MEDICAL CTR DR E	STE 209	CLOVIS	CA	93611	6886	10	06019	36.84186593	-119.6624867	Fresno County
148299	Fee-for-Service	1780898262	1780898262	1	1	NWAJEI, PATRICK O MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116597	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
148317	Fee-for-Service	1770808883	1770808883	1	1	NEURO SPINE AND HEADACHE	1/28/2011	2084N0400X	NA	Neurology	026	PHYSICIANS	101939	None	None	0	In state provider	PAIN MANAGEMENT CENTER	18575 E GALE AVE	# 288	ROWLAND HEIGHTS	CA	91748	1340	19	06037	33.99560019	-117.8990859	Los Angeles County
148344	Fee-for-Service	1407991631	1407991631	1	1	NEKHENDZY, VLADIMIR MD	9/30/1995	207L00000X	NA	Other	026	PHYSICIANS	52483	05	Anesthesiology	0	In state provider	None	2680 HANOVER ST	STE 100	PALO ALTO	CA	94304	1117	43	06085	37.41744418	-122.1474815	Santa Clara County
148349	Fee-for-Service	1508990664	1508990664	1	1	NGO, DEAN B MD INC	4/1/2009	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	9972 WESTMINSTER	108	GARDEN GROVE	CA	92844	5142	30	06059	33.7594385	-117.9553365	Orange County
148372	Fee-for-Service	1699886523	1699886523	1	1	NGUYEN, MAI-TRINH D	4/15/2016	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	3200 KEARNY ST	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
148401	Fee-for-Service	1538913173	1538913173	1	1	NATALIA JACOBS MD PC	4/17/2024	207RA0401X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	28400 MCCALL BLVD	None	MENIFEE	CA	92585	9658	33	06065	33.71805454	-117.1672547	Riverside County
148406	Fee-for-Service	1356128490	1356128490	1	1	NYAGUTHII, DAVID KARANJA	11/8/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2603 MULHOLLAND DRIVE	None	LATHROP	CA	95330	7128	39	06077	37.81318969	-121.3429788	San Joaquin County
148476	Fee-for-Service	1902177785	1902177785	1	1	NEWHOPE IMAGING CENTER INC	2/28/2012	2085R0202X	NA	Mammography/MRI Provider	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	17815 NEWHOPE ST	SUITE S	FOUNTAIN VALLEY	CA	92708	5427	30	06059	33.70540466	-117.9327426	Orange County
148499	Fee-for-Service	1700115961	1700115961	1	1	NOURANI, BOBBY DO	5/20/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	10928	08	Family Practice	0	In state provider	None	191 S.BUENA VISTA ST	SUITE 150	BURBANK	CA	91505	4522	19	06037	34.15872557	-118.3283863	Los Angeles County
148515	Fee-for-Service	1568503712	1568503712	1	1	NEUMAYR, LYNNE D MD	2/28/1987	2080P0207X	NA	Hematology	026	PHYSICIANS	60864	04	Otology, Laryngology, Rhinology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
148518	Fee-for-Service	1790711927	1790711927	2	7	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MEDICAL GROUP INC	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
148567	Fee-for-Service	1417032921	1417032921	1	1	NORTHERN INYO COUNTY	11/8/2001	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	LOCAL HOSPITAL DISTRICT	153 PIONEER LN	None	BISHOP	CA	93514	2517	14	06027	37.3624356	-118.4073711	Inyo County
148598	Fee-for-Service	1215566617	1215566617	1	1	NIEHAUS, ANNE D MD	7/23/2023	207SG0201X	NA	Other	026	PHYSICIANS	184588	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
148639	Fee-for-Service	1508990664	1508990664	1	1	NGO, DEAN B MD INC	4/1/2009	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	9972 WESTMINSTER	108	GARDEN GROVE	CA	92844	5142	30	06059	33.7594385	-117.9553365	Orange County
148662	Fee-for-Service	1215119888	1215119888	1	1	NGUYEN, THUONG-THUONG T MD	8/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	105349	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
148689	Fee-for-Service	1831277326	1831277326	1	1	NAZMINIA, NAHID MD	4/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93031	41	Internal Medicine	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
148697	Fee-for-Service	1285611699	1285611699	1	1	NILES, GABRIEL S MD	1/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	100831	41	Internal Medicine	0	In state provider	None	2000 VALE ROAD	None	SAN PABLO	CA	94806	3808	07	06013	37.95393251	-122.3375029	Contra Costa County
148716	Fee-for-Service	1194168351	1194168351	1	1	NABER, URS H MD	2/11/2021	2080P0203X	NA	Other	026	PHYSICIANS	140721	None	None	0	In state provider	None	6235 N FRESNO ST	STE 103	FRESNO	CA	93710	5269	10	06019	36.82733123	-119.7814229	Fresno County
148734	Fee-for-Service	1134431604	1134431604	1	1	NGUYEN, PAUL K MD	7/31/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119726	05	Anesthesiology	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
148745	Fee-for-Service	1538265632	1538265632	1	1	NAM, SOK H MD	6/6/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	71540	18	Ophthalmology	0	In state provider	None	4278 W 3RD ST	None	LOS ANGELES	CA	90020	3449	19	06037	34.06895995	-118.3074675	Los Angeles County
148795	Fee-for-Service	1437239464	1437239464	1	1	NGUYEN, LUC S INC	2/28/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	66417	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	11100 WARNER AVE	STE 350	FOUNTAIN VALLEY	CA	92708	7513	30	06059	33.716291	-117.9355051	Orange County
148797	Fee-for-Service	1861041162	1861041162	1	1	NYAGAH, FLORENCE K	1/28/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2044 W QUEENS WAY	None	HANFORD	CA	93230	1101	16	06031	36.34634084	-119.6791643	Kings County
148820	Fee-for-Service	1114075066	1114075066	1	1	NGUYEN, BICHTHUY D MD	2/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	74914	10	Gastroenterology (M.D. only)	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
148830	Fee-for-Service	1588133409	1588133409	1	1	NICHOLSON, KIM BIRTH DOULA	2/3/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
148841	Fee-for-Service	1386752905	1386752905	1	1	NEW LIFE MED. SUPPLIES	2/2/1998	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	11823 ARTESIA BLVD	None	ARTESIA	CA	90701	4002	19	06037	33.87316327	-118.0812496	Los Angeles County
148888	Fee-for-Service	1992064950	1992064950	1	1	NAJAFI, AMIR DO	7/28/2021	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	13354	None	None	0	In state provider	None	100 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3813	30	06059	33.89343304	-117.9279349	Orange County
148932	Fee-for-Service	1386762508	1386762508	1	1	NGUYEN, HELEN C MD	8/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	54091	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
148943	Fee-for-Service	1790711927	1790711927	2	6	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MEDICAL GROUP INC	31872 COAST HIGHWAY	None	LAGUNA BEACH	CA	92651	6773	30	06059	33.49961197	-117.7420867	Orange County
148967	Fee-for-Service	1699851105	1699851105	1	1	NOPACHAI, SUCHADA M MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75648	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	20 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	0000	43	06085	37.2390582	-121.8021292	Santa Clara County
148982	Fee-for-Service	1598810574	1598810574	1	1	NICOLE ANNE BERGERON, M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1415 TULANE AVE	None	NEW ORLEANS	LA	70112	2600	00	None	29.95527949	-90.07612766	Orleans Parish
149069	Fee-for-Service	1902308810	1902308810	1	1	NEHRBASS, MENDY CNP	3/8/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	18785 BROOKHURST STREET	STE 101	FOUNTAIN VALLEY	CA	92708	7300	30	06059	33.68987636	-117.9542321	Orange County
149070	Fee-for-Service	1518949585	1518949585	1	1	NOTHMANN, ANDREW C MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67299	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2540 EAST ST	None	CONCORD	CA	94520	1906	07	06013	37.98292379	-122.0341876	Contra Costa County
149079	Fee-for-Service	1598166761	1598166761	1	1	NGUYEN, THAO N	7/7/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4010 ORANGE AVE	None	LONG BEACH	CA	90807	3717	19	06037	33.831612	-118.176291	Los Angeles County
149082	Fee-for-Service	1437239464	1437239464	1	1	NGUYEN, LUC S INC	2/28/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	66417	41	Internal Medicine	0	In state provider	None	11100 WARNER AVE	STE 350	FOUNTAIN VALLEY	CA	92708	7513	30	06059	33.716291	-117.9355051	Orange County
149084	Fee-for-Service	1861041162	1861041162	1	1	NYAGAH, FLORENCE K	1/28/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2044 W QUEENS WAY	None	HANFORD	CA	93230	1101	16	06031	36.34634084	-119.6791643	Kings County
149102	Fee-for-Service	1891115838	1891115838	1	1	NAPA VALLEY FOOT & ANKLE INC	5/28/2014	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1001 NUT TREE RD	STE 220	VACAVILLE	CA	95687	4166	48	06095	38.3564252	-121.9532031	Solano County
149111	Fee-for-Service	1528086287	1528086287	1	1	NEWBURY, ROBERT L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	73388	41	Internal Medicine	0	In state provider	None	165 ROWLAND WAY	STE 201	NOVATO	CA	94945	5055	21	06041	38.09824386	-122.559872	Marin County
149137	Fee-for-Service	1467469023	1467469023	1	2	NEW YORK CITY HEALTH AND HOS	3/3/2019	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ALTH CENTER	760 BROADWAY	None	BROOKLYN	NY	11206	5317	00	None	40.700349	-73.9416015	Kings County
149140	Fee-for-Service	1518518281	1518518281	1	1	NUDELL, ELIANA F PT	3/10/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8110 WOODMAN AVE	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21850103	-118.4310944	Los Angeles County
149149	Fee-for-Service	1548210735	1548210735	1	1	NORTH TAHOE RADIOLOGY	11/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP	10121 PINE AVE	None	TRUCKEE	CA	96161	4835	29	06057	39.3245308	-120.2013097	Nevada County
149256	Fee-for-Service	1891782678	1891782678	1	1	NAIR, JAYGOPAL MD	2/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132801	40	Pediatrics	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
149263	Fee-for-Service	1790711927	1790711927	2	1	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	MEDICAL GROUP INC	1 HOAG DRIVE	None	NEWPORT BEACH	CA	92663	4045	30	06059	33.62421676	-117.9309656	Orange County
149278	Fee-for-Service	1982270369	1982270369	1	1	NGUYEN, JAMES T MD	7/29/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	191970	08	Family Practice	0	In state provider	None	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
149284	Fee-for-Service	1093790743	1093790743	1	1	NISHIO, DENYSE MD	2/28/1982	207R00000X	NA	Other	026	PHYSICIANS	41955	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2601 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2210	34	06067	38.551311	-121.454433	Sacramento County
149300	Fee-for-Service	1316177520	1316177520	1	1	NIK, ANDREW S MD	11/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129254	13	Neurology (M.D. only)	0	In state provider	None	26800 CROWN VALLEY PKWY	STE 275	MISSION VIEJO	CA	92691	8033	30	06059	33.56286021	-117.6673449	Orange County
149327	Fee-for-Service	1023302734	1023302734	1	1	NANDIPATI, SIRISHA MD	9/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	136317	13	Neurology (M.D. only)	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
149339	Fee-for-Service	1912074808	1912074808	1	1	NOMURA, JIM H MD	10/31/1988	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	51051	41	Internal Medicine	0	In state provider	None	1505 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5209	19	06037	34.098408	-118.296167	Los Angeles County
149346	Fee-for-Service	1245551837	1245551837	1	1	NEWMARK, MICHAEL PSYD	7/26/2018	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1049 4TH ST STE G	None	SANTA ROSA	CA	95404	4345	49	06097	38.444598	-122.706117	Sonoma County
149359	Fee-for-Service	1245862770	1245862770	1	1	NORA TAYLOR, PSYD. A PROFESS	12/15/2022	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	IONAL PSYCHOLOGY CORPORA	1820 S CATALINA AVE	105	REDONDO BEACH	CA	90277	5511	19	06037	33.81689639	-118.3873877	Los Angeles County
149362	Fee-for-Service	1245246917	1245246917	1	2	NORTH COUNTY HEALTH PROJECT	8/4/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	325 BUENA CREEK RD	BUILDING A	SAN MARCOS	CA	92069	9679	37	06073	33.18307285	-117.160072	San Diego County
149381	Fee-for-Service	1134402175	1134402175	1	1	NGUYEN, TRAM P LCSW	7/30/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18430 BROOKHURST STREET	STE 201 G	FOUNTAIN VALLEY	CA	92708	7725	30	06059	33.69480498	-117.9540479	Orange County
149383	Fee-for-Service	1689655912	1689655912	1	1	NOCONA GENERAL HOSPITAL	10/24/2007	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	100 PARK RD	None	NOCONA	TX	76255	3616	00	None	33.7776247	-97.73161433	Montague County
149425	Fee-for-Service	1467469023	1467469023	1	2	NEW YORK CITY HEALTH AND HOS	3/3/2019	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ALTH CENTER	760 BROADWAY	None	BROOKLYN	NY	11206	5317	00	None	40.700349	-73.9416015	Kings County
149432	Fee-for-Service	1083740633	1083740633	1	1	NYEIN, MAY K MD	11/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	92929	41	Internal Medicine	0	In state provider	None	7601 IMPERIAL HIGHWAY	None	DOWNEY	CA	90242	3456	19	06037	33.929829	-118.157607	Los Angeles County
149470	Fee-for-Service	1154734671	1154734671	1	1	NAVARRO, ROMAN E M MD	6/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	140374	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
149524	Fee-for-Service	1962782243	1962782243	1	1	NATIONWIDE HOME HEALTH CARE	2/23/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	5900 SEPULVEDA BLVD	SUITE 340	VAN NUYS	CA	91411	9996	19	06037	34.177545	-118.4661315	Los Angeles County
149551	Fee-for-Service	1790711927	1790711927	2	1	NEWPORT HARBOR PATHOLOGY MED	10/31/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MEDICAL GROUP INC	1 HOAG DRIVE	None	NEWPORT BEACH	CA	92663	4045	30	06059	33.62421676	-117.9309656	Orange County
149583	Fee-for-Service	1770859027	1770859027	1	1	NUCUM, JONATHAN E MD	5/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	128112	41	Internal Medicine	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
149649	Fee-for-Service	1245246917	1245246917	1	2	NORTH COUNTY HEALTH PROJECT	8/4/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	325 BUENA CREEK RD	BUILDING A	SAN MARCOS	CA	92069	9679	37	06073	33.18307285	-117.160072	San Diego County
149733	Fee-for-Service	1164875571	1164875571	1	1	NGUYEN, VI M H OD	8/18/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	82227 US HWY 111	STE B2	INDIO	CA	92201	5668	33	06065	33.71471443	-116.2312195	Riverside County
149759	Fee-for-Service	1316201569	1316201569	1	1	NG, CHRISTINE W OD	1/26/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
149805	Fee-for-Service	1649374638	1649374638	1	1	NGO, ANH T MD	5/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	54744	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
149918	Fee-for-Service	1558623793	1558623793	1	1	NYE, DAVID DO	5/24/2019	2086S0129X	NA	General Surgery	026	PHYSICIANS	16912	02	General Surgery	0	In state provider	None	820 S AKERS ST	STE 120	VISALIA	CA	93277	8306	54	06107	36.323757	-119.3491755	Tulare County
149921	Fee-for-Service	1972505444	1972505444	1	1	NAZARYAN, ARMINE MD	12/16/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	85687	40	Pediatrics	0	In state provider	None	221 S GLENDALE AVE	None	GLENDALE	CA	91205	1713	19	06037	34.14369184	-118.2485831	Los Angeles County
149943	Fee-for-Service	1720136526	1720136526	1	1	NGUYEN, KHOI H MD	8/24/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	79727	41	Internal Medicine	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
149985	Fee-for-Service	1497841969	1497841969	1	1	NGUYEN, TU A MD	8/9/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89328	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
150005	Fee-for-Service	1245273770	1245273770	1	1	NGUYEN, THUY H MD	6/27/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91220	18	Ophthalmology	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
150009	Fee-for-Service	1871584540	1871584540	1	1	NICHOLSON, KARIN L MD	12/29/2021	207RP1001X	NA	Pulmonology	026	PHYSICIANS	171244	None	None	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
150033	Fee-for-Service	1194111971	1194111971	1	1	NGO, JASON MD	12/12/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	145316	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
150084	Fee-for-Service	1538315981	1538315981	1	1	NGUYEN, LONG H	3/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	98451	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 OLD RIVER RD	None	BAKERSFIELD	CA	93311	9781	15	06029	35.351487	-119.1143025	Kern County
150123	Fee-for-Service	1548584618	1548584618	1	1	NGUYEN, AILEEN L CRNA	3/12/2013	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1520 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
150126	Fee-for-Service	1316289929	1316289929	1	1	NAGNUR, PRITI MD	8/30/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	170055	None	None	0	In state provider	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	37	06073	32.70162897	-117.1465065	San Diego County
150131	Fee-for-Service	1629775952	1629775952	1	1	NEW HOPE RESIDENTIAL ELDER	3/6/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	CARE LLC	36040 PEPPERDINE COURT	None	WINCHESTER	CA	92596	7403	33	06065	33.59747695	-117.1002764	Riverside County
150194	Fee-for-Service	1407977531	1407977531	1	1	NAFTULIN, BRIAN	9/1/1995	174400000X	NA	Other	026	PHYSICIANS	59349	34	Urology and Urological Surgery	0	In state provider	None	2801 K ST	STE 325	SACRAMENTO	CA	95816	5119	34	06067	38.572947	-121.46904	Sacramento County
150197	Fee-for-Service	1952026643	1952026643	1	1	NORTH OC IMAGING JV, LLC	2/27/2023	261QR0200X	NA	Mammography/MRI Provider	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	13400 JAMBOREE RD	100	IRVINE	CA	92602	2308	30	06059	33.724863	-117.788022	Orange County
150208	Fee-for-Service	1972505444	1972505444	1	1	NAZARYAN, ARMINE MD	12/16/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	85687	01	General Practice	0	In state provider	None	221 S GLENDALE AVE	None	GLENDALE	CA	91205	1713	19	06037	34.14369184	-118.2485831	Los Angeles County
150310	Fee-for-Service	1801043658	1801043658	1	1	NGUYEN, ANH V MD	12/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110858	66	Emergency Medicine (Urgent Care)	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
150312	Fee-for-Service	1821160573	1821160573	1	1	NGUYEN, PHILIPPE T MD	10/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	51974	01	General Practice	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
150322	Fee-for-Service	1437335353	1437335353	1	9	NEIGHBORHOOD HEALTHCARE	10/19/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	3115 LAS PALMAS AVENUE	ROOM MPR	ESCONDIDO	CA	92025	7300	37	06073	33.08596179	-117.0599242	San Diego County
150412	Fee-for-Service	1164601308	1164601308	1	1	NEGUS, JONATHAN A NP	12/2/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3900 ALAMO ST	None	SIMI VALLEY	CA	93063	9999	56	06111	34.28628637	-118.7195497	Ventura County
150426	Fee-for-Service	1265426803	1265426803	1	1	NARLA, JOTHSNA MD	6/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	35562	42	Nuclear Medicine	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
150444	Fee-for-Service	1316025836	1316025836	1	1	NEUROSURGICAL ASSOCIATES OF	12/1/2006	207T00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	LOS ANGELES INC	23929 MCBEAN PKWY	STE 215	VALENCIA	CA	91355	4468	19	06037	34.39588575	-118.5538975	Los Angeles County
150527	Fee-for-Service	1265832950	1265832950	1	1	NOLAN, RYAN	5/3/2019	390200000X	NA	Other	026	PHYSICIANS	161287	02	General Surgery	0	In state provider	None	365 HAWTHORNE AVENUE	SUITE 101	OAKLAND	CA	94609	3115	01	06001	37.82079728	-122.2633226	Alameda County
150606	Fee-for-Service	1174066062	1174066062	1	1	NEXEL SERVICES LLC	8/26/2020	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	810 S MASON RD	SUITE 205	KATY	TX	77450	3858	00	None	29.77182813	-95.75182838	Harris County
150609	Fee-for-Service	1437335353	1437335353	1	9	NEIGHBORHOOD HEALTHCARE	10/19/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	3115 LAS PALMAS AVENUE	ROOM MPR	ESCONDIDO	CA	92025	7300	37	06073	33.08596179	-117.0599242	San Diego County
150612	Fee-for-Service	1881743243	1881743243	1	1	NOVELL & NOVELL COUNSELING	6/20/2019	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
150625	Fee-for-Service	1225055213	1225055213	1	1	NEVILLE ALBERTO MD	8/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	801 BROADWAY N	None	FARGO	ND	58102	3641	00	None	46.885068	-96.7872375	Cass County
150637	Fee-for-Service	1013095918	1013095918	1	1	NANAVATI, DHIREN V MD	3/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	36772	20	Orthopedic Surgery	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
150663	Fee-for-Service	1396935243	1396935243	1	1	NIEBERG, PAUL H MD INC	4/8/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	67350	None	None	0	In state provider	None	959 E WALNUT ST	STE 120	PASADENA	CA	91106	5364	19	06037	34.14962102	-118.1305187	Los Angeles County
150665	Fee-for-Service	1255882999	1255882999	1	1	NATURAL REST HOUSE INC	1/15/2025	324500000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	79100 OCOTILLO DR	None	LA QUINTA	CA	92253	5915	33	06065	33.72407179	-116.2845901	Riverside County
150715	Fee-for-Service	1265426803	1265426803	1	1	NARLA, JOTHSNA MD	6/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	35562	22	Pathology (M.D. only)	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
150813	Fee-for-Service	1447398300	1447398300	1	1	NEOCARE NEONATOLOGY MED	2/8/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ICAL GROUP INC	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
150861	Fee-for-Service	1235157892	1235157892	1	1	NEUHAUS, TAMARA B MD	9/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84871	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
150867	Fee-for-Service	1013083948	1013083948	1	1	NUNEZ-SAKSA, JULIANA B PHD	2/11/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1201 FILLMORE STREET	None	SAN FRANCISCO	CA	94115	4110	38	06075	37.78096742	-122.4322568	San Francisco County
150874	Fee-for-Service	1245724079	1245724079	1	1	NIELAND, ROBERT V DO	4/6/2020	390200000X	NA	Other	026	PHYSICIANS	17828	08	Family Practice	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
150887	Fee-for-Service	1215633722	1215633722	1	1	NJENGA, ESTHER K	3/16/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	17062 COBBLE CREEK WAY	None	LATHROP	CA	95330	8858	39	06077	37.80572458	-121.3010565	San Joaquin County
150888	Fee-for-Service	1336705458	1336705458	1	1	NINO, ANGELICA OT	4/3/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	18270 SISKIYOU RD	SUITE B	APPLE VALLEY	CA	92307	1413	36	06071	34.54450348	-117.265221	San Bernardino County
150899	Fee-for-Service	1881743243	1881743243	1	1	NOVELL & NOVELL COUNSELING	7/16/2018	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
150924	Fee-for-Service	1932268281	1932268281	1	1	NGUYEN, JOHNNY M OD	1/11/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
151002	Fee-for-Service	1427290543	1427290543	1	1	NA, CHANG R MD	9/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128693	01	General Practice	0	In state provider	None	3733 SAN DIMAS STREET	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
151089	Fee-for-Service	1407156615	1407156615	1	1	NIKOLAY, POULET MD	9/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115824	01	General Practice	0	In state provider	None	191 S BUENA VISTA ST	STE 200	BURBANK	CA	91505	4563	19	06037	34.15872557	-118.3283863	Los Angeles County
151151	Fee-for-Service	1396131850	1396131850	1	1	NARVAEZ, JOHN REINIER F MD	7/21/2023	208600000X	NA	General Surgery	026	PHYSICIANS	177676	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
151176	Fee-for-Service	1215633722	1215633722	1	1	NJENGA, ESTHER K	3/16/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	17062 COBBLE CREEK WAY	None	LATHROP	CA	95330	8858	39	06077	37.80572458	-121.3010565	San Joaquin County
151195	Fee-for-Service	1184838773	1184838773	1	1	NAYAK, KAVITA MD	6/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98016	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPWY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
151197	Fee-for-Service	1437335353	1437335353	1	3	NEIGHBORHOOD HEALTHCARE	9/21/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2861 E VALLEY PKWY	R00M 29	ESCONDIDO	CA	92027	2930	37	06073	33.14534548	-117.0359446	San Diego County
151206	Fee-for-Service	1952664112	1952664112	1	1	NWOKE, THEODORE LMFT	7/3/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4199 CAMPUS DR	SUITE 550, OFFICE 57	IRVINE	CA	92612	4684	30	06059	33.650775	-117.838296	Orange County
151220	Fee-for-Service	1598007965	1598007965	1	1	NASIRI, MASTOORA MD	7/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	132323	05	Anesthesiology	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
151231	Fee-for-Service	1447326855	1447326855	1	1	NAVARETTE, JOSE C MED.CL	2/10/1994	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	DOCTORS MEDICAL CLINIC	6043 ATLANTIC BLVD	None	MAYWOOD	CA	90270	3118	19	06037	33.98403374	-118.1861291	Los Angeles County
151236	Fee-for-Service	1225070667	1225070667	1	5	NORTHLAND HEARING CENTERS, I	8/13/2024	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	40315 JUNCTION DR	B	OAKHURST	CA	93644	0135	20	06039	37.33491986	-119.6571718	Madera County
151243	Fee-for-Service	1306680020	1306680020	1	1	NUNEZ, CATHERINE AU	7/10/2024	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1111 EXPOSITION BLVD	BLDG 700	SACRAMENTO	CA	95815	4300	34	06067	38.598876	-121.4502885	Sacramento County
151274	Fee-for-Service	1356318778	1356318778	1	1	NAKAMURA, MEGUMI MD	5/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78744	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
151278	Fee-for-Service	1144363722	1144363722	1	1	NEVAREZ, ERASMO PHD	9/16/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	611 SOUTH MILPITAS BLVD	None	MILPITAS	CA	95035	5473	43	06085	37.4246225	-121.8944566	Santa Clara County
151327	Fee-for-Service	1225164908	1225164908	1	1	NARVAEZ, JENNIFER J MD	11/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	112412	36	Psychiatry	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
151360	Fee-for-Service	1477162642	1477162642	1	1	NIE, DA LMFT	3/14/2024	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	311 CALIFORNIA	#750	SAN FRANCISCO	CA	94104	2602	38	06075	37.79316768	-122.4002529	San Francisco County
151374	Fee-for-Service	1336327261	1336327261	1	1	NEWMARK, DANIEL AU	12/17/2012	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	15211 VANOWEN	STE 305	VAN NUYS	CA	91405	3637	19	06037	34.19395411	-118.4642527	Los Angeles County
151378	Fee-for-Service	1407156615	1407156615	1	1	NIKOLAY, POULET MD	9/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115824	08	Family Practice	0	In state provider	None	191 S BUENA VISTA ST	STE 200	BURBANK	CA	91505	4563	19	06037	34.15872557	-118.3283863	Los Angeles County
151388	Fee-for-Service	1013350834	1013350834	1	1	NWAOGU, KINGSLEY U MD	12/30/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	183178	None	None	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
151464	Fee-for-Service	1902260375	1902260375	1	1	NIKOOMANESH, KIA DO	2/8/2022	207R00000X	NA	Other	026	PHYSICIANS	16582	None	None	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
151482	Fee-for-Service	1437335353	1437335353	1	3	NEIGHBORHOOD HEALTHCARE	9/21/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2861 E VALLEY PKWY	R00M 29	ESCONDIDO	CA	92027	2930	37	06073	33.14534548	-117.0359446	San Diego County
151496	Fee-for-Service	1770659252	1770659252	1	1	NGUYEN, HUY V MD	9/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87421	01	General Practice	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
151501	Fee-for-Service	1780736736	1780736736	1	8	NORTHBAY HEALTHCARE GROUP	3/9/2023	282N00000X	NA	Hospitals	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	ENCE	1860 PENNSYLVANIA AVE	SUITE 230	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
151592	Fee-for-Service	1982249033	1982249033	1	1	NGUYEN, MICHELLE PT	1/27/2024	2251P0200X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	320 LENNON LANE	None	WALNUT CREEK	CA	94598	2419	07	06013	37.92699561	-122.0292732	Contra Costa County
151621	Fee-for-Service	1841606241	1841606241	1	1	NGUYEN, STEPHANIE C	12/16/2015	1041C0700X	NA	Mental Health Outpatient Services	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	39833 PASEO PADRE PKWY	STE. F	FREMONT	CA	94538	2980	01	06001	37.5474783	-121.9695445	Alameda County
151687	Fee-for-Service	1174050959	1174050959	1	1	NEW HORIZONS THERAPY GROUP	9/27/2018	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10630 TOWN CENTER DR	STE 120	RANCHO CUCAMONGA	CA	91730	6889	36	06071	34.11112305	-117.5729644	San Bernardino County
151710	Fee-for-Service	1700352572	1700352572	1	1	NAARS HOSPICE INC	12/13/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	10523 BURBANK BLVD	STE 122	NORTH HOLLYWOOD	CA	91601	2249	19	06037	34.17216449	-118.36017	Los Angeles County
151761	Fee-for-Service	1356940308	1356940308	1	1	NEW SPRING HOSPICE CARE INC	5/23/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	20246 SATICOY ST	UNIT 207	WINNETKA	CA	91306	4433	19	06037	34.20831848	-118.574766	Los Angeles County
151776	Fee-for-Service	1578762902	1578762902	1	1	NGUYEN, CAROLYN NP	4/15/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
151788	Fee-for-Service	1780736736	1780736736	1	8	NORTHBAY HEALTHCARE GROUP	9/12/2022	282N00000X	NA	Hospitals	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ENCE	1860 PENNSYLVANIA AVE	SUITE 230	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
151811	Fee-for-Service	1992832430	1992832430	1	2	NUCUM, DARYL H	2/1/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	54774	-	NOT APPLICABLE	0	In state provider	None	8019 COMPTON AVENUE	None	LOS ANGELES	CA	90001	3409	19	06037	33.9664185	-118.2477481	Los Angeles County
151862	Fee-for-Service	1881108058	1881108058	1	1	NAZER, JACQUELINE M NP	2/12/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
151897	Fee-for-Service	1306065511	1306065511	1	1	NEW HORIZONS SERVING	2/10/1992	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INDIVIDUALS WITH SPECIAL	15746 A PARTHENIA ST	None	NORTH HILLS	CA	91343	4999	19	06037	34.22828948	-118.47582	Los Angeles County
151915	Fee-for-Service	1992868905	1992868905	1	1	NAM, PETER CA	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	103 1/2 S VERMONT AVE	None	LOS ANGELES	CA	90004	5904	19	06037	34.07248996	-118.2917507	Los Angeles County
151916	Fee-for-Service	1639180623	1639180623	1	1	NOURMAND, AZIZ MD	8/31/1989	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	39151	40	Pediatrics	0	In state provider	None	2001 SANTA MONICA BLVD	STE 865W	SANTA MONICA	CA	90404	2128	19	06037	34.02891163	-118.4797466	Los Angeles County
151928	Fee-for-Service	1386976769	1386976769	1	1	NGUYEN, TU MJAS MEDICAL	3/1/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	105350	05	Anesthesiology	0	In state provider	CORPORATION	2900 EUREKA WAY	None	REDDING	CA	96001	0220	45	06089	40.58549966	-122.4167649	Shasta County
151967	Fee-for-Service	1417199365	1417199365	1	1	NGUYEN, CHRISTINE O DO	9/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11732	08	Family Practice	0	In state provider	None	5765 GREENBACK LANE	None	SACRAMENTO	CA	95841	2013	34	06067	38.681622	-121.327848	Sacramento County
151997	Fee-for-Service	1700352572	1700352572	1	1	NAARS HOSPICE INC	12/13/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	10523 BURBANK BLVD	STE 122	NORTH HOLLYWOOD	CA	91601	2249	19	06037	34.17216449	-118.36017	Los Angeles County
152008	Fee-for-Service	1033721923	1033721923	1	1	NGUYEN, TIM NP	3/15/2021	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
152049	Fee-for-Service	1356940308	1356940308	1	1	NEW SPRING HOSPICE CARE INC	5/23/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	20246 SATICOY ST	UNIT 207	WINNETKA	CA	91306	4433	19	06037	34.20831848	-118.574766	Los Angeles County
152053	Fee-for-Service	1275645053	1275645053	1	1	NEWMAN, GREGG C MD	11/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	79400	78	Neoplastic Diseases/Oncology	0	In state provider	None	317 WEST PEUBLO STREET	None	SANTA BARBARA	CA	93105	4365	42	06083	34.42967671	-119.7228362	Santa Barbara County
152075	Fee-for-Service	1780736736	1780736736	1	8	NORTHBAY HEALTHCARE GROUP	6/7/2022	282N00000X	NA	Hospitals	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	ENCE	1860 PENNSYLVANIA AVE	SUITE 230	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
152132	Fee-for-Service	1629775952	1629775952	1	3	NEW HOPE RESIDENTIAL ELDER	4/16/2024	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	39520 BONAIRE WAY	None	MURRIETA	CA	92563	2549	33	06065	33.54719401	-117.1467091	Riverside County
152139	Fee-for-Service	1629415401	1629415401	1	1	NSEYO, UNWANAOBONG U	11/26/2018	208800000X	NA	Other	026	PHYSICIANS	137733	34	Urology and Urological Surgery	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
152198	Fee-for-Service	1568098549	1568098549	1	1	NORRIS, RYAN MD	1/31/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	176669	36	Psychiatry	0	In state provider	None	1761 BROADWAY ST	None	VALLEJO	CA	94589	2226	48	06095	38.13049234	-122.2522422	Solano County
152218	Fee-for-Service	1932735966	1932735966	1	1	NEMIROV, ALEXANDER M DO	9/18/2024	207L00000X	NA	Other	026	PHYSICIANS	19519	05	Anesthesiology	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
152243	Fee-for-Service	1992202469	1992202469	1	1	NAREK GARUKYAN DPM	10/7/2020	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	7640 TAMPA AVE	106	RESEDA	CA	91335	1700	19	06037	34.20951144	-118.5534786	Los Angeles County
152263	Fee-for-Service	1194153064	1194153064	1	1	NAVES, GEORGE A LMFT	10/30/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
152300	Fee-for-Service	1295223295	1295223295	1	1	NICHTA, CARLI M MD	7/1/2021	207P00000X	NA	Other	026	PHYSICIANS	173307	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6263	54	06107	36.327888	-119.294919	Tulare County
152339	Fee-for-Service	1275645053	1275645053	1	1	NEWMAN, GREGG C MD	11/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	79400	68	Hematology	0	In state provider	None	317 WEST PEUBLO STREET	None	SANTA BARBARA	CA	93105	4365	42	06083	34.42967671	-119.7228362	Santa Barbara County
152452	Fee-for-Service	1922015445	1922015445	1	1	NIIZAWA, JEFFREY M MD	7/31/1989	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	66595	01	General Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
152484	Fee-for-Service	1841312865	1841312865	1	1	NUSSBAUM, JESSE C MD	1/26/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	105020	77	Infectious Disease	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
152510	Fee-for-Service	1235612193	1235612193	1	1	NYAGAYA, LINDA NP	10/28/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
152525	Fee-for-Service	1841640109	1841640109	1	1	NG, LAUREN MD	12/9/2021	207R00000X	NA	Other	026	PHYSICIANS	160541	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
152535	Fee-for-Service	1457336463	1457336463	1	1	NELSEN, KAY M MD	6/18/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79095	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
152551	Fee-for-Service	1184774747	1184774747	1	1	NEKOTA, JON C OD	10/16/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
152677	Fee-for-Service	1952607715	1952607715	1	1	NAGHDECHI, PEJMAN MD	4/12/2021	207R00000X	NA	Other	026	PHYSICIANS	112981	None	None	0	In state provider	None	16745 W BERNARDO DR	STE 240	SAN DIEGO	CA	92127	1907	37	06073	33.01539521	-117.0824934	San Diego County
152700	Fee-for-Service	1588756969	1588756969	1	1	NAVARE, SACHIN M MD	4/3/2008	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	98609	None	None	0	In state provider	None	201 S BUENA VISTA ST	STE 100	BURBANK	CA	91595	4570	19	06037	34.15978726	-118.3289164	Los Angeles County
152736	Fee-for-Service	1821032475	1821032475	1	1	NGUYEN, BAO Q MD	3/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92725	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
152765	Fee-for-Service	1669552832	1669552832	1	1	NGUYEN, LAN T MD	5/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	68288	41	Internal Medicine	0	In state provider	None	2600 REDONDO AVE	None	LONG BEACH	CA	90806	2325	19	06037	33.806097	-118.151378	Los Angeles County
152770	Fee-for-Service	1841312865	1841312865	1	1	NUSSBAUM, JESSE C MD	1/26/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	105020	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
152810	Fee-for-Service	1689274326	1689274326	1	1	NAKASHIMA, BREE E	8/29/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	505 E ROMIE LN	SUITE F	SALINAS	CA	93901	4031	27	06053	36.65998191	-121.6461895	Monterey County
152818	Fee-for-Service	1548316565	1548316565	1	1	NIEMEYER, PATRICIA A MD	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	84477	30	Radiology	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
152842	Fee-for-Service	1891184941	1891184941	1	1	NAYLOR, SHANNA NP	11/1/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	550 W RANCH VIEW DR	2005	ROCKLIN	CA	95765	5396	31	06061	38.83760761	-121.2972372	Placer County
152861	Fee-for-Service	1548274996	1548274996	1	1	NGUYEN, AMY N MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	80879	08	Family Practice	0	In state provider	None	8970 WARNER AVE	None	FOUNTAIN VALLEY	CA	92708	3211	30	06059	33.71571347	-117.972747	Orange County
152868	Fee-for-Service	1649808205	1649808205	1	1	NEALE, NATALIE H MD	4/23/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	188113	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
152926	Fee-for-Service	1780119966	1780119966	1	1	NORCAL PEDIATRIC	5/3/2018	2080P0206X	NA	Gastroenterology	026	PHYSICIANS	51575	10	Gastroenterology (M.D. only)	0	In state provider	GASTROENTEROLOGY	5201 DEER VALLEY RD	STE 1E	ANTIOCH	CA	94531	7430	07	06013	37.96296129	-121.7801028	Contra Costa County
153006	Fee-for-Service	1548489602	1548489602	1	4	NORTH PACIFIC DERMATOLOGY A	3/31/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	None	3103 CONCORDE DR	None	MCKINLEYVILLE	CA	95519	9305	12	06023	40.9680161	-124.1121038	Humboldt County
153007	Fee-for-Service	1538131289	1538131289	1	1	NORRIS, CRAIG D MD	6/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145559	68	Hematology	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
153024	Fee-for-Service	1437335353	1437335353	1	10	NEIGHBORHOOD HEALTHCARE	10/27/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1122 MOUNTAIN HEIGHTS DR	ROOM FOCR	ESCONDIDO	CA	92029	5634	37	06073	33.08481818	-117.0913209	San Diego County
153102	Fee-for-Service	1285708651	1285708651	1	1	NG, CHUNG WAI MD	6/2/1984	207R00000X	NA	Other	026	PHYSICIANS	38796	08	Family Practice	0	In state provider	None	857 CLEVELAND ST	None	LOS ANGELES	CA	90012	1662	19	06037	34.06503389	-118.2408368	Los Angeles County
153106	Fee-for-Service	1558995860	1558995860	1	1	NGUYEN, LAM NP	9/26/2023	163WP0808X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	301 VICTORIA STREET	None	COSTA MESA	CA	92627	1995	30	06059	33.65258952	-117.9121545	Orange County
153208	Fee-for-Service	1801556188	1801556188	1	2	NGUYEN, KIMOANH T NP	2/3/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	555 WASHINGTON STREET	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
153246	Fee-for-Service	1225245657	1225245657	1	1	NETHERDA, MARK A MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67595	41	Internal Medicine	0	In state provider	None	499 HUMBOLDT ST	None	SANTA ROSA	CA	95404	4214	49	06097	38.442762	-122.7139875	Sonoma County
153293	Fee-for-Service	1538131289	1538131289	1	1	NORRIS, CRAIG D MD	6/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145559	41	Internal Medicine	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
153313	Fee-for-Service	1437335353	1437335353	1	10	NEIGHBORHOOD HEALTHCARE	10/27/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1122 MOUNTAIN HEIGHTS DR	ROOM FOCR	ESCONDIDO	CA	92029	5634	37	06073	33.08481818	-117.0913209	San Diego County
153327	Fee-for-Service	1245246917	1245246917	1	4	NORTH COUNTY HEALTH PROJECT	6/14/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1595 GRAND AVENUE	SUITE 106	SAN MARCOS	CA	92078	2450	37	06073	33.14530488	-117.1982671	San Diego County
153328	Fee-for-Service	1619415247	1619415247	1	1	NAVARRO, JUAN CARLOS LPCC	12/19/2023	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
153346	Fee-for-Service	1548449846	1548449846	1	1	NASIKA, SUBRAHMANYAM M MD	9/17/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	108186	None	None	0	In state provider	None	3132 WEST MARCH LANE	STE 5	STOCKTON	CA	95219	2354	39	06077	37.9839146	-121.3516231	San Joaquin County
153367	Fee-for-Service	1245786938	1245786938	1	1	NESBERG, MALLORY LCSW	10/11/2022	390200000X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11835 WEST OLYMPIC BLVD	SUITE 815E	LOS ANGELES	CA	90064	5056	19	06037	34.03273663	-118.4516927	Los Angeles County
153388	Fee-for-Service	1285708651	1285708651	1	1	NG, CHUNG WAI MD	6/2/1984	207R00000X	NA	Other	026	PHYSICIANS	38796	41	Internal Medicine	0	In state provider	None	857 CLEVELAND ST	None	LOS ANGELES	CA	90012	1662	19	06037	34.06503389	-118.2408368	Los Angeles County
153415	Fee-for-Service	1295197325	1295197325	1	1	NOLAN, BRET M DO	7/27/2022	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	16107	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
153424	Fee-for-Service	1881053593	1881053593	1	1	NWEKE, IFEOMA	11/2/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
153461	Fee-for-Service	1093430415	1093430415	1	1	NGUYEN, MARTIN T	12/19/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	465 PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
153499	Fee-for-Service	1255426383	1255426383	1	1	NORTHWEST VALLEY FAMILY MEDI	7/18/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	CAL CLINIC INC	21700 W GOLDEN TRIANGLE	STE 105	SANTA CLARITA	CA	91350	2616	19	06037	34.41476615	-118.5151786	Los Angeles County
153501	Fee-for-Service	1669730420	1669730420	1	1	NAKASONE, KAORI DO	9/18/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13119	01	General Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
153533	Fee-for-Service	1255561056	1255561056	1	1	NANDHAGOPAL, THIAGARAJAN MD	9/12/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	160718	40	Pediatrics	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
153536	Fee-for-Service	1225245657	1225245657	1	1	NETHERDA, MARK A MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67595	01	General Practice	0	In state provider	None	499 HUMBOLDT ST	None	SANTA ROSA	CA	95404	4214	49	06097	38.442762	-122.7139875	Sonoma County
153581	Fee-for-Service	1538131289	1538131289	1	1	NORRIS, CRAIG D MD	6/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145559	78	Neoplastic Diseases/Oncology	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
153608	Fee-for-Service	1316381692	1316381692	1	1	NESBIT, TRAVIS R MD	5/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137314	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
153613	Fee-for-Service	1245246917	1245246917	1	4	NORTH COUNTY HEALTH PROJECT	9/12/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1595 GRAND AVENUE	SUITE 106	SAN MARCOS	CA	92078	2450	37	06073	33.14530488	-117.1982671	San Diego County
153621	Fee-for-Service	1295265288	1295265288	1	1	NAVAL-NGUYEN, CARLA F	4/30/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
153639	Fee-for-Service	1619598133	1619598133	1	1	NANADIEGO, JILLIANNE DO	11/12/2024	207P00000X	NA	Other	026	PHYSICIANS	22967	66	Emergency Medicine (Urgent Care)	0	In state provider	None	10100 CULVER BLVD	STE E	CULVER CITY	CA	90232	3175	19	06037	34.01935201	-118.3979919	Los Angeles County
153640	Fee-for-Service	1497303655	1497303655	1	1	NESBITT, CHARLES LMFT	10/1/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
153750	Fee-for-Service	1760821979	1760821979	1	1	NAIDUS, ELLIOT MD	11/24/2019	207RP1001X	NA	Pulmonology	026	PHYSICIANS	141694	41	Internal Medicine	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
153807	Fee-for-Service	1134982820	1134982820	1	1	NUEVE, RONALD RCP	4/25/2024	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
153845	Fee-for-Service	1992810642	1992810642	1	1	NAQI, LUBNA MD	8/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50006	01	General Practice	0	In state provider	None	3565 DEL AMO BLVD	None	TORRANCE	CA	90503	1637	19	06037	33.84861872	-118.3488958	Los Angeles County
153899	Fee-for-Service	1821109257	1821109257	1	1	NAVEK, ANKE, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	555 S 70TH ST	None	LINCOLN	NE	68510	2462	00	None	40.808151	-96.62516802	Lancaster County
153901	Fee-for-Service	1245246917	1245246917	1	4	NORTH COUNTY HEALTH PROJECT	7/8/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1595 GRAND AVENUE	SUITE 106	SAN MARCOS	CA	92078	2450	37	06073	33.14530488	-117.1982671	San Diego County
153908	Fee-for-Service	1760667950	1760667950	1	2	NEIGHBORHOOD HEALTHCARE	1/10/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	215 W MADISON AVE	None	EL CAJON	CA	92020	3405	37	06073	32.80066448	-116.9642655	San Diego County
153978	Fee-for-Service	1386821171	1386821171	1	1	NAUMANN, MICHAEL T MD	4/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116596	30	Radiology	0	In state provider	None	8881 FLETCHER PARKWAY	STE 102	LA MESA	CA	91942	3129	37	06073	32.78442148	-117.0073814	San Diego County
154042	Fee-for-Service	1255515466	1255515466	1	1	NAYERI, UNZILA A MD	5/20/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	159292	15	Obstetrics (D.O. only)	0	In state provider	None	1792 TRIBUTE RD	SUITE 200	SACRAMENTO	CA	95815	4305	34	06067	38.598219	-121.445964	Sacramento County
154081	Fee-for-Service	1013302876	1013302876	1	1	NIKPOUR-HERAVI, GELAREH R MD	10/17/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	148167	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
154088	Fee-for-Service	1477929263	1477929263	1	1	NAVAB, SARA M MD	8/31/2022	207L00000X	NA	Other	026	PHYSICIANS	159990	None	None	0	In state provider	None	4201 TORRANCE BLVD	600	TORRANCE	CA	90503	4523	19	06037	33.8375955	-118.358748	Los Angeles County
154126	Fee-for-Service	1871533224	1871533224	1	1	NASR ENANY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	234 GOODMAN ST	None	CINCINNATI	OH	45219	2364	00	None	39.13677965	-84.5023814	Hamilton County
154189	Fee-for-Service	1245246917	1245246917	1	4	NORTH COUNTY HEALTH PROJECT	9/12/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1595 GRAND AVENUE	SUITE 106	SAN MARCOS	CA	92078	2450	37	06073	33.14530488	-117.1982671	San Diego County
154190	Fee-for-Service	1043793466	1043793466	1	1	NELSON, JENNIFER M NP	10/22/2018	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7720 N FRESNO ST	104	FRESNO	CA	93720	2407	10	06019	36.85068226	-119.7836282	Fresno County
154196	Fee-for-Service	1760667950	1760667950	1	2	NEIGHBORHOOD HEALTHCARE	1/10/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	215 W MADISON AVE	None	EL CAJON	CA	92020	3405	37	06073	32.80066448	-116.9642655	San Diego County
154215	Fee-for-Service	1306068697	1306068697	1	1	NEWTON, ISABEL G MD	8/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108128	30	Radiology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
154222	Fee-for-Service	1891335154	1891335154	1	1	NUREDDIN, BARAAH	12/16/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	2360 S AZUSA AVE	A3	WEST COVINA	CA	91792	1539	19	06037	34.03422947	-117.9131031	Los Angeles County
154250	Fee-for-Service	1225070667	1225070667	1	8	NORTHLAND HEARING CENTERS, I	8/13/2024	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	171 SAXONY RD	111	ENCINITAS	CA	92024	6775	37	06073	33.050151	-117.2856505	San Diego County
154251	Fee-for-Service	1184636433	1184636433	1	1	NGUYEN, BRITTANY OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1766 N MILPITAS BLVD	None	MILPITAS	CA	95035	2713	43	06085	37.45539924	-121.9110048	Santa Clara County
154306	Fee-for-Service	1891138269	1891138269	1	1	NEMRI, TALIN MD	6/16/2022	207R00000X	NA	Other	026	PHYSICIANS	143476	None	None	0	In state provider	None	12566 VALLEY VIEW ST	None	GARDEN GROVE	CA	92845	0000	30	06059	33.78049752	-118.0307808	Orange County
154499	Fee-for-Service	1235948324	1235948324	1	1	NESTED INTEGRAL COACHING CON	1/8/2025	251V00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	STELLATION, INC.	1600 ROSECRANS AVE	BUILDING 7, FLOOR 4	MANHATTAN BEACH	CA	90266	3708	19	06037	33.90179654	-118.3839615	Los Angeles County
154543	Fee-for-Service	1861066144	1861066144	1	1	NURSE ANGELES HOME HEALTH	3/19/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE	14833 BURBANK BLVD	None	VAN NUYS	CA	91411	3339	19	06037	34.17213647	-118.456596	Los Angeles County
154544	Fee-for-Service	1326015777	1326015777	1	1	NATIONAL JEWISH HEALTH	6/13/2014	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1400 JACKSON STREET	None	DENVER	CO	80206	2741	00	None	39.73933974	-104.9427656	Denver County
154564	Fee-for-Service	1780098459	1780098459	1	1	NGUYEN, ANN OD	2/1/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
154588	Fee-for-Service	1811263114	1811263114	1	1	NELSON, MICHELE MD	11/9/2017	390200000X	NA	Other	026	PHYSICIANS	128435	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	555 TECHEVAH DRIVE	None	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
154615	Fee-for-Service	1629368238	1629368238	1	1	NAGHASH MAHERI, ALI MD	8/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128615	None	None	0	In state provider	None	3687 MT DIABLO BLVD	STE 200	LAFAYETTE	CA	94549	3746	07	06013	37.8898926	-122.1304235	Contra Costa County
154618	Fee-for-Service	1366453151	1366453151	1	1	NEMANICH, KATHRYN P MD	3/15/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	85871	08	Family Practice	0	In state provider	None	2001 FOURTH AVENUE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
154669	Fee-for-Service	1740434661	1740434661	1	1	N M HOLDERMAN HOSPITAL	4/6/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	SACRAMENTO	CA	94599	0000	34	06067	38.698947	-121.2826163	Sacramento
154727	Fee-for-Service	1740604321	1740604321	1	1	NDIKA, NNENNA PHD	3/1/2025	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	750 B	2870	SAN DIEGO	CA	92101	8114	37	06073	32.71782447	-117.157905	San Diego County
154779	Fee-for-Service	1003893801	1003893801	2	1	NGUYEN, THERESA THANH N MD	10/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	15556 BROOKHURST ST	None	WESTMINSTER	CA	92683	7571	30	06059	33.7367553	-117.9546916	Orange County
154784	Fee-for-Service	1164685863	1164685863	1	1	NISAR, HUMERA MD	7/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116292	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
154796	Fee-for-Service	1780138404	1780138404	1	1	NOBLETT, DYLAN A MD	4/27/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	165426	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
154833	Fee-for-Service	1326015777	1326015777	1	1	NATIONAL JEWISH HEALTH	6/13/2014	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1400 JACKSON STREET	None	DENVER	CO	80206	2741	00	None	39.73933974	-104.9427656	Denver County
154847	Fee-for-Service	1861508848	1861508848	1	1	NAKAMURA, MARY C MD	1/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	63340	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
154889	Fee-for-Service	1497067185	1497067185	1	1	NGUYEN, NHU D MD	11/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123553	36	Psychiatry	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
154893	Fee-for-Service	1467531947	1467531947	1	1	NEELEY, JAMES P MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3100 CHANNING WAY	None	IDAHO FALLS	ID	83404	7533	00	None	43.470198	-111.9901955	Bonneville County
154942	Fee-for-Service	1023024346	1023024346	1	1	NIEVA, ARLEEN G MD INC	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	68932	41	Internal Medicine	0	In state provider	None	330 W WILLOW ST	None	LONG BEACH	CA	90806	2802	19	06037	33.80430449	-118.1955825	Los Angeles County
154966	Fee-for-Service	1740434661	1740434661	1	1	N M HOLDERMAN HOSPITAL	4/10/1986	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	SACRAMENTO	CA	94599	0000	34	06067	38.698947	-121.2826163	Sacramento
154977	Fee-for-Service	1356005920	1356005920	1	2	NEWPORT LABS INC	6/26/2023	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	1820 E GARRY AVE	STE 112	SANTA ANA	CA	92705	5804	30	06059	33.70444687	-117.8523037	Orange County
154987	Fee-for-Service	1154322642	1154322642	1	1	NORTHEAST VLY HLTH CORP	11/1/2001	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MISSION COLLEGE	13356 ELDRIDGE AVE	None	SYLMAR	CA	91342	3200	19	06037	34.31405061	-118.4197394	Los Angeles County
154989	Fee-for-Service	1619388584	1619388584	1	1	NO, DAVID MD	6/1/2019	207L00000X	NA	Other	026	PHYSICIANS	142490	05	Anesthesiology	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
155050	Fee-for-Service	1003860537	1003860537	1	1	NORTH COUNTY NEUROLOGY	6/14/1985	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES MEDICAL GROUP	6010 HIDDEN VALLEY RD	SUITE 200	CARLSBAD	CA	92011	4219	37	06073	33.12288368	-117.3058276	San Diego County
155070	Fee-for-Service	1689166977	1689166977	1	1	NAJAR, FAUZI	3/27/2024	207R00000X	NA	Other	026	PHYSICIANS	174894	None	None	0	In state provider	None	3490 PALM AVENUE	None	SAN DIEGO	CA	92154	1664	37	06073	32.58391748	-117.0594012	San Diego County
155146	Fee-for-Service	1902839426	1902839426	1	1	NGUYEN, NHAN X MD INC	2/28/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	50424	41	Internal Medicine	0	In state provider	None	10298 WESTMINSTER AVE	None	GARDEN GROVE	CA	92843	4830	30	06059	33.75949952	-117.9497955	Orange County
155166	Fee-for-Service	1740507342	1740507342	1	1	NAYYAR, RAHUL MD	9/20/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135996	30	Radiology	0	In state provider	None	890 W STETSON AVE	STE B	HEMET	CA	92543	7311	33	06065	33.72939753	-116.9797995	Riverside County
155203	Fee-for-Service	1013064005	1013064005	1	1	NGUYEN, DIANA KP MD	11/24/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	83986	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVENUE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
155207	Fee-for-Service	1902934722	1902934722	1	1	NGUYEN, LAN HUONG T MD	8/27/2008	261Q00000X	NA	Other	026	PHYSICIANS	36628	08	Family Practice	0	In state provider	None	10402 WESTMINSTER AVE	STE 100	GARDEN GROVE	CA	92843	4862	30	06059	33.75951204	-117.9478527	Orange County
155228	Fee-for-Service	1235214115	1235214115	1	1	NGUYEN, TRUNG X MD INC	11/19/2018	207L00000X	NA	Other	026	PHYSICIANS	75649	05	Anesthesiology	0	In state provider	None	1301 N ROSE DR	None	PLACENTIA	CA	92870	3802	30	06059	33.8868003	-117.8420447	Orange County
155234	Fee-for-Service	1205828928	1205828928	1	1	NEIMAN, PARVIZ MD	8/15/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	38091	None	None	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
155258	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	9/29/2021	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
155261	Fee-for-Service	1104928209	1104928209	1	1	NEE, ALEX C MD	7/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	103894	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA	None	LOS ANGELES	CA	90024	7001	19	06037	34.06473399	-118.445865	Los Angeles County
155268	Fee-for-Service	1588314249	1588314249	1	1	NGUYEN, DANNY Q DO	4/29/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	21534	08	Family Practice	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
155274	Fee-for-Service	1154322642	1154322642	1	1	NORTHEAST VLY HLTH CORP	11/1/2001	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	MISSION COLLEGE	13356 ELDRIDGE AVE	None	SYLMAR	CA	91342	3200	19	06037	34.31405061	-118.4197394	Los Angeles County
155305	Fee-for-Service	1164434148	1164434148	1	1	NIRODI, NEHA G MD	8/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101416	36	Psychiatry	0	In state provider	None	3750 HOMESTEAD RD	None	SANTA CLARA	CA	95051	5961	43	06085	37.335762	-121.9980375	Santa Clara County
155324	Fee-for-Service	1003432428	1003432428	1	1	NORMAN, ALYSSA M NP	4/6/2023	390200000X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	104 E OLIVE AVE	STE 100	REDLANDS	CA	92373	5255	36	06071	34.0540723	-117.1800104	San Bernardino County
155340	Fee-for-Service	1003860537	1003860537	1	1	NORTH COUNTY NEUROLOGY	3/30/2018	2084N0400X	NA	Neurology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ASSOCIATES MEDICAL GROUP	6010 HIDDEN VALLEY RD	SUITE 200	CARLSBAD	CA	92011	4219	37	06073	33.12288368	-117.3058276	San Diego County
155401	Fee-for-Service	1972808459	1972808459	1	1	NGUYEN, DAVID H MD	4/27/2021	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	133643	None	None	0	In state provider	None	12761 SCHABARUM AVE	None	BALDWIN PARK	CA	91706	6807	19	06037	34.08060971	-117.9958001	Los Angeles County
155402	Fee-for-Service	1710929831	1710929831	1	1	NASTRO, ERIC MD	6/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91151	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1720 BROOKLYN AVE	None	LOS ANGELES	CA	90033	0000	19	06037	34.040502	-118.191954	Los Angeles County
155414	Fee-for-Service	1427386911	1427386911	1	1	NEUMANN, TATIANA A DO	9/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	10723	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
155480	Fee-for-Service	1942791124	1942791124	1	1	NWOKE, CHINENYE	2/2/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15497 W SAND ST	None	VICTORVILLE	CA	92392	2910	36	06071	34.51312455	-117.325854	San Bernardino County
155486	Fee-for-Service	1801805106	1801805106	1	1	NICHOLLS, ETHAN A MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	67915	05	Anesthesiology	0	In state provider	None	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	43	06085	37.36893518	-122.0779448	Santa Clara County
155502	Fee-for-Service	1023077294	1023077294	1	1	NAKAGAWA, EVELYN J MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	68752	None	None	0	In state provider	None	350 HAWTHORNE AVE	STE 2320	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
155531	Fee-for-Service	1548552920	1548552920	1	1	NOLAN, JENNA M MD	9/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122335	40	Pediatrics	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
155547	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	3/9/2023	207X00000X	NA	Orthopedic Surgery	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
155563	Fee-for-Service	1154322642	1154322642	1	1	NORTHEAST VLY HLTH CORP	6/1/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	MISSION COLLEGE	13356 ELDRIDGE AVE	None	SYLMAR	CA	91342	3200	19	06037	34.31405061	-118.4197394	Los Angeles County
155574	Fee-for-Service	1043482029	1043482029	1	1	NGUYEN, HAI T MD	4/1/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85263	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6601 WHITE FEATHER RD	None	JOSHUA TREE	CA	92252	6607	36	06071	34.13189479	-116.2767026	San Bernardino County
155575	Fee-for-Service	1982108015	1982108015	1	1	NALBANDIAN, MADLENA MD	9/20/2021	207R00000X	NA	Other	026	PHYSICIANS	173722	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
155599	Fee-for-Service	1225615909	1225615909	1	1	NG, YUNFAI	6/11/2024	390200000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1401 S GRANDE AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
155604	Fee-for-Service	1215902226	1215902226	1	1	NADEAU, DANIEL A MD	7/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	88930	67	Endocrinology	0	In state provider	None	27800 MEDICAL CENTER RD	SUITE 461	MISSION VIEJO	CA	92691	6424	30	06059	33.55952733	-117.6645199	Orange County
155627	Fee-for-Service	1003860537	1003860537	1	1	NORTH COUNTY NEUROLOGY	10/29/2018	2084N0400X	NA	Neurology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATES MEDICAL GROUP	6010 HIDDEN VALLEY RD	SUITE 200	CARLSBAD	CA	92011	4219	37	06073	33.12288368	-117.3058276	San Diego County
155628	Fee-for-Service	1437335353	1437335353	1	4	NEIGHBORHOOD HEALTHCARE	10/2/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2301 N BROADWAY	ROOM 23	ESCONDIDO	CA	92026	1412	37	06073	33.16105111	-117.0929376	San Diego County
155721	Fee-for-Service	1780847293	1780847293	1	1	NUNEZ, BELINDA C LCSW	1/18/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6412 LAUREL AVE	None	LAKE ISABELLA	CA	93240	9529	15	06029	35.63564004	-118.407037	Kern County
155784	Fee-for-Service	1093788747	1093788747	1	1	NICHOLES, ANDREW V DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1301 PUNCHBOWL ST	None	HONOLULU	HI	96813	0000	00	None	21.30800017	-157.8550765	Honolulu County
155802	Fee-for-Service	1871081372	1871081372	1	1	NIAKAN, SHIVA DO	8/31/2023	208600000X	NA	General Surgery	026	PHYSICIANS	21240	None	None	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
155806	Fee-for-Service	1609187525	1609187525	1	1	NARAIN-MENDOZA, RITA O D INC	8/11/2010	193400000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2623 SPRINGS RD	None	VALLEJO	CA	94591	5712	48	06095	38.10591447	-122.2076385	Solano County
155819	Fee-for-Service	1124136619	1124136619	1	1	NYENKE, ONWUDIWE	7/24/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	CENTRAL MEDICAL SUPPLY	937 S LA BREA AVE	None	INGLEWOOD	CA	90301	3815	19	06037	33.951897	-118.3527675	Los Angeles County
155838	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	9/29/2021	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
155873	Fee-for-Service	1184748311	1184748311	1	1	NOSAN, MARTIN M MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
155889	Fee-for-Service	1447384854	1447384854	1	1	NADHAN, SHAANTA MD	12/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	43129	40	Pediatrics	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
155913	Fee-for-Service	1437335353	1437335353	1	4	NEIGHBORHOOD HEALTHCARE	10/2/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2301 N BROADWAY	ROOM 23	ESCONDIDO	CA	92026	1412	37	06073	33.16105111	-117.0929376	San Diego County
155954	Fee-for-Service	1760667950	1760667950	1	3	NEIGHBORHOOD HEALTHCARE	1/31/2025	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	470 N MOLLISON AVE	None	EL CAJON	CA	92021	6860	37	06073	32.79984482	-116.9510059	San Diego County
155965	Fee-for-Service	1750721692	1750721692	1	1	NGUYEN, DINH L Q MD	10/31/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131772	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
155982	Fee-for-Service	1629090592	1629090592	1	1	NEWCOMER, JEANNE P CSW	7/7/2005	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	16248 VICTOR ST	None	VICTORVILLE	CA	92395	3934	36	06071	34.52357429	-117.3079468	San Bernardino County
156014	Fee-for-Service	1467493536	1467493536	1	1	NAGAI, BRIAN K MD	1/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96106	None	None	0	In state provider	None	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	21	06041	37.9469952	-122.5373892	Marin County
156027	Fee-for-Service	1083269872	1083269872	1	1	NOWAKOWSKI, KRISTEN	3/29/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	7417 N CEDAR AVE	None	FRESNO	CA	93720	3637	10	06019	36.844227	-119.7568975	Fresno County
156054	Fee-for-Service	1417539321	1417539321	1	1	NELSON, DESIREE D CNP	8/3/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1150 BAKER ST	None	COSTA MESA	CA	92626	4111	30	06059	33.68015852	-117.906831	Orange County
156111	Fee-for-Service	1528017167	1528017167	1	1	NGO, VINH MD	11/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81424	None	None	0	In state provider	None	1287 FULTON RD	None	SANTA ROSA	CA	95401	4923	49	06097	38.45043	-122.7715245	Sonoma County
156122	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	9/29/2021	207X00000X	NA	Orthopedic Surgery	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
156151	Fee-for-Service	1437335353	1437335353	1	2	NEIGHBORHOOD HEALTHCARE	9/11/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	737 W 13TH AVE	ROOM 36	ESCONDIDO	CA	92025	5510	37	06073	33.1065164	-117.0824829	San Diego County
156174	Fee-for-Service	1184912867	1184912867	1	1	NICOLAUS HAWBAKER MD	1/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	350 N WILMOT RD	None	TUCSON	AZ	85711	2602	00	None	32.227209	-110.8556595	Pima County
156233	Fee-for-Service	1184719528	1184719528	1	1	NEW ERA MEDICINE OF NORTHERN	9/14/2004	207R00000X	NA	Other	026	PHYSICIANS	60487	41	Internal Medicine	0	In state provider	CALIFORNIA	2801 EUREKA WAY	None	REDDING	CA	96001	0222	45	06089	40.58569445	-122.4137153	Shasta County
156235	Fee-for-Service	1750118832	1750118832	1	1	NGO, KRISTEN C CRNA	1/10/2025	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
156244	Fee-for-Service	1760667950	1760667950	1	3	NEIGHBORHOOD HEALTHCARE	7/17/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	470 N MOLLISON AVE	None	EL CAJON	CA	92021	6860	37	06073	32.79984482	-116.9510059	San Diego County
156303	Fee-for-Service	1215039045	1215039045	1	1	NOORI, SHAHAB MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	68855	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
156314	Fee-for-Service	1952908378	1952908378	1	1	N&I HOSPICE INC	6/22/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	333 S CENTRAL AVE	SUITE 103	GLENDALE	CA	91204	4768	19	06037	34.14182246	-118.257882	Los Angeles County
156354	Fee-for-Service	1932176567	1932176567	1	1	NANCY CENTURY ABESTHESIA	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	21ST CENTURY ANESTHESIA	2727 MCCLELLAND BLVD	None	JOPLIN	MO	64804	1626	00	None	37.06080628	-94.53202788	Jasper County
156377	Fee-for-Service	1043410681	1043410681	1	1	NGUYEN, MICHELLE D MD	5/25/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119712	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
156381	Fee-for-Service	1154671808	1154671808	1	1	NEW HORIZON HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1012 E COLORADO ST	SUITE 290	GLENDALE	CA	91205	4550	19	06037	34.14262054	-118.242306	Los Angeles County
156408	Fee-for-Service	1750321683	1750321683	1	1	NOORANI, AZEEM DO	5/23/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	8815	30	Radiology	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
156411	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	9/29/2021	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
156436	Fee-for-Service	1538207253	1538207253	1	1	NASH, SUZANNE C MD	7/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	60919	01	General Practice	0	In state provider	None	310 E MONTE VISTA AVE	None	VACAVILLE	CA	95688	2813	48	06095	38.35901901	-121.9894794	Solano County
156440	Fee-for-Service	1437335353	1437335353	1	2	NEIGHBORHOOD HEALTHCARE	9/11/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	737 W 13TH AVE	ROOM 36	ESCONDIDO	CA	92025	5510	37	06073	33.1065164	-117.0824829	San Diego County
156444	Fee-for-Service	1609404748	1609404748	1	1	NIAZI, ENAYATULLAH MD	7/6/2023	207R00000X	NA	Other	026	PHYSICIANS	187026	None	None	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
156525	Fee-for-Service	1073620415	1073620415	1	1	NORTH BAY EYE ASSOCIATES	12/7/2005	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	A MEDICAL CORPORATION	380 TESCONI CT	None	SANTA ROSA	CA	95401	4653	49	06097	38.447631	-122.7345885	Sonoma County
156531	Fee-for-Service	1760667950	1760667950	1	3	NEIGHBORHOOD HEALTHCARE	1/23/2024	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	470 N MOLLISON AVE	None	EL CAJON	CA	92021	6860	37	06073	32.79984482	-116.9510059	San Diego County
156600	Fee-for-Service	1952908378	1952908378	1	1	N&I HOSPICE INC	6/22/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	333 S CENTRAL AVE	SUITE 103	GLENDALE	CA	91204	4768	19	06037	34.14182246	-118.257882	Los Angeles County
156666	Fee-for-Service	1154671808	1154671808	1	1	NEW HORIZON HOSPICE INC	1/27/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1012 E COLORADO ST	SUITE 290	GLENDALE	CA	91205	4550	19	06037	34.14262054	-118.242306	Los Angeles County
156697	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	12/14/2024	207X00000X	NA	Orthopedic Surgery	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
156712	Fee-for-Service	1942215249	1942215249	1	1	NELSON, DOUGLAS K DO	8/1/1994	207P00000X	NA	Other	026	PHYSICIANS	4807	08	Family Practice	0	In state provider	None	115 PIRIE RD	None	OJAI	CA	93023	3100	56	06111	34.44311416	-119.2657233	Ventura County
156748	Fee-for-Service	1457446486	1457446486	1	1	NORMAN, DEAN C MD	4/10/2017	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	35557	38	Geriatrics	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
156798	Fee-for-Service	1992244438	1992244438	1	1	NEVADA ACUTE MEDICAL	6/15/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	1	Border provider	SERVICES-MANDAVIA 1 PC	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
156820	Fee-for-Service	1760667950	1760667950	1	3	NEIGHBORHOOD HEALTHCARE	7/17/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	470 N MOLLISON AVE	None	EL CAJON	CA	92021	6860	37	06073	32.79984482	-116.9510059	San Diego County
156853	Fee-for-Service	1760518062	1760518062	1	1	NANDA, ROHIT MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1775 THOMPSON ROAD	None	COOS BAY	OR	97420	2125	00	None	43.383456	-124.2330435	Coos County
156949	Fee-for-Service	1720092620	1720092620	1	1	NAGDEV, ARUN D MD	8/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87742	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
156987	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	4/28/2022	207X00000X	NA	Orthopedic Surgery	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
156991	Fee-for-Service	1023153376	1023153376	1	1	NILSEN, JEREMY LMFT	9/27/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
157001	Fee-for-Service	1942215249	1942215249	1	1	NELSON, DOUGLAS K DO	8/1/1994	207P00000X	NA	Other	026	PHYSICIANS	4807	66	Emergency Medicine (Urgent Care)	0	In state provider	None	115 PIRIE RD	None	OJAI	CA	93023	3100	56	06111	34.44311416	-119.2657233	Ventura County
157037	Fee-for-Service	1457446486	1457446486	1	1	NORMAN, DEAN C MD	4/10/2017	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	35557	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
157077	Fee-for-Service	1205397536	1205397536	1	1	NAKAYAMA, KEVIN PT	5/28/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12424 WILSHIRE BLVD	101	LOS ANGELES	CA	90025	0000	19	06037	34.04150435	-118.4706154	Los Angeles County
157084	Fee-for-Service	1154951887	1154951887	1	1	NANAYAKKARA, K DONA LOURDES	1/10/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	S PT	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
157085	Fee-for-Service	1992244438	1992244438	1	1	NEVADA ACUTE MEDICAL	6/15/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	1	Border provider	SERVICES-MANDAVIA 1 PC	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
157091	Fee-for-Service	1679582589	1679582589	1	1	NALWA, SMRITI MD	2/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	86578	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MAMA BABY 0B-GYN INC	105 N BASCOM AVE	STE 102	SAN JOSE	CA	95128	1811	43	06085	37.325853	-121.932068	Santa Clara County
157275	Fee-for-Service	1780736736	1780736736	1	4	NORTHBAY HEALTHCARE GROUP	9/18/2023	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	ICS	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
157310	Fee-for-Service	1487618492	1487618492	1	1	NG, DON C MD	11/30/1992	207R00000X	NA	Other	026	PHYSICIANS	65345	41	Internal Medicine	0	In state provider	None	MEDICAL CTR	None	SAN FRANCISCO	CA	94143	0001	38	06075	37.76140244	-122.4583252	San Francisco County
157321	Fee-for-Service	1043450570	1043450570	1	1	NOEL, KRISTEN L LCSW	1/6/2023	171M00000X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2829 WATT AVENUE	None	SACRAMENTO	CA	95821	6237	34	06067	38.615247	-121.383558	Sacramento County
157430	Fee-for-Service	1942371703	1942371703	1	1	NESPECA, MARK P MD	1/1/1997	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	65509	79	Neurology-Child	0	In state provider	None	3666 KEARNY VILLA RD	None	SAN DIEGO	CA	92123	1949	37	06073	32.80970214	-117.1513084	San Diego County
157470	Fee-for-Service	1114955077	1114955077	1	1	NGUYEN, KEVIN D MD	5/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76048	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
157490	Fee-for-Service	1194089714	1194089714	1	1	NGUYEN, PHO MD	3/13/2025	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
157529	Fee-for-Service	1881932424	1881932424	1	1	NEW VISTA PAC OPERATOR LLC	1/1/2013	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1516 SAWTELLE BLVD	None	LOS ANGELES	CA	90025	3207	19	06037	34.04784603	-118.4495611	Los Angeles County
157549	Fee-for-Service	1316018765	1316018765	1	1	NGUYEN, TRUNG-DUONG MD	11/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	80585	05	Anesthesiology	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
157550	Fee-for-Service	1467581579	1467581579	1	1	NG, RITA K MD	8/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	98218	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
157593	Fee-for-Service	1114338027	1114338027	1	1	NORTHERN CALIFORNIA ADVANCED	1/12/2015	363LA2100X	NA	Nurse Practitioner	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	PRACTICE NURSING SERVICE	3275 VILLA LANE	None	NAPA	CA	94558	3016	28	06055	38.32223637	-122.2927198	Napa County
157594	Fee-for-Service	1205202215	1205202215	1	1	NGUYEN, KELSEY OD	2/11/2025	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1099 HOSPITALITY LN	None	SAN BERNARDINO	CA	92408	2813	36	06071	34.06887134	-117.2625206	San Bernardino County
157697	Fee-for-Service	1477554905	1477554905	1	2	NIE, ZETAN MD	2/9/2017	207R00000X	NA	Other	026	PHYSICIANS	55996	41	Internal Medicine	0	In state provider	None	525 N GARFIELD AVE	None	MONTEREY PARK	CA	91754	1202	19	06037	34.06794352	-118.1229278	Los Angeles County
157711	Fee-for-Service	1689190068	1689190068	1	1	NYECHE, MERCY NP	4/21/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16260 VENTURA BLVD	630	ENCINO	CA	91436	2255	19	06037	34.15687678	-118.4876342	Los Angeles County
157716	Fee-for-Service	1942371703	1942371703	1	1	NESPECA, MARK P MD	1/1/1997	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	65509	40	Pediatrics	0	In state provider	None	3666 KEARNY VILLA RD	None	SAN DIEGO	CA	92123	1949	37	06073	32.80970214	-117.1513084	San Diego County
157775	Fee-for-Service	1962457978	1962457978	1	1	NGO, KATHLEEN L OD	10/18/2011	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1641 COLUSA HWY	STE 100	YUBA CITY	CA	95993	9438	51	06101	39.14169491	-121.6457097	Sutter County
157776	Fee-for-Service	1881199727	1881199727	1	1	NWOSU, UCHENNA A MD	8/12/2021	208M00000X	NA	Other	026	PHYSICIANS	167116	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
157811	Fee-for-Service	1346616695	1346616695	1	1	NUVATION PAIN GROUP	10/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	5832 BEACH BLVD	SUITE 210	BUENA PARK	CA	90621	2022	30	06059	33.875469	-117.9981525	Orange County
157826	Fee-for-Service	1437285095	1437285095	1	1	NIRULA, ARVIND S MD	1/1/1998	174400000X	NA	Other	026	PHYSICIANS	83998	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
157843	Fee-for-Service	1548489602	1548489602	1	2	NORTH PACIFIC DERMATOLOGY A	9/23/2019	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	None	1575 S RAILROAD AVE	None	CRESCENT CITY	CA	95531	6821	08	06015	41.77335063	-124.1836295	Del Norte County
157860	Fee-for-Service	1063675593	1063675593	1	1	NG, ELISA S MD	9/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109905	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
157875	Fee-for-Service	1508918962	1508918962	1	1	NGUYEN, DAN Q DO	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	8096	41	Internal Medicine	0	In state provider	ATTN MGA OFFICE	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
157942	Fee-for-Service	1679807499	1679807499	1	1	NYMAN, BRAD K LCSW	9/14/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7355 CHURCH ST	SUITE A	YUCCA VALLEY	CA	92284	3273	36	06071	34.119666	-116.436541	San Bernardino County
157982	Fee-for-Service	1689788507	1689788507	1	1	NOBLETT, BRADLEY D MD	7/25/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	86364	14	Neurological Surgery	0	In state provider	None	1010 W LA VETA AVE	SUITE 710	ORANGE	CA	92868	4306	30	06059	33.78028244	-117.8635552	Orange County
157993	Fee-for-Service	1831518570	1831518570	1	1	NEIL, JESSICA H MD	11/27/2023	207R00000X	NA	Other	026	PHYSICIANS	139810	None	None	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
157997	Fee-for-Service	1891927612	1891927612	1	1	NGUYEN, VIVIAN T	3/7/2011	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4510 VIEWRIDGE AVE	None	SAN DIEGO	CA	92123	1637	37	06073	32.82283469	-117.1248707	San Diego County
158035	Fee-for-Service	1366413718	1366413718	1	1	NARHI, DIANE C MD	6/1/1983	207RR0500X	NA	Other	026	PHYSICIANS	43088	41	Internal Medicine	0	In state provider	None	2925 SYCAMORE DR	STE 109	SIMI VALLEY	CA	93065	1208	56	06111	34.288398	-118.7439175	Ventura County
158063	Fee-for-Service	1962457978	1962457978	1	1	NGO, KATHLEEN L OD	12/9/2020	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1641 COLUSA HWY	STE 100	YUBA CITY	CA	95993	9438	51	06101	39.14169491	-121.6457097	Sutter County
158068	Fee-for-Service	1558797464	1558797464	1	1	NUNEZ LOPEZ, OMAR MD	9/15/2022	2086S0120X	NA	General Surgery	026	PHYSICIANS	159777	None	None	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
158073	Fee-for-Service	1245204296	1245204296	1	1	NAIR, KAVITA MD	8/31/2023	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	55699	None	None	0	In state provider	None	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	19	06037	34.06704253	-118.3835029	Los Angeles County
158083	Fee-for-Service	1528155835	1528155835	1	1	NGUYEN, HAU THI D MD	8/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80220	18	Ophthalmology	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
158109	Fee-for-Service	1063534204	1063534204	1	1	NGUYEN, TIEN T MD INC	6/12/2008	207T00000X	NA	General Surgery	026	PHYSICIANS	81962	14	Neurological Surgery	0	In state provider	None	11190 WARNER AVE	STE 305	FOUNTAIN VALLEY	CA	92708	4045	30	06059	33.714	-117.9333585	Orange County
158130	Fee-for-Service	1841752102	1841752102	1	1	NGO, TUAN MD	8/1/2023	390200000X	NA	Other	026	PHYSICIANS	185293	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
158198	Fee-for-Service	1295269330	1295269330	1	1	NGUYEN, MARGARET U MD	7/1/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	157331	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
158226	Fee-for-Service	1750527545	1750527545	1	1	NAGY, WHITNEY M RN	2/13/2009	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
158230	Fee-for-Service	1740306513	1740306513	1	1	NOACK, LORENE A LCSW	12/19/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	308 MAIN STREET	STE 7	NEVADA CITY	CA	95959	2500	29	06057	39.264134	-121.0179589	Nevada County
158231	Fee-for-Service	1699203364	1699203364	1	1	NABHAN, SARA N OD	5/30/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1011 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72827776	-121.2904066	Placer County
158234	Fee-for-Service	1245246917	1245246917	1	1	NORTH COUNTY HEALTH PROJECT	7/1/1994	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	37	06073	33.14066871	-117.156095	San Diego County
158263	Fee-for-Service	1134671480	1134671480	1	1	NG, MELVIN L NP	12/13/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
158265	Fee-for-Service	1245289255	1245289255	1	1	NUNELY, MARGARET MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	520 S EAGLE RD	None	MERIDIAN	ID	83642	6351	00	None	43.600527	-116.3518425	Ada County
158310	Fee-for-Service	1265450266	1265450266	1	1	NGUYEN, MAIPHUONG T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	61956	41	Internal Medicine	0	In state provider	None	3230 BEARD RD	None	NAPA	CA	94558	3673	28	06055	38.3216968	-122.2953847	Napa County
158332	Fee-for-Service	1801968656	1801968656	1	1	NGUYEN, KATHERINE-MINH N	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	76775	08	Family Practice	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
158348	Fee-for-Service	1649483504	1649483504	1	1	NORTH & SOUTH OF MARKET	5/1/2006	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	MISSION CREEK DAY HEALTH	930 4TH ST	None	SAN FRANCISCO	CA	94158	1628	38	06075	37.77553408	-122.3932428	San Francisco County
158399	Fee-for-Service	1386092815	1386092815	1	1	NGUYEN, ELAINE MD	1/27/2022	207RP1001X	NA	Pulmonology	026	PHYSICIANS	146998	None	None	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
158424	Fee-for-Service	1962065920	1962065920	1	1	NGUYEN, ANPHONG MD	10/9/2024	207R00000X	NA	Other	026	PHYSICIANS	190579	41	Internal Medicine	0	In state provider	None	1010 MURRAY AVE	None	SAN LUIS OBISPO	CA	93405	1806	40	06079	35.292168	-120.6658665	San Luis Obispo County
158435	Fee-for-Service	1316469331	1316469331	1	1	NGO, ELAINE B OD	6/19/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1635 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
158480	Fee-for-Service	1528242294	1528242294	1	1	NICKSA, GRACE A MD	12/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	113138	40	Pediatrics	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
158484	Fee-for-Service	1558327908	1558327908	1	1	NELSON, STEVEN J MD	7/1/1975	No Taxonomy Provided	NA	None	026	PHYSICIANS	29851	08	Family Practice	0	In state provider	None	800 DOUGLAS RD	None	STOCKTON	CA	95207	3607	39	06077	38.00786919	-121.3210892	San Joaquin County
158521	Fee-for-Service	1245246917	1245246917	1	1	NORTH COUNTY HEALTH PROJECT	1/6/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	37	06073	33.14066871	-117.156095	San Diego County
158536	Fee-for-Service	1043306673	1043306673	1	1	NGUYEN, TENEESE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	61958	41	Internal Medicine	0	In state provider	ST MARTIN FAM MED CLINIC	12555 GARDEN GROVE BLVD	STE 506	GARDEN GROVE	CA	92843	1912	30	06059	33.77450946	-117.913041	Orange County
158655	Fee-for-Service	1477524452	1477524452	1	1	NGUYEN,QUYEN MD	8/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78948	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
158711	Fee-for-Service	1538271648	1538271648	1	1	NGUYEN, CHRISTOPHER MD	7/27/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	83001	41	Internal Medicine	0	In state provider	None	1001 POTRERO AVE	RM 5H	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
158730	Fee-for-Service	1720469919	1720469919	1	1	NGUYEN, THIEU Q MD	7/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152506	41	Internal Medicine	0	In state provider	None	465 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
158760	Fee-for-Service	1225070667	1225070667	1	1	NORTHLAND HEARING CENTERS, I	11/20/2023	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	780 W OLIVE AVE	100	MERCED	CA	95348	2437	24	06047	37.31916174	-120.4814268	Merced County
158809	Fee-for-Service	1245246917	1245246917	1	1	NORTH COUNTY HEALTH PROJECT	10/28/1991	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	37	06073	33.14066871	-117.156095	San Diego County
158822	Fee-for-Service	1386756245	1386756245	1	1	NURANI, RIZWAN D MD	9/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119238	78	Neoplastic Diseases/Oncology	0	In state provider	None	5725 W LAS POSITAS BLVD	#100	PLEASANTON	CA	94588	4054	01	06001	37.688107	-121.8861427	Alameda County
158823	Fee-for-Service	1043306673	1043306673	1	1	NGUYEN, TENEESE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	61958	38	Geriatrics	0	In state provider	ST MARTIN FAM MED CLINIC	12555 GARDEN GROVE BLVD	STE 506	GARDEN GROVE	CA	92843	1912	30	06059	33.77450946	-117.913041	Orange County
158851	Fee-for-Service	1316242183	1316242183	1	1	NIKBAKHT, SEPEEDEH	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
158869	Fee-for-Service	1942544812	1942544812	1	1	NATHAN & AGNES OGBATUE	6/12/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	11860 MAGNOLIA AVE	SUITE J	RIVERSIDE	CA	92503	4911	33	06065	33.89534893	-117.4903478	Riverside County
158876	Fee-for-Service	1659365112	1659365112	1	1	NELSON, WILLIAM E MD	9/24/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	89215	20	Orthopedic Surgery	0	In state provider	None	1001 POTRERO AVE	RM 3A	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
158891	Fee-for-Service	1063501021	1063501021	1	1	NAYAK, SUDHAKER H MD	8/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	42836	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1230 W 3RD ST	None	LOS ANGELES	CA	90017	1408	19	06037	34.05723342	-118.259093	Los Angeles County
158909	Fee-for-Service	1215378930	1215378930	1	1	NGAI, TIFFANY MD	10/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	138387	77	Infectious Disease	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
158933	Fee-for-Service	1326332701	1326332701	1	1	NOVALES GOMOGDA,MICHELLE DO	10/14/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13211	01	General Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
158998	Fee-for-Service	1225325582	1225325582	1	1	NAGORI, ANAND V MD	7/12/2021	207L00000X	NA	Other	026	PHYSICIANS	171725	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
159002	Fee-for-Service	1013592773	1013592773	1	1	NIKITA PATEL MD INC	6/4/2021	207L00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
159040	Fee-for-Service	1568029874	1568029874	1	1	NGUYEN, SAMANTHA C MD	2/12/2024	207R00000X	NA	Other	026	PHYSICIANS	192380	None	None	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
159099	Fee-for-Service	1245246917	1245246917	1	1	NORTH COUNTY HEALTH PROJECT	10/28/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	37	06073	33.14066871	-117.156095	San Diego County
159153	Fee-for-Service	1528502895	1528502895	1	1	NGUYEN, HUYEN MD	7/5/2020	207R00000X	NA	Other	026	PHYSICIANS	160183	41	Internal Medicine	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
159197	Fee-for-Service	1215378930	1215378930	1	1	NGAI, TIFFANY MD	10/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	138387	41	Internal Medicine	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
159276	Fee-for-Service	1114119526	1114119526	1	1	NGUYEN, SON L MD	1/2/2009	207R00000X	NA	Other	026	PHYSICIANS	100779	41	Internal Medicine	0	In state provider	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
159291	Fee-for-Service	1063462950	1063462950	1	1	NEPHROLOGY ASSOCIATES	8/1/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL OFFICE	2301 CIRCADIAN WAY	STE A	SANTA ROSA	CA	95407	5457	49	06097	38.421936	-122.7533895	Sonoma County
159304	Fee-for-Service	1255746475	1255746475	1	1	NOWAKHTAR, TARA DO	6/29/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	16591	None	None	0	In state provider	None	12746 W JEFFERSON BLVD	FL 2-4	LOS ANGELES	CA	90094	2885	19	06037	33.97751255	-118.417598	Los Angeles County
159355	Fee-for-Service	1164089363	1164089363	1	1	NAIDOO, DEVESH MD	7/31/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	181887	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
159357	Fee-for-Service	1912409509	1912409509	1	1	NGUYEN, RONALD DO	7/31/2024	207P00000X	NA	Other	026	PHYSICIANS	22507	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2776 PACIFIC AVE	None	LONG BEACH	CA	90806	2613	19	06037	33.80692698	-118.1936915	Los Angeles County
159378	Fee-for-Service	1295199552	1295199552	1	1	NGUYEN, CATHERINE M MD	9/25/2020	207N00000X	NA	Dermatology	026	PHYSICIANS	168431	07	Dermatology	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
159381	Fee-for-Service	1497318562	1497318562	1	1	NGUYEN, HUGH MD	10/4/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	188605	36	Psychiatry	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
159399	Fee-for-Service	1881884054	1881884054	1	1	NGUYEN, TRUC H MD	9/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95596	40	Pediatrics	0	In state provider	None	2440 FENTON ST	STE 100	CHULA VISTA	CA	91914	3516	37	06073	32.65165623	-116.9555131	San Diego County
159407	Fee-for-Service	1447698915	1447698915	1	1	NADOLSKI, ADAM M MD	6/20/2017	207P00000X	NA	Other	026	PHYSICIANS	131962	66	Emergency Medicine (Urgent Care)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
159429	Fee-for-Service	1386610533	1386610533	1	1	NAZARETH, VIVEK C MD	7/25/1991	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	49648	08	Family Practice	0	In state provider	STE B200	16466 BERNARDO CENTER DR	None	SAN DIEGO	CA	92128	2508	37	06073	33.01375281	-117.0777466	San Diego County
159448	Fee-for-Service	1043455611	1043455611	1	1	NORHEIM, ELIZABETH P MD	10/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	109669	20	Orthopedic Surgery	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
159455	Fee-for-Service	1346626090	1346626090	1	1	NAASIRA, KALEEM MD	11/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152432	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
159474	Fee-for-Service	1194251561	1194251561	1	1	NGUYEN, LONG-CO MD	8/1/2020	207R00000X	NA	Other	026	PHYSICIANS	163450	41	Internal Medicine	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
159486	Fee-for-Service	1851408082	1851408082	1	1	NANAVATI, VIMAL I MD	2/1/1997	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	83522	06	Cardiovascular Disease (M.D. only)	0	In state provider	CRITICAL CARE CARDIOLOGY	752 MEDICAL CENTER COURT	SUITE 210	CHULA VISTA	CA	91911	6661	37	06073	32.61800405	-117.0232585	San Diego County
159495	Fee-for-Service	1982953733	1982953733	1	1	NEEPER, JENNIFER M MD	9/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129194	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
159526	Fee-for-Service	1669568135	1669568135	1	1	NGUYEN, VU A MD	3/23/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	77429	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
159614	Fee-for-Service	1447250618	1447250618	1	1	NOE, TERRI ANN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4300 ALTON RD	None	MIAMI BEACH	FL	33140	2800	00	None	25.81334191	-80.139276	Miami-Dade County
159667	Fee-for-Service	1902078942	1902078942	1	1	NGUYEN, VAN KHANH THI	6/23/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	88003	30	Radiology	0	In state provider	MD	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
159693	Fee-for-Service	1669567079	1669567079	1	1	NGUYEN, YEN T MD	8/23/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	89176	41	Internal Medicine	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	6203	43	06085	37.37715796	-122.0651926	Santa Clara County
159699	Fee-for-Service	1073139630	1073139630	1	1	NGUYEN, KHOA	9/12/2023	390200000X	NA	Other	026	PHYSICIANS	186255	None	None	0	In state provider	None	4760 SUNSET BLVD	None	LOS ANGELES	CA	90027	6063	19	06037	34.09811852	-118.293408	Los Angeles County
159791	Fee-for-Service	1093987539	1093987539	1	1	NORTH VALLEY GI	9/30/2008	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CONSULTANTS	10515 BALBOA BLVD	STE 380	GRANADA HILLS	CA	91344	6383	19	06037	34.261497	-118.502318	Los Angeles County
159793	Fee-for-Service	1740566512	1740566512	1	1	NABILEK, ZOLTAN J PHD	2/26/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1789 W YOSEMITE AVENUE	None	MANTECA	CA	95337	5160	39	06077	37.79964	-121.246425	San Joaquin County
159802	Fee-for-Service	1922411727	1922411727	2	1	NADONAH MEDICAL SUPPLY	4/30/2018	332BX2000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	44245 20TH STREET WEST	None	LANCASTER	CA	93534	4060	19	06037	34.687035	-118.1657765	Los Angeles County
159818	Fee-for-Service	1558582031	1558582031	1	1	NGUYEN, LOAN T	4/5/2011	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1526 E EDGEMONT ST	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
159831	Fee-for-Service	1902023682	1902023682	1	3	NASSER, MOSES S DO	12/23/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	9301	-	NOT APPLICABLE	0	In state provider	None	350 VINTON AVE	STE 102	POMONA	CA	91767	3000	19	06037	34.07937061	-117.746663	Los Angeles County
159845	Fee-for-Service	1245776434	1245776434	1	1	NOREN, ERIK R MD	11/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	143163	02	General Surgery	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
159850	Fee-for-Service	1366741944	1366741944	1	1	NEWTON, HUNTER J CRNA	10/19/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
159860	Fee-for-Service	1104386721	1104386721	1	1	NINH, ALLEN	5/17/2024	207L00000X	NA	Other	026	PHYSICIANS	188064	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
159867	Fee-for-Service	1528170602	1528170602	1	1	NOVATO FIRE DEPARTMENT	1/29/1996	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	7025 REDWOOD BLVD	None	NOVATO	CA	94945	4101	21	06041	38.09790711	-122.5653258	Marin County
159981	Fee-for-Service	1649601113	1649601113	1	2	NR MEDICAL ASSOCIATES	2/4/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	5640 AZTEC DR	None	LA MESA	CA	91942	1948	37	06073	32.7819769	-117.0276318	San Diego County
160045	Fee-for-Service	1790459675	1790459675	1	1	NORTON, GLORIA M OT	4/26/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1251 E DYER RD	SUITE 150	SANTA ANA	CA	92705	5662	30	06059	33.70870351	-117.8551005	Orange County
160099	Fee-for-Service	1376839167	1376839167	1	1	NGANN, KUONG K DO	2/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12099	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
160100	Fee-for-Service	1386278950	1386278950	1	1	NORLIN, EMILIA M MD	12/13/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	09	Gynecology (D.O. only)	0	In state provider	None	501 J ST	None	SACRAMENTO	CA	95814	2325	34	06067	38.582118	-121.499325	Sacramento County
160170	Fee-for-Service	1700499027	1700499027	1	1	NURSES CHOICE HOSPICE CARE I	8/26/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5236 COLODNY DR	STE 206A	AGOURA HILLS	CA	91301	4913	19	06037	34.14403336	-118.742661	Los Angeles County
160307	Fee-for-Service	1508290412	1508290412	1	1	NEAL, OCTAVIA J LMFT	4/4/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1400 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
160386	Fee-for-Service	1386278950	1386278950	1	1	NORLIN, EMILIA M MD	12/13/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	15	Obstetrics (D.O. only)	0	In state provider	None	501 J ST	None	SACRAMENTO	CA	95814	2325	34	06067	38.582118	-121.499325	Sacramento County
160458	Fee-for-Service	1700499027	1700499027	1	1	NURSES CHOICE HOSPICE CARE I	8/26/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5236 COLODNY DR	STE 206A	AGOURA HILLS	CA	91301	4913	19	06037	34.14403336	-118.742661	Los Angeles County
160472	Fee-for-Service	1306165576	1306165576	1	1	NADIMPALLI, SRUTI S MD	1/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	108185	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
160540	Fee-for-Service	1285832824	1285832824	1	1	NAHEED, NARGIS MD	8/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	53791	77	Infectious Disease	0	In state provider	None	2828 FRESNO ST	STE 203	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
160548	Fee-for-Service	1023252269	1023252269	1	1	NATALIE D JORDAN M.D	8/16/2023	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1001 TOWSON AVE	FL 6	FORT SMITH	AR	72901	4921	00	None	35.374455	-94.42107	Sebastian County
160550	Fee-for-Service	1134381551	1134381551	1	1	NOURI, NAVID MD	11/7/2022	2085N0700X	NA	MRI Provider	026	PHYSICIANS	145843	None	None	0	In state provider	None	1800 NORTH CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
160582	Fee-for-Service	1184905044	1184905044	1	1	NGUYEN, ELIZABETH W MD	7/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126068	05	Anesthesiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94114	2204	38	06075	37.7634502	-122.4579779	San Francisco County
160600	Fee-for-Service	1083983381	1083983381	1	1	NUNES, ROBERT F JR LMFT	8/14/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	490 S FARRELL DR	STE C208	PALM SPRINGS	CA	92262	7944	33	06065	33.81651	-116.5180015	Riverside County
160618	Fee-for-Service	1790838449	1790838449	1	1	NGUYEN, HUU T NP	7/7/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9246 VALLEY BLVD	SUITE A	ROSEMEAD	CA	91770	1922	19	06037	34.08099611	-118.0680747	Los Angeles County
160657	Fee-for-Service	1255942207	1255942207	1	1	NGUYEN, TINA OD	10/20/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7056 ARCHIBALD AVE	STE 107	CORONA	CA	92880	8714	33	06065	33.959457	-117.593014	Riverside County
160659	Fee-for-Service	1609947639	1609947639	1	1	NGUYEN, PHUC T MD	3/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	66701	30	Radiology	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
160681	Fee-for-Service	1174102040	1174102040	1	1	NAKAI, JASPREET S MD	10/7/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	7300 N FRESNO	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
160693	Fee-for-Service	1023003928	1023003928	1	1	NATIONS, RYAN L	6/26/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
160747	Fee-for-Service	1366515231	1366515231	1	1	NEDELCU, ELENA G MD	12/5/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	88337	22	Pathology (M.D. only)	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
160760	Fee-for-Service	1306165576	1306165576	1	1	NADIMPALLI, SRUTI S MD	1/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	108185	77	Infectious Disease	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
160776	Fee-for-Service	1851896732	1851896732	1	1	NESTERYUK, VASYL DO	3/12/2025	207R00000X	NA	Other	026	PHYSICIANS	17627	68	Hematology	0	In state provider	None	1643 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.74688342	-121.2469903	Placer County
160829	Fee-for-Service	1285832824	1285832824	1	1	NAHEED, NARGIS MD	8/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	53791	41	Internal Medicine	0	In state provider	None	2828 FRESNO ST	STE 203	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
160848	Fee-for-Service	1316938871	1316938871	1	1	NAGARKAR, SUMANT M MD	9/30/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	80038	01	General Practice	0	In state provider	None	30300 RANCHO VIEJO RD	None	SAN JUAN CAPISTRA	CA	92675	1576	30	06059	33.52255638	-117.6650853	Orange County
160878	Fee-for-Service	1023363223	1023363223	1	1	NEJAD, MITRA I MD	10/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	130140	18	Ophthalmology	0	In state provider	None	100 STEIN PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06489065	-118.4443287	Los Angeles County
160925	Fee-for-Service	1235403932	1235403932	1	1	NAPA VALLEY CARDIOTHORACIC	11/20/2014	193200000X	NA	Other	026	PHYSICIANS	76329	33	Thoracic Surgery	0	In state provider	AND CARDIOVASCULAR	3434 VILLA LN	STE 380	NAPA	CA	94558	6416	28	06055	38.32515937	-122.2938358	Napa County
160946	Fee-for-Service	1609947639	1609947639	1	1	NGUYEN, PHUC T MD	3/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	66701	01	General Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
160955	Fee-for-Service	1083628036	1083628036	2	1	NGUYEN, ANNMARIE T MD	1/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	69150	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
160960	Fee-for-Service	1922657485	1922657485	1	1	NGUYEN, PAUL H DPM	12/9/2024	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	3633 CAMINO DEL RIO S	STE 300	SAN DIEGO	CA	92108	4011	37	06073	32.77798059	-117.1163142	San Diego County
160964	Fee-for-Service	1902805898	1902805898	1	1	NILAKANTAN, SHANTI MD	2/1/2000	207R00000X	NA	Other	026	PHYSICIANS	38477	41	Internal Medicine	0	In state provider	None	500 ALAMITOS AVE	None	LONG BEACH	CA	90802	1614	19	06037	33.77330398	-118.1807838	Los Angeles County
161023	Fee-for-Service	1235830001	1235830001	1	1	NURTUREHOOD LLC	7/12/2024	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2755 CALPINE PL	None	CONCORD	CA	94518	2610	07	06013	37.94609834	-122.0235313	Contra Costa County
161062	Fee-for-Service	1851896732	1851896732	1	1	NESTERYUK, VASYL DO	3/12/2025	207R00000X	NA	Other	026	PHYSICIANS	17627	41	Internal Medicine	0	In state provider	None	1643 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.74688342	-121.2469903	Placer County
161081	Fee-for-Service	1487099552	1487099552	1	1	NG, JARAE J DO	10/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14120	41	Internal Medicine	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
161130	Fee-for-Service	1265964092	1265964092	1	1	NASSAR, DANIEL T DO	7/11/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	21195	None	None	0	In state provider	None	200 UCLA MEDICAL PLAZA	None	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
161165	Fee-for-Service	1215191358	1215191358	1	1	NORTH LAKE VILLAS, INC	9/1/2008	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	ADMINISTRATOR	2851 NORTH LAKE AVE	None	ALTADENA	CA	91001	1619	19	06037	34.19480125	-118.1311468	Los Angeles County
161213	Fee-for-Service	1235403932	1235403932	1	1	NAPA VALLEY CARDIOTHORACIC	11/20/2014	193200000X	NA	Other	026	PHYSICIANS	76329	06	Cardiovascular Disease (M.D. only)	0	In state provider	AND CARDIOVASCULAR	3434 VILLA LN	STE 380	NAPA	CA	94558	6416	28	06055	38.32515937	-122.2938358	Napa County
161250	Fee-for-Service	1902805898	1902805898	1	1	NILAKANTAN, SHANTI MD	2/1/2000	207R00000X	NA	Other	026	PHYSICIANS	38477	67	Endocrinology	0	In state provider	None	500 ALAMITOS AVE	None	LONG BEACH	CA	90802	1614	19	06037	33.77330398	-118.1807838	Los Angeles County
161296	Fee-for-Service	1972786275	1972786275	1	2	NALLURI, VENKATARAMANA K MD	1/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119232	08	Family Practice	0	In state provider	None	9400 NO NAME UNO	None	GILROY	CA	95020	3528	43	06085	37.03498475	-121.5729235	Santa Clara County
161350	Fee-for-Service	1881753549	1881753549	1	1	NIMALASURIYA, ANANDA MD	5/31/1982	207RE0101X	NA	Endocrinology	026	PHYSICIANS	39863	41	Internal Medicine	0	In state provider	None	679 S WESTLAKE AVE	None	LOS ANGELES	CA	90057	3505	19	06037	34.05635295	-118.2754139	Los Angeles County
161382	Fee-for-Service	1528234366	1528234366	1	1	NASR, NAVA MD	4/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116038	41	Internal Medicine	0	In state provider	None	3 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3087	31	06061	38.76566391	-121.2457432	Placer County
161435	Fee-for-Service	1912074816	1912074816	1	1	NGUYEN, AMY NGOC MD	12/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78946	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
161454	Fee-for-Service	1902338478	1902338478	1	1	NGUYEN, HIEU T MD	8/12/2022	207L00000X	NA	Other	026	PHYSICIANS	172356	None	None	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
161461	Fee-for-Service	1306158159	1306158159	2	1	NOR CAL EMERGENCY PHYSICIANS	8/15/2011	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL GROUP INC	1100 BUTTE STREET	None	REDDING	CA	96001	0852	45	06089	40.5853603	-122.3869865	Shasta County
161471	Fee-for-Service	1609805845	1609805845	1	1	NEWLANDER, JOHN K MD	4/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	82254	08	Family Practice	0	In state provider	None	117 W BUNNY AVE	None	SANTA MARIA	CA	93458	2805	42	06083	34.96327701	-120.4368111	Santa Barbara County
161482	Fee-for-Service	1053416867	1053416867	1	1	NEUGER, ELIZABETH L MD	10/3/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	89423	02	General Surgery	0	In state provider	None	2321 HARRISON AVE	None	EUREKA	CA	95501	2316	12	06023	40.786857	-124.1396125	Humboldt County
161519	Fee-for-Service	1245739820	1245739820	1	1	NORTHRIDGE VASCULAR CENTER A	12/13/2019	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC.	19331 BUSINESS CENTER DR	STE 102	NORTHRIDGE	CA	91324	3533	19	06037	34.23134428	-118.5551514	Los Angeles County
161555	Fee-for-Service	1982752960	1982752960	1	1	NAJARIAN, PAUL MD	3/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	72531	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
161557	Fee-for-Service	1750612719	1750612719	1	1	NJEMANZE, CINDY U MD	4/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	109906	40	Pediatrics	0	In state provider	None	1045 ATLANTIC AVE	SUITE 715	LONG BEACH	CA	90813	3412	19	06037	33.780267	-118.1850795	Los Angeles County
161603	Fee-for-Service	1548726201	1548726201	1	1	NOVELL, ROBERT B LMFT	2/2/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
161634	Fee-for-Service	1801368790	1801368790	1	1	NELNAR HOME HEALTH CARE INC	10/9/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14640 VICTORY BLVD	STE 217	VAN NUYS	CA	91411	1623	19	06037	34.18663255	-118.452402	Los Angeles County
161637	Fee-for-Service	1295155661	1295155661	1	1	NANCY CREECH	5/17/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVENUE 27TH ST	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
161652	Fee-for-Service	1831715242	1831715242	1	1	NOELLE, KALINA CP	4/24/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 MONTGOMERY	STE 204	SAN FRANCISCO	CA	94104	1902	38	06075	37.7923269	-122.4026145	San Francisco County
161655	Fee-for-Service	1184930844	1184930844	1	1	NGUYEN, KIM T PHD	5/14/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA STREET	SUITE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
161663	Fee-for-Service	1972858934	1972858934	1	1	NEHER, PAMELA V LCSW	12/27/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
161684	Fee-for-Service	1023185030	1023185030	1	1	NGUYEN, RICHARD T DO	8/14/2007	208600000X	NA	General Surgery	026	PHYSICIANS	10031	02	General Surgery	0	In state provider	None	2450 SAMARITAN DRIVE	SUITE 1	SAN JOSE	CA	95124	3912	43	06085	37.25106049	-121.9480065	Santa Clara County
161715	Fee-for-Service	1093370355	1093370355	1	1	NGUYEN, ANTHONY H DO	8/1/2022	207R00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	6900 NORTH DURANGO DRIVE	None	LAS VEGAS	NV	89149	4409	00	None	36.28701289	-115.2877045	Clark County
161748	Fee-for-Service	1548322720	1548322720	1	1	NORTHEASTERN PA HEALTH	9/11/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	700 E BROAD STREET	None	HAZELTON	PA	18201	6835	00	None	40.94966819	-75.96281537	Luzerne County
161767	Fee-for-Service	1548764863	1548764863	1	1	NAYAK, JAGANNATH S MD	7/19/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	166879	None	None	0	In state provider	None	1805 MEDICAL CENTER DRIV	None	SAN BERNARDINO	CA	92411	1217	36	06071	34.131303	-117.3225325	San Bernardino County
161865	Fee-for-Service	1659308179	1659308179	1	1	NAQVI, SYED MD	4/30/1999	174400000X	NA	Other	026	PHYSICIANS	54485	36	Psychiatry	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
161891	Fee-for-Service	1275066607	1275066607	1	1	NATHWANI, KOSHA G MD	6/15/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	171562	None	None	0	In state provider	None	555 TACHEVAH DR	SUITE 2E-107	PALM SPRINGS	CA	92262	5752	33	06065	33.83753681	-116.5424435	Riverside County
161943	Fee-for-Service	1588757066	1588757066	1	1	NITTA, RANDALL J. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	98-1079 MOANALUA RD	STE 610	AIEA	HI	96701	4716	00	None	21.38373524	-157.937629	Honolulu County
161947	Fee-for-Service	1023106846	1023106846	1	1	NICHOLS, LAWRENCE MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	23444	07	Dermatology	0	In state provider	None	5471 LA PALMA AVE	STE 202	LA PALMA	CA	90623	4700	30	06059	33.84643649	-118.0377675	Orange County
161981	Fee-for-Service	1588189732	1588189732	1	1	NELSON, STEVEN C	3/26/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	132 W 10TH ST	None	SAN PEDRO	CA	90731	3702	19	06037	33.73515384	-118.2811376	Los Angeles County
162025	Fee-for-Service	1649478272	1649478272	1	1	NAIR, SRIKUMAR P MD	7/30/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128910	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
162038	Fee-for-Service	1548322720	1548322720	1	1	NORTHEASTERN PA HEALTH	6/14/2008	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	700 E BROAD STREET	None	HAZELTON	PA	18201	6835	00	None	40.94966819	-75.96281537	Luzerne County
162211	Fee-for-Service	1336477173	1336477173	1	1	NOETH, ERINN K MD	5/25/2010	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	111279	30	Radiology	0	In state provider	None	44725 10TH ST W	STE 150	LANCASTER	CA	93535	3000	19	06037	34.695693	-118.1480965	Los Angeles County
162234	Fee-for-Service	1639539661	1639539661	1	1	NIRVANA DRUG AND ALCOHOL TR	3/5/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	EN OF HOPE	1116 ALICE ST	None	MODESTO	CA	95350	5905	50	06099	37.64725064	-121.007524	Stanislaus County
162258	Fee-for-Service	1063564169	1063564169	1	1	NOIA RESIDENTIAL SERVICES	10/17/1994	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1236 E GETTYSBURG AVE	None	FRESNO	CA	93704	3309	10	06019	36.80121575	-119.7954209	Fresno County
162268	Fee-for-Service	1083961379	1083961379	1	1	NAIM, DAN MD A MEDICAL	5/8/2013	207RP1001X	NA	Pulmonology	026	PHYSICIANS	96311	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	6222 WILSHIRE BLVD	STE 303	LOS ANGELES	CA	90048	5193	19	06037	34.06325771	-118.3641574	Los Angeles County
162283	Fee-for-Service	1053484964	1053484964	1	1	NEPOMUCENO, CECILIA A PHD	2/26/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3840 HOMESTEAD RD	None	SANTA CLARA	CA	95051	5173	43	06085	37.33774954	-122.002065	Santa Clara County
162284	Fee-for-Service	1053140624	1053140624	1	1	NOVA HEALTH PHARMA	10/22/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8346 TOPANGA CANYON BLVD	None	WEST HILLS	CA	91304	2344	19	06037	34.221285	-118.605973	Los Angeles County
162285	Fee-for-Service	1952340689	1952340689	1	1	NEUBAUER, STEVEN W MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	SACRED HEART HOSPITAL	1255 HILYARD ST	None	EUGENE	OR	97401	3718	00	None	44.04647879	-123.0820996	Lane County
162296	Fee-for-Service	1376635680	1376635680	1	1	NELSON, NANCY K MD	2/4/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	50283	36	Psychiatry	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
162313	Fee-for-Service	1528351079	1528351079	1	1	NGO, KIM NGOC L DO	10/14/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13387	41	Internal Medicine	0	In state provider	None	450 EAST ROMIE LANE	None	SALINAS	CA	93901	4029	27	06053	36.65983988	-121.6458041	Monterey County
162319	Fee-for-Service	1881671154	1881671154	1	1	NGUYEN, VY P MD	8/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67518	41	Internal Medicine	0	In state provider	None	24411 HEALTH CENTER DR	STE 550	LAGUNA HILLS	CA	92653	3687	30	06059	33.6087201	-117.7076948	Orange County
162408	Fee-for-Service	1144497561	1144497561	1	1	NATCHEVA-SMITAMAN, PAVLINA S	5/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120290	01	General Practice	0	In state provider	MD	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
162512	Fee-for-Service	1720169576	1720169576	1	1	NORRIS, DONALD L II MD	6/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	55252	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4001 J STREET	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
162532	Fee-for-Service	1316265986	1316265986	1	1	NGARUIYA, CHRISTINE M MD	1/30/2024	207P00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
162536	Fee-for-Service	1528134798	1528134798	1	1	NELSON, AMY M	6/8/2018	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
162553	Fee-for-Service	1801412002	1801412002	1	1	NKANSA, KWASI OT	10/31/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
162557	Fee-for-Service	1083961379	1083961379	1	1	NAIM, DAN MD A MEDICAL	5/8/2013	207RP1001X	NA	Pulmonology	026	PHYSICIANS	96311	41	Internal Medicine	0	In state provider	None	6222 WILSHIRE BLVD	STE 303	LOS ANGELES	CA	90048	5193	19	06037	34.06325771	-118.3641574	Los Angeles County
162577	Fee-for-Service	1255866638	1255866638	1	1	NAM, YOO J LMFT	1/17/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4760 SUNSET BLVD	None	LOS ANGELES	CA	90027	6063	19	06037	34.09811852	-118.293408	Los Angeles County
162596	Fee-for-Service	1598952509	1598952509	1	1	NAVARRO, ELISHA C CRNA	6/15/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92111	2418	37	06073	32.79293009	-117.0952438	San Diego County
162625	Fee-for-Service	1528388337	1528388337	1	1	NGUYEN, CAROLINE T MD	7/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120689	67	Endocrinology	0	In state provider	None	1520 SAN PABLO STREET	SUITE 1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
162680	Fee-for-Service	1285612028	1285612028	1	1	NGUYEN, CHAU T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	34181	01	General Practice	0	In state provider	None	2116 MCKEE RD	STE C	SAN JOSE	CA	95116	1427	43	06085	37.36309299	-121.8531192	Santa Clara County
162696	Fee-for-Service	1770791964	1770791964	1	1	NEIL, WILLIAM P MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111200	13	Neurology (M.D. only)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
162771	Fee-for-Service	1194903773	1194903773	1	1	NIAZI, ZAHID B M MD INC	10/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51628	24	Plastic Surgery	0	In state provider	None	9401 E STOCKTON BLVD	STE 220	ELK GROVE	CA	95624	5051	34	06067	38.416032	-121.391199	Sacramento County
162781	Fee-for-Service	1720006729	1720006729	1	1	NEAL, NATHANIEL MD	9/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	52451	41	Internal Medicine	0	In state provider	None	340 GOLDEN SHR	STE 100	LONG BEACH	CA	90802	4237	19	06037	33.76405848	-118.1995605	Los Angeles County
162813	Fee-for-Service	1619293495	1619293495	1	1	NAVARRO, MIGUEL A M MD	11/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	9300 W SUNSET ROAD	None	LAS VEGAS	NV	89148	4844	00	None	36.072729	-115.295094	Clark County
162845	Fee-for-Service	1225070667	1225070667	1	4	NORTHLAND HEARING CENTERS, I	8/13/2024	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	24310 MOULTON PKWY	SUITE D	LAGUNA WOODS	CA	92637	3306	30	06059	33.60876807	-117.724058	Orange County
162852	Fee-for-Service	1952965972	1952965972	1	1	NIEU, RITA OD	5/6/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
162888	Fee-for-Service	1033186747	1033186747	1	1	NEUMANN, CHARLES A OD	11/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	1450	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1133 W SYCAMORE ST	None	WILLOWS	CA	95988	2601	11	06021	39.5205105	-122.2082775	Glenn County
162910	Fee-for-Service	1831674951	1831674951	1	1	NOA-KEMPNER, MARY LPCC	5/22/2024	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	21125 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91355	1356	19	06037	34.41164827	-118.5053439	Los Angeles County
162913	Fee-for-Service	1528388337	1528388337	1	1	NGUYEN, CAROLINE T MD	7/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120689	41	Internal Medicine	0	In state provider	None	1520 SAN PABLO STREET	SUITE 1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
162926	Fee-for-Service	1215126800	1215126800	1	1	NGUYEN, THOMAS T MD	1/4/2008	207R00000X	NA	Other	026	PHYSICIANS	90332	41	Internal Medicine	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
163013	Fee-for-Service	1265764781	1265764781	1	1	NALLAMOTHU, RAVINDRA N MD	7/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	137072	01	General Practice	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
163052	Fee-for-Service	1851087639	1851087639	1	1	NGUYEN, VIVICA V NP	7/5/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9727 ELK GROVE FLORIN RD	SUITE 250	ELK GROVE	CA	95624	2266	34	06067	38.404503	-121.370994	Sacramento County
163069	Fee-for-Service	1720006729	1720006729	1	1	NEAL, NATHANIEL MD	9/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	52451	83	Rheumatology	0	In state provider	None	340 GOLDEN SHR	STE 100	LONG BEACH	CA	90802	4237	19	06037	33.76405848	-118.1995605	Los Angeles County
163071	Fee-for-Service	1639238140	1639238140	1	1	NGUYEN, NGOC T MD INC	8/6/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	2380 MONTPELIER DR	STE 300	SAN JOSE	CA	95116	1620	43	06085	37.36522881	-121.8474637	Santa Clara County
163095	Fee-for-Service	1255053039	1255053039	1	1	NORDAN MANAGEMENT COMPANY IN	2/2/2023	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	930 COACH ST	None	STOCKTON	CA	95209	1438	39	06077	38.04054052	-121.324068	San Joaquin County
163118	Fee-for-Service	1497967459	1497967459	1	1	NOONE, MELISSA A MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	102173	05	Anesthesiology	0	In state provider	None	1100 LAS TABLAS RD	None	TEMPLETON	CA	93465	0959	40	06079	35.55442648	-120.719754	San Luis Obispo County
163119	Fee-for-Service	1770659278	1770659278	1	1	NURICK, HARVEY A MD INC	4/1/1999	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	7111 INDIANA AVE	STE 100	RIVERSIDE	CA	92504	4543	33	06065	33.93924242	-117.3973049	Riverside County
163197	Fee-for-Service	1386015923	1386015923	1	1	NUNLEY, KIMBERLIE A LCSW	11/29/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
163207	Fee-for-Service	1932305968	1932305968	1	1	NORTH COAST MEDICAL CENTER	6/9/2015	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	INC	2465 SUMMERFIELD ROAD	None	SANTA ROSA	CA	95405	7815	49	06097	38.441268	-122.6621745	Sonoma County
163214	Fee-for-Service	1538587233	1538587233	1	1	NOJAN, MIRIAM MD	11/15/2017	390200000X	NA	Other	026	PHYSICIANS	139897	None	None	0	In state provider	None	3460 E LA PALMA AVENUE	None	ANAHEIM	CA	92806	2020	30	06059	33.85429451	-117.8446551	Orange County
163270	Fee-for-Service	1275812968	1275812968	1	1	NIJJER, HARMANDEEP NP	2/14/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
163330	Fee-for-Service	1558372896	1558372896	1	1	NICHOLS, EDWARD L MD AMC	9/26/2009	207R00000X	NA	Other	026	PHYSICIANS	44178	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3801 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	5731	15	06029	35.39450879	-119.0082635	Kern County
163331	Fee-for-Service	1457634404	1457634404	1	1	NGUYEN, THU OD	10/23/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 E PALOMAR ST	None	CHULA VISTA	CA	91931	1800	37	06073	32.62382113	-116.9960539	San Diego County
163335	Fee-for-Service	1407954662	1407954662	1	1	NYQUIST SARA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2800 10TH AVE N	None	BILLINGS	MT	59101	0703	00	None	45.789696	-108.5132835	Yellowstone County
163337	Fee-for-Service	1053732636	1053732636	1	1	NGO, LYNDA T MD	7/24/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145305	41	Internal Medicine	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
163338	Fee-for-Service	1861453151	1861453151	1	1	NANEVICZ, TANIA M MD	6/30/1995	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	77614	41	Internal Medicine	0	In state provider	None	1001 POTRERO AVE	RM 5G1	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
163352	Fee-for-Service	1407986466	1407986466	1	1	NUNES, RICHARD J MD	8/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	69781	26	Psychiatry (child)	0	In state provider	None	4125 BANGS AVENUE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
163367	Fee-for-Service	1790891539	1790891539	1	1	NOOREEN, SAIQUA MD	11/20/2007	207R00000X	NA	Other	026	PHYSICIANS	96731	41	Internal Medicine	0	In state provider	None	3160 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5219	34	06067	38.568393	-121.4658585	Sacramento County
163390	Fee-for-Service	1790856755	1790856755	1	1	NANDA, RAY R MD	8/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85909	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3111 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	5829	19	06037	33.97284681	-118.2119367	Los Angeles County
163487	Fee-for-Service	1568849172	1568849172	1	1	NWADIUKO, JOSEPH C MD	6/3/2022	207R00000X	NA	Other	026	PHYSICIANS	172073	None	None	0	In state provider	None	1245 16TH STREET	SUITE 125, 204, 307	SANTA MONICA	CA	90404	1240	19	06037	34.02726451	-118.4857138	Los Angeles County
163540	Fee-for-Service	1730144437	1730144437	1	1	NGUYEN, HANH T MD	6/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68181	41	Internal Medicine	0	In state provider	None	1692 TULLY RD	STE 10	SAN JOSE	CA	95122	2550	43	06085	37.3212391	-121.8273245	Santa Clara County
163563	Fee-for-Service	1548489602	1548489602	1	1	NORTH PACIFIC DERMATOLOGY A	12/5/2018	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	MEDICAL CORPORATION	4715 VALLEY EAST BLVD	STE 3	ARCATA	CA	95521	3586	12	06023	40.90112023	-124.0814061	Humboldt County
163569	Fee-for-Service	1336155605	1336155605	1	1	NELSON, JAMES A MD	3/20/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	84468	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
163571	Fee-for-Service	1194098210	1194098210	1	1	NACINO, ISMAEL B MD INC	2/26/2013	193400000X	NA	Other	026	PHYSICIANS	44650	05	Anesthesiology	0	In state provider	None	21530 S PIONEER BLVD	None	HAWAIIAN GARDENS	CA	90716	2608	19	06037	33.83358457	-118.0817796	Los Angeles County
163587	Fee-for-Service	1073900106	1073900106	1	1	NUMAIR, OSMAN MD	7/5/2021	207RA0201X	NA	Other	026	PHYSICIANS	160363	None	None	0	In state provider	None	45 E SAN JOAQUIN ST	None	SALINAS	CA	93901	2903	27	06053	36.65855611	-121.6575982	Monterey County
163618	Fee-for-Service	1568765501	1568765501	1	1	NOWAKOWSKI, MARYSIA A	12/17/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	11105 KNOTT AVE	STE A-B	CYPRESS	CA	90630	5137	30	06059	33.80083909	-118.0111199	Orange County
163619	Fee-for-Service	1558372896	1558372896	1	1	NICHOLS, EDWARD L MD AMC	9/26/2009	207R00000X	NA	Other	026	PHYSICIANS	44178	08	Family Practice	0	In state provider	None	3801 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	5731	15	06029	35.39450879	-119.0082635	Kern County
163726	Fee-for-Service	1477852705	1477852705	1	1	NJENGA, ANTHONY M CRNA	8/26/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
163764	Fee-for-Service	1285071274	1285071274	1	1	NATHAN LILYA	5/20/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	714 W PINE ST	None	NEWPORT	WA	99156	9046	00	None	48.1820733	-117.0490023	Pend Oreille County
163787	Fee-for-Service	1710244892	1710244892	1	1	NOUD, MEAGHAN T MD	6/19/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147525	04	Otology, Laryngology, Rhinology	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
163834	Fee-for-Service	1881772986	1881772986	1	1	NOCK, EMILY J MD	12/17/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	77971	41	Internal Medicine	0	In state provider	None	320 LENNON LN	None	WALNUT CREEK	CA	94598	2419	07	06013	37.92699561	-122.0292732	Contra Costa County
163852	Fee-for-Service	1548489602	1548489602	1	1	NORTH PACIFIC DERMATOLOGY A	7/1/2007	193400000X	NA	Other	026	PHYSICIANS	77600	07	Dermatology	0	In state provider	MEDICAL CORPORATION	4715 VALLEY EAST BLVD	STE 3	ARCATA	CA	95521	3586	12	06023	40.90112023	-124.0814061	Humboldt County
163899	Fee-for-Service	1962483834	1962483834	1	1	NAKATA, DENNIS A MD	9/15/1997	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	34989	08	Family Practice	0	In state provider	None	275 W HERNDON AVE	None	CLOVIS	CA	93612	0204	10	06019	36.83766747	-119.715174	Fresno County
163900	Fee-for-Service	1669771879	1669771879	1	1	NAGIEL, AARON MD	5/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125048	18	Ophthalmology	0	In state provider	None	200 STEIN PLAZA	1-340	LOS ANGELES	CA	90095	0001	19	06037	34.06482757	-118.4443441	Los Angeles County
163909	Fee-for-Service	1558372896	1558372896	1	1	NICHOLS, EDWARD L MD AMC	9/26/2009	207R00000X	NA	Other	026	PHYSICIANS	44178	41	Internal Medicine	0	In state provider	None	3801 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	5731	15	06029	35.39450879	-119.0082635	Kern County
164012	Fee-for-Service	1225301146	1225301146	1	1	NINOMIYA, YUKO PSYD	10/13/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	870 MARKET STREET	907	SAN FRANCISCO	CA	94102	2904	38	06075	37.7848184	-122.4070488	San Francisco County
164118	Fee-for-Service	1770505299	1770505299	1	1	NALTSAS, STEVEN MD	11/30/2010	174400000X	NA	Other	026	PHYSICIANS	37351	07	Dermatology	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
164139	Fee-for-Service	1548489602	1548489602	1	1	NORTH PACIFIC DERMATOLOGY A	7/1/2007	193400000X	NA	Other	026	PHYSICIANS	77600	08	Family Practice	0	In state provider	MEDICAL CORPORATION	4715 VALLEY EAST BLVD	STE 3	ARCATA	CA	95521	3586	12	06023	40.90112023	-124.0814061	Humboldt County
164195	Fee-for-Service	1407892490	1407892490	1	1	NABILI, SIAMAK N MD	1/22/2019	208M00000X	NA	Other	026	PHYSICIANS	83984	41	Internal Medicine	0	In state provider	None	26991 CROWN VALLEY PKWY	100	MISSION VIEJO	CA	92691	6528	30	06059	33.56210341	-117.6694207	Orange County
164303	Fee-for-Service	1770796781	1770796781	1	1	NANIGIAN, DANIELLE B MD	11/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	90412	30	Radiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
164368	Fee-for-Service	1023662269	1023662269	1	1	NASERI, GHAZAL OD	11/3/2020	152WC0802X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
164422	Fee-for-Service	1437662582	1437662582	1	2	NOVATRANS LLC	10/22/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1931 OLD MIDDLEFIELD WAY	208-B	MOUNTAIN VIEW	CA	94043	2557	43	06085	37.41423073	-122.0883933	Santa Clara County
164423	Fee-for-Service	1578854212	1578854212	1	1	NIKOGHOSYAN, LIANA MD	1/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	121907	41	Internal Medicine	0	In state provider	None	215 WEST JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
164429	Fee-for-Service	1669859732	1669859732	1	1	NIKU, DANIEL MD	4/30/2020	363LX0001X	NA	Nurse Practitioner	026	PHYSICIANS	161121	09	Gynecology (D.O. only)	0	In state provider	None	2007 WILSHIRE BLVD FL 3	None	LOS ANGELES	CA	90057	3519	19	06037	34.05752718	-118.2749855	Los Angeles County
164495	Fee-for-Service	1811585912	1811585912	1	1	NEELYX LABS, INC	11/28/2023	246RM2200X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	330 GEORGETOWN SQ	None	WOOD DALE	IL	60191	2752	00	None	41.9649733	-87.99655556	DuPage County
164514	Fee-for-Service	1245492321	1245492321	1	1	NORTHERN CALIFORNIA MEDICAL	8/16/1999	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	ASSOCIATES	1701 4TH ST	STE 100	SANTA ROSA	CA	95404	3661	49	06097	38.448801	-122.699439	Sonoma County
164526	Fee-for-Service	1811696230	1811696230	1	1	NNADI, TOCHUKWU C NP	2/7/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
164557	Fee-for-Service	1881707818	1881707818	1	1	NIGRO, JOHN J MD	3/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	80887	33	Thoracic Surgery	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
164593	Fee-for-Service	1770796781	1770796781	1	1	NANIGIAN, DANIELLE B MD	11/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	90412	78	Neoplastic Diseases/Oncology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
164705	Fee-for-Service	1679270052	1679270052	1	1	NANDRA, KAVITA K LCSW	9/12/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
164709	Fee-for-Service	1447813464	1447813464	1	1	NAEGLE, JEANINE ELAINE A MD	6/5/2023	207L00000X	NA	Other	026	PHYSICIANS	182117	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
164716	Fee-for-Service	1669859732	1669859732	1	1	NIKU, DANIEL MD	4/30/2020	363LX0001X	NA	Nurse Practitioner	026	PHYSICIANS	161121	15	Obstetrics (D.O. only)	0	In state provider	None	2007 WILSHIRE BLVD FL 3	None	LOS ANGELES	CA	90057	3519	19	06037	34.05752718	-118.2749855	Los Angeles County
164723	Fee-for-Service	1912965096	1912965096	1	1	NGUYEN, THONG Q MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	62255	41	Internal Medicine	0	In state provider	None	1144 COFFEE RD	None	MODESTO	CA	95355	4205	50	06099	37.659627	-120.9756125	Stanislaus County
164839	Fee-for-Service	1093197543	1093197543	1	1	NATERAS ARREOLA, AICHEL MD	2/14/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151610	None	None	0	In state provider	None	1400 E PALOMAR ST	None	CHULA VISTA	CA	91913	1800	37	06073	32.62382113	-116.9960539	San Diego County
164844	Fee-for-Service	1881707818	1881707818	1	1	NIGRO, JOHN J MD	3/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	80887	02	General Surgery	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
164851	Fee-for-Service	1568485332	1568485332	1	1	NGUYEN, CUONG D MD	12/31/1995	207P00000X	NA	Other	026	PHYSICIANS	50399	66	Emergency Medicine (Urgent Care)	0	In state provider	None	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
164935	Fee-for-Service	1043523327	1043523327	1	1	NARANG, NEERA S MD	6/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118120	83	Rheumatology	0	In state provider	None	1190 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48941956	-122.2227204	San Mateo County
164944	Fee-for-Service	1528339850	1528339850	1	1	NEWSOM, STEPHANIE M LMFT	9/19/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	402 JUDSON DR	None	LA HONDA	CA	94020	0001	41	06081	37.31993476	-122.2646021	San Mateo County
164984	Fee-for-Service	1699853408	1699853408	1	1	NATHAN, CHINEDUM MD	6/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61018	41	Internal Medicine	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
165075	Fee-for-Service	1740475896	1740475896	1	1	NIELSEN, SHELLY A PHD	7/5/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3558 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	1780	49	06097	38.47617	-122.7235455	Sonoma County
165083	Fee-for-Service	1801154653	1801154653	1	1	NGUYEN, THANH-VI OD INC	10/16/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	79-710 HWY 111	STE 101	LA QUINTA	CA	92253	6516	33	06065	33.70743	-116.268741	Riverside County
165099	Fee-for-Service	1053558247	1053558247	1	1	NICOLE SHEA SCHMITZ NP	5/5/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	345 SMITH AVE N	None	SAINT PAUL	MN	55102	2346	00	None	44.94251219	-93.1074995	Ramsey County
165109	Fee-for-Service	1245301142	1245301142	1	1	NGUYEN, THOMAS D DO	1/5/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	8476	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
165156	Fee-for-Service	1790711927	1790711927	2	9	NEWPORT HARBOR PATHOLOGY MED	10/24/2023	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	CAL GROUP INC	805 W LA VETA AVE	STE 104	ORANGE	CA	92868	3901	30	06059	33.78064152	-117.8606475	Orange County
165188	Fee-for-Service	1831276773	1831276773	1	1	NGUYEN, SONG NGOC L MD	8/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73836	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
165198	Fee-for-Service	1972151058	1972151058	1	1	NG, ALBAN CRNA	3/2/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	75 NIELSON	None	WATSONVILLE	CA	95076	2468	44	06087	36.9282117	-121.7937089	Santa Cruz County
165305	Fee-for-Service	1942311287	1942311287	1	1	NOWINSKI, STANLEY T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	40029	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	924 CHESTNUT ST	None	YUBA CITY	CA	95991	4020	51	06101	39.14186666	-121.6199196	Sutter County
165312	Fee-for-Service	1154474757	1154474757	1	1	NAIK, TEJASKUMAR A MD	9/29/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51412	None	None	0	In state provider	AMC	3975 JACKSON ST	STE 103	RIVERSIDE	CA	92503	3938	33	06065	33.92729721	-117.4413503	Riverside County
165320	Fee-for-Service	1699316695	1699316695	1	1	NEONATAL HOSPITALIST GROUP,	5/20/2020	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	INC	501 S BUENA VISTA ST NIC	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
165427	Fee-for-Service	1891996997	1891996997	1	1	NERCESSIAN, GARABET	3/1/2003	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1127 E BROADWAY	None	GLENDALE	CA	91205	1315	19	06037	34.14625458	-118.2406733	Los Angeles County
165432	Fee-for-Service	1508908377	1508908377	1	1	NORTH OAKLAND FAMILY	5/31/1986	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	PRACT MED GRP	3100 TELEGRAPH AVE	STE 2102	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
165442	Fee-for-Service	1790711927	1790711927	2	9	NEWPORT HARBOR PATHOLOGY MED	10/24/2023	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	CAL GROUP INC	805 W LA VETA AVE	STE 104	ORANGE	CA	92868	3901	30	06059	33.78064152	-117.8606475	Orange County
165462	Fee-for-Service	1841378478	1841378478	1	1	NAKAMURA, DENNIS MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	68390	25	Physical Medicine and Rehabilitation	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
165493	Fee-for-Service	1235163569	1235163569	1	1	NEJAD, MICHAEL L MD	11/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81470	41	Internal Medicine	0	In state provider	None	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	21	06041	37.9469952	-122.5373892	Marin County
165495	Fee-for-Service	1174148720	1174148720	1	1	NGUYEN, ANDREW DO	12/29/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	21063	None	None	0	In state provider	None	280 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23931375	-121.8014189	Santa Clara County
165508	Fee-for-Service	1760566418	1760566418	1	1	NEUMANN, MICHAEL MD INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	33109	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8631 W 3RD ST	# 1140E	LOS ANGELES	CA	90048	5901	19	06037	34.07361928	-118.3803143	Los Angeles County
165512	Fee-for-Service	1326664145	1326664145	1	1	NICHOLS, WILLIAM S NP	8/22/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
165550	Fee-for-Service	1689771156	1689771156	1	1	NGUYEN, LINH N PHD	3/12/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
165586	Fee-for-Service	1164590246	1164590246	1	2	NEVADA GEM HOME HEALTH	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17418 CHATSWORTH ST	STE 200	GRANADA HILLS	CA	91344	7626	19	06037	34.26482277	-118.5138395	Los Angeles County
165601	Fee-for-Service	1457960700	1457960700	1	1	NNOKA, MAUREEN N	11/21/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	95023396	-	NOT APPLICABLE	0	In state provider	None	251 GEORGIA STREET	None	VALLEJO	CA	94590	5905	48	06095	38.10111026	-122.2588175	Solano County
165691	Fee-for-Service	1265463806	1265463806	1	1	NGUYEN, KIM T OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8347 ELK GROVE FLORIN RD	STE 123	SACRAMENTO	CA	95829	9453	34	06067	38.454723	-121.370238	Sacramento County
165791	Fee-for-Service	1760566418	1760566418	1	1	NEUMANN, MICHAEL MD INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	33109	41	Internal Medicine	0	In state provider	None	8631 W 3RD ST	# 1140E	LOS ANGELES	CA	90048	5901	19	06037	34.07361928	-118.3803143	Los Angeles County
165797	Fee-for-Service	1396250056	1396250056	1	1	NEW LIFE COMMUNITY SERVICES,	5/1/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	INC.	707/ 717 FAIR AVE	None	SANTA CRUZ	CA	95060	5840	44	06087	36.95653167	-122.0453296	Santa Cruz County
165824	Fee-for-Service	1548580384	1548580384	1	1	NEHRA, VEDIKA	4/5/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	140501	None	None	0	In state provider	None	1707 EYE ST	100	BAKERSFIELD	CA	93301	5208	15	06029	35.37461686	-119.020062	Kern County
165836	Fee-for-Service	1063645075	1063645075	1	1	NIRADY, ALAN DO	6/16/2020	207PE0005X	NA	Other	026	PHYSICIANS	4099	39	Preventive (M.D. only)	0	In state provider	None	75 NIELSON ST	None	WATSONVILLE	CA	95076	2468	44	06087	36.9282117	-121.7937089	Santa Cruz County
166072	Fee-for-Service	1811901176	1811901176	1	1	NEJAD, BAHAREH MD	10/13/2008	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	103312	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4860 Y STREET	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
166122	Fee-for-Service	1558725275	1558725275	1	1	NOVIN, ATIEH MD	7/21/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	154554	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
166128	Fee-for-Service	1669670634	1669670634	1	1	NICOLE ANNE ABDY M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1501 N CAMPBELL AVE	None	TUCSON	AZ	85724	0001	00	None	32.240493	-110.9460825	Pima County
166153	Fee-for-Service	1609287697	1609287697	1	1	NELSON, ERIK R DO	12/21/2018	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	657 NORTH TOWN CENTER DR	None	LAS VEGAS	NV	89144	6367	00	None	36.180999	-115.3174815	Clark County
166221	Fee-for-Service	1174968630	1174968630	1	1	NEWTON, LOGAN CP	12/17/2024	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1435 STATE STREET	None	SANTA BARBARA	CA	93101	2511	42	06083	34.42603267	-119.7081699	Santa Barbara County
166237	Fee-for-Service	1801850706	1801850706	1	1	NIELSON, DENNIS MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	35081	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	# 698	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
166260	Fee-for-Service	1669684627	1669684627	1	1	NEWQUIST, GARY D PHD	7/14/2016	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5923 KANAN RD	None	AGOURA HILLS	CA	91301	1688	19	06037	34.15745916	-118.7563357	Los Angeles County
166346	Fee-for-Service	1861995219	1861995219	1	1	NEARY, MEAGHAN K MD	7/7/2020	390200000X	NA	Other	026	PHYSICIANS	160840	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
166367	Fee-for-Service	1831196294	1831196294	1	1	NGUYEN, THUONG B MD	12/1/2003	207K00000X	NA	Other	026	PHYSICIANS	77992	03	Allergy	0	In state provider	None	5400 W HILLSDALE AVE	None	VISALIA	CA	93291	8222	54	06107	36.330327	-119.351943	Tulare County
166405	Fee-for-Service	1114099884	1114099884	1	1	NORTHBAY CARDIOLOGY INC	11/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4740 HOEN AVE	None	SANTA ROSA	CA	95405	7824	49	06097	38.442249	-122.6636775	Sonoma County
166409	Fee-for-Service	1306211081	1306211081	1	1	NWOSU-IROHA, UCHECHI L NP	11/2/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1300 E SHAW AVE	SUITE 149	FRESNO	CA	93710	7917	10	06019	36.80872147	-119.765979	Fresno County
166411	Fee-for-Service	1013339977	1013339977	1	1	NORTH EAST MEDICAL SERVICES	1/30/2014	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	211 EASTMOOR AVE	None	DALY CITY	CA	94015	2036	41	06081	37.6847337	-122.4787562	San Mateo County
166417	Fee-for-Service	1851471023	1851471023	1	1	NGUYEN, CONNIE K MD	12/24/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	61492	08	Family Practice	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
166468	Fee-for-Service	1356848030	1356848030	1	1	NGUYEN, MINH T MD	6/3/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	177630	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
166487	Fee-for-Service	1912911249	1912911249	1	1	NOGALES, ROSALINDA MD	9/30/1996	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	60292	08	Family Practice	0	In state provider	None	1350 S ORANGE AVE	None	FRESNO	CA	93702	3463	10	06019	36.728883	-119.763677	Fresno County
166516	Fee-for-Service	1619941739	1619941739	1	1	NOORDEWIER, EDWIN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	340 PEAK ONE DRIVE	None	FRISCO	CO	80443	0000	00	None	39.57003029	-106.0781094	Summit County
166553	Fee-for-Service	1730520610	1730520610	1	1	NATARAJAN, NANDHINI MD	5/29/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	138925	08	Family Practice	0	In state provider	None	1011 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72827776	-121.2904066	Placer County
166562	Fee-for-Service	1922606482	1922606482	1	1	NON, CHARINA B CCC-SLP	1/8/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3900 LAKEVILLE HWY	None	PETALUMA	CA	94954	5698	49	06097	38.2304311	-122.5827918	Sonoma County
166568	Fee-for-Service	1396945770	1396945770	1	1	NEAL, VANESSA L MD FAAP	5/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	104294	40	Pediatrics	0	In state provider	None	1111 N CHINA LAKE BLVD	SUITE 190	RIDGECREST	CA	93555	3131	15	06029	35.64171	-117.669847	Kern County
166614	Fee-for-Service	1316358898	1316358898	1	1	NARDY, BRIE N MD	6/5/2020	208600000X	NA	General Surgery	026	PHYSICIANS	140259	None	None	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
166648	Fee-for-Service	1831196294	1831196294	1	1	NGUYEN, THUONG B MD	12/1/2003	207K00000X	NA	Other	026	PHYSICIANS	77992	41	Internal Medicine	0	In state provider	None	5400 W HILLSDALE AVE	None	VISALIA	CA	93291	8222	54	06107	36.330327	-119.351943	Tulare County
166654	Fee-for-Service	1245793116	1245793116	1	1	NURSE'S HHA CO INC	5/19/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5121 VAN NUYS BLVD	SUITE 206	SHERMAN OAKS	CA	91403	6127	19	06037	34.163748	-118.448738	Los Angeles County
166684	Fee-for-Service	1558672279	1558672279	1	1	NATERA INC	1/11/2016	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	201 INDUSTRIAL ROAD	SUITE 410	SAN CARLOS	CA	94070	2396	41	06081	37.51906573	-122.2644886	San Mateo County
166721	Fee-for-Service	1194835850	1194835850	1	1	NOB HILL GENERAL STORE INC	8/20/1998	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	270 REDWOOD SHORES PKWY	None	REDWOOD CITY	CA	94065	1173	41	06081	37.52302852	-122.2530461	San Mateo County
166733	Fee-for-Service	1134123961	1134123961	1	1	NGUYEN, PHUC V MD	2/23/2022	207R00000X	NA	Other	026	PHYSICIANS	50626	None	None	0	In state provider	None	7631 WYOMING ST	STE 201	WESTMINSTER	CA	92683	3904	30	06059	33.7610165	-117.996174	Orange County
166789	Fee-for-Service	1245325943	1245325943	1	1	NATORI, PAIGE S MD	11/2/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	85612	40	Pediatrics	0	In state provider	None	1201 W LA VETA AVE	FLOOR 2	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
166808	Fee-for-Service	1255431896	1255431896	1	1	NISHIJIMA, ROSS M DPM	10/1/1983	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	200 W BULLARD AVE	STE D2	CLOVIS	CA	93612	7611	10	06019	36.8229312	-119.7141418	Fresno County
166828	Fee-for-Service	1437411782	1437411782	1	1	NELSON, EMILY R MD	8/30/2020	207ZP0101X	NA	Other	026	PHYSICIANS	143734	22	Pathology (M.D. only)	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
166882	Fee-for-Service	1497932396	1497932396	1	1	NORTHEAST VALLEY HEALTH	4/28/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	LAC-CANOGA PARK	7107 REMMET AVE	None	CANOGA PARK	CA	91303	2016	19	06037	34.199406	-118.6003185	Los Angeles County
166920	Fee-for-Service	1801979760	1801979760	1	1	NOTGHI, SABA MD	11/27/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	70805	36	Psychiatry	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
166929	Fee-for-Service	1508349614	1508349614	1	1	NGUYEN WIN INC	6/13/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	421 N BROOKHURST ST	123	ANAHEIM	CA	92801	5618	30	06059	33.83743497	-117.9590498	Orange County
167012	Fee-for-Service	1780614362	1780614362	1	1	NEWMAN, THOMAS B MD	10/31/1991	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	46120	40	Pediatrics	0	In state provider	SFGH MED GRP/PEDIATRICS	1001 POTRERO AVE	RM 6E	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
167014	Fee-for-Service	1528591021	1528591021	1	1	NELSON, COLE L MD	9/7/2020	207P00000X	NA	Other	026	PHYSICIANS	158318	66	Emergency Medicine (Urgent Care)	0	In state provider	None	751 MEDICAL CENTER CT	None	CHULA VISTA	CA	91911	6617	37	06073	32.61822301	-117.0234938	San Diego County
167019	Fee-for-Service	1164582672	1164582672	1	1	NAKAMURA, FRED A MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	25618	01	General Practice	0	In state provider	None	9400 E ROSECRANS BLVD	None	BELLFLOWER	CA	90706	0000	19	06037	33.9040752	-118.1328995	Los Angeles County
167072	Fee-for-Service	1265536213	1265536213	1	1	NIELSEN, ALISON A MD	3/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120218	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
167099	Fee-for-Service	1760746275	1760746275	1	1	NORTH EAST MEDICAL SERVICES	4/2/2013	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1033 CLEMENT ST	None	SAN FRANCISCO	CA	94118	2112	38	06075	37.78261628	-122.470294	San Francisco County
167121	Fee-for-Service	1437335353	1437335353	1	11	NEIGHBORHOOD HEALTHCARE	10/10/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTEMITTENT CLINIC	1809 JUNIPER STREET	ROOM MPR	ESCONDIDO	CA	92025	6240	37	06073	33.10557062	-117.0666618	San Diego County
167144	Fee-for-Service	1033114756	1033114756	1	1	NEWMAN, PHILIP E MD	9/25/2008	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	37143	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	3080 BRISTOL ST	STE 600	COSTA MESA	CA	92626	7341	30	06059	33.68480996	-117.8854767	Orange County
167188	Fee-for-Service	1962579987	1962579987	1	1	NELSON, LAMAR A MD	10/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	47902	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
167213	Fee-for-Service	1225590078	1225590078	1	1	NGUYEN, KHOA A MD	9/15/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	176821	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
167296	Fee-for-Service	1316368236	1316368236	1	1	NAYAN DESAI	4/2/2020	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	222 N 7TH ST	None	BISMARCK	ND	58501	4436	00	None	46.807308	-100.782459	Burleigh County
167309	Fee-for-Service	1699356238	1699356238	1	1	NGUYEN, KEVIN Q DO	9/25/2024	207R00000X	NA	Other	026	PHYSICIANS	22908	41	Internal Medicine	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
167311	Fee-for-Service	1972887271	1972887271	1	1	NADAV, BRIAN S MD	2/16/2018	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	120564	30	Radiology	0	In state provider	None	2309 ANTONIO AVENUE	None	CAMARILLO	CA	93010	1414	56	06111	34.24435917	-119.0191975	Ventura County
167343	Fee-for-Service	1689071045	1689071045	1	1	NAMIKO NERIO, DO, MS, INC	5/29/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	2776 PACIFIC AVE	None	LONG BEACH	CA	90806	2613	19	06037	33.80692698	-118.1936915	Los Angeles County
167355	Fee-for-Service	1023279015	1023279015	2	1	NGUYEN, VO INC	12/24/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14150 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4657	30	06059	33.75740502	-117.9548166	Orange County
167356	Fee-for-Service	1043501646	1043501646	1	1	NICOLA KOTCHEV	1/2/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1901 1ST AVE	None	NEW YORK	NY	10029	7494	00	None	40.784778	-73.9439055	New York County
167387	Fee-for-Service	1760746275	1760746275	1	1	NORTH EAST MEDICAL SERVICES	4/2/2013	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1033 CLEMENT ST	None	SAN FRANCISCO	CA	94118	2112	38	06075	37.78261628	-122.470294	San Francisco County
167408	Fee-for-Service	1437335353	1437335353	1	11	NEIGHBORHOOD HEALTHCARE	10/10/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTEMITTENT CLINIC	1809 JUNIPER STREET	ROOM MPR	ESCONDIDO	CA	92025	6240	37	06073	33.10557062	-117.0666618	San Diego County
167466	Fee-for-Service	1083283634	1083283634	1	1	NWABUOBI, IKECHUKWU CNP	11/21/2024	363LA2200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11103 VENICE BLVD	None	LOS ANGELES	CA	90034	6914	19	06037	34.01379685	-118.4159354	Los Angeles County
167468	Fee-for-Service	1346386778	1346386778	1	1	NGUYEN, YUME P MD	11/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113449	10	Gastroenterology (M.D. only)	0	In state provider	None	1515 NEWELL AVE	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
167477	Fee-for-Service	1962579987	1962579987	1	1	NELSON, LAMAR A MD	10/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	47902	07	Dermatology	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
167503	Fee-for-Service	1619676053	1619676053	1	1	NAJERA, VICKIE NP	1/29/2024	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7102 FRESNO ST	SUITE 108	FRESNO	CA	93720	2905	10	06019	36.83941007	-119.7813045	Fresno County
167522	Fee-for-Service	1649702069	1649702069	1	1	NI, JENNIFER MD	8/3/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	170165	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
167535	Fee-for-Service	1609954791	1609954791	1	1	NGUYEN, DUOC MD	1/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	56415	40	Pediatrics	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
167629	Fee-for-Service	1972082105	1972082105	1	1	NELSON, CAROLYN M LMFT	1/4/2019	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8775 SIERRA COLLEGE BLVD	SUITE 200	ROSEVILLE	CA	95661	5986	31	06061	38.74042506	-121.2258792	Placer County
167763	Fee-for-Service	1124174560	1124174560	1	1	NOWFAR, SEPEHR MD	8/15/2011	208800000X	NA	Other	026	PHYSICIANS	97699	34	Urology and Urological Surgery	0	In state provider	None	575 E HARDY ST	STE 215	INGLEWOOD	CA	90301	4041	19	06037	33.94909392	-118.3477665	Los Angeles County
167772	Fee-for-Service	1235625211	1235625211	1	1	NAFISI, AZEEN PSYD	3/1/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	12522 MOORPARK ST	106	STUDIO CITY	CA	91604	1355	19	06037	34.15033253	-118.406061	Los Angeles County
167862	Fee-for-Service	1720319874	1720319874	1	1	NOLAN, JENNA L LMFT	9/11/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3160 TELEGRAPH RD	STE 200	VENTURA	CA	93003	3250	56	06111	34.27228149	-119.2529119	Ventura County
167889	Fee-for-Service	1861009672	1861009672	1	2	NORCAL HEALTHCONNECT LLC	1/1/2021	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1312 PRENTICE DR	None	HEALDSBURG	CA	95448	3381	49	06097	38.62736288	-122.8667004	Sonoma County
167915	Fee-for-Service	1497369078	1497369078	1	1	NETTELHORST KNIGHT, VANESSA	1/31/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
167930	Fee-for-Service	1225070667	1225070667	1	3	NORTHLAND HEARING CENTERS, I	8/13/2024	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	42410 BOB HOPE DR	STE 1	RANCHO MIRAGE	CA	92270	4447	33	06065	33.73835244	-116.4081176	Riverside County
168054	Fee-for-Service	1295934248	1295934248	1	1	NEWMAN, STEPHEN T MD	9/5/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90184	05	Anesthesiology	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
168079	Fee-for-Service	1922210384	1922210384	1	1	NEWTON, NANCY OT	3/10/2011	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2725 CAPITOL AVE	None	SACRAMENTO	CA	95816	6004	34	06067	38.571084	-121.471074	Sacramento County
168140	Fee-for-Service	1740637487	1740637487	1	1	NH HOME HEALTH CARE, INC	12/25/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5300 SANTA MONICA BLVD	SUITE 207	LOS ANGELES	CA	90029	1258	19	06037	34.09075271	-118.305509	Los Angeles County
168191	Fee-for-Service	1538302815	1538302815	1	1	NGUYEN, GIULIANNA D MD	11/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	113985	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
168196	Fee-for-Service	1740240753	1740240753	3	1	NEOGENOMICS LABORATORIES INC	9/2/2022	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	2173 SALK AVE	300	CARLSBAD	CA	92008	7383	37	06073	33.13933873	-117.2767232	San Diego County
168279	Fee-for-Service	1437198835	1437198835	1	1	NORCROSS, WILLIAM H. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
168440	Fee-for-Service	1740258094	1740258094	1	1	NARONG, KULVATUNYOU MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1501 N CAMPBELL AVE	None	TUCSON	AZ	85724	0001	00	None	32.240493	-110.9460825	Pima County
168484	Fee-for-Service	1386898815	1386898815	1	1	NICHOLS, EDWARD L MD A	7/1/2002	261QP2300X	NA	Other	026	PHYSICIANS	44178	08	Family Practice	0	In state provider	MEDICAL CORPORATION	3801 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	5731	15	06029	35.39450879	-119.0082635	Kern County
168580	Fee-for-Service	1093914038	1093914038	1	1	NAUMANN, BARBARA A	12/1/2005	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1335 OAKHURST CT	None	CAMARILLO	CA	93010	3515	56	06111	34.23127693	-119.0366974	Ventura County
168597	Fee-for-Service	1003028515	1003028515	1	1	NORQUIST, CHARLENE PT	6/28/2018	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1350 41ST AVE STE 100	None	CAPITOLA	CA	95010	3934	44	06087	36.970515	-121.9648325	Santa Cruz County
168644	Fee-for-Service	1558682831	1558682831	1	1	NAGARKAR, KALPANA M MD	12/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124221	38	Geriatrics	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
168665	Fee-for-Service	1952837247	1952837247	1	1	NEW DAY FAMILY COUNSELING CE	8/26/2019	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	NTER, INC.	1095 STAFFORD WAY	SUITE F	YUBA CITY	CA	95991	3333	51	06101	39.14336078	-121.6277128	Sutter County
168728	Fee-for-Service	1609005370	1609005370	1	1	NAPAN, SIRIKARN MD	6/23/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	106619	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4600 CAMPUS DR	203	NEWPORT BEACH	CA	92660	1801	30	06059	33.67110839	-117.8658914	Orange County
168734	Fee-for-Service	1912019506	1912019506	1	1	NAJMABADI, SADAF MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	52001	41	Internal Medicine	0	In state provider	None	685 TWELVE BRIDGES DR	STE D	LINCOLN	CA	95648	8689	31	06061	38.85108687	-121.2886018	Placer County
168772	Fee-for-Service	1386898815	1386898815	1	1	NICHOLS, EDWARD L MD A	7/1/2002	261QP2300X	NA	Other	026	PHYSICIANS	44178	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL CORPORATION	3801 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	5731	15	06029	35.39450879	-119.0082635	Kern County
168775	Fee-for-Service	1780775718	1780775718	1	1	NGUYEN, ROBERT MD	6/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	89952	41	Internal Medicine	0	In state provider	None	1600 NORTH ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
168776	Fee-for-Service	1982631222	1982631222	1	6	NEPHROLOGY ASSOCIATES OF	2/26/2016	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	UPLAND AND POMONA	1317 W FOOTHILL BLVD	SUITE 148	UPLAND	CA	91786	3675	36	06071	34.10715453	-117.6734115	San Bernardino County
168805	Fee-for-Service	1083109797	1083109797	1	1	NGUYEN, AUSTIN H MD	5/28/2022	207L00000X	NA	Other	026	PHYSICIANS	165552	None	None	0	In state provider	None	20103 LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
168818	Fee-for-Service	1841957685	1841957685	1	1	NAZAIRE, MAUDE LPCC	6/12/2023	106H00000X	NA	Mental Health Outpatient Services	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15720 VENTURA BLVD	SUITE 420	ENCINO	CA	91436	1000	19	06037	34.15524484	-118.4756687	Los Angeles County
168826	Fee-for-Service	1013107051	1013107051	1	1	NILAKANTAN, ANAND DO	5/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10173	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
168931	Fee-for-Service	1518911304	1518911304	1	2	NORTH EAST MEDICAL SERVICES	8/3/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	728 PACIFIC AVE	STE 604	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
168972	Fee-for-Service	1851400527	1851400527	1	1	NGUYEN, BAC H MD	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	79012	47	Miscellaneous	0	In state provider	None	933 S SUNSET AVE	STE 307	WEST COVINA	CA	91790	3410	19	06037	34.06428275	-117.9432037	Los Angeles County
169000	Fee-for-Service	1922033463	1922033463	1	1	NUSSBAUM, JOSEPH M MD	12/31/1995	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	40986	None	None	0	In state provider	None	8635 W 3RD ST	STE 1184W	LOS ANGELES	CA	90048	6101	19	06037	34.07361928	-118.3803143	Los Angeles County
169010	Fee-for-Service	1568792927	1568792927	1	1	NGUYEN, TRINH T NP	7/24/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
169059	Fee-for-Service	1386898815	1386898815	1	1	NICHOLS, EDWARD L MD A	7/1/2002	261QP2300X	NA	Other	026	PHYSICIANS	44178	41	Internal Medicine	0	In state provider	MEDICAL CORPORATION	3801 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	5731	15	06029	35.39450879	-119.0082635	Kern County
169061	Fee-for-Service	1801214275	1801214275	1	1	NAMBU, HIROYA MD	10/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	150799	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
169068	Fee-for-Service	1982631222	1982631222	1	6	NEPHROLOGY ASSOCIATES OF	2/26/2016	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	UPLAND AND POMONA	1317 W FOOTHILL BLVD	SUITE 148	UPLAND	CA	91786	3675	36	06071	34.10715453	-117.6734115	San Bernardino County
169069	Fee-for-Service	1750701975	1750701975	1	1	NARAYANAN, MOHAN MD	8/2/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	180853	None	None	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
169109	Fee-for-Service	1073893384	1073893384	1	1	NERSESOVA, KARINA R PSYD	6/12/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	565 CASTRO STREET	None	MOUNTAIN VIEW	CA	94041	2009	43	06085	37.38903016	-122.0819046	Santa Clara County
169218	Fee-for-Service	1518911304	1518911304	1	2	NORTH EAST MEDICAL SERVICES	8/3/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	728 PACIFIC AVE	STE 604	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
169241	Fee-for-Service	1528370830	1528370830	1	1	NGUYEN, CHIBAO L DO	12/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11299	41	Internal Medicine	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
169270	Fee-for-Service	1255911103	1255911103	1	1	NGUYEN, HUY Q MD	1/13/2023	390200000X	NA	Other	026	PHYSICIANS	20471	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
169296	Fee-for-Service	1356729867	1356729867	1	1	NGUYEN, JENNIFER T MD	6/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	146340	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
169340	Fee-for-Service	1952808818	1952808818	1	1	NUANCE ANESTHESIA PARTNERS I	3/6/2019	193400000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	NC	10408 INDUSTRIAL CIR	None	REDLANDS	CA	92374	4548	36	06071	34.06469012	-117.2361582	San Bernardino County
169369	Fee-for-Service	1215203971	1215203971	1	1	NG, JENNIFER F Y MD	11/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	130141	41	Internal Medicine	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
169399	Fee-for-Service	1184067068	1184067068	1	1	NEFF, KENNETH W MD	8/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	132917	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	SUITE 8211	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
169435	Fee-for-Service	1285399949	1285399949	1	1	NWACHUKWU, TOCHI P	4/7/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
169438	Fee-for-Service	1992816383	1992816383	1	1	NEOVISION EYE CENTER APC	4/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	None	None	0	In state provider	None	2490 HOSPITAL DRIVE	SUITE 209	MOUNTAIN VIEW	CA	94040	4106	43	06085	37.369827	-122.0818185	Santa Clara County
169470	Fee-for-Service	1013648351	1013648351	1	1	NGUYEN, ANA-KARINA A OT	5/25/2023	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
169498	Fee-for-Service	1790992287	1790992287	1	1	NUFELD, GAIL H PSYD	3/22/2022	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
169758	Fee-for-Service	1740209014	1740209014	1	1	NOON, BRADLEY R MD	7/18/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	78661	20	Orthopedic Surgery	0	In state provider	None	1225 E LATHAM AVE	STE A	HEMET	CA	92543	4423	33	06065	33.74937952	-116.959626	Riverside County
169777	Fee-for-Service	1891842530	1891842530	1	1	NGUYEN, NGOC M OD	4/4/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
169780	Fee-for-Service	1558686964	1558686964	1	1	NIMMAGADDA, ANITHA MD	8/1/2019	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	161112	39	Preventive (M.D. only)	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
169821	Fee-for-Service	1457577991	1457577991	1	1	NEWTON, DANIEL J CP	7/1/1996	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	2624 F ST	None	BAKERSFIELD	CA	93301	1816	15	06029	35.38353776	-119.0234458	Kern County
169985	Fee-for-Service	1114006178	1114006178	1	1	NELLI, DINA LCSW	11/21/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	UNIT 203	UPLAND	CA	91786	4167	36	06071	34.10424442	-117.6701797	San Bernardino County
170029	Fee-for-Service	1649750696	1649750696	1	1	NGUYEN, PAULINE B OT	4/17/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	39650 LIBERTY ST	STE 310	FREMONT	CA	94358	2227	01	06001	37.54662058	-121.9736002	Alameda County
170032	Fee-for-Service	1366294209	1366294209	1	1	NAZARALI, SAMIR A MD	7/8/2024	207W00000X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
170106	Fee-for-Service	1861173759	1861173759	1	1	NEIGHBORHOOD PEDIATRICS URGE	6/4/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	NT CARE P.C	780 ATLANTIC AVE	None	LONG BEACH	CA	90813	4565	19	06037	33.776325	-118.1850235	Los Angeles County
170129	Fee-for-Service	1538484639	1538484639	1	1	NELSON, ERIC J MD	6/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118861	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
170189	Fee-for-Service	1386871671	1386871671	1	1	NAQVI, MARIAM MD	11/4/2019	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	114343	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	12746 W JEFFERSON BLVD	FL 2-4	LOS ANGELES	CA	90094	2885	19	06037	33.97751255	-118.417598	Los Angeles County
170247	Fee-for-Service	1962903575	1962903575	1	1	NEWSTAR MEDICAL LABORATORIES	1/29/2020	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	, LLC	975 COBB PLACE BLVD	218	KENNESAW	GA	30144	4802	00	None	34.00926395	-84.58275115	Cobb County
170248	Fee-for-Service	1750831228	1750831228	1	1	NGUYEN, ANDY A CNP	5/6/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
170258	Fee-for-Service	1639494933	1639494933	1	1	NEWSOME, INEMESIT U MD	1/23/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127094	41	Internal Medicine	0	In state provider	None	1595 SOQUEL DR	STE 400	SANTA CRUZ	CA	95065	1724	44	06087	36.98879599	-121.9826354	Santa Cruz County
170267	Fee-for-Service	1134892177	1134892177	1	1	NGUYEN, NGOC-THAO CRNA	9/3/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
170340	Fee-for-Service	1649852583	1649852583	1	1	NORTHRIDGE COUNSELING CENTER	7/21/2023	101Y00000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	8949 RESEDA BLVD	SUITE 225	NORTHRIDGE	CA	91324	3916	19	06037	34.233255	-118.536109	Los Angeles County
170391	Fee-for-Service	1861173759	1861173759	1	1	NEIGHBORHOOD PEDIATRICS URGE	6/4/2024	261QU0200X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	NT CARE P.C	780 ATLANTIC AVE	None	LONG BEACH	CA	90813	4565	19	06037	33.776325	-118.1850235	Los Angeles County
170524	Fee-for-Service	1740808815	1740808815	1	1	NGUYEN, THAI MD	8/1/2023	207R00000X	NA	Other	026	PHYSICIANS	186384	None	None	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
170543	Fee-for-Service	1871041160	1871041160	1	1	NAKAMARU, NICOLE MD	2/4/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	145092	15	Obstetrics (D.O. only)	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
170548	Fee-for-Service	1568777175	1568777175	1	1	NATHAN ALLEN ULLOM	6/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1400 E KINCAID ST	None	MOUNT VERNON	WA	98274	4127	00	None	48.41742639	-122.323873	Skagit County
170564	Fee-for-Service	1396238945	1396238945	1	1	NIMMICH, ANDREW MD	1/8/2025	2086S0129X	NA	General Surgery	026	PHYSICIANS	None	None	None	0	In state provider	None	4 FINANCIAL PLZ	None	NAPA	CA	94558	3043	28	06055	38.32432544	-122.2896184	Napa County
170567	Fee-for-Service	1942243449	1942243449	1	1	NGO, PHONG XUAN MD	1/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	80943	None	None	0	In state provider	None	525 N GARFIELD AVE	None	MONTEREY PARK	CA	91754	1202	19	06037	34.06794352	-118.1229278	Los Angeles County
170599	Fee-for-Service	1437335353	1437335353	1	5	NEIGHBORHOOD HEALTHCARE	10/26/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	939 E MISSION AVE	ROOM LCR	ESCONDIDO	CA	92025	2216	37	06073	33.1343933	-117.0738473	San Diego County
170670	Fee-for-Service	1174748685	1174748685	1	1	NEWPORT RADIOSURGERY CENTER	9/4/2015	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	INC	1605 AVOCADO AVENUE	None	NEWPORT BEACH	CA	92660	7225	30	06059	33.61497843	-117.8683418	Orange County
170698	Fee-for-Service	1992888317	1992888317	1	1	NORONHA, JOSE LUIS SAVIO	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	73837	41	Internal Medicine	0	In state provider	None	15065 VISTA RD	None	HELENDALE	CA	92342	7717	36	06071	34.74457244	-117.3354533	San Bernardino County
170714	Fee-for-Service	1164884847	1164884847	1	1	NEELEMAN, AMANDA L LCSW	4/3/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	29	06057	39.33573744	-120.180872	Nevada County
170717	Fee-for-Service	1538563549	1538563549	1	1	NEWHOPE JOINT & SPINE	6/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	111842	01	General Practice	0	In state provider	MEDICAL CENTER	14120 BEACH BLVD	STE 180	WESTMINSTER	CA	92683	4454	30	06059	33.757047	-117.989493	Orange County
170764	Fee-for-Service	1306350566	1306350566	1	1	NEUROLOGICAL SURGERY	3/6/2018	207T00000X	NA	General Surgery	026	PHYSICIANS	89264	14	Neurological Surgery	0	In state provider	ASSOCIATES PC	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
170765	Fee-for-Service	1518082593	1518082593	1	1	NARLA, RAJENDER R MD	4/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	121380	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
170791	Fee-for-Service	1659367613	1659367613	1	1	NGUYEN, ALEXIE K MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	83318	41	Internal Medicine	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
170830	Fee-for-Service	1871041160	1871041160	1	1	NAKAMARU, NICOLE MD	2/4/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	145092	09	Gynecology (D.O. only)	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
170858	Fee-for-Service	1033842224	1033842224	1	1	NARAKI, JOHNNA BIRTH DOULA	7/1/2024	163WL0100X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	36	06071	0	0	None
170870	Fee-for-Service	1922254432	1922254432	1	1	NGUYEN, MINH Q MD	7/16/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108129	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD.	None	LOS ANGELES	CA	90755	5618	19	06037	34.07671715	-118.3799413	Los Angeles County
170885	Fee-for-Service	1437335353	1437335353	1	5	NEIGHBORHOOD HEALTHCARE	10/26/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	939 E MISSION AVE	ROOM LCR	ESCONDIDO	CA	92025	2216	37	06073	33.1343933	-117.0738473	San Diego County
170939	Fee-for-Service	1386842631	1386842631	1	1	NATASCHA M. TUZNIK, M.D.	5/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4502 MEDICAL DR	None	SAN ANTONIO	TX	78229	4402	00	None	29.508012	-98.578683	Bexar County
170944	Fee-for-Service	1811185747	1811185747	1	1	NELSON-NAM AMC	10/31/2016	207N00000X	NA	Dermatology	026	PHYSICIANS	67260	None	None	0	In state provider	None	15243 VANOWEN ST	STE 212	VAN NUYS	CA	91405	3644	19	06037	34.19394848	-118.4654115	Los Angeles County
170956	Fee-for-Service	1174748685	1174748685	1	1	NEWPORT RADIOSURGERY CENTER	9/4/2015	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	INC	1605 AVOCADO AVENUE	None	NEWPORT BEACH	CA	92660	7225	30	06059	33.61497843	-117.8683418	Orange County
170985	Fee-for-Service	1609466259	1609466259	1	1	NACAR, CLINT NP	1/25/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	421 N BROOKHURST ST	STE 218	ANAHEIM	CA	92801	5619	30	06059	33.83743497	-117.9590498	Orange County
171096	Fee-for-Service	1083128102	1083128102	1	1	NEW LIFE MEDICAL SUPPLIES	12/26/2018	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	365 W 2ND AVE	STE 205	ESCONDIDO	CA	92025	4151	37	06073	33.11882223	-117.0846203	San Diego County
171189	Fee-for-Service	1477647873	1477647873	2	1	NAO RX	10/8/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	282 VILLAGE SQ	None	ORINDA	CA	94563	2504	07	06013	37.88324241	-122.1904849	Contra Costa County
171228	Fee-for-Service	1811494206	1811494206	1	1	NGUYEN, DARIEN D MD	12/17/2021	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	167295	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
171258	Fee-for-Service	1336664325	1336664325	1	2	NEW BEGINNINGS CHILD, ADOLES	6/2/2020	106H00000X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	None	800 COFFEE RD	None	MODESTO	CA	95355	4233	50	06099	37.654308	-120.9755515	Stanislaus County
171341	Fee-for-Service	1790734317	1790734317	1	1	NORTHERN CALIFORNIA PET	2/1/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	IMAGING CENTER	3195 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5233	34	06067	38.568744	-121.4652825	Sacramento County
171355	Fee-for-Service	1932179033	1932179033	1	1	NABER, MICHAEL J. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	24400 GREATER MACK AVE	None	ST CLR SHORES	MI	48080	1340	00	None	42.47272979	-82.89494438	Macomb County
171422	Fee-for-Service	1548521099	1548521099	1	1	NAVARRO, MARCEY S LCSW	6/19/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
171423	Fee-for-Service	1265937569	1265937569	1	1	NGUYEN, DAVID MD	3/14/2024	207RC0200X	NA	Other	026	PHYSICIANS	173739	None	None	0	In state provider	None	30 MARK WEST SPRINGS RD	None	SANTA ROSA	CA	95403	1436	49	06097	38.4962723	-122.752117	Sonoma County
171540	Fee-for-Service	1245495498	1245495498	1	1	NGUYEN, DUC T MD	2/11/2020	213EP1101X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
171544	Fee-for-Service	1336664325	1336664325	1	2	NEW BEGINNINGS CHILD, ADOLES	5/16/2019	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	800 COFFEE RD	None	MODESTO	CA	95355	4233	50	06099	37.654308	-120.9755515	Stanislaus County
171557	Fee-for-Service	1982724027	1982724027	1	1	NYSTROM, DEBRA LMFT	1/6/2024	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	20601 US HIGHWAY 18	STE 158	APPLE VALLEY	CA	92307	3567	36	06071	34.52356839	-117.217061	San Bernardino County
171566	Fee-for-Service	1538794730	1538794730	1	1	NUERA HOSPICE INC	9/3/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	19725 SHERMAN WAY	SUITE 220	CANOGA PARK	CA	91306	3668	19	06037	34.20117847	-118.563057	Los Angeles County
171578	Fee-for-Service	1225169790	1225169790	1	1	NOVAK, JAMES F MD	5/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	08	Family Practice	1	Border provider	None	1905 MAIN STREET	None	KLAMATH FALLS	OR	97601	2638	00	None	42.22838442	-121.7691707	Klamath County
171606	Fee-for-Service	1306221197	1306221197	1	1	NEW WAVE HEARING AIDS	8/18/2015	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	747 PLUMAS STREET	None	YUBA CITY	CA	95991	4437	51	06101	39.1387503	-121.6168359	Sutter County
171613	Fee-for-Service	1376691352	1376691352	1	1	NG, VINCENT W MD	12/1/1997	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	79547	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
171646	Fee-for-Service	1427147883	1427147883	1	1	NEBRASKA METHODIST HOSP	9/26/2000	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	8303 DODGE ST	None	OMAHA	NE	68114	4108	00	None	41.25964455	-96.04161	Douglas County
171697	Fee-for-Service	1235164039	1235164039	1	1	NATHAN, LAUREN MD	4/30/1992	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	48972	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 MEDICAL PLAZA #430	None	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
171704	Fee-for-Service	1366671257	1366671257	1	1	NIETO, ROSE-MARIE Y LCSW	6/11/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3330 HEIGHTS DR	STE 120	CAMERON PARK	CA	95682	8500	09	06017	38.66076236	-120.981666	El Dorado County
171708	Fee-for-Service	1295198794	1295198794	1	1	NOWRANGI, RAJEEV MD	1/17/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	154719	None	None	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
171714	Fee-for-Service	1922761899	1922761899	1	1	NELSON, SARAH LMFT	5/23/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4199 CAMPUS DR	SUITE 550, OFFICE 57	IRVINE	CA	92612	4684	30	06059	33.650775	-117.838296	Orange County
171724	Fee-for-Service	1770109928	1770109928	1	1	NARINAS HOSPICE SERVICES	6/24/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14545 FRIAR STREET	STE 205P	VAN NUYS	CA	91411	2398	19	06037	34.18570347	-118.450386	Los Angeles County
171786	Fee-for-Service	1437335353	1437335353	1	8	NEIGHBORHOOD HEALTHCARE	9/26/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	980 NORTH ASH STREET	ROOM POD	ESCONDIDO	CA	92027	1629	37	06073	33.13841838	-117.0723268	San Diego County
171811	Fee-for-Service	1497889158	1497889158	1	2	NHAN HOA COMPREHENSIVE	5/14/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
171821	Fee-for-Service	1861523490	1861523490	1	1	NOWROOZI, FRED MD INC	3/2/1981	2081P2900X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	36380	25	Physical Medicine and Rehabilitation	0	In state provider	None	101 VALENCIA MESA DR	None	FULLERTON	CA	92835	3809	30	06059	33.89356031	-117.9271656	Orange County
171835	Fee-for-Service	1336664325	1336664325	1	2	NEW BEGINNINGS CHILD, ADOLES	12/14/2021	106H00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	800 COFFEE RD	None	MODESTO	CA	95355	4233	50	06099	37.654308	-120.9755515	Stanislaus County
171838	Fee-for-Service	1598722506	1598722506	1	1	NGUYEN, TAO H MD	3/4/2008	207P00000X	NA	Other	026	PHYSICIANS	100059	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
171851	Fee-for-Service	1538794730	1538794730	1	1	NUERA HOSPICE INC	9/3/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	19725 SHERMAN WAY	SUITE 220	CANOGA PARK	CA	91306	3668	19	06037	34.20117847	-118.563057	Los Angeles County
171885	Fee-for-Service	1689869570	1689869570	1	1	NGUYEN, VIVIAN MD	7/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102097	41	Internal Medicine	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
171888	Fee-for-Service	1912228958	1912228958	1	1	NGUYEN, NHANVU T MD	10/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	109940	01	General Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
171895	Fee-for-Service	1306221197	1306221197	1	1	NEW WAVE HEARING AIDS	8/18/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	747 PLUMAS STREET	None	YUBA CITY	CA	95991	4437	51	06101	39.1387503	-121.6168359	Sutter County
171933	Fee-for-Service	1427147883	1427147883	1	1	NEBRASKA METHODIST HOSP	9/26/2000	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	8303 DODGE ST	None	OMAHA	NE	68114	4108	00	None	41.25964455	-96.04161	Douglas County
172005	Fee-for-Service	1598305682	1598305682	1	1	NORTH STATE HOSPITALIST MEDI	2/1/2020	208M00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CAL GROUP, INC	914 PINE ST	None	MOUNT SHASTA	CA	96067	2143	47	06093	41.31798759	-122.3218165	Siskiyou County
172011	Fee-for-Service	1770109928	1770109928	1	1	NARINAS HOSPICE SERVICES	6/24/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14545 FRIAR STREET	STE 205P	VAN NUYS	CA	91411	2398	19	06037	34.18570347	-118.450386	Los Angeles County
172050	Fee-for-Service	1104045541	1104045541	1	1	NGO, TRUNG T MD	9/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	37275	30	Radiology	0	In state provider	None	1355 FLORIN RD	STE 12	SACRAMENTO	CA	95822	4200	34	06067	38.496114	-121.5042525	Sacramento County
172074	Fee-for-Service	1437335353	1437335353	1	8	NEIGHBORHOOD HEALTHCARE	9/26/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	980 NORTH ASH STREET	ROOM POD	ESCONDIDO	CA	92027	1629	37	06073	33.13841838	-117.0723268	San Diego County
172123	Fee-for-Service	1336664325	1336664325	1	2	NEW BEGINNINGS CHILD, ADOLES	5/16/2019	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	800 COFFEE RD	None	MODESTO	CA	95355	4233	50	06099	37.654308	-120.9755515	Stanislaus County
172145	Fee-for-Service	1164816088	1164816088	1	1	NORTON, DAVID R DO	8/16/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	16530	36	Psychiatry	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
172169	Fee-for-Service	1437335353	1437335353	1	6	NEIGHBORHOOD HEALTHCARE	9/28/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1029 NORTH BROADWAY	ROOM SONR6	ESCONDIDO	CA	92026	3043	37	06073	33.13421302	-117.0870941	San Diego County
172190	Fee-for-Service	1598321317	1598321317	1	1	NGUYEN, KIM THANH V MD	1/6/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	181634	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
172220	Fee-for-Service	1356823975	1356823975	1	1	NJOROGE, SARAH W	7/17/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	4066 CRAVEN RD	UNIT 58	OCEANSIDE	CA	92057	7388	37	06073	33.22819121	-117.315361	San Diego County
172226	Fee-for-Service	1053390955	1053390955	1	1	NAPRAWA, JAMES T MD	4/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138967	40	Pediatrics	0	In state provider	None	747 52ND STREET	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
172274	Fee-for-Service	1710422134	1710422134	1	1	NEESE, SUSAN Y	4/10/2017	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
172276	Fee-for-Service	1508391681	1508391681	1	1	NAHUMI, NADAV MD	3/4/2021	207P00000X	NA	Other	026	PHYSICIANS	158342	None	None	0	In state provider	None	4060 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2526	19	06037	34.02390148	-118.184319	Los Angeles County
172310	Fee-for-Service	1578529731	1578529731	1	1	NEUSTEIN, PAUL MD	2/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	42225	34	Urology and Urological Surgery	0	In state provider	None	15644 POMERADO RD	STE 206	POWAY	CA	92064	2400	37	06073	32.99717879	-117.0579379	San Diego County
172316	Fee-for-Service	1588675847	1588675847	1	1	NI, KAI MD	4/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	55153	22	Pathology (M.D. only)	0	In state provider	None	3301 C ST	None	SACRAMENTO	CA	95816	3300	34	06067	38.579877	-121.456143	Sacramento County
172340	Fee-for-Service	1104045541	1104045541	1	1	NGO, TRUNG T MD	9/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	37275	01	General Practice	0	In state provider	None	1355 FLORIN RD	STE 12	SACRAMENTO	CA	95822	4200	34	06067	38.496114	-121.5042525	Sacramento County
172357	Fee-for-Service	1649739616	1649739616	1	1	NEWBY, DART R MD	12/11/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	180069	None	None	0	In state provider	None	2801 ATLANTIC AVE	3RD FL	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
172389	Fee-for-Service	1730721739	1730721739	1	1	NGUYEN, MAI OD	5/25/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	71956 MAGNESIA FALLS DR	None	RANCHO MIRAGE	CA	92270	4901	33	06065	33.73550164	-116.4089224	Riverside County
172401	Fee-for-Service	1790711927	1790711927	2	11	NEWPORT HARBOR PATHOLOGY MED	7/5/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	16200 SAND CANYON AVE	None	IRVINE	CA	92618	3714	30	06059	33.6617581	-117.7736362	Orange County
172458	Fee-for-Service	1437335353	1437335353	1	6	NEIGHBORHOOD HEALTHCARE	9/28/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1029 NORTH BROADWAY	ROOM SONR6	ESCONDIDO	CA	92026	3043	37	06073	33.13421302	-117.0870941	San Diego County
172461	Fee-for-Service	1891722450	1891722450	1	1	NG, MICHAEL K MD	8/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	74141	66	Emergency Medicine (Urgent Care)	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
172509	Fee-for-Service	1356823975	1356823975	1	1	NJOROGE, SARAH W	7/17/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	4066 CRAVEN RD	UNIT 58	OCEANSIDE	CA	92057	7388	37	06073	33.22819121	-117.315361	San Diego County
172527	Fee-for-Service	1710131602	1710131602	1	1	N M HOLDERMAN HOSPITAL	4/10/1986	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	YOUNTVILLE	CA	94599	0000	28	06055	38.39765811	-122.3590658	Napa County
172563	Fee-for-Service	1639282338	1639282338	1	1	NAZARIAN, JAMSHID MD	6/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	42738	33	Thoracic Surgery	0	In state provider	None	8920 WILSHIRE BLVD	STE 501	BEVERLY HILLS	CA	90211	1949	19	06037	34.06703599	-118.3863456	Los Angeles County
172615	Fee-for-Service	1700379294	1700379294	1	1	NAMAZI, GOLNAZ MD	8/15/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	179532	None	None	0	In state provider	None	555 TECHEVAH DRIVE	None	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
172662	Fee-for-Service	1437228541	1437228541	1	1	NOZAKI, JAMES K MD	8/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	61493	01	General Practice	0	In state provider	None	1901 W KETTLEMAN LANE	SUITE 200	LODI	CA	92542	4337	39	06077	38.11558533	-121.2964501	San Joaquin County
172675	Fee-for-Service	1366575409	1366575409	1	1	NOLAN, ROBERTA J PHD	5/16/2016	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	615 HARRIS	None	EUREKA	CA	95503	4447	12	06023	40.78044158	-124.1622821	Humboldt County
172683	Fee-for-Service	1912138645	1912138645	1	1	NAHIDI, GLADYS M LCSW	10/20/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	75503	-	NOT APPLICABLE	0	In state provider	None	10953 RAMONA BLVD	RM#1293, 1295A, 1160	EL MONTE	CA	91731	2629	19	06037	34.07205148	-118.0372365	Los Angeles County
172687	Fee-for-Service	1790711927	1790711927	2	11	NEWPORT HARBOR PATHOLOGY MED	7/5/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	16200 SAND CANYON AVE	None	IRVINE	CA	92618	3714	30	06059	33.6617581	-117.7736362	Orange County
172695	Fee-for-Service	1497744023	1497744023	1	1	NANNINGA, CATHI L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	45964	41	Internal Medicine	0	In state provider	None	4727 WILSHIRE BLVD	STE 100	LOS ANGELES	CA	90010	3874	19	06037	34.06203646	-118.3326435	Los Angeles County
172707	Fee-for-Service	1275859027	1275859027	1	1	NADERI, ASAL G MD	6/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119663	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
172721	Fee-for-Service	1194342188	1194342188	1	1	NEXUS HOSPICE OF THE HIGH	7/25/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	DESERT	19195 OUTER HWY 18	STE 204	APPLE VALLEY	CA	92307	2562	36	06071	34.5365517	-117.2453016	San Bernardino County
172742	Fee-for-Service	1861556573	1861556573	1	1	NORTH MARIN COMMUNITY SERVIC	2/3/2025	251S00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	ES	680 WILSON AVE.	None	NOVATO	CA	94947	3825	21	06041	38.1040296	-122.5964315	Marin County
172763	Fee-for-Service	1386022366	1386022366	1	1	NATURA PLASTIC SURGERY INC	7/31/2015	193400000X	NA	Other	026	PHYSICIANS	113560	24	Plastic Surgery	0	In state provider	None	786 3RD AVE	STE B	CHULA VISTA	CA	91910	5826	37	06073	32.62477162	-117.0734615	San Diego County
172816	Fee-for-Service	1710131602	1710131602	1	1	N M HOLDERMAN HOSPITAL	4/10/1986	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	YOUNTVILLE	CA	94599	0000	28	06055	38.39765811	-122.3590658	Napa County
172843	Fee-for-Service	1619602216	1619602216	1	1	NORWALK POST ACUTE LLC	8/16/2022	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	12350 ROSECRANS AVE	None	NORWALK	CA	90650	5064	19	06037	33.90218953	-118.0694115	Los Angeles County
172844	Fee-for-Service	1497833099	1497833099	1	1	NERENBERG, LEWIS T MD	11/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	25077	40	Pediatrics	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
172874	Fee-for-Service	1073537353	1073537353	1	1	NEWLIN, BLYTHE M MD	6/21/2000	207L00000X	NA	Other	026	PHYSICIANS	78397	05	Anesthesiology	0	In state provider	None	5469 KEARNY VILLA RD	STE 302	SAN DIEGO	CA	92123	1159	37	06073	32.83298834	-117.1388725	San Diego County
172912	Fee-for-Service	1083712145	1083712145	1	1	NACINO, ISMAEL MD	2/26/2013	207L00000X	NA	Other	026	PHYSICIANS	44650	05	Anesthesiology	0	In state provider	None	19777 E COUNTRY HOLLOW D	None	WALNUT	CA	91789	5306	19	06037	34.04484458	-117.8676807	Los Angeles County
172993	Fee-for-Service	1275859027	1275859027	1	1	NADERI, ASAL G MD	6/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	119663	03	Allergy	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
173004	Fee-for-Service	1730568833	1730568833	1	1	NGUYEN, DAVID Q OD	11/8/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2009 TULLY RD	None	SAN JOSE	CA	95122	1801	43	06085	37.32593186	-121.8208486	Santa Clara County
173007	Fee-for-Service	1194342188	1194342188	1	1	NEXUS HOSPICE OF THE HIGH	7/25/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	DESERT	19195 OUTER HWY 18	STE 204	APPLE VALLEY	CA	92307	2562	36	06071	34.5365517	-117.2453016	San Bernardino County
173042	Fee-for-Service	1588748578	1588748578	1	1	NUCCION, STACEY LYNN MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74816	08	Family Practice	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
173065	Fee-for-Service	1194266460	1194266460	1	1	NGO, ANH TUAN H MD MPH	7/14/2020	390200000X	NA	Other	026	PHYSICIANS	160236	08	Family Practice	0	In state provider	None	625 E VALLEY BLVD	SUITE H,I &G	SAN GABRIEL	CA	91776	3591	19	06037	34.0801262	-118.0919781	Los Angeles County
173086	Fee-for-Service	1982393161	1982393161	1	1	NURTURE THERAPY GROUP, AN OC	2/7/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	CUPATIONAL THERAPY COR	848 LANCASTER BLVD	STE 102	LANCASTER	CA	93534	2347	19	06037	34.69727236	-118.1462398	Los Angeles County
173133	Fee-for-Service	1497833099	1497833099	1	1	NERENBERG, LEWIS T MD	11/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	25077	66	Emergency Medicine (Urgent Care)	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
173204	Fee-for-Service	1114659901	1114659901	1	1	NJENGA, FAITH N	7/14/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	4982 KOKOMO DRIVE	None	SACRAMENTO	CA	95835	1806	34	06067	38.663667	-121.5289485	Sacramento County
173298	Fee-for-Service	1356322861	1356322861	1	1	NGUYEN, THOMAS T MD	4/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	72340	05	Anesthesiology	0	In state provider	None	225 S LAKE AVE	STE 535	PASADENA	CA	91101	3010	19	06037	34.141905	-118.1323975	Los Angeles County
173358	Fee-for-Service	1558693655	1558693655	1	1	NORTHEAST VALLEY HEALTH	12/6/2010	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	91351	3722	19	06037	34.41652146	-118.45647	Los Angeles County
173361	Fee-for-Service	1386604387	1386604387	1	1	NAVAL HOSP CAMP PENDLETN	10/1/2004	2865M2000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	FIN MGMT CODE 0814	SANTA MARGARITA RD	BLDG H100	CAMP PENDLETON	CA	92055	5191	37	06073	33.32804592	-117.3274264	San Diego County
173390	Fee-for-Service	1548780984	1548780984	1	1	NGUY, VINH DO	3/3/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17695	08	Family Practice	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
173392	Fee-for-Service	1255376406	1255376406	2	1	NORTH LINCOLN COUNTY HOSP	7/12/2017	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	901 ADAMS ST	None	AFTON	WY	83110	9621	00	None	42.71688	-110.9314035	Lincoln County
173493	Fee-for-Service	1114659901	1114659901	1	1	NJENGA, FAITH N	7/14/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	4982 KOKOMO DRIVE	None	SACRAMENTO	CA	95835	1806	34	06067	38.663667	-121.5289485	Sacramento County
173505	Fee-for-Service	1972182855	1972182855	1	1	NEZARAT, NEGIN MD	7/30/2024	207R00000X	NA	Other	026	PHYSICIANS	191693	41	Internal Medicine	0	In state provider	None	7300 N FRESNO	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
173512	Fee-for-Service	1184754467	1184754467	1	1	NEIDLINGER, NIKOLE A MD	3/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80387	02	General Surgery	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
173527	Fee-for-Service	1639146236	1639146236	1	1	NGUYEN, MIKE M MD	11/14/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	78318	34	Urology and Urological Surgery	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0112	19	06037	34.06169385	-118.2044698	Los Angeles County
173556	Fee-for-Service	1871541649	1871541649	1	1	NORTHERN CALIFORNIA ANESTHES	11/1/1993	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	CLAY AND BUCHANNAN ST	None	SAN FRANCISCO	CA	94115	0000	38	06075	37.791126	-122.4309105	San Francisco County
173558	Fee-for-Service	1487607784	1487607784	1	1	NORTHWEST MEDICAL CENTER	4/19/2000	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6200 N LA CHOLLA BLVD	None	TUCSON	AZ	85741	3529	00	None	32.320323	-111.009951	Pima County
173605	Fee-for-Service	1558449330	1558449330	1	1	NEWBRUN, DANIEL E MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	48773	05	Anesthesiology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
173614	Fee-for-Service	1235575135	1235575135	1	1	NIDEFFER, ELIZABETH CCC-SLP	11/29/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7812 EDINGER AVE STE	400	HUNTINGTON BEACH	CA	92647	3727	30	06059	33.73009047	-117.992493	Orange County
173649	Fee-for-Service	1558693655	1558693655	1	1	NORTHEAST VALLEY HEALTH	4/11/2011	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	91351	3722	19	06037	34.41652146	-118.45647	Los Angeles County
173650	Fee-for-Service	1386604387	1386604387	1	1	NAVAL HOSP CAMP PENDLETN	7/22/2005	2865M2000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	FIN MGMT CODE 0814	SANTA MARGARITA RD	BLDG H100	CAMP PENDLETON	CA	92055	5191	37	06073	33.32804592	-117.3274264	San Diego County
173680	Fee-for-Service	1184821134	1184821134	1	1	NAVARRO, GERALDINE M	4/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	106449	83	Rheumatology	0	In state provider	None	200 MEDICAL PLAZA	STE #365	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
173767	Fee-for-Service	1801857834	1801857834	1	1	NIEBERG, KENNETH MD INC	10/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	4081 E OLYMPIC BLVD	None	LOS ANGELES	CA	90023	3330	19	06037	34.01891346	-118.186614	Los Angeles County
173773	Fee-for-Service	1508942020	1508942020	1	1	NGUYEN, DAO M MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71722	40	Pediatrics	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
173790	Fee-for-Service	1285969162	1285969162	1	1	NGUYENDO, LONG T MD	8/14/2020	207R00000X	NA	Other	026	PHYSICIANS	162879	41	Internal Medicine	0	In state provider	None	399 E HIGHLAND AVE	STE 401	SAN BERNARDINO	CA	92402	3862	36	06071	34.1358627	-117.2757898	San Bernardino County
173791	Fee-for-Service	1730139940	1730139940	1	1	NORONHA, LUKE	8/25/2020	2080P0214X	NA	Pulmonology	026	PHYSICIANS	169413	70	Clinic (mixed specialty)	0	In state provider	None	400 W PUEBLO STREET	None	SANTA BARBARA	CA	93102	0689	42	06083	34.42887662	-119.7237878	Santa Barbara County
173796	Fee-for-Service	1811050768	1811050768	1	1	NGUYEN, MAI-HUONG DO	1/11/1995	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13192 HARBOR BLVD	None	GARDEN GROVE	CA	92843	1740	30	06059	33.77163713	-117.9202936	Orange County
173812	Fee-for-Service	1972996577	1972996577	1	1	NOGUCHI, HUMA P LMFT	7/23/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
173829	Fee-for-Service	1023300696	1023300696	1	1	NAFEEI, SOHEIL MD	12/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	133098	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1165 MONTGOMERY DRIVE	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
173851	Fee-for-Service	1487607784	1487607784	1	1	NORTHWEST MEDICAL CENTER	4/19/2000	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6200 N LA CHOLLA BLVD	None	TUCSON	AZ	85741	3529	00	None	32.320323	-111.009951	Pima County
173860	Fee-for-Service	1669865630	1669865630	1	1	NIVIE HOME HEALTH SERVICES	7/11/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	23800 SUNNYMEAD BLVD	SUITE H	MORENO VALLEY	CA	92553	7731	33	06065	33.93901947	-117.2473637	Riverside County
173910	Fee-for-Service	1376839019	1376839019	1	1	NGUYEN, BRUCE C OD	4/8/2013	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9353 CLAIREMONT MESA BLV	STE K-2	SAN DIEGO	CA	92123	1220	37	06073	32.83132552	-117.127809	San Diego County
173924	Fee-for-Service	1740472505	1740472505	1	1	NEYMAN, IGOR DO	1/20/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10105	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVENUE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
173938	Fee-for-Service	1558693655	1558693655	1	1	NORTHEAST VALLEY HEALTH	6/1/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	91351	3722	19	06037	34.41652146	-118.45647	Los Angeles County
173947	Fee-for-Service	1508483033	1508483033	1	1	NDUAGUBA, CHINONSO MD	8/24/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	435 H ST	None	CHULA VISTA	CA	91910	4307	37	06073	32.63282707	-117.0829101	San Diego County
173951	Fee-for-Service	1609055078	1609055078	1	1	NALOS, PETER C MD	2/8/2015	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	47900	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3001 SILLECT AVE	SUITE 100	BAKERSFIELD	CA	93308	6370	15	06029	35.38601911	-119.0400416	Kern County
173956	Fee-for-Service	1487005443	1487005443	1	1	NGO, TACH H NP	1/5/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
173961	Fee-for-Service	1265400410	1265400410	1	1	NARAIN, GURINDER P MD	7/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	77395	None	None	0	In state provider	None	6256 N 1ST ST	STE 108	FRESNO	CA	93710	5451	10	06019	36.82768718	-119.7721604	Fresno County
173968	Fee-for-Service	1649714577	1649714577	1	1	NICHOLS, FRANCESCA R MD	9/17/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	162318	40	Pediatrics	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
173981	Fee-for-Service	1184821134	1184821134	1	1	NAVARRO, GERALDINE M	4/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	106449	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	STE #365	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
173991	Fee-for-Service	1124133293	1124133293	1	1	NAFTEL,JOHN C MD	8/1/1976	No Taxonomy Provided	NA	None	026	PHYSICIANS	25233	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9851 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	3528	33	06065	33.918192	-117.4547295	Riverside County
174056	Fee-for-Service	1033138052	1033138052	1	1	NGUYEN NGO, HUE DO	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7593	None	None	0	In state provider	None	930 SUNNYSLOPE RD	STE E2	HOLLISTER	CA	95023	5638	35	06069	36.83909681	-121.3851338	San Benito County
174148	Fee-for-Service	1184614216	1184614216	1	1	NAIM, ARJANG MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	74735	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	8631 W 3RD STREET	# 444E	LOS ANGELES	CA	90048	5901	19	06037	34.07361928	-118.3803143	Los Angeles County
174223	Fee-for-Service	1558693655	1558693655	1	1	NORTHEAST VALLEY HEALTH	12/6/2010	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	91351	3722	19	06037	34.41652146	-118.45647	Los Angeles County
174232	Fee-for-Service	1346695053	1346695053	1	1	NIKAMAL, SHERWIN DPM	9/9/2019	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	650 COMMERCE AVE	STE D	PALMDALE	CA	93551	3884	19	06037	34.58955354	-118.141074	Los Angeles County
174238	Fee-for-Service	1609055078	1609055078	1	1	NALOS, PETER C MD	2/8/2015	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	47900	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	3001 SILLECT AVE	SUITE 100	BAKERSFIELD	CA	93308	6370	15	06029	35.38601911	-119.0400416	Kern County
174277	Fee-for-Service	1124133293	1124133293	1	1	NAFTEL,JOHN C MD	8/1/1976	No Taxonomy Provided	NA	None	026	PHYSICIANS	25233	01	General Practice	0	In state provider	None	9851 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	3528	33	06065	33.918192	-117.4547295	Riverside County
174287	Fee-for-Service	1891050241	1891050241	1	1	NAGJEE, VINDHYA MD	1/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	138502	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3000 LAS POSITAS ROAD	None	LIVERMORE	CA	94551	9627	01	06001	37.69960369	-121.7628917	Alameda County
174294	Fee-for-Service	1972044246	1972044246	1	1	NG, ADRIAN J MD	7/1/2021	207L00000X	NA	Other	026	PHYSICIANS	157053	None	None	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
174319	Fee-for-Service	1639532344	1639532344	1	1	NGUYEN, ELIZABETH MD	10/1/2018	207P00000X	NA	Other	026	PHYSICIANS	151962	66	Emergency Medicine (Urgent Care)	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
174339	Fee-for-Service	1689900102	1689900102	1	1	NARAIN, KIMBERLY D MD	12/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	107106	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	SUITE 365	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
174348	Fee-for-Service	1427586841	1427586841	1	1	NGUYENTAT, MICHAEL T MD	6/23/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	176267	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
174408	Fee-for-Service	1275589285	1275589285	1	1	NIKHANJ, NIDHI S MD	6/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	103858	41	Internal Medicine	0	In state provider	None	1910 OUTLET CENTER DR	None	OXNARD	CA	93036	0677	56	06111	34.2202663	-119.1484221	Ventura County
174425	Fee-for-Service	1790844405	1790844405	1	1	NISHINAGA, ANNE K CRNA	10/26/2010	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
174440	Fee-for-Service	1821147224	1821147224	1	1	NGUYEN, ANDREW K MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	78937	34	Urology and Urological Surgery	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
174443	Fee-for-Service	1619728557	1619728557	1	1	NEIGHBORHOOD HEALTHCARE	7/11/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	488 EAST VALLEY PARKWAY	SUITE 400	ESCONDIDO	CA	92025	3378	37	06073	33.12523814	-117.0769715	San Diego County
174475	Fee-for-Service	1013236330	1013236330	1	1	NUNEZ GARCIA, ARISMENDY MD	4/23/2021	207R00000X	NA	Other	026	PHYSICIANS	171872	None	None	0	In state provider	None	3131 BERGER AVE	None	SAN DIEGO	CA	92123	4233	37	06073	32.8019999	-117.1515447	San Diego County
174483	Fee-for-Service	1275880585	1275880585	1	1	NYGAARD, KRISTIANE E PT	1/13/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	159 PARROTT ST	None	SAN LEANDRO	CA	94577	4813	01	06001	37.72225932	-122.1537168	Alameda County
174528	Fee-for-Service	1992800049	1992800049	1	1	NULTON, GREGG D MD	3/16/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	59350	08	Family Practice	0	In state provider	None	8170 LAGUNA BLVD	STE 304	ELK GROVE	CA	95758	7903	34	06067	38.421054	-121.405365	Sacramento County
174571	Fee-for-Service	1083961379	1083961379	1	2	NAIM, DAN MD A MEDICAL	11/18/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	96311	29	Pulmonary Diseases (M.D. only)	0	In state provider	CORPORATION	9400 BRIGHTON WAY	SUITE 410	BEVERLY HILLS	CA	90210	4711	19	06037	34.07043476	-118.4011952	Los Angeles County
174580	Fee-for-Service	1881840056	1881840056	1	1	NARAYAN, RUPA MD	10/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	115206	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
174671	Fee-for-Service	1184669160	1184669160	1	1	NASSERI, JONATHAN R MD	6/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	92026	41	Internal Medicine	0	In state provider	None	215 W JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
174687	Fee-for-Service	1942229570	1942229570	1	1	NATHAN,RICHARD DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3100 CHANNING WAY	None	IDAHO FALLS	ID	83403	0000	00	None	43.470198	-111.9901955	Bonneville County
174697	Fee-for-Service	1275589285	1275589285	1	1	NIKHANJ, NIDHI S MD	6/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	103858	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1910 OUTLET CENTER DR	None	OXNARD	CA	93036	0677	56	06111	34.2202663	-119.1484221	Ventura County
174726	Fee-for-Service	1902023682	1902023682	1	2	NASSER, MOSES S DO	5/10/2019	207Q00000X	NA	Adult Primary Care	086	MEDICAL DIRECTORS	9301	-	NOT APPLICABLE	0	In state provider	None	404 N GIBBS ST	None	POMONA	CA	91767	5416	19	06037	34.06158354	-117.7480328	Los Angeles County
174728	Fee-for-Service	1619728557	1619728557	1	1	NEIGHBORHOOD HEALTHCARE	7/11/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	488 EAST VALLEY PARKWAY	SUITE 400	ESCONDIDO	CA	92025	3378	37	06073	33.12523814	-117.0769715	San Diego County
174772	Fee-for-Service	1760451298	1760451298	1	1	NAGARAJA, MYSORE R MD	12/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	25685	10	Gastroenterology (M.D. only)	0	In state provider	None	17075 DEVONSHIRE ST	STE 200	NORTHRIDGE	CA	91325	5407	19	06037	34.25755945	-118.50471	Los Angeles County
174782	Fee-for-Service	1578529020	1578529020	1	1	NGUYEN, LUAN N MD	3/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	79852	01	General Practice	0	In state provider	None	3800 DALE RD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
174819	Fee-for-Service	1124460274	1124460274	1	2	NORTHEAST COMMUNITY CLINICS	6/15/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1414 S GRAND AVE	STE 380	LOS ANGELES	CA	90015	3072	19	06037	34.03661142	-118.2657227	Los Angeles County
174826	Fee-for-Service	1023647575	1023647575	1	1	NUNEZ, STEPHANIE J LCSW	12/18/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
174935	Fee-for-Service	1831277565	1831277565	1	1	NGUYEN, KHOA D MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70637	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
174946	Fee-for-Service	1821124793	1821124793	1	1	NORMAL LIFE OF CALIF	3/1/2000	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1701 JOANNE WAY	None	OXNARD	CA	93030	3253	56	06111	34.21761141	-119.1977293	Ventura County
175004	Fee-for-Service	1356811079	1356811079	1	1	NEW LEAF CHILD & FAMILY COUN	3/7/2020	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	SELING, INC.	71687 HIGHWAY 111	SUITE 205	RANCHO MIRAGE	CA	92270	4515	33	06065	33.74279697	-116.4137932	Riverside County
175016	Fee-for-Service	1194754457	1194754457	1	1	NOSSETT, ANGELA D MD	4/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	71543	01	General Practice	0	In state provider	None	732 MOTT STREET	None	SAN FERNANDO	CA	91340	4240	19	06037	34.27661761	-118.4442372	Los Angeles County
175018	Fee-for-Service	1376516922	1376516922	2	1	NATIONAL SEATING & MOBILITY,	2/1/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	1190 DELL AVENUE	SUITE L	CAMPBELL	CA	95008	6614	43	06085	37.26928047	-121.9527505	Santa Clara County
175019	Fee-for-Service	1588688832	1588688832	1	1	NGUYEN, HUNG DO	8/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	5841	01	General Practice	0	In state provider	None	7000 BOULDER AVE	None	HIGHLAND	CA	92346	3348	36	06071	34.12632952	-117.1956652	San Bernardino County
175031	Fee-for-Service	1659537306	1659537306	1	1	NOORISTANI, AHMAD K MD	5/12/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	104544	41	Internal Medicine	0	In state provider	None	1428 PHILLIPS LANE	STE 203	SAN LUIS OBISPO	CA	93401	2551	40	06079	35.28794905	-120.6574321	San Luis Obispo County
175059	Fee-for-Service	1760451298	1760451298	1	1	NAGARAJA, MYSORE R MD	12/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	25685	41	Internal Medicine	0	In state provider	None	17075 DEVONSHIRE ST	STE 200	NORTHRIDGE	CA	91325	5407	19	06037	34.25755945	-118.50471	Los Angeles County
175066	Fee-for-Service	1114959962	1114959962	1	1	NEUMAN, THOMAS MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	27796	66	Emergency Medicine (Urgent Care)	0	In state provider	None	GILMAN & LA JOLLA VLG	None	LA JOLLA	CA	92037	0000	37	06073	32.87169	-117.237942	San Diego County
175098	Fee-for-Service	1285747584	1285747584	1	1	NASSIRI, HOMAYOUN MD	8/7/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	33224	40	Pediatrics	0	In state provider	None	3111 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	5829	19	06037	33.97284681	-118.2119367	Los Angeles County
175106	Fee-for-Service	1124460274	1124460274	1	2	NORTHEAST COMMUNITY CLINICS	6/15/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1414 S GRAND AVE	STE 380	LOS ANGELES	CA	90015	3072	19	06037	34.03661142	-118.2657227	Los Angeles County
175111	Fee-for-Service	1316092729	1316092729	1	1	NEW WAY SERVICES INC	5/2/2003	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	NULL DRIVE ICF/DD-H	4109 NULL DR	None	ANTIOCH	CA	94509	4337	07	06013	37.99926981	-121.8498908	Contra Costa County
175144	Fee-for-Service	1760534176	1760534176	1	1	NIHAD, OTHMAN S PT	10/9/2007	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4629 QUAIL LAKES DR	None	STOCKTON	CA	95207	5258	39	06077	37.98734926	-121.3402055	San Joaquin County
175266	Fee-for-Service	1629249172	1629249172	1	1	NORTH STATE SURGERY CENTERS,	3/3/2008	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	LP	2184 COURT STREET	None	REDDING	CA	96001	2530	45	06089	40.57660548	-122.3929635	Shasta County
175289	Fee-for-Service	1356811079	1356811079	1	1	NEW LEAF CHILD & FAMILY COUN	3/7/2020	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	SELING, INC.	71687 HIGHWAY 111	SUITE 205	RANCHO MIRAGE	CA	92270	4515	33	06065	33.74279697	-116.4137932	Riverside County
175333	Fee-for-Service	1396724985	1396724985	1	1	NATHAN, SHAN A MD	6/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	31010	01	General Practice	0	In state provider	None	1331 W AVENUE J	STE 101	LANCASTER	CA	93534	2942	19	06037	34.68946152	-118.155699	Los Angeles County
175384	Fee-for-Service	1285747584	1285747584	1	1	NASSIRI, HOMAYOUN MD	8/7/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	33224	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3111 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	5829	19	06037	33.97284681	-118.2119367	Los Angeles County
175388	Fee-for-Service	1124460274	1124460274	1	2	NORTHEAST COMMUNITY CLINICS	11/9/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1414 S GRAND AVE	STE 380	LOS ANGELES	CA	90015	3072	19	06037	34.03661142	-118.2657227	Los Angeles County
175391	Fee-for-Service	1043218563	1043218563	1	1	NAHED, MOHAMMAD R MD	1/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	33769	41	Internal Medicine	0	In state provider	None	11550 INDIAN HILLS RD	STE 301	MISSION HILLS	CA	91345	1203	19	06037	34.28024575	-118.4588775	Los Angeles County
175408	Fee-for-Service	1902054125	1902054125	1	1	NGUYEN, ALAIN J MD	12/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114406	07	Dermatology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
175474	Fee-for-Service	1013364033	1013364033	1	1	NOAH HOME HEALTH CARE INC	10/20/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	6850 VAN NUYS BLVD	SUITE 205	VAN NUYS	CA	91405	4629	19	06037	34.195401	-118.4487235	Los Angeles County
175518	Fee-for-Service	1497214282	1497214282	1	1	NGUYEN, BRANDON	10/4/2024	207YX0007X	NA	ENT/Otolaryngology	026	PHYSICIANS	None	04	Otology, Laryngology, Rhinology	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
175577	Fee-for-Service	1255752671	1255752671	1	1	NAVALTA, SAMANTHA OT	4/14/2021	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	30033 TECHNOLOGY DRIVE	104	MURRIETA	CA	92563	2640	33	06065	33.55982681	-117.1355341	Riverside County
175641	Fee-for-Service	1679004717	1679004717	1	1	NISHIKAWA, KELLY A MD	10/27/2020	207R00000X	NA	Other	026	PHYSICIANS	158655	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
175698	Fee-for-Service	1982781837	1982781837	1	1	NAGAMINE, JANET MD	4/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	54591	None	None	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
175712	Fee-for-Service	1912150343	1912150343	1	1	NGUYET-CAM, NGUYEN P OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	10268 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2602	19	06037	33.9019797	-118.1141231	Los Angeles County
175814	Fee-for-Service	1790392124	1790392124	1	1	NOTHING HILLS GUEST HOME LLC	8/20/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	13901 HEWES AVE	None	SANTA ANA	CA	92705	2763	30	06059	33.76106559	-117.8062689	Orange County
175840	Fee-for-Service	1225030463	1225030463	1	2	NETWORK PROVIDERS FOR HOME	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	5451 LA PALMA AVE	SUITE 34	LA PALMA	CA	90623	1731	30	06059	33.84643146	-118.038843	Orange County
175841	Fee-for-Service	1891372827	1891372827	1	1	NGUYEN, VINCENT MD	9/24/2024	208M00000X	NA	Other	026	PHYSICIANS	182712	41	Internal Medicine	0	In state provider	None	1700 PRAIRIE CITY RD	None	FOLSOM	CA	95630	9594	34	06067	38.652012	-121.166901	Sacramento County
175892	Fee-for-Service	1922233915	1922233915	1	1	NICHOLAS DOWLING	10/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1305 W 18TH ST	None	SIOUX FALLS	SD	57105	0401	00	None	43.535484	-96.7428585	Minnehaha County
175940	Fee-for-Service	1689633455	1689633455	1	1	NUESSE, MARY ANN DO	8/21/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	7305	66	Emergency Medicine (Urgent Care)	0	In state provider	None	867 SOUTH TUSTIN STREET	None	ORANGE	CA	92866	3426	30	06059	33.774102	-117.835733	Orange County
176043	Fee-for-Service	1467413344	1467413344	1	1	NATHAN, RAGU C MD	6/30/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	55278	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
176061	Fee-for-Service	1184116568	1184116568	1	1	NORD, ANNE S NP	9/25/2018	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
176172	Fee-for-Service	1396762225	1396762225	1	1	NOWAKOWSKA, CECYLIA M MD	9/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	76742	36	Psychiatry	0	In state provider	None	565 CASTRO ST	None	MOUNTAIN VIEW	CA	94041	2009	43	06085	37.38903016	-122.0819046	Santa Clara County
176183	Fee-for-Service	1144063645	1144063645	1	1	NGUYEN, TUONG-VY V OD	10/22/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 MINOR HALL	None	BERKELEY	CA	94720	0001	01	06001	37.87133398	-122.2545466	Alameda County
176215	Fee-for-Service	1811517535	1811517535	1	2	NATOMAS PHARMACY, INC	5/3/2022	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4321 TRUXEL RD	STE F-1	SACRAMENTO	CA	95834	3753	34	06067	38.650275	-121.5110835	Sacramento County
176432	Fee-for-Service	1477606606	1477606606	1	1	NG, STEVE K OD	2/28/1993	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
176532	Fee-for-Service	1932666955	1932666955	1	1	NGUYEN, THAO NP	12/27/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
176550	Fee-for-Service	1457650707	1457650707	1	1	NGUYEN, ANDREW H MD	9/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124621	02	General Surgery	0	In state provider	None	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
176558	Fee-for-Service	1124460274	1124460274	1	3	NORTHEAST COMMUNITY CLINICS	6/10/2016	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1403 W LOMITA BLVD	STE 103	HARBOR CITY	CA	90710	2084	19	06037	33.79785936	-118.3016552	Los Angeles County
176597	Fee-for-Service	1003938101	1003938101	1	1	NGO, VAN NGOC	4/12/1999	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	4132 KATELLA AVE	STE 204	LOS ALAMITOS	CA	90720	6601	30	06059	33.80297152	-118.060866	Orange County
176646	Fee-for-Service	1508813098	1508813098	1	1	NANCI, ANDREEA A MD	12/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	71401	68	Hematology	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
176669	Fee-for-Service	1114033388	1114033388	1	1	NGUYEN, STEPHANIE A DO	5/9/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	7978	08	Family Practice	0	In state provider	None	9191 WESTMINSTER AVE	None	GARDEN GROVE	CA	92844	2751	30	06059	33.75946879	-117.9688437	Orange County
176681	Fee-for-Service	1770605156	1770605156	1	1	NGUYEN, CATVY CNP	7/2/2021	163W00000X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1707 EYE ST	100	BAKERSFIELD	CA	93301	5208	15	06029	35.37461686	-119.020062	Kern County
176699	Fee-for-Service	1386784338	1386784338	1	1	NYLANDER, KRISTINA B MD	8/31/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	81158	40	Pediatrics	0	In state provider	None	4968 BOOTH	106	IRVINE	CA	92604	3360	30	06059	33.68590715	-117.7855253	Orange County
176703	Fee-for-Service	1295100212	1295100212	1	1	NG, KELLEY K DO	10/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14343	08	Family Practice	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
176755	Fee-for-Service	1982784740	1982784740	1	3	NORTH EAST MEDICAL SERVICES	1/17/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1430 TARAVAL STREET	None	SAN FRANCISCO	CA	94116	2346	38	06075	37.74281056	-122.4816349	San Francisco County
176757	Fee-for-Service	1477791879	1477791879	1	1	NG, KWAN L MD	9/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125281	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA	B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
176847	Fee-for-Service	1124460274	1124460274	1	3	NORTHEAST COMMUNITY CLINICS	6/10/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1403 W LOMITA BLVD	STE 103	HARBOR CITY	CA	90710	2084	19	06037	33.79785936	-118.3016552	Los Angeles County
176855	Fee-for-Service	1174910533	1174910533	1	1	NARAYAN, RAJA R MD	11/17/2024	2086X0206X	NA	General Surgery	026	PHYSICIANS	145743	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
176891	Fee-for-Service	1124425012	1124425012	1	1	NEMTZOV, RACHEL E	3/13/2017	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 CAMARILLO RANCH RD	SUITE 209	CAMARILLO	CA	93012	8283	56	06111	34.220943	-119.0186825	Ventura County
176907	Fee-for-Service	1912452905	1912452905	1	1	NAUGHTON, LAURA LCSW	4/2/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2830 I ST	UNIT 202	SACRAMENTO	CA	95816	4311	34	06067	38.574423	-121.467717	Sacramento County
176917	Fee-for-Service	1396151148	1396151148	1	1	NATHAN HOLMES	7/31/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1717 ARLINGTON AVE	None	CALDWELL	ID	83605	4802	00	None	43.654374	-116.694738	Canyon County
176958	Fee-for-Service	1689636250	1689636250	1	1	NGUYEN, QUANG HUU MD	1/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66031	18	Ophthalmology	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
177044	Fee-for-Service	1982784740	1982784740	1	3	NORTH EAST MEDICAL SERVICES	1/17/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1430 TARAVAL STREET	None	SAN FRANCISCO	CA	94116	2346	38	06075	37.74281056	-122.4816349	San Francisco County
177046	Fee-for-Service	1619084829	1619084829	2	3	NUTRISHARE INC	9/1/2021	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9850 KENT STREET	None	ELK GROVE	CA	95624	9483	34	06067	38.397762	-121.3570755	Sacramento County
177302	Fee-for-Service	1578983375	1578983375	1	1	NOCERA, NICOLE MD	1/22/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	170310	None	None	0	In state provider	None	1800 NORTH CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
177334	Fee-for-Service	1316163942	1316163942	1	1	NGUYEN, TAN M MD	6/18/2009	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	85872	30	Radiology	0	In state provider	None	3156 VISTA WY	STE 100	OCEANSIDE	CA	92056	3694	37	06073	33.18255249	-117.3250703	San Diego County
177362	Fee-for-Service	1750578449	1750578449	1	1	NASR, ESFANDIAR MD	1/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92893	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
177414	Fee-for-Service	1881765709	1881765709	1	1	NICKS, MARK S MD	7/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	63774	40	Pediatrics	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
177443	Fee-for-Service	1134212962	1134212962	1	1	NGUYEN, HOANG N MD	12/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	72589	01	General Practice	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
177448	Fee-for-Service	1801392675	1801392675	1	1	NIELSON, KAITLYN MD	9/25/2024	207ZP0102X	NA	Other	026	PHYSICIANS	None	22	Pathology (M.D. only)	0	In state provider	None	SANTA BARBARA COTTAGE	PUEBOL AT BATH STREET	SANTA BARBARA	CA	93102	0689	42	06083	34.42507224	-119.7015833	Santa Barbara County
177461	Fee-for-Service	1013915628	1013915628	1	1	NICOLINI, JOSEPH R DO	12/15/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	8934	66	Emergency Medicine (Urgent Care)	0	In state provider	None	250 N FIRST STREET	None	BLYTHE	CA	92225	1702	33	06065	33.61293	-114.5955035	Riverside County
177512	Fee-for-Service	1932127040	1932127040	1	1	NEILAN, KATHERINE H MD	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	65701	41	Internal Medicine	0	In state provider	None	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
177584	Fee-for-Service	1780736736	1780736736	1	11	NORTHBAY HEALTHCARE GROUP	10/4/2023	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	ARE	1320 TRAVIS BLVD	STE C	FAIRFIELD	CA	94533	4654	48	06095	38.25825918	-122.0515475	Solano County
177677	Fee-for-Service	1245372531	1245372531	1	1	NEWPORT BAY SURG CTR LLC	4/25/2008	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3333 W COAST HWY	# 100	NEWPORT BEACH	CA	92663	4036	30	06059	33.62123377	-117.9271715	Orange County
177700	Fee-for-Service	1083177125	1083177125	1	1	NGOLE, KELSEY V NP	5/17/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
177703	Fee-for-Service	1043309354	1043309354	1	1	NASSRALLA, SUZY M MD	8/2/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	81844	41	Internal Medicine	0	In state provider	None	1595 SOQUEL DR	None	SANTA CRUZ	CA	95065	1719	44	06087	36.98879599	-121.9826354	Santa Cruz County
177730	Fee-for-Service	1134212962	1134212962	1	1	NGUYEN, HOANG N MD	12/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	72589	05	Anesthesiology	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
177780	Fee-for-Service	1376560920	1376560920	1	1	NAGY, ABRAHAM J MD	8/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	95776	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
177786	Fee-for-Service	1376803379	1376803379	1	1	NGO, NICOLE U	8/5/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVENUE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
177801	Fee-for-Service	1932127040	1932127040	1	1	NEILAN, KATHERINE H MD	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	65701	66	Emergency Medicine (Urgent Care)	0	In state provider	None	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
177810	Fee-for-Service	1184646622	1184646622	1	1	NUCKOLS, TERYL K MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67775	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
177828	Fee-for-Service	1720794654	1720794654	1	1	NNAMALIRI, ERIAM	12/15/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
177912	Fee-for-Service	1952360729	1952360729	1	1	NUESSE, WILLIAM H MD	3/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	49740	08	Family Practice	0	In state provider	None	867 S TUSTIN ST	None	ORANGE	CA	92866	3426	30	06059	33.774102	-117.835733	Orange County
177929	Fee-for-Service	1437446952	1437446952	1	1	NG, CEDRIC K MD	5/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	119858	None	None	0	In state provider	None	375 HUNTINGTON DR	SUITE G	SAN MARINO	CA	91108	2357	19	06037	34.1067704	-118.1349621	Los Angeles County
177958	Fee-for-Service	1124460274	1124460274	1	4	NORTHEAST COMMUNITY CLINICS	11/9/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1414 S GRAND AVE	SUITE 456	LOS ANGELES	CA	90015	3071	19	06037	34.03661142	-118.2657227	Los Angeles County
177959	Fee-for-Service	1912098294	1912098294	1	1	NGUYEN, HUNG T MD INC	7/29/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	48074	05	Anesthesiology	0	In state provider	None	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
177984	Fee-for-Service	1689053274	1689053274	1	1	NORTHGATE POSTACUTE CARE	12/8/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	40 PROFESSIONAL CENTER P	None	SAN RAFAEL	CA	94803	4650	21	06041	38.00977614	-122.5380014	Marin County
178030	Fee-for-Service	1801229109	1801229109	1	1	NAVABI, SEYEDEHSAN MD	1/11/2023	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	144948	None	None	0	In state provider	None	25150 HANCOCK AVE	STE 206	MURRIETA	CA	92562	5989	33	06065	33.56635084	-117.1823956	Riverside County
178063	Fee-for-Service	1821101650	1821101650	1	1	NEONATOLOGY MED GRP INC	7/1/1980	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
178072	Fee-for-Service	1255773263	1255773263	1	1	NGUYEN, KENT OD	10/17/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO ST	STE 2505	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
178178	Fee-for-Service	1669969341	1669969341	1	1	NGUYEN, THIENKIM T CNP	2/12/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7740 RANCHO SANTA FE RD	None	CARLSBAD	CA	92009	8685	37	06073	33.08100093	-117.2372485	San Diego County
178187	Fee-for-Service	1487033957	1487033957	1	1	NISHIMORI-LE, JESSALYN H MD	2/6/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	192333	None	None	0	In state provider	None	3855 ALAMO ST	None	SIMI VALLEY	CA	93063	2104	56	06111	34.28644751	-118.721655	Ventura County
178192	Fee-for-Service	1851702609	1851702609	1	1	NARAGHI, ASHKAN LEE MD INC	2/28/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	98791	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	8920 WILSHIRE BLVD	SUITE 635	BEVERLY HILLS	CA	90211	2010	19	06037	34.06703599	-118.3863456	Los Angeles County
178244	Fee-for-Service	1124460274	1124460274	1	4	NORTHEAST COMMUNITY CLINICS	4/13/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1414 S GRAND AVE	SUITE 456	LOS ANGELES	CA	90015	3071	19	06037	34.03661142	-118.2657227	Los Angeles County
178300	Fee-for-Service	1801020359	1801020359	1	1	NOEL, MARTHA W MD	8/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125920	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
178306	Fee-for-Service	1780774331	1780774331	1	1	NEMMERS, SUZIE T MD	10/18/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	75823	18	Ophthalmology	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
178351	Fee-for-Service	1821101650	1821101650	1	1	NEONATOLOGY MED GRP INC	7/1/1980	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
178357	Fee-for-Service	1497907083	1497907083	1	1	NGUYEN, THANH TRANG T MD	3/26/2019	207R00000X	NA	Other	026	PHYSICIANS	115025	01	General Practice	0	In state provider	None	275 N EL CIELO RD	None	PALM SPRINGS	CA	92262	6972	33	06065	33.82736911	-116.5109632	Riverside County
178382	Fee-for-Service	1780267773	1780267773	1	1	NGUGI, MERCY W	5/26/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10238 JULIANA WAY	None	SACRAMENTO	CA	95827	3068	34	06067	38.567835	-121.310127	Sacramento County
178453	Fee-for-Service	1710275722	1710275722	1	1	NESHATIAN, LEILA MD	9/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150264	10	Gastroenterology (M.D. only)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
178461	Fee-for-Service	1023073947	1023073947	1	1	NERNESS, CURTIS R. MD	5/14/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	10123 SE MARKET ST	None	PORTLAND	OR	97216	2532	00	None	45.51158947	-122.5586205	Multnomah County
178480	Fee-for-Service	1790071736	1790071736	1	1	NAGY-WILDE, ENIKO E MD	9/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	130656	13	Neurology (M.D. only)	0	In state provider	None	2800 L STREET	SUITE 610	SACRAMENTO	CA	95816	5616	34	06067	38.571237	-121.469958	Sacramento County
178484	Fee-for-Service	1720185812	1720185812	1	1	NAGARAJAN, BABITHA B MD	9/13/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	97297	41	Internal Medicine	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
178521	Fee-for-Service	1063625002	1063625002	1	1	NASSAR, ADRIENNE A MD	10/4/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116436	41	Internal Medicine	0	In state provider	None	4647 ZION AVE.	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
178525	Fee-for-Service	1962864850	1962864850	1	1	NYE, ANTHONY T NP	10/8/2020	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
178527	Fee-for-Service	1780764951	1780764951	1	1	NELSON, EDWARD L MD	9/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	65891	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
178531	Fee-for-Service	1861836207	1861836207	1	1	NGUYEN, TRANG T DO	7/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15645	41	Internal Medicine	0	In state provider	None	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
178539	Fee-for-Service	1124460274	1124460274	1	4	NORTHEAST COMMUNITY CLINICS	4/13/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1414 S GRAND AVE	SUITE 456	LOS ANGELES	CA	90015	3071	19	06037	34.03661142	-118.2657227	Los Angeles County
178564	Fee-for-Service	1043415300	1043415300	1	1	NGUYEN, MICHELLE T DO	12/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	9912	41	Internal Medicine	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
178572	Fee-for-Service	1043773518	1043773518	1	1	NGUYEN, KRISTY MD	9/7/2022	208M00000X	NA	Other	026	PHYSICIANS	181007	None	None	0	In state provider	None	2700 GRANT ST	STE 200	CONCORD	CA	94520	2266	07	06013	37.98417931	-122.0361585	Contra Costa County
178637	Fee-for-Service	1215590609	1215590609	1	1	NAKAZATO, MAKI A MD	9/25/2024	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	181053	38	Geriatrics	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
178669	Fee-for-Service	1780267773	1780267773	1	1	NGUGI, MERCY W	5/26/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10238 JULIANA WAY	None	SACRAMENTO	CA	95827	3068	34	06067	38.567835	-121.310127	Sacramento County
178677	Fee-for-Service	1265726707	1265726707	1	1	NORTH COUNTY NEONATOLOGY	5/1/2011	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	SPECIALISTS, AMC	4002 VISTA WAY	None	OCEANSIDE	CA	92056	4506	37	06073	33.1857	-117.290538	San Diego County
178696	Fee-for-Service	1568471373	1568471373	1	1	NGUYEN, THIEN THU	9/1/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PHUC OD	2446 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	3041	19	06037	34.01449625	-118.1287912	Los Angeles County
178710	Fee-for-Service	1699316695	1699316695	1	2	NEONATAL HOSPITALIST GROUP,	5/20/2020	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	INC	1420 CENTRAL AVE	None	GLENDALE	CA	91204	2594	19	06037	34.12811155	-118.2577764	Los Angeles County
178723	Fee-for-Service	1225282304	1225282304	1	1	NGO, TRAM A DO	10/24/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	10605	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
178728	Fee-for-Service	1487290409	1487290409	1	1	NOURPARVAR, BETTY LCSW	12/16/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8631 W 3RD ST	545E	LOS ANGELES	CA	90048	5993	19	06037	34.07361928	-118.3803143	Los Angeles County
178746	Fee-for-Service	1558583153	1558583153	1	1	NISSIM, JULIE A DO	9/27/2022	207R00000X	NA	Other	026	PHYSICIANS	19919	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
178841	Fee-for-Service	1932627874	1932627874	1	1	NGUYEN, LAWRENCE H DO	3/16/2021	207R00000X	NA	Other	026	PHYSICIANS	15985	None	None	0	In state provider	None	11100 WARNER AVENUE	SUITE 218	FOUNTAIN VALLEY	CA	92708	7515	30	06059	33.716291	-117.9355051	Orange County
178863	Fee-for-Service	1376584599	1376584599	1	1	NGUYEN, LIEN H MD	4/24/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	66030	18	Ophthalmology	0	In state provider	None	1816 TULLY RD	STE 288	SAN JOSE	CA	95122	4406	43	06085	37.32297177	-121.8247897	Santa Clara County
178882	Fee-for-Service	1770613614	1770613614	1	1	NGUYEN, MINH CHAU T MD	5/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	71463	83	Rheumatology	0	In state provider	None	13652 CANTARA STREET	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
178910	Fee-for-Service	1821017658	1821017658	1	1	NAEIM, ARASH MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	62996	None	None	0	In state provider	None	200 MED PLAZA STE 365	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
178942	Fee-for-Service	1083929707	1083929707	1	1	NANDWANI, MONICA C R NP	10/24/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
178957	Fee-for-Service	1093344194	1093344194	1	1	NILES, JEFFREY DO	11/20/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	22974	36	Psychiatry	0	In state provider	None	100 PINE ST	STE 1250	SAN FRANCISCO	CA	94111	5235	38	06075	37.79237874	-122.3989278	San Francisco County
178964	Fee-for-Service	1306141429	1306141429	1	1	NG, JULIE MD	8/30/2022	207RP1001X	NA	Pulmonology	026	PHYSICIANS	181440	None	None	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
178985	Fee-for-Service	1952659344	1952659344	1	1	NEW JERUSALEM ELEMENTARY	7/1/2014	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	SCHOOL DISTRICT	31400 SOUTH KOSTER RD	None	TRACY	CA	95304	8824	39	06077	37.66821546	-121.3244591	San Joaquin County
178990	Fee-for-Service	1487106035	1487106035	1	1	NOGGLE, BRADLEY J	3/11/2020	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	12791 NEWPORT AVE	SUITE 101	TUSTIN	CA	92780	2785	30	06059	33.75168784	-117.808677	Orange County
179048	Fee-for-Service	1184223489	1184223489	1	1	NWADIKE, UZOMA U NP	6/23/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
179064	Fee-for-Service	1881964096	1881964096	1	1	NGUYEN, GIAO MD	2/10/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	180771	36	Psychiatry	0	In state provider	None	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
179076	Fee-for-Service	1972023521	1972023521	1	1	NAKASAKI, MANANDO MD	5/21/2021	207ZP0102X	NA	Other	026	PHYSICIANS	164008	None	None	0	In state provider	None	10833 LECONTE AVENUE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
179087	Fee-for-Service	1467653006	1467653006	1	1	NATHANSON, DANIEL R MD	6/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	91712	02	General Surgery	0	In state provider	None	3838 CALIFORNIA ST	STE 612	SAN FRANCISCO	CA	94118	1508	38	06075	37.78591809	-122.4575439	San Francisco County
179101	Fee-for-Service	1326279852	1326279852	1	1	NORTH EAST MED SRVCS	11/17/2009	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1505	38	06075	37.72907852	-122.4042585	San Francisco County
179113	Fee-for-Service	1477016509	1477016509	1	1	NUAKO, KWAME MD	1/22/2024	390200000X	NA	Other	026	PHYSICIANS	185292	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
179126	Fee-for-Service	1689891640	1689891640	1	1	NGUYEN, ELIZABETH HOAI HUONG	9/12/2023	207W00000X	NA	Ophthalmology	026	PHYSICIANS	10810	None	None	0	In state provider	DO	17010 MAGNOLIA ST	A	FOUNTAIN VALLEY	CA	92708	3204	30	06059	33.71508	-117.9717825	Orange County
179243	Fee-for-Service	1932490471	1932490471	1	1	NATHAN W. BURROUGHS MD	12/13/2022	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9601 BAPTIST HEALTH DR	None	LITTLE ROCK	AR	72205	6321	00	None	34.744437	-92.3813595	Pulaski County
179390	Fee-for-Service	1326279852	1326279852	1	1	NORTH EAST MED SRVCS	11/17/2009	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1505	38	06075	37.72907852	-122.4042585	San Francisco County
179567	Fee-for-Service	1699038133	1699038133	1	1	NAZARIANS, SARINE OD	9/4/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8250 WOODMAN AVE	None	PANORAMA CITY	CA	91402	5427	19	06037	34.22078654	-118.4326211	Los Angeles County
179581	Fee-for-Service	1154576395	1154576395	1	1	NUTHALAPATY, ELENA S MD	9/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117498	41	Internal Medicine	0	In state provider	None	2 WEST FERN AVE	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
179584	Fee-for-Service	1497182810	1497182810	1	1	NELSON, JOANNE MFT	4/26/2016	101Y00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1693 MISSION DR	STE 204	SOLVANG	CA	93463	2635	42	06083	34.59602719	-120.1381228	Santa Barbara County
179591	Fee-for-Service	1457573248	1457573248	1	1	NEACSU, ANCA V MD	12/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	89404	None	None	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
179611	Fee-for-Service	1891337259	1891337259	1	1	NGUYEN, HUYEN T LCSW	12/30/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
179647	Fee-for-Service	1346980554	1346980554	1	1	NOLL, KRISTEN LCSW	4/22/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
179702	Fee-for-Service	1225065428	1225065428	1	1	NGUYEN, DIANE T MD	10/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84273	08	Family Practice	0	In state provider	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
179730	Fee-for-Service	1477630036	1477630036	1	1	NGUYEN, ANNE Q NP	8/4/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
179769	Fee-for-Service	1851565600	1851565600	1	1	NWOSU, VIVIAN I MD	7/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	130846	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93638	8761	20	06039	36.88437894	-119.8003484	Madera County
179820	Fee-for-Service	1356548028	1356548028	1	1	NANDAN, RENUKA D MD	12/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98574	05	Anesthesiology	0	In state provider	None	975 SOUTH FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
179861	Fee-for-Service	1538132444	1538132444	2	1	NATIONAL SEATING & MOBILITY	2/1/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	4980 E UNIVERSITY AVE	UNIT 114	FRESNO	CA	93727	1631	10	06019	36.7672835	-119.7281025	Fresno County
179904	Fee-for-Service	1396059663	1396059663	1	1	NELSON-BLAKE, NATALIE N PSYD	9/27/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1900 S MCDOWELL BLVD	12	PETALUMA	CA	94954	5473	49	06097	38.230006	-122.5958952	Sonoma County
179931	Fee-for-Service	1700837366	1700837366	1	1	NARVADES, GLADYS CRNA	5/18/2007	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
179949	Fee-for-Service	1437335353	1437335353	1	7	NEIGHBORHOOD HEALTHCARE	9/26/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2869 NORTH BROADWAY	ROOM FML	ESCONDIDO	CA	92026	8802	37	06073	33.17248523	-117.0893313	San Diego County
179955	Fee-for-Service	1497889158	1497889158	1	1	NHAN HOA COMPREHENSIVE	11/1/2013	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE CLINIC INC	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
180073	Fee-for-Service	1801838750	1801838750	1	1	NGUYEN, PHUONG THIVAN MD	9/30/1994	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	76446	10	Gastroenterology (M.D. only)	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
180120	Fee-for-Service	1518035443	1518035443	1	1	NASSAR, JOANNE L OD	1/10/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1845 W REDLANDS BLVD	101	REDLANDS	CA	92373	3124	36	06071	34.06287653	-117.215955	San Bernardino County
180124	Fee-for-Service	1306812268	1306812268	1	1	NGO, PHILIP P MD	1/27/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	77426	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
180131	Fee-for-Service	1598174278	1598174278	1	1	NEWMAN, SHELLI J	12/7/2016	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	6203	43	06085	37.43920432	-122.162109	Santa Clara County
180151	Fee-for-Service	1720002652	1720002652	1	1	NGO, KHANH MD	9/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	80291	05	Anesthesiology	0	In state provider	None	955 BLANCO CIR	STE A	SALINAS	CA	93901	4452	27	06053	36.65564507	-121.6367659	Monterey County
180173	Fee-for-Service	1710471453	1710471453	1	1	NGO, KIM P H LAC	8/13/2018	193400000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1243 FRANKLIN MALL	None	SANTA CLARA	CA	95050	4806	43	06085	37.34916153	-121.9476216	Santa Clara County
180215	Fee-for-Service	1841200854	1841200854	1	1	NGUYEN, TAM M OD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	8322	41	Internal Medicine	0	In state provider	None	414 G ST	STE 240	MARYSVILLE	CA	95901	5670	58	06115	39.13913942	-121.5934649	Yuba County
180224	Fee-for-Service	1861463606	1861463606	2	1	NANDAN, RAGHU MD	9/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	51197	78	Neoplastic Diseases/Oncology	0	In state provider	None	3650 SOUTH ST	STE 212	LAKEWOOD	CA	90712	1528	19	06037	33.86019847	-118.149255	Los Angeles County
180225	Fee-for-Service	1134381528	1134381528	1	1	NAKRA, NATASHA A MD	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108796	77	Infectious Disease	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
180239	Fee-for-Service	1497889158	1497889158	1	1	NHAN HOA COMPREHENSIVE	11/1/2013	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE CLINIC INC	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
180242	Fee-for-Service	1437335353	1437335353	1	7	NEIGHBORHOOD HEALTHCARE	9/26/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2869 NORTH BROADWAY	ROOM FML	ESCONDIDO	CA	92026	8802	37	06073	33.17248523	-117.0893313	San Diego County
180279	Fee-for-Service	1215108642	1215108642	1	1	NAYAK, SEEMA MD	10/19/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	123134	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1050 NORTH STATE ST	None	UKIAH	CA	95482	3414	23	06045	39.1623719	-123.2098216	Mendocino County
180342	Fee-for-Service	1235267006	1235267006	1	1	NGUNJIRI, MUMBI L NP	10/24/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	5970 S CENTRAL AVE	None	LOS ANGELES	CA	90001	0000	19	06037	33.985584	-118.256433	Los Angeles County
180392	Fee-for-Service	1578670378	1578670378	1	1	NORRIS, PHILIP J MD	10/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87646	41	Internal Medicine	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
180410	Fee-for-Service	1487850236	1487850236	1	1	NUH, ABDIRAHMAN S MD	10/9/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100060	41	Internal Medicine	0	In state provider	None	3160 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5219	34	06067	38.568393	-121.4658585	Sacramento County
180433	Fee-for-Service	1972786747	1972786747	1	1	NGUYEN, HENNY DPM INC	6/17/1997	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	14360 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4608	30	06059	33.753825	-117.954801	Orange County
180489	Fee-for-Service	1235985219	1235985219	1	1	NEIGHBORHOOD HEALTHCARE	6/17/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	21705 MARTIN STREET	None	PERRIS	CA	92570	7316	33	06065	33.84449354	-117.284508	Riverside County
180501	Fee-for-Service	1225173958	1225173958	1	1	NICULESCU, ANGELA	6/25/2003	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2885 LANE DR	None	CONCORD	CA	94518	2105	07	06013	37.95215502	-122.0238534	Contra Costa County
180512	Fee-for-Service	1134381528	1134381528	1	1	NAKRA, NATASHA A MD	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108796	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
180530	Fee-for-Service	1497889158	1497889158	1	1	NHAN HOA COMPREHENSIVE	11/1/2013	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE CLINIC INC	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
180625	Fee-for-Service	1821124454	1821124454	1	1	NASSR, HUSSEIN MD	11/21/2008	207RP1001X	NA	Pulmonology	026	PHYSICIANS	51778	66	Emergency Medicine (Urgent Care)	0	In state provider	None	12401 E WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
180663	Fee-for-Service	1922592179	1922592179	1	1	NORRY, DAHLIA MD	9/19/2019	390200000X	NA	Other	026	PHYSICIANS	164063	08	Family Practice	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
180665	Fee-for-Service	1922704238	1922704238	1	1	NORCAL TRANSIT LLC	5/17/2023	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	499 WILSON RD	None	YUBA CITY	CA	95991	9539	51	06101	38.97657	-121.6158435	Sutter County
180674	Fee-for-Service	1053889238	1053889238	1	1	NATHAN, ATIYA LCSW	11/16/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
180678	Fee-for-Service	1578670378	1578670378	1	1	NORRIS, PHILIP J MD	10/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87646	77	Infectious Disease	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
180693	Fee-for-Service	1982959979	1982959979	1	1	NARULA, RAJIV MD	4/19/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	142483	None	None	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
180763	Fee-for-Service	1326014424	1326014424	1	1	NISHINO, KUNI MD	3/29/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78457	05	Anesthesiology	0	In state provider	None	23845 MCBEAN PKWY	None	VALENCIA	CA	91355	2001	19	06037	34.39696803	-118.5525278	Los Angeles County
180764	Fee-for-Service	1962573907	1962573907	1	1	NGUYEN, THEODORE T MD	4/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	75034	41	Internal Medicine	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
180779	Fee-for-Service	1235985219	1235985219	1	1	NEIGHBORHOOD HEALTHCARE	6/17/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	21705 MARTIN STREET	None	PERRIS	CA	92570	7316	33	06065	33.84449354	-117.284508	Riverside County
180806	Fee-for-Service	1306820071	1306820071	1	1	NAGPALA, PABLITO G MD	9/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	81425	67	Endocrinology	0	In state provider	None	2650 ELM AVE	STE 210	LONG BEACH	CA	90806	1600	19	06037	33.805521	-118.1882945	Los Angeles County
180827	Fee-for-Service	1336664325	1336664325	1	1	NEW BEGINNINGS CHILD, ADOLES	12/14/2021	106H00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ADOLESCENT AND FAMILY	21 N EL CIRCULO AVE	None	PATTERSON	CA	95363	2535	50	06099	37.47121868	-121.1322863	Stanislaus County
180899	Fee-for-Service	1821124454	1821124454	1	1	NASSR, HUSSEIN MD	11/21/2008	207RP1001X	NA	Pulmonology	026	PHYSICIANS	51778	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	12401 E WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
180932	Fee-for-Service	1205193521	1205193521	1	1	NEPOMUCENO, NOEL S JR MD	8/13/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122221	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
180980	Fee-for-Service	1144314626	1144314626	1	1	NGUYEN, PHUONG H MD	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	65955	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
180991	Fee-for-Service	1821176363	1821176363	1	1	NGUYEN, TODD T DO	4/4/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	8814	25	Physical Medicine and Rehabilitation	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
181016	Fee-for-Service	1508074089	1508074089	1	1	NAOMI LOADHOLT	9/16/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2413 E PRESTWICK AVE	None	FRESNO	CA	93730	3505	10	06019	36.8917928	-119.7400287	Fresno County
181020	Fee-for-Service	1790989564	1790989564	1	1	NGUYEN, JETSON C MD	1/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128339	05	Anesthesiology	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
181050	Fee-for-Service	1811125834	1811125834	1	1	NOLAN, TIMOTHY R MD	8/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111048	30	Radiology	0	In state provider	None	975 SERENO DRIVE	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
181061	Fee-for-Service	1942379284	1942379284	1	1	NORTH OTTAWA COMMUNITY	2/24/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1309 SHELDON RD	None	GRAND HAVEN	MI	49417	2404	00	None	43.05085398	-86.22795961	Ottawa County
181083	Fee-for-Service	1811309586	1811309586	1	1	NGUYEN, HA MD	5/24/2024	207ZP0102X	NA	Other	026	PHYSICIANS	152143	68	Hematology	0	In state provider	None	2621 10TH	None	BERKELEY	CA	94710	2674	01	06001	37.85811852	-122.2898175	Alameda County
181095	Fee-for-Service	1306820071	1306820071	1	1	NAGPALA, PABLITO G MD	9/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	81425	40	Pediatrics	0	In state provider	None	2650 ELM AVE	STE 210	LONG BEACH	CA	90806	1600	19	06037	33.805521	-118.1882945	Los Angeles County
181112	Fee-for-Service	1821041534	1821041534	1	1	NORTHERN CALIFORNIA ORTHOPED	1/28/1994	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	S MEDICAL GROUP	6620 COYLE AVE	STE 303	CARMICHAEL	CA	95608	6333	34	06067	38.66751	-121.310028	Sacramento County
181117	Fee-for-Service	1336664325	1336664325	1	1	NEW BEGINNINGS CHILD, ADOLES	9/17/2018	261QM0855X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ADOLESCENT AND FAMILY	21 N EL CIRCULO AVE	None	PATTERSON	CA	95363	2535	50	06099	37.47121868	-121.1322863	Stanislaus County
181166	Fee-for-Service	1982619334	1982619334	1	1	NASIR, HASINA MD	3/10/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92393	None	None	0	In state provider	None	2020 SUTTER PL	None	DAVIS	CA	95616	6201	57	06113	38.56287659	-121.7715536	Yolo County
181219	Fee-for-Service	1205193521	1205193521	1	1	NEPOMUCENO, NOEL S JR MD	8/13/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122221	08	Family Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
181246	Fee-for-Service	1275546079	1275546079	1	1	NGUYEN, TIN HUU MD	12/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	43652	40	Pediatrics	0	In state provider	None	518 ELLIS ST	None	SAN FRANCISCO	CA	94109	8103	38	06075	37.78461927	-122.4149233	San Francisco County
181278	Fee-for-Service	1386140549	1386140549	1	1	NANKANJA, EVELYN LCSW	11/22/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
181307	Fee-for-Service	1508074089	1508074089	1	1	NAOMI LOADHOLT	9/16/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2413 E PRESTWICK AVE	None	FRESNO	CA	93730	3505	10	06019	36.8917928	-119.7400287	Fresno County
181374	Fee-for-Service	1063409167	1063409167	1	1	NARALA AND MADIREDDY MD	3/1/1996	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	INTERNAL MED & PEDIA MED	568 E HERNDON AVE	STE 101	FRESNO	CA	93720	2989	10	06019	36.83752653	-119.7776433	Fresno County
181393	Fee-for-Service	1316276355	1316276355	1	1	NGUYEN, MINH D DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11176	None	None	0	In state provider	None	1303 E HERNDON AVENUE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
181403	Fee-for-Service	1104835370	1104835370	1	1	NATOMAS PHYSICAL THERAPY	2/22/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1948 DEL PASO ROAD	SUITE 135	SACRAMENTO	CA	95834	7721	34	06067	38.65473	-121.505499	Sacramento County
181404	Fee-for-Service	1336664325	1336664325	1	1	NEW BEGINNINGS CHILD, ADOLES	9/17/2018	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	ADOLESCENT AND FAMILY	21 N EL CIRCULO AVE	None	PATTERSON	CA	95363	2535	50	06099	37.47121868	-121.1322863	Stanislaus County
181428	Fee-for-Service	1568513018	1568513018	1	1	NUVIEW UNION SCHOOL DIST	4/30/2002	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	29780 LAKEVIEW AVE	None	NUEVO	CA	92567	9706	33	06065	33.82116356	-117.1301842	Riverside County
181447	Fee-for-Service	1902556855	1902556855	1	1	NGUYEN, VIET MD	12/7/2024	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	189934	01	General Practice	0	In state provider	None	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
181501	Fee-for-Service	1447787205	1447787205	1	1	NORGAARD, DANIELLE M LMFT	1/29/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	4000 BIRCH ST	SUITE 112A	NEWPORT BEACH	CA	92660	2211	30	06059	33.66463772	-117.8698289	Orange County
181530	Fee-for-Service	1154784783	1154784783	1	1	NGUYEN, ANDREW K MD	1/29/2024	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	151128	None	None	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
181536	Fee-for-Service	1275546079	1275546079	1	1	NGUYEN, TIN HUU MD	12/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	43652	01	General Practice	0	In state provider	None	518 ELLIS ST	None	SAN FRANCISCO	CA	94109	8103	38	06075	37.78461927	-122.4149233	San Francisco County
181577	Fee-for-Service	1881770394	1881770394	1	1	NISHIME, ERNA O MD	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80830	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
181581	Fee-for-Service	1437335353	1437335353	1	12	NEIGHBORHOOD HEALTHCARE	10/12/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1820 OAK HILL DRIVE	ROOM MPR	ESCONDIDO	CA	92027	3731	37	06073	33.12988657	-117.0504378	San Diego County
181623	Fee-for-Service	1437464997	1437464997	1	1	NGUYEN, ANDREW T A V MD	8/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	120107	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
181625	Fee-for-Service	1184057739	1184057739	1	1	NEXT STEP ORTHOTICS AND	1/9/2014	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	PROSTHETICS INC	11731 STERLING AVE	STE H	RIVERSIDE	CA	92503	7120	33	06065	33.89475166	-117.4878553	Riverside County
181632	Fee-for-Service	1598165953	1598165953	1	1	NELSON, CHAD LMFT	11/14/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
181663	Fee-for-Service	1063409167	1063409167	1	1	NARALA AND MADIREDDY MD	3/1/1996	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	INTERNAL MED & PEDIA MED	568 E HERNDON AVE	STE 101	FRESNO	CA	93720	2989	10	06019	36.83752653	-119.7776433	Fresno County
181691	Fee-for-Service	1336664325	1336664325	1	1	NEW BEGINNINGS CHILD, ADOLES	6/2/2020	106H00000X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	ADOLESCENT AND FAMILY	21 N EL CIRCULO AVE	None	PATTERSON	CA	95363	2535	50	06099	37.47121868	-121.1322863	Stanislaus County
181715	Fee-for-Service	1164795209	1164795209	1	1	NOSRATI, SAM DPM	8/29/2017	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	23141 MOULTON PKWY	STE 109	LAGUNA HILLS	CA	92653	1241	30	06059	33.62613379	-117.7305831	Orange County
181758	Fee-for-Service	1033294434	1033294434	1	1	NAJAY SERVICE CORPORATION	8/17/1995	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	NEW IDEALS/CLIFFROSE HSE	14957 CLIFFROSE CT	None	MORENO VALLEY	CA	92553	3606	33	06065	33.90329965	-117.2359519	Riverside County
181869	Fee-for-Service	1437335353	1437335353	1	12	NEIGHBORHOOD HEALTHCARE	10/12/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1820 OAK HILL DRIVE	ROOM MPR	ESCONDIDO	CA	92027	3731	37	06073	33.12988657	-117.0504378	San Diego County
181910	Fee-for-Service	1437464997	1437464997	1	1	NGUYEN, ANDREW T A V MD	8/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	120107	66	Emergency Medicine (Urgent Care)	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
181957	Fee-for-Service	1164821559	1164821559	1	1	NATCHEZ HOSPITAL COMPANY LLC	4/21/2016	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	54 SEARGANT PRETISS DR	None	NATCHEZ	MS	39120	4726	00	None	31.52740985	-91.39041675	Adams County
181972	Fee-for-Service	1124460274	1124460274	1	8	NORTHEAST COMMUNITY CLINICS	2/5/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4455 W 117TH STREET	SUITE 502	HAWTHORNE	CA	90250	2261	19	06037	33.92825048	-118.3539285	Los Angeles County
182030	Fee-for-Service	1063614147	1063614147	1	1	NGUYEN, YEN H MD	10/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	99680	41	Internal Medicine	0	In state provider	None	1425 S MAIN STREET	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
182069	Fee-for-Service	1538450382	1538450382	1	1	NGUYEN, VAN T DO	7/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12763	01	General Practice	0	In state provider	None	25455 BARTON RD	None	LOMA LINDA	CA	92354	3130	36	06071	34.04805253	-117.249534	San Bernardino County
182071	Fee-for-Service	1730366139	1730366139	1	1	NAREDDY, HIMA B MD	5/13/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105576	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
182248	Fee-for-Service	1164821559	1164821559	1	1	NATCHEZ HOSPITAL COMPANY LLC	4/21/2016	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	54 SEARGANT PRETISS DR	None	NATCHEZ	MS	39120	4726	00	None	31.52740985	-91.39041675	Adams County
182251	Fee-for-Service	1225070667	1225070667	1	2	NORTHLAND HEARING CENTERS, I	4/3/2024	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	74133 EL PASEO	6	PALM DESERT	CA	92260	4119	33	06065	33.72014124	-116.3713494	Riverside County
182258	Fee-for-Service	1124460274	1124460274	1	8	NORTHEAST COMMUNITY CLINICS	2/5/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4455 W 117TH STREET	SUITE 502	HAWTHORNE	CA	90250	2261	19	06037	33.92825048	-118.3539285	Los Angeles County
182271	Fee-for-Service	1154476422	1154476422	1	1	NAKIA NICOLE GAINES, M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5223 HARRY HINES BLVD	None	DALLAS	TX	75235	7708	00	None	32.81151975	-96.83708934	Dallas County
182293	Fee-for-Service	1538365135	1538365135	2	1	NAKAI, TEJPREET K DO	8/5/2024	207R00000X	NA	Other	026	PHYSICIANS	22324	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
182303	Fee-for-Service	1871755074	1871755074	1	1	NAGIN, USHA K MD	1/31/2020	208M00000X	NA	Other	026	PHYSICIANS	161133	41	Internal Medicine	0	In state provider	None	9500 STOCKDALE HWY	STE 203	BAKERSFIELD	CA	93311	3620	15	06029	35.35452448	-119.1074625	Kern County
182330	Fee-for-Service	1063665180	1063665180	1	1	NAKAMURA, YUKO C MD	12/1/2017	1223S0112X	NA	Dental Provider	026	PHYSICIANS	110357	19	Dentists (DMD)	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
182353	Fee-for-Service	1518129766	1518129766	1	1	NASH, STEVEN P MD	1/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137874	41	Internal Medicine	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
182384	Fee-for-Service	1962900316	1962900316	1	1	NICKELS, ERIC M MD	6/8/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	146183	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
182455	Fee-for-Service	1871835264	1871835264	1	1	NGUYEN, BINH T MD	2/3/2020	207R00000X	NA	Other	026	PHYSICIANS	158995	41	Internal Medicine	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
182584	Fee-for-Service	1932257904	1932257904	1	1	NGUYEN, TRANG V MD	3/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	62738	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
182643	Fee-for-Service	1518129766	1518129766	1	1	NASH, STEVEN P MD	1/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137874	40	Pediatrics	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
182652	Fee-for-Service	1689635922	1689635922	1	1	NIMER, LYNN R. MD	5/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1380 E MEDICAL CENTER DR	None	SAINT GEORGE	UT	84790	2123	00	None	37.097622	-113.553828	Washington County
182667	Fee-for-Service	1053385575	1053385575	1	1	NAZZAL, SAMI MD	7/2/1977	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	30933	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
182675	Fee-for-Service	1205883501	1205883501	1	1	NGUYEN, NGAI XUAN MD	2/28/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39057	None	None	0	In state provider	None	696 E SANTA CLARA ST	STE 108	SAN JOSE	CA	95112	1911	43	06085	37.34280728	-121.876519	Santa Clara County
182691	Fee-for-Service	1720032022	1720032022	1	1	NGUYEN, DUC C MD	5/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	87268	66	Emergency Medicine (Urgent Care)	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
182714	Fee-for-Service	1841240769	1841240769	1	1	NGUYEN, HOANG D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	69179	36	Psychiatry	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
182751	Fee-for-Service	1740294933	1740294933	1	1	NELSON, DENISE R PHD	3/24/2010	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
182916	Fee-for-Service	1366624397	1366624397	1	1	NIEDHAMER, COURTNEY LMFT	2/27/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	349 E BULLARD AVE	STE 102	FRESNO	CA	93710	5298	10	06019	36.82285854	-119.7825885	Fresno County
182999	Fee-for-Service	1841240769	1841240769	1	1	NGUYEN, HOANG D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	69179	26	Psychiatry (child)	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
183022	Fee-for-Service	1124460274	1124460274	1	6	NORTHEAST COMMUNITY CLINICS	11/27/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4129 E GAGE AVENUE	None	BELL	CA	90201	1128	19	06037	33.97868838	-118.1928157	Los Angeles County
183061	Fee-for-Service	1174610380	1174610380	1	1	NARAYANAN, B MD INC	10/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68048	40	Pediatrics	0	In state provider	None	101 E BEVERLY BLVD	STE 306	MONTEBELLO	CA	90640	4316	19	06037	34.01556395	-118.0983878	Los Angeles County
183084	Fee-for-Service	1043519606	1043519606	1	1	NGUYEN, CHRISTOPHER MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123726	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
183099	Fee-for-Service	1558000968	1558000968	1	1	NUNEZ, JEFFERY M CRNA	5/16/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	207 W LEGION	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
183162	Fee-for-Service	1831327584	1831327584	1	1	NG, VIVIENNE MD	7/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114135	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
183179	Fee-for-Service	1568994879	1568994879	1	1	NORTH WEST LABS INC	1/5/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	29580 NORTHWESTERN HWY	SUITE 120	SOUTHFIELD	MI	48034	1087	00	None	42.50594967	-83.3172708	Oakland County
183255	Fee-for-Service	1881129047	1881129047	1	1	NGUYEN, MY AN C MD	5/11/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	157269	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
183268	Fee-for-Service	1518175223	1518175223	1	1	NEWMAN, STEVEN A MD	2/13/2018	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	153646	30	Radiology	0	In state provider	None	18436 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.22078873	-118.5351265	Los Angeles County
183292	Fee-for-Service	1841240769	1841240769	1	1	NGUYEN, HOANG D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	69179	40	Pediatrics	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
183298	Fee-for-Service	1518911304	1518911304	1	3	NORTH EAST MEDICAL SERVICES	5/20/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	728 PACIFIC AVE	STE 403	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
183305	Fee-for-Service	1124460274	1124460274	1	6	NORTHEAST COMMUNITY CLINICS	9/22/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4129 E GAGE AVENUE	None	BELL	CA	90201	1128	19	06037	33.97868838	-118.1928157	Los Angeles County
183338	Fee-for-Service	1427546092	1427546092	1	1	NGALA, VITALIA NP	4/28/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	95008195	-	NOT APPLICABLE	0	In state provider	None	7545 METROPOLITAN DR	None	SAN DIEGO	CA	92108	4402	37	06073	32.77687129	-117.1585907	San Diego County
183339	Fee-for-Service	1760898381	1760898381	1	1	NIKBIN, FARID MD	9/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	153845	05	Anesthesiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
183344	Fee-for-Service	1972007318	1972007318	1	1	NIEMEYER, KATHERINE M MD	7/7/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	180010	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
183365	Fee-for-Service	1245734912	1245734912	1	1	NASEEM, MADIHA MD	2/14/2024	207R00000X	NA	Other	026	PHYSICIANS	166982	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
183419	Fee-for-Service	1851564587	1851564587	1	1	NEWHOUSE, MINDY B	5/1/1998	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7349 TOPANGA CANYON BLVD	None	CANOGA PARK	CA	91303	1244	19	06037	34.204248	-118.6059895	Los Angeles County
183439	Fee-for-Service	1174186308	1174186308	1	1	NGUYEN, ANTHONY S DPM	1/6/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	DPM	3633 CAMINO DEL RIO S	300	SAN DIEGO	CA	92108	4014	37	06073	32.77798059	-117.1163142	San Diego County
183527	Fee-for-Service	1013598960	1013598960	1	1	NAVARRO, STEVEN CNP	2/2/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16773 BERNARDO CENTER DR	None	SAN DIEGO	CA	92128	2525	37	06073	33.01874412	-117.0752752	San Diego County
183586	Fee-for-Service	1518911304	1518911304	1	3	NORTH EAST MEDICAL SERVICES	5/20/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	728 PACIFIC AVE	STE 403	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
183594	Fee-for-Service	1124460274	1124460274	1	6	NORTHEAST COMMUNITY CLINICS	9/22/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4129 E GAGE AVENUE	None	BELL	CA	90201	1128	19	06037	33.97868838	-118.1928157	Los Angeles County
183748	Fee-for-Service	1568756468	1568756468	1	1	NGUYEN, CYNTHIA V MD	4/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	151630	20	Orthopedic Surgery	0	In state provider	None	909 SOUTH FAIR OAKS AVE	None	PASADENA	CA	91105	2625	19	06037	34.13056002	-118.1503751	Los Angeles County
183780	Fee-for-Service	1336257534	1336257534	1	1	NGUYEN,TRAM N MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	68051	25	Physical Medicine and Rehabilitation	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
183848	Fee-for-Service	1770073801	1770073801	1	1	NGUYEN, KEVIN N	8/5/2024	390200000X	NA	Other	026	PHYSICIANS	185887	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
183875	Fee-for-Service	1093338824	1093338824	1	1	NS HOSPICE, INC	8/19/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14550 ARCHWOOD ST	STE 103	VAN NUYS	CA	91405	4604	19	06037	34.19290331	-118.4504678	Los Angeles County
183969	Fee-for-Service	1083631998	1083631998	1	1	NORTH COUNTY ANESTHESIA	2/9/1995	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL ASSOCIATES	1100 LAS TABLAS RD	None	TEMPLETON	CA	93465	9704	40	06079	35.55442648	-120.719754	San Luis Obispo County
183975	Fee-for-Service	1275160046	1275160046	1	1	NGUYEN, SANG M MD	4/17/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	185060	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
184036	Fee-for-Service	1578687166	1578687166	1	1	NORCAL IMAGING	3/13/2007	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	5720 STONERIDGE MALL RD	STE 290	PLEASANTON	CA	94588	2828	01	06001	37.69247085	-121.9301884	Alameda County
184100	Fee-for-Service	1154509495	1154509495	1	1	NAZEMI, PEZHMAN P MD	6/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	83439	18	Ophthalmology	0	In state provider	None	199 WEST HILLCREST DR	None	THOUSAND OAKS	CA	91360	7892	56	06111	34.18092428	-118.8811584	Ventura County
184126	Fee-for-Service	1194220913	1194220913	1	1	NGUYEN, JANNETT MD	9/13/2021	207N00000X	NA	Dermatology	026	PHYSICIANS	163931	None	None	0	In state provider	None	910 MAPLE ST	None	REDWOOD CITY	CA	94063	2034	41	06081	37.48867968	-122.2222351	San Mateo County
184164	Fee-for-Service	1093338824	1093338824	1	1	NS HOSPICE, INC	8/19/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14550 ARCHWOOD ST	STE 103	VAN NUYS	CA	91405	4604	19	06037	34.19290331	-118.4504678	Los Angeles County
184174	Fee-for-Service	1649445180	1649445180	1	2	NORTH COUNTY PHYSICAL THERAP	5/11/2021	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	Y,INC.	1191 CRESTON RD	STE 115	PASO ROBLES	CA	93446	3033	40	06079	35.6227971	-120.6606503	San Luis Obispo County
184186	Fee-for-Service	1144607557	1144607557	1	1	NGUYEN, TIMOTHY P MD	9/23/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18880	None	None	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
184273	Fee-for-Service	1013063999	1013063999	1	1	NICLAS, JOSHUA MD	1/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	66972	36	Psychiatry	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
184292	Fee-for-Service	1548503360	1548503360	1	2	NICHOLS, TRISTAN C DO	6/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13608	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
184453	Fee-for-Service	1336110352	1336110352	1	2	NGUYEN HUU, M.D., INC	7/21/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1220 HEMLOCK WAY	SUITE 102	SANTA ANA	CA	92707	3656	30	06059	33.70975375	-117.8842792	Orange County
184517	Fee-for-Service	1437335353	1437335353	1	1	NEIGHBORHOOD HEALTHCARE	8/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	RAY M DICKINSON WELLNESS	425 N DATE STREET	None	ESCONDIDO	CA	92025	3413	37	06073	33.1292461	-117.0716509	San Diego County
184532	Fee-for-Service	1265021141	1265021141	1	1	NEW WAVE HOME CARE INC	6/17/2021	No Taxonomy Provided	NA	None	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1350 N ALTADENA DR	SUITE B	PASADENA	CA	91107	1484	19	06037	34.16938442	-118.0982267	Los Angeles County
184546	Fee-for-Service	1619718368	1619718368	1	1	NAVARRETE, CATALINA DOULA	10/24/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	56	06111	0	0	None
184577	Fee-for-Service	1457136269	1457136269	1	1	NGUYEN, TIA PT	9/28/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1392 E PALOMAR ST	503	CHULA VISTA	CA	91913	1892	37	06073	32.62360793	-116.9969964	San Diego County
184585	Fee-for-Service	1912985755	1912985755	1	1	NICHOLSON, DAVID L CRNA	8/4/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
184600	Fee-for-Service	1922517895	1922517895	1	1	NUMBER 1 HOME HEALTH CARE	11/23/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	21818 CRAGGY VIEW ST	SUITE 204	CHATSWORTH	CA	91311	2952	19	06037	34.25537154	-118.604529	Los Angeles County
184740	Fee-for-Service	1336110352	1336110352	1	2	NGUYEN HUU, M.D., INC	7/21/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1220 HEMLOCK WAY	SUITE 102	SANTA ANA	CA	92707	3656	30	06059	33.70975375	-117.8842792	Orange County
184748	Fee-for-Service	1811407240	1811407240	1	1	NARRA, KAVITHA DO	12/13/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	20340	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
184754	Fee-for-Service	1093219735	1093219735	1	1	NASRAWIN, NANCY MD	6/2/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	163957	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
184785	Fee-for-Service	1073663068	1073663068	1	1	NER, GRACIE S OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3145 GLENDALE BLVD	None	LOS ANGELES	CA	90039	1805	19	06037	34.11698322	-118.2620458	Los Angeles County
184802	Fee-for-Service	1487116026	1487116026	1	1	NORIEGA-JEREZA, DANIELLE J O	3/6/2024	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	T	1301 W. PROVIDENCE	None	ORANGE	CA	92868	3808	30	06059	33.78142951	-117.866583	Orange County
184805	Fee-for-Service	1437335353	1437335353	1	1	NEIGHBORHOOD HEALTHCARE	8/1/2002	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	RAY M DICKINSON WELLNESS	425 N DATE STREET	None	ESCONDIDO	CA	92025	3413	37	06073	33.1292461	-117.0716509	San Diego County
184898	Fee-for-Service	1982772992	1982772992	1	1	NUBLING, KARLA J	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	250 HOSPITAL PKWAY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
184902	Fee-for-Service	1588636641	1588636641	1	1	NG, GAN X MD	10/7/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	53500	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
184977	Fee-for-Service	1427183938	1427183938	1	1	NICULESCU, ANGELA	2/26/1996	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3737 BARRINGTON DR	None	CONCORD	CA	94518	1613	07	06013	37.96490539	-122.009648	Contra Costa County
185057	Fee-for-Service	1548509342	1548509342	1	1	NATASHA SMITH-HOLMQUIST	6/4/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	13123 E 16TH AVE	None	AURORA	CO	80045	7106	00	None	39.742164	-104.8350375	Adams County
185072	Fee-for-Service	1366836553	1366836553	1	1	NAEINI, KOUROSH MD	5/4/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	142169	30	Radiology	0	In state provider	None	14860 ROSCOE BLVD	STE 101	PANORAMA CITY	CA	91402	4681	19	06037	34.2214515	-118.4573205	Los Angeles County
185233	Fee-for-Service	1699271684	1699271684	1	1	NIEMI, ANGELA M MD	8/25/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	165188	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
185251	Fee-for-Service	1326198375	1326198375	1	1	NANDI, REENEE MD	10/5/2009	207R00000X	NA	Other	026	PHYSICIANS	97932	41	Internal Medicine	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
185255	Fee-for-Service	1528194180	1528194180	1	1	NAWROSKI, JOANNA MD	5/6/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	39627	01	General Practice	0	In state provider	UNIV SQUARE MED CLINIC	4440 EUCLID AVE	None	SAN DIEGO	CA	92115	4522	37	06073	32.7574568	-117.0921943	San Diego County
185264	Fee-for-Service	1689601270	1689601270	1	1	NOVAK, LOREN S MD	5/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	6868	08	Family Practice	0	In state provider	None	2120 THIBODO RD	None	VISTA	CA	92081	7901	37	06073	33.16745345	-117.2180381	San Diego County
185304	Fee-for-Service	1457325193	1457325193	1	1	NEELAM, MOHINDERJIT S MD	10/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	43940	41	Internal Medicine	0	In state provider	None	2601 VIA CAMPO	None	MONTEBELLO	CA	90640	1807	19	06037	34.03278164	-118.1237597	Los Angeles County
185346	Fee-for-Service	1013158823	1013158823	1	1	NILO, MINERVA LCSW	4/20/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	22025 OTOE ROAD	None	APPLE VALLEY	CA	92307	1857	36	06071	34.5439755	-117.1836655	San Bernardino County
185359	Fee-for-Service	1184781114	1184781114	1	1	NGUYEN, JOSEPHINE T MD	2/15/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	75825	30	Radiology	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
185403	Fee-for-Service	1861058737	1861058737	1	1	NORTH COAST PODIATRY PC	6/23/2020	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	3798 JANES RD	STE 9	ARCATA	CA	95521	4745	12	06023	40.89649119	-124.0930501	Humboldt County
185406	Fee-for-Service	1205340825	1205340825	1	1	NORTHERN CALIFORNIA	1/11/2019	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	EMERGENCY MEDICINE GROUP	6001 NORRIS CANYON RD	None	SAN RAMON	CA	94583	5400	07	06013	37.7755858	-121.958923	Contra Costa County
185444	Fee-for-Service	1023332392	1023332392	1	1	NEWPORT EMERGENCY SERVICES I	1/28/2015	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	203 E 4TH ST N	None	OLDTOWN	ID	83822	9546	00	None	48.1837015	-117.0378945	Bonner County
185449	Fee-for-Service	1730561978	1730561978	1	1	NOBLE PHYSICIANS MEDICAL	7/26/2016	207R00000X	NA	Other	026	PHYSICIANS	11709	41	Internal Medicine	0	In state provider	GROUP CORP INC	5901 W OLYMPIC BLVD	STE 404	LOS ANGELES	CA	90036	4669	19	06037	34.05764121	-118.3603115	Los Angeles County
185502	Fee-for-Service	1043448277	1043448277	1	1	NICKOLS, NICHOLAS G MD	9/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	114884	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 MEDICAL PLAZA	STE B265	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
185536	Fee-for-Service	1720631708	1720631708	1	4	NORCAL PAIN TREATMENT CENTER	9/14/2023	2081P2900X	NA	Physical Medicine and Rehabilitation	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	CORP	1801 COLORADO AVE	SUITE 200	TURLOCK	CA	95382	2706	50	06099	37.50941613	-120.8353105	Stanislaus County
185537	Fee-for-Service	1497118046	1497118046	1	1	NWABUEZE, ONYEMAECHI MD	8/3/2021	207L00000X	NA	Other	026	PHYSICIANS	171129	None	None	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
185548	Fee-for-Service	1972767655	1972767655	1	1	NALAWADI, SMRUTI S MD	11/12/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	104130	41	Internal Medicine	0	In state provider	None	520 N PROSPECT AVENUE	None	REDONDO BEACH	CA	90277	3042	19	06037	33.8529819	-118.3802954	Los Angeles County
185580	Fee-for-Service	1790743136	1790743136	1	1	NEVILLE, CHRISTOPHER MD	8/11/1992	2085R0001X	NA	Other	026	PHYSICIANS	74914	01	General Practice	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
185582	Fee-for-Service	1447444617	1447444617	1	1	NELSON, COREY K MD	12/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	119298	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
185648	Fee-for-Service	1013095116	1013095116	1	1	NEWHILL, ROSETTA C MD	7/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	67262	40	Pediatrics	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
185656	Fee-for-Service	1811163934	1811163934	1	1	NORTHERN CALIFORNIA MEDICAL	8/5/2008	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	ASSOCIATES	3536 MENDOCINO AVE	STE 300	SANTA ROSA	CA	95403	3634	49	06097	38.473326	-122.725935	Sonoma County
185673	Fee-for-Service	1639240542	1639240542	1	1	NASH, NINA MD	8/31/1984	207P00000X	NA	Other	026	PHYSICIANS	42020	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
185685	Fee-for-Service	1720549108	1720549108	1	1	NAMAVAR, ARAM A MD	7/2/2022	208M00000X	NA	Other	026	PHYSICIANS	176993	None	None	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
185720	Fee-for-Service	1124656061	1124656061	1	1	NGUYEN, VI TUONG DO	9/15/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20809	None	None	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2393	37	06073	32.72663119	-117.1611714	San Diego County
185757	Fee-for-Service	1053178863	1053178863	1	1	NOEL, DONALD M NP	4/2/2024	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
185758	Fee-for-Service	1891736286	1891736286	2	1	NEW START HOME MEDICAL EQUIP	3/9/2020	332BX2000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	MENT, INC.	2175 AGATE CT	SUITE B	SIMI VALLEY	CA	93065	1839	56	06111	34.274727	-118.783278	Ventura County
185780	Fee-for-Service	1003375866	1003375866	1	1	NIEH, TIMOTHY DO	8/18/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19968	None	None	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
185823	Fee-for-Service	1720631708	1720631708	1	4	NORCAL PAIN TREATMENT CENTER	9/14/2023	2081P2900X	NA	Physical Medicine and Rehabilitation	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	CORP	1801 COLORADO AVE	SUITE 200	TURLOCK	CA	95382	2706	50	06099	37.50941613	-120.8353105	Stanislaus County
185830	Fee-for-Service	1669756409	1669756409	1	1	NAZARI, RAMIN MD	5/8/2023	2080P0203X	NA	Other	026	PHYSICIANS	184786	None	None	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
185841	Fee-for-Service	1073214227	1073214227	1	1	NELLICKAL, MARGARET VANNIA	3/27/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	CCC-SLP	8265 WHITE OAK AVE	None	RANCHO CUCAMONGA	CA	91730	7671	36	06071	34.10330723	-117.5642502	San Bernardino County
185874	Fee-for-Service	1659911600	1659911600	1	1	NJUGUNA, PURITY N	3/30/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	7930 TALLOW TREE CIR	None	EASTVALE	CA	92880	3515	33	06065	33.94353624	-117.6005929	Riverside County
185954	Fee-for-Service	1518911304	1518911304	1	1	NORTH EAST MEDICAL SERVICES	1/1/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
186016	Fee-for-Service	1205987161	1205987161	1	1	NGUYEN, THANH N MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	71173	24	Plastic Surgery	0	In state provider	None	9842 BOLSA AVE	STE 200	WESTMINSTER	CA	92683	6685	30	06059	33.7447947	-117.9570555	Orange County
186030	Fee-for-Service	1922428655	1922428655	1	1	NAFDAY, REVATI A MD	6/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	140623	05	Anesthesiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
186035	Fee-for-Service	1023011384	1023011384	1	1	NGUYEN, AN D MD	11/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78574	78	Neoplastic Diseases/Oncology	0	In state provider	None	11180 WARNER AVE	STE 365	FOUNTAIN VALLEY	CA	92708	7516	30	06059	33.71632048	-117.9334575	Orange County
186052	Fee-for-Service	1467463539	1467463539	1	1	NAPA VALLEY EMERGENCY	3/25/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL GROUP	1000 TRANCAS ST	None	NAPA	CA	94558	2906	28	06055	38.32349768	-122.2963137	Napa County
186162	Fee-for-Service	1659911600	1659911600	1	1	NJUGUNA, PURITY N	3/30/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	7930 TALLOW TREE CIR	None	EASTVALE	CA	92880	3515	33	06065	33.94353624	-117.6005929	Riverside County
186186	Fee-for-Service	1417586561	1417586561	1	1	NHO, RICHARD J DO	7/26/2022	207P00000X	NA	Other	026	PHYSICIANS	19854	None	None	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
186187	Fee-for-Service	1447319140	1447319140	1	1	NESTOR, ERIC M OD	1/22/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13640 ROSCOE BLVD	None	PANORAMA CITY	CA	91402	3904	19	06037	34.22164249	-118.4299965	Los Angeles County
186205	Fee-for-Service	1861705030	1861705030	1	1	NGUYEN, TODD L MD	9/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125788	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
186232	Fee-for-Service	1831367754	1831367754	1	1	NGAI, NGAYIN PT	7/16/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
186243	Fee-for-Service	1518911304	1518911304	1	1	NORTH EAST MEDICAL SERVICES	1/1/1992	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
186261	Fee-for-Service	1780623140	1780623140	1	1	NAEIM, FARAMARZ MD	4/30/1994	207ZH0000X	NA	Other	026	PHYSICIANS	25196	22	Pathology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
186262	Fee-for-Service	1942762430	1942762430	1	1	NO, HYUNSOO J MD	10/31/2024	2085R0001X	NA	Other	026	PHYSICIANS	181378	30	Radiology	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
186275	Fee-for-Service	1972837292	1972837292	1	1	NOOR, ASIF MD	6/3/2024	2080P0208X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
186282	Fee-for-Service	1083233175	1083233175	1	1	NELSON, EMILY R DO	12/18/2024	207P00000X	NA	Other	026	PHYSICIANS	22436	66	Emergency Medicine (Urgent Care)	0	In state provider	None	20103 LAKE CHABOT	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
186322	Fee-for-Service	1023011384	1023011384	1	1	NGUYEN, AN D MD	11/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78574	68	Hematology	0	In state provider	None	11180 WARNER AVE	STE 365	FOUNTAIN VALLEY	CA	92708	7516	30	06059	33.71632048	-117.9334575	Orange County
186336	Fee-for-Service	1447756721	1447756721	1	1	NAZEMI, ALIREZA MD	9/3/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	166433	20	Orthopedic Surgery	0	In state provider	None	4955 VAN NUYS BLVD	STE 615	SHERMAN OAKS	CA	91403	1839	19	06037	34.160805	-118.4487295	Los Angeles County
186507	Fee-for-Service	1073977567	1073977567	1	1	NGUYEN, LISA K OD	12/12/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
186522	Fee-for-Service	1285882258	1285882258	1	1	NGUYEN, AN D MD	4/21/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114136	36	Psychiatry	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
186525	Fee-for-Service	1710177977	1710177977	1	1	NGUYEN, PHUONG N OD	4/2/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 NORTH BRAND BLVD	SUITE 110	GLENDALE	CA	91203	2308	19	06037	34.15116156	-118.2549512	Los Angeles County
186534	Fee-for-Service	1720242704	1720242704	1	1	NAKHL, FADI E MD	11/18/2020	207RH0003X	NA	Oncology	026	PHYSICIANS	170297	None	None	0	In state provider	None	3628 E IMPERIAL HWY	SUITE 100	LYNWOOD	CA	90262	2600	19	06037	33.93070837	-118.2044557	Los Angeles County
186547	Fee-for-Service	1093770869	1093770869	1	1	NGUYEN, KHANH D MD	7/31/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	55958	30	Radiology	0	In state provider	None	18436 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.22078873	-118.5351265	Los Angeles County
186556	Fee-for-Service	1205045655	1205045655	1	1	NEWTON, STEPHEN S MD	5/1/2020	207YP0228X	NA	ENT/Otolaryngology	026	PHYSICIANS	-	None	None	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
186560	Fee-for-Service	1457422370	1457422370	1	1	NGUYEN, ANH Q DO	12/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	7660	25	Physical Medicine and Rehabilitation	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
186563	Fee-for-Service	1972837292	1972837292	1	1	NOOR, ASIF MD	6/3/2024	2080P0208X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	None	77	Infectious Disease	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
186613	Fee-for-Service	1447534078	1447534078	1	1	NIAVARANY, PIRAYEH AU	9/22/2023	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	26726 CROWN VALLEY PKWY	STE 210	MISSION VIEJO	CA	92691	8006	30	06059	33.56385623	-117.6639538	Orange County
186627	Fee-for-Service	1528117181	1528117181	1	2	NALAM, BHASKARARAO MD	3/16/1980	208600000X	NA	General Surgery	026	PHYSICIANS	35263	06	Cardiovascular Disease (M.D. only)	0	In state provider	SUITE 202	58471 TWENTYNINE PALMS	None	YUCCA VALLEY	CA	92284	5818	36	06071	34.13270029	-116.3881647	San Bernardino County
186706	Fee-for-Service	1679564983	1679564983	1	1	NAZARENO, GERALD R MD	3/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	53590	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1111 E STANLEY BLVD	None	LIVERMORE	CA	94550	4115	01	06001	37.67881307	-121.7823992	Alameda County
186707	Fee-for-Service	1760925333	1760925333	1	1	NNAJI, NNAEMEKA U	5/19/2017	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
186712	Fee-for-Service	1013096585	1013096585	1	1	NULL, DONALD M JR MD	4/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135717	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
186793	Fee-for-Service	1295057230	1295057230	1	1	NATURAL MOLECULAR TESTING	1/27/2012	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	CORPORATION	223 SW 41ST STREET	None	RENTON	WA	98057	4930	00	None	47.44273513	-122.2203839	King County
186832	Fee-for-Service	1114003316	1114003316	1	1	NORONHA, MICHAEL A MD	11/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	72942	30	Radiology	0	In state provider	None	3630 E IMPERIAL HWY	None	LYNWOOD	CA	90262	2609	19	06037	33.93112671	-118.2035532	Los Angeles County
186836	Fee-for-Service	1124752480	1124752480	1	1	NEWPORT DIAGNOSTICS LABORATO	9/20/2024	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	RY	18242 MCDURMOTT W	STE C	IRVINE	CA	92614	4773	30	06059	33.68875305	-117.8673571	Orange County
186913	Fee-for-Service	1528117181	1528117181	1	2	NALAM, BHASKARARAO MD	3/16/1980	208600000X	NA	General Surgery	026	PHYSICIANS	35263	02	General Surgery	0	In state provider	SUITE 202	58471 TWENTYNINE PALMS	None	YUCCA VALLEY	CA	92284	5818	36	06071	34.13270029	-116.3881647	San Bernardino County
186945	Fee-for-Service	1457534174	1457534174	1	1	NORTHERN CALIFORNIA MEDI	3/5/2008	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	CAL ASSOC INC	1701 4TH ST	STE 200	SANTA ROSA	CA	95404	3601	49	06097	38.448801	-122.699439	Sonoma County
187002	Fee-for-Service	1497012058	1497012058	1	1	NIEDLE, POLINA S MD	9/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124897	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
187062	Fee-for-Service	1245231422	1245231422	1	1	NAMJOSHI, SATISH MD	5/20/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	188131	40	Pediatrics	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
187133	Fee-for-Service	1861425993	1861425993	1	1	NORTHSTATE CARDIOLOGY	8/1/1983	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CONSULTANTS MEDICAL GRP	198 COHASSET RD	None	CHICO	CA	95926	2202	04	06007	39.75140931	-121.8541188	Butte County
187149	Fee-for-Service	1073729695	1073729695	1	1	NETTAR, KARTIK D MD	6/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111435	04	Otology, Laryngology, Rhinology	0	In state provider	None	1001 POTRERO AVE	RM 4M45	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
187192	Fee-for-Service	1639100118	1639100118	1	1	NO FRESNO EMERG PHYS GRP	6/8/1992	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	EMERGENCY DEPT	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
187221	Fee-for-Service	1326899865	1326899865	1	1	NAKATSU, SHANNON PT	2/24/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	137 S LAS POSAS RD	STE 254	SAN MARCOS	CA	92078	2475	37	06073	33.14138594	-117.1924065	San Diego County
187234	Fee-for-Service	1457534174	1457534174	1	1	NORTHERN CALIFORNIA MEDI	3/5/2008	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	89	Surgery-Traumatic	0	In state provider	CAL ASSOC INC	1701 4TH ST	STE 200	SANTA ROSA	CA	95404	3601	49	06097	38.448801	-122.699439	Sonoma County
187346	Fee-for-Service	1164713244	1164713244	1	1	NAFOOSI, SAMI A MD	10/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	36985	41	Internal Medicine	0	In state provider	None	43839 15TH ST W	None	LANCASTER	CA	93534	4756	19	06037	34.678791	-118.156867	Los Angeles County
187559	Fee-for-Service	1073214748	1073214748	1	1	NOXON, JAMI	3/6/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	3825 THOUSAND OAKS BLVD	O	THOUSAND OAKS	CA	91362	3639	56	06111	34.16243394	-118.8254491	Ventura County
187612	Fee-for-Service	1194926311	1194926311	1	1	NICHOLAS BRUCKER	2/23/2022	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9601 BAPTIST HEALTH DR	None	LITTLE ROCK	AR	72205	6321	00	None	34.744437	-92.3813595	Pulaski County
187660	Fee-for-Service	1326213737	1326213737	1	1	NEPTUNE, JANAKI LMFT	1/17/2017	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1620 CENTINELA AVE	SUITE 201A, 204	INGLEWOOD	CA	90302	1093	19	06037	33.97711068	-118.3677329	Los Angeles County
187673	Fee-for-Service	1538658752	1538658752	1	1	NICHOLS, ZACHARY L DO	7/26/2021	207R00000X	NA	Other	026	PHYSICIANS	18909	None	None	0	In state provider	None	1000 GREENLEY RD	None	SONORA	CA	95370	5200	55	06109	37.97749352	-120.3700335	Tuolumne County
187682	Fee-for-Service	1306100623	1306100623	1	1	NGUYEN, TIN T MD	8/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155807	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
187707	Fee-for-Service	1659657765	1659657765	1	1	NEWCOMER, ANNE E MD	4/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	126026	05	Anesthesiology	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	0000	01	06001	37.8237837	-122.2590026	Alameda County
187742	Fee-for-Service	1003279480	1003279480	1	1	NGUYEN, ANHTHU NGOC MD INC	1/1/2017	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	115795	25	Physical Medicine and Rehabilitation	0	In state provider	None	12302 GARDEN GROVE BLVD	STE 7	GARDEN GROVE	CA	92843	1833	30	06059	33.77428392	-117.9181185	Orange County
187781	Fee-for-Service	1639412034	1639412034	1	1	NOEMI HABIB MD	11/8/2022	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	350 W THOMAS RD	None	PHOENIX	AZ	85013	4409	00	None	33.480864	-112.0795155	Maricopa County
187783	Fee-for-Service	1093146607	1093146607	1	1	NGUYEN, BEN LMFT	11/24/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
187841	Fee-for-Service	1548489602	1548489602	1	3	NORTH PACIFIC DERMATOLOGY A	11/18/2024	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	MEDICAL CORPORATION	1730 MAIN ST.	SUITE B	FORTUNA	CA	95540	2467	12	06023	40.59765205	-124.14804	Humboldt County
187849	Fee-for-Service	1659567733	1659567733	1	1	NAQVI, SYED S MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	102514	08	Family Practice	0	In state provider	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	5839	54	06107	36.05128153	-119.0422344	Tulare County
187871	Fee-for-Service	1427637792	1427637792	1	1	NGUYEN, STEPHANIE DO	10/29/2024	207P00000X	NA	Other	026	PHYSICIANS	22611	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5555 W LAS POSITAS BLVD	None	PLEASANTON	CA	94588	4000	01	06001	37.69212528	-121.8803442	Alameda County
187916	Fee-for-Service	1376982868	1376982868	1	1	NAVARRETE-BELL, KAREN LCSW	8/5/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	110 N MACLAY AVE	114	SAN FERNANDO	CA	91340	2989	19	06037	34.28449525	-118.4396137	Los Angeles County
187953	Fee-for-Service	1124086855	1124086855	2	1	NAYYAR, MANMOHAN MD	4/25/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	42225	13	Neurology (M.D. only)	0	In state provider	None	18523 CORWIN RD	STE A	APPLE VALLEY	CA	92307	2300	36	06071	34.54095703	-117.2601143	San Bernardino County
187976	Fee-for-Service	1659628154	1659628154	1	1	NAYAK, VIJAY J DO	6/12/2017	390200000X	NA	Other	026	PHYSICIANS	15425	30	Radiology	0	In state provider	None	1001 POTRERO AVE	ROOM 1X55	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
187978	Fee-for-Service	1457918823	1457918823	1	1	NGUYEN, KIMNGAN H MD	10/18/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180040	None	None	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
188018	Fee-for-Service	1033780788	1033780788	1	1	NDUNGU, MARY WAIRIMU	8/10/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2454 OSWEGO ST	UNIT 106	PASADENA	CA	91107	6339	19	06037	34.14339122	-118.0999369	Los Angeles County
188142	Fee-for-Service	1558894212	1558894212	1	1	NGUYEN, JACQUELINE T MD	12/10/2019	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	159576	40	Pediatrics	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
188233	Fee-for-Service	1912992215	1912992215	1	1	NORTHERN WESTCHESTER	6/15/2009	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL ASSOCIATION	400 EAST MAIN STREET	None	MOUNT KISCO	NY	10549	3417	00	None	41.19594997	-73.72481459	Westchester County
188243	Fee-for-Service	1124086855	1124086855	2	1	NAYYAR, MANMOHAN MD	4/25/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	42225	41	Internal Medicine	0	In state provider	None	18523 CORWIN RD	STE A	APPLE VALLEY	CA	92307	2300	36	06071	34.54095703	-117.2601143	San Bernardino County
188259	Fee-for-Service	1780621771	1780621771	1	1	NICHOLAS HUNT, MD	3/18/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5610 W GAGE ST	STE B	BOISE	ID	83706	1332	00	None	43.61345549	-116.251263	Ada County
188270	Fee-for-Service	1568749380	1568749380	1	1	NEWMAN, TENYA L LCSW	12/14/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
188291	Fee-for-Service	1225014590	1225014590	1	1	NISHIKAWA AND LOWE SURGICAL	5/5/2020	208600000X	NA	General Surgery	026	PHYSICIANS	None	None	None	0	In state provider	F THE CENTRAL VALLEY	6235 N FRESNO ST	STE 106	FRESNO	CA	93710	5269	10	06019	36.82733123	-119.7814229	Fresno County
188304	Fee-for-Service	1033780788	1033780788	1	1	NDUNGU, MARY WAIRIMU	8/10/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2454 OSWEGO ST	UNIT 106	PASADENA	CA	91107	6339	19	06037	34.14339122	-118.0999369	Los Angeles County
188334	Fee-for-Service	1740434406	1740434406	1	1	NUNES, SANDY X MD	9/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	112026	18	Ophthalmology	0	In state provider	None	1450 SAN PABLO ST	None	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
188350	Fee-for-Service	1316479306	1316479306	1	1	NELLESSEN, MARIA L MD	7/15/2021	390200000X	NA	Other	026	PHYSICIANS	159134	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
188354	Fee-for-Service	1154342871	1154342871	1	1	NGUYEN, PHUONG C MD	6/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	83319	10	Gastroenterology (M.D. only)	0	In state provider	None	2340 CLAY ST	None	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
188411	Fee-for-Service	1609555713	1609555713	1	1	NGUYEN, THERESA OD	10/9/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	687 SWEETWATER RD	None	SPRING VALLEY	CA	91977	5628	37	06073	32.7086752	-117.0114942	San Diego County
188455	Fee-for-Service	1124460274	1124460274	1	7	NORTHEAST COMMUNITY CLINICS	9/28/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5820 N FIGUEROA ST	None	LOS ANGELES	CA	90042	4228	19	06037	34.1103044	-118.1913094	Los Angeles County
188482	Fee-for-Service	1306950043	1306950043	1	1	NARAGHI, ROBERT M MD	6/30/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	83950	34	Urology and Urological Surgery	0	In state provider	None	880 S ATLANTIC BLVD	STE 101	MONTEREY PARK	CA	91754	4700	19	06037	34.05038485	-118.1383456	Los Angeles County
188494	Fee-for-Service	1740680909	1740680909	1	1	NIEDENTHAL DURET, EDOUARD E	1/19/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LCSW	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
188521	Fee-for-Service	1912992215	1912992215	1	1	NORTHERN WESTCHESTER	6/15/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL ASSOCIATION	400 EAST MAIN STREET	None	MOUNT KISCO	NY	10549	3417	00	None	41.19594997	-73.72481459	Westchester County
188612	Fee-for-Service	1497044465	1497044465	1	1	NISSAN, KARMIN P MD	7/6/2018	207LP2900X	NA	Other	026	PHYSICIANS	144993	05	Anesthesiology	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
188642	Fee-for-Service	1154342871	1154342871	1	1	NGUYEN, PHUONG C MD	6/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	83319	40	Pediatrics	0	In state provider	None	2340 CLAY ST	None	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
188644	Fee-for-Service	1679616635	1679616635	1	1	NGUYEN, NHI T CA	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	FAMILY ACUPUNCTURE	1865 ALUM ROCK AVE	STE D	SAN JOSE	CA	95116	1396	43	06085	37.35430746	-121.8524581	Santa Clara County
188647	Fee-for-Service	1316644776	1316644776	1	1	NGUYEN, KAITLYN NP	6/1/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2400 EAST 4TH STREET	None	NATIONAL CITY	CA	91950	2026	37	06073	32.68637926	-117.0828839	San Diego County
188654	Fee-for-Service	1104897529	1104897529	1	1	NORTH PHILADELPHIA HEALTH	8/16/2007	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SYSTEM	16TH W GIRARD AVE	None	PHILADELPHIA	PA	19130	0000	00	None	39.96866654	-75.1350465	Philadelphia County
188658	Fee-for-Service	1245847565	1245847565	1	1	NICOLET, SANDRINE M PT	10/23/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
188701	Fee-for-Service	1558868265	1558868265	1	1	NG, BRIAN K MD	4/18/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	184917	None	None	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
188702	Fee-for-Service	1073964300	1073964300	1	1	NOROYAN, CASEY DO	6/16/2021	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	2400 S AVENUE A,	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
188706	Fee-for-Service	1275859233	1275859233	1	1	NGUYEN, THUYVAN L DO	6/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11905	41	Internal Medicine	0	In state provider	None	26520 CACTUS AVENUE	None	MORENO VALLEY	CA	92552	3927	33	06065	33.912117	-117.195849	Riverside County
188744	Fee-for-Service	1124460274	1124460274	1	7	NORTHEAST COMMUNITY CLINICS	9/28/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5820 N FIGUEROA ST	None	LOS ANGELES	CA	90042	4228	19	06037	34.1103044	-118.1913094	Los Angeles County
188761	Fee-for-Service	1831589316	1831589316	1	1	NGUYEN, PETER L MD	6/13/2020	207L00000X	NA	Other	026	PHYSICIANS	167758	05	Anesthesiology	0	In state provider	None	3315 WATT AVE	None	SACRAMENTO	CA	95821	3600	34	06067	38.626056	-121.3834455	Sacramento County
188763	Fee-for-Service	1154362093	1154362093	2	1	NOVA SKILLED HOME HEALTH,	6/25/2009	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	8111 BEVERLY BLVD	STE 306	LOS ANGELES	CA	90048	4520	19	06037	34.07611849	-118.3666365	Los Angeles County
188765	Fee-for-Service	1912196320	1912196320	1	1	NEMETH, NICOLE M MD	9/6/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126526	None	None	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
188790	Fee-for-Service	1700974565	1700974565	1	1	NADRA, CHARBEL J MD	7/29/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	83985	41	Internal Medicine	0	In state provider	None	770 MASON ST	None	VACAVILLE	CA	95688	4646	48	06095	38.35504697	-121.983852	Solano County
188852	Fee-for-Service	1558324145	1558324145	1	1	NUDLEMAN, KENNETH L MD	2/8/2015	2084N0400X	NA	Neurology	026	PHYSICIANS	37407	13	Neurology (M.D. only)	0	In state provider	DEPT OF NEUROLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
188908	Fee-for-Service	1730139908	1730139908	1	1	NORTHCOAST EMERGENCY PHY	2/28/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	SICIANS MEDICAL GROUP	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
188909	Fee-for-Service	1932140274	1932140274	1	1	NIEMAN, CHRISTINE C MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	68543	05	Anesthesiology	0	In state provider	None	3626 RUFFIN ROAD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
188946	Fee-for-Service	1104897529	1104897529	1	1	NORTH PHILADELPHIA HEALTH	8/16/2007	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SYSTEM	16TH W GIRARD AVE	None	PHILADELPHIA	PA	19130	0000	00	None	39.96866654	-75.1350465	Philadelphia County
188956	Fee-for-Service	1548222045	1548222045	1	1	NILSON,BART MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1600 W ANTELOPE DR	None	LAYTON	UT	84041	1120	00	None	41.091012	-111.995523	Davis County
188959	Fee-for-Service	1629527023	1629527023	1	1	NAZARENO, ARBERT A NP	6/17/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2230 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1353	34	06067	38.555631	-121.459203	Sacramento County
188975	Fee-for-Service	1255592465	1255592465	1	1	NIENOW, SHALON M MD	7/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155289	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
189000	Fee-for-Service	1447248778	1447248778	1	1	NAUGHTON, JAMES L MD	7/30/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	26715	41	Internal Medicine	0	In state provider	None	1332 PARK ST	STE 202	ALAMEDA	CA	94501	4554	01	06001	37.76330843	-122.2435444	Alameda County
189004	Fee-for-Service	1174844807	1174844807	1	1	NGUYEN, MARIE MD	5/9/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	125712	30	Radiology	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
189032	Fee-for-Service	1699163113	1699163113	1	1	NEOGREEN SOLUTIONS INC	7/20/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	24301 SOUTHLAND DRIVE	SUITE 401	HAYWARD	CA	94545	1550	01	06001	37.65344508	-122.1045736	Alameda County
189034	Fee-for-Service	1003245317	1003245317	1	1	NEOGENOMICS LABORATORIES INC	12/12/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	7256 S SAM HOUSTON PKWY	None	HOUSTON	TX	77085	2328	00	None	29.61305289	-95.49174774	Harris County
189062	Fee-for-Service	1912494873	1912494873	1	1	NGUYEN, THACH BAO JONATHAN	9/19/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	MD	9508 STOCKDALE HWY	SUITE 150	BAKERSFIELD	CA	93311	3622	15	06029	35.35453237	-119.1086014	Kern County
189108	Fee-for-Service	1407950777	1407950777	1	1	NABI, IRAJ MD	6/8/2009	208800000X	NA	Other	026	PHYSICIANS	36021	34	Urology and Urological Surgery	0	In state provider	None	3939 J STREET	STE 380	SACRAMENTO	CA	95819	3631	34	06067	38.570211	-121.45374	Sacramento County
189146	Fee-for-Service	1477609071	1477609071	1	1	NICOLE DE LA GARZA	12/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5200 DTC PKWY	STE 400	GREENWOOD VLG	CO	80111	2719	00	None	39.621636	-104.8992545	Arapahoe County
189160	Fee-for-Service	1265845291	1265845291	1	1	NGUYEN, ALEXANDRE D MD	12/18/2019	207P00000X	NA	Other	026	PHYSICIANS	138750	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
189203	Fee-for-Service	1811024748	1811024748	1	1	NAOI, TOMOE S PHD	10/17/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3775 BEACON AVE	STE 224	FREMONT	CA	94538	1466	01	06001	37.54785737	-121.9830193	Alameda County
189281	Fee-for-Service	1245765411	1245765411	1	1	NADIMPALLI, SAMEERA MD	10/18/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	178794	None	None	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
189287	Fee-for-Service	1659515294	1659515294	1	1	NEWMARK, SHELESE R MD	5/20/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116290	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	# 365	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
189331	Fee-for-Service	1902657091	1902657091	1	1	NG JR, ABRAHAM CHUA	5/15/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	218 CANTADA WAY	None	AMERICAN CANYON	CA	94503	3171	28	06055	38.17540756	-122.2464841	Napa County
189347	Fee-for-Service	1851521298	1851521298	1	1	NAIR, NARAYANAN M MD	4/29/2019	208200000X	NA	General Surgery	026	PHYSICIANS	150815	24	Plastic Surgery	0	In state provider	None	2901 SILLECT AVE	SUITE 201	BAKERSFIELD	CA	93308	6371	15	06029	35.38611256	-119.0393796	Kern County
189424	Fee-for-Service	1255374187	1255374187	1	1	NGUYEN, KHUU H MD	5/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86064	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2400 S FLOWER ST	None	LOS ANGELES	CA	90007	2629	19	06037	34.02861627	-118.273964	Los Angeles County
189466	Fee-for-Service	1336464833	1336464833	1	1	NEJMANOWSKI, REGINA M CRNA	5/17/2017	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
189471	Fee-for-Service	1932771938	1932771938	1	1	NEUWEILER, MONIKA CRNA	4/5/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
189494	Fee-for-Service	1457888224	1457888224	1	1	NGUYEN, ANDREW H DO	9/24/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17003	None	None	0	In state provider	None	1301 PINOLE VALLEY RD	None	PINOLE	CA	94564	1384	07	06013	37.9991883	-122.2867117	Contra Costa County
189499	Fee-for-Service	1871923979	1871923979	1	1	NYPLE, HOLLY	9/22/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
189595	Fee-for-Service	1851487201	1851487201	1	1	NGUYEN, HUYEN T OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	CALEX VISION OPT CTR	2135 E ANAHEIM ST	None	LONG BEACH	CA	90804	3402	19	06037	33.78262651	-118.165887	Los Angeles County
189615	Fee-for-Service	1699538462	1699538462	1	1	NAIR, RESMI NP	7/4/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	510 PLAZA DRIVE	STE 170	FOLSOM	CA	95630	4790	34	06067	38.65716	-121.1738175	Sacramento County
189618	Fee-for-Service	1306994330	1306994330	1	1	NGUYEN, LAURA L MD	12/11/2007	207R00000X	NA	Other	026	PHYSICIANS	89594	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
189620	Fee-for-Service	1902657091	1902657091	1	1	NG JR, ABRAHAM CHUA	5/15/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	218 CANTADA WAY	None	AMERICAN CANYON	CA	94503	3171	28	06055	38.17540756	-122.2464841	Napa County
189663	Fee-for-Service	1093136418	1093136418	1	1	NATIONAL LABS INC	11/24/2015	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	3948 TRUST WAY	None	HAYWARD	CA	94545	3716	01	06001	37.62363824	-122.1249764	Alameda County
189691	Fee-for-Service	1740026020	1740026020	1	1	NAKAMICHI, MIKOTO NP	7/5/2024	363LP0222X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
189747	Fee-for-Service	1497118764	1497118764	1	1	NEWLON, CLAIRE A MD	7/19/2023	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	187451	None	None	0	In state provider	None	26585 W AGOURA ROAD	330	CALABASAS	CA	91302	1958	19	06037	34.14240621	-118.7027109	Los Angeles County
189761	Fee-for-Service	1225271240	1225271240	1	1	NEWMAN, NATE PHD BCD LCSW PC	10/15/2013	251S00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	4055 THOUSAND OAKS BLVD	SUITE 215	WESTLAKE VILLAGE	CA	91362	6976	56	06111	34.16019605	-118.8211333	Ventura County
189796	Fee-for-Service	1144439746	1144439746	1	1	NIETO, FRANK J JR LCSW	6/11/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3330 HEIGHTS DR	STE 120	CAMERON PARK	CA	95682	8500	09	06017	38.66076236	-120.981666	El Dorado County
189799	Fee-for-Service	1760902068	1760902068	1	1	NAIR, SAARIKA M MD	5/8/2024	208M00000X	NA	Other	026	PHYSICIANS	None	70	Clinic (mixed specialty)	0	In state provider	None	20101 LAKE CHABOT RD	1ST FLOOR	CASTRO VALLEY	CA	94546	5305	01	06001	37.69819004	-122.0873124	Alameda County
189823	Fee-for-Service	1215006762	1215006762	1	1	NARAYAN, DHARMAVIJAYPAL R MD	2/18/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	90119	41	Internal Medicine	0	In state provider	None	1401 N PALM CANYON DRIVE	STE 100	PALM SPRINGS	CA	92262	4434	33	06065	33.841269	-116.546807	Riverside County
189927	Fee-for-Service	1205196318	1205196318	1	1	NG, ANGIE T MD	7/16/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	126716	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
190029	Fee-for-Service	1982610309	1982610309	1	1	NASSERIAN, AHMAD MD	4/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	33925	05	Anesthesiology	0	In state provider	None	1300 W 7TH ST	None	SAN PEDRO	CA	90732	3505	19	06037	33.73793948	-118.3036095	Los Angeles County
190088	Fee-for-Service	1760902068	1760902068	1	1	NAIR, SAARIKA M MD	5/8/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	20101 LAKE CHABOT RD	1ST FLOOR	CASTRO VALLEY	CA	94546	5305	01	06001	37.69819004	-122.0873124	Alameda County
190097	Fee-for-Service	1205802717	1205802717	1	1	NAZARETH, IVOR J MD	2/8/2015	2084N0400X	NA	Neurology	026	PHYSICIANS	30151	13	Neurology (M.D. only)	0	In state provider	None	39000 BOB HOPE DR	P311	RANCHO MIRAGE	CA	92270	7065	33	06065	33.763572	-116.4056895	Riverside County
190175	Fee-for-Service	1467463539	1467463539	1	2	NAPA VALLEY EMERGENCY	7/31/2023	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	347 ANDRIEUX ST	None	SONOMA	CA	95476	6811	49	06097	38.28843573	-122.4651035	Sonoma County
190194	Fee-for-Service	1306010061	1306010061	1	1	NAFTALI-EDELSTEIN, ABIGAIL S	10/11/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	190 SIERRA COURT	STE C4	PALMDALE	CA	93550	7609	19	06037	34.64013337	-118.1280539	Los Angeles County
190264	Fee-for-Service	1336229194	1336229194	1	1	NORTH EAST MEDICAL SVS	2/1/2001	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	LELAND AVENUE	82 LELAND AVE	None	SAN FRANCISCO	CA	94134	2804	38	06075	37.71182396	-122.4052706	San Francisco County
190271	Fee-for-Service	1174567655	1174567655	1	1	NAYAK, SUNDEEP M MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	66873	30	Radiology	0	In state provider	None	108 W SHAW AVE	None	FRESNO	CA	93704	2817	10	06019	36.80862346	-119.792907	Fresno County
190284	Fee-for-Service	1043224355	1043224355	1	1	NEW YORK CITY HEALTH AND HOS	3/27/2021	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	451 CLARKSON AVE	None	BROOKLYN	NY	11203	2054	00	None	40.656258	-73.9446165	Kings County
190308	Fee-for-Service	1700882578	1700882578	1	1	NORMAN REGIONAL HOSPITAL	2/25/2004	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	901 N PORTER AVE	None	NORMAN	OK	73071	6482	00	None	35.23022019	-97.44110859	Cleveland County
190464	Fee-for-Service	1881937506	1881937506	1	1	NGUYEN, RICHARD MD	8/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15488	05	Anesthesiology	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
190465	Fee-for-Service	1568747947	1568747947	1	1	NERIO, NAMIKO DO	4/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11989	None	None	0	In state provider	None	1680 E 12OTH STREET	None	LOS ANGELES	CA	90059	3026	19	06037	0	0	None
190470	Fee-for-Service	1326484569	1326484569	1	1	NXGEN MDX, LLC	8/5/2021	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	801 BROADWAY AVE NW	SUITE 203	GRAND RAPIDS	MI	49504	4463	00	None	42.97869	-85.682007	Kent County
190509	Fee-for-Service	1295340164	1295340164	1	1	NOVOM, TIMOTHY D PT	6/7/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
190552	Fee-for-Service	1336229194	1336229194	1	1	NORTH EAST MEDICAL SVS	2/1/2001	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	LELAND AVENUE	82 LELAND AVE	None	SAN FRANCISCO	CA	94134	2804	38	06075	37.71182396	-122.4052706	San Francisco County
190559	Fee-for-Service	1407407901	1407407901	1	1	NOURBAKHSH, MAHRA MD	6/21/2021	390200000X	NA	Other	026	PHYSICIANS	168689	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
190572	Fee-for-Service	1043224355	1043224355	1	1	NEW YORK CITY HEALTH AND HOS	3/27/2021	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	451 CLARKSON AVE	None	BROOKLYN	NY	11203	2054	00	None	40.656258	-73.9446165	Kings County
190577	Fee-for-Service	1295891851	1295891851	1	1	NELSON, JON E PHD	10/16/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
190598	Fee-for-Service	1700882578	1700882578	1	1	NORMAN REGIONAL HOSPITAL	5/25/2004	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	901 N PORTER AVE	None	NORMAN	OK	73071	6482	00	None	35.23022019	-97.44110859	Cleveland County
190618	Fee-for-Service	1174172696	1174172696	1	1	NGUYEN, MARYSE-NOELLE NP	7/14/2023	163WP0809X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	17111 BEACH BLVD	STE 205	HUNTINGTON BEACH	CA	92647	5947	30	06059	33.713937	-117.9892085	Orange County
190630	Fee-for-Service	1255938015	1255938015	1	1	NEWPORT LLC	3/1/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2030 EVERGREEN AVE	None	MODESTO	CA	95350	3785	50	06099	37.66778277	-121.0288192	Stanislaus County
190659	Fee-for-Service	1245265966	1245265966	1	1	NEWDOW, MICHAEL E MD	6/30/1992	207P00000X	NA	Other	026	PHYSICIANS	48913	66	Emergency Medicine (Urgent Care)	0	In state provider	NORTH COAST EMERGENCY PH	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
190719	Fee-for-Service	1972914554	1972914554	1	1	NATASHA SULEMAN	5/17/2020	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	234 E 149TH ST	None	BRONX	NY	10451	5504	00	None	40.817538	-73.9240965	Bronx County
190755	Fee-for-Service	1811457062	1811457062	1	1	NAAMO, SABA T MD	7/1/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
190782	Fee-for-Service	1326551219	1326551219	1	1	NGUYEN, ANDY K NP	2/15/2019	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	41889 E FLORIDA AVE	None	HEMET	CA	92544	5042	33	06065	33.7476747	-116.9145363	Riverside County
190801	Fee-for-Service	1255704581	1255704581	1	1	NARITA, LARA C MD	12/28/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	63584	08	Family Practice	0	In state provider	None	1139 CIRBY WAY	None	ROSEVILLE	CA	95661	4421	31	06061	38.72951845	-121.275225	Placer County
190821	Fee-for-Service	1972655090	1972655090	1	1	NYE, ANN M MD	7/1/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	82080	01	General Practice	0	In state provider	None	1649 INDUSTRIAL PKWY W	None	HAYWARD	CA	94544	7046	01	06001	37.61774421	-122.0673757	Alameda County
190900	Fee-for-Service	1912936147	1912936147	1	1	NORTHERN HOME MEDICAL	6/24/2003	332BX2000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	930 IDAHO MARYLAND RD	None	GRASS VALLEY	CA	95945	5943	29	06057	39.22419382	-121.038275	Nevada County
190908	Fee-for-Service	1982784740	1982784740	1	1	NORTH EAST MEDICAL SERVICES	1/24/2005	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	NORIEGA	1450 NORIEGA STREET	None	SAN FRANCISCO	CA	94122	4432	41	06081	37.75412598	-122.4794467	San Francisco County
190935	Fee-for-Service	1669525408	1669525408	1	1	NIEMANN, JAMES T MD	11/30/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	38263	66	Emergency Medicine (Urgent Care)	0	In state provider	None	21840 NORMANDIE AVE	None	TORRANCE	CA	90502	2047	19	06037	33.82982744	-118.2991395	Los Angeles County
190951	Fee-for-Service	1285042929	1285042929	1	1	NGUYEN, ANTHONY M MD	1/16/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	130483	40	Pediatrics	0	In state provider	None	7117 BROCKTON AVE	None	RIVERSIDE	CA	92506	6417	33	06065	33.94354395	-117.394926	Riverside County
191001	Fee-for-Service	1295436061	1295436061	1	1	NDIFOR, TINA N	1/12/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10401 COLUMBIA FALLS DR	None	BAKERSFIELD	CA	93312	1862	15	06029	35.41892115	-119.11854	Kern County
191012	Fee-for-Service	1467500389	1467500389	1	1	NUDELL, PAULA F MD	6/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	64455	30	Radiology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
191029	Fee-for-Service	1417972167	1417972167	1	1	NOBLEZA, LUZVIMINDA J MD	2/19/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	32688	None	None	0	In state provider	None	803 FIGUEROA ST	None	WILMINGTON	CA	90744	2300	19	06037	33.77932834	-118.2795853	Los Angeles County
191043	Fee-for-Service	1033966775	1033966775	1	1	NICKLES, EMILY OD	7/26/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1845 W REDLANDS BLVD	101	REDLANDS	CA	92373	3124	36	06071	34.06287653	-117.215955	San Bernardino County
191065	Fee-for-Service	1730562984	1730562984	1	1	NEMIROFF-POLUTANOVICH, PAULA	4/12/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	2154 MAY CT	None	SIMI VALLEY	CA	93063	3841	56	06111	34.27434453	-118.6634295	Ventura County
191085	Fee-for-Service	1588953731	1588953731	1	1	NGO, QUANG H MD	1/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123054	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
191087	Fee-for-Service	1851588156	1851588156	1	1	NGUYEN-TANG, HANH-UYEN	10/31/2007	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	99280	40	Pediatrics	0	In state provider	MD	455 S MAIN ST	None	ORANGE	CA	92568	3835	30	06059	33.78077578	-117.8673468	Orange County
191111	Fee-for-Service	1972655090	1972655090	1	1	NYE, ANN M MD	7/1/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	82080	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1649 INDUSTRIAL PKWY W	None	HAYWARD	CA	94544	7046	01	06001	37.61774421	-122.0673757	Alameda County
191157	Fee-for-Service	1861009672	1861009672	1	3	NORCAL HEALTHCONNECT LLC	1/1/2021	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1540 HEALDSBURG AVE	None	HEALDSBURG	CA	95448	3253	49	06097	38.63098298	-122.8727469	Sonoma County
191195	Fee-for-Service	1982784740	1982784740	1	1	NORTH EAST MEDICAL SERVICES	1/24/2005	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	NORIEGA	1450 NORIEGA STREET	None	SAN FRANCISCO	CA	94122	4432	41	06081	37.75412598	-122.4794467	San Francisco County
191238	Fee-for-Service	1730241027	1730241027	1	1	NGUYEN, ANN B MD	10/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102515	40	Pediatrics	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
191288	Fee-for-Service	1295436061	1295436061	1	1	NDIFOR, TINA N	1/12/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10401 COLUMBIA FALLS DR	None	BAKERSFIELD	CA	93312	1862	15	06029	35.41892115	-119.11854	Kern County
191304	Fee-for-Service	1053068783	1053068783	1	1	NAKEYA FIELDS LICENSED CLINI	5/2/2022	1041C0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	NG	236 W MOUNTAIN ST STE 10	None	PASADENA	CA	91103	2968	19	06037	34.16208583	-118.1575006	Los Angeles County
191330	Fee-for-Service	1508820143	1508820143	1	1	NIEMANN, CLAUS U MD	5/1/2000	207L00000X	NA	Other	026	PHYSICIANS	64838	05	Anesthesiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
191494	Fee-for-Service	1720248180	1720248180	1	1	NAVARRO, BLANCA A NP	6/20/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
191515	Fee-for-Service	1770503997	1770503997	1	1	NGO,TAN D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	75839	41	Internal Medicine	0	In state provider	LA VANG MEDICAL CENTER	9431 EDINGER AVE	None	WESTMINSTER	CA	92683	7425	30	06059	33.7304283	-117.9643874	Orange County
191525	Fee-for-Service	1699017111	1699017111	1	1	NATSUI, SHAW MD	9/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150092	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1600 W AVE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
191530	Fee-for-Service	1760550669	1760550669	2	1	NEW HOPE PHARMA INC	11/27/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	13075 HARBOR BLVD	None	GARDEN GROVE	CA	92843	1739	30	06059	33.773058	-117.920537	Orange County
191572	Fee-for-Service	1376963025	1376963025	1	1	NGUYEN, VINA P MD	9/8/2021	207R00000X	NA	Other	026	PHYSICIANS	154732	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
191581	Fee-for-Service	1194797050	1194797050	1	1	NG, JULIE W OD	7/20/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
191587	Fee-for-Service	1053068783	1053068783	1	1	NAKEYA FIELDS LICENSED CLINI	5/2/2022	1041C0700X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	NG	236 W MOUNTAIN ST STE 10	None	PASADENA	CA	91103	2968	19	06037	34.16208583	-118.1575006	Los Angeles County
191610	Fee-for-Service	1134776909	1134776909	1	1	NORTHERN UNITED CHARTER	1/1/2021	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	SCHOOLS	2120 CAMPTON ROAD	STE H	EUREKA	CA	95503	8209	12	06023	40.75865084	-124.1471124	Humboldt County
191630	Fee-for-Service	1306145560	1306145560	1	1	NGUYEN, PEGGY L MD	7/10/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	124437	13	Neurology (M.D. only)	0	In state provider	None	1520 SAN PABLO ST	STE 1000A	LOS ANGELES	CA	90033	5313	19	06037	34.06269295	-118.2030006	Los Angeles County
191681	Fee-for-Service	1003077256	1003077256	1	1	NGUYEN, VINH N MD	6/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120788	30	Radiology	0	In state provider	None	455 HICKEY BLVD	SUITE 200	DALY CITY	CA	94015	2630	41	06081	37.66383747	-122.4671404	San Mateo County
191719	Fee-for-Service	1265668115	1265668115	1	1	NAIDU, KATHERINE A MD	7/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117040	05	Anesthesiology	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	0000	01	06001	37.8237837	-122.2590026	Alameda County
191744	Fee-for-Service	1316025109	1316025109	1	1	NEWMAN, LAWRENCE A MD	3/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39732	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
191750	Fee-for-Service	1053044743	1053044743	1	1	NGUYEN, TRANG P RCP	7/15/2022	2278S1500X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
191755	Fee-for-Service	1902874936	1902874936	1	1	NUNEZ, MICHAEL A MD	2/1/2022	207L00000X	NA	Other	026	PHYSICIANS	74448	None	None	0	In state provider	None	1400 E CHURCH ST	None	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
191760	Fee-for-Service	1649719204	1649719204	1	1	NOORI, NAUDEREH B MD	8/3/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	146284	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
191820	Fee-for-Service	1093241218	1093241218	1	1	NINA KAYO, M.D.	7/8/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	848 S BERETANIA ST	STE 406	HONOLULU	HI	96813	2551	00	None	21.30416215	-157.8502661	Honolulu County
191850	Fee-for-Service	1275223943	1275223943	1	1	NICHOLS, HANNAH CNP	6/23/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8491 SANTA MONICA BLVD	None	WEST HOLLYWOOD	CA	90069	4218	19	06037	34.08988507	-118.3757716	Los Angeles County
191874	Fee-for-Service	1053068783	1053068783	1	1	NAKEYA FIELDS LICENSED CLINI	5/2/2022	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	NG	236 W MOUNTAIN ST STE 10	None	PASADENA	CA	91103	2968	19	06037	34.16208583	-118.1575006	Los Angeles County
191927	Fee-for-Service	1841254026	1841254026	1	1	NEWHOUSE, NANCY L LCSW	6/13/1999	1041C0700X	NA	Mental Health Outpatient Services	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	2525 CAMINO DEL RIO S	STE 305	SAN DIEGO	CA	92108	3784	37	06073	32.76765181	-117.1387992	San Diego County
191936	Fee-for-Service	1346489069	1346489069	1	1	NAIK, ROHAN D MD	7/23/2021	207R00000X	NA	Other	026	PHYSICIANS	170921	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
191939	Fee-for-Service	1023487790	1023487790	1	1	NGUYEN, ANTHONY D DO	8/16/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	18119	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
192009	Fee-for-Service	1124129473	1124129473	1	1	NAJAFI, ALI MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	74093	14	Neurological Surgery	0	In state provider	NAJAFI NEUROSURGICAL MED	44241 15TH ST W	STE 105	LANCASTER	CA	93534	5500	19	06037	34.68712999	-118.1569096	Los Angeles County
192084	Fee-for-Service	1629487756	1629487756	1	1	NGUYEN, ANDREW L	2/2/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9161 SIERRA AVE	SUITE 111	FONTANA	CA	92335	4738	36	06071	34.08720678	-117.4356898	San Bernardino County
192093	Fee-for-Service	1811042344	1811042344	1	1	NGUYEN, DAVID H MD	4/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	100354	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25775 MCBEAN PKWY	None	VALENCIA	CA	91355	3708	19	06037	34.40042013	-118.5511416	Los Angeles County
192163	Fee-for-Service	1053068783	1053068783	1	1	NAKEYA FIELDS LICENSED CLINI	5/25/2022	1041C0700X	NA	Mental Health Outpatient Services	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	NG	236 W MOUNTAIN ST STE 10	None	PASADENA	CA	91103	2968	19	06037	34.16208583	-118.1575006	Los Angeles County
192175	Fee-for-Service	1558515239	1558515239	1	1	NGUYEN, KIMBERLY G MD	9/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111897	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
192186	Fee-for-Service	1538173612	1538173612	1	1	NOYES, MICHAEL B MD	12/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	57815	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2050 VIBORG RD	None	SOLVANG	CA	93463	2220	42	06083	34.60246267	-120.1261332	Santa Barbara County
192213	Fee-for-Service	1487896890	1487896890	1	1	NEWSOM, MICHELLE L MD	7/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115823	05	Anesthesiology	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92359	2808	36	06071	34.049547	-117.264078	San Bernardino County
192278	Fee-for-Service	1609166149	1609166149	1	1	NGUYEN, GLORIA H MD	8/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143325	07	Dermatology	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
192381	Fee-for-Service	1245816164	1245816164	1	1	NGUYEN, MICHELLE T MD	9/4/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	500 WEST HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
192383	Fee-for-Service	1700339140	1700339140	1	1	NORTH SONOMA COUNTY HEALTH C	8/15/2019	261QH0100X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	None	8911 LAKEWOOD DR	STE 23	WINDSOR	CA	95492	7856	49	06097	38.55034733	-122.8042316	Sonoma County
192429	Fee-for-Service	1598361206	1598361206	1	1	NORTH COUNTY NURSE PRACTITIO	12/29/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	NER SERVICES A PROFESSIO	3232 THUNDER DR	None	OCEANSIDE	CA	92056	4447	37	06073	33.18705603	-117.288206	San Diego County
192449	Fee-for-Service	1053068783	1053068783	1	1	NAKEYA FIELDS LICENSED CLINI	5/2/2022	1041C0700X	NA	Mental Health Outpatient Services	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	NG	236 W MOUNTAIN ST STE 10	None	PASADENA	CA	91103	2968	19	06037	34.16208583	-118.1575006	Los Angeles County
192474	Fee-for-Service	1558438622	1558438622	1	1	NATION, WILLIAM E MD	1/1/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	39686	08	Family Practice	0	In state provider	None	1285 HEIGHTS AVE	None	ATWATER	CA	95301	3654	24	06047	37.35221224	-120.6076864	Merced County
192480	Fee-for-Service	1861072340	1861072340	1	1	NEOGEN CARE CORP	3/24/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	15260 VENTURA BLVD	SUITE 670	SHERMAN OAKS	CA	91403	5341	19	06037	34.15370926	-118.4656644	Los Angeles County
192494	Fee-for-Service	1326041823	1326041823	1	1	NGUYEN, HUY D DPM	6/28/2001	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1111 N CHINA LAKE BLVD	None	RIDGECREST	CA	93555	3131	15	06029	35.64171	-117.669847	Kern County
192506	Fee-for-Service	1871532655	1871532655	1	1	NG, VERONICA M MD	2/8/2015	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	72891	10	Gastroenterology (M.D. only)	0	In state provider	None	1200 SONOMA AVE	STE 1	SANTA ROSA	CA	95405	6664	49	06097	38.440854	-122.6985165	Sonoma County
192606	Fee-for-Service	1215519012	1215519012	1	1	NEWLAND, ALLEGRA J MD	6/27/2024	390200000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DR S	STE 1A	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
192611	Fee-for-Service	1164477436	1164477436	1	1	NONG, ANH MD	1/1/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	34251	41	Internal Medicine	0	In state provider	None	780 E GILBERT ST	None	SAN BERNARDINO	CA	92415	1003	36	06071	34.1268333	-117.2705634	San Bernardino County
192667	Fee-for-Service	1790092732	1790092732	1	1	NGUYEN, THUY M MD	9/12/2018	207R00000X	NA	Other	026	PHYSICIANS	143199	45	Nephrology (Renal-Kidney)	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
192669	Fee-for-Service	1346897451	1346897451	1	1	NENNINGER, CHRISTINA CCC-SL	1/20/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	P	92 ARGONAUT	SUITE 170	ALISO VIEJO	CA	92656	0000	30	06059	33.59217762	-117.7242901	Orange County
192703	Fee-for-Service	1407803208	1407803208	1	1	NIALL PATRICK MADIGAN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	300 HERITAGE WAY	STE 2100	KALISPELL	MT	59901	0000	00	None	48.21762176	-114.3243028	Flathead County
192730	Fee-for-Service	1205567351	1205567351	1	1	NAJIBI, LAKHTA MD	3/15/2024	390200000X	NA	Other	026	PHYSICIANS	191378	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
192736	Fee-for-Service	1750592739	1750592739	1	1	NAIDU, SRINIVAS N MD	8/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119009	05	Anesthesiology	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
192750	Fee-for-Service	1700248721	1700248721	1	1	NGUYEN, PHILLIP MD	10/6/2021	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	173034	None	None	0	In state provider	None	1280 S VICTORIA AVE	250	VENTURA	CA	93003	6521	56	06111	34.26344767	-119.2119344	Ventura County
192831	Fee-for-Service	1134345473	1134345473	1	1	NEWPORT DIAGNOSTIC RADIOLOGY	8/19/2020	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	42	Nuclear Medicine	0	In state provider	, INC	1605 AVOCADO AVE	None	NEWPORT BEACH	CA	92660	7725	30	06059	33.61497843	-117.8683418	Orange County
192837	Fee-for-Service	1811381882	1811381882	1	1	NWAOBI, SINIFUNANYA E MD	4/2/2020	2084N0402X	NA	Neurology	026	PHYSICIANS	149697	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA # B200	None	LOS ANGELES	CA	90095	8346	19	06037	34.06473399	-118.445865	Los Angeles County
192897	Fee-for-Service	1164477436	1164477436	1	1	NONG, ANH MD	1/1/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	34251	08	Family Practice	0	In state provider	None	780 E GILBERT ST	None	SAN BERNARDINO	CA	92415	1003	36	06071	34.1268333	-117.2705634	San Bernardino County
192930	Fee-for-Service	1730529439	1730529439	1	1	NGO, MICHAEL MD	11/14/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	140513	None	None	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
192965	Fee-for-Service	1568691293	1568691293	1	1	NGUYEN, NGOC T MD	2/7/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113921	40	Pediatrics	0	In state provider	None	190 EAST HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3658	36	06071	34.1360043	-117.2826788	San Bernardino County
193004	Fee-for-Service	1386792240	1386792240	1	1	NERENBERG, JEFFREY E MD	4/30/1987	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	59711	08	Family Practice	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
193097	Fee-for-Service	1326074873	1326074873	1	1	NAVEN, WADE B MD	10/29/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99974	None	None	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
193140	Fee-for-Service	1861718397	1861718397	1	1	NGUYEN, CHAU L DO	2/18/2019	207RR0500X	NA	Other	026	PHYSICIANS	11904	41	Internal Medicine	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
193185	Fee-for-Service	1750661971	1750661971	1	1	NGUYEN TRAN, TONGA	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	270 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
193202	Fee-for-Service	1174009666	1174009666	1	1	NATURCARE HOME HEALTH INC	2/28/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	18645 SHERMAN WAY	STE 215	RESEDA	CA	91335	8626	19	06037	34.20120553	-118.54026	Los Angeles County
193279	Fee-for-Service	1356469381	1356469381	2	1	NORTH BROADWAY MED CLINIC	1/1/1979	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	2926 N BROADWAY	None	LOS ANGELES	CA	90031	2611	19	06037	34.0736845	-118.2106412	Los Angeles County
193304	Fee-for-Service	1598773632	1598773632	1	1	NANDAKUMAR, THIRUVOIPATI	6/3/2010	174400000X	NA	Other	026	PHYSICIANS	61639	None	None	0	In state provider	None	2801 EUREKA WAY	None	REDDING	CA	96001	1153	45	06089	40.58569445	-122.4137153	Shasta County
193306	Fee-for-Service	1134761083	1134761083	1	1	NEW PATH HOSPICE CARE INC	3/24/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	424 N LAKE AVE	SUITE 205	PASADENA	CA	91101	1200	19	06037	34.15330384	-118.132316	Los Angeles County
193314	Fee-for-Service	1013903483	1013903483	1	1	NICHOLS, SCOTT A MD	5/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	55854	40	Pediatrics	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	3874	30	06059	33.78034779	-117.8655767	Orange County
193340	Fee-for-Service	1982911624	1982911624	1	1	NARIAI, HIROKI MD	10/5/2017	2084N0402X	NA	Neurology	026	PHYSICIANS	136872	79	Neurology-Child	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
193366	Fee-for-Service	1780946376	1780946376	1	1	NGUYEN, HANH K DO	10/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14130	41	Internal Medicine	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
193402	Fee-for-Service	1649324294	1649324294	1	1	NIX, TAWANA N DO	1/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	9774	08	Family Practice	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
193404	Fee-for-Service	1477086213	1477086213	1	1	NYLANDER, ALYSSA N MD	7/29/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	162637	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
193419	Fee-for-Service	1801577895	1801577895	1	1	NGUYEN, TIFFANY T CRNA	1/8/2025	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
193441	Fee-for-Service	1538560560	1538560560	1	1	NIGAM, ANJALI A	12/27/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
193494	Fee-for-Service	1457304172	1457304172	1	1	NESBITT, JENNIFER N CRNA	5/10/2007	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
193495	Fee-for-Service	1619249034	1619249034	1	1	NICHOLS, TAYLOR S MD	4/20/2017	207P00000X	NA	Other	026	PHYSICIANS	133836	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
193591	Fee-for-Service	1134761083	1134761083	1	1	NEW PATH HOSPICE CARE INC	3/24/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	424 N LAKE AVE	SUITE 205	PASADENA	CA	91101	1200	19	06037	34.15330384	-118.132316	Los Angeles County
193615	Fee-for-Service	1518911304	1518911304	1	4	NORTH EAST MEDICAL SERVICES	11/22/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	728 PACIFIC AVE	STE 503	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
193669	Fee-for-Service	1437778776	1437778776	1	1	NANADIEGO, FRANCES ANNE S DO	3/12/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20726	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
193671	Fee-for-Service	1134178486	1134178486	1	1	NGUYEN, RICHARD L MD	4/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	77473	18	Ophthalmology	0	In state provider	None	9746 WESTMINSTER AVE	STE A	GARDEN GROVE	CA	92844	2984	30	06059	33.75949073	-117.9590728	Orange County
193685	Fee-for-Service	1467530576	1467530576	1	1	NELSON, ANTHONY A MD AMC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	61216	05	Anesthesiology	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
193690	Fee-for-Service	1174516561	1174516561	1	1	NAYAR AMBIKA	6/1/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVENUE 27TH ST	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
193691	Fee-for-Service	1689617045	1689617045	1	1	NORTH VALLEY RADIATION	9/6/1995	193400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ONCOLOGY MEDICAL GRP INC	WEST 5TH & THE ESPLANADE	None	CHICO	CA	95926	1852	04	06007	39.741948	-121.848921	Butte County
193705	Fee-for-Service	1083894315	1083894315	1	1	NIEVES, DELMA J MD	1/24/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	87032	40	Pediatrics	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
193821	Fee-for-Service	1699038810	1699038810	1	1	NGUYEN, TUAN T DO	11/20/2020	207L00000X	NA	Other	026	PHYSICIANS	-	None	None	2	Out of state provider	None	600 HIGHLAND AVE	None	MADISON	WI	53792	0001	00	None	43.07868393	-89.4316606	Dane County
193822	Fee-for-Service	1518388792	1518388792	1	1	NADER, FARID MD	3/26/2018	2084P0804X	NA	Psychiatry	026	PHYSICIANS	138718	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
193881	Fee-for-Service	1699716191	1699716191	1	1	NOUH, MAHMOUD E MD	12/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	41286	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
193900	Fee-for-Service	1912590050	1912590050	1	1	NATIONAL HOSPICE INC	10/14/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	7545 WINNETKA AVE	UNIT A	WINNETKA	CA	91306	2929	19	06037	34.20718647	-118.5710262	Los Angeles County
193903	Fee-for-Service	1518911304	1518911304	1	4	NORTH EAST MEDICAL SERVICES	11/22/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	728 PACIFIC AVE	STE 503	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
193922	Fee-for-Service	1295300473	1295300473	1	1	NGUYEN, TIEN Q DPM	7/1/2024	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	14360 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4608	30	06059	33.753825	-117.954801	Orange County
193929	Fee-for-Service	1013031772	1013031772	1	1	NORCAL IMAGING	12/13/2007	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2201 WALNUT AVE	STE 150	FREMONT	CA	94538	2334	01	06001	37.55521283	-121.975405	Alameda County
193945	Fee-for-Service	1538162730	1538162730	1	1	NEEDLE, SCOTT M MD	1/20/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	158810	None	None	0	In state provider	None	632 W GIBSON RD	None	WOODLAND	CA	95695	5169	57	06113	38.66314048	-121.794696	Yolo County
193949	Fee-for-Service	1366819070	1366819070	1	1	NASSR, AHMED A MD	9/1/2020	207VX0000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
193977	Fee-for-Service	1699331157	1699331157	1	1	NAVAR, LIANNA MD	3/17/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180041	08	Family Practice	0	In state provider	None	26520 CACTUS AVE	# B2018	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
193981	Fee-for-Service	1689617045	1689617045	1	1	NORTH VALLEY RADIATION	9/6/1995	193400000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ONCOLOGY MEDICAL GRP INC	WEST 5TH & THE ESPLANADE	None	CHICO	CA	95926	1852	04	06007	39.741948	-121.848921	Butte County
194053	Fee-for-Service	1548688856	1548688856	1	1	NANDA, ANUMEHA MD	12/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	138876	40	Pediatrics	0	In state provider	None	1095 IRVINE BLVD	None	TUSTIN	CA	92780	3526	30	06059	33.74821163	-117.8097851	Orange County
194054	Fee-for-Service	1518252477	1518252477	1	1	NURSE, NICOLE K DO	9/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13492	01	General Practice	0	In state provider	None	2700 GRANT STREET	200	CONCORD	CA	94520	2270	07	06013	37.98417931	-122.0361585	Contra Costa County
194063	Fee-for-Service	1568761864	1568761864	1	1	NI, MICKEY MD	11/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123224	41	Internal Medicine	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
194082	Fee-for-Service	1437158771	1437158771	1	1	NEVADA ORTHOPEDIC &	4/30/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	1	Border provider	SPINE CENTER	2650 N TENAYA WAY	STE 301	LAS VEGAS	NV	89128	1112	00	None	36.20804839	-115.2501292	Clark County
194113	Fee-for-Service	1265795520	1265795520	1	1	NGUYEN, SARAH MD	6/4/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	145626	40	Pediatrics	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
194180	Fee-for-Service	1164854659	1164854659	1	1	NAGM, HUSSAM Y MD	4/6/2022	207L00000X	NA	Other	026	PHYSICIANS	177523	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
194187	Fee-for-Service	1912590050	1912590050	1	1	NATIONAL HOSPICE INC	10/14/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	7545 WINNETKA AVE	UNIT A	WINNETKA	CA	91306	2929	19	06037	34.20718647	-118.5710262	Los Angeles County
194234	Fee-for-Service	1851733430	1851733430	1	1	NG, NICOLE D PHD	6/27/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3825 HOPYARD ROAD	SUITE 140	PLEASANTON	CA	94566	8528	01	06001	37.683009	-121.9036935	Alameda County
194245	Fee-for-Service	1003969692	1003969692	1	1	NINA TRANG DO OPTOMETRY	1/1/2003	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	INC	1601 W 17TH ST	STE B1	SANTA ANA	CA	92706	3340	30	06059	33.7600735	-117.890325	Orange County
194266	Fee-for-Service	1114411386	1114411386	1	1	NEW ENTRA CASA CORPORATION	7/30/2018	261Q00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3575 PERSHING AVE	None	SAN DIEGO	CA	92104	3413	37	06073	32.74353067	-117.1346152	San Diego County
194278	Fee-for-Service	1265404529	1265404529	1	1	NINA WELCH SPEECH PATHOLOGY	1/29/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	INC	18700 BEACH BLVD	STE 120/110	HUNTINGTON BEACH	CA	92648	2089	30	06059	33.69070037	-117.9886896	Orange County
194279	Fee-for-Service	1023092806	1023092806	1	1	NOTHNAGLE, MELISSA B	5/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	151802	01	General Practice	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
194300	Fee-for-Service	1508170697	1508170697	1	1	NARAYANAN, MEENA R MD	11/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	113448	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
194313	Fee-for-Service	1912979048	1912979048	1	1	NOWFAR-RAD, MEHRAN MD	7/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	66360	07	Dermatology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
194346	Fee-for-Service	1780668046	1780668046	1	1	NARAYAN, NANDINI N MD	6/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	50721	77	Infectious Disease	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
194376	Fee-for-Service	1003808908	1003808908	1	1	NEWMAN, BARBARA A MD	4/2/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	157832	30	Radiology	0	In state provider	None	18436 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.22078873	-118.5351265	Los Angeles County
194427	Fee-for-Service	1720216542	1720216542	1	1	NGUYEN, ANDREW D MD	11/16/2011	207T00000X	NA	General Surgery	026	PHYSICIANS	91563	14	Neurological Surgery	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
194434	Fee-for-Service	1821097833	1821097833	1	1	NGUYEN, DAVID H MD	4/1/2000	207R00000X	NA	Other	026	PHYSICIANS	70948	41	Internal Medicine	0	In state provider	None	27830 BRADLEY RD	None	SUN CITY	CA	92586	2239	33	06065	33.71615891	-117.1906431	Riverside County
194437	Fee-for-Service	1669947404	1669947404	1	1	NIKA HOME HEALTH INC	7/11/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1241 S GLENDALE AVE	STE 202B	GLENDALE	CA	91205	3388	19	06037	34.13065269	-118.2524619	Los Angeles County
194479	Fee-for-Service	1669534236	1669534236	1	1	NGUYEN, CU Q MD	11/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	63457	41	Internal Medicine	0	In state provider	None	689 TANK FARM ROAD	SUITE 220	SAN LUIS OBISPO	CA	93401	7079	40	06079	35.24784831	-120.644234	San Luis Obispo County
194527	Fee-for-Service	1487090247	1487090247	1	1	NIMMAGADDA, SRI S MD	10/14/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	160999	08	Family Practice	0	In state provider	None	12 CAMINO ENCINAS	None	ORINDA	CA	94563	3304	07	06013	37.87679015	-122.1800856	Contra Costa County
194566	Fee-for-Service	1053891762	1053891762	1	1	NGUYEN, TAM T OD	1/15/2019	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4155 MOORPARK AVE	STE 21	SAN JOSE	CA	95117	1714	43	06085	37.31587947	-121.974255	Santa Clara County
194605	Fee-for-Service	1780677831	1780677831	1	1	NIAL K CASTLE D.O.	8/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	8929 PARALLEL PKWY	None	KANSAS CITY	KS	66112	1689	00	None	39.126636	-94.7868255	Wyandotte County
194617	Fee-for-Service	1609630581	1609630581	1	1	NNB MEDICAL TRANSPORTATION L	3/13/2024	347C00000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	LC	4165 W ALAMOS AVE	SUITE #111	FRESNO	CA	93722	3939	10	06019	36.80540643	-119.8664025	Fresno County
194633	Fee-for-Service	1780668046	1780668046	1	1	NARAYAN, NANDINI N MD	6/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	50721	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
194639	Fee-for-Service	1245399807	1245399807	1	1	NGUYEN, ALISON N MD	10/31/1995	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	54905	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
194647	Fee-for-Service	1588711378	1588711378	1	1	NAHRWOLD, DANIEL A MD	3/7/2011	207L00000X	NA	Other	026	PHYSICIANS	109973	05	Anesthesiology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
194659	Fee-for-Service	1447284526	1447284526	1	1	NGUYEN, HUNG M DO	4/11/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	8568	None	None	0	In state provider	None	11411 BROOKSHIRE AVE	SUITE 304	DOWNEY	CA	90241	7010	19	06037	33.93667091	-118.1309273	Los Angeles County
194704	Fee-for-Service	1073649513	1073649513	1	1	NEVITT, ANDREW K MD	9/30/1982	207P00000X	NA	Other	026	PHYSICIANS	43463	66	Emergency Medicine (Urgent Care)	0	In state provider	None	615 OCEAN ST	None	SANTA CRUZ	CA	95060	4005	44	06087	36.97734512	-122.0204895	Santa Cruz County
194737	Fee-for-Service	1235368176	1235368176	1	1	NJOROGE, STEPHEN G MD	11/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
194827	Fee-for-Service	1538650387	1538650387	1	1	NEDIC, ANDREJ MD	4/15/2024	207P00000X	NA	Other	026	PHYSICIANS	192056	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1531 ESPLANADE	None	CHICO	CA	95926	3310	04	06007	39.74248474	-121.8493369	Butte County
194865	Fee-for-Service	1285023135	1285023135	1	1	NGOC H TRAN OPTOMETRIST A	8/17/2015	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL CORPORATION	4130 N VIKING WAY	None	LONG BEACH	CA	90808	1402	19	06037	33.83301608	-118.1262565	Los Angeles County
194914	Fee-for-Service	1609954262	1609954262	1	1	NAGARAJ, SUDHA MD	11/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76871	41	Internal Medicine	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
194922	Fee-for-Service	1780668046	1780668046	1	1	NARAYAN, NANDINI N MD	6/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	50721	01	General Practice	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
194937	Fee-for-Service	1124481098	1124481098	1	1	NGUYEN, CLARI C DO	7/29/2019	208M00000X	NA	Other	026	PHYSICIANS	15896	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
194976	Fee-for-Service	1457554222	1457554222	1	1	NEWBROUGH, JANET S OT	11/12/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3700 GOSFORD RD	SUITE G	BAKERSFIELD	CA	93309	7694	15	06029	35.320932	-119.092064	Kern County
195004	Fee-for-Service	1215380555	1215380555	1	1	NARVAEZ, SANDRA M LMFT	11/30/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
195044	Fee-for-Service	1407809189	1407809189	1	1	NICHOLS, CARRIE J MD	7/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83442	08	Family Practice	0	In state provider	None	1400 S GRAND AVE	STE 100	LOS ANGELES	CA	90015	3048	19	06037	34.03692236	-118.2655238	Los Angeles County
195050	Fee-for-Service	1215253349	1215253349	1	1	NEWELL, DUSTIN J MD	8/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	118121	30	Radiology	0	In state provider	None	1661 SOQUEL DRIVE	BUILDING G	SANTA CRUZ	CA	95065	1709	44	06087	36.98895429	-121.9821088	Santa Cruz County
195078	Fee-for-Service	1487738472	1487738472	1	1	NIED, ROBERT N MD	7/18/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75897	70	Clinic (mixed specialty)	0	In state provider	None	1235 OSOS ST	None	SAN LUIS OBISPO	CA	93401	3600	40	06079	35.27979518	-120.6596361	San Luis Obispo County
195175	Fee-for-Service	1740330547	1740330547	1	1	NAGESWARAN, SONI MD	5/13/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	81553	08	Family Practice	0	In state provider	None	1201 ALHAMBRA BLVD	# 230	SACRAMENTO	CA	95816	5239	34	06067	38.570076	-121.4657145	Sacramento County
195211	Fee-for-Service	1760293187	1760293187	1	1	NAPLES, BROOK NP	3/4/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	374 W OLIVE AVE	STE B	MERCED	CA	95348	3137	24	06047	37.31914092	-120.4749911	Merced County
195241	Fee-for-Service	1134752264	1134752264	1	1	NAADEN, ELIZABETH A CNP	8/5/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1401 S BALDWIN AVE	None	ARCADIA	CA	91007	7922	19	06037	34.12357479	-118.0551359	Los Angeles County
195339	Fee-for-Service	1639676745	1639676745	1	1	NATHAN FALLS	3/1/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9601 BAPTIST HEALTH DR	None	LITTLE ROCK	AR	72205	6321	00	None	34.744437	-92.3813595	Pulaski County
195389	Fee-for-Service	1093117590	1093117590	1	1	NUTTER, AMBER LCSW	5/5/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
195400	Fee-for-Service	1043574742	1043574742	1	1	NGUYEN, ROSANNA T OD	11/20/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13916 BROOKHURST ST	STE F	GARDEN GROVE	CA	92843	4331	30	06059	33.761034	-117.954832	Orange County
195409	Fee-for-Service	1114156684	1114156684	1	1	NG, EILEEN Y OD	10/19/2010	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	318 E COMPTON BLVD	None	COMPTON	CA	90221	3206	19	06037	33.89597324	-118.2191747	Los Angeles County
195491	Fee-for-Service	1023488806	1023488806	1	1	NGUYEN, HUNG H MD	12/19/2019	208800000X	NA	Other	026	PHYSICIANS	142209	None	None	0	In state provider	None	320 SANTA FE DRIVE	SUITE 305	ENCINITAS	CA	92024	2526	37	06073	33.038847	-117.285579	San Diego County
195502	Fee-for-Service	1114439544	1114439544	1	1	NORTON, SARAH B CCC-SLP	8/17/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
195544	Fee-for-Service	1275618720	1275618720	1	1	NEMANICH, JOHN W. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4011 TALBOT RD S	FL 5	RENTON	WA	98055	5773	00	None	47.44331246	-122.2117632	King County
195579	Fee-for-Service	1437168861	1437168861	2	1	NORTH BAY RADIOLOGY MED	4/18/2012	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	23851	31	Roentgenology, Radiology (M.D. only)	0	In state provider	GROUP, INC	3800 JANES ROAD	None	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
195608	Fee-for-Service	1467959809	1467959809	1	1	NO, DANIEL J MD	2/13/2020	390200000X	NA	Other	026	PHYSICIANS	166385	07	Dermatology	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
195651	Fee-for-Service	1255785374	1255785374	1	1	NEWMAN, MAYA S MD	3/7/2023	2081P0010X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	184551	None	None	0	In state provider	None	300 STEIN PLZ	420	LOS ANGELES	CA	90095	0001	19	06037	34.06482846	-118.4443432	Los Angeles County
195687	Fee-for-Service	1689093486	1689093486	1	1	NGUYEN, THIEN H MD	9/24/2018	207P00000X	NA	Other	026	PHYSICIANS	137724	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
195695	Fee-for-Service	1700129426	1700129426	1	1	NG, DAMIAN T C MD	5/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132488	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
195738	Fee-for-Service	1609038264	1609038264	1	1	NAASZ, ERIC B DPM	1/3/2025	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	704 N HARBOR BLVD	None	FULLERTON	CA	92832	1520	30	06059	33.87672293	-117.9243089	Orange County
195747	Fee-for-Service	1154405140	1154405140	1	1	NGUYEN, HUYEN THI-LE MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	72977	07	Dermatology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
195804	Fee-for-Service	1497913404	1497913404	1	1	NGO, NATHANIEL B MD	7/11/2017	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	148577	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1321 COTTONWOOD ST	3RD FL	WOODLAND	CA	95695	5131	57	06113	38.66479566	-121.7933418	Yolo County
195808	Fee-for-Service	1417391723	1417391723	1	1	NGUYEN, JUDY M DO	11/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13932	41	Internal Medicine	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
195854	Fee-for-Service	1174152961	1174152961	1	1	NAYER, ZACHARIA H MD	6/12/2024	207W00000X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
195902	Fee-for-Service	1194799692	1194799692	1	1	NELSON, BRUCE A MD	4/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	36931	08	Family Practice	0	In state provider	None	2925 SYCAMORE DR	STE 204	SIMI VALLEY	CA	93065	1208	56	06111	34.288398	-118.7439175	Ventura County
195961	Fee-for-Service	1740636133	1740636133	1	1	NERCISIAN, AREN MD	8/23/2019	207L00000X	NA	Other	026	PHYSICIANS	143812	05	Anesthesiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
195980	Fee-for-Service	1477949519	1477949519	1	1	NGUYEN, XUAN-LOC DO	1/8/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18834	None	None	0	In state provider	None	550 W RANCH VIEW DR	2005	ROCKLIN	CA	95765	5396	31	06061	38.83760761	-121.2972372	Placer County
196011	Fee-for-Service	1225759970	1225759970	1	1	NANDA NEUROVASCULAR ASSOCIAT	9/20/2022	2084V0102X	NA	Neurology	026	PHYSICIANS	None	None	None	0	In state provider	ES INC.	101 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3809	30	06059	33.89356031	-117.9271656	Orange County
196136	Fee-for-Service	1548311053	1548311053	1	1	NGUYEN, EDDY V MD	11/14/2007	207W00000X	NA	Ophthalmology	026	PHYSICIANS	88665	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
196159	Fee-for-Service	1346477858	1346477858	1	1	NGUYEN, LOAN T MD	7/8/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106830	41	Internal Medicine	0	In state provider	None	26800 CROWN VALLEY PRKWY	STE 275	MISSION VIEJO	CA	92691	6384	30	06059	33.56286021	-117.6673449	Orange County
196195	Fee-for-Service	1568904894	1568904894	1	1	NEW PRECEPTIONS TO LIVING	4/2/2018	261QR0405X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	INC	404 N GIBBS ST	None	POMONA	CA	91767	5416	19	06037	34.06158354	-117.7480328	Los Angeles County
196217	Fee-for-Service	1093134173	1093134173	1	1	NGUYEN, KHANH K MD	8/3/2020	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	142734	04	Otology, Laryngology, Rhinology	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
196234	Fee-for-Service	1700048840	1700048840	1	1	NERMINE ANWAR SALEH MD	4/11/2017	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9851 BROOK RD	None	GLEN ALLEN	VA	23059	4559	00	None	37.66782277	-77.46074377	Henrico County
196253	Fee-for-Service	1386965986	1386965986	1	2	NASH, NOJA ANJANNETTE	7/29/2016	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	38468 TRANQUILA AVE	None	MURRIETA	CA	92563	3225	33	06065	33.56279201	-117.1083815	Riverside County
196276	Fee-for-Service	1518379171	1518379171	1	1	NGUYEN, NANCY T MD	6/28/2022	207VX0201X	NA	Obstetrics & Gynecology	026	PHYSICIANS	138197	None	None	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
196320	Fee-for-Service	1144397902	1144397902	1	1	NANTHA, THEPRANGSY Y OD	1/22/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	14011 PARK AVE	None	VICTORVILLE	CA	92392	2413	36	06071	34.505647	-117.3265457	San Bernardino County
196405	Fee-for-Service	1356445639	1356445639	1	1	NASIR, MUSA Y MD INC	1/1/1979	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	10042	01	General Practice	0	In state provider	None	500 N GARFIELD AVE	STE 110	MONTEREY PARK	CA	91754	1242	19	06037	34.0674894	-118.1228646	Los Angeles County
196410	Fee-for-Service	1104064385	1104064385	1	1	NICHOLAS, WALTER S LCSW	3/4/2009	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	2211 MT VERNON	None	BAKERSFIELD	CA	93306	3309	15	06029	35.38846079	-118.967356	Kern County
196539	Fee-for-Service	1093817249	1093817249	1	1	NEUMANN, CARLOS E MD	6/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	77576	05	Anesthesiology	0	In state provider	None	11370 ANDERSON ST	SUITE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
196576	Fee-for-Service	1538146840	1538146840	1	1	NAZO, SAMIR MD	9/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	38614	01	General Practice	0	In state provider	None	2307 W EMPIRE AVE	None	BURBANK	CA	91504	3318	19	06037	34.19191199	-118.3362022	Los Angeles County
196621	Fee-for-Service	1104482389	1104482389	1	1	NEUTEL, BRADLEY S MD	7/29/2024	207R00000X	NA	Other	026	PHYSICIANS	177496	67	Endocrinology	0	In state provider	None	100 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3813	30	06059	33.89343304	-117.9279349	Orange County
196624	Fee-for-Service	1437137585	1437137585	1	1	NOLAN, PATRICIA A LCSW	1/2/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	65 CALYPSO SHORES	None	NOVATO	CA	94949	5346	21	06041	38.08500649	-122.5135905	Marin County
196636	Fee-for-Service	1780629055	1780629055	2	1	NIGERIA M STAHL MD	10/22/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	300 N 7TH ST	None	BISMARCK	ND	58501	4439	00	None	46.808109	-100.782261	Burleigh County
196684	Fee-for-Service	1710035688	1710035688	1	1	NGUYEN, GINA-NGA T MD	9/9/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87270	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
196699	Fee-for-Service	1730113929	1730113929	1	1	NEKOMOTO, JEFFREY S MD	8/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	15062	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
196777	Fee-for-Service	1477549772	1477549772	1	1	NELSON, JOHN J PT	10/20/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1610 ARDEN WAY	SUITE 195	SACRAMENTO	CA	95815	4035	34	06067	38.598597	-121.42863	Sacramento County
196803	Fee-for-Service	1659479269	1659479269	1	1	NARCISO M AZURIN MD INC	1/1/1984	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	4075 TWEEDY BLVD	None	SOUTH GATE	CA	90280	6146	19	06037	33.94364315	-118.2003203	Los Angeles County
196827	Fee-for-Service	1366792756	1366792756	1	1	NEDWICK, MEGAN H CRNA	10/4/2013	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1401 S GRAND AVENUE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
196849	Fee-for-Service	1689745564	1689745564	1	1	NESTOR, MICHAEL B MD	9/24/1984	207R00000X	NA	Other	026	PHYSICIANS	41202	41	Internal Medicine	0	In state provider	None	1000 N STUDEBAKER RD	None	LONG BEACH	CA	90815	4957	19	06037	33.78042309	-118.1026918	Los Angeles County
196867	Fee-for-Service	1861497125	1861497125	1	1	NELSON, STEVEN L MD	12/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	41582	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
196879	Fee-for-Service	1881798270	1881798270	1	1	NGUYEN, PHUC DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1700 MISTLETOE BLVD	None	FORT WORTH	TX	76104	4042	00	None	32.73149894	-97.34613345	Tarrant County
196897	Fee-for-Service	1538240874	1538240874	1	1	NO VACANCY INC.	3/4/1991	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	NO VACANCY TRANSPORT	2492 S SANTA FE AVE	STE A	VISTA	CA	92084	8003	37	06073	33.16409124	-117.2052697	San Diego County
196908	Fee-for-Service	1043714710	1043714710	1	1	NEPOMUCENO, HELENE MD	11/16/2023	390200000X	NA	Other	026	PHYSICIANS	191024	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
196909	Fee-for-Service	1104482389	1104482389	1	1	NEUTEL, BRADLEY S MD	7/29/2024	207R00000X	NA	Other	026	PHYSICIANS	177496	41	Internal Medicine	0	In state provider	None	100 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3813	30	06059	33.89343304	-117.9279349	Orange County
196916	Fee-for-Service	1518046259	1518046259	1	1	NGUYEN, STEVE T MD	12/3/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80469	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
196921	Fee-for-Service	1154959229	1154959229	1	1	NELSON, CLINTON	12/3/2024	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	2	Out of state provider	None	33423 N 32ND AVE	None	PHOENIX	AZ	85085	8874	00	None	33.786909	-112.129047	Maricopa County
196936	Fee-for-Service	1982855417	1982855417	1	1	NGUYEN, JACQUELYN Y MD	9/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	102714	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
196970	Fee-for-Service	1033769138	1033769138	1	1	NJUGUNA, ANN W	10/23/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	23986 COLMAR LN	None	MURRIETA	CA	92562	1977	33	06065	33.57700819	-117.216092	Riverside County
196988	Fee-for-Service	1588682546	1588682546	1	1	NEUMANN, MONICA MD	1/1/1982	207L00000X	NA	Other	026	PHYSICIANS	31564	47	Miscellaneous	0	In state provider	None	11226 CAMPUS ST	None	LOMA LINDA	CA	92354	3204	36	06071	34.0497213	-117.2657177	San Bernardino County
197005	Fee-for-Service	1427827542	1427827542	1	1	NADIN MANSOUR, MD INC	2/6/2024	193400000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	7392 MAGNOLIA AVE	None	RIVERSIDE	CA	92504	3861	33	06065	33.94254721	-117.4073489	Riverside County
197054	Fee-for-Service	1841326477	1841326477	1	1	NACHNANI, BHARTI H MD	6/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53461	01	General Practice	0	In state provider	None	101 N HIGHLAND AVE	STE A	NATIONAL CITY	CA	91950	1435	37	06073	32.68628093	-117.101769	San Diego County
197129	Fee-for-Service	1730668476	1730668476	1	1	NARMONTAS, JOHN J CP	8/28/2018	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	18433 ROSCOE BLVD	STE 108	NORTHRIDGE	CA	91326	4108	19	06037	34.22076747	-118.534725	Los Angeles County
197139	Fee-for-Service	1689745564	1689745564	1	1	NESTOR, MICHAEL B MD	9/24/1984	207R00000X	NA	Other	026	PHYSICIANS	41202	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1000 N STUDEBAKER RD	None	LONG BEACH	CA	90815	4957	19	06037	33.78042309	-118.1026918	Los Angeles County
197184	Fee-for-Service	1265783872	1265783872	1	1	NELSON, MARIA E MD	7/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110435	02	General Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
197185	Fee-for-Service	1952317885	1952317885	1	1	NGUYEN DELSIGNORE, CINDY T	7/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93404	40	Pediatrics	0	In state provider	MD	3285 CLAREMONT WAY	None	NAPA	CA	94558	3313	28	06055	38.32103673	-122.3025002	Napa County
197198	Fee-for-Service	1760534713	1760534713	1	6	NORTHBAY HEALTHCARE GROUP	9/16/2022	207R00000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	CARE	421 NUT TREE RD	None	VACAVILLE	CA	95687	3508	48	06095	38.36441975	-121.9525909	Solano County
197210	Fee-for-Service	1376938605	1376938605	1	1	NAJAFPOUR, ELHAM MD	7/1/2020	390200000X	NA	Other	026	PHYSICIANS	166375	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
197218	Fee-for-Service	1982784740	1982784740	1	2	NORTH EAST MEDICAL SERVICES	6/14/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1430 NORIEGA STREET	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75413868	-122.4791354	San Francisco County
197250	Fee-for-Service	1689851586	1689851586	1	1	NORTHEAST VALLEY HEALTH	10/1/1996	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	LAC-CANOGA PARK	7107 REMMET AVE	None	CANOGA PARK	CA	91303	2016	19	06037	34.199406	-118.6003185	Los Angeles County
197259	Fee-for-Service	1033769138	1033769138	1	1	NJUGUNA, ANN W	10/23/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	23986 COLMAR LN	None	MURRIETA	CA	92562	1977	33	06065	33.57700819	-117.216092	Riverside County
197277	Fee-for-Service	1588682546	1588682546	1	1	NEUMANN, MONICA MD	1/1/1982	207L00000X	NA	Other	026	PHYSICIANS	31564	05	Anesthesiology	0	In state provider	None	11226 CAMPUS ST	None	LOMA LINDA	CA	92354	3204	36	06071	34.0497213	-117.2657177	San Bernardino County
197326	Fee-for-Service	1437383064	1437383064	1	1	NAFISSI, ARASH DO	10/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	12793	01	General Practice	0	In state provider	None	43112 15TH STREET WEST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
197336	Fee-for-Service	1598009243	1598009243	1	1	NORTH EAST MEDICAL SERVICES	6/25/2013	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75415191	-122.4788414	San Francisco County
197339	Fee-for-Service	1811377948	1811377948	1	1	NGUYEN, LYNSA M MD	8/31/2022	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	144588	None	None	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
197343	Fee-for-Service	1841326477	1841326477	1	1	NACHNANI, BHARTI H MD	6/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53461	08	Family Practice	0	In state provider	None	101 N HIGHLAND AVE	STE A	NATIONAL CITY	CA	91950	1435	37	06073	32.68628093	-117.101769	San Diego County
197412	Fee-for-Service	1558693655	1558693655	1	2	NORTHEAST VALLEY HEALTH	4/5/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	23763 VALENCIA BLVD	None	VALENCIA	CA	91355	2105	19	06037	34.41433111	-118.5509046	Los Angeles County
197467	Fee-for-Service	1811383227	1811383227	1	1	NEW ORIGINS	11/2/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	101 E REDLANDS BLVD	STE 200	REDLANDS	CA	92373	4775	36	06071	34.05731952	-117.181197	San Bernardino County
197473	Fee-for-Service	1952317885	1952317885	1	1	NGUYEN DELSIGNORE, CINDY T	7/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93404	03	Allergy	0	In state provider	MD	3285 CLAREMONT WAY	None	NAPA	CA	94558	3313	28	06055	38.32103673	-122.3025002	Napa County
197490	Fee-for-Service	1760534713	1760534713	1	6	NORTHBAY HEALTHCARE GROUP	6/8/2022	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CARE	421 NUT TREE RD	None	VACAVILLE	CA	95687	3508	48	06095	38.36441975	-121.9525909	Solano County
197492	Fee-for-Service	1891145793	1891145793	1	1	NAZZISE, NATHAN DO	9/27/2020	207P00000X	NA	Other	026	PHYSICIANS	18202	66	Emergency Medicine (Urgent Care)	0	In state provider	None	275 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1106	43	06085	37.23951066	-121.8013511	Santa Clara County
197503	Fee-for-Service	1053305334	1053305334	1	1	NAKAMURA, GRANT J MD	11/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	50552	08	Family Practice	0	In state provider	None	1237 ROSE AVE	None	SELMA	CA	93662	3227	10	06019	36.56881133	-119.6003362	Fresno County
197506	Fee-for-Service	1982784740	1982784740	1	2	NORTH EAST MEDICAL SERVICES	6/14/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1430 NORIEGA STREET	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75413868	-122.4791354	San Francisco County
197583	Fee-for-Service	1679815831	1679815831	1	1	NUALLES-PERCY, DAYANI MD	9/30/2019	207R00000X	NA	Other	026	PHYSICIANS	135234	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
197596	Fee-for-Service	1972037026	1972037026	1	1	NOUREDDIN, NABIL MD	3/12/2024	208M00000X	NA	Other	026	PHYSICIANS	167156	None	None	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
197663	Fee-for-Service	1841446176	1841446176	1	1	NGUYEN, DUONG D OD	10/3/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5051 CANYON CREST DR	102	RIVERSIDE	CA	92507	6035	33	06065	33.9589602	-117.3311519	Riverside County
197676	Fee-for-Service	1114123536	1114123536	2	2	NEAL, BARBARA D LMFT	9/19/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	NAL COUNSELING	5055 CANYON CREST DR	STE 202	RIVERSIDE	CA	92507	6015	33	06065	33.95862536	-117.3310726	Riverside County
197700	Fee-for-Service	1558693655	1558693655	1	2	NORTHEAST VALLEY HEALTH	4/5/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	23763 VALENCIA BLVD	None	VALENCIA	CA	91355	2105	19	06037	34.41433111	-118.5509046	Los Angeles County
197711	Fee-for-Service	1235540626	1235540626	1	1	NILES, MARY K LMFT	11/27/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	419 W FOOTHILL BLVD	None	MONROVIA	CA	91016	2025	19	06037	34.15128951	-118.008477	Los Angeles County
197713	Fee-for-Service	1003255985	1003255985	1	1	NAMBUSI, RACHAEL MD	9/17/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	172290	None	None	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
197724	Fee-for-Service	1467775551	1467775551	1	2	NAHID ESKANDARI MD INC	8/13/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	None	1945 E. 17TH ST.	STE. 107	SANTA ANA	CA	92705	6862	30	06059	33.75999352	-117.838899	Orange County
197751	Fee-for-Service	1831803055	1831803055	1	1	NEIGHBORHOOD HOUSE ASSOCIATI	8/17/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ON HEALING OAKS CLINIC	286 EUCLID AVE	STE 102	SAN DIEGO	CA	92114	3611	37	06073	32.70706919	-117.0850896	San Diego County
197770	Fee-for-Service	1669639985	1669639985	1	1	NIXON, TYLER M DO	4/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13158	41	Internal Medicine	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
197795	Fee-for-Service	1366463358	1366463358	1	1	NEUROLOGICAL MEDICAL GROUP	7/6/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	7365	27	Psychiatry Neurology (D.O. only)	0	In state provider	OF ORANGE COUNTY INC	11100 WARNER AVE	SUITE 256	FOUNTAIN VALLEY	CA	92708	7502	30	06059	33.716291	-117.9355051	Orange County
197828	Fee-for-Service	1780816660	1780816660	1	1	NG, CHEE Y MD	11/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	114969	41	Internal Medicine	0	In state provider	None	1150 N INDIAN CYN DR	None	PALM SPRINGS	CA	92324	1801	33	06065	33.838623	-116.542737	Riverside County
197860	Fee-for-Service	1295091825	1295091825	1	1	NAIMI, NASRIN MD INC	7/24/2012	207L00000X	NA	Other	026	PHYSICIANS	35608	None	None	0	In state provider	None	2299 MOWRY AVE	FL 1	FREMONT	CA	94538	1621	01	06001	37.55671415	-121.9817758	Alameda County
197864	Fee-for-Service	1316978638	1316978638	1	1	NEWELL, JAMES WILLIAM DC	12/31/1990	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	221 W COURT ST	STE 7	WOODLAND	CA	95695	2984	57	06113	38.67890702	-121.7943271	Yolo County
197870	Fee-for-Service	1992949457	1992949457	1	1	NOTZON, DANIEL P MD	10/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143089	36	Psychiatry	0	In state provider	None	111 SMITH RANCH ROAD	None	SAN RAFAEL	CA	94903	1939	21	06041	38.01951576	-122.5315893	Marin County
197908	Fee-for-Service	1467614735	1467614735	1	1	NINH, CHRISTOPHER C MD	12/3/2018	207XS0117X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	11190 WARNER AVE	STE 306	FOUNTAIN VALLEY	CA	92708	4054	30	06059	33.714	-117.9333585	Orange County
197968	Fee-for-Service	1902145592	1902145592	1	1	NGUYEN, THANH-TAM N DO	8/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12623	01	General Practice	0	In state provider	None	625 LINCOLN AVE	None	SAN JOSE	CA	95128	1632	43	06085	37.31809479	-121.9082315	Santa Clara County
197988	Fee-for-Service	1982658514	1982658514	1	1	NUGENT, SUSAN D MD	10/24/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	43237	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
198022	Fee-for-Service	1356328330	1356328330	1	4	NEWPORT CHILDREN'S MEDICAL G	1/23/2018	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	16300 SAND CANYON AVE	488	IRVINE	CA	92618	3711	30	06059	33.66115075	-117.7742405	Orange County
198039	Fee-for-Service	1871291500	1871291500	1	1	NGUYEN, PAULMAN PT	8/9/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
198070	Fee-for-Service	1477731644	1477731644	1	1	NAZERI, KAVOOS C MD	7/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110017	41	Internal Medicine	0	In state provider	None	9190 HAVEN AVE	FIRST FLOOR	RANCHO CUCAMONGA	CA	91730	5431	36	06071	34.086816	-117.5758865	San Bernardino County
198226	Fee-for-Service	1306820873	1306820873	1	1	NOVIS CORPORATION	5/3/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	ROUND MED SUPP & UNIFORM	1712 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3012	38	06075	37.78547739	-122.4398788	San Francisco County
198239	Fee-for-Service	1174570279	1174570279	1	1	NICOLAS, FADI J MD	6/8/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	79360	36	Psychiatry	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
198251	Fee-for-Service	1881967800	1881967800	1	1	NGUYEN, VINCENT MD	9/2/2024	207P00000X	NA	Other	026	PHYSICIANS	106318	66	Emergency Medicine (Urgent Care)	0	In state provider	None	31872 COAST HWY	None	LAGUNA BEACH	CA	92651	6773	30	06059	33.49961197	-117.7420867	Orange County
198345	Fee-for-Service	1023196730	1023196730	1	1	NISWANDER, DAVID G MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	50806	05	Anesthesiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
198361	Fee-for-Service	1477731644	1477731644	1	1	NAZERI, KAVOOS C MD	7/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110017	83	Rheumatology	0	In state provider	None	9190 HAVEN AVE	FIRST FLOOR	RANCHO CUCAMONGA	CA	91730	5431	36	06071	34.086816	-117.5758865	San Bernardino County
198425	Fee-for-Service	1255045688	1255045688	1	1	NEU, CHRISTINE W OT	10/10/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2051 STATHAM BLVD	None	OXNARD	CA	93033	3901	56	06111	34.17967669	-119.1655477	Ventura County
198506	Fee-for-Service	1972734770	1972734770	1	1	NASIM, FARIA MD	3/5/2020	207RP1001X	NA	Pulmonology	026	PHYSICIANS	167713	41	Internal Medicine	0	In state provider	None	200 MED PLAZA	#365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
198527	Fee-for-Service	1174570279	1174570279	1	1	NICOLAS, FADI J MD	6/8/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	79360	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
198535	Fee-for-Service	1619239118	1619239118	1	1	NOVENCIDO, JOSEPH R DO	7/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13041	08	Family Practice	0	In state provider	None	610 EUCLID AVE	STE 302	NATIONAL CITY	CA	91950	2953	37	06073	32.68419388	-117.0829524	San Diego County
198541	Fee-for-Service	1598261299	1598261299	1	1	NGUYEN, PAULINE A MD	10/21/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	177703	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
198613	Fee-for-Service	1104073014	1104073014	1	1	NGUYEN, JULIE DO	4/2/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	12158	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7601 HOSPITAL DRIVE	SUITE 220	SACRAMENTO	CA	95823	5408	34	06067	38.464794	-121.415571	Sacramento County
198614	Fee-for-Service	1871069922	1871069922	1	1	NALBANDIAN, SARAH PT	3/5/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
198633	Fee-for-Service	1023196730	1023196730	1	1	NISWANDER, DAVID G MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	50806	08	Family Practice	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
198675	Fee-for-Service	1659303907	1659303907	1	1	NGO, LYNN K MD	1/30/1991	207R00000X	NA	Other	026	PHYSICIANS	66515	01	General Practice	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
198684	Fee-for-Service	1346317112	1346317112	1	1	NAKASONE, EMERICK K OD	12/26/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12100 EUCLID ST	None	GARDEN GROVE	CA	92840	3304	30	06059	33.786882	-117.9410535	Orange County
198790	Fee-for-Service	1972734770	1972734770	1	1	NASIM, FARIA MD	3/5/2020	207RP1001X	NA	Pulmonology	026	PHYSICIANS	167713	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	200 MED PLAZA	#365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
198832	Fee-for-Service	1427004357	1427004357	1	1	NOTENBOOM, HANS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	SACRED HEART MED CTR	1255 HILYARD ST	None	EUGENE	OR	97401	3718	00	None	44.04647879	-123.0820996	Lane County
198884	Fee-for-Service	1003927393	1003927393	1	1	NAFIU, BOLAJI A MD	4/24/2020	208600000X	NA	General Surgery	026	PHYSICIANS	69105	02	General Surgery	0	In state provider	None	36320 INLAND VALLEY DR	SUITE 201	WILDOMAR	CA	92595	7512	33	06065	33.592158	-117.2367705	Riverside County
198919	Fee-for-Service	1629242086	1629242086	1	1	NAYAK, SURESH R MD INC	6/5/1979	261Q00000X	NA	Other	026	PHYSICIANS	33868	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 JOSE FIGUERES AVE	STE 305	SAN JOSE	CA	95116	1592	43	06085	37.36122014	-121.8505998	Santa Clara County
198932	Fee-for-Service	1447346424	1447346424	1	1	NORMAN, MARLEEN E LCSW	10/15/2003	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	363 PRAGUE ST	None	SAN FRANCISCO	CA	94112	2851	38	06075	37.71638053	-122.4290881	San Francisco County
198933	Fee-for-Service	1407832231	1407832231	1	1	NACHIONDO, JAMES M MD	8/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	10	Gastroenterology (M.D. only)	1	Border provider	None	880 RYLAND ST	None	RENO	NV	89502	1603	00	None	39.52378631	-119.8009873	Washoe County
198942	Fee-for-Service	1275839755	1275839755	1	1	NORTON, LAURA A DO	5/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	10853	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
199002	Fee-for-Service	1174756027	1174756027	1	1	NAKKA, BHAGYA MD INC	2/9/2010	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	96365	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	420 W ACACIA STREET	STE 22	STOCKTON	CA	95203	2441	39	06077	37.96135715	-121.2996632	San Joaquin County
199006	Fee-for-Service	1508217621	1508217621	1	1	NJOROGE, ABRAHAM M	8/27/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	13975 WATERVILLE COURT	None	EASTVALE	CA	92880	3282	33	06065	33.94416198	-117.5882615	Riverside County
199030	Fee-for-Service	1154133833	1154133833	1	1	NALUMANSI, JOSEPHINE CNP	3/5/2025	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
199059	Fee-for-Service	1417455080	1417455080	1	1	NGUYEN, MARTIN D PT	7/12/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	380 STEVENS AVE	314	SOLANA BEACH	CA	92075	2063	37	06073	32.99328265	-117.2619437	San Diego County
199075	Fee-for-Service	1427018456	1427018456	1	1	NGUYEN, J DUC MS	7/1/1998	207R00000X	NA	Other	026	PHYSICIANS	62436	41	Internal Medicine	0	In state provider	None	8110 MANGO AVE	None	FONTANA	CA	92335	3603	36	06071	34.10549796	-117.4314604	San Bernardino County
199088	Fee-for-Service	1720156631	1720156631	1	1	NAHIEB, AMINAH M MD	9/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74186	08	Family Practice	0	In state provider	None	3911 NORWOOD AVE	None	SACRAMENTO	CA	95838	3361	34	06067	38.638197	-121.4573895	Sacramento County
199164	Fee-for-Service	1457974685	1457974685	1	1	NORTHRIDGE VILLA FOR ELDERLY	9/4/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	8419 YOLANDA AVE	None	NORTHRIDGE	CA	91324	4753	19	06037	34.22334203	-118.5405178	Los Angeles County
199166	Fee-for-Service	1083603476	1083603476	2	1	N T T CORPORATION	12/14/2012	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	600 E VALLEY BLVD	#G	SAN GABRIEL	CA	91776	3673	19	06037	34.08003059	-118.0928881	Los Angeles County
199179	Fee-for-Service	1861594368	1861594368	1	1	NGUYEN AND MOK MEDICAL	5/5/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	GROUP	11100 WARNER AVE	STE 362	FOUNTAIN VALLEY	CA	92708	7513	30	06059	33.716291	-117.9355051	Orange County
199294	Fee-for-Service	1508217621	1508217621	1	1	NJOROGE, ABRAHAM M	8/27/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	13975 WATERVILLE COURT	None	EASTVALE	CA	92880	3282	33	06065	33.94416198	-117.5882615	Riverside County
199305	Fee-for-Service	1053020834	1053020834	1	1	NEWPRASIT, PAMELA NP	9/27/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
199465	Fee-for-Service	1861594368	1861594368	1	1	NGUYEN AND MOK MEDICAL	5/5/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	GROUP	11100 WARNER AVE	STE 362	FOUNTAIN VALLEY	CA	92708	7513	30	06059	33.716291	-117.9355051	Orange County
199468	Fee-for-Service	1427156850	1427156850	1	1	NAAS, MARK R PSYD	5/2/2023	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
199476	Fee-for-Service	1659446136	1659446136	1	1	NGUYEN, CHRISTINE OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6731 WESTMINSTER BLVD	STE 102	WESTMINSTER	CA	92683	3792	30	06059	33.75912651	-118.010655	Orange County
199517	Fee-for-Service	1336227263	1336227263	1	1	NABAVI, NICHOLAS MD INC	3/1/1982	174400000X	NA	Other	026	PHYSICIANS	34124	14	Neurological Surgery	0	In state provider	None	1360 W 6TH ST	STE 220	SAN PEDRO	CA	90732	3547	19	06037	33.73886546	-118.3075065	Los Angeles County
199632	Fee-for-Service	1841652013	1841652013	1	1	NALAMASU, ROHIT DO	5/20/2024	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	18732	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
199638	Fee-for-Service	1770648743	1770648743	1	1	NGUYEN, VANG T OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3920 GRAND AVE	STE D	CHINO	CA	91710	5484	36	06071	33.99859228	-117.7190491	San Bernardino County
199810	Fee-for-Service	1558891325	1558891325	1	1	NORTHBAY HEALTH GROUP	7/6/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1020 NUT TREE ROAD	None	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
199820	Fee-for-Service	1366465965	1366465965	1	1	NGO, KHIET D DO	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7788	None	None	0	In state provider	None	7223 CHURCH ST	None	HIGHLAND	CA	92346	5869	36	06071	34.122888	-117.1737945	San Bernardino County
199903	Fee-for-Service	1326036708	1326036708	1	1	NGUYEN, MICHAEL V MD	8/1/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8659	05	Anesthesiology	0	In state provider	None	3931 MACARTHUR BLVD	STE 105	NEWPORT BEACH	CA	92660	3012	30	06059	33.65770891	-117.8628645	Orange County
200026	Fee-for-Service	1992729792	1992729792	1	1	NATHANSON, IRA PHD	7/19/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	337 S BEVERLY DR	SUITE 209	BEVERLY HILLS	CA	90212	4315	19	06037	34.06083112	-118.3991317	Los Angeles County
200106	Fee-for-Service	1467711549	1467711549	1	1	NGUYEN, EDWARD N DO	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13082	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	19	06037	34.062852	-117.9446658	Los Angeles County
200116	Fee-for-Service	1265747257	1265747257	1	1	NAGAPPALA, KARTHEEK B MD	12/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	133274	02	General Surgery	0	In state provider	None	202 W WILLOW AVE	STE 402	VISALIA	CA	93291	6238	54	06107	36.328536	-119.293569	Tulare County
200188	Fee-for-Service	1023470671	1023470671	1	1	NGUYEN, THIEN T	5/8/2020	207R00000X	NA	Other	026	PHYSICIANS	16181	41	Internal Medicine	0	In state provider	None	1180 N INDIAN CANYON DR	STE E421	PALM SPRINGS	CA	92262	4800	33	06065	33.839505	-116.5455735	Riverside County
200213	Fee-for-Service	1174785489	1174785489	1	1	NICORA BIA, MARIA D MD	7/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10837	None	None	0	In state provider	None	2450 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4396	52	06103	40.14921426	-122.2216794	Tehama County
200222	Fee-for-Service	1528225802	1528225802	1	1	NGUYEN, VIVIANNE V MD	7/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129130	None	None	0	In state provider	None	625 LINCOLN AVE	None	SAN JOSE	CA	95126	3785	43	06085	37.31809479	-121.9082315	Santa Clara County
200291	Fee-for-Service	1326513441	1326513441	1	1	NIBBELINK AHEARN, SANDRA L N	6/24/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	P	3300 VISTA WAY	SUITE B	OCEANSIDE	CA	92056	3632	37	06073	33.18081595	-117.3156434	San Diego County
200313	Fee-for-Service	1922021914	1922021914	1	1	NWANODI, OROMA B A MD	5/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	55184	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
200328	Fee-for-Service	1174919609	1174919609	1	1	NIK-AHD, MAHNOOSH MD	8/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145994	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
200377	Fee-for-Service	1124460274	1124460274	1	5	NORTHEAST COMMUNITY CLINICS	11/9/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	8100 SUNLAND BOULEVARD	None	SUN VALLEY	CA	91352	3948	19	06037	34.21771742	-118.3701303	Los Angeles County
200523	Fee-for-Service	1285108944	1285108944	1	1	NGUYEN, DZUNG M NP	4/16/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7955 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4001	30	06059	33.75932839	-117.9902744	Orange County
200591	Fee-for-Service	1518034420	1518034420	1	1	NGUYEN, HAN MD	9/8/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	61270	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
200607	Fee-for-Service	1588067482	1588067482	1	2	NAUTILUS HEALTHCARE INC	12/20/2019	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7160 FAY AVE	None	LA JOLLA	CA	92037	5511	37	06073	32.83604771	-117.2723909	San Diego County
200614	Fee-for-Service	1174919609	1174919609	1	1	NIK-AHD, MAHNOOSH MD	8/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145994	66	Emergency Medicine (Urgent Care)	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
200624	Fee-for-Service	1528038486	1528038486	1	1	NGUYEN, QUINN Q OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7743 WEST LN	STE A-2	STOCKTON	CA	95210	3348	39	06077	38.01951553	-121.2949841	San Joaquin County
200645	Fee-for-Service	1396169793	1396169793	1	1	NORTH EAST MEDICAL SERVICES	4/1/2014	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1870 LUNDY AVE	None	SAN JOSE	CA	95131	1826	43	06085	37.39271022	-121.8903238	Santa Clara County
200661	Fee-for-Service	1124460274	1124460274	1	5	NORTHEAST COMMUNITY CLINICS	8/18/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	8100 SUNLAND BOULEVARD	None	SUN VALLEY	CA	91352	3948	19	06037	34.21771742	-118.3701303	Los Angeles County
200753	Fee-for-Service	1275007403	1275007403	1	1	NINCHAK, VIOLA M	4/13/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6010 HIDDEN VALLEY RD	SUITE 200	CARLSBAD	CA	92011	4219	37	06073	33.12288368	-117.3058276	San Diego County
200783	Fee-for-Service	1659790723	1659790723	1	1	NATH, RITESHWAR MD	2/20/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
200878	Fee-for-Service	1518034420	1518034420	1	1	NGUYEN, HAN MD	9/8/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	61270	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
200894	Fee-for-Service	1548545577	1548545577	1	1	NUNO, WENDY LMFT	4/19/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11455 PARAMOUNT BLVD	SUITE F	DOWNEY	CA	90241	4550	19	06037	33.94022241	-118.1398143	Los Angeles County
200939	Fee-for-Service	1194771709	1194771709	1	1	NEUMAYR, PRESTON G MD	10/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	65194	05	Anesthesiology	0	In state provider	None	100 S SAN MATEO DR	None	SAN MATEO	CA	94401	3805	41	06081	37.5656736	-122.3254527	San Mateo County
200950	Fee-for-Service	1124460274	1124460274	1	5	NORTHEAST COMMUNITY CLINICS	8/18/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	8100 SUNLAND BOULEVARD	None	SUN VALLEY	CA	91352	3948	19	06037	34.21771742	-118.3701303	Los Angeles County
200964	Fee-for-Service	1972915098	1972915098	1	1	NAING, MYA THET MD	10/13/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145022	41	Internal Medicine	0	In state provider	None	600 COFFEE ROAD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
200975	Fee-for-Service	1528046125	1528046125	1	1	NAGHI, BENI MD	10/31/1994	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	43421	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3400 LOMITA BLVD	STE 602	TORRANCE	CA	90505	4984	19	06037	33.81309744	-118.3448635	Los Angeles County
201003	Fee-for-Service	1023582194	1023582194	1	1	NAJI, HAARIS R DO	4/1/2019	207RP1001X	NA	Pulmonology	026	PHYSICIANS	16402	None	None	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
201014	Fee-for-Service	1497896922	1497896922	2	1	NGUYEN, JASMINE P OD	11/11/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4029 43RD ST	SUITE 300	SAN DIEGO	CA	92105	8537	37	06073	32.75012697	-117.1019424	San Diego County
201043	Fee-for-Service	1053937367	1053937367	1	1	NEXUS HOSPICE CARE INC	9/23/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	41870 KALMIA ST	SUITE 140	MURRIETA	CA	92562	8839	33	06065	33.55770574	-117.2153574	Riverside County
201101	Fee-for-Service	1093929697	1093929697	1	1	NGUYEN, TAM T MD	7/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96679	01	General Practice	0	In state provider	None	33077 ALVARADO NILES RD	None	UNION CITY	CA	94587	3109	01	06001	37.59324793	-122.0436351	Alameda County
201155	Fee-for-Service	1043246572	1043246572	1	1	NOORI, ARSHIA M MD	3/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	73281	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	17073 MAIN STREET	None	HESPERIA	CA	92345	6004	36	06071	34.41987484	-117.2906045	San Bernardino County
201178	Fee-for-Service	1669729513	1669729513	1	1	NGUYEN, AN T DO	9/6/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	12373	None	None	0	In state provider	None	23181 VERDUGO DR STE 103	None	LAGUNA HILLS	CA	92653	1313	30	06059	33.62609529	-117.7293191	Orange County
201200	Fee-for-Service	1790806081	1790806081	1	1	NAGARAJU, VIDYA MD	12/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109594	41	Internal Medicine	0	In state provider	None	250 HOSPITAL PKWAY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
201211	Fee-for-Service	1497362503	1497362503	1	1	NEVAREZ SANCHEZ, INES NP	3/31/2025	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
201268	Fee-for-Service	1396865069	1396865069	1	1	NADRICH, ROBERT	6/1/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVENUE 27TH ST	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
201277	Fee-for-Service	1710518881	1710518881	1	6	NICETO LOPEZ, M.D., A.P.C.	9/14/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1340 15TH ST	None	SANTA MONICA	CA	90404	1802	19	06037	34.02545225	-118.4855666	Los Angeles County
201329	Fee-for-Service	1053937367	1053937367	1	1	NEXUS HOSPICE CARE INC	9/23/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	41870 KALMIA ST	SUITE 140	MURRIETA	CA	92562	8839	33	06065	33.55770574	-117.2153574	Riverside County
201388	Fee-for-Service	1093929697	1093929697	1	1	NGUYEN, TAM T MD	7/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96679	08	Family Practice	0	In state provider	None	33077 ALVARADO NILES RD	None	UNION CITY	CA	94587	3109	01	06001	37.59324793	-122.0436351	Alameda County
201401	Fee-for-Service	1821551763	1821551763	1	1	NAVARRETE, RICARDO DPM	8/22/2024	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
201404	Fee-for-Service	1336586130	1336586130	1	1	NARULA, NEHA MD	9/25/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147536	01	General Practice	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
201405	Fee-for-Service	1609861905	1609861905	1	1	NELSON, MARCIA F MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	61621	08	Family Practice	0	In state provider	None	114 MISSION RANCH BLVD	STE 10	CHICO	CA	95926	2186	04	06007	39.75356438	-121.8600403	Butte County
201425	Fee-for-Service	1356704662	1356704662	1	1	NING, NING MD	10/4/2023	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	150930	None	None	0	In state provider	None	8631 W THIRD STREET	None	LOS ANGELES	CA	90048	5901	19	06037	34.07361928	-118.3803143	Los Angeles County
201433	Fee-for-Service	1497258263	1497258263	1	1	NEXT DOOR MED NET INC	9/29/2022	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	5832 S VERMONT AVE	None	LOS ANGELES	CA	90044	3712	19	06037	33.98805	-118.2914425	Los Angeles County
201455	Fee-for-Service	1639433550	1639433550	1	1	NEEL, IAN C MD	6/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	128583	41	Internal Medicine	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
201483	Fee-for-Service	1104851609	1104851609	1	1	NASSAR, NICOLAS ELIAS	3/4/2004	207RP1001X	NA	Pulmonology	026	PHYSICIANS	76218	41	Internal Medicine	0	In state provider	None	406 E VANDERBILT WAY	None	SAN BERNARDINO	CA	92408	3552	36	06071	34.06876293	-117.2766149	San Bernardino County
201510	Fee-for-Service	1326444639	1326444639	1	1	NGUYEN, QUAN OD	2/5/2019	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1299 UNIVERSITY AVE	SUITE 103	RIVERSIDE	CA	92507	7236	33	06065	33.97576948	-117.339417	Riverside County
201575	Fee-for-Service	1386722932	1386722932	1	1	NIEDERER, ALISON MD	7/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	81974	40	Pediatrics	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
201593	Fee-for-Service	1992024293	1992024293	1	1	NASIRI, EMAL MD	8/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125786	41	Internal Medicine	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
201612	Fee-for-Service	1821025388	1821025388	1	1	NAWABI, ATTA M MD	11/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92541	02	General Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
201641	Fee-for-Service	1619415221	1619415221	1	1	NEGRETE, STEVE	5/20/2021	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	8995 APOLLO	None	DOWNEY	CA	90242	4031	19	06037	33.92305581	-118.128642	Los Angeles County
201653	Fee-for-Service	1982438081	1982438081	1	1	NATIVE PLACEMENTS	9/27/2024	251B00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	8929 COMPLEX DR	7-A	SAN DIEGO	CA	92123	1454	37	06073	32.82996636	-117.1337181	San Diego County
201692	Fee-for-Service	1285392068	1285392068	1	1	NODA, JASON P NP	7/17/2022	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	26520 CACTUS AVE	STE 2021	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
201721	Fee-for-Service	1144290081	1144290081	1	1	NASHED, ASHRAF N	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	55581	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2876 SYCAMORE DR	STE 301	SIMI VALLEY	CA	93065	1550	56	06111	34.28795345	-118.7438659	Ventura County
201741	Fee-for-Service	1639433550	1639433550	1	1	NEEL, IAN C MD	6/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	128583	38	Geriatrics	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
201745	Fee-for-Service	1942615299	1942615299	1	2	NIETO, RUBEN A DPM	11/16/2022	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	3553 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1605	15	06029	35.39221983	-119.0082381	Kern County
201771	Fee-for-Service	1104851609	1104851609	1	1	NASSAR, NICOLAS ELIAS	3/4/2004	207RP1001X	NA	Pulmonology	026	PHYSICIANS	76218	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	406 E VANDERBILT WAY	None	SAN BERNARDINO	CA	92408	3552	36	06071	34.06876293	-117.2766149	San Bernardino County
201837	Fee-for-Service	1871768358	1871768358	1	1	NAVARRO, RIVER Q	10/25/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8421 AUBURN BLVD	SUITE 110	CITRUS HEIGHTS	CA	95610	0359	34	06067	38.719026	-121.291335	Sacramento County
201839	Fee-for-Service	1932401791	1932401791	1	1	NAVARRO, FRANCISCO MD	1/27/2025	2084P0804X	NA	Psychiatry	026	PHYSICIANS	99803	36	Psychiatry	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
201880	Fee-for-Service	1063748846	1063748846	1	1	NARAN, NIMA V OT	4/30/2020	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1625 STOCKTON BLVD	None	SACRAMENTO	CA	95816	7053	34	06067	38.56554	-121.4664615	Sacramento County
201897	Fee-for-Service	1356095046	1356095046	1	1	NORTON, CHELSEA MAUREEN	2/17/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	11144 E SUSSEX AVE	None	SANGER	CA	93657	9350	10	06019	36.79056653	-119.589579	Fresno County
201901	Fee-for-Service	1750944658	1750944658	1	1	NAVA, MICHELLE PT	12/10/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	800 S. RAYMOND AVE	None	PASADENA	CA	91105	3229	19	06037	34.13185488	-118.1487468	Los Angeles County
201964	Fee-for-Service	1952987992	1952987992	1	1	NGU, LINH MD	12/29/2023	390200000X	NA	Other	026	PHYSICIANS	191322	None	None	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
201985	Fee-for-Service	1720549793	1720549793	1	1	NEARY, DAVID M MD	6/28/2022	207R00000X	NA	Other	026	PHYSICIANS	178329	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
202007	Fee-for-Service	1033211685	1033211685	1	1	NICHOLAS, JULIAN J MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	72818	41	Internal Medicine	0	In state provider	None	15025 INNOVATION DR	None	SAN DIEGO	CA	92128	3409	37	06073	32.98956795	-117.0767228	San Diego County
202011	Fee-for-Service	1770067241	1770067241	1	1	NANCY SONDON-HAGOPIAN, MARRI	9/26/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	AGE & FAMILY THERAPIST,	595 E COLORADO BLVD	STE 310	PASADENA	CA	91101	2021	19	06037	34.14588202	-118.1380722	Los Angeles County
202120	Fee-for-Service	1417196429	1417196429	1	1	NGUYEN, CHAU D MD	3/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107473	05	Anesthesiology	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
202123	Fee-for-Service	1306443239	1306443239	1	1	NHAN AI PHARMACY INC	9/19/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14516 BROOKHURST ST	None	WESTMINSTER	CA	92683	5750	30	06059	33.75189794	-117.9548401	Orange County
202124	Fee-for-Service	1922366723	1922366723	1	1	NGUYEN, MONIKA D MD	1/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127431	01	General Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
202154	Fee-for-Service	1093374787	1093374787	1	1	NARAYANAN, DIVYA MD	7/8/2022	208M00000X	NA	Other	026	PHYSICIANS	177656	None	None	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
202176	Fee-for-Service	1073804837	1073804837	1	1	NGO, TRI M MD	3/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125189	30	Radiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
202184	Fee-for-Service	1356095046	1356095046	1	1	NORTON, CHELSEA MAUREEN	2/17/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	11144 E SUSSEX AVE	None	SANGER	CA	93657	9350	10	06019	36.79056653	-119.589579	Fresno County
202261	Fee-for-Service	1518911304	1518911304	1	5	NORTH EAST MEDICAL SERVICES	6/30/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	728 PACIFIC AVENUE	SUITE 303	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
202379	Fee-for-Service	1992061527	1992061527	1	1	NGUYEN, TRAM T B MD	10/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135804	41	Internal Medicine	0	In state provider	None	2500 MERCED ST	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
202408	Fee-for-Service	1235182924	1235182924	1	1	NOTTAGE, WESLEY M MD INC	7/31/1993	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	29856	20	Orthopedic Surgery	0	In state provider	None	23961 CALLE DE LA MAGDAL	STE 229	LAGUNA HILLS	CA	92653	7615	30	06059	33.60999658	-117.7126577	Orange County
202549	Fee-for-Service	1518911304	1518911304	1	5	NORTH EAST MEDICAL SERVICES	6/3/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	728 PACIFIC AVENUE	SUITE 303	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
202555	Fee-for-Service	1124460274	1124460274	1	1	NORTHEAST COMMUNITY CLINICS	9/20/2013	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2975 ZOE AVENUE	None	HUNTINGTON PARK	CA	90255	0000	19	06037	33.9793863	-118.216134	Los Angeles County
202567	Fee-for-Service	1427584200	1427584200	1	1	NGUYEN, HOANVU N MD	8/1/2022	207P00000X	NA	Other	026	PHYSICIANS	157826	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
202582	Fee-for-Service	1366497059	1366497059	1	1	NEAL, ERIC J MD	4/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	79682	40	Pediatrics	0	In state provider	None	2721 OLIVE HWY	STE 7	OROVILLE	CA	95966	6115	04	06007	39.50452062	-121.5420592	Butte County
202605	Fee-for-Service	1336325406	1336325406	1	1	NGUYEN, THUONG T	10/19/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1526 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
202642	Fee-for-Service	1447456132	1447456132	1	1	NUTI, BENJAMIN S CRNA	2/8/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	299 HWY EAST	None	FALL RIVER MILLS	CA	96028	0459	45	06089	40.99938573	-121.4518289	Shasta County
202643	Fee-for-Service	1992144992	1992144992	1	1	NGUYEN, HANH T CNP	7/18/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10455 S DE ANZA BLVD	None	CUPERTINO	CA	95014	3011	43	06085	37.316601	-122.032407	Santa Clara County
202769	Fee-for-Service	1669837456	1669837456	1	1	NANALIS, RHODALYN	3/18/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15272 SUMMIT AVE	None	FONTANA	CA	92336	0231	36	06071	34.152624	-117.4724415	San Bernardino County
202798	Fee-for-Service	1972523512	1972523512	1	1	NICHOLAS, SUSANNE B MD	6/1/1998	207RN0300X	NA	Nephrology	026	PHYSICIANS	70174	None	None	0	In state provider	#365	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
202842	Fee-for-Service	1124460274	1124460274	1	1	NORTHEAST COMMUNITY CLINICS	9/20/2013	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2975 ZOE AVENUE	None	HUNTINGTON PARK	CA	90255	0000	19	06037	33.9793863	-118.216134	Los Angeles County
202909	Fee-for-Service	1013117605	1013117605	1	1	NOSOV, VLADIMIR B MD	1/8/2008	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	91822	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
202996	Fee-for-Service	1982616124	1982616124	1	1	NAINI, PAVANI R MD	3/13/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	88373	41	Internal Medicine	0	In state provider	None	12276 HESPERIA RD	STE 123	VICTORVILLE	CA	92395	5838	36	06071	34.47424926	-117.2915621	San Bernardino County
203016	Fee-for-Service	1841567351	1841567351	1	1	NGUYEN, QUAN H M D A	3/16/2012	174400000X	NA	Other	026	PHYSICIANS	71956	None	None	0	In state provider	PROFESSIONAL CORPORATION	11160 WARNER AVE	SUITE 201	FOUNTAIN VALLEY	CA	92708	4008	30	06059	33.71630854	-117.934317	Orange County
203035	Fee-for-Service	1851475826	1851475826	1	1	NOVICH, KENNETH E MD	5/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	74363	02	General Surgery	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
203051	Fee-for-Service	1861009672	1861009672	1	1	NORCAL HEALTHCONNECT LLC	1/1/2021	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1375 UNIVERSITY AVE	None	HEALDSBURG	CA	95448	3382	49	06097	38.6272407	-122.8638253	Sonoma County
203055	Fee-for-Service	1619931763	1619931763	2	1	NGUYEN, HOA MD	10/28/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	58722	10	Gastroenterology (M.D. only)	0	In state provider	None	5835 WESTMINSTER BLVD	SUITE A	WESTMINSTER	CA	92683	9109	30	06059	33.75907713	-118.0270765	Orange County
203062	Fee-for-Service	1912316472	1912316472	1	1	NO, CHRISTINE MD	5/23/2018	390200000X	NA	Other	026	PHYSICIANS	141745	05	Anesthesiology	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
203109	Fee-for-Service	1215180427	1215180427	1	1	NIENDAM, TARA A PHD	12/10/2009	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	36	Psychiatry	0	In state provider	None	2230 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1419	34	06067	38.555631	-121.459203	Sacramento County
203117	Fee-for-Service	1689630808	1689630808	1	1	NOVICK, JASON L DPM	8/9/2006	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	FOOT CLINIC OF SANTA CRU	4765 SOQUEL DR	None	SOQUEL	CA	95073	2473	44	06087	36.98848708	-121.9563666	Santa Cruz County
203131	Fee-for-Service	1124460274	1124460274	1	1	NORTHEAST COMMUNITY CLINICS	12/2/2015	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2975 ZOE AVENUE	None	HUNTINGTON PARK	CA	90255	0000	19	06037	33.9793863	-118.216134	Los Angeles County
203219	Fee-for-Service	1467081950	1467081950	1	1	NGUYEN, KINH-VY MD	8/7/2024	390200000X	NA	Other	026	PHYSICIANS	190314	05	Anesthesiology	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
203296	Fee-for-Service	1023043494	1023043494	1	2	NGUYEN, LANA N MD	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	70441	08	Family Practice	0	In state provider	None	6010 COMMERCE BLVD	STE 141	ROHNERT PARK	CA	94928	2127	49	06097	38.35214355	-122.7105663	Sonoma County
203340	Fee-for-Service	1861009672	1861009672	1	1	NORCAL HEALTHCONNECT LLC	1/1/2021	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1375 UNIVERSITY AVE	None	HEALDSBURG	CA	95448	3382	49	06097	38.6272407	-122.8638253	Sonoma County
203343	Fee-for-Service	1619931763	1619931763	2	1	NGUYEN, HOA MD	10/28/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	58722	41	Internal Medicine	0	In state provider	None	5835 WESTMINSTER BLVD	SUITE A	WESTMINSTER	CA	92683	9109	30	06059	33.75907713	-118.0270765	Orange County
203362	Fee-for-Service	1619249034	1619249034	1	2	NICHOLS, TAYLOR MD	9/10/2024	207RA0401X	NA	Other	086	MEDICAL DIRECTORS	133836	-	NOT APPLICABLE	0	In state provider	None	3647 40TH STREET	None	SACRAMENTO	CA	95817	3609	34	06067	38.541456	-121.4604765	Sacramento County
203376	Fee-for-Service	1699796227	1699796227	1	1	NGUYEN, JOSEPH M DO	1/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	8475	08	Family Practice	0	In state provider	None	441 SOUTH HAM LANE	SUITE A	LODI	CA	95242	3525	39	06077	38.12839172	-121.2883127	San Joaquin County
203573	Fee-for-Service	1942722558	1942722558	1	1	NEW CHAPTER HOME HEALTH, INC	8/30/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	224 E OLIVE ST	STE 217	BURBANK	CA	91502	2240	19	06037	34.18109046	-118.3084839	Los Angeles County
203605	Fee-for-Service	1770648578	1770648578	1	1	NICKERSON, JOSEPH H CRNA	7/30/2003	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1200 N STATE ST	# 14-901	LOS ANGELES	CA	90033	1029	19	06037	34.05855992	-118.209755	Los Angeles County
203615	Fee-for-Service	1124461462	1124461462	1	1	NGUYEN, ANH T DO	8/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	2617 ALMOND ST	None	KLAMATH FALLS	OR	97601	1116	00	None	42.2523938	-121.7885067	Klamath County
203619	Fee-for-Service	1396960563	1396960563	1	1	NGUYEN, PHU T DO	10/1/1998	193400000X	NA	Other	026	PHYSICIANS	7161	None	None	0	In state provider	None	12555 GARDEN GROVE BLVD	STE 301	GARDEN GROVE	CA	92843	1903	30	06059	33.77450946	-117.913041	Orange County
203649	Fee-for-Service	1588678957	1588678957	1	1	NESBURN, ANTHONY B MD	2/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	6938	18	Ophthalmology	0	In state provider	None	620 S SAN VICENTE BLVD	None	LOS ANGELES	CA	90048	4618	19	06037	34.06554693	-118.3726626	Los Angeles County
203664	Fee-for-Service	1417097452	1417097452	1	1	NEW ANANDA MEDICAL & URGENT	4/10/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	CARE INC	1648 TYLER AVE	STE B	SOUTH EL MONTE	CA	91733	3440	19	06037	34.04738054	-118.0420669	Los Angeles County
203785	Fee-for-Service	1831515659	1831515659	1	1	NGUYEN, SABINE DO	8/17/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	13919	41	Internal Medicine	0	In state provider	None	1680 EAST 120TH STREET	None	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
203888	Fee-for-Service	1386384097	1386384097	1	1	NWABUONA, STEPHANIE CNP	2/5/2025	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	345 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	42	06083	34.444782	-119.7794675	Santa Barbara County
203891	Fee-for-Service	1083686893	1083686893	1	1	NICKOWITZ, RICHARD E MD	11/30/1993	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	75648	10	Gastroenterology (M.D. only)	0	In state provider	None	50 ALESSANDRO PL	STE 410	PASADENA	CA	91105	3175	19	06037	34.13101049	-118.151532	Los Angeles County
203951	Fee-for-Service	1417097452	1417097452	1	1	NEW ANANDA MEDICAL & URGENT	4/10/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	CARE INC	1648 TYLER AVE	STE B	SOUTH EL MONTE	CA	91733	3440	19	06037	34.04738054	-118.0420669	Los Angeles County
203988	Fee-for-Service	1356351753	1356351753	1	1	NERO, YONG S CNM	2/8/2015	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	555 E VALLEY PKWY	None	ESCONDIDO	CA	92025	3048	37	06073	33.12542915	-117.0764725	San Diego County
204032	Fee-for-Service	1033394093	1033394093	1	1	NOURMAND, SUZANNE MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	63172	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
204044	Fee-for-Service	1386965986	1386965986	1	1	NASH, NOJA ANJANNETTE	7/29/2010	163W00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	40367 HANNAH WAY	None	MURRIETA	CA	92563	4909	33	06065	33.55103365	-117.17487	Riverside County
204060	Fee-for-Service	1316487309	1316487309	1	1	NEWLIN, JULIE ANNE	3/1/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	19393 EL DORADO RD	None	PERRIS	CA	92570	6530	33	06065	33.84323954	-117.3245094	Riverside County
204062	Fee-for-Service	1902524374	1902524374	1	1	NGUYEN, ANGELINE PT	1/13/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
204069	Fee-for-Service	1891099230	1891099230	1	1	NEURO SPINE & HEADACHE PAIN	11/21/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	101939	13	Neurology (M.D. only)	0	In state provider	MANAGEMENT CENTER	195 W LEGION RD	None	BRAWLEY	CA	92227	7714	13	06025	32.95991355	-115.5525097	Imperial County
204082	Fee-for-Service	1073023594	1073023594	1	1	NISSANKA, AMILA MD	12/28/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	174462	None	None	0	In state provider	None	303 BROADWAY ST STE 103	None	LAGUNA BEACH	CA	92651	1816	30	06059	33.54461007	-117.7835126	Orange County
204094	Fee-for-Service	1346488210	1346488210	1	1	NEEDHAM, ANNETTE L NP	7/16/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
204151	Fee-for-Service	1700124914	1700124914	1	1	NIKOLAENKO, LIANA MD	9/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123882	68	Hematology	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
204161	Fee-for-Service	1356597199	1356597199	1	1	NAUZO, FATHEMAT Z MD	3/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127897	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
204177	Fee-for-Service	1083686893	1083686893	1	1	NICKOWITZ, RICHARD E MD	11/30/1993	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	75648	41	Internal Medicine	0	In state provider	None	50 ALESSANDRO PL	STE 410	PASADENA	CA	91105	3175	19	06037	34.13101049	-118.151532	Los Angeles County
204240	Fee-for-Service	1417097452	1417097452	1	1	NEW ANANDA MEDICAL & URGENT	4/10/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	CARE INC	1648 TYLER AVE	STE B	SOUTH EL MONTE	CA	91733	3440	19	06037	34.04738054	-118.0420669	Los Angeles County
204262	Fee-for-Service	1003924580	1003924580	1	1	NAKAMOTO, BEAU K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	STRAUB CLINIC & HOSPITAL	888 SOUTH KING ST	None	HONOLULU	HI	96813	0000	00	None	21.30218603	-157.8505732	Honolulu County
204275	Fee-for-Service	1972545077	1972545077	1	1	NEELY, JENNIFER D MD	3/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	65285	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
204291	Fee-for-Service	1457404055	1457404055	1	1	NOIA RESIDENTIAL SERVICES	4/15/1987	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	668 W ROBINWOOD LN	None	FRESNO	CA	93704	1922	10	06019	36.81659347	-119.8053945	Fresno County
204317	Fee-for-Service	1316625874	1316625874	1	1	NEVADA EMERGENCY PHYSICIANS	4/1/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	PLLC	2375 E PRATER WAY	None	SPARKS	NV	89434	9641	00	None	39.54247495	-119.6975356	Washoe County
204327	Fee-for-Service	1780761635	1780761635	1	1	NAKAZAWA, GLENN MD	12/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	45295	30	Radiology	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
204332	Fee-for-Service	1922043249	1922043249	1	1	NORIEGA, ROBERT MD	2/28/1991	207R00000X	NA	Other	026	PHYSICIANS	65985	01	General Practice	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
204346	Fee-for-Service	1316487309	1316487309	1	1	NEWLIN, JULIE ANNE	3/1/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	19393 EL DORADO RD	None	PERRIS	CA	92570	6530	33	06065	33.84323954	-117.3245094	Riverside County
204374	Fee-for-Service	1104435734	1104435734	1	1	NEW LIFE HEALTH AUTHORITY	12/13/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	280 E STANDLEY ST	None	UKIAH	CA	95482	4414	23	06045	39.15101964	-123.205602	Mendocino County
204438	Fee-for-Service	1700124914	1700124914	1	1	NIKOLAENKO, LIANA MD	9/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123882	78	Neoplastic Diseases/Oncology	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
204473	Fee-for-Service	1588865471	1588865471	1	1	NAYLOR, PATRICIA A NP	10/21/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15446 S WESTERN AVE	None	GARDENA	CA	90249	4319	19	06037	33.89042107	-118.3091303	Los Angeles County
204500	Fee-for-Service	1427324185	1427324185	1	1	NOVACK, MALLORY E DO	10/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13191	09	Gynecology (D.O. only)	0	In state provider	None	2210 E ILLINOIS	STE 301	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
204504	Fee-for-Service	1821386848	1821386848	1	1	NZEREM, CHIMA S DO	8/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13808	05	Anesthesiology	0	In state provider	None	2101 NORTH WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
204512	Fee-for-Service	1255376968	1255376968	1	1	NARAYANAN, KRISHNASWAMY	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67018	02	General Surgery	0	In state provider	None	641 S SANTA ANITA AVE	None	SAN MARINO	CA	91108	1419	19	06037	34.134993	-118.098809	Los Angeles County
204549	Fee-for-Service	1659477255	1659477255	1	1	NORMA SALCEDA, M.D., INC.	1/28/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	09	Gynecology (D.O. only)	0	In state provider	None	1535 S WESTERN AVE	G	LOS ANGELES	CA	90006	4200	19	06037	34.04428113	-118.3090633	Los Angeles County
204632	Fee-for-Service	1740296649	1740296649	1	1	NEVES, GEORGE D MD	2/8/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	78170	08	Family Practice	0	In state provider	None	445 11TH ST	None	ORANGE COVE	CA	93646	2211	10	06019	36.62723052	-119.319103	Fresno County
204664	Fee-for-Service	1104435734	1104435734	1	1	NEW LIFE HEALTH AUTHORITY	8/12/2021	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	280 E STANDLEY ST	None	UKIAH	CA	95482	4414	23	06045	39.15101964	-123.205602	Mendocino County
204716	Fee-for-Service	1164528998	1164528998	1	1	NUMAN, FARHAD U	7/8/2022	2084P0804X	NA	Psychiatry	026	PHYSICIANS	95860	None	None	0	In state provider	None	39350 CIVIC CENTER DR	None	FREMONT	CA	94538	2343	01	06001	37.55399458	-121.9756047	Alameda County
204728	Fee-for-Service	1700124914	1700124914	1	1	NIKOLAENKO, LIANA MD	9/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123882	41	Internal Medicine	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
204751	Fee-for-Service	1457454456	1457454456	1	1	NATH, KISHORE V MD	1/29/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	71351	08	Family Practice	0	In state provider	None	2305 CAMINO RAMON	STE 100	SAN RAMON	CA	94583	1394	07	06013	37.77544224	-121.9657563	Contra Costa County
204773	Fee-for-Service	1205137395	1205137395	1	1	NORTH VALLEY CRITICAL CARE	1/24/2011	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GROUP	1164 LIVE OAK BLVD	None	YUBA CITY	CA	95991	3407	51	06101	39.1452994	-121.6208241	Sutter County
204774	Fee-for-Service	1396188124	1396188124	1	1	NATESAN, SINTHUMATHI MD	9/25/2017	363LP0200X	NA	Nurse Practitioner	026	PHYSICIANS	145960	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
204783	Fee-for-Service	1427324185	1427324185	1	1	NOVACK, MALLORY E DO	10/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13191	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2210 E ILLINOIS	STE 301	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
204805	Fee-for-Service	1992138044	1992138044	1	1	NGUYEN, ALBERT U OD	1/16/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1001 RIVERSIDE AVENUE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
204834	Fee-for-Service	1215433958	1215433958	1	1	NAGHI, LEAH MD	5/29/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	174023	68	Hematology	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
204838	Fee-for-Service	1861416802	1861416802	1	1	NIKOU, SAM N MD	9/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	47763	18	Ophthalmology	0	In state provider	NIKOU EYE SURGICAL & MED	50 N LA CIENEGA BLVD	STE 215	BEVERLY HILLS	CA	90211	2246	19	06037	34.06689439	-118.3762514	Los Angeles County
204839	Fee-for-Service	1356328330	1356328330	1	1	NEWPORT CHILDRENS MEDICAL	10/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	1401 AVOCADO AVE	STE 802	NEWPORT BEACH	CA	92660	7784	30	06059	33.61235015	-117.8704573	Orange County
204840	Fee-for-Service	1659477255	1659477255	1	1	NORMA SALCEDA, M.D., INC.	1/28/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	15	Obstetrics (D.O. only)	0	In state provider	None	1535 S WESTERN AVE	G	LOS ANGELES	CA	90006	4200	19	06037	34.04428113	-118.3090633	Los Angeles County
204844	Fee-for-Service	1023208402	1023208402	1	1	NUVISION LASER INC	10/7/2013	207W00000X	NA	Ophthalmology	026	PHYSICIANS	57630	None	None	0	In state provider	None	488 E SANTA CLARA ST	STE 105	ARCADIA	CA	91006	7232	19	06037	34.14235063	-118.0211625	Los Angeles County
204874	Fee-for-Service	1063786739	1063786739	1	1	NONNEMACHER, JESSICA A LMFT	6/23/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
204877	Fee-for-Service	1639227663	1639227663	1	1	NOURI, CAMERON MD	5/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90611	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
204917	Fee-for-Service	1528402179	1528402179	1	1	NAZARIAN, ARBI MD	9/30/2019	207XS0114X	NA	Orthopedic Surgery	026	PHYSICIANS	133882	20	Orthopedic Surgery	0	In state provider	None	604 N MAGNOLIA AVE	SUITE 100	CLOVIS	CA	93611	9204	10	06019	36.83939464	-119.6661479	Fresno County
204936	Fee-for-Service	1841222197	1841222197	1	1	NGUYEN, LIEN-HUONG MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66971	08	Family Practice	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
204950	Fee-for-Service	1104435734	1104435734	1	1	NEW LIFE HEALTH AUTHORITY	8/12/2021	No Taxonomy Provided	NA	None	051	OUTPATIENT HEROIN DETOX CENTER	-	-	NOT APPLICABLE	0	In state provider	None	280 E STANDLEY ST	None	UKIAH	CA	95482	4414	23	06045	39.15101964	-123.205602	Mendocino County
204987	Fee-for-Service	1538137666	1538137666	2	1	NGUYEN, BAO-THU T MD	7/2/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	62609	18	Ophthalmology	0	In state provider	None	1314 S EUCLID STREET	SUITE 103	ANAHEIM	CA	92802	2000	30	06059	33.815502	-117.9413935	Orange County
205013	Fee-for-Service	1265820575	1265820575	1	2	NEVAREZ-VIVOLO, DEBORAH LMF	11/24/2020	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	T	21125 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91355	1356	19	06037	34.41164827	-118.5053439	Los Angeles County
205026	Fee-for-Service	1730287855	1730287855	1	1	NELSON, CARLOS R PHD	2/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	211 W ROBINSON AVE	None	SAN DIEGO	CA	92103	4019	37	06073	32.74673898	-117.165548	San Diego County
205041	Fee-for-Service	1518141928	1518141928	1	1	NORMAN L TAKEDA OPTOMETR	3/14/2008	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1325 FLORIN RD	None	SACRAMENTO	CA	95831	3618	34	06067	38.496519	-121.508856	Sacramento County
205050	Fee-for-Service	1316318868	1316318868	1	1	NGO, PHUOC V OT	4/17/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
205095	Fee-for-Service	1942383740	1942383740	1	1	NICKELBERRY, BAMBI L MD	12/3/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	46679	-	NOT APPLICABLE	0	In state provider	None	3756 SANTA ROSALIA DR	SUITE 326 A	LOS ANGELES	CA	90008	3606	19	06037	34.00888336	-118.3389334	Los Angeles County
205122	Fee-for-Service	1215433958	1215433958	1	1	NAGHI, LEAH MD	5/29/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	174023	41	Internal Medicine	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
205157	Fee-for-Service	1033476544	1033476544	1	1	NYAGGAH, EVA W MD	10/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129300	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
205191	Fee-for-Service	1063998078	1063998078	1	1	NORRIS, EVAN C MD	9/12/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
205238	Fee-for-Service	1104435734	1104435734	1	1	NEW LIFE HEALTH AUTHORITY	12/13/2021	261QR0405X	NA	Other	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	None	280 E STANDLEY ST	None	UKIAH	CA	95482	4414	23	06045	39.15101964	-123.205602	Mendocino County
205272	Fee-for-Service	1992889240	1992889240	1	2	NORTHERN CALIF CORNEA ASSOC	1/17/2007	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	ASSOC INC	491 30TH ST	STE 101	OAKLAND	CA	94609	3235	01	06001	37.81935528	-122.2667902	Alameda County
205301	Fee-for-Service	1245760750	1245760750	1	1	NGUYEN, ANDREW DO	3/23/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17154	None	None	0	In state provider	None	11420 WARNER AVE.	None	FOUNTAIN VALLEY	CA	92708	2529	30	06059	33.71633952	-117.929061	Orange County
205331	Fee-for-Service	1669914107	1669914107	1	1	NAPAIDENCE OPCO, LLC	12/16/2016	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	705 TRANCAS ST	None	NAPA	CA	94558	3014	28	06055	38.32441006	-122.2907493	Napa County
205344	Fee-for-Service	1942380118	1942380118	1	1	NGUYEN, CHARLES T MD	11/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	69542	36	Psychiatry	0	In state provider	None	1860 HAMNER AVE	None	NORCO	CA	92860	2945	33	06065	33.9090675	-117.5612393	Riverside County
205370	Fee-for-Service	1215133145	1215133145	1	1	NELSON, LEAH A PT	6/8/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4650 PALM AVENUE	None	SAN DIEGO	CA	92154	8404	37	06073	32.5839467	-117.0337851	San Diego County
205427	Fee-for-Service	1598793119	1598793119	1	1	NEUBAUER, KURT R MD	12/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	52011	05	Anesthesiology	0	In state provider	None	225 S LAKE AVE	STE 535	PASADENA	CA	91101	3010	19	06037	34.141905	-118.1323975	Los Angeles County
205440	Fee-for-Service	1003902834	1003902834	1	1	NUCKTON, THOMAS J MD	4/10/2009	174400000X	NA	Other	026	PHYSICIANS	83871	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	3325 CHANATE RD	None	SANTA ROSA	CA	95404	3325	49	06097	38.469537	-122.707314	Sonoma County
205488	Fee-for-Service	1144304148	1144304148	1	1	NUSSBAUM, STANLEY J MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	41583	01	General Practice	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
205560	Fee-for-Service	1992889240	1992889240	1	2	NORTHERN CALIF CORNEA ASSOC	2/27/2007	152W00000X	NA	Other	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	ASSOC INC	491 30TH ST	STE 101	OAKLAND	CA	94609	3235	01	06001	37.81935528	-122.2667902	Alameda County
205665	Fee-for-Service	1043292030	1043292030	1	1	NAMBIAR, MARGARET M MD	9/30/1991	207W00000X	NA	Ophthalmology	026	PHYSICIANS	62036	18	Ophthalmology	0	In state provider	None	130 S BUENA VISTA ST	None	HEMET	CA	92543	4308	33	06065	33.74685979	-116.9672951	Riverside County
205666	Fee-for-Service	1093890253	1093890253	1	1	NORTHRIDGE CARE CTR INC	1/1/2001	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7836 RESEDA BLVD	None	RESEDA	CA	91335	1902	19	06037	34.21305947	-118.536035	Los Angeles County
205732	Fee-for-Service	1003902834	1003902834	1	1	NUCKTON, THOMAS J MD	4/10/2009	174400000X	NA	Other	026	PHYSICIANS	83871	41	Internal Medicine	0	In state provider	None	3325 CHANATE RD	None	SANTA ROSA	CA	95404	3325	49	06097	38.469537	-122.707314	Sonoma County
205737	Fee-for-Service	1366949349	1366949349	1	1	NG, ADRIENNE E MD	10/21/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	180521	None	None	0	In state provider	None	1011 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72827776	-121.2904066	Placer County
205876	Fee-for-Service	1083655484	1083655484	1	1	NEATH, SEAN-XAVIER MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67057	66	Emergency Medicine (Urgent Care)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
205924	Fee-for-Service	1164501912	1164501912	1	2	NEW HORIZON INTEGRATED	5/19/2000	320600000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CARE ICF DD-H HOMES, INC	2660 W TROJAN PL	None	ANAHEIM	CA	92804	2029	30	06059	33.82927372	-117.9789654	Orange County
205994	Fee-for-Service	1114514452	1114514452	1	1	NU CARE HOME HEALTH, INC	3/17/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5435 BALBOA BLVD	STE 206	ENCINO	CA	91316	1621	19	06037	34.16995337	-118.5011287	Los Angeles County
206011	Fee-for-Service	1013078229	1013078229	1	1	NGUYEN-OGHALAI, TRACY U MD	10/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	86114	83	Rheumatology	0	In state provider	None	1520 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
206015	Fee-for-Service	1003902834	1003902834	1	1	NUCKTON, THOMAS J MD	4/10/2009	174400000X	NA	Other	026	PHYSICIANS	83871	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3325 CHANATE RD	None	SANTA ROSA	CA	95404	3325	49	06097	38.469537	-122.707314	Sonoma County
206036	Fee-for-Service	1841516093	1841516093	1	1	NARAYAN, SHOBA MD	6/2/2010	2080P0210X	NA	Nephrology	026	PHYSICIANS	93828	45	Nephrology (Renal-Kidney)	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3874	30	06059	33.78077578	-117.8673468	Orange County
206095	Fee-for-Service	1033970520	1033970520	1	1	NJANE, SILAS KIRIGWI	6/11/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10045 WINGED FOOT DR	None	SACRAMENTO	CA	95829	8001	34	06067	38.469546	-121.319217	Sacramento County
206112	Fee-for-Service	1083812770	1083812770	1	1	NGO, BINH T MD	1/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	89405	07	Dermatology	0	In state provider	None	1520 SAN PABLO ST	HCT-1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
206187	Fee-for-Service	1902400534	1902400534	1	1	NANETTE PAULA FINE LICENSED	4/21/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	27851 BRADLEY RD	111	MENIFEE	CA	92586	2213	33	06065	33.71630969	-117.1904696	Riverside County
206202	Fee-for-Service	1982997250	1982997250	1	1	NG, DANIEL K MD	12/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123356	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
206264	Fee-for-Service	1659144640	1659144640	1	1	NOLAN R UNG MD INC	5/9/2024	1835P1300X	NA	Other	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	727 WEST RD	None	LA HABRA HEIGHTS	CA	90631	8055	30	06059	33.95549742	-117.9707168	Los Angeles County
206281	Fee-for-Service	1083721435	1083721435	1	1	NEWSOME, KENDALL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	602 W UNIVERSITY AVE	None	URBANA	IL	61801	2530	00	None	40.11648632	-88.21509105	Champaign County
206300	Fee-for-Service	1043317340	1043317340	1	1	NIRANJAN, VARALAKSHMI MD	10/3/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	420 BROADWAY STREET	None	REDWOOD CITY	CA	94063	3132	41	06081	37.48517644	-122.2022111	San Mateo County
206323	Fee-for-Service	1841516093	1841516093	1	1	NARAYAN, SHOBA MD	6/2/2010	2080P0210X	NA	Nephrology	026	PHYSICIANS	93828	40	Pediatrics	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3874	30	06059	33.78077578	-117.8673468	Orange County
206363	Fee-for-Service	1023037702	1023037702	1	1	NEL, ANDRE E	1/1/1995	207RA0201X	NA	Other	026	PHYSICIANS	47814	41	Internal Medicine	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
206383	Fee-for-Service	1033970520	1033970520	1	1	NJANE, SILAS KIRIGWI	6/11/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10045 WINGED FOOT DR	None	SACRAMENTO	CA	95829	8001	34	06067	38.469546	-121.319217	Sacramento County
206395	Fee-for-Service	1396741351	1396741351	2	1	NGUYEN, TIEN Q MD	3/1/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	50454	41	Internal Medicine	0	In state provider	None	17271 BROOKHURST ST	None	FOUNTAIN VALLEY	CA	92708	3701	30	06059	33.71228787	-117.9545597	Orange County
206400	Fee-for-Service	1063624534	1063624534	1	1	NAZZAL, SAMI B MD	10/1/1996	207RI0011X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SOUTHLAND CARDIO MED GRP	399 E HIGHLAND AVE	STE 307	SAN BERNARDINO	CA	92404	3853	36	06071	34.1358627	-117.2757898	San Bernardino County
206408	Fee-for-Service	1427521996	1427521996	1	1	NICOLE HILL & ASSOCIATES INC	7/2/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2719 N WOODROW AVE	None	SIMI VALLEY	CA	93065	1540	56	06111	34.28462524	-118.7455034	Ventura County
206473	Fee-for-Service	1396754610	1396754610	1	1	NGUYEN, TRUNG L DO	4/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9588	08	Family Practice	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
206482	Fee-for-Service	1578641205	1578641205	1	1	NGUYEN, THIENG D MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	7489	08	Family Practice	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
206493	Fee-for-Service	1871827345	1871827345	1	1	NATHWANI, NITYA A MD	4/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	96527	68	Hematology	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
206523	Fee-for-Service	1417466368	1417466368	1	1	NGHE, ERIC NP	4/12/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
206545	Fee-for-Service	1609122308	1609122308	1	1	NGUYEN, TOAN A OD	4/2/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1055 HARRIMAN PL	None	SAN BERNARDINO	CA	92408	4203	36	06071	34.06663955	-117.262629	San Bernardino County
206551	Fee-for-Service	1295231868	1295231868	1	1	NGUYEN, VINH T MD	10/16/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	43	Pediatric Allergy	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
206572	Fee-for-Service	1255622338	1255622338	1	1	NIEMEIER, BRANDON M MD	7/15/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	146453	36	Psychiatry	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
206588	Fee-for-Service	1285165076	1285165076	1	1	NAGORI, ESSAM K DO	1/4/2022	207R00000X	NA	Other	026	PHYSICIANS	18246	None	None	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
206688	Fee-for-Service	1467564591	1467564591	1	1	NOI NGUYEN MD	11/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2240 SUTHERLAND AVE	STE 104	KNOXVILLE	TN	37919	2333	00	None	35.95707787	-83.95193291	Knox County
206709	Fee-for-Service	1700842739	1700842739	1	1	NGUYEN, QUYEN C OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	215 N STATE COLLEGE BLVD	STE D	ANAHEIM	CA	92806	2935	30	06059	33.84270255	-117.8893257	Orange County
206734	Fee-for-Service	1164883740	1164883740	1	1	NEW PLACE HOME HEALTH CARE	10/1/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	10523 BURBANK BLVD	STE 110	NORTH HOLLYWOOD	CA	91601	2234	19	06037	34.17216449	-118.36017	Los Angeles County
206743	Fee-for-Service	1710518881	1710518881	1	5	NICETO LOPEZ, M.D., A.P.C.	9/14/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	505 LA BREA	None	LOS ANGELES	CA	90036	2015	19	06037	34.0805814	-118.3440947	Los Angeles County
206756	Fee-for-Service	1750536520	1750536520	1	1	NELSON, GREGORY V DO	5/20/2020	207L00000X	NA	Other	026	PHYSICIANS	10561	05	Anesthesiology	0	In state provider	None	1541 FLORIDA AVE	STE 200	MODESTO	CA	95350	4438	50	06099	37.666863	-120.9962775	Stanislaus County
206784	Fee-for-Service	1871827345	1871827345	1	1	NATHWANI, NITYA A MD	4/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	96527	78	Neoplastic Diseases/Oncology	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
206812	Fee-for-Service	1396058129	1396058129	1	1	NERSISYAN, GARINEH M OD	4/27/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	516 E PALMDALE BLVD	None	PALMDALE	CA	93550	4603	19	06037	34.57961309	-118.1198918	Los Angeles County
206821	Fee-for-Service	1376701185	1376701185	1	2	NAGHDECHI, PARHAM MD	11/15/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	116101	None	None	0	In state provider	None	1900 SLAUSON AVE	None	HUNTINGTON PARK	CA	90255	2725	19	06037	33.9891357	-118.2389609	Los Angeles County
206874	Fee-for-Service	1164617015	1164617015	1	1	NICOLSON, KIMBERLY R LCSW	2/25/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	CSW	1840 S ELENA AVE	106	REDONDO BEACH	CA	90277	5703	19	06037	33.81689725	-118.3863885	Los Angeles County
206928	Fee-for-Service	1134313372	1134313372	1	1	NG, DAVID MD	12/18/2007	207L00000X	NA	Other	026	PHYSICIANS	89740	05	Anesthesiology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
206961	Fee-for-Service	1710278569	1710278569	1	1	NISSINEN, JANNE K MD	6/30/2017	2084N0400X	NA	Neurology	026	PHYSICIANS	123181	13	Neurology (M.D. only)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
206977	Fee-for-Service	1093028771	1093028771	1	1	NGAI, STEVEN S MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	114970	30	Radiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
206994	Fee-for-Service	1336444629	1336444629	1	1	NUZON CORPORATION	5/11/2012	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	26961 RECODO LANE	None	MISSION VIEJO	CA	92691	6004	30	06059	33.57261437	-117.65919	Orange County
207026	Fee-for-Service	1295019990	1295019990	1	1	NORTH CENTRAL FLORIDA NEUROD	6/21/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	LOGIES	12076 TECHNOLOGY AVE	None	ALACHUA	FL	32615	9498	00	None	29.78171007	-82.47458131	Alachua County
207029	Fee-for-Service	1730316977	1730316977	1	1	NARSINH, KIRAN F MD	2/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	107949	None	None	0	In state provider	None	2089 VALE ROAD	#33	SAN PABLO	CA	94806	3850	07	06013	37.95396781	-122.3375393	Contra Costa County
207130	Fee-for-Service	1396047437	1396047437	1	1	NUNEZ, DAVID L MD	1/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	69151	40	Pediatrics	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
207168	Fee-for-Service	1093244774	1093244774	1	1	NIGAM, NISHITA MD	8/17/2020	208M00000X	NA	Other	026	PHYSICIANS	164169	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
207238	Fee-for-Service	1255199063	1255199063	1	1	NEW LIFE HEALTH AUTHORITY	3/25/2024	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	280 E STANDLEY ST	None	UKIAH	CA	95482	4414	23	06045	39.15101964	-123.205602	Mendocino County
207241	Fee-for-Service	1912260878	1912260878	1	1	NGUYEN, CATHY L OD	8/7/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9268 SIERRA AVE	None	FONTANA	CA	92335	8602	36	06071	34.08534285	-117.4357772	San Bernardino County
207280	Fee-for-Service	1477829190	1477829190	1	1	NAM, HANNAH MD	8/3/2020	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	169099	77	Infectious Disease	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
207301	Fee-for-Service	1366519290	1366519290	1	1	NAVARRO, RONALD A MD	8/16/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	67117	20	Orthopedic Surgery	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
207312	Fee-for-Service	1972987451	1972987451	1	1	NUNEZ, APRIL L LMFT	8/3/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	121 S PALM CANYON DR	SUITE 217	PALM SPRINGS	CA	92262	6378	33	06065	33.822774	-116.5468275	Riverside County
207315	Fee-for-Service	1851832190	1851832190	1	1	NGUYEN, ANDREW M	5/31/2023	207L00000X	NA	Other	026	PHYSICIANS	157196	None	None	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
207346	Fee-for-Service	1770592768	1770592768	1	1	NALLS, GAIL A MD	3/31/1988	2085N0904X	NA	Other	026	PHYSICIANS	47276	30	Radiology	0	In state provider	None	7301 STATE ST	None	HUNTINGTON PARK	CA	90255	5823	19	06037	33.97149395	-118.2097278	Los Angeles County
207393	Fee-for-Service	1841474806	1841474806	1	1	NGUYEN, KATHY M DC	11/18/2020	111N00000X	NA	Other	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	940 STORY RD	None	SAN JOSE	CA	95122	2629	43	06085	37.33082133	-121.8563087	Santa Clara County
207418	Fee-for-Service	1306896451	1306896451	1	1	NEWMAN, WILLIAM B	11/19/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	9409	15	Obstetrics (D.O. only)	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
207450	Fee-for-Service	1063560860	1063560860	1	1	NYSTUL, STEPHEN R MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	36310	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
207476	Fee-for-Service	1871732214	1871732214	1	1	NOSTE, ERIN E MD	6/21/2019	207P00000X	NA	Other	026	PHYSICIANS	160103	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
207610	Fee-for-Service	1376821520	1376821520	1	1	NATIONAL CITY EMERGENCY	9/1/2011	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL	2400 EAST 4TH ST	None	NATIONAL CITY	CA	91950	2098	37	06073	32.68637926	-117.0828839	San Diego County
207636	Fee-for-Service	1770592768	1770592768	1	1	NALLS, GAIL A MD	3/31/1988	2085N0904X	NA	Other	026	PHYSICIANS	47276	42	Nuclear Medicine	0	In state provider	None	7301 STATE ST	None	HUNTINGTON PARK	CA	90255	5823	19	06037	33.97149395	-118.2097278	Los Angeles County
207638	Fee-for-Service	1902303431	1902303431	1	1	NGUYEN, CHARLES MD	7/18/2024	207RX0202X	NA	Oncology	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1000 FIVEPOINT	None	IRVINE	CA	92618	2377	30	06059	33.65251244	-117.7317885	Orange County
207675	Fee-for-Service	1518067396	1518067396	1	1	NGUYEN, MYHANH T MD	6/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	61875	66	Emergency Medicine (Urgent Care)	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
207680	Fee-for-Service	1699752766	1699752766	1	1	NATIONAL GENETICS INST	10/31/2007	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	2440 S SEPULVEDA BLVD	STE 235	LOS ANGELES	CA	90064	1748	19	06037	34.036488	-118.4323635	Los Angeles County
207700	Fee-for-Service	1063140333	1063140333	1	1	NARINE, LENA LMFT	9/25/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
207704	Fee-for-Service	1679831010	1679831010	1	1	NARANG, AMRITA MD	10/25/2019	2080P0206X	NA	Gastroenterology	026	PHYSICIANS	132976	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
207734	Fee-for-Service	1811559636	1811559636	1	1	NAGAPPAN, MEENA MD	10/1/2023	207L00000X	NA	Other	026	PHYSICIANS	181153	None	None	0	In state provider	None	603 E LATHAM AVE	None	HEMET	CA	92543	4342	33	06065	33.74933852	-116.96598	Riverside County
207751	Fee-for-Service	1992333116	1992333116	1	1	NGUYEN, BAO KHANH MD	8/30/2023	208M00000X	NA	Other	026	PHYSICIANS	187061	None	None	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
207755	Fee-for-Service	1659900991	1659900991	1	1	NGUYEN, LINH H OD	12/9/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
207854	Fee-for-Service	1003972605	1003972605	2	1	NGUYEN, THANG C MD	8/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	91713	08	Family Practice	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
207859	Fee-for-Service	1275609562	1275609562	1	1	NOLAN, REGINA E	2/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	801 TRAEGER AVE	STE 304	SAN BRUNO	CA	94066	3048	41	06081	37.62782298	-122.4223337	San Mateo County
207878	Fee-for-Service	1962458869	1962458869	1	1	NGUYEN, ALAIN H OD	2/1/2003	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3800 NILES ST	STE 2	BAKERSFIELD	CA	93306	4593	15	06029	35.37608925	-118.9420862	Kern County
207882	Fee-for-Service	1811240450	1811240450	1	1	NASSERI, FARBOD MD	12/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129856	30	Radiology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
207884	Fee-for-Service	1497949465	1497949465	1	1	NASSER, NATALIE Y MD	1/14/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	99024	07	Dermatology	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
207892	Fee-for-Service	1518374149	1518374149	1	1	NORATTO-WHITE, ZORAIDA V	8/27/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	5053 LA MART DR	STE 105	RIVERSIDE	CA	92507	5993	33	06065	33.95818206	-117.3320081	Riverside County
207899	Fee-for-Service	1174942510	1174942510	1	1	NASSMAN, DEANA M DO	8/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15236	40	Pediatrics	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
207909	Fee-for-Service	1629128434	1629128434	1	1	NORQUIST, DONNA L MD	8/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	40892	08	Family Practice	0	In state provider	None	95 MONTGOMERY DR	None	SANTA ROSA	CA	95404	6630	49	06097	38.442357	-122.704641	Sonoma County
207914	Fee-for-Service	1265686794	1265686794	1	1	NHAN-CHANG, CHIA-LING	3/21/2024	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
207922	Fee-for-Service	1902303431	1902303431	1	1	NGUYEN, CHARLES MD	7/18/2024	207RX0202X	NA	Oncology	026	PHYSICIANS	None	68	Hematology	0	In state provider	None	1000 FIVEPOINT	None	IRVINE	CA	92618	2377	30	06059	33.65251244	-117.7317885	Orange County
207930	Fee-for-Service	1780760298	1780760298	1	1	NEHEMIAH, JEROME L MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	41095	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5755 COTTLE RD	None	SAN JOSE	CA	95123	3640	43	06085	37.246896	-121.8040865	Santa Clara County
207952	Fee-for-Service	1639376270	1639376270	1	1	NEIL ANSON EVANS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	801 7TH AVE	None	FORT WORTH	TX	76104	2733	00	None	32.73710364	-97.3419336	Tarrant County
207972	Fee-for-Service	1003260951	1003260951	1	1	NYMAN, KATHERINE N MD	8/1/2023	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	186765	None	None	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
208027	Fee-for-Service	1881960128	1881960128	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	175 W COURT STREET	None	WOODLAND	CA	95695	2913	57	06113	38.67889514	-121.7923678	Yolo County
208067	Fee-for-Service	1699709956	1699709956	1	1	NESS, DANIEL A MD	3/15/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	50550	05	Anesthesiology	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
208069	Fee-for-Service	1104874478	1104874478	1	1	NITTI, JOSEPH T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	83895	05	Anesthesiology	0	In state provider	None	16237 VENTURA BLVD	None	ENCINO	CA	91436	2201	19	06037	34.15686987	-118.4871369	Los Angeles County
208087	Fee-for-Service	1326321076	1326321076	1	1	NAT, ANINDERJIT K LCSW	8/7/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
208151	Fee-for-Service	1255350567	1255350567	1	1	NADOLNY, GRACE C MD	1/11/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	88219	36	Psychiatry	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
208173	Fee-for-Service	1447978556	1447978556	1	1	NGUYEN, BAOTHU CCC-SLP	10/18/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
208186	Fee-for-Service	1841806049	1841806049	1	1	NICODEMUS, ALEXIS C	10/3/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	214 ESTATES DRIVE,	STE. E	ROSEVILLE	CA	95682	7652	31	06061	38.74766054	-121.273092	Placer County
208294	Fee-for-Service	1164690657	1164690657	2	1	NB HEALTHCARE LLC	2/28/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	32675 TEMECULA PKWY	STE. B	TEMECULA	CA	92592	6917	33	06065	33.48393463	-117.0870463	Riverside County
208307	Fee-for-Service	1699743617	1699743617	1	1	NASSAR, NAIEL N MD	4/15/1991	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	49334	01	General Practice	0	In state provider	None	2525 STOCKTON BLVD	# 2008	SACRAMENTO	CA	95817	2207	34	06067	38.551311	-121.454433	Sacramento County
208314	Fee-for-Service	1881960128	1881960128	1	1	NORTHERN VALLEY INDIAN	10/1/2013	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	175 W COURT STREET	None	WOODLAND	CA	95695	2913	57	06113	38.67889514	-121.7923678	Yolo County
208458	Fee-for-Service	1306074448	1306074448	1	2	NEUBERGER, ILANA MD	11/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
208482	Fee-for-Service	1255301370	1255301370	1	1	NIELSEN, MICHAEL W MD	3/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	79412	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
208485	Fee-for-Service	1558561597	1558561597	1	1	NAKRA, NEAL K MD	10/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135395	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
208501	Fee-for-Service	1215941778	1215941778	1	1	NGUYEN, SON MD	3/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	58897	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
208546	Fee-for-Service	1699845156	1699845156	1	1	NGUYEN, DAVID D MD	4/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	54119	40	Pediatrics	0	In state provider	None	16040 HARBOR BLVD	STE I	FOUNTAIN VALLEY	CA	92708	1327	30	06059	33.730461	-117.919794	Orange County
208604	Fee-for-Service	1881960128	1881960128	1	1	NORTHERN VALLEY INDIAN	7/2/2012	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	175 W COURT STREET	None	WOODLAND	CA	95695	2913	57	06113	38.67889514	-121.7923678	Yolo County
208638	Fee-for-Service	1104413517	1104413517	1	1	NORTH BAY POST ACUTE, LLC	4/13/2022	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	300 DOUGLAS STREET	None	PETALUMA	CA	94952	2503	49	06097	38.22788736	-122.6445148	Sonoma County
208669	Fee-for-Service	1437117322	1437117322	1	1	NAHL, GURSHARAN S MD	11/28/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	42515	41	Internal Medicine	0	In state provider	None	975 S FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
208773	Fee-for-Service	1558561597	1558561597	1	1	NAKRA, NEAL K MD	10/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135395	01	General Practice	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
208817	Fee-for-Service	1649371709	1649371709	1	1	NARRA, KISHORE B MD	3/9/2007	207R00000X	NA	Other	026	PHYSICIANS	45586	41	Internal Medicine	0	In state provider	None	716 MOWRY AVE	None	FREMONT	CA	94536	4115	01	06001	37.56635225	-121.9749284	Alameda County
208839	Fee-for-Service	1245482322	1245482322	1	1	NGUYEN, QUOC A MD	1/2/2009	261QM2500X	NA	Other	026	PHYSICIANS	75928	04	Otology, Laryngology, Rhinology	0	In state provider	COMPREHENSIVE ENT CTRE	13362 BROOKHURST ST	None	GARDEN GROVE	CA	92843	3153	30	06059	33.76842742	-117.9548905	Orange County
208852	Fee-for-Service	1598871170	1598871170	1	1	NAKATA, ROLAND Y MD	1/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	36211	20	Orthopedic Surgery	0	In state provider	None	815 S FAIRMONT AVE	None	LODI	CA	95240	5116	39	06077	38.124	-121.2858895	San Joaquin County
208891	Fee-for-Service	1881960128	1881960128	1	1	NORTHERN VALLEY INDIAN	7/2/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	175 W COURT STREET	None	WOODLAND	CA	95695	2913	57	06113	38.67889514	-121.7923678	Yolo County
208903	Fee-for-Service	1134551369	1134551369	1	1	NGUYEN, JOSHUA C DO	11/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14968	01	General Practice	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
208952	Fee-for-Service	1083762066	1083762066	1	1	NOLAN, JOHN P MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	72424	08	Family Practice	0	In state provider	None	1350 N ALTADENA DR	STE 100	PASADENA	CA	91107	1488	19	06037	34.16938442	-118.0982267	Los Angeles County
208958	Fee-for-Service	1437117322	1437117322	1	1	NAHL, GURSHARAN S MD	11/28/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	42515	01	General Practice	0	In state provider	None	975 S FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
209046	Fee-for-Service	1154526804	1154526804	1	1	NORCAL IMAGING	3/13/2007	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	710 S BROADWAY	STE 203	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
209067	Fee-for-Service	1306296678	1306296678	1	1	NALIBOFF, MELINDA A MD	11/9/2020	207P00000X	NA	Other	026	PHYSICIANS	18492	None	None	0	In state provider	None	2623 E SLAUSON AVE	None	HUNTINGTON PARK	CA	90255	2926	19	06037	33.98921547	-118.2242565	Los Angeles County
209072	Fee-for-Service	1942591664	1942591664	1	1	NELSON, JACOB R DO	12/21/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	-	08	Family Practice	1	Border provider	None	657 NORTH TOWN CENTER DR	None	LAS VEGAS	NV	89144	6367	00	None	36.180999	-115.3174815	Clark County
209078	Fee-for-Service	1326181264	1326181264	1	2	NARCOTICS PREVENTION	9/25/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATION INC	942 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	4004	19	06037	34.01922246	-118.1576303	Los Angeles County
209079	Fee-for-Service	1932117249	1932117249	1	1	NEWPORT DIAGNOSTIC CTR,	12/30/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	A MED CTR, INC.	1605 AVOCADO AVE	None	NEWPORT BEACH	CA	92660	7725	30	06059	33.61497843	-117.8683418	Orange County
209090	Fee-for-Service	1477935484	1477935484	1	1	NIKGOHAR, HOUMAN LMFT	7/26/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	482 N ROSEMEAD BLVD	STE 103	PASADENA	CA	91107	3000	19	06037	34.15457831	-118.078192	Los Angeles County
209107	Fee-for-Service	1649371709	1649371709	1	1	NARRA, KISHORE B MD	3/9/2007	207R00000X	NA	Other	026	PHYSICIANS	45586	25	Physical Medicine and Rehabilitation	0	In state provider	None	716 MOWRY AVE	None	FREMONT	CA	94536	4115	01	06001	37.56635225	-121.9749284	Alameda County
209120	Fee-for-Service	1497169627	1497169627	1	1	NUNN, TRAVIS N LMFT	6/7/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	484 MOBIL AVE	13	CAMARILLO	CA	93010	6303	56	06111	34.22213597	-119.0428992	Ventura County
209157	Fee-for-Service	1699120782	1699120782	1	1	NEEMAN, ELAD MD	10/4/2022	207RH0003X	NA	Oncology	026	PHYSICIANS	158000	None	None	0	In state provider	None	820 LAS GALLINAS	None	SAN RAFAEL	CA	94903	3410	21	06041	38.00702954	-122.5471567	Marin County
209165	Fee-for-Service	1780227694	1780227694	1	1	NASSIR A AZIMI, MD, A PROFES	7/16/2021	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	None	None	0	In state provider	TE	5565 GROSSMONT CENTER DR	BLDG 3, SUITE 444	LA MESA	CA	91942	3020	37	06073	32.77978322	-117.0094766	San Diego County
209169	Fee-for-Service	1346419918	1346419918	1	1	NGUYEN, THANH D MD	6/9/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	86202	45	Nephrology (Renal-Kidney)	0	In state provider	None	1140 OLIVEWOOD DR	None	MERCED	CA	95348	1210	24	06047	37.31797909	-120.4881292	Merced County
209205	Fee-for-Service	1457720500	1457720500	1	1	NERSISIAN, SERINA LMFT	2/9/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	315 ARDEN AVE	1	GLENDALE	CA	91203	1191	19	06037	34.15852735	-118.2587759	Los Angeles County
209240	Fee-for-Service	1356304539	1356304539	1	1	NAIR, SHYAM K MD	8/22/2006	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	56115	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1919 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	5010	15	06029	35.37326553	-119.0242755	Kern County
209245	Fee-for-Service	1669022737	1669022737	1	1	NJEGE, STEPHEN M	10/23/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	23986 COLMAR LN	None	MURRIETA	CA	92562	1977	33	06065	33.57700819	-117.216092	Riverside County
209272	Fee-for-Service	1235304221	1235304221	1	1	NEWMAN, JONATHAN	3/29/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1014 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06343528	-117.9856963	Los Angeles County
209316	Fee-for-Service	1154876381	1154876381	1	1	NGUYEN, KRISTINE K DO	7/1/2024	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	21711	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
209329	Fee-for-Service	1477126662	1477126662	1	1	NICOLAS, MICHAEL G NP	12/6/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	1	Border provider	None	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	None	36.143271	-115.1254975	Clark County
209330	Fee-for-Service	1740620723	1740620723	1	1	NURSES TOUCH HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	135 S JACKSON ST	SUITE 100A	GLENDALE	CA	91205	4917	19	06037	34.14506735	-118.2501278	Los Angeles County
209365	Fee-for-Service	1932117249	1932117249	1	1	NEWPORT DIAGNOSTIC CTR,	12/30/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	42	Nuclear Medicine	0	In state provider	A MED CTR, INC.	1605 AVOCADO AVE	None	NEWPORT BEACH	CA	92660	7725	30	06059	33.61497843	-117.8683418	Orange County
209367	Fee-for-Service	1710177597	1710177597	1	1	NGUYEN, ANDREW H MD	10/10/2007	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	89992	25	Physical Medicine and Rehabilitation	0	In state provider	None	200 MUIR ROAD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
209391	Fee-for-Service	1598855082	1598855082	1	1	NANCY ANDREWS COLLINS, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4301 W MARKHAM ST	None	LITTLE ROCK	AR	72205	7101	00	None	34.749009	-92.320101	Pulaski County
209407	Fee-for-Service	1104185081	1104185081	1	1	NEGI, MASARU MD	5/15/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	162353	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 MED PLAZA STE 430	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
209457	Fee-for-Service	1992893523	1992893523	1	1	NINAN, DAVID J DO	3/17/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	7729	05	Anesthesiology	0	In state provider	None	26520 CACTUS AVE	# F2027	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
209489	Fee-for-Service	1730709619	1730709619	1	1	NICHOLS, CORY DO	12/10/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	-	13	Neurology (M.D. only)	1	Border provider	None	2020 WELLNESS WAY	#300	LAS VEGAS	NV	89106	4145	00	None	36.16163146	-115.1686755	Clark County
209492	Fee-for-Service	1538400288	1538400288	1	1	NGUYEN, CHARLES MD	5/24/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	124779	45	Nephrology (Renal-Kidney)	0	In state provider	None	1901 TOWN AND COUNTRY	SUITE 102	NORCO	CA	92860	3611	33	06065	33.92721419	-117.561448	Riverside County
209503	Fee-for-Service	1083604078	1083604078	1	1	NAM TRAN M.D.	4/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	325 9TH AVE	None	SEATTLE	WA	98104	2420	00	None	47.60414369	-122.3235136	King County
209528	Fee-for-Service	1356304539	1356304539	1	1	NAIR, SHYAM K MD	8/22/2006	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	56115	41	Internal Medicine	0	In state provider	None	1919 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	5010	15	06029	35.37326553	-119.0242755	Kern County
209531	Fee-for-Service	1669022737	1669022737	1	1	NJEGE, STEPHEN M	10/23/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	23986 COLMAR LN	None	MURRIETA	CA	92562	1977	33	06065	33.57700819	-117.216092	Riverside County
209595	Fee-for-Service	1518430198	1518430198	1	1	NICHOLSON, MONIQUE	12/7/2020	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	2054 W AVENUE K	None	LANCASTER	CA	93536	5216	19	06037	34.6749447	-118.16784	Los Angeles County
209619	Fee-for-Service	1740620723	1740620723	1	1	NURSES TOUCH HOSPICE, INC	6/27/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	135 S JACKSON ST	SUITE 100A	GLENDALE	CA	91205	4917	19	06037	34.14506735	-118.2501278	Los Angeles County
209653	Fee-for-Service	1932117249	1932117249	1	1	NEWPORT DIAGNOSTIC CTR,	12/30/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	A MED CTR, INC.	1605 AVOCADO AVE	None	NEWPORT BEACH	CA	92660	7725	30	06059	33.61497843	-117.8683418	Orange County
209694	Fee-for-Service	1679713796	1679713796	1	1	NICHOLAS, ANGIE J LMFT	8/30/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4545 GEORGETOWN PLACE	STE B-13	STOCKTON	CA	95207	6215	39	06077	37.98906659	-121.3134248	San Joaquin County
209719	Fee-for-Service	1720474141	1720474141	1	1	NAGELBERG, JODI B MD	7/29/2020	207RE0101X	NA	Endocrinology	026	PHYSICIANS	146838	67	Endocrinology	0	In state provider	None	3400 DOUGLAS BLVD	STE 225	ROSEVILLE	CA	95661	4283	31	06061	38.74390969	-121.2319271	Placer County
209738	Fee-for-Service	1871014365	1871014365	1	1	N BASHARKHAH MEDICAL INC	10/2/2017	207L00000X	NA	Other	026	PHYSICIANS	119798	05	Anesthesiology	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
209780	Fee-for-Service	1184065823	1184065823	1	2	NEWMD URGENT CARE CENTER INC	11/18/2016	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	10612 SAN PABLO AVE	None	EL CERRITO	CA	94530	2620	07	06013	37.91149548	-122.3086148	Contra Costa County
209824	Fee-for-Service	1932302627	1932302627	1	1	NATIONAL PHARMACY INC	8/12/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7420 SANTA MONICA BLVD	None	WEST HOLLYWOOD	CA	90046	5605	19	06037	34.09073825	-118.3516594	Los Angeles County
209864	Fee-for-Service	1972600906	1972600906	1	1	NGUYEN, KATIE T MD	5/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	70949	40	Pediatrics	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
209901	Fee-for-Service	1770783201	1770783201	1	1	NICHOLS, CHRISTOPHER S MD	12/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
210013	Fee-for-Service	1427147388	1427147388	1	1	NORTON, JOANNE S PT	10/4/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	907 EMBARCADERO DR	None	EL DORADO HILLS	CA	95762	4087	09	06017	38.70864351	-121.0826115	El Dorado County
210073	Fee-for-Service	1629139902	1629139902	2	1	NUCLEAR MEDICINE ASSOCIATES	8/9/2024	207U00000X	NA	Other	022	PHYSICIANS GROUP	-	42	Nuclear Medicine	0	In state provider	None	1950 COURT ST	None	REDDING	CA	96001	1830	45	06089	40.57884166	-122.3939309	Shasta County
210081	Fee-for-Service	1164455226	1164455226	1	1	NGO, NHANHAU MD INC	10/11/2006	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	61105	None	None	0	In state provider	None	12692 BROOKHURST STREET	None	GARDEN GROVE	CA	92840	4808	30	06059	33.77817411	-117.9578365	Orange County
210092	Fee-for-Service	1699726695	1699726695	1	1	NORTHWEST ARKANSAS HOSPITALS	7/14/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	LLC	609 W MAPLE DR	None	SPRINGDALE	AR	72764	5342	00	None	36.180675	-94.136985	Washington County
210102	Fee-for-Service	1043790405	1043790405	1	1	NKWOCHA, OGECHI	10/31/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
210272	Fee-for-Service	1972034890	1972034890	1	1	NUR, LAIKA M MD	7/31/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	157793	08	Family Practice	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
210308	Fee-for-Service	1083725220	1083725220	1	1	NEUROLOGICAL ASSOCATES	10/1/1997	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	MEDICAL GROUP	7130 N SHARON AVE	STE 100	FRESNO	CA	93720	3386	10	06019	36.83983419	-119.7592871	Fresno County
210345	Fee-for-Service	1336150051	1336150051	1	3	NORTHEASTERN RURAL HLTH	7/24/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	209 BIRCH STREET	None	WESTWOOD	CA	96137	0000	18	06035	40.30154086	-121.001876	Lassen County
210383	Fee-for-Service	1699726695	1699726695	1	1	NORTHWEST ARKANSAS HOSPITALS	7/14/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	LLC	609 W MAPLE DR	None	SPRINGDALE	AR	72764	5342	00	None	36.180675	-94.136985	Washington County
210404	Fee-for-Service	1407320153	1407320153	1	1	NORIMARNA, JEVRY RCP	6/18/2021	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
210466	Fee-for-Service	1831207315	1831207315	1	1	NISHIMURA, LOU T.	8/31/1989	207R00000X	NA	Other	026	PHYSICIANS	46283	41	Internal Medicine	0	In state provider	None	6500 COYLE AVE	STE 4	CARMICHAEL	CA	95608	0301	34	06067	38.667807	-121.3117425	Sacramento County
210544	Fee-for-Service	1750721262	1750721262	1	1	NEGE, DAVID D MD	11/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139387	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1250 E ALMOND AVE	None	MADERA	CA	93637	5606	20	06039	36.94519024	-120.0420086	Madera County
210581	Fee-for-Service	1295361343	1295361343	1	1	NGUYEN, THAI DO	7/14/2023	390200000X	NA	Other	026	PHYSICIANS	20430	None	None	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
210634	Fee-for-Service	1336150051	1336150051	1	3	NORTHEASTERN RURAL HLTH	7/24/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	209 BIRCH STREET	None	WESTWOOD	CA	96137	0000	18	06035	40.30154086	-121.001876	Lassen County
210658	Fee-for-Service	1689925729	1689925729	1	1	NORTHEAST VALLEY HEALTH	12/5/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	26974 RAINBOW GLEN DR	None	SANTA CLARITA	CA	91351	4875	19	06037	34.42098578	-118.4901552	Los Angeles County
210684	Fee-for-Service	1467089359	1467089359	1	1	NACHMAN, EINAV	10/22/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	188393	09	Gynecology (D.O. only)	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
210692	Fee-for-Service	1447706932	1447706932	1	1	NOVITA, FNU	9/9/2016	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2905 LONGBOAT KEY WAY	None	SACRAMENTO	CA	95835	3004	34	06067	38.671362	-121.5255555	Sacramento County
210697	Fee-for-Service	1760534713	1760534713	1	11	NORTHBAY HEALTHCARE GROUP	3/2/2023	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	RIMARY CARE	416 NAPA JUNCTION RD	None	AMERICAN CANYON	CA	94503	1281	28	06055	38.18486879	-122.2535987	Napa County
210749	Fee-for-Service	1003917287	1003917287	1	1	NISHIMOTO, MITCHELL M MD	1/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	76976	41	Internal Medicine	0	In state provider	None	15243 VANOWEN ST	STE 406	VAN NUYS	CA	91405	3655	19	06037	34.19394848	-118.4654115	Los Angeles County
210795	Fee-for-Service	1013086966	1013086966	2	1	NAT-PHARM INC	6/30/2017	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	520 N PROSPECT AVE	STE 110	REDONDO BEACH	CA	90277	3026	19	06037	33.8529819	-118.3802954	Los Angeles County
210947	Fee-for-Service	1689925729	1689925729	1	1	NORTHEAST VALLEY HEALTH	12/5/2012	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	CORPORATION	26974 RAINBOW GLEN DR	None	SANTA CLARITA	CA	91351	4875	19	06037	34.42098578	-118.4901552	Los Angeles County
210973	Fee-for-Service	1467089359	1467089359	1	1	NACHMAN, EINAV	10/22/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	188393	15	Obstetrics (D.O. only)	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
210979	Fee-for-Service	1447706932	1447706932	1	1	NOVITA, FNU	9/9/2016	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2905 LONGBOAT KEY WAY	None	SACRAMENTO	CA	95835	3004	34	06067	38.671362	-121.5255555	Sacramento County
210987	Fee-for-Service	1760534713	1760534713	1	11	NORTHBAY HEALTHCARE GROUP	8/22/2024	261QP2300X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	RIMARY CARE	416 NAPA JUNCTION RD	None	AMERICAN CANYON	CA	94503	1281	28	06055	38.18486879	-122.2535987	Napa County
211059	Fee-for-Service	1285642033	1285642033	1	1	NORTHRIDGE FAMILY PRACTI	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	MEDICAL GROUP INC	18406 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4100	19	06037	34.2206967	-118.5342638	Los Angeles County
211069	Fee-for-Service	1609077551	1609077551	1	1	NAKAMURA, LANELLE V MD	7/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120951	40	Pediatrics	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	90074	4701	36	06071	34.04824949	-117.2401425	San Bernardino County
211070	Fee-for-Service	1730412107	1730412107	1	1	NGUYEN, CONG T MD	8/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	109377	41	Internal Medicine	0	In state provider	None	975 SERENO DRIVE	None	VALLEJO	CA	94589	0000	48	06095	38.12828446	-122.24821	Solano County
211105	Fee-for-Service	1174578272	1174578272	1	1	NAIMARK, ROBERT S MD	9/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	32917	40	Pediatrics	0	In state provider	None	260 SAN JOSE ST	None	SALINAS	CA	93901	3901	27	06053	36.65808446	-121.6456618	Monterey County
211134	Fee-for-Service	1952442675	1952442675	1	1	NORTHERN, ROBERT D JR CRNA	6/6/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	27200 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
211188	Fee-for-Service	1306033352	1306033352	1	1	NEODOC, APMC	7/5/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	19	06037	34.062852	-117.9446658	Los Angeles County
211236	Fee-for-Service	1457522161	1457522161	1	1	NGO, YEN H MD	9/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121189	18	Ophthalmology	0	In state provider	None	5755 COTTLE RD	None	SAN JOSE	CA	95123	3640	43	06085	37.246896	-121.8040865	Santa Clara County
211254	Fee-for-Service	1902187289	1902187289	1	1	NARANG, RADHIKA MD	8/7/2017	390200000X	NA	Other	026	PHYSICIANS	146122	40	Pediatrics	0	In state provider	None	1524 MCHENRY AVE	STE 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
211266	Fee-for-Service	1386625754	1386625754	1	1	NARAYAN, GEETHA MD	1/20/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137185	45	Nephrology (Renal-Kidney)	0	In state provider	None	3230 BEARD ROAD	SUITE 1	NAPA	CA	94558	3673	28	06055	38.3216968	-122.2953847	Napa County
211290	Fee-for-Service	1568596682	1568596682	1	1	NEWMAN, ROBERT MD	10/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	100353	08	Family Practice	0	In state provider	None	15107 VAN OWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
211332	Fee-for-Service	1609988476	1609988476	2	1	NAWROSKI, JOANNA MD	1/1/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	39693	01	General Practice	0	In state provider	None	4440 EUCLID AVE	None	SAN DIEGO	CA	92115	4522	37	06073	32.7574568	-117.0921943	San Diego County
211358	Fee-for-Service	1679579296	1679579296	1	1	NEWPORT BEACH FIRE AND	7/1/1995	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	MARINE DEPARTMENT	3300 NEWPORT BLVD	None	NEWPORT BEACH	CA	92663	3816	30	06059	33.61657452	-117.9303413	Orange County
211379	Fee-for-Service	1477203917	1477203917	1	1	NEW BACK HALL CHIROPRACTIC I	5/26/2023	111N00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	NC	3801 S HARBOR BLVD	SUITE B	SANTA ANA	CA	92704	7901	30	06059	33.69677395	-117.9193475	Orange County
211397	Fee-for-Service	1255109948	1255109948	1	1	NIAZI FAMILY MEDICINE & URGE	2/6/2024	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	NT CARE INC	7275 E SOUTHGATE DR	STE 102	SACRAMENTO	CA	95823	2610	34	06067	38.493576	-121.436559	Sacramento County
211413	Fee-for-Service	1346588753	1346588753	1	1	NEGRON, ERIK LCSW	2/24/2025	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	89529	-	NOT APPLICABLE	0	In state provider	None	14140 BEACH BLVD	STE 120, 155, 200	WESTMINSTER	CA	92683	4453	30	06059	33.756966	-117.9894915	Orange County
211415	Fee-for-Service	1487651154	1487651154	1	1	NOLL, HELEN E MD	5/31/1986	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	48722	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
211425	Fee-for-Service	1366590291	1366590291	1	1	NGUYEN, ANDREW H DO	5/12/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	8400	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
211448	Fee-for-Service	1194299164	1194299164	1	1	NGANGA, ELIZABETH W	11/1/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2325 NAVARRO AVE	None	ALTADENA	CA	91001	5615	19	06037	34.18562809	-118.1535033	Los Angeles County
211466	Fee-for-Service	1831195908	1831195908	1	1	NORTON HOSPITALS INC	6/15/2010	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	4001 DUTCHMANS LANE	None	LOUISVILLE	KY	40207	4714	00	None	38.23438253	-85.63217548	Jefferson County
211478	Fee-for-Service	1306033352	1306033352	1	1	NEODOC, APMC	7/5/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	19	06037	34.062852	-117.9446658	Los Angeles County
211554	Fee-for-Service	1053793760	1053793760	1	1	NAKANO, STEVEN W MD	8/19/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	174072	None	None	0	In state provider	None	2800 L STREET	STE 300	SACRAMENTO	CA	95816	5616	34	06067	38.571237	-121.469958	Sacramento County
211568	Fee-for-Service	1588837900	1588837900	1	1	NEWBERN, DOROTHEE K MD	3/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	1920 E CAMBRIDGE AVE	STE 301	PHOENIX	AZ	85006	1464	00	None	33.4775733	-112.040141	Maricopa County
211578	Fee-for-Service	1568596682	1568596682	1	1	NEWMAN, ROBERT MD	10/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	100353	66	Emergency Medicine (Urgent Care)	0	In state provider	None	15107 VAN OWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
211580	Fee-for-Service	1497215230	1497215230	1	1	NWAOKORO, MAUREEN DO	12/1/2023	207R00000X	NA	Other	026	PHYSICIANS	19853	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
211616	Fee-for-Service	1275987596	1275987596	1	1	NAKASHIOYA, JEFFREY MD	6/20/2019	207P00000X	NA	Other	026	PHYSICIANS	152093	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1798 N GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
211634	Fee-for-Service	1922151521	1922151521	1	1	NOIA RESIDENTIAL SERVICES	7/28/1993	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	1173 W SIERRA AVE	None	FRESNO	CA	93711	2034	10	06019	36.83000849	-119.81223	Fresno County
211637	Fee-for-Service	1831684737	1831684737	1	1	NGUYEN, MICKEY D MD	8/12/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	179209	None	None	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
211670	Fee-for-Service	1841210085	1841210085	1	1	NELSON, KATHLEEN G MD	11/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	89222	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
211713	Fee-for-Service	1508177098	1508177098	1	1	NGO, JESSICA M MD	4/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122676	02	General Surgery	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
211730	Fee-for-Service	1093358327	1093358327	1	1	NOTTINGHAM, FIONA LMFT	3/15/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2375 IMPERIAL HWY	STE 1063	BREA	CA	92821	6112	30	06059	33.913314	-117.870435	Orange County
211734	Fee-for-Service	1194299164	1194299164	1	1	NGANGA, ELIZABETH W	11/1/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2325 NAVARRO AVE	None	ALTADENA	CA	91001	5615	19	06037	34.18562809	-118.1535033	Los Angeles County
211736	Fee-for-Service	1710962998	1710962998	1	1	NEELY, EDWARD K MD	9/30/1992	2080P0205X	NA	Endocrinology	026	PHYSICIANS	55037	40	Pediatrics	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
211739	Fee-for-Service	1790917706	1790917706	1	1	NHIEU, SONIA MD	4/27/2020	207L00000X	NA	Other	026	PHYSICIANS	114184	05	Anesthesiology	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
211756	Fee-for-Service	1831195908	1831195908	1	1	NORTON HOSPITALS INC	6/15/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	4001 DUTCHMANS LANE	None	LOUISVILLE	KY	40207	4714	00	None	38.23438253	-85.63217548	Jefferson County
211764	Fee-for-Service	1942380118	1942380118	1	2	NGUYEN, CHARLES TUAN-TU S MD	6/17/2022	2084P0800X	NA	Psychiatry	086	MEDICAL DIRECTORS	69542	-	NOT APPLICABLE	0	In state provider	None	5300 CALIFORNIA AVE	400	BAKERSFIELD	CA	93309	1644	15	06029	35.35932416	-119.0610078	Kern County
211813	Fee-for-Service	1508487802	1508487802	1	1	NIEVES, MARIA OT	7/31/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2623 W BEVERLY BLVD	None	MONTEBELLO	CA	90640	2309	19	06037	34.02103446	-118.1316423	Los Angeles County
211827	Fee-for-Service	1902059934	1902059934	1	1	NICHOLAS, COURTNEY J MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	110229	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
211862	Fee-for-Service	1801939772	1801939772	1	1	NEUPANE, PRITAM MD	8/21/2020	2278C0205X	NA	Other	026	PHYSICIANS	167782	41	Internal Medicine	0	In state provider	None	1900 SULLIVAN AVE	None	DALY CITY	CA	94015	2200	41	06081	37.67984327	-122.4730264	San Mateo County
211863	Fee-for-Service	1326868522	1326868522	1	1	NG, MICHAEL H NP	3/4/2025	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
211933	Fee-for-Service	1275102279	1275102279	1	1	NAVARRO, ADRIAN OT	9/12/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3413 W PACIFIC AVE	100, 200	BURBANK	CA	91505	1555	19	06037	34.18839272	-118.3485967	Los Angeles County
211999	Fee-for-Service	1093930612	1093930612	1	1	NGUYEN, MICHAEL J MD	5/9/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	101319	30	Radiology	0	In state provider	None	10833 LE CONTE AVENUE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
212001	Fee-for-Service	1508177098	1508177098	1	1	NGO, JESSICA M MD	4/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122676	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
212022	Fee-for-Service	1851659346	1851659346	1	1	NIMMONS, SARA T MD	8/22/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	143324	40	Pediatrics	0	In state provider	None	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	42	06083	34.42887662	-119.7237878	Santa Barbara County
212080	Fee-for-Service	1013666049	1013666049	1	1	NORICK, PAUL PT	12/10/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	289 W. HUNTINGTON DR.	STE 103	ARCADIA	CA	91007	3492	19	06037	34.13549119	-118.0419175	Los Angeles County
212099	Fee-for-Service	1528213725	1528213725	1	1	NAGAFUJI, JOEL T MD	5/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102965	05	Anesthesiology	0	In state provider	None	23625 HOLMAN HWY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
212201	Fee-for-Service	1831518745	1831518745	1	1	NORONHA, SHAUN F MD	7/29/2024	207RC0200X	NA	Other	026	PHYSICIANS	186748	41	Internal Medicine	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
212218	Fee-for-Service	1164636262	1164636262	1	1	NIEN, YIH-DAR MD	1/25/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101665	None	None	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
212220	Fee-for-Service	1265492771	1265492771	1	1	NGUYEN, CHI T MD	9/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	69259	40	Pediatrics	0	In state provider	None	933 S SUNSET AVENUE	STE 201	WEST COVINA	CA	91790	3410	19	06037	34.06428275	-117.9432037	Los Angeles County
212227	Fee-for-Service	1174180905	1174180905	1	1	NGANGA, ALICE	6/19/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	42061 ORANGE BLOSSOM DR	None	TEMECULA	CA	92591	5543	33	06065	33.51250058	-117.1357305	Riverside County
212317	Fee-for-Service	1942566765	1942566765	1	2	NOBLE, ERIC M MD	10/2/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	126954	-	NOT APPLICABLE	0	In state provider	None	8831 VENICE BLVD	None	LOS ANGELES	CA	90034	3223	19	06037	34.03056062	-118.3863512	Los Angeles County
212386	Fee-for-Service	1790962900	1790962900	1	1	NEPHROLOGY CONSULTANTS	5/30/1996	193400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	MEDICAL OFFICE INC	500 S MAIN ST	STE 101	ORANGE	CA	92868	4535	30	06059	33.77991974	-117.8674745	Orange County
212393	Fee-for-Service	1174692560	1174692560	1	1	NGUYEN, LOAN A LAC	7/23/2020	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	7901 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4001	30	06059	33.75930046	-117.991053	Orange County
212400	Fee-for-Service	1942646831	1942646831	1	1	NGO, THO L MD	7/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133484	41	Internal Medicine	0	In state provider	None	2425 SAMARITAN DR	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
212431	Fee-for-Service	1306373659	1306373659	1	1	NOBLE, CAROLYN LMFT	10/10/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	30900 RANCHO VIEJO RD ST	None	SAN JUAN CAPISTRA	CA	92675	1762	30	06059	33.51426052	-117.6622402	Orange County
212441	Fee-for-Service	1164612024	1164612024	1	1	NELLES, JASON L MD	8/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125671	34	Urology and Urological Surgery	0	In state provider	None	3501 PALMER DRIVE	SUITE 201	CAMERON PARK	CA	95682	8296	09	06017	38.66181999	-120.9663334	El Dorado County
212442	Fee-for-Service	1609935113	1609935113	1	1	NGUYEN, NGOC THIANH MD	8/6/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	70053	18	Ophthalmology	0	In state provider	None	175 N JACKSON AVE	STE 209	SAN JOSE	CA	95116	1909	43	06085	37.36217918	-121.8472051	Santa Clara County
212459	Fee-for-Service	1518298041	1518298041	1	1	NG, WILLIAM MD	6/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	110227	41	Internal Medicine	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
212513	Fee-for-Service	1174180905	1174180905	1	1	NGANGA, ALICE	6/19/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	42061 ORANGE BLOSSOM DR	None	TEMECULA	CA	92591	5543	33	06065	33.51250058	-117.1357305	Riverside County
212526	Fee-for-Service	1982677530	1982677530	3	1	NATIONAL SEATING & MOBILITY,	11/15/2018	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC.	5560 SKYLANE BLVD	SUITE A	SANTA ROSA	CA	95403	9091	49	06097	38.51752956	-122.7991504	Sonoma County
212536	Fee-for-Service	1306221197	1306221197	1	2	NEW WAVE HEARING AIDS	8/18/2015	231H00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	416 CENTER STREET	None	YUBA CITY	CA	95991	4506	51	06101	39.13716188	-121.6146365	Sutter County
212638	Fee-for-Service	1417261090	1417261090	1	1	NGUYEN, JENNIFER L MD	1/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110228	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
212678	Fee-for-Service	1790962900	1790962900	1	1	NEPHROLOGY CONSULTANTS	5/30/1996	193400000X	NA	Other	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MEDICAL OFFICE INC	500 S MAIN ST	STE 101	ORANGE	CA	92868	4535	30	06059	33.77991974	-117.8674745	Orange County
212679	Fee-for-Service	1861170573	1861170573	1	1	NGUYEN, VIET OD	3/27/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	425 W BONITA AVE	STE 110B	SAN DIMAS	CA	91773	2541	19	06037	34.10669347	-117.814932	Los Angeles County
212712	Fee-for-Service	1942960075	1942960075	1	1	NGUYEN, GINA CRNA	6/15/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	3460 E LA PALMA AVE	None	ANAHEIM	CA	92806	9999	30	06059	33.85429451	-117.8446551	Orange County
212731	Fee-for-Service	1609935113	1609935113	1	1	NGUYEN, NGOC THIANH MD	8/6/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	70053	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	175 N JACKSON AVE	STE 209	SAN JOSE	CA	95116	1909	43	06085	37.36217918	-121.8472051	Santa Clara County
212792	Fee-for-Service	1841218583	1841218583	1	1	NORTHSTATE NEUROSURGICAL	3/27/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	ASSOCIATES MEDICAL GROUP	251 COHASSET RD	STE 370	CHICO	CA	95926	2276	04	06007	39.75090044	-121.8522609	Butte County
212824	Fee-for-Service	1306221197	1306221197	1	2	NEW WAVE HEARING AIDS	8/18/2015	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	416 CENTER STREET	None	YUBA CITY	CA	95991	4506	51	06101	39.13716188	-121.6146365	Sutter County
212905	Fee-for-Service	1326542382	1326542382	1	1	NALBANDYAN, KRISTINA DO	11/30/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	17825	None	None	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
212933	Fee-for-Service	1720121833	1720121833	1	1	NICOSIA, ROGER G MD	2/25/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	32221	05	Anesthesiology	0	In state provider	None	6969 BROCKTON AVENUE	STE B	RIVERSIDE	CA	92506	3813	33	06065	33.94701	-117.396786	Riverside County
212934	Fee-for-Service	1205070794	1205070794	1	1	NGUYEN, AMY M MD	11/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136004	84	Surgery-Head and Neck	0	In state provider	None	7300 WYNDHAM DR	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
212954	Fee-for-Service	1164857165	1164857165	1	1	NORWOOD, PEGGY D LMFT	1/9/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10470 FOOTHILL BLVD	SUITE 116	RANCHO CUCAMONGA	CA	91730	3754	36	06071	34.10659649	-117.576603	San Bernardino County
212995	Fee-for-Service	1851376875	1851376875	1	1	NUOVO, JAMES MD	4/15/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	42988	01	General Practice	0	In state provider	None	2525 STOCKTON BLVD	# 2008	SACRAMENTO	CA	95817	2207	34	06067	38.551311	-121.454433	Sacramento County
213060	Fee-for-Service	1376967422	1376967422	1	1	NEUROLOGY GROUP INC	11/23/2015	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	2895 N TOWNE AVE	None	POMONA	CA	91767	2009	19	06037	34.098525	-117.7368955	Los Angeles County
213083	Fee-for-Service	1376365452	1376365452	1	1	NURTURING NOOKIE LLC	1/4/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	01	06001	0	0	None
213087	Fee-for-Service	1053338970	1053338970	1	1	NEUROLOGY ASSOC OF SANTA	5/5/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	BARBARA	219 NOGALES AVE	STE F	SANTA BARBARA	CA	93105	3848	42	06083	34.43171016	-119.7220176	Santa Barbara County
213193	Fee-for-Service	1114422888	1114422888	1	1	NGUYEN, THU N MD	10/4/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164654	None	None	0	In state provider	None	44444 20TH ST W	None	LANCASTER	CA	93534	2714	19	06037	34.69063406	-118.1656452	Los Angeles County
213299	Fee-for-Service	1154439586	1154439586	1	1	NICHOLS, BARBARA D DO	2/26/2021	207PE0004X	NA	Other	026	PHYSICIANS	15832	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
213333	Fee-for-Service	1306399373	1306399373	1	1	NORIEGA, MONICA A PSYD	11/16/2022	2084P0800X	NA	Psychiatry	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
213350	Fee-for-Service	1376967422	1376967422	1	1	NEUROLOGY GROUP INC	11/23/2015	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	2895 N TOWNE AVE	None	POMONA	CA	91767	2009	19	06037	34.098525	-117.7368955	Los Angeles County
213375	Fee-for-Service	1053338970	1053338970	1	1	NEUROLOGY ASSOC OF SANTA	5/5/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	BARBARA	219 NOGALES AVE	STE F	SANTA BARBARA	CA	93105	3848	42	06083	34.43171016	-119.7220176	Santa Barbara County
213410	Fee-for-Service	1265919898	1265919898	1	1	NGUYEN, DERRICK T DO	5/23/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	None	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	19	06037	34.06704253	-118.3835029	Los Angeles County
213417	Fee-for-Service	1801803903	1801803903	1	1	NEW YORK CITY HEALTH &	1/25/2008	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL CORPORATION	8268 164TH ST JAMAICA	None	NEW YORK	NY	11432	1121	00	None	40.71714259	-73.80353903	Queens County
213555	Fee-for-Service	1912402736	1912402736	1	1	NGUYEN, JENNIFER MD	12/12/2024	390200000X	NA	Other	026	PHYSICIANS	166260	67	Endocrinology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
213693	Fee-for-Service	1861636615	1861636615	1	1	NGUYEN, NATHAN K MD	12/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107250	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
213716	Fee-for-Service	1801803903	1801803903	1	1	NEW YORK CITY HEALTH &	1/25/2008	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL CORPORATION	8268 164TH ST JAMAICA	None	NEW YORK	NY	11432	1121	00	None	40.71714259	-73.80353903	Queens County
213723	Fee-for-Service	1568226041	1568226041	1	1	NURTURE WELL FEEDING AND COM	11/6/2024	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	MUNICATION	1317 OAKDALE ROAD	#1110 OFFICE 106	MODESTO	CA	95355	3361	50	06099	37.662489	-120.957588	Stanislaus County
213728	Fee-for-Service	1487776969	1487776969	1	1	NORTHEAST WALK-IN CLINIC	1/4/2011	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	A MEDICAL CORPORATION	2601 OSWELL STREET	STE 101	BAKERSFIELD	CA	93306	1373	15	06029	35.39259632	-118.9496489	Kern County
213740	Fee-for-Service	1144499658	1144499658	1	1	NATIVITY MEDICAL INC	7/8/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	NATIVITY MEDICAL SUPPLIE	14713 S PRAIRIE AVE	None	LAWNDALE	CA	90260	1831	19	06037	33.89778063	-118.3439175	Los Angeles County
213795	Fee-for-Service	1932628641	1932628641	1	1	NELSON, BAILEY OT	9/29/2020	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	77564 COUNTRY CLUB DR	SUITE 340	PALM DESERT	CA	92211	0450	33	06065	33.75833451	-116.3114325	Riverside County
213866	Fee-for-Service	1285133348	1285133348	1	1	NAGEL, JESSICA PSYD	9/19/2022	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
213899	Fee-for-Service	1043232465	1043232465	1	1	NGUYEN-HUYNH, MAI N MD	12/23/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78319	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
213942	Fee-for-Service	1750665451	1750665451	1	1	NOVELLO, ANTHONY	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	270 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
213966	Fee-for-Service	1568435923	1568435923	1	1	NORDLING, CHRISTINE M MD	11/30/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	71174	01	General Practice	0	In state provider	None	1999 MOWRY AVE	None	FREMONT	CA	94538	1738	01	06001	37.55783419	-121.9808484	Alameda County
213983	Fee-for-Service	1245246917	1245246917	1	3	NORTH COUNTY HEALTH PROJECT	3/22/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1595 GRAND AVENUE	SUITE 100	SAN MARCOS	CA	92078	2450	37	06073	33.14530488	-117.1982671	San Diego County
214034	Fee-for-Service	1780191734	1780191734	1	1	NAKAMURA, JEFFREY N CRNA	8/13/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
214043	Fee-for-Service	1447267349	1447267349	1	1	NORTH COUNTY HEALTH PROJ	1/1/2000	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	1130 2ND ST	None	ENCINITAS	CA	92024	5008	37	06073	33.03747413	-117.2936839	San Diego County
214112	Fee-for-Service	1013302652	1013302652	1	1	NARULA, NOOPUR NP	10/19/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1893 W MALVERN AVE	None	FULLERTON	CA	92833	2403	30	06059	33.87987	-117.9611415	Orange County
214150	Fee-for-Service	1073614350	1073614350	1	1	NGUYEN, JOANNA H MD	11/7/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92342	08	Family Practice	0	In state provider	None	3160 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5219	34	06067	38.568393	-121.4658585	Sacramento County
214154	Fee-for-Service	1770868986	1770868986	1	1	NARVY, STEVEN J MD	7/19/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	118482	None	None	0	In state provider	None	16311 VENTURA BLVD	SUITE #1150	ENCINO	CA	91436	4386	19	06037	34.15706864	-118.4885978	Los Angeles County
214270	Fee-for-Service	1245246917	1245246917	1	3	NORTH COUNTY HEALTH PROJECT	3/22/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1595 GRAND AVENUE	SUITE 100	SAN MARCOS	CA	92078	2450	37	06073	33.14530488	-117.1982671	San Diego County
214298	Fee-for-Service	1275675589	1275675589	1	1	NEWMAN, AUDREY L PHD	3/3/1989	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1491 INTERLACHEN RD	SUITE 257H	SEAL BEACH	CA	90740	4188	30	06059	33.770095	-118.0850029	Orange County
214332	Fee-for-Service	1447267349	1447267349	1	1	NORTH COUNTY HEALTH PROJ	2/1/2000	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	1130 2ND ST	None	ENCINITAS	CA	92024	5008	37	06073	33.03747413	-117.2936839	San Diego County
214334	Fee-for-Service	1235159294	1235159294	1	1	NELSON, DANIEL H MD	5/1/1994	207L00000X	NA	Other	026	PHYSICIANS	55090	05	Anesthesiology	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
214375	Fee-for-Service	1306104633	1306104633	1	1	NGUYEN, PETER T MD	6/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	127359	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA	STE 200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
214392	Fee-for-Service	1619537750	1619537750	1	1	NOBLE, BENJAMIN S DO	6/1/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	21094	None	None	0	In state provider	None	4560 ADMIRALTY WAY	STE 100	MARINA DEL REY	CA	90292	5424	19	06037	33.98364904	-118.4449069	Los Angeles County
214489	Fee-for-Service	1093000945	1093000945	1	1	NORWOOD, TODD R	10/11/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
214490	Fee-for-Service	1942215629	1942215629	1	1	NORTON, LEILANI C MD	9/1/1994	207W00000X	NA	Ophthalmology	026	PHYSICIANS	50455	18	Ophthalmology	0	In state provider	None	3105 CEDAR RAVINE RD	STE 103	PLACERVILLE	CA	95667	6561	09	06017	38.72626462	-120.7945035	El Dorado County
214500	Fee-for-Service	1518256734	1518256734	1	1	NISHA BUNKE, MD	4/19/2023	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	9850 GENESEE AVE	SUITE 410	LA JOLLA	CA	92037	1224	37	06073	32.882913	-117.226341	San Diego County
214501	Fee-for-Service	1467631697	1467631697	1	1	NAKAMURA, LYNN Y MD	11/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	81255	25	Physical Medicine and Rehabilitation	0	In state provider	None	2120 PROFESSIONAL DR	None	ROSEVILLE	CA	95661	3700	31	06061	38.74247397	-121.2508672	Placer County
214529	Fee-for-Service	1982910584	1982910584	1	1	NOBLE HOSPICE & HOME HEALTH	2/9/2015	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE INC	41305 ALBRAE ST	None	FREMONT	CA	94538	3157	01	06001	37.51677632	-121.9797196	Alameda County
214546	Fee-for-Service	1487732921	1487732921	1	1	NGUYEN, LANCHINH H MD	1/29/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80639	10	Gastroenterology (M.D. only)	0	In state provider	None	3700 VACA VALLEY PKWY	None	VACAVILLE	CA	95688	9430	48	06095	38.39008977	-121.9378499	Solano County
214558	Fee-for-Service	1427076546	1427076546	1	1	NGUYEN, BACH K MD	1/23/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	92027	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVENUE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
214574	Fee-for-Service	1447232210	1447232210	1	1	NATH, HOLLY B MD	12/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	53469	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
214621	Fee-for-Service	1447267349	1447267349	1	1	NORTH COUNTY HEALTH PROJ	1/1/2000	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	1130 2ND ST	None	ENCINITAS	CA	92024	5008	37	06073	33.03747413	-117.2936839	San Diego County
214643	Fee-for-Service	1457875650	1457875650	1	1	NGUYEN, CHRISTINE MD	8/8/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180625	None	None	0	In state provider	None	600 MAIN ST	None	SOLEDAD	CA	93960	2533	27	06053	36.43281182	-121.3243597	Monterey County
214644	Fee-for-Service	1669531257	1669531257	1	1	NAKLA, MAMDOUH L MD	3/2/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	84416	18	Ophthalmology	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
214657	Fee-for-Service	1811057821	1811057821	1	1	NILFOROUSHAN, MOHAMMAD R	7/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91820	18	Ophthalmology	0	In state provider	None	5451 LA PALMA AVE	STE 15	LA PALMA	CA	90623	1758	30	06059	33.84643146	-118.038843	Orange County
214661	Fee-for-Service	1548016934	1548016934	1	1	NEWPOINT PHYSICAL THERAPY SE	5/20/2024	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	RVICES INC	14306 BEACH BLVD	None	WESTMINSTER	CA	92683	4577	30	06059	33.75464718	-117.9894316	Orange County
214672	Fee-for-Service	1831124775	1831124775	1	1	NIX, DAVID A MD	9/26/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	88149	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
214680	Fee-for-Service	1689876112	1689876112	1	1	NGUYEN, JAMES B MD	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	102967	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	SUITE 8211	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
214700	Fee-for-Service	1518385004	1518385004	1	1	NGUYEN, KHANG T MD	12/28/2022	2086S0122X	NA	General Surgery	026	PHYSICIANS	179481	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
214819	Fee-for-Service	1255149498	1255149498	1	1	NGUYEN, DEREK PT	2/18/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	137 S LAS POSAS RD	STE 254	SAN MARCOS	CA	92078	2475	37	06073	33.14138594	-117.1924065	San Diego County
214835	Fee-for-Service	1427458033	1427458033	1	1	NORMANDY PHARMACY INC	10/29/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12914 SHERMAN WAY	STE B	NORTH HOLLYWOOD	CA	91605	4953	19	06037	34.20116453	-118.4140845	Los Angeles County
214888	Fee-for-Service	1861844680	1861844680	1	1	NGUYEN, SYLVESTER OD	7/15/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
214903	Fee-for-Service	1952608077	1952608077	1	1	NIELSEN, MICHAEL W DPM	9/3/2013	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
214908	Fee-for-Service	1447267349	1447267349	1	1	NORTH COUNTY HEALTH PROJ	9/21/2007	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	NCHS WOMEN'S HEALTH SVS	1130 2ND ST	None	ENCINITAS	CA	92024	5008	37	06073	33.03747413	-117.2936839	San Diego County
214925	Fee-for-Service	1144256900	1144256900	1	1	NGUYEN, ROBERT	2/1/2010	207R00000X	NA	Other	026	PHYSICIANS	93153	41	Internal Medicine	0	In state provider	None	9041 MAGNOLIA AVE	STE 302	RIVERSIDE	CA	92503	3957	33	06065	33.92541585	-117.4378266	Riverside County
214936	Fee-for-Service	1588632285	1588632285	1	1	NAJJAR, FADI MD	12/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1500 E 2ND ST	SUITE 201	RENO	NV	89502	1196	00	None	39.52743427	-119.7932613	Washoe County
214964	Fee-for-Service	1073692117	1073692117	1	1	NAQVI, SYED E MD	9/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	44398	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
215044	Fee-for-Service	1750382008	1750382008	1	1	NGUYEN, RANDALL L MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	55189	18	Ophthalmology	0	In state provider	None	4300 LONG BEACH BLVD	STE 300	LONG BEACH	CA	90807	2008	19	06037	33.83662572	-118.1900605	Los Angeles County
215091	Fee-for-Service	1740975143	1740975143	1	1	NOJA MED TRANS	5/21/2023	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1486 W 11TH ST	#119	TRACY	CA	95376	3723	39	06077	37.73955349	-121.4438715	San Joaquin County
215131	Fee-for-Service	1427002526	1427002526	1	1	NASIR, MUHAMMAD R MD	7/30/2014	207R00000X	NA	Other	026	PHYSICIANS	44253	41	Internal Medicine	0	In state provider	N LAKE REHABILITATION	2052 N LAKE AVE	STE 2	ALTADENA	CA	91001	2450	19	06037	34.18113342	-118.1316495	Los Angeles County
215172	Fee-for-Service	1992244438	1992244438	1	2	NEVADA ACUTE MEDICAL	7/31/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	1	Border provider	SERVICES-MANDAVIA 1 PC	3100 N TENAYA WAY	None	LAS VEGAS	NV	89128	0436	00	None	36.21499805	-115.2504953	Clark County
215174	Fee-for-Service	1992889240	1992889240	1	1	NORTHERN CALIF CORNEA ASSOC	1/9/2007	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	ATES, INC.	365 LENNON LANE	SUITE 210	WALNUT CREEK	CA	94598	3014	07	06013	37.92784983	-122.0301444	Contra Costa County
215176	Fee-for-Service	1417715558	1417715558	1	1	NEPOMUCENO, ROMAN	3/13/2025	208G00000X	NA	General Surgery	026	PHYSICIANS	None	33	Thoracic Surgery	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
215177	Fee-for-Service	1023599255	1023599255	1	1	NAIR, RANJIT R NP	9/7/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
215215	Fee-for-Service	1144256900	1144256900	1	1	NGUYEN, ROBERT	2/1/2010	207R00000X	NA	Other	026	PHYSICIANS	93153	38	Geriatrics	0	In state provider	None	9041 MAGNOLIA AVE	STE 302	RIVERSIDE	CA	92503	3957	33	06065	33.92541585	-117.4378266	Riverside County
215224	Fee-for-Service	1588632285	1588632285	1	1	NAJJAR, FADI MD	12/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	1500 E 2ND ST	SUITE 201	RENO	NV	89502	1196	00	None	39.52743427	-119.7932613	Washoe County
215235	Fee-for-Service	1982338109	1982338109	1	1	NEIGHBORHOOD HEALTHCARE	9/1/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	EASTSIDE HLTH CENTER	1971 UNIVERSITY AVENUE	RIVERSIDE	CA	92507	5263	33	06065	33.938262	-117.2633085	Riverside
215275	Fee-for-Service	1114311560	1114311560	1	1	NAKATANI, LISA M NP	12/12/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25825 VERMONT AVENUE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
215288	Fee-for-Service	1760825418	1760825418	1	1	NAGLER, EMILY A MD	7/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	133704	41	Internal Medicine	0	In state provider	None	4077 FIFTH AVENUE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
215306	Fee-for-Service	1508023706	1508023706	1	2	NGHIEM-EILBECK, HUONG G MD M	12/1/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	108734	None	None	0	In state provider	None	8627 ATLANTIC AVE	None	LOS ANGELES	CA	90280	3501	19	06037	33.95462085	-118.1838426	Los Angeles
215311	Fee-for-Service	1992805352	1992805352	1	1	NAGEL, ERIK J DO	2/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12911	05	Anesthesiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
215332	Fee-for-Service	1821433830	1821433830	1	1	NGUYEN, JENNIFER MD	11/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13890	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
215342	Fee-for-Service	1477572014	1477572014	1	1	NEWMAN, BARBARA MD	3/26/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	58204	01	General Practice	0	In state provider	None	5575 W LAS POSITAS BLVD	STE 330	PLEASANTON	CA	94588	5804	01	06001	37.69214859	-121.8796532	Alameda County
215367	Fee-for-Service	1326181264	1326181264	1	1	NARCOTICS PREVENTION	7/3/1980	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	PROJECT ASSOCIATION	5442 POMONA BLVD	None	LOS ANGELES	CA	90022	1771	19	06037	34.03333355	-118.148085	Los Angeles County
215423	Fee-for-Service	1558542175	1558542175	1	1	NORRIS, SANDRA LMFT	8/27/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	525 ESTUDILLO AVE	STE D	SAN LEANDRO	CA	94577	4639	01	06001	37.72673588	-122.1493935	Alameda County
215440	Fee-for-Service	1538208897	1538208897	1	1	NELSON, TRACY L	12/7/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
215524	Fee-for-Service	1982338109	1982338109	1	1	NEIGHBORHOOD HEALTHCARE	9/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	EASTSIDE HLTH CENTER	1971 UNIVERSITY AVENUE	RIVERSIDE	CA	92507	5263	33	06065	33.938262	-117.2633085	Riverside
215536	Fee-for-Service	1437480902	1437480902	1	1	NGUYEN, BINH K MD	10/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110859	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
215537	Fee-for-Service	1487284386	1487284386	1	1	NEXT LEVEL MEDICAL SUPPLY, L	8/26/2020	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	LC	2900 CYPRESS CREEK RD	SUITE 6	FORT LAUDERDALE	FL	33309	1715	00	None	26.20233351	-80.18480081	Broward County
215540	Fee-for-Service	1396828588	1396828588	1	1	NOBILE, LUCIO M MD	3/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81546	None	None	0	In state provider	None	3150 G ST	None	MERCED	CA	95340	1346	24	06047	37.32054811	-120.4691942	Merced County
215542	Fee-for-Service	1275982449	1275982449	1	1	NGUYEN, JOSEPH P MD	4/5/2022	207L00000X	NA	Other	026	PHYSICIANS	161302	None	None	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
215596	Fee-for-Service	1528263175	1528263175	1	1	NGUYEN, THONG	4/16/2024	207ZP0102X	NA	Other	026	PHYSICIANS	11754	22	Pathology (M.D. only)	0	In state provider	None	801 S MAIN ST	STE 201	CORONA	CA	92882	3410	33	06065	33.87299458	-117.566728	Riverside County
215623	Fee-for-Service	1588799449	1588799449	1	1	NORTHERN VALLEY INDIAN	11/4/2004	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	2500 NORTH MAIN STREET	None	RED BLUFF	CA	96080	2336	52	06103	40.19240296	-122.2399354	Tehama County
215679	Fee-for-Service	1356528376	1356528376	1	1	NORTHEAST VALLEY HEALTH	2/6/2008	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	12756 VAN NUYS BLVD	None	PACOIMA	CA	91331	1696	19	06037	34.27415381	-118.4110145	Los Angeles County
215729	Fee-for-Service	1073549663	1073549663	1	1	NEOGENOMICS LABORATORIES INC	8/17/2017	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	12701 COMMONWEALTH DR	STE 9	FORT MYERS	FL	33913	8626	00	None	26.555904	-81.7565175	Lee County
215817	Fee-for-Service	1235758178	1235758178	1	1	NASHED, ANDREW R MD	10/31/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	615 WEST AVE L	None	LANCASTER	CA	93545	7211	19	06037	34.6603515	-118.1419695	Los Angeles County
215843	Fee-for-Service	1619189222	1619189222	1	1	NARASIMHAN, SUPRIYA MD	6/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	121379	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
215868	Fee-for-Service	1023246212	1023246212	1	1	NAIDZIONAK, ULADZISLAU MD	8/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135763	68	Hematology	0	In state provider	None	7930 FROST ST	STE 405	SAN DIEGO	CA	92123	2759	37	06073	32.80027001	-117.1532893	San Diego County
215873	Fee-for-Service	1093015240	1093015240	1	1	NAVAR, MARGARITA LMFT	2/20/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
215888	Fee-for-Service	1538226642	1538226642	1	1	NICHOLS, JUDITH A CNM	4/17/2017	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1650 RESPONSE RD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
215912	Fee-for-Service	1588799449	1588799449	1	1	NORTHERN VALLEY INDIAN	7/12/2021	No Taxonomy Provided	NA	None	096	TRIBAL FQHC PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH, INC	2500 NORTH MAIN STREET	None	RED BLUFF	CA	96080	2336	52	06103	40.19240296	-122.2399354	Tehama County
215925	Fee-for-Service	1710518881	1710518881	1	7	NICETO LOPEZ, M.D., A.P.C.	9/14/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	3515 OVERLAND AVE	None	LOS ANGELES	CA	90034	5521	19	06037	34.02424289	-118.4112872	Los Angeles County
215928	Fee-for-Service	1700382272	1700382272	1	1	NING, JOHN MD	7/17/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
215939	Fee-for-Service	1356328330	1356328330	1	2	NEWPORT CHILDRENS MEDICAL	7/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1640 NEWPORT BLVD	SUITE 210	COSTA MESA	CA	92627	3786	30	06059	33.63437128	-117.9221659	Orange County
215954	Fee-for-Service	1295213197	1295213197	1	1	NGUYEN, JIMMY L RCP	8/27/2018	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
215971	Fee-for-Service	1295255735	1295255735	1	1	NGUYEN, PHUNG T LAC	7/29/2020	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	200 SERRA WAY STE 16	None	MILPITAS	CA	95035	5245	43	06085	37.4273814	-121.910024	Santa Clara County
216018	Fee-for-Service	1215522537	1215522537	1	1	NEXTEP HOME HEALTH	3/16/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	150 S LOS ROBLES AVE	STE 930	PASADENA	CA	91101	4695	19	06037	34.14311022	-118.1413772	Los Angeles County
216073	Fee-for-Service	1164470696	1164470696	1	1	NGUYEN, SUSAN T MD	7/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	65791	41	Internal Medicine	0	In state provider	None	20055 LAKE CHABOT RD	STE 230	CASTRO VALLEY	CA	94546	5333	01	06001	37.69836512	-122.0873587	Alameda County
216131	Fee-for-Service	1619189222	1619189222	1	1	NARASIMHAN, SUPRIYA MD	6/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	121379	77	Infectious Disease	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
216132	Fee-for-Service	1205494283	1205494283	1	1	NGUYEN, PHUONG	9/27/2022	207R00000X	NA	Other	026	PHYSICIANS	19460	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
216142	Fee-for-Service	1164701843	1164701843	1	1	NELSON, NICHOLAS MD	3/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	116682	41	Internal Medicine	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
216153	Fee-for-Service	1841407780	1841407780	1	1	NGUYEN, QUYNH-NHU MD	2/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117834	30	Radiology	0	In state provider	None	1441 EASTLAKE AVENUE	None	LOS ANGELES	CA	90089	0804	19	06037	34.06169385	-118.2044698	Los Angeles County
216156	Fee-for-Service	1023246212	1023246212	1	1	NAIDZIONAK, ULADZISLAU MD	8/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135763	78	Neoplastic Diseases/Oncology	0	In state provider	None	7930 FROST ST	STE 405	SAN DIEGO	CA	92123	2759	37	06073	32.80027001	-117.1532893	San Diego County
216191	Fee-for-Service	1639317837	1639317837	1	1	NAINANI, NEHA MD	11/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119121	45	Nephrology (Renal-Kidney)	0	In state provider	None	1801 EAST MARCH LANE	SUITE B265	STOCKTON	CA	95210	6629	39	06077	38.00315652	-121.2868715	San Joaquin County
216229	Fee-for-Service	1639147051	1639147051	1	1	NATHAN ADELSON HOSPICE	9/20/2008	315D00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	1	Border provider	None	4141 SWENSON ST	None	LAS VEGAS	NV	89119	6718	00	None	36.11268257	-115.1496202	Clark County
216318	Fee-for-Service	1881871721	1881871721	1	1	NORTHEAST VLY HLTH CORP	8/17/2002	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MISSION COLLEGE	13356 ELDRIDGE AVE	None	SYLMAR	CA	91342	3200	19	06037	34.31405061	-118.4197394	Los Angeles County
216338	Fee-for-Service	1649998386	1649998386	1	1	NGUYEN, ISABEL LCSW	3/21/2025	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6904 VILLAGE PARKWAY	None	DUBLIN	CA	94568	2406	01	06001	37.70726135	-121.9248393	Alameda County
216362	Fee-for-Service	1164470696	1164470696	1	1	NGUYEN, SUSAN T MD	7/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	65791	45	Nephrology (Renal-Kidney)	0	In state provider	None	20055 LAKE CHABOT RD	STE 230	CASTRO VALLEY	CA	94546	5333	01	06001	37.69836512	-122.0873587	Alameda County
216378	Fee-for-Service	1982612123	1982612123	1	1	NEAL, CHRISTOPHER A MD	12/31/1994	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	80329	30	Radiology	0	In state provider	None	2680 HANOVER ST	STE 100	PALO ALTO	CA	94304	1117	43	06085	37.41744418	-122.1474815	Santa Clara County
216434	Fee-for-Service	1265510853	1265510853	1	1	NELSON, AMY R MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	68671	68	Hematology	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
216439	Fee-for-Service	1841407780	1841407780	1	1	NGUYEN, QUYNH-NHU MD	2/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117834	78	Neoplastic Diseases/Oncology	0	In state provider	None	1441 EASTLAKE AVENUE	None	LOS ANGELES	CA	90089	0804	19	06037	34.06169385	-118.2044698	Los Angeles County
216478	Fee-for-Service	1639317837	1639317837	1	1	NAINANI, NEHA MD	11/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119121	41	Internal Medicine	0	In state provider	None	1801 EAST MARCH LANE	SUITE B265	STOCKTON	CA	95210	6629	39	06077	38.00315652	-121.2868715	San Joaquin County
216481	Fee-for-Service	1891736799	1891736799	1	1	NEVADA CVS PHARMACY LLC	11/14/2012	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	4800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89146	1400	00	None	36.15919751	-115.2065205	Clark County
216503	Fee-for-Service	1124016696	1124016696	1	1	NORTH ARUNDEL HOSP	9/23/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	301 HOSPITAL DR	STE 1	GLEN BURNIE	MD	21061	5898	00	None	39.13886305	-76.62247873	Anne Arundel County
216507	Fee-for-Service	1700964525	1700964525	1	1	NORMAN, BRIDGET D MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77353	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	625 LINCOLN AVE	None	SAN JOSE	CA	95126	3705	43	06085	37.31809479	-121.9082315	Santa Clara County
216515	Fee-for-Service	1558519470	1558519470	1	1	NICOLA, CATALIN MD	4/17/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	111278	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
216537	Fee-for-Service	1417276262	1417276262	1	1	NORRIS, JENNIFER L CNM	1/21/2015	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	152 PIONEER LANE	SUITE B	BISHOP	CA	93514	2517	14	06027	37.36269	-118.407312	Inyo County
216539	Fee-for-Service	1053384982	1053384982	2	1	NATIONAL SEATING & MOBILITY,	2/1/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	2462 TRIPALDI WAY	None	HAYWARD	CA	94545	5017	01	06001	37.6144935	-122.08536	Alameda County
216647	Fee-for-Service	1942761101	1942761101	1	1	NIELSEN, ENA D MD	8/1/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	None	3030 CHILDREN'S WAY	None	SAN DIEGO	CA	92123	4232	37	06073	32.798889	-117.150826	San Diego County
216660	Fee-for-Service	1083923064	1083923064	1	1	NGUYEN, THOMAS	2/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
216664	Fee-for-Service	1386062941	1386062941	1	1	NAKHLEH, JOSEPH B MD	11/12/2017	208M00000X	NA	Other	026	PHYSICIANS	150011	41	Internal Medicine	0	In state provider	None	2500 MILVIA ST	None	BERKELEY	CA	94704	2636	01	06001	37.86338897	-122.2698455	Alameda County
216721	Fee-for-Service	1265510853	1265510853	1	1	NELSON, AMY R MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	68671	41	Internal Medicine	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
216731	Fee-for-Service	1629504147	1629504147	1	1	NOWELL, JUSTIN M MD	7/5/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	172662	None	None	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2393	37	06073	32.72663119	-117.1611714	San Diego County
216738	Fee-for-Service	1679884928	1679884928	1	1	NGUYEN, THERESA DO	3/10/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	12682	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	399 E HIGHLAND AVE	STE 401	SAN BERNARDINO	CA	92402	3862	36	06071	34.1358627	-117.2757898	San Bernardino County
216771	Fee-for-Service	1548399363	1548399363	1	1	NAKAISHI, MICHELLE CNP	4/19/2019	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
216787	Fee-for-Service	1124016696	1124016696	1	1	NORTH ARUNDEL HOSP	9/23/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	301 HOSPITAL DR	STE 1	GLEN BURNIE	MD	21061	5898	00	None	39.13886305	-76.62247873	Anne Arundel County
216799	Fee-for-Service	1376072157	1376072157	1	1	NELSON, THOMAS A MD	9/10/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	159491	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
216805	Fee-for-Service	1558519470	1558519470	1	1	NICOLA, CATALIN MD	4/17/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	111278	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
216943	Fee-for-Service	1639215080	1639215080	1	1	NGUYEN, TRUONG D DO	9/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11460	01	General Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
216950	Fee-for-Service	1942839634	1942839634	1	1	NELSON, COURTNEY R NP	5/31/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
217002	Fee-for-Service	1972569887	1972569887	1	1	NEWMAN, SIOBHAN D MD	10/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	68673	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
217007	Fee-for-Service	1265510853	1265510853	1	1	NELSON, AMY R MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	68671	78	Neoplastic Diseases/Oncology	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
217068	Fee-for-Service	1235838988	1235838988	1	1	NGUYEN, ANNA H NP	6/2/2023	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
217108	Fee-for-Service	1629068689	1629068689	1	1	NOH, SANG K MD	2/28/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	35145	41	Internal Medicine	0	In state provider	None	11160 WARNER AVE	STE 215	FOUNTAIN VALLEY	CA	92708	4048	30	06059	33.71630854	-117.934317	Orange County
217110	Fee-for-Service	1144545302	1144545302	1	1	NEWTON, JACQUELINE C MD	10/21/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119961	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
217118	Fee-for-Service	1487185096	1487185096	1	1	NOURI, KIANA DO	8/27/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17024	08	Family Practice	0	In state provider	None	4300 ROSE DR	None	YORBA LINDA	CA	92886	2026	30	06059	33.89815111	-117.8419708	Orange County
217180	Fee-for-Service	1265530216	1265530216	1	1	NGUYEN, TUAN N MD	3/24/2015	207R00000X	NA	Other	026	PHYSICIANS	49096	47	Miscellaneous	0	In state provider	None	2324 MONTPELIER DR	STE 5	SAN JOSE	CA	95116	1612	43	06085	37.3648224	-121.8481115	Santa Clara County
217220	Fee-for-Service	1295153575	1295153575	1	1	NGUYEN, ANTHONY L MD	10/1/2021	207RH0003X	NA	Oncology	026	PHYSICIANS	140417	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
217241	Fee-for-Service	1821194820	1821194820	1	1	NUSSBAUM, ELIEZER MD	11/2/1983	2080A0000X	NA	Pediatric Primary Care	026	PHYSICIANS	33717	40	Pediatrics	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
217252	Fee-for-Service	1114577152	1114577152	1	1	NURSEDX OF NEVADA LLC	10/3/2023	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	1	Border provider	None	6392 MCLEOD DR	9	LAS VEGAS	NV	89120	4417	00	None	36.07384521	-115.112321	Clark County
217306	Fee-for-Service	1619426145	1619426145	1	1	NUESTRA FAMILIA A COUNSELING	8/24/2018	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	AND SOCIAL SERVICES AGEN	163 S AVENUE 24	201	LOS ANGELES	CA	90031	2299	19	06037	34.073901	-118.2169855	Los Angeles County
217325	Fee-for-Service	1508885625	1508885625	2	1	NGUYEN, THANH M MD	4/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	56554	01	General Practice	0	In state provider	None	8919 WESTMINSTER AVE	None	GARDEN GROVE	CA	92844	2609	30	06059	33.75942652	-117.974097	Orange County
217368	Fee-for-Service	1740440700	1740440700	1	1	NAGDIMON, JAY M PHD	5/29/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
217412	Fee-for-Service	1558591008	1558591008	1	1	NGUYEN, HIEN H MD	8/20/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121257	41	Internal Medicine	0	In state provider	None	1 HOAG DRIVE	None	NEWPORT BEACH	CA	92663	3663	30	06059	33.62421676	-117.9309656	Orange County
217456	Fee-for-Service	1194091017	1194091017	1	1	NGUYEN-BUCKLEY, CHRISTINE T	8/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	127541	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
217498	Fee-for-Service	1831401090	1831401090	1	1	NIGHTINGALE HOME HEALTH INC	7/3/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1344 E COLORADO ST	SUITE B	GLENDALE	CA	91205	1474	19	06037	34.14269438	-118.2354467	Los Angeles County
217507	Fee-for-Service	1023107521	1023107521	1	1	NADELL, IRA J	2/8/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	VALLEY HEARING CENTER	650 ALAMO PINTADO RD	STE 201	SOLVANG	CA	93463	2266	42	06083	34.600536	-120.128554	Santa Barbara County
217531	Fee-for-Service	1669713780	1669713780	1	1	NGUYEN, HENRY-HAO V DO	11/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	12223	41	Internal Medicine	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
217547	Fee-for-Service	1376234948	1376234948	1	1	NGUYEN, CATHY L NP	2/20/2025	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
217561	Fee-for-Service	1598892622	1598892622	1	2	NAPA VALLEY FAMILY MEDICAL G	10/25/2018	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2160 JEFFERSON STREET	260	NAPA	CA	94559	1253	28	06055	38.30647594	-122.2951788	Napa County
217722	Fee-for-Service	1124381231	1124381231	1	1	NGO, THANH V DO	10/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13190	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
217723	Fee-for-Service	1275538910	1275538910	1	1	NOLAN, RAYMOND P. MD	6/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2700 SE STRATUS AVE	None	MCMINNVILLE	OR	97128	6255	00	None	45.20010494	-123.1656951	Yamhill County
217755	Fee-for-Service	1407048598	1407048598	1	1	NAYFACK, AARON M MD	7/11/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	100829	40	Pediatrics	0	In state provider	None	751 S BASCOM AVENUE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
217762	Fee-for-Service	1104305044	1104305044	1	1	NAGEOTTE, TANYA M NP	10/18/2021	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11370 ANDERSON ST	# 3900	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
217770	Fee-for-Service	1316307747	1316307747	1	2	NYSA THERAPY INC	4/16/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	572 RIO LINDO AVE	STE 203	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
217772	Fee-for-Service	1225217425	1225217425	1	1	NGUYEN, JOSEPH T MD	4/4/2023	207RA0201X	NA	Other	026	PHYSICIANS	91271	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
217793	Fee-for-Service	1851697387	1851697387	1	1	NASSERI, PEYMAN PT	5/9/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9555 FOOTHILL BLVD	SUITE A	RANCHO CUCAMONGA	CA	91730	3576	36	06071	34.10650351	-117.596583	San Bernardino County
217902	Fee-for-Service	1679750616	1679750616	1	1	NORTH EAST MEDICAL SVS	12/1/1997	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
217951	Fee-for-Service	1801914163	1801914163	1	1	NORTH BAY NEUROSURGICAL	3/4/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	ASSOCIATES MED GRP INC	525 DOYLE PARK DR	STE 102	SANTA ROSA	CA	95405	4516	49	06097	38.442636	-122.69889	Sonoma County
218028	Fee-for-Service	1235102179	1235102179	3	1	NATIONAL SEATING & MOBILITY,	1/18/2022	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1650 S SINCLAIR STREET	None	ANAHEIM	CA	92806	5927	30	06059	33.80696074	-117.8825022	Orange County
218037	Fee-for-Service	1699749820	1699749820	1	1	NAKAMURA, GINA R OD	5/1/1999	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	18525 S WESTERN AVE	None	GARDENA	CA	90248	3830	19	06037	33.86241877	-118.3091794	Los Angeles County
218058	Fee-for-Service	1316307747	1316307747	1	2	NYSA THERAPY INC	4/16/2021	103TC0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	572 RIO LINDO AVE	STE 203	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
218071	Fee-for-Service	1316085152	1316085152	1	1	NIKJOO, RABIN MD	6/20/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	98738	08	Family Practice	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
218072	Fee-for-Service	1841378387	1841378387	1	1	NAMIQ, ASRAA L MD	5/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93827	22	Pathology (M.D. only)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
218086	Fee-for-Service	1821150905	1821150905	1	1	NGUYEN, HAI T MD	12/6/2007	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	71014	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
218159	Fee-for-Service	1760534713	1760534713	1	8	NORTHBAY HEALTHCARE GROUP	6/15/2022	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	R WOUND MNGT	1010 NUT TREE RD	SUITE 100	VACAVILLE	CA	95687	4172	48	06095	38.35458369	-121.9530637	Solano County
218181	Fee-for-Service	1891140844	1891140844	1	1	NG, BRIAN B MD	9/11/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	143291	30	Radiology	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
218189	Fee-for-Service	1063975340	1063975340	1	1	NGUYEN, BRIAN H MD	7/6/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	176521	None	None	0	In state provider	None	11370 ANDERSON ST	STE B100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
218208	Fee-for-Service	1356314900	1356314900	3	1	NATIONAL SEATING & MOBILITY,	2/3/2023	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	4235 PONDEROSA AVE	SUITE A	SAN DIEGO	CA	92123	9701	37	06073	32.81833915	-117.1323774	San Diego County
218276	Fee-for-Service	1568966893	1568966893	1	1	NICHOLS, JUSTIN S	12/30/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
218346	Fee-for-Service	1316307747	1316307747	1	2	NYSA THERAPY INC	12/14/2023	103TC0700X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	None	572 RIO LINDO AVE	STE 203	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
218399	Fee-for-Service	1619177292	1619177292	1	1	NEALE, JANINE P LCSW	5/18/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
218421	Fee-for-Service	1679795272	1679795272	1	1	NIEDERKOHR, RYAN D MD	11/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92396	42	Nuclear Medicine	0	In state provider	None	700 LAWERENCE EXPWY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
218431	Fee-for-Service	1679741854	1679741854	1	1	NGUYEN, BETTY H DO	11/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	9784	08	Family Practice	0	In state provider	None	4647 ZION AVENUE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
218445	Fee-for-Service	1760534713	1760534713	1	8	NORTHBAY HEALTHCARE GROUP	9/16/2022	2086S0129X	NA	General Surgery	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	R WOUND MNGT	1010 NUT TREE RD	SUITE 100	VACAVILLE	CA	95687	4172	48	06095	38.35458369	-121.9530637	Solano County
218450	Fee-for-Service	1245436542	1245436542	1	1	NORD, RUSSELL M MD	8/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103896	20	Orthopedic Surgery	0	In state provider	None	39500 FREMONT BLVD	STE 100	FREMONT	CA	94538	2119	01	06001	37.5448266	-121.9802588	Alameda County
218460	Fee-for-Service	1881649002	1881649002	1	1	NGUYEN KIEU L MD	12/1/1997	207P00000X	NA	Other	026	PHYSICIANS	61730	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2425 SAMARITAN DR	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
218482	Fee-for-Service	1336609908	1336609908	1	1	NGUYEN, PHUONG T DO	7/18/2022	207R00000X	NA	Other	026	PHYSICIANS	19418	None	None	0	In state provider	None	147 W SIERRA MADRE BLVD	None	SIERRA MADRE	CA	91024	2492	19	06037	34.16191714	-118.0557211	Los Angeles County
218607	Fee-for-Service	1225310576	1225310576	1	1	NEPOMUCENO, MYANNE J MD	10/27/2015	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	129439	40	Pediatrics	0	In state provider	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	5839	54	06107	36.05128153	-119.0422344	Tulare County
218635	Fee-for-Service	1316307747	1316307747	1	2	NYSA THERAPY INC	4/16/2021	103TC0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	572 RIO LINDO AVE	STE 203	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
218649	Fee-for-Service	1114192929	1114192929	1	1	NARIYANTS, NONNA DO	9/29/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10393	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
218705	Fee-for-Service	1437578507	1437578507	1	1	NGUYEN, AUDREY MD	6/17/2021	208200000X	NA	General Surgery	026	PHYSICIANS	139155	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
218735	Fee-for-Service	1760534713	1760534713	1	8	NORTHBAY HEALTHCARE GROUP	6/15/2022	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	R WOUND MNGT	1010 NUT TREE RD	SUITE 100	VACAVILLE	CA	95687	4172	48	06095	38.35458369	-121.9530637	Solano County
218893	Fee-for-Service	1376667022	1376667022	1	1	NORCAL IMAGING	3/13/2007	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	114 LA CASA VIA	STE 100200	WALNUT CREEK	CA	94598	3087	07	06013	37.9129694	-122.0434514	Contra Costa County
218908	Fee-for-Service	1699063909	1699063909	1	1	NEETU,PURL	6/14/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	700 CHILDRENS DRIVE	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
218970	Fee-for-Service	1174709505	1174709505	1	1	NOUR, MOHAMED B MD	8/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111361	05	Anesthesiology	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92359	2808	36	06071	34.049547	-117.264078	San Bernardino County
218976	Fee-for-Service	1811281702	1811281702	1	1	NISHINAGA, BRIAN S MD	10/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133028	66	Emergency Medicine (Urgent Care)	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
219044	Fee-for-Service	1033745062	1033745062	1	1	NEWPORT HOSPICE CARE	6/11/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	9849 FOOTHILL BLVD	UNIT 9849-B	RANCHO CUCAMONGA	CA	91730	3681	36	06071	34.10650555	-117.5901266	San Bernardino County
219120	Fee-for-Service	1427168806	1427168806	1	1	NAENI, FARIBORZ H MD	1/1/1997	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	44740	20	Orthopedic Surgery	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
219145	Fee-for-Service	1831226794	1831226794	1	1	NIBBE, YASMIN K MD	2/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	104815	41	Internal Medicine	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
219227	Fee-for-Service	1699759944	1699759944	1	1	NEFF, JENNIFER A MD	2/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80392	01	General Practice	0	In state provider	None	130 CEDAR RD	None	VISTA	CA	92083	5102	37	06073	33.18682732	-117.2839184	San Diego County
219244	Fee-for-Service	1780721068	1780721068	1	1	NIELSEN, ALLEN S MD	10/5/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136316	13	Neurology (M.D. only)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
219284	Fee-for-Service	1154903557	1154903557	1	1	NOEL HOME HEALTH CARE INC	7/13/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2505 FOOTHILL BLVD	SUITE A	LA CRESCENTA	CA	91214	4552	19	06037	34.21999881	-118.2330708	Los Angeles County
219287	Fee-for-Service	1821795329	1821795329	1	1	NUTAN BHASKAR MD INC	4/27/2023	207RP1001X	NA	Pulmonology	026	PHYSICIANS	None	None	None	0	In state provider	None	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
219313	Fee-for-Service	1477624450	1477624450	1	1	NGUYEN, DUC NHO MD	11/13/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	48877	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
219329	Fee-for-Service	1740360551	1740360551	1	1	NORTH COUNTY RADIOLOGY	10/1/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	4002 VISTA WAY	None	OCEANSIDE	CA	92056	4506	37	06073	33.1857	-117.290538	San Diego County
219333	Fee-for-Service	1033745062	1033745062	1	1	NEWPORT HOSPICE CARE	6/11/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	9849 FOOTHILL BLVD	UNIT 9849-B	RANCHO CUCAMONGA	CA	91730	3681	36	06071	34.10650555	-117.5901266	San Bernardino County
219514	Fee-for-Service	1245460575	1245460575	1	1	NAIK, SEEMA G MD	1/9/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	89149	68	Hematology	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
219566	Fee-for-Service	1982770657	1982770657	1	1	NHAN, GIAN P MD	2/6/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	64288	05	Anesthesiology	0	In state provider	None	347 ANDRIEUX ST	None	SONOMA	CA	95476	6811	49	06097	38.28843573	-122.4651035	Sonoma County
219697	Fee-for-Service	1134279177	1134279177	1	1	NAGASUBRAMANIAN, RAMAMOORTHY	2/23/2024	2080P0207X	NA	Hematology	026	PHYSICIANS	192061	None	None	0	In state provider	MD	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
219730	Fee-for-Service	1639382336	1639382336	1	1	NORTHSTATE ANESTHESIOLOG	6/4/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	PARTNERS A MEDICAL CORP	1531 ESPLANADE	None	CHICO	CA	95926	3310	04	06007	39.74248474	-121.8493369	Butte County
219779	Fee-for-Service	1689171183	1689171183	1	1	NIJJAR, SATINDERJIT K MD	8/20/2022	207R00000X	NA	Other	026	PHYSICIANS	179022	None	None	0	In state provider	None	225 NORTH JACKSON	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
219785	Fee-for-Service	1760534713	1760534713	1	13	NORTHBAY HEALTHCARE GROUP	4/10/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	NT CARE	101 MAIN ST	None	WINTERS	CA	95694	1930	57	06113	38.52127531	-121.970552	Yolo County
219803	Fee-for-Service	1245460575	1245460575	1	1	NAIK, SEEMA G MD	1/9/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	89149	78	Neoplastic Diseases/Oncology	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
219825	Fee-for-Service	1407827769	1407827769	1	1	NAIR, MOHAN S MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	34249	36	Psychiatry	0	In state provider	None	5212 KATELLA AVE	STE 106	LOS ALAMITOS	CA	90720	2829	30	06059	33.8028807	-118.0417595	Orange County
219826	Fee-for-Service	1689959645	1689959645	1	1	NIKOGHOSSIAN, SONA NP	2/10/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
219868	Fee-for-Service	1467015487	1467015487	1	1	NGUYEN, CHRISTINE P MD	11/19/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	300 HOSPITAL DR	None	VALLEJO	CA	94589	2574	48	06095	38.13070051	-122.237307	Solano County
219886	Fee-for-Service	1073538492	1073538492	1	1	NGO, QUOC A.	12/27/2007	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	INC	1759 LANDESS AVE	None	MILPITAS	CA	95035	7019	43	06085	37.41710326	-121.8724445	Santa Clara County
219923	Fee-for-Service	1164501292	1164501292	1	1	NUNEZ, EVELYN R MD	10/8/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	86342	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
219935	Fee-for-Service	1598922882	1598922882	1	1	NICHOLASS, SUSANNA R MD	7/30/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107871	08	Family Practice	0	In state provider	None	5957 WEST RAMSEY	None	BANNING	CA	92220	3058	33	06065	33.92937645	-116.942463	Riverside County
219939	Fee-for-Service	1487389326	1487389326	1	1	NAJEM, FADI CCC-A	10/17/2022	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	155 5TH STREET	SUITE 250	SAN FRANCISCO	CA	94103	2919	38	06075	37.78207387	-122.405581	San Francisco County
219985	Fee-for-Service	1730267311	1730267311	1	1	NATARAJAN, PARVATHI MD	5/2/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93152	41	Internal Medicine	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
219990	Fee-for-Service	1891372611	1891372611	1	1	NEFF, MONICA MD	11/6/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	187605	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
220073	Fee-for-Service	1760534713	1760534713	1	13	NORTHBAY HEALTHCARE GROUP	4/10/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	NT CARE	101 MAIN ST	None	WINTERS	CA	95694	1930	57	06113	38.52127531	-121.970552	Yolo County
220090	Fee-for-Service	1821549775	1821549775	1	2	NGUYEN, KATHERINE L OD	1/19/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3998 INLAND EMPIRE	100	ONTARIO	CA	91764	5033	36	06071	34.068168	-117.5675985	San Bernardino County
220157	Fee-for-Service	1043517352	1043517352	1	1	NGUYEN, MELISSA H MD	10/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115761	08	Family Practice	0	In state provider	None	401 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94087	6387	43	06085	37.36777579	-122.0276404	Santa Clara County
220162	Fee-for-Service	1790304707	1790304707	1	1	NICOLLETTE L. BALLOU, M.D.	12/17/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	PROFESSIONAL CORPORATION	3831 HUGHES AVE	STE 602	CULVER CITY	CA	90232	6845	19	06037	34.02243278	-118.3981492	Los Angeles County
220174	Fee-for-Service	1336184316	1336184316	1	1	NGO, NHANHAU MD	3/21/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	61105	None	None	0	In state provider	None	7631 WYOMING ST	STE 201	WESTMINSTER	CA	92683	3904	30	06059	33.7610165	-117.996174	Orange County
220186	Fee-for-Service	1942566765	1942566765	1	1	NOBLE, ERIC M MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126954	36	Psychiatry	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
220259	Fee-for-Service	1265405815	1265405815	2	1	NATIONAL SEATING & MOBILITY,	2/1/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	2850 CORDELIA ROAD	SUITE 150	FAIRFIELD	CA	94534	1618	48	06095	38.22790353	-122.086449	Solano County
220275	Fee-for-Service	1154383750	1154383750	1	1	NIZINSKI, JOSEPH MD INC	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	21332	40	Pediatrics	0	In state provider	None	12665 GARDEN GROVE BLVD	STE 713	GARDEN GROVE	CA	92843	1921	30	06059	33.77450141	-117.9123364	Orange County
220410	Fee-for-Service	1437272887	1437272887	1	1	NG, IRIS Y	3/22/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	10800 MAGNOLIA AVENUE	RMC M0B2	RIVERSIDE	CA	92505	3047	33	06065	33.904782	-117.469323	Riverside County
220439	Fee-for-Service	1043517352	1043517352	1	1	NGUYEN, MELISSA H MD	10/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115761	01	General Practice	0	In state provider	None	401 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94087	6387	43	06085	37.36777579	-122.0276404	Santa Clara County
220456	Fee-for-Service	1982159349	1982159349	1	1	NAM, JI YUN PSYD	4/13/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	18600 SOUTH FIGUEROA ST	None	GARDENA	CA	90248	4505	19	06037	33.861339	-118.281473	Los Angeles County
220463	Fee-for-Service	1396301313	1396301313	1	1	NISHINO, KEVIN Y MD	7/1/2022	207R00000X	NA	Other	026	PHYSICIANS	177145	None	None	0	In state provider	None	11234 ANDERSON ST	STE 1617	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
220600	Fee-for-Service	1922442557	1922442557	1	1	NGUYEN, VAN T MD	9/26/2019	207RH0003X	NA	Oncology	026	PHYSICIANS	142745	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
220647	Fee-for-Service	1396199105	1396199105	1	1	NNODIM, STEPHEN O MD	7/15/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	150305	13	Neurology (M.D. only)	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
220681	Fee-for-Service	1114126927	1114126927	1	1	NGUYEN, TAMAN OD	1/27/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
220750	Fee-for-Service	1083015580	1083015580	1	1	NELSON, TERRY DPM	2/25/2019	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2914 W MAIN ST	None	VISALIA	CA	93291	5731	54	06107	36.330075	-119.323458	Tulare County
220778	Fee-for-Service	1356802896	1356802896	1	1	NGUYEN, MATTHEW H DO	9/26/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19893	None	None	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
220988	Fee-for-Service	1285695163	1285695163	1	1	NGHIA XUAN NGUYEN, MD INC	12/24/2019	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	None	04	Otology, Laryngology, Rhinology	0	In state provider	None	17822 BEACH BLVD.	474	HUNTINGTON BEACH	CA	92647	7190	30	06059	33.70331388	-117.9890471	Orange County
221017	Fee-for-Service	1538666508	1538666508	1	1	NOUR, ASSAL DPM	9/26/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
221018	Fee-for-Service	1912929811	1912929811	1	1	NICKENS, ELIZABETH R LCSW	11/17/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3555 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
221142	Fee-for-Service	1174123160	1174123160	1	1	NAMITA INDIVIDUAL FAMILY AND	3/5/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	CHILD THERAPISTS & ASSO	357 S CURSON AVE	47-4E	LOS ANGELES	CA	90036	5201	19	06037	34.06682344	-118.3544128	Los Angeles County
221153	Fee-for-Service	1134132798	1134132798	1	1	NIKNAM, JAMSHID MD	3/1/1996	207RP1001X	NA	Pulmonology	026	PHYSICIANS	52081	41	Internal Medicine	0	In state provider	None	435 N BEDFORD DR	STE 312	BEVERLY HILLS	CA	90210	4314	19	06037	34.06851281	-118.4056736	Los Angeles County
221194	Fee-for-Service	1215156427	1215156427	1	1	NEW HORIZONS SERVING	2/20/1992	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INDIVIDUALS	15746 PARTHENIA ST	APT B	NORTH HILLS	CA	91343	4999	19	06037	34.22828948	-118.47582	Los Angeles County
221269	Fee-for-Service	1710518881	1710518881	1	3	NICETO LOPEZ, M.D., A.P.C.	9/14/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1321 FRANKLIN ST	None	SANTA MONICA	CA	90404	7104	19	06037	34.03863994	-118.4695236	Los Angeles County
221314	Fee-for-Service	1659407054	1659407054	1	1	NORMAL LIFE OF CALIF	3/1/2000	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1755 POTOMAC AVE	None	VENTURA	CA	93004	3118	56	06111	34.26374251	-119.1720375	Ventura County
221316	Fee-for-Service	1831396431	1831396431	1	1	NGUYEN, ANNA MD	5/17/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	118937	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
221349	Fee-for-Service	1770729584	1770729584	1	1	NASSER, NAHLA M MD	9/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	94793	05	Anesthesiology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
221380	Fee-for-Service	1073588737	1073588737	1	1	NASR, HUGH S MD	4/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	46203	41	Internal Medicine	0	In state provider	None	1401 N PALM CANYON DR	STE 101	PALM SPRINGS	CA	92262	4434	33	06065	33.841269	-116.546807	Riverside County
221398	Fee-for-Service	1932851946	1932851946	1	1	NGUGI, HANNAH W	3/2/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1379 GLEN AVE	None	POMONA	CA	91768	1248	19	06037	34.07055167	-117.7853028	Los Angeles County
221412	Fee-for-Service	1447274956	1447274956	1	1	NGUYEN, VI T MD	7/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	107951	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
221413	Fee-for-Service	1073551446	1073551446	1	2	NATIONWIDE MEDICAL INC	7/20/2015	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	5230 LAS VIRGENES RD	SUITE 105	CALABASAS	CA	91302	3448	19	06037	34.1514509	-118.6972315	Los Angeles County
221440	Fee-for-Service	1134132798	1134132798	1	1	NIKNAM, JAMSHID MD	3/1/1996	207RP1001X	NA	Pulmonology	026	PHYSICIANS	52081	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	435 N BEDFORD DR	STE 312	BEVERLY HILLS	CA	90210	4314	19	06037	34.06851281	-118.4056736	Los Angeles County
221441	Fee-for-Service	1073517306	1073517306	1	1	NGUYEN, HUY A MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	61818	10	Gastroenterology (M.D. only)	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
221508	Fee-for-Service	1548318504	1548318504	1	1	NGUYEN, DANIEL MD	5/1/1995	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	53271	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
221552	Fee-for-Service	1598892622	1598892622	1	1	NAPA VALLEY FAMILY MEDICAL G	10/5/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1222 PINE ST	None	SAINT HELENA	CA	94574	1830	28	06055	38.50589667	-122.4722577	Napa County
221573	Fee-for-Service	1801311824	1801311824	1	1	NIGHT AND DAY SAN DIEGO, INC	2/7/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
221654	Fee-for-Service	1962517995	1962517995	2	1	NORTH COAST MEDICAL	8/1/2007	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	477 EL CAMINO REAL	STE B101	ENCINITAS	CA	92024	1330	37	06073	33.05700866	-117.262449	San Diego County
221669	Fee-for-Service	1073588737	1073588737	1	1	NASR, HUGH S MD	4/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	46203	67	Endocrinology	0	In state provider	None	1401 N PALM CANYON DR	STE 101	PALM SPRINGS	CA	92262	4434	33	06065	33.841269	-116.546807	Riverside County
221684	Fee-for-Service	1932851946	1932851946	1	1	NGUGI, HANNAH W	3/2/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1379 GLEN AVE	None	POMONA	CA	91768	1248	19	06037	34.07055167	-117.7853028	Los Angeles County
221732	Fee-for-Service	1134132798	1134132798	1	1	NIKNAM, JAMSHID MD	3/1/1996	207RP1001X	NA	Pulmonology	026	PHYSICIANS	52081	66	Emergency Medicine (Urgent Care)	0	In state provider	None	435 N BEDFORD DR	STE 312	BEVERLY HILLS	CA	90210	4314	19	06037	34.06851281	-118.4056736	Los Angeles County
221766	Fee-for-Service	1518375641	1518375641	1	1	NORTH ANAHEIM SURGERY CENTER	11/2/2015	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	18133 VENTURA BLVD	STE 400	TARZANA	CA	91356	3645	19	06037	34.1657808	-118.5283188	Los Angeles County
221778	Fee-for-Service	1174150759	1174150759	1	1	NGUYEN, PHOEBE MD	10/18/2023	208M00000X	NA	Other	026	PHYSICIANS	183186	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
221792	Fee-for-Service	1720215452	1720215452	1	1	NANAVATI, CHANDANI R OD	8/8/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3951 VAN BUREN BLVD	None	RIVERSIDE	CA	92503	3620	33	06065	33.92276786	-117.4483793	Riverside County
221844	Fee-for-Service	1285720342	1285720342	1	1	NGUYEN, LILY K MD	12/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	78516	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	751 S BASCOM	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
221861	Fee-for-Service	1700302189	1700302189	1	1	NKRUMAH, REBECCA MD	9/4/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	179124	36	Psychiatry	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
221926	Fee-for-Service	1710046420	1710046420	1	1	NGUYEN, JACKIE H NP	10/21/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
221990	Fee-for-Service	1477747137	1477747137	1	1	NGUYEN, DUYHIEN T MD	3/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119091	None	None	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
222040	Fee-for-Service	1053320242	1053320242	1	1	NISHIO, ANGELA Y MD	4/6/2010	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	67519	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1920 COLORADO BLVD	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
222075	Fee-for-Service	1487695433	1487695433	1	1	NIKBAKHT, FARSHEED MD	3/31/1991	207P00000X	NA	Other	026	PHYSICIANS	48514	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1210 ROYAL OAKS DR	None	DUARTE	CA	91010	1771	19	06037	34.14321596	-117.9788088	Los Angeles County
222089	Fee-for-Service	1023504610	1023504610	1	1	NANCY LY MD AMC	8/9/2019	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	502 EUCLID AVE	STE 104	NATIONAL CITY	CA	91950	2959	37	06073	32.68505421	-117.0832793	San Diego County
222101	Fee-for-Service	1760534713	1760534713	1	2	NORTHBAY HEALTHCARE GROUP	9/16/2022	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	IATION ONCOLOGY	1020 NUT TREE RD	190	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
222131	Fee-for-Service	1578889507	1578889507	1	1	NAUGHTON, GREGORY P MD	6/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118860	41	Internal Medicine	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
222137	Fee-for-Service	1518983287	1518983287	1	1	NAKAJIMA, STEVEN T MD	6/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	50959	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
222182	Fee-for-Service	1285111237	1285111237	1	1	NG, JESSICA MD	6/19/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	174990	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
222249	Fee-for-Service	1992251490	1992251490	1	1	NAKAMURA, ASHLEY A OD	6/19/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	425 W BONITA AVE	STE 110B	SAN DIMAS	CA	91773	2543	19	06037	34.10669347	-117.814932	Los Angeles County
222339	Fee-for-Service	1023421666	1023421666	1	1	NARAYANAN, HARISH	10/16/2023	2085R0204X	NA	Other	026	PHYSICIANS	190253	None	None	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
222366	Fee-for-Service	1760639272	1760639272	1	1	NING, PETER C MD	8/25/2020	207L00000X	NA	Other	026	PHYSICIANS	168480	05	Anesthesiology	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
222379	Fee-for-Service	1982842860	1982842860	1	1	NGU, JESSE LCSW	12/10/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
222388	Fee-for-Service	1760534713	1760534713	1	2	NORTHBAY HEALTHCARE GROUP	7/5/2022	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	IATION ONCOLOGY	1020 NUT TREE RD	190	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
222391	Fee-for-Service	1922391549	1922391549	1	1	NIRANATKUL, ONJIRA PT	12/23/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
222419	Fee-for-Service	1174753222	1174753222	1	1	NAGRANI, KISHU H MD INC	2/1/1984	302R00000X	NA	Other	026	PHYSICIANS	34467	40	Pediatrics	0	In state provider	None	460 N GREENFIELD AVE	STE 2A	HANFORD	CA	93230	3500	16	06031	36.3296463	-119.6581535	Kings County
222426	Fee-for-Service	1952336927	1952336927	2	1	NGUYEN, LAURA U OD	5/20/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	10191 MAGNOLIA AVE	SUITE B	RIVERSIDE	CA	92503	3444	33	06065	33.9133215	-117.4591636	Riverside County
222453	Fee-for-Service	1548971914	1548971914	1	1	NUUBO, LLC	12/18/2023	293D00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	140 CYPRESS STATION DR	SUITE 215	HOUSTON	TX	77090	1627	00	None	30.03219624	-95.43338602	Harris County
222467	Fee-for-Service	1477940849	1477940849	1	1	N&A HOME HEALTH CARE INC	4/28/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	18340 VENTURA BLVD	SUITE 209	TARZANA	CA	91356	4287	19	06037	34.16710415	-118.5320031	Los Angeles County
222580	Fee-for-Service	1538657184	1538657184	1	1	NAWAZ, FAIZA MD	8/26/2021	208M00000X	NA	Other	026	PHYSICIANS	174566	None	None	0	In state provider	None	1141 ROSE AVE	None	SELMA	CA	93662	3241	10	06019	36.56881144	-119.5985344	Fresno County
222594	Fee-for-Service	1689776684	1689776684	1	1	NIGRINI, ELISABETH MD	12/22/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	175226	None	None	0	In state provider	None	2175 SOUTH AVENUE	None	SOUTH LAKE TAHOE	CA	96150	7024	09	06017	38.91234551	-119.9972565	El Dorado County
222604	Fee-for-Service	1598286247	1598286247	1	1	NELSON, ASHLEY NP	1/30/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
222609	Fee-for-Service	1982086898	1982086898	1	1	NGUYEN, THUAN P DO	10/9/2020	207R00000X	NA	Other	026	PHYSICIANS	17572	41	Internal Medicine	0	In state provider	None	4955 VAN NUYS BLVD	SUITE 308	SHERMAN OAKS	CA	91403	1811	19	06037	34.160805	-118.4487295	Los Angeles County
222676	Fee-for-Service	1760534713	1760534713	1	2	NORTHBAY HEALTHCARE GROUP	2/9/2022	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	IATION ONCOLOGY	1020 NUT TREE RD	190	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
222706	Fee-for-Service	1326279852	1326279852	1	2	NORTH EAST MED SRVCS	3/9/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2633 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1597	38	06075	37.72840413	-122.4039067	San Francisco County
222762	Fee-for-Service	1619136942	1619136942	1	2	NEVREKAR, DIPTI V MD	12/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	132567	30	Radiology	0	In state provider	None	215 W JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
222885	Fee-for-Service	1376705723	1376705723	1	1	NARAYAN, ROJA MD	6/18/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	130550	08	Family Practice	0	In state provider	None	2830 GLENDESSARY LANE	None	SANTA BARBARA	CA	93105	2960	42	06083	34.44509477	-119.7186392	Santa Barbara County
222912	Fee-for-Service	1447437355	1447437355	1	2	NEOGENOMICS LABORATORIES INC	6/24/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	31 COLUMBIA	None	ALISO VIEJO	CA	92656	1460	30	06059	33.5868655	-117.7265568	Orange County
222945	Fee-for-Service	1114977071	1114977071	1	1	NASSIR, YOURAM MD	2/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64603	22	Pathology (M.D. only)	0	In state provider	NASSIR MEDICAL CORP	5901 W OLYMPIC BLVD	STE 505	LOS ANGELES	CA	90036	4670	19	06037	34.05764121	-118.3603115	Los Angeles County
222995	Fee-for-Service	1326279852	1326279852	1	2	NORTH EAST MED SRVCS	3/9/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2633 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1597	38	06075	37.72840413	-122.4039067	San Francisco County
223019	Fee-for-Service	1568105898	1568105898	1	1	NEAMTHRAPYA, AMPONKEIT	1/30/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
223049	Fee-for-Service	1043576366	1043576366	1	1	NELACANTI, VIDYA MD	1/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152271	41	Internal Medicine	0	In state provider	None	1515 NEWELL AVE	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
223130	Fee-for-Service	1114904539	1114904539	1	1	NIEMI, MATTHEW G MD	4/18/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
223135	Fee-for-Service	1770524928	1770524928	1	1	NOTHERN CALIFORNIA	12/1/2006	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	REHABILITATION HOSPITAL	2801 EUREKA WAY	None	REDDING	CA	96001	0222	45	06089	40.58569445	-122.4137153	Shasta County
223144	Fee-for-Service	1417202474	1417202474	1	1	NGO, CHARLIE V OD	1/9/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 MINOR HALL	None	BERKELEY	CA	94720	0001	01	06001	37.87133398	-122.2545466	Alameda County
223153	Fee-for-Service	1528378320	1528378320	1	1	NOVID, AMIRNAZ LMFT	6/1/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4000 BARRANCA PKWY	STE 250	IRVINE	CA	92604	1710	30	06059	33.68357129	-117.8077084	Orange County
223155	Fee-for-Service	1205316197	1205316197	1	1	NGUYEN, TAM C RCP	9/24/2018	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
223181	Fee-for-Service	1003208968	1003208968	1	1	NEW CENTURY ACUPUNCTURE CLIN	10/23/2023	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	IC INCORPORATION	540 RALSTON AVE	STE G	BELMONT	CA	94002	2866	41	06081	37.52244767	-122.273743	San Mateo County
223195	Fee-for-Service	1598736530	1598736530	1	1	NISHA PHARMACY, INC	8/24/1992	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1240 S MAGNOLIA AVE	None	ANAHEIM	CA	92804	5116	30	06059	33.815583	-117.9757915	Orange County
223227	Fee-for-Service	1437167624	1437167624	1	1	NUTTER, HELEN T MD	8/1/2000	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	63602	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3160 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5219	34	06067	38.568393	-121.4658585	Sacramento County
223232	Fee-for-Service	1114977071	1114977071	1	1	NASSIR, YOURAM MD	2/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64603	68	Hematology	0	In state provider	NASSIR MEDICAL CORP	5901 W OLYMPIC BLVD	STE 505	LOS ANGELES	CA	90036	4670	19	06037	34.05764121	-118.3603115	Los Angeles County
223358	Fee-for-Service	1487104105	1487104105	1	1	NGUYEN, CAM TU PSYD	1/10/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1011 NORTH BEGONIA AVE.	SUITE 1009	ONTARIO	CA	91762	4274	36	06071	34.076493	-117.672147	San Bernardino County
223430	Fee-for-Service	1497145882	1497145882	1	1	NIJHON, RISHI C LMFT	6/6/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3900 BROADWAY	None	OAKLAND	CA	94611	5616	01	06001	37.82664697	-122.25721	Alameda County
223441	Fee-for-Service	1689796708	1689796708	1	1	NAVARRO, MYRNA Y LCSW	5/18/2020	171M00000X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1789 W YOSEMITE AVE	None	MANTECA	CA	95337	5160	39	06077	37.79964	-121.246425	San Joaquin County
223444	Fee-for-Service	1861774325	1861774325	1	1	NAVARRO TURNER, DOLORES C LC	6/16/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	SW	441 N MAIN ST	None	ALTURAS	CA	96101	3457	25	06049	41.48803571	-120.542554	Modoc County
223480	Fee-for-Service	1467260554	1467260554	1	1	NADARIAN, MARINE	1/29/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6943 WHITAKER AVE	None	VAN NUYS	CA	91406	4630	19	06037	34.19692863	-118.4979569	Los Angeles County
223511	Fee-for-Service	1376696021	1376696021	1	1	NEVADA COUNTY CCS	6/15/1993	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	CHAMPION MINE SCHOOL MTU	400 HOOVER LN	None	NEVADA CITY	CA	95959	2944	29	06057	39.25544814	-121.0303934	Nevada County
223522	Fee-for-Service	1114977071	1114977071	1	1	NASSIR, YOURAM MD	2/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64603	78	Neoplastic Diseases/Oncology	0	In state provider	NASSIR MEDICAL CORP	5901 W OLYMPIC BLVD	STE 505	LOS ANGELES	CA	90036	4670	19	06037	34.05764121	-118.3603115	Los Angeles County
223530	Fee-for-Service	1043446081	1043446081	1	1	NATARAJ, ANAND G MD	7/8/2019	207P00000X	NA	Other	026	PHYSICIANS	156793	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2333 BUCHANAN ST	None	SAN FRANCISCO	CA	94115	1925	38	06075	37.79071145	-122.4308506	San Francisco County
223537	Fee-for-Service	1740360551	1740360551	1	2	NORTH COUNTY RADIOLOGY	11/17/2011	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	4130 LA JOLLA VILLAGE DR	SUITE 101	LA JOLLA	CA	92037	1480	37	06073	32.87194345	-117.2173414	San Diego County
223646	Fee-for-Service	1669945010	1669945010	1	1	NOHAY, GOLDA M	12/30/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
223662	Fee-for-Service	1164501912	1164501912	1	1	NEW HORIZON INTEGRATED	6/8/2001	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CARE ICF/DD-H HOMES, INC	8812 ATHENS CT	None	ANAHEIM	CA	92804	6204	30	06059	33.80461324	-117.9789847	Orange County
223690	Fee-for-Service	1235424532	1235424532	1	1	NGUYEN, TRUC THI MINH MD	3/29/2023	208M00000X	NA	Other	026	PHYSICIANS	131340	None	None	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
223733	Fee-for-Service	1629575386	1629575386	1	1	NORTH EAST MEDICAL SERVICES	5/29/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	728 PACIFIC AVE STE 301	None	SAN FRANCISCO	CA	94133	4488	38	06075	37.79687859	-122.4074282	San Francisco County
223755	Fee-for-Service	1710518881	1710518881	1	1	NICETO LOPEZ, M.D., A.P.C.	9/14/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1330 17TH ST	None	SANTA MONICA	CA	90404	1902	19	06037	34.02703133	-118.4837435	Los Angeles County
223788	Fee-for-Service	1184716441	1184716441	1	1	NEWSOME, SHARON L LMFT	8/24/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
223791	Fee-for-Service	1043700370	1043700370	1	1	NJIE, CHEIKH MD	8/28/2024	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	173782	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
223829	Fee-for-Service	1073628434	1073628434	1	1	NEAL, JONATHAN D DO	6/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8034	08	Family Practice	0	In state provider	None	2382 CRENSHAW BLVD	STE 5	TORRANCE	CA	90501	3333	19	06037	33.82267285	-118.3284556	Los Angeles County
223850	Fee-for-Service	1578211504	1578211504	1	1	NORTH EAST MEDICAL SERVICES	10/26/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	728 PACIFIC AVE	115	SAN FRANCISCO	CA	94133	4449	38	06075	37.79687859	-122.4074282	San Francisco County
223882	Fee-for-Service	1275568503	1275568503	1	1	NEUKIRCHNER, GREG P MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	97933	40	Pediatrics	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
223937	Fee-for-Service	1326020603	1326020603	2	1	NOTRICA, DAVID M MD	6/23/2018	2086S0120X	NA	General Surgery	026	PHYSICIANS	-	None	None	2	Out of state provider	None	1919 E THOMAS RD	None	PHOENIX	AZ	85016	7710	00	None	33.478749	-112.0426515	Maricopa County
224035	Fee-for-Service	1467500496	1467500496	1	1	NGUYEN, JENNIFER K MD	2/22/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	91666	40	Pediatrics	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
224140	Fee-for-Service	1780188847	1780188847	1	1	NALLAPA, SWATHI R MD	9/2/2021	207R00000X	NA	Other	026	PHYSICIANS	167018	None	None	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
224171	Fee-for-Service	1275568503	1275568503	1	1	NEUKIRCHNER, GREG P MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	97933	05	Anesthesiology	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
224213	Fee-for-Service	1760534713	1760534713	1	3	NORTHBAY HEALTHCARE GROUP	12/4/2024	282N00000X	NA	Hospitals	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ONAL HEALTH - VV	1679 E MONTE VISTA AVE	STE. 140	VACAVILLE	CA	95688	3122	48	06095	38.36981273	-121.9599958	Solano County
224232	Fee-for-Service	1225464548	1225464548	1	1	NORTHERN NEVADA CARDIOLOGY	8/27/2014	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	PC	1850 SPRINGS RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
224322	Fee-for-Service	1598078396	1598078396	1	1	NASER, SIEF S MD	10/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124264	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2767 OLIVE HIGHWAY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
224431	Fee-for-Service	1215104195	1215104195	1	1	NAGLE, SARAH R LCSW	7/10/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1700 AMPHLETT	250 D	SAN MATEO	CA	94402	2701	41	06081	37.55866811	-122.3017488	San Mateo County
224436	Fee-for-Service	1316027584	1316027584	1	1	NELSON, JOHN STUART MD	3/11/1987	208600000X	NA	General Surgery	026	PHYSICIANS	49366	01	General Practice	0	In state provider	None	1300 S SUNSET AVE	None	WEST COVINA	CA	91790	3342	19	06037	34.0601054	-117.9474205	Los Angeles County
224458	Fee-for-Service	1376785154	1376785154	1	1	NAINI, BITA V MD	11/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	98015	22	Pathology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	STE B 186	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
224489	Fee-for-Service	1083788046	1083788046	1	1	NGUYEN, NHON T MD	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	35264	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	395 TERRACINA BLVD	None	REDLANDS	CA	92373	4849	36	06071	34.036782	-117.2039042	San Bernardino County
224501	Fee-for-Service	1760534713	1760534713	1	3	NORTHBAY HEALTHCARE GROUP	9/16/2022	282N00000X	NA	Hospitals	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ONAL HEALTH - VV	1679 E MONTE VISTA AVE	STE. 140	VACAVILLE	CA	95688	3122	48	06095	38.36981273	-121.9599958	Solano County
224526	Fee-for-Service	1700084613	1700084613	1	1	NISHIJIMA, DANIEL K MD	7/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	104004	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
224626	Fee-for-Service	1689745614	1689745614	1	1	NOCEDA, RICARDO J MD	9/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	64909	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
224634	Fee-for-Service	1336898964	1336898964	1	1	NGUYEN, EMILY MD	5/5/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	191356	41	Internal Medicine	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
224686	Fee-for-Service	1518611649	1518611649	1	1	NICHOLSON, VANESSA PSYD	5/12/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1011 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72827776	-121.2904066	Placer County
224774	Fee-for-Service	1083788046	1083788046	1	1	NGUYEN, NHON T MD	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	35264	41	Internal Medicine	0	In state provider	None	395 TERRACINA BLVD	None	REDLANDS	CA	92373	4849	36	06071	34.036782	-117.2039042	San Bernardino County
224790	Fee-for-Service	1760534713	1760534713	1	3	NORTHBAY HEALTHCARE GROUP	6/3/2022	282N00000X	NA	Hospitals	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ONAL HEALTH - VV	1679 E MONTE VISTA AVE	STE. 140	VACAVILLE	CA	95688	3122	48	06095	38.36981273	-121.9599958	Solano County
224824	Fee-for-Service	1740360916	1740360916	1	1	NGUYEN, THANH H MD	5/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	60565	30	Radiology	0	In state provider	None	101 CITY DR S	BLDG 1	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
224840	Fee-for-Service	1942318852	1942318852	1	1	NATIONS, JOHN K MD	9/29/1986	207P00000X	NA	Other	026	PHYSICIANS	42247	30	Radiology	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
224913	Fee-for-Service	1861845042	1861845042	1	1	NEVAREZ, HANNAH	3/4/2025	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25050 AVENUE KEARNY	SUITE 203	VALENCIA	CA	91355	1255	19	06037	34.43517857	-118.5722781	Los Angeles County
224984	Fee-for-Service	1356307581	1356307581	1	1	NEBRASKA HEALTH SYSTEM	1/1/1998	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	DEWEY @ 42ND	None	OMAHA	NE	68198	0001	00	None	41.255982	-95.975748	Douglas County
225046	Fee-for-Service	1043585870	1043585870	1	1	NGUYEN, KRISTEN T MD	5/23/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12696	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
225065	Fee-for-Service	1639676661	1639676661	1	1	NEW ERA CONGREGATE LIVING	10/20/2020	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	FACILITY LLC	1180 SEA LAVENDER LN	None	BEAUMONT	CA	92223	8469	33	06065	33.94020357	-116.9601072	Riverside County
225129	Fee-for-Service	1942318852	1942318852	1	1	NATIONS, JOHN K MD	9/29/1986	207P00000X	NA	Other	026	PHYSICIANS	42247	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
225191	Fee-for-Service	1487917530	1487917530	1	1	NAIDS, STEVEN M MD	4/30/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	140985	18	Ophthalmology	0	In state provider	None	2080 CENTURY PARK E	STE 911	LOS ANGELES	CA	90067	2012	19	06037	34.05887194	-118.4122914	Los Angeles County
225204	Fee-for-Service	1851339519	1851339519	1	1	NORTH VALLEY	5/27/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	CARDIOTHORACIC SURGEONS	1430 ESPLANADE	STE 10	CHICO	CA	95926	3366	04	06007	39.74156774	-121.8480966	Butte County
225224	Fee-for-Service	1750644142	1750644142	1	1	NEVIN, JOHN J MD	3/6/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	161910	40	Pediatrics	0	In state provider	None	555 TECHEVAH DRIVE	None	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
225271	Fee-for-Service	1356307581	1356307581	1	1	NEBRASKA HEALTH SYSTEM	3/1/2003	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	DEWEY @ 42ND	None	OMAHA	NE	68198	0001	00	None	41.255982	-95.975748	Douglas County
225308	Fee-for-Service	1033598065	1033598065	1	1	NANOVIBRONIX, INC	4/21/2021	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	977 PRUITT PL	None	TYLER	TX	75703	1153	00	None	32.30165951	-95.31306469	Smith County
225315	Fee-for-Service	1689612897	1689612897	1	1	NCHO, ASONGU J MD	2/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145428	41	Internal Medicine	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
225391	Fee-for-Service	1720031388	1720031388	1	1	NOVAK, ADAM J MD	10/31/1991	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	44835	None	None	0	In state provider	None	9625 MONTE VISTA AVE	STE 108	MONTCLAIR	CA	91763	2200	36	06071	34.08006762	-117.6982272	San Bernardino County
225419	Fee-for-Service	1255346623	1255346623	1	1	NAKELCHIK, MARIA MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	73689	41	Internal Medicine	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
225459	Fee-for-Service	1427476233	1427476233	1	1	NGUYEN, ALEXANDER L MD	7/8/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	138402	10	Gastroenterology (M.D. only)	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
225473	Fee-for-Service	1841461621	1841461621	1	1	NAGEL, EDWARD N MD	9/1/2011	2085P0229X	NA	Other	026	PHYSICIANS	117216	30	Radiology	0	In state provider	None	1504 N WISHON	None	FRESNO	CA	93728	1827	10	06019	36.763497	-119.8010405	Fresno County
225492	Fee-for-Service	1851339519	1851339519	1	1	NORTH VALLEY	5/27/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	CARDIOTHORACIC SURGEONS	1430 ESPLANADE	STE 10	CHICO	CA	95926	3366	04	06007	39.74156774	-121.8480966	Butte County
225501	Fee-for-Service	1710518881	1710518881	1	2	NICETO LOPEZ, M.D., A.P.C.	9/14/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	947 3RD ST	None	SANTA MONICA	CA	90403	2599	19	06037	34.0213209	-118.5027155	Los Angeles County
225506	Fee-for-Service	1255717302	1255717302	1	1	NAVARRO, AMY L	8/29/2016	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3045	33	06065	33.904782	-117.469323	Riverside County
225548	Fee-for-Service	1750932141	1750932141	1	1	NGUYEN, HUYNH NGOC TU NP	3/6/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9041 MAGNOLIA AVE	SUITE 302	RIVERSIDE	CA	92503	3900	33	06065	33.92541585	-117.4378266	Riverside County
225575	Fee-for-Service	1760807655	1760807655	1	1	NOCERA, ERICA LMFT	10/3/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	307 S. B ST.	None	SAN MATEO	CA	94401	4053	41	06081	37.56539871	-122.3222584	San Mateo County
225673	Fee-for-Service	1457699720	1457699720	1	1	NOBLES, SHANNON K LMFT	6/16/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	201 E ORANGEBURG AVE	SUITE F	MODESTO	CA	95350	5355	50	06099	37.66368555	-120.9906419	Stanislaus County
225702	Fee-for-Service	1245608942	1245608942	1	1	NEW LIFE ACU,INC.	3/11/2017	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	2560 W OLYMPIC BLVD #201	None	LOS ANGELES	CA	90006	2998	19	06037	34.05240349	-118.2868875	Los Angeles County
225710	Fee-for-Service	1467563791	1467563791	1	1	NORTH COUNTY TRAUMA ASSOCIAT	2/17/2023	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ES, INC. A MEDICAL GROUP	838 NORDAHL RD	SUITE 270	SAN MARCOS	CA	92069	3513	37	06073	33.13569751	-117.1191477	San Diego County
225731	Fee-for-Service	1649369968	1649369968	1	1	NGUYEN, TUAN N LMFT	11/15/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	40205	-	NOT APPLICABLE	0	In state provider	None	14140 BEACH BLVD	STE 120, 155, 200	WESTMINSTER	CA	92683	4453	30	06059	33.756966	-117.9894915	Orange County
225745	Fee-for-Service	1336150051	1336150051	1	2	NORTHEASTERN RURAL HLTH	5/19/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	209 BIRCH STREET	None	WESTWOOD	CA	96137	0000	18	06035	40.30154086	-121.001876	Lassen County
225752	Fee-for-Service	1841745296	1841745296	1	1	NORDMEYER, RUSS LMFT	7/5/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1201 FILLMORE ST	None	SAN FRANCISCO	CA	94115	4110	38	06075	37.78096742	-122.4322568	San Francisco County
225758	Fee-for-Service	1629154760	1629154760	1	1	NYACHOTO, RUJEKO P MD	1/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	95862	41	Internal Medicine	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
225848	Fee-for-Service	1679614648	1679614648	1	1	NASIR, MUHAMMAD R MD	3/31/1989	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	44253	08	Family Practice	0	In state provider	PASADENA PRIMARY CARE	1403 N FAIR OAKS AVE	STE 2	PASADENA	CA	91103	1858	19	06037	34.16990886	-118.1507201	Los Angeles County
225864	Fee-for-Service	1922353382	1922353382	1	1	NGUYEN, ANNA LMFT	11/7/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	26800 CROWN VALLEY PKWY	STE 305, 315, 325, 330	MISSION VIEJO	CA	92691	8033	30	06059	33.56286021	-117.6673449	Orange County
225890	Fee-for-Service	1295363729	1295363729	1	1	NEMATI REZVANI, HORA MD	8/1/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
225911	Fee-for-Service	1306926571	1306926571	1	1	NGO-METZGER, QUYEN MD	3/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	86625	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
225957	Fee-for-Service	1063953248	1063953248	1	1	NICHOLSON, ALEXANDRA MD	7/25/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	184175	None	None	0	In state provider	None	155 GLEN COVE MARINA RD	STE 100	VALLEJO	CA	94591	7284	48	06095	38.07026311	-122.2123223	Solano County
225962	Fee-for-Service	1649540386	1649540386	1	1	NIELSEN, ERIK M	10/3/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1625 STOCKTON BLVD	None	SACRAMENTO	CA	95816	7097	34	06067	38.56554	-121.4664615	Sacramento County
225973	Fee-for-Service	1346254968	1346254968	1	1	NELSON, MICHAEL C MD	2/28/1986	207R00000X	NA	Other	026	PHYSICIANS	57167	01	General Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
226034	Fee-for-Service	1336150051	1336150051	1	2	NORTHEASTERN RURAL HLTH	4/5/2011	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	209 BIRCH STREET	None	WESTWOOD	CA	96137	0000	18	06035	40.30154086	-121.001876	Lassen County
226043	Fee-for-Service	1346773751	1346773751	1	1	NOCK, RYAN MD	9/25/2023	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	158379	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
226092	Fee-for-Service	1184273864	1184273864	1	1	NATIONAL DOULA NETWORK	5/10/2023	374J00000X	NA	Other	107	DOULA GROUP PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	30	06059	0	0	None
226116	Fee-for-Service	1932425261	1932425261	1	1	NGUYEN, DAN-VINH P MD	4/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	119034	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
226134	Fee-for-Service	1679614648	1679614648	1	1	NASIR, MUHAMMAD R MD	3/31/1989	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	44253	01	General Practice	0	In state provider	PASADENA PRIMARY CARE	1403 N FAIR OAKS AVE	STE 2	PASADENA	CA	91103	1858	19	06037	34.16990886	-118.1507201	Los Angeles County
226156	Fee-for-Service	1174060248	1174060248	1	1	NEWBURY PHARMACY INC	5/22/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	18 ENDEAVOR	SUITE 100	IRVINE	CA	92618	3180	30	06059	33.6675519	-117.7622659	Orange County
226266	Fee-for-Service	1548329162	1548329162	1	1	NISHIMORI, KEVIN K MD	9/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	42556	41	Internal Medicine	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
226420	Fee-for-Service	1831695915	1831695915	1	1	NOORI, MAHBOUB MD	5/20/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	173453	68	Hematology	0	In state provider	None	3581 PALMER DR	STE 400	CAMERON PARK	CA	95682	8277	09	06017	38.66109103	-120.9649544	El Dorado County
226502	Fee-for-Service	1710051214	1710051214	1	1	NG, DANIEL W CA	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	4444 GEARY BLVD	STE 211	SAN FRANCISCO	CA	94118	3013	38	06075	37.78097956	-122.4671792	San Francisco County
226504	Fee-for-Service	1730298407	1730298407	1	1	NUGAS, ALICIA G MD	7/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	34342	08	Family Practice	0	In state provider	None	22408 NORWALK BLVD	None	HAWAIIAN GARDENS	CA	90716	1546	19	06037	33.8252471	-118.0717917	Los Angeles County
226546	Fee-for-Service	1871692558	1871692558	1	1	NGUYEN, MINH T MD	10/4/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	80698	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
226549	Fee-for-Service	1598892622	1598892622	1	3	NAPA VALLEY FAMILY MEDICAL G	12/23/2021	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ROUP, INC	3443 VILLA LANE	SUITE #5	NAPA	CA	94558	6417	28	06055	38.3259594	-122.2945735	Napa County
226555	Fee-for-Service	1548329162	1548329162	1	1	NISHIMORI, KEVIN K MD	9/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	42556	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
226587	Fee-for-Service	1992402259	1992402259	1	1	NJUGUNA, ESTHER WANGUI	9/28/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1749 MOCKINGBIRD ST	None	ROSEVILLE	CA	95747	4924	31	06061	38.756439	-121.3451915	Placer County
226598	Fee-for-Service	1053688119	1053688119	1	1	NOLAN, THERESA M CRNA	9/17/2012	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
226624	Fee-for-Service	1184985236	1184985236	1	1	NGUYEN, UYEN-PHUONG T MD	10/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129185	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
226659	Fee-for-Service	1447754908	1447754908	1	1	NGUYEN, UYEN T MD	11/4/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164026	None	None	0	In state provider	None	10243 GENETIC CENTER DR	None	SAN DIEGO	CA	92121	6310	37	06073	32.90618683	-117.1814064	San Diego County
226705	Fee-for-Service	1184664997	1184664997	1	1	NOURI, KEYVAN J MD	8/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	60677	None	None	0	In state provider	None	122 LA CASA VIA	STE 120	WALNUT CREEK	CA	94598	3019	07	06013	37.91198028	-122.041845	Contra Costa County
226745	Fee-for-Service	1982742011	1982742011	1	1	NOEL, NANCY L PHD	2/18/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	285 E IMPERIAL HWY	206	FULLERTON	CA	92835	1048	30	06059	33.9175113	-117.9293265	Orange County
226775	Fee-for-Service	1619140902	1619140902	1	1	NOBARI, MATTHEW M MD	9/2/2017	207RP1001X	NA	Pulmonology	026	PHYSICIANS	145102	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
226803	Fee-for-Service	1427065994	1427065994	1	1	NEAGU, CHRISTIAN DPM	3/27/2006	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
226834	Fee-for-Service	1205357456	1205357456	1	1	NOURSHAHI, MASOUMEH PSYD	11/28/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
226840	Fee-for-Service	1922183250	1922183250	1	1	NGUYEN, NICOLE MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	70498	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9888 GENESEE AVE	None	LA JOLLA	CA	92037	1205	37	06073	32.8865608	-117.2250386	San Diego County
226873	Fee-for-Service	1992402259	1992402259	1	1	NJUGUNA, ESTHER WANGUI	9/28/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1749 MOCKINGBIRD ST	None	ROSEVILLE	CA	95747	4924	31	06061	38.756439	-121.3451915	Placer County
226920	Fee-for-Service	1336440908	1336440908	1	1	NOH, SUNGRYONG MD	9/8/2023	207R00000X	NA	Other	026	PHYSICIANS	185737	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
226984	Fee-for-Service	1427292671	1427292671	1	1	NEURO SPINE AND HEADACHE	1/28/2011	2084N0400X	NA	Neurology	026	PHYSICIANS	101939	None	None	0	In state provider	PAIN MANAGEMENT CENTER	81880 DR CARREON BLVD	STE C202	INDIO	CA	92201	5587	33	06065	33.70742953	-116.23572	Riverside County
227054	Fee-for-Service	1447606694	1447606694	1	1	NISSIM, ORIEL A MD	7/18/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	177711	None	None	0	In state provider	None	315 E ROUTE 66	None	GLENDORA	CA	91740	6244	19	06037	34.1288429	-117.8607244	Los Angeles County
227084	Fee-for-Service	1073561031	1073561031	1	1	NAUTH-OTELLO, NALINI C MD	3/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	68237	40	Pediatrics	0	In state provider	None	27303 SLEEPY HOLLOW AVE	None	HAYWARD	CA	94545	4203	01	06001	37.63208871	-122.0939191	Alameda County
227094	Fee-for-Service	1174754600	1174754600	1	1	NORTH EAST MED SRVCS	4/1/2010	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1505	38	06075	37.72907852	-122.4042585	San Francisco County
227130	Fee-for-Service	1932550365	1932550365	1	1	NEFFSON, EMILEE LCSW	5/2/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5755 COTTLE RD	None	SAN JOSE	CA	95123	3640	43	06085	37.246896	-121.8040865	Santa Clara County
227142	Fee-for-Service	1265596621	1265596621	1	1	NGUYEN, TRACY T OD	10/1/2002	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	R OF OPTOMETRY	345 F ST	STE 240	CHULA VISTA	CA	91910	2634	37	06073	32.64088085	-117.081699	San Diego County
227178	Fee-for-Service	1417183203	1417183203	1	1	NIEN, HANNAH C MD	9/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131459	None	None	0	In state provider	None	44725 TENTH ST W	STE 150	LANCASTER	CA	93534	3000	19	06037	34.695693	-118.1480965	Los Angeles County
227218	Fee-for-Service	1104022672	1104022672	1	1	NAKAMURA, MELANIE A MD	9/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107557	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
227236	Fee-for-Service	1366629958	1366629958	1	1	NGUYEN, PATRICIA K P MD	9/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	66152	41	Internal Medicine	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
227253	Fee-for-Service	1972608438	1972608438	1	1	NORCROSS, GWENNE N DO	4/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	9825	08	Family Practice	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
227283	Fee-for-Service	1508800202	1508800202	1	1	NGUYEN, NGUYEN D MD	4/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85423	41	Internal Medicine	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
227340	Fee-for-Service	1174728091	1174728091	1	1	NIJMEH, JESSICA R MD	11/27/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93111	41	Internal Medicine	0	In state provider	None	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
227353	Fee-for-Service	1386712834	1386712834	1	1	NORTH NATOMAS MEDICAL CENTER	3/1/2000	193400000X	NA	Other	026	PHYSICIANS	70350	41	Internal Medicine	0	In state provider	INC	1924 DEL PASO RD	None	SACRAMENTO	CA	95834	7715	34	06067	38.655036	-121.5049365	Sacramento County
227360	Fee-for-Service	1609953553	1609953553	1	1	NGUYEN, TOM MD	12/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61106	01	General Practice	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
227391	Fee-for-Service	1285705160	1285705160	1	1	NAREZ, MERCEDES MD	3/4/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	70879	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
227422	Fee-for-Service	1093048266	1093048266	1	1	NUNEZ, NICOLE M LCSW	4/7/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	7515 VAN NUYS BLVD	URGENT CARE ROOMS 122,12	VAN NUYS	CA	91405	1949	19	06037	34.207344	-118.4487995	Los Angeles County
227513	Fee-for-Service	1922335603	1922335603	1	1	NGUYEN, HUONG V MD	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113404	41	Internal Medicine	0	In state provider	None	7300 N FRESNO STREET	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
227524	Fee-for-Service	1366629958	1366629958	1	1	NGUYEN, PATRICIA K P MD	9/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	66152	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
227570	Fee-for-Service	1508800202	1508800202	1	1	NGUYEN, NGUYEN D MD	4/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85423	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
227606	Fee-for-Service	1467536128	1467536128	1	1	NOORIAN, BEHZAD MD	3/31/1987	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	38774	41	Internal Medicine	0	In state provider	None	23000 CRENSHAW BLVD	STE 203	TORRANCE	CA	90505	3052	19	06037	33.816762	-118.328024	Los Angeles County
227647	Fee-for-Service	1962705533	1962705533	1	1	NGUYEN, JOAN D MD	11/6/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	115166	40	Pediatrics	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
227649	Fee-for-Service	1003248113	1003248113	1	1	NICOLE ENGLEDOW	6/12/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1221 HIGHLAND AVE	None	CLARKSTON	WA	99403	2829	00	None	46.40360847	-117.054558	Asotin County
227695	Fee-for-Service	1194767830	1194767830	1	1	NAGOSHI, MAKOTO MD	12/29/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83667	05	Anesthesiology	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
227716	Fee-for-Service	1689178568	1689178568	1	1	NGUYEN, JENNY MD	4/24/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	174565	None	None	0	In state provider	None	300 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
227727	Fee-for-Service	1134420144	1134420144	1	1	NOORI, SHILA S MD	6/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	118489	66	Emergency Medicine (Urgent Care)	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
227772	Fee-for-Service	1538297619	1538297619	1	1	NORTH STATE UROLOGY MEDI	10/1/1998	193400000X	NA	Other	026	PHYSICIANS	70868	01	General Practice	0	In state provider	ASSOCIATES, INC	6283 CLARK RD	STE 3	PARADISE	CA	95969	4100	04	06007	39.7674117	-121.6005321	Butte County
227777	Fee-for-Service	1558347278	1558347278	1	1	NAFICY, SEPEHRE MD	11/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	90960	02	General Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
227781	Fee-for-Service	1104123892	1104123892	1	2	NASR, HANY MD INC	8/31/2015	208VP0014X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	201 E NOBLE AVE	None	VISALIA	CA	93277	2857	54	06107	36.326259	-119.2909725	Tulare County
227811	Fee-for-Service	1679740047	1679740047	1	1	NG, MUN-WAH MD	8/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	102446	40	Pediatrics	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
227814	Fee-for-Service	1114426327	1114426327	1	1	NGUYEN-SHARMA, UYEN P NP	2/9/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
227836	Fee-for-Service	1346386893	1346386893	1	1	NORDGREN, JULIA R MD	10/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137012	40	Pediatrics	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
227919	Fee-for-Service	1588742399	1588742399	1	1	NIKAS, ERMIS DO	9/8/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8662	34	Urology and Urological Surgery	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
228003	Fee-for-Service	1629262183	1629262183	1	1	NASSIF, NADER A MD	5/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125009	78	Neoplastic Diseases/Oncology	0	In state provider	None	22 CORPORATE PLAZA DRIVE	None	NEWPORT BEACH	CA	92660	7985	30	06059	33.607602	-117.876852	Orange County
228059	Fee-for-Service	1538297619	1538297619	1	1	NORTH STATE UROLOGY MEDI	10/1/1998	193400000X	NA	Other	026	PHYSICIANS	70868	34	Urology and Urological Surgery	0	In state provider	ASSOCIATES, INC	6283 CLARK RD	STE 3	PARADISE	CA	95969	4100	04	06007	39.7674117	-121.6005321	Butte County
228064	Fee-for-Service	1558347278	1558347278	1	1	NAFICY, SEPEHRE MD	11/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	90960	33	Thoracic Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
228068	Fee-for-Service	1578040317	1578040317	1	1	NAGIREDDI, LAKSHMI SATYA DO	12/3/2024	207K00000X	NA	Other	026	PHYSICIANS	22788	03	Allergy	0	In state provider	None	3400 DOUGLAS BLVD	STE 225	ROSEVILLE	CA	95661	4283	31	06061	38.74390969	-121.2319271	Placer County
228108	Fee-for-Service	1760403125	1760403125	1	1	NORCAL URGENT CARE, INC	6/30/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MAIN STREET URGENT CARE	1040 N MAIN ST	None	MANTECA	CA	95336	3745	39	06077	37.81164418	-121.216958	San Joaquin County
228192	Fee-for-Service	1780782961	1780782961	1	1	NADEL, DEBORAH A PT	11/7/2018	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3525 LOMA VISTA RD	STE A	VENTURA	CA	93003	3101	56	06111	34.27680789	-119.2480851	Ventura County
228227	Fee-for-Service	1487040051	1487040051	1	1	NOKES, BRANDON T MD	11/24/2021	207RP1001X	NA	Pulmonology	026	PHYSICIANS	155580	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
228245	Fee-for-Service	1114123536	1114123536	2	1	NEAL, BARBARA D LMFT	2/17/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	NAL COUNSELING	4344 LATHAM ST	110	RIVERSIDE	CA	92501	0400	33	06065	34.00198519	-117.3739252	Riverside County
228253	Fee-for-Service	1871606863	1871606863	1	1	NATIONWIDE HOME MEDICAL	6/19/2015	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SUPPLY, INC.	6605 NANCY RIDGE DRIVE	None	SAN DIEGO	CA	92121	2253	37	06073	32.88682438	-117.1796133	San Diego County
228278	Fee-for-Service	1952418378	1952418378	1	2	NORTH BAY EYE ASSOCIATES A	2/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	380 TESCONI CT	None	SANTA ROSA	CA	95401	4653	49	06097	38.447631	-122.7345885	Sonoma County
228290	Fee-for-Service	1629262183	1629262183	1	1	NASSIF, NADER A MD	5/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125009	20	Orthopedic Surgery	0	In state provider	None	22 CORPORATE PLAZA DRIVE	None	NEWPORT BEACH	CA	92660	7985	30	06059	33.607602	-117.876852	Orange County
228299	Fee-for-Service	1376802843	1376802843	1	1	NOOR, ZORAWAR S MD	6/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129275	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
228344	Fee-for-Service	1447500996	1447500996	1	1	NANZER, ERIN R	11/9/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1201 ALHAMBRA BLVD	STE 200	SACRAMENTO	CA	95816	5241	34	06067	38.570076	-121.4657145	Sacramento County
228412	Fee-for-Service	1598241010	1598241010	1	1	NICHOLAS, BERNARD MD	8/11/2020	208M00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2825 E BARNETT RD	None	MEDFORD	OR	97504	8332	00	None	42.31650147	-122.8306005	Jackson County
228473	Fee-for-Service	1316010366	1316010366	1	1	NISHIO, MIDORI J MD	3/5/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	50284	83	Rheumatology	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
228502	Fee-for-Service	1760632616	1760632616	1	1	NGUYEN, AUSTIN V DO	5/31/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	9967	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
228533	Fee-for-Service	1255607727	1255607727	1	1	NGUYEN, BAOTRAM H MD	7/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120787	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	20101 LAKE CHABOT ROAD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.69819004	-122.0873124	Alameda County
228576	Fee-for-Service	1073808879	1073808879	1	1	NGUYEN, TIN T MD	6/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122717	08	Family Practice	0	In state provider	None	2020 SUTTER PLACE	SUITE 101	DAVIS	CA	95616	6217	57	06113	38.56287659	-121.7715536	Yolo County
228588	Fee-for-Service	1265564553	1265564553	1	1	NAFICY, MAJID M MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	70878	36	Psychiatry	0	In state provider	None	5550 UNIVERSITY AVE	None	SAN DIEGO	CA	92105	2307	37	06073	32.74809744	-117.0773303	San Diego County
228613	Fee-for-Service	1932349909	1932349909	1	1	NAVAMANI, DEVI DO	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	10671	41	Internal Medicine	0	In state provider	None	8765 AERO DR	#130	SAN DIEGO	CA	92123	1767	37	06073	32.80965252	-117.139383	San Diego County
228714	Fee-for-Service	1295032183	1295032183	1	1	NAIR, VARSHA MD	11/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126877	41	Internal Medicine	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
228731	Fee-for-Service	1104123892	1104123892	1	3	NASR, HANY MD INC	4/4/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	76 N D STREET	STE A	PORTERVILLE	CA	93257	3624	54	06107	36.066658	-119.0184186	Tulare County
228734	Fee-for-Service	1255874152	1255874152	1	1	NOURISH HOME HEALTH SERVICES	2/16/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	14545 FRIAR ST	#208	VAN NUYS	CA	91411	2397	19	06037	34.18570347	-118.450386	Los Angeles County
228772	Fee-for-Service	1730644972	1730644972	1	1	NICHOLS, RICHELLE LMFT	2/23/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1228 N SCREENLAND DR	None	BURBANK	CA	91505	2244	19	06037	34.17211046	-118.3502056	Los Angeles County
228795	Fee-for-Service	1821382052	1821382052	1	1	NOEL, NICOLE M MD	10/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	130423	66	Emergency Medicine (Urgent Care)	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
228849	Fee-for-Service	1063707958	1063707958	1	1	NAGASAKA, MISAKO MD	8/18/2021	207RH0003X	NA	Oncology	026	PHYSICIANS	174243	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
228851	Fee-for-Service	1417029240	1417029240	1	1	NEFKENS, JULIE M MD	5/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	71955	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
228864	Fee-for-Service	1073808879	1073808879	1	1	NGUYEN, TIN T MD	6/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122717	01	General Practice	0	In state provider	None	2020 SUTTER PLACE	SUITE 101	DAVIS	CA	95616	6217	57	06113	38.56287659	-121.7715536	Yolo County
228926	Fee-for-Service	1356427157	1356427157	1	1	NEFF, MARGARET JANE MD	10/19/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	80330	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
228990	Fee-for-Service	1851978787	1851978787	1	1	NGUYEN, VY	10/30/2024	207R00000X	NA	Other	026	PHYSICIANS	192001	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
229035	Fee-for-Service	1043208457	1043208457	1	1	NORTHERN CAL HEMATOLOGY	6/20/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	AND ONCOLOGY CONS INC	2855 TELEGRAPH AVE	STE 100	BERKELEY	CA	94705	1149	01	06001	37.85824203	-122.2593624	Alameda County
229097	Fee-for-Service	1194750984	1194750984	1	1	NAVAB, PEDRAM DO	7/7/2017	2084N0400X	NA	Neurology	026	PHYSICIANS	9241	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	1180 N INDIAN CANYON DR	SUITE 200	PALM SPRINGS	CA	92262	4800	33	06065	33.839505	-116.5455735	Riverside County
229162	Fee-for-Service	1760534713	1760534713	1	4	NORTHBAY HEALTHCARE GROUP	6/3/2022	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1010 NUT TREE RD	SUITE 200	VACAVILLE	CA	95687	4172	48	06095	38.35458369	-121.9530637	Solano County
229233	Fee-for-Service	1801920806	1801920806	1	1	NAIK, TEJ K MD	9/23/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	88604	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVENUE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
229255	Fee-for-Service	1942457908	1942457908	1	1	NEBHWANI, NETTU V MD	2/1/2018	207R00000X	NA	Other	026	PHYSICIANS	142075	41	Internal Medicine	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
229316	Fee-for-Service	1619044567	1619044567	1	1	NEKOUI, SIMA A MD	10/1/1998	2084N0400X	NA	Neurology	026	PHYSICIANS	62607	13	Neurology (M.D. only)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
229322	Fee-for-Service	1043208457	1043208457	1	1	NORTHERN CAL HEMATOLOGY	6/20/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	AND ONCOLOGY CONS INC	2855 TELEGRAPH AVE	STE 100	BERKELEY	CA	94705	1149	01	06001	37.85824203	-122.2593624	Alameda County
229352	Fee-for-Service	1467775551	1467775551	1	1	NAHID ESKANDARI MD INC	9/24/2015	193400000X	NA	Other	026	PHYSICIANS	102766	None	None	0	In state provider	None	17822 BEACH BLVD	SUITE 442	HUNTINGTON BEACH	CA	92647	7509	30	06059	33.70331388	-117.9890471	Orange County
229385	Fee-for-Service	1194750984	1194750984	1	1	NAVAB, PEDRAM DO	7/7/2017	2084N0400X	NA	Neurology	026	PHYSICIANS	9241	13	Neurology (M.D. only)	0	In state provider	None	1180 N INDIAN CANYON DR	SUITE 200	PALM SPRINGS	CA	92262	4800	33	06065	33.839505	-116.5455735	Riverside County
229394	Fee-for-Service	1902839772	1902839772	1	1	NEELEY, CELESTE CRNA	6/5/2013	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	10 WOODLAND RD	None	SAINT HELENA	CA	94574	9554	28	06055	38.54196972	-122.4751787	Napa County
229401	Fee-for-Service	1235334038	1235334038	1	1	NOEL, JERRY DO	12/4/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	11861	14	Neurological Surgery	0	In state provider	None	400 N PEPPER AVE	MOB SUITE 308	COLTON	CA	92324	0000	36	06071	34.073505	-117.3505995	San Bernardino County
229435	Fee-for-Service	1386222669	1386222669	1	1	NWANERI NWOSU, TOCHI J MD	6/30/2024	207R00000X	NA	Other	026	PHYSICIANS	192023	41	Internal Medicine	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
229451	Fee-for-Service	1760534713	1760534713	1	4	NORTHBAY HEALTHCARE GROUP	9/16/2022	207X00000X	NA	Orthopedic Surgery	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1010 NUT TREE RD	SUITE 200	VACAVILLE	CA	95687	4172	48	06095	38.35458369	-121.9530637	Solano County
229478	Fee-for-Service	1952797870	1952797870	1	1	NAMDARAN, PARHUM MD	12/14/2023	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	143762	None	None	0	In state provider	None	1430 ESPLANADE	6	CHICO	CA	95926	3366	04	06007	39.74156774	-121.8480966	Butte County
229501	Fee-for-Service	1356676803	1356676803	1	1	NEWMAN, JOHN C MD	12/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110912	38	Geriatrics	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
229542	Fee-for-Service	1235651860	1235651860	1	1	NEILSEN, TROELS H MD	8/4/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
229563	Fee-for-Service	1417179169	1417179169	1	1	NATURAL BIRTH CENTER &	3/12/2009	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	WOMENS WELLNESS RN CMN N	9209 S COLIMA ROAD	STE 4100	WHITTIER	CA	90605	1826	19	06037	33.9505367	-118.0054552	Los Angeles County
229583	Fee-for-Service	1396725552	1396725552	1	1	NITI V PERUVEMBA DO INC	10/28/2011	207R00000X	NA	Other	026	PHYSICIANS	8826	None	None	0	In state provider	None	375 E ROLLING OAKS DR	STE 115	THOUSAND OAKS	CA	91361	1023	56	06111	34.17433197	-118.8706258	Ventura County
229626	Fee-for-Service	1073976874	1073976874	1	1	NAHABET, EDWARD H MD	3/24/2022	2086S0122X	NA	General Surgery	026	PHYSICIANS	154037	None	None	0	In state provider	None	200 MEDICAL PLAZA	SUITE 420	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
229697	Fee-for-Service	1407296783	1407296783	1	1	NELSON, GRANT E MD	7/1/2017	207P00000X	NA	Other	026	PHYSICIANS	149143	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
229718	Fee-for-Service	1134214406	1134214406	1	1	NIXON, SAMUEL C MD	7/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87094	41	Internal Medicine	0	In state provider	None	1801 W ROMNEYA DR	STE 409	ANAHEIM	CA	92801	1827	30	06059	33.8506615	-117.946413	Orange County
229787	Fee-for-Service	1356676803	1356676803	1	1	NEWMAN, JOHN C MD	12/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110912	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
229906	Fee-for-Service	1093234890	1093234890	1	1	NAKAWATASE, JODI N	2/16/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
229964	Fee-for-Service	1487697843	1487697843	1	1	NGUYEN, VAN MD	7/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76873	None	None	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
230022	Fee-for-Service	1396048666	1396048666	1	1	NIAZI, SULTAN S DO	9/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	12281	41	Internal Medicine	0	In state provider	None	600 COFFEE ROAD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
230031	Fee-for-Service	1639306392	1639306392	1	1	NISIM, ABRAHAM A MD	5/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	96433	28	Proctology (colon and rectal)	0	In state provider	None	101 THE CITH DRIVE SOUTH	None	ORANGE	CA	92968	3298	30	06059	33.78674051	-117.8888713	Orange County
230174	Fee-for-Service	1467683136	1467683136	1	1	NEJAD, AMIR H MD	5/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114661	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
230181	Fee-for-Service	1871891002	1871891002	1	1	NIGHTSHADE HOLDINGS LLC	6/7/2011	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1162 S DORA STREET	None	UKIAH	CA	95482	6340	23	06045	39.13520141	-123.2094769	Mendocino County
230188	Fee-for-Service	1174075121	1174075121	1	1	NEWSOME, KATHERINE P LMFT	8/5/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	120398	-	NOT APPLICABLE	0	In state provider	None	2180 JOHNSON AVE	1ST FLOOR	SAN LUIS OBISPO	CA	93401	4513	40	06079	35.27488974	-120.6468257	San Luis Obispo County
230198	Fee-for-Service	1538137245	1538137245	1	1	NELSEN, LISA K MD	1/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	62910	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2 MEDICAL PLAZA DR	STE 205	ROSEVILLE	CA	95661	3044	31	06061	38.76507948	-121.2477476	Placer County
230237	Fee-for-Service	1154641421	1154641421	1	1	NOVERO, AILEEN Z MD	6/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	110230	78	Neoplastic Diseases/Oncology	0	In state provider	None	11480 BROOKSHIRE AVE	STE 309	DOWNEY	CA	90241	5025	19	06037	33.93622932	-118.1311752	Los Angeles County
230358	Fee-for-Service	1881656262	1881656262	1	1	NADERSHAHI,ARASH MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1035 116TH AVE NE	None	BELLEVUE	WA	98004	4604	00	None	47.620296	-122.1856955	King County
230497	Fee-for-Service	1477986628	1477986628	1	1	NAT, GERARD MD INC	12/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	58203	None	None	0	In state provider	None	10800 PARAMOUNT BLVD	SUITE 301	DOWNEY	CA	90241	3324	19	06037	33.94604301	-118.1354831	Los Angeles County
230498	Fee-for-Service	1588734743	1588734743	1	1	NAQVI, FARZANA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	51163	41	Internal Medicine	0	In state provider	None	1919 N FAIRVIEW STREET	SUITE 300	SANTA ANA	CA	92706	2245	30	06059	33.76258416	-117.9028357	Orange County
230502	Fee-for-Service	1639211683	1639211683	1	1	NORMAN, KIM PETER MD	2/1/2001	2084P0800X	NA	Psychiatry	026	PHYSICIANS	38100	36	Psychiatry	0	In state provider	None	2511 SAN PABLO AVE	None	OAKLAND	CA	94612	1121	01	06001	37.81587654	-122.2751348	Alameda County
230525	Fee-for-Service	1154641421	1154641421	1	1	NOVERO, AILEEN Z MD	6/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	110230	68	Hematology	0	In state provider	None	11480 BROOKSHIRE AVE	STE 309	DOWNEY	CA	90241	5025	19	06037	33.93622932	-118.1311752	Los Angeles County
230538	Fee-for-Service	1760534713	1760534713	1	5	NORTHBAY HEALTHCARE GROUP	6/6/2022	163WG0100X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1010 NUT TREE RD	SUITE 100B	VACAVILLE	CA	95687	4172	48	06095	38.35458369	-121.9530637	Solano County
230638	Fee-for-Service	1053872044	1053872044	1	1	NEASI, ERIC MD	8/4/2023	207P00000X	NA	Other	026	PHYSICIANS	185432	None	None	0	In state provider	None	1100 LAS TABLAS RD	None	TEMPLETON	CA	93465	9704	40	06079	35.55442648	-120.719754	San Luis Obispo County
230651	Fee-for-Service	1366536252	1366536252	1	1	NGUYEN, THANHAN V. DO	12/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	9022	41	Internal Medicine	0	In state provider	None	3200 KEARNEY STREET	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
230663	Fee-for-Service	1265886683	1265886683	1	1	NGUYEN, STEVEN V MD	7/25/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	176846	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
230676	Fee-for-Service	1417082025	1417082025	1	1	NEW HOPE DRUG & ALCOHOL TREA	8/26/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1841, 1841 1/2 & 1837 W	None	LOS ANGELES	CA	90047	5021	19	06037	34.0999366	-117.7760573	Los Angeles
230699	Fee-for-Service	1245670249	1245670249	1	1	NGO, ANDREW H OD	9/22/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	43112 N 15TH WEST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
230727	Fee-for-Service	1538247200	1538247200	1	1	NAGY, MARINA J MD	1/31/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	72339	34	Urology and Urological Surgery	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
230730	Fee-for-Service	1346793296	1346793296	1	1	NUNEZ, AMY M CCC-SLP	9/15/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	71843 HIGHWAY 111 UNDEFI	STE D	RANCHO MIRAGE	CA	92270	4418	33	06065	33.73976655	-116.4111428	Riverside County
230784	Fee-for-Service	1588734743	1588734743	1	1	NAQVI, FARZANA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	51163	67	Endocrinology	0	In state provider	None	1919 N FAIRVIEW STREET	SUITE 300	SANTA ANA	CA	92706	2245	30	06059	33.76258416	-117.9028357	Orange County
230785	Fee-for-Service	1962587915	1962587915	1	1	NGUYEN, LINH D CA	2/8/2015	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	SPEED HEALING CENTER	500 E CALAVERAS BLVD	SUITE 120	MILPITAS	CA	95035	2725	43	06085	37.43274015	-121.8967534	Santa Clara County
230827	Fee-for-Service	1760534713	1760534713	1	5	NORTHBAY HEALTHCARE GROUP	9/16/2022	163WG0100X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1010 NUT TREE RD	SUITE 100B	VACAVILLE	CA	95687	4172	48	06095	38.35458369	-121.9530637	Solano County
230828	Fee-for-Service	1548792260	1548792260	1	1	NGUYEN, AMY P	4/19/2022	207L00000X	NA	Other	026	PHYSICIANS	160294	None	None	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
230833	Fee-for-Service	1467770495	1467770495	1	1	NEUROLOGICAL ASSOCIATES OF	3/13/2012	2084N0400X	NA	Neurology	026	PHYSICIANS	None	None	None	0	In state provider	BURBANK	2625 W ALAMEDA AVENUE	STE 326	BURBANK	CA	91505	4822	19	06037	34.1577056	-118.329779	Los Angeles County
230877	Fee-for-Service	1851532261	1851532261	1	1	NIMBARGI, JAYSHRI M MD	3/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	112488	41	Internal Medicine	0	In state provider	None	1114 6TH ST	None	MODESTO	CA	95354	2203	50	06099	37.63901905	-121.0057149	Stanislaus County
230939	Fee-for-Service	1366536252	1366536252	1	1	NGUYEN, THANHAN V. DO	12/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	9022	08	Family Practice	0	In state provider	None	3200 KEARNEY STREET	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
230957	Fee-for-Service	1144258211	1144258211	1	1	NASH, SYLVIA R MD	9/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	43319	66	Emergency Medicine (Urgent Care)	0	In state provider	None	800 E WASHINGTON BLVD	None	CRESCENT CITY	CA	95531	8359	08	06015	41.77272521	-124.1940494	Del Norte County
231012	Fee-for-Service	1609982875	1609982875	1	1	NUTI, ELIZABETH G MD	11/4/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	68426	40	Pediatrics	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
231118	Fee-for-Service	1700102316	1700102316	1	1	NAVARRO, MARK A MD	11/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	131128	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
231128	Fee-for-Service	1598910333	1598910333	1	1	NGUYEN, LIEM C MD	7/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102232	05	Anesthesiology	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
231216	Fee-for-Service	1396782298	1396782298	1	1	NARRAMORE, BARBARA H	12/29/1994	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	13121 PHILADELPHIA ST	None	WHITTIER	CA	90601	4302	19	06037	33.97912551	-118.0353645	Los Angeles County
231237	Fee-for-Service	1215085121	1215085121	1	1	NYBERG, LISA M MD	5/31/1993	207RI0008X	NA	Gastroenterology	026	PHYSICIANS	52414	01	General Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
231250	Fee-for-Service	1073919171	1073919171	1	1	NATIVE AMERICAN MENTAL HEALT	7/10/2024	193400000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	SERVICES	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
231268	Fee-for-Service	1649546144	1649546144	2	2	NAMITA MOHIDEEN, M.D INC.	7/24/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	16465 SIERRA LAKES PKWY	SUITE 115	FONTANA	CA	92336	1242	36	06071	34.13805177	-117.4457839	San Bernardino County
231278	Fee-for-Service	1265994818	1265994818	1	1	NWOSU, OGOCHUKWU R NP	7/12/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1001 NUT TREE RD	110	VACAVILLE	CA	95687	4166	48	06095	38.3564252	-121.9532031	Solano County
231282	Fee-for-Service	1437564127	1437564127	1	1	NARIAI, SHIORI MD	7/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145038	40	Pediatrics	0	In state provider	None	3291 LOMA VISTA ROAD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
231291	Fee-for-Service	1437790508	1437790508	1	1	NGUYEN, EILEEN O CRNA	10/8/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
231352	Fee-for-Service	1235162645	1235162645	2	1	NORCAL HEALTHCONNECT LLC	1/1/2021	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	400 N MCDOWELL BLVD	None	PETALUMA	CA	94954	2339	49	06097	38.25477	-122.63175	Sonoma County
231364	Fee-for-Service	1164438172	1164438172	1	1	NGUYEN, KHOA D MD	12/31/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	61182	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
231414	Fee-for-Service	1285088369	1285088369	1	1	NEMBO KOM, JACKIE I NP	5/30/2018	363LA2200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
231433	Fee-for-Service	1669863809	1669863809	1	1	NIZAMOV, MIKHAIL	2/24/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6815 NOBLE AVE	None	VAN NUYS	CA	91405	3796	19	06037	34.19440435	-118.461871	Los Angeles County
231454	Fee-for-Service	1770159121	1770159121	1	1	NAGARAJA RAO, DEEPTI MD	8/27/2024	207R00000X	NA	Other	026	PHYSICIANS	192512	41	Internal Medicine	0	In state provider	None	3200 KEARNEY ST	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
231495	Fee-for-Service	1619325321	1619325321	1	1	NAJMUDDIN, NABEEL M MD	9/27/2019	390200000X	NA	Other	026	PHYSICIANS	158398	41	Internal Medicine	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
231501	Fee-for-Service	1124655626	1124655626	1	1	NGUY, MARY	10/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20835	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
231538	Fee-for-Service	1073919171	1073919171	1	1	NATIVE AMERICAN MENTAL HEALT	10/23/2024	193400000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
231554	Fee-for-Service	1649546144	1649546144	2	2	NAMITA MOHIDEEN, M.D INC.	7/24/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	16465 SIERRA LAKES PKWY	SUITE 115	FONTANA	CA	92336	1242	36	06071	34.13805177	-117.4457839	San Bernardino County
231611	Fee-for-Service	1437413549	1437413549	1	1	NOTLEY, DAVID A MD	7/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3001 ST ROSE PKWY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
231640	Fee-for-Service	1235162645	1235162645	2	1	NORCAL HEALTHCONNECT LLC	1/1/2021	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	400 N MCDOWELL BLVD	None	PETALUMA	CA	94954	2339	49	06097	38.25477	-122.63175	Sonoma County
231701	Fee-for-Service	1710208525	1710208525	1	1	NGUYEN, HAITHUY MD	3/4/2022	2085P0229X	NA	Other	026	PHYSICIANS	175792	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
231716	Fee-for-Service	1356918650	1356918650	1	1	NAKIBUULE, SOPHIA	6/22/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	19827 ARMINTA ST	None	WINNETKA	CA	91306	2339	19	06037	34.2132101	-118.5652614	Los Angeles County
231746	Fee-for-Service	1770159121	1770159121	1	1	NAGARAJA RAO, DEEPTI MD	8/27/2024	207R00000X	NA	Other	026	PHYSICIANS	192512	70	Clinic (mixed specialty)	0	In state provider	None	3200 KEARNEY ST	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
231788	Fee-for-Service	1902062839	1902062839	1	1	NABAR, RUPALI K MD	8/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	98523	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
231825	Fee-for-Service	1073919171	1073919171	1	1	NATIVE AMERICAN MENTAL HEALT	9/26/2024	193400000X	NA	Other	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
231963	Fee-for-Service	1164429445	1164429445	1	1	NALLANI, VIJAYA B MD	1/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	54152	08	Family Practice	0	In state provider	None	3800 DALE RD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
231989	Fee-for-Service	1184042608	1184042608	1	1	NADERI, DIANA MD	7/24/2017	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	140133	08	Family Practice	0	In state provider	None	18406 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.2206967	-118.5342638	Los Angeles County
232005	Fee-for-Service	1356918650	1356918650	1	1	NAKIBUULE, SOPHIA	6/22/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	19827 ARMINTA ST	None	WINNETKA	CA	91306	2339	19	06037	34.2132101	-118.5652614	Los Angeles County
232040	Fee-for-Service	1275202046	1275202046	1	1	NGHIEM, GABRIELLE HAN Q PT	8/14/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	270 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
232041	Fee-for-Service	1326424359	1326424359	1	1	NAVARRO BRAVO, CECILIA LCSW	10/11/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12761 SCHABARUM AVE	None	BALDWIN PARK	CA	91706	6807	19	06037	34.08060971	-117.9958001	Los Angeles County
232042	Fee-for-Service	1427648435	1427648435	1	1	NAGATA, CERAH Y NP	11/29/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
232096	Fee-for-Service	1083021828	1083021828	1	1	NEREPPIL, STEPHANIE M OT	7/18/2022	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3687 MT DIABLO	SUITE 100	LAFAYETTE	CA	94549	3717	07	06013	37.8898926	-122.1304235	Contra Costa County
232115	Fee-for-Service	1073919171	1073919171	1	1	NATIVE AMERICAN MENTAL HEALT	2/3/2025	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
232168	Fee-for-Service	1851523385	1851523385	1	1	NG, MARIE M MD	11/2/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116843	41	Internal Medicine	0	In state provider	None	1301 PINOLE VALLEY RD	None	PINOLE	CA	94564	1384	07	06013	37.9991883	-122.2867117	Contra Costa County
232182	Fee-for-Service	1174567796	1174567796	1	1	NICHOLS-LOCKWOOD, SHANTE D	2/26/2013	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	320 LENNON LANE	None	WALNUT CREEK	CA	94598	2419	07	06013	37.92699561	-122.0292732	Contra Costa County
232269	Fee-for-Service	1205049277	1205049277	1	1	NGUYEN, MICHELLE M MD	7/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	91267	30	Radiology	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
232352	Fee-for-Service	1265608640	1265608640	1	1	NELSON, TIFFANY E	1/28/2011	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	936 E GREEN STREET	SUITE 110	PASADENA	CA	91106	2900	19	06037	34.1445165	-118.131048	Los Angeles County
232402	Fee-for-Service	1073919171	1073919171	1	1	NATIVE AMERICAN MENTAL HEALT	7/10/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	27	Psychiatry Neurology (D.O. only)	0	In state provider	SERVICES	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
232472	Fee-for-Service	1073029542	1073029542	1	1	NICKERSON, HEATHER LMFT	2/26/2025	106S00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
232502	Fee-for-Service	1689841322	1689841322	1	1	NG, THEODORE C MD	9/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97477	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
232519	Fee-for-Service	1891061222	1891061222	1	1	NEWMAN, JULIA B MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129232	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4501 SAND CREEK RD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
232520	Fee-for-Service	1578634457	1578634457	1	1	NGUYEN, TRIEU H MD	1/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	70864	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
232561	Fee-for-Service	1326273665	1326273665	1	1	NERKAR, HRISHIKESH S MD	7/23/2018	208600000X	NA	General Surgery	026	PHYSICIANS	145738	02	General Surgery	0	In state provider	None	1409 E BRIGGSMORE AVE	None	MODESTO	CA	95355	2707	50	06099	37.66742737	-120.9731413	Stanislaus County
232618	Fee-for-Service	1871594036	1871594036	1	1	NGUYEN, HUNG-ANH B MD	9/20/2018	207R00000X	NA	Other	026	PHYSICIANS	96119	41	Internal Medicine	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
232628	Fee-for-Service	1881986248	1881986248	1	1	NADERI, NASSIM MD	10/1/2023	2084N0600X	NA	Neurology	026	PHYSICIANS	127540	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
232654	Fee-for-Service	1972992378	1972992378	1	1	NAVI, JAUNTY LMFT	6/28/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5800 HANNUM AVE	105	CULVER CITY	CA	90230	6553	19	06037	33.98724995	-118.3858338	Los Angeles County
232662	Fee-for-Service	1518923572	1518923572	1	1	NGUYEN, KELVIN H OD	3/19/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3807 FAIRMOUNT AVE	STE 200	SAN DIEGO	CA	92105	2659	37	06073	32.74810088	-117.1008928	San Diego County
232676	Fee-for-Service	1447676663	1447676663	1	1	NY QUANTUM CORPORATION	4/23/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	589 WEST TENNYSON ROAD	None	HAYWARD	CA	94544	5233	01	06001	37.63249764	-122.0675386	Alameda County
232687	Fee-for-Service	1215915012	1215915012	1	1	NEWMAN, JACK N MD FACC	4/14/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2820 N ONTARIO ST	None	BURBANK	CA	91504	2015	19	06037	34.20335077	-118.3443845	Los Angeles County
232690	Fee-for-Service	1073919171	1073919171	1	1	NATIVE AMERICAN MENTAL HEALT	7/10/2024	193400000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1742 OREGON STREET	None	REDDING	CA	96001	1717	45	06089	40.5808265	-122.3932989	Shasta County
232770	Fee-for-Service	1871529339	1871529339	1	1	NAKAMURA, KEN MD	5/4/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	82564	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
232779	Fee-for-Service	1851448112	1851448112	1	1	NEWHIDE, SUHA R MD	6/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	61570	40	Pediatrics	0	In state provider	None	1798 N GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
232803	Fee-for-Service	1073060711	1073060711	1	1	NDUBAKU, UGO NP	11/22/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8110 WOODMAN AVE	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21850103	-118.4310944	Los Angeles County
232807	Fee-for-Service	1346331196	1346331196	1	1	NOH, HEESUCK M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	1	Border provider	None	590 EUREKA AVE	None	RENO	NV	89512	3425	00	None	39.53407902	-119.8048858	Washoe County
232813	Fee-for-Service	1275013138	1275013138	1	1	NGUYEN, DARRYL LMFT	8/23/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3711 LONG BEACH BLVD	601	LONG BEACH	CA	90807	3315	19	06037	33.824583	-118.1893785	Los Angeles County
232846	Fee-for-Service	1710518881	1710518881	1	4	NICETO LOPEZ, M.D., A.P.C.	9/14/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1323 17TH ST	None	SANTA MONICA	CA	90404	1901	19	06037	34.02721763	-118.4838152	Los Angeles County
232911	Fee-for-Service	1538702352	1538702352	1	1	NICHOLSON, STUART A MD	6/1/2020	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
233049	Fee-for-Service	1548207327	1548207327	1	1	NEEL MADAN M.D.	1/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	800 WASHINGTON ST	None	BOSTON	MA	02111	1552	00	None	42.349662	-71.063514	Suffolk County
233111	Fee-for-Service	1578159224	1578159224	1	1	NGOTHO, REGINA W	10/7/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1329 ALBERTON CIR	None	LINCOLN	CA	95648	3214	31	06061	38.86591684	-121.3077789	Placer County
233123	Fee-for-Service	1134976525	1134976525	1	1	NOWOSAD, SARAH	6/27/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
233218	Fee-for-Service	1316207236	1316207236	1	1	NGUYEN, THAN	11/19/2018	207R00000X	NA	Other	026	PHYSICIANS	15824	41	Internal Medicine	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
233240	Fee-for-Service	1447579339	1447579339	1	1	NEW BEGINNINGS COUNSELING CE	7/27/2021	101Y00000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	NTERS, INC., A MARRIAGE	1370 RIDGEWOOD DRIVE	9	CHICO	CA	95973	7803	04	06007	39.77435386	-121.8407227	Butte County
233253	Fee-for-Service	1417323734	1417323734	1	1	NGUYEN, VAN K NP	11/28/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
233400	Fee-for-Service	1578159224	1578159224	1	1	NGOTHO, REGINA W	10/7/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1329 ALBERTON CIR	None	LINCOLN	CA	95648	3214	31	06061	38.86591684	-121.3077789	Placer County
233434	Fee-for-Service	1205547239	1205547239	1	1	NOYES, JENNIFER R CNP	3/1/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7740 RANCHO SANTA FE RD	None	CARLSBAD	CA	92009	8685	37	06073	33.08100093	-117.2372485	San Diego County
233468	Fee-for-Service	1790342897	1790342897	1	1	NORTHRIDGE KIDNEY CENTER LLC	11/18/2019	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	17710 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4366	19	06037	34.22095259	-118.5189973	Los Angeles County
233497	Fee-for-Service	1407002611	1407002611	1	1	NAHAL, TEJINDER S MD	11/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113813	41	Internal Medicine	0	In state provider	None	401 PARADISE ROAD	None	MODESTO	CA	95351	3163	50	06099	37.62692973	-121.0131742	Stanislaus County
233527	Fee-for-Service	1447579339	1447579339	1	1	NEW BEGINNINGS COUNSELING CE	7/27/2021	101Y00000X	NA	Other	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	NTERS, INC., A MARRIAGE	1370 RIDGEWOOD DRIVE	9	CHICO	CA	95973	7803	04	06007	39.77435386	-121.8407227	Butte County
233629	Fee-for-Service	1467500744	1467500744	1	1	NGO, LOAN P MD	8/21/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93622	01	General Practice	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
233653	Fee-for-Service	1952317539	1952317539	1	1	NANO, DAVID J MD	3/31/1986	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	48030	41	Internal Medicine	0	In state provider	None	596 CARROLL ST	None	SUNNYVALE	CA	94086	6207	43	06085	37.36853041	-122.0305901	Santa Clara County
233684	Fee-for-Service	1861123507	1861123507	1	1	NETO, HANNAH GRACE K LCSW	8/23/2024	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2001 JUNIPERO SERRA BLVD	STE 650	DALY CITY	CA	94014	3891	41	06081	37.70124814	-122.4706974	San Mateo County
233702	Fee-for-Service	1548572340	1548572340	1	1	NGUYEN, TRUNG H OD	1/23/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	44407 10TH ST WEST	STE B	LANCASTER	CA	93534	3345	19	06037	34.68965953	-118.148053	Los Angeles County
233728	Fee-for-Service	1528285251	1528285251	1	1	NEWMAN, ALISON W MD	9/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	110741	36	Psychiatry	0	In state provider	None	7300 WYNDHAM DR	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
233731	Fee-for-Service	1720273576	1720273576	1	1	NORWAY MAPLE HOLDINGS, LLC	6/1/2008	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1445 SUPERRIOR AVE	None	NEWPORT BEACH	CA	92663	6152	30	06059	33.62692785	-117.9328025	Orange County
233784	Fee-for-Service	1407002611	1407002611	1	1	NAHAL, TEJINDER S MD	11/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113813	08	Family Practice	0	In state provider	None	401 PARADISE ROAD	None	MODESTO	CA	95351	3163	50	06099	37.62692973	-121.0131742	Stanislaus County
233795	Fee-for-Service	1588195127	1588195127	1	1	NGUYEN, MINHTRI MD	8/13/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	None	68	Hematology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
233850	Fee-for-Service	1710936646	1710936646	1	1	NAMI, NAVID DO	4/14/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	9494	07	Dermatology	0	In state provider	None	360 SAN MIGUEL DR	STE 309	NEWPORT BEACH	CA	92660	7836	30	06059	33.61321911	-117.8722084	Orange County
233855	Fee-for-Service	1851407597	1851407597	1	1	NAIK, MUKESH H DO INC.	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	6091	08	Family Practice	0	In state provider	None	1001 NUT TREE RD	STE 140	VACAVILLE	CA	95687	4166	48	06095	38.3564252	-121.9532031	Solano County
233892	Fee-for-Service	1720800097	1720800097	1	1	NGUYEN, RYAN PT	1/9/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
233934	Fee-for-Service	1063441608	1063441608	1	1	NANYONGA, ALICE T MD	9/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100084	08	Family Practice	0	In state provider	None	7000 BOULDER AVE	None	HIGHLAND	CA	92346	3348	36	06071	34.12632952	-117.1956652	San Bernardino County
233983	Fee-for-Service	1174757645	1174757645	1	1	NEJIM, JEMIEL A MD	6/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	106963	05	Anesthesiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
234011	Fee-for-Service	1962589820	1962589820	1	1	NGUYEN, BICHPHUONG T MD	3/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	61151	40	Pediatrics	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
234084	Fee-for-Service	1588195127	1588195127	1	1	NGUYEN, MINHTRI MD	8/13/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
234123	Fee-for-Service	1073929956	1073929956	1	1	NITZ, SHELLY MD	5/7/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	167474	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	1689	19	06037	34.15729818	-118.3277073	Los Angeles County
234126	Fee-for-Service	1336762103	1336762103	1	1	NALAMASU, RAHUL DO	5/9/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	23835	25	Physical Medicine and Rehabilitation	0	In state provider	None	1225 15TH ST	2100	SANTA MONICA	CA	90404	1101	19	06037	34.02683888	-118.4870127	Los Angeles County
234321	Fee-for-Service	1992032395	1992032395	1	1	NGUYEN, VU T MD	3/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109436	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
234368	Fee-for-Service	1790997187	1790997187	1	1	NAHAPETIAN, ARBY MD	8/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	87790	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	15243 VANOWEN ST	STE 301	VAN NUYS	CA	91405	3646	19	06037	34.19394848	-118.4654115	Los Angeles County
234394	Fee-for-Service	1457599789	1457599789	1	1	NGUYEN, PHUONG T MD	4/26/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	106053	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	751 S BASCOM AVENUE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
234399	Fee-for-Service	1861472672	1861472672	1	1	NARGIZIAN, HOVIG	11/18/1998	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	15434 DEVONSHIRE ST	None	MISSION HILLS	CA	91345	2619	19	06037	34.25728252	-118.4688585	Los Angeles County
234412	Fee-for-Service	1336762103	1336762103	1	1	NALAMASU, RAHUL DO	5/9/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	23835	20	Orthopedic Surgery	0	In state provider	None	1225 15TH ST	2100	SANTA MONICA	CA	90404	1101	19	06037	34.02683888	-118.4870127	Los Angeles County
234461	Fee-for-Service	1356568034	1356568034	1	1	NASSAR, THEODORE R MD	7/27/2005	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	FACOG INC	363 E ALMOND AVE	STE 101	MADERA	CA	93637	5562	20	06039	36.94556502	-120.0531318	Madera County
234474	Fee-for-Service	1508963489	1508963489	1	1	NIBLEY, CARLETON T MD	6/30/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	81444	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2700 GRANT ST	STE 319	CONCORD	CA	94520	2266	07	06013	37.98417931	-122.0361585	Contra Costa County
234492	Fee-for-Service	1417990805	1417990805	1	1	NORTHFIELD HOSPITAL	8/7/2010	282NR1301X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2000 NORTH AVENUE	None	NORTHFIELD	MN	55057	1697	00	None	44.473527	-93.1916025	Dakota County
234579	Fee-for-Service	1205885357	1205885357	1	1	NEWPORT HARBOR ANESTH	10/1/1998	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
234707	Fee-for-Service	1124418587	1124418587	1	1	NG, SHEANHUEY MD	5/28/2024	208VP0000X	NA	Other	026	PHYSICIANS	None	25	Physical Medicine and Rehabilitation	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
234730	Fee-for-Service	1063076800	1063076800	1	1	NORRIS-KINDRED, DAMONA LCSW	1/9/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
234782	Fee-for-Service	1417990805	1417990805	1	1	NORTHFIELD HOSPITAL	8/7/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2000 NORTH AVENUE	None	NORTHFIELD	MN	55057	1697	00	None	44.473527	-93.1916025	Dakota County
234828	Fee-for-Service	1396715991	1396715991	2	1	NAJAFI, DAVID J MD	8/30/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	68124	None	None	0	In state provider	None	5117 GARFIELD STREET	None	LA MESA	CA	91941	5103	37	06073	32.77196252	-117.0059214	San Diego County
234940	Fee-for-Service	1093150393	1093150393	1	1	NUISMER, AMY K MD	1/5/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	135068	None	None	0	In state provider	None	2008 MORSE	None	SACRAMENTO	CA	95825	2135	34	06067	38.601801	-121.391613	Sacramento County
234948	Fee-for-Service	1477709426	1477709426	1	1	NORTH, JENNIFER M NP	10/20/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92507	3047	33	06065	33.904782	-117.469323	Riverside County
234980	Fee-for-Service	1619406725	1619406725	1	1	NAKKA, SIRISH MD	7/28/2021	207RS0012X	NA	Other	026	PHYSICIANS	169418	None	None	0	In state provider	None	1665 DOMINICAN WAY	STE 222A	SANTA CRUZ	CA	95065	1515	44	06087	36.99032886	-121.9811968	Santa Cruz County
235020	Fee-for-Service	1710055074	1710055074	1	1	NGUYEN, MICHAEL H MD	7/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	83620	30	Radiology	0	In state provider	None	6191 N THESTA AVE	None	FRESNO	CA	93710	5266	10	06019	36.826362	-119.7831265	Fresno County
235176	Fee-for-Service	1033786835	1033786835	1	1	NAGANAWA, SHOTARO MD	8/1/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
235218	Fee-for-Service	1619207008	1619207008	1	1	NAGARAJ, SHARITA MD	7/17/2024	208600000X	NA	General Surgery	026	PHYSICIANS	138103	02	General Surgery	0	In state provider	None	152 PIONEER LANE	A-H	BISHOP	CA	93514	2563	14	06027	37.36269	-118.407312	Inyo County
235271	Fee-for-Service	1679968853	1679968853	1	1	NORRELL, KIRSTEN MD	7/28/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	172661	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
235313	Fee-for-Service	1386685253	1386685253	1	1	NEVADA CVS PHARMACY LLC	11/14/2012	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	3485 E OWENS AVE	None	NORTH LAS VEGAS	NV	89030	7403	00	None	36.18812654	-115.099011	Clark County
235416	Fee-for-Service	1295708691	1295708691	1	1	NATARAJAN RAVI M.D.	1/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	43 NEW SCOTLAND AVE	None	ALBANY	NY	12208	3412	00	None	42.653133	-73.7752995	Albany County
235474	Fee-for-Service	1568567022	1568567022	1	1	NELSON, MARVIN D MD	9/1/1995	2085P0229X	NA	Other	026	PHYSICIANS	41096	30	Radiology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
235484	Fee-for-Service	1730132515	1730132515	1	1	NEW ENGLAND MED CTR	12/10/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	750 WASHINGTON ST	None	BOSTON	MA	02111	1526	00	None	42.350571	-71.0628615	Suffolk County
235492	Fee-for-Service	1205863255	1205863255	1	1	NATIVIDAD IMMUNOLOGY	9/29/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	DIVISION OUTPATIENT	1441 CONSTITUTION BLVD	BLDG 760	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
235541	Fee-for-Service	1932384120	1932384120	1	1	NEIGHBORHOOD HEALTHCARE	8/1/2002	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	LAKESIDE	10039 VINE STREET	STE 2	LAKESIDE	CA	92040	3130	37	06073	32.86110914	-116.9211687	San Diego County
235592	Fee-for-Service	1609434414	1609434414	1	1	NGUYEN, AN T MD	12/1/2023	207R00000X	NA	Other	026	PHYSICIANS	179690	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
235596	Fee-for-Service	1740675115	1740675115	1	1	NAVARA, RACHITA N MD	6/12/2023	390200000X	NA	Other	026	PHYSICIANS	143873	None	None	0	In state provider	None	4879	MISSION ST	SAN FRANCISCO	CA	95376	3959	38	06075	0	0	None
235616	Fee-for-Service	1548605033	1548605033	1	1	NEW WEST MEDICAL INC	5/8/2014	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	121 W 16TH ST	None	CHICO	CA	95928	6501	04	06007	39.72082627	-121.8277657	Butte County
235621	Fee-for-Service	1114286952	1114286952	1	1	NIIHARA, AKI MD	12/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128800	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3555 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
235629	Fee-for-Service	1720110968	1720110968	1	1	NAHM, WALTER K MD INC	12/9/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78569	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7695 CARDINAL COURT	STE 200	SAN DIEGO	CA	92123	3357	37	06073	32.79146985	-117.1578472	San Diego County
235642	Fee-for-Service	1629104930	1629104930	2	1	NGUYENPHUC, DIEMCHI MD	9/15/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	68620	None	None	0	In state provider	None	8041 NEWMAN AVE	None	HUNTINGTON BEACH	CA	92647	7034	30	06059	33.70481104	-117.9882948	Orange County
235657	Fee-for-Service	1215004031	1215004031	1	1	NGUYEN, DUNG A MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67897	41	Internal Medicine	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
235666	Fee-for-Service	1649739806	1649739806	1	1	NAQVI, SYED MD	7/31/2024	207R00000X	NA	Other	026	PHYSICIANS	186862	41	Internal Medicine	0	In state provider	None	4500 BROCKTON AVE.	SUITE 305	RIVERSIDE	CA	92501	4027	33	06065	33.97785263	-117.3836152	Riverside County
235732	Fee-for-Service	1710183652	1710183652	1	1	NGUYEN, NGOC T MD	3/10/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	69594	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1700 E CESAR E CHAVEZ AV	1200	LOS ANGELES	CA	90033	2467	19	06037	34.05101259	-118.217259	Los Angeles County
235770	Fee-for-Service	1730132515	1730132515	1	1	NEW ENGLAND MED CTR	12/10/2007	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	750 WASHINGTON ST	None	BOSTON	MA	02111	1526	00	None	42.350571	-71.0628615	Suffolk County
235804	Fee-for-Service	1346417953	1346417953	1	1	NELSON, ALEXANDRA B MD	4/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	103722	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
235829	Fee-for-Service	1932384120	1932384120	1	1	NEIGHBORHOOD HEALTHCARE	1/2/1997	193200000X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	LAKESIDE	10039 VINE STREET	STE 2	LAKESIDE	CA	92040	3130	37	06073	32.86110914	-116.9211687	San Diego County
235886	Fee-for-Service	1831126739	1831126739	1	1	NAZARIAN, ALAN MD	11/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	65901	41	Internal Medicine	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
235916	Fee-for-Service	1720110968	1720110968	1	1	NAHM, WALTER K MD INC	12/9/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78569	07	Dermatology	0	In state provider	None	7695 CARDINAL COURT	STE 200	SAN DIEGO	CA	92123	3357	37	06073	32.79146985	-117.1578472	San Diego County
235951	Fee-for-Service	1144535709	1144535709	1	1	NARULA, ARVIN P S MD	7/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	125186	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
235985	Fee-for-Service	1285635672	1285635672	1	1	NGHIEM, DAI MD	5/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	52961	02	General Surgery	0	In state provider	None	9191 WESTMINSTER AVE	STE 205	GARDEN GROVE	CA	92844	2751	30	06059	33.75946879	-117.9688437	Orange County
236043	Fee-for-Service	1497882252	1497882252	1	2	NARCOTICS PREVENTION	12/15/2016	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATION, INC	922 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	4004	19	06037	34.01971159	-118.1574704	Los Angeles County
236047	Fee-for-Service	1134454283	1134454283	1	1	NAIR, SIVAPRAKASH MD	7/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	109544	08	Family Practice	0	In state provider	None	6553 E PACIFIC COAST HWY	None	LONG BEACH	CA	90803	4202	19	06037	33.75590219	-118.1091312	Los Angeles County
236117	Fee-for-Service	1932384120	1932384120	1	1	NEIGHBORHOOD HEALTHCARE	3/1/2004	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	LAKESIDE	10039 VINE STREET	STE 2	LAKESIDE	CA	92040	3130	37	06073	32.86110914	-116.9211687	San Diego County
236177	Fee-for-Service	1033565338	1033565338	1	1	NI, YU-MING MD	1/26/2022	207R00000X	NA	Other	026	PHYSICIANS	155142	None	None	0	In state provider	None	18111 BROOKHURST ST	STE 5100	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
236188	Fee-for-Service	1548226178	1548226178	1	1	NGUYEN, TUE T MD	8/31/1992	207R00000X	NA	Other	026	PHYSICIANS	49831	41	Internal Medicine	0	In state provider	None	4551 EL CAJON BLVD	None	SAN DIEGO	CA	92115	4316	37	06073	32.75544216	-117.0963872	San Diego County
236193	Fee-for-Service	1720215429	1720215429	1	1	NAJI, PEYMAN MD	7/11/2018	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	154337	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	3650 SOUTH ST	STE 310	LAKEWOOD	CA	90712	1519	19	06037	33.86019847	-118.149255	Los Angeles County
236204	Fee-for-Service	1730249640	1730249640	1	1	NORTHSHORE FIRE	10/9/2007	3416L0300X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	PROTECTION	6257 7TH AVE	None	LUCERNE	CA	95458	1199	17	06033	39.091491	-122.7955095	Lake County
236238	Fee-for-Service	1144535709	1144535709	1	1	NARULA, ARVIN P S MD	7/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	125186	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
236245	Fee-for-Service	1053485573	1053485573	3	1	NORTHRIDGE CENTER PHARMACY	5/28/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	18250 ROSCOE	STE 104	NORTHRIDGE	CA	91325	4257	19	06037	34.22076142	-118.5313223	Los Angeles County
236271	Fee-for-Service	1184936478	1184936478	1	1	NARASIMHAMURTHY, RASHMI MD	8/4/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	140283	None	None	0	In state provider	None	7111 N FRESNO ST	STE. 200	FRESNO	CA	93720	2965	10	06019	36.83951763	-119.7815709	Fresno County
236278	Fee-for-Service	1659508117	1659508117	1	1	NAIDU, JENNIFER E MD	7/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119008	40	Pediatrics	0	In state provider	None	751 S BASCOM AVENUE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
236299	Fee-for-Service	1417164450	1417164450	1	1	NGUYEN, MAILY T MD	7/22/2008	207R00000X	NA	Other	026	PHYSICIANS	9324	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	SUITE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
236324	Fee-for-Service	1851492490	1851492490	1	1	NAVARRO, MICHAEL E DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	24275 MISSION BLVD	None	HAYWARD	CA	94544	1020	01	06001	37.66502093	-122.0778281	Alameda County
236333	Fee-for-Service	1184065823	1184065823	1	1	NEWMD URGENT CARE CENTER INC	1/14/2014	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	3431 BROADWAY ST	#A8	AMERICAN CANYON	CA	94503	1228	28	06055	38.17021492	-122.2533765	Napa County
236394	Fee-for-Service	1649666041	1649666041	1	1	NOROUZI, SAYNA MD	9/4/2020	207R00000X	NA	Other	026	PHYSICIANS	167931	45	Nephrology (Renal-Kidney)	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
236407	Fee-for-Service	1932384120	1932384120	1	1	NEIGHBORHOOD HEALTHCARE	8/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	LAKESIDE	10039 VINE STREET	STE 2	LAKESIDE	CA	92040	3130	37	06073	32.86110914	-116.9211687	San Diego County
236439	Fee-for-Service	1699374736	1699374736	1	1	NOHO HOSPICE CARE INC	11/16/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	STE 218	NORTH HOLLYWOOD	CA	91606	3423	19	06037	34.18670448	-118.389699	Los Angeles County
236448	Fee-for-Service	1912668864	1912668864	1	2	NARS TRANSPORTATION LLC	7/15/2022	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	6308 WOODMAN AVE,	SUITE 206	VAN NUYS	CA	91401	2347	19	06037	34.185123	-118.4312405	Los Angeles County
236472	Fee-for-Service	1811086036	1811086036	1	1	NAJEEB, RUBINA T MD	4/30/1994	2084P0800X	NA	Psychiatry	026	PHYSICIANS	53937	36	Psychiatry	0	In state provider	None	6202 TRINETTE AVE	None	GARDEN GROVE	CA	92845	2746	30	06059	33.77926571	-118.0247781	Orange County
236542	Fee-for-Service	1750878146	1750878146	1	1	NAIK, NEHAL S MD	2/15/2024	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	657 N TOWN CENTER DR	None	LAS VEGAS	NV	89144	6367	00	None	36.180999	-115.3174815	Clark County
236583	Fee-for-Service	1801448345	1801448345	1	1	NGO, ANGELA OD	8/13/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	320 H ST	STE 4	MARYSVILLE	CA	95901	5834	58	06115	39.13837241	-121.5948806	Yuba County
236625	Fee-for-Service	1265693170	1265693170	1	1	NGUYEN, FRANCIS J MD	8/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110051	None	None	0	In state provider	None	6969 BROCKTON AVE	STE B	RIVERSIDE	CA	92506	3813	33	06065	33.94701	-117.396786	Riverside County
236680	Fee-for-Service	1649666041	1649666041	1	1	NOROUZI, SAYNA MD	9/4/2020	207R00000X	NA	Other	026	PHYSICIANS	167931	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
236690	Fee-for-Service	1104055102	1104055102	1	1	NATALIE S CRUMP	9/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	987400 NEBRASKA	None	OMAHA	NE	68198	0001	00	None	0	0	None
236698	Fee-for-Service	1679556591	1679556591	1	1	NELSON, BRADLEY W MD	6/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	52306	08	Family Practice	0	In state provider	None	9984 SIERRA AVE	None	FONTANA	CA	92335	6721	36	06071	34.07230475	-117.4357412	San Bernardino County
236727	Fee-for-Service	1699374736	1699374736	1	1	NOHO HOSPICE CARE INC	11/16/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	STE 218	NORTH HOLLYWOOD	CA	91606	3423	19	06037	34.18670448	-118.389699	Los Angeles County
236765	Fee-for-Service	1306045059	1306045059	1	1	NASH-BARKER, SHALON D DO	11/24/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	7160	-	NOT APPLICABLE	0	In state provider	None	1235 E STREET	None	FRESNO	CA	93706	2024	10	06019	36.73272329	-119.7993386	Fresno County
236774	Fee-for-Service	1255560017	1255560017	1	1	NGUYEN, THAO U MD	7/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113406	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
236786	Fee-for-Service	1811956188	1811956188	1	1	NAIM MOUNIF MAALOUF, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
236830	Fee-for-Service	1710090121	1710090121	1	1	NOBLE, MARILYN LESLIE	3/26/2009	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ALLIED HEARING SERVICES	7396 CENTER AVE	None	HUNTINGTON BEACH	CA	92647	3001	30	06059	33.73372238	-117.999597	Orange County
236866	Fee-for-Service	1336230432	1336230432	1	1	NG, STEPHEN MD	1/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	65489	25	Physical Medicine and Rehabilitation	0	In state provider	None	45 CASTRO ST	STE 200	SAN FRANCISCO	CA	94114	1038	38	06075	37.76829732	-122.4357056	San Francisco County
236895	Fee-for-Service	1417072919	1417072919	1	2	NGAN, SHARON MD	11/13/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	84516	41	Internal Medicine	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
236901	Fee-for-Service	1003891011	1003891011	1	1	NEWELL, KATHRYN D MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66150	41	Internal Medicine	0	In state provider	None	4600 BROADWAY	STE 1100	SACRAMENTO	CA	95820	1527	34	06067	38.546127	-121.452669	Sacramento County
236904	Fee-for-Service	1255418745	1255418745	1	1	NORTHRIDGE TRAUMA	11/6/1990	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	SURGEONS, INC	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
236906	Fee-for-Service	1750510913	1750510913	1	1	NESHATIAN, SINA MD	9/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110740	41	Internal Medicine	0	In state provider	None	26800 CROWN VALLEY PKWY	STE 100	MISSION VIEJO	CA	92691	6389	30	06059	33.56286021	-117.6673449	Orange County
236911	Fee-for-Service	1356560684	1356560684	1	1	NAIR, BIJAY P MD	4/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	117287	68	Hematology	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
236929	Fee-for-Service	1275930695	1275930695	1	1	NGUYEN, LAN C T NP	10/24/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
236968	Fee-for-Service	1134296155	1134296155	1	1	NIKRAVAN, KAMRAN MD	3/31/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39399	34	Urology and Urological Surgery	0	In state provider	None	300 W CERRITOS AVE	None	ANAHEIM	CA	92805	6550	30	06059	33.809904	-117.908676	Orange County
236989	Fee-for-Service	1841477742	1841477742	1	1	NORTHEAST VALLEY HEALTH	4/28/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SCHOOL BASED CLINIC	11133 OMELVENY AVE	None	SAN FERNANDO	CA	91340	4426	19	06037	34.27330601	-118.4430291	Los Angeles County
237022	Fee-for-Service	1760649289	1760649289	1	1	NAMBIAR, RAJESH MD	10/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	06	Cardiovascular Disease (M.D. only)	2	Out of state provider	None	1901 PORT LANE	None	AMARILLO	TX	79106	2430	00	None	35.19394499	-101.9134555	Potter County
237036	Fee-for-Service	1467780148	1467780148	1	1	NOONAN, TANA L LMFT	8/10/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
237161	Fee-for-Service	1164626214	1164626214	1	1	NGUYEN, HOLLY H MD	2/28/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	95539	40	Pediatrics	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
237169	Fee-for-Service	1669716387	1669716387	2	1	NEZHAD, MANI K MD	10/1/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	123630	13	Neurology (M.D. only)	0	In state provider	None	1700 N ROSE AVE	STE 470	OXNARD	CA	93030	7659	56	06111	34.21746	-119.155545	Ventura County
237201	Fee-for-Service	1356560684	1356560684	1	1	NAIR, BIJAY P MD	4/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	117287	41	Internal Medicine	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
237246	Fee-for-Service	1346427366	1346427366	1	1	NORTHEAST VALLEY HEALTH	2/1/1992	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	19	06037	34.28899399	-118.4481394	Los Angeles County
237297	Fee-for-Service	1063547693	1063547693	1	1	NG, RONALD T OD	1/1/1979	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	610 E CHAPEL ST	STE C	SANTA MARIA	CA	93454	4522	42	06083	34.95427648	-120.4279965	Santa Barbara County
237313	Fee-for-Service	1104067826	1104067826	1	2	NATIONAL HOME HEALTH SERVICE	10/25/2024	2278H0200X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	S, INCORPORATED	2880 ZANKER RD	STE 106	SAN JOSE	CA	95134	2122	43	06085	37.39537119	-121.9293808	Santa Clara County
237349	Fee-for-Service	1518457514	1518457514	1	1	NIJHUM, TANZIA A MD	12/28/2021	207R00000X	NA	Other	026	PHYSICIANS	173479	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
237474	Fee-for-Service	1366424327	1366424327	1	1	NGUYEN, HUNG G MD	8/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	90986	05	Anesthesiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
237488	Fee-for-Service	1356560684	1356560684	1	1	NAIR, BIJAY P MD	4/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	117287	78	Neoplastic Diseases/Oncology	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
237542	Fee-for-Service	1447847207	1447847207	1	1	NEIGHBORHOOD HEALTHCARE	5/3/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	FQHC	4371 LATHAM STREET	None	RIVERSIDE	CA	92501	1706	33	06065	34.00254078	-117.375234	Riverside County
237554	Fee-for-Service	1093045395	1093045395	1	1	NJENGA, JACQUELINE N NP	10/17/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
237617	Fee-for-Service	1154669794	1154669794	1	1	NEW VISTA NURSING OPERATOR	1/1/2013	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	LLC	8647 FENWICK STREET	None	SUNLAND	CA	91040	1957	19	06037	34.26146738	-118.3219312	Los Angeles County
237642	Fee-for-Service	1649383472	1649383472	1	1	NEONATOLOGY MED GRP INC	3/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	TOTS TO TEENS PEDIATRIC	10459 MOUNTAIN VIEW AVE	STE F	LOMA LINDA	CA	92354	2033	36	06071	34.063722	-117.2436545	San Bernardino County
237656	Fee-for-Service	1275522898	1275522898	1	1	NORTH CNTY FIRE PROTECT	2/1/1996	174400000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	315 E IVY ST	None	FALLBROOK	CA	92028	2138	37	06073	33.38365646	-117.2483195	San Diego County
237751	Fee-for-Service	1316422355	1316422355	1	1	NAVARRO, MANUEL RCP	9/3/2024	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
237756	Fee-for-Service	1114124328	1114124328	1	1	NADON, BERNARD J LMFT	8/31/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	43112 15TH ST W	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
237780	Fee-for-Service	1285679449	1285679449	1	1	NGUYEN, TUNG C DO	5/24/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	5784	01	General Practice	0	In state provider	SUNNYSIDE MEDICAL CLINIC	2509 W FIRST ST	None	SANTA ANA	CA	92703	3401	30	06059	33.7453747	-117.9026814	Orange County
237819	Fee-for-Service	1558357319	1558357319	1	1	NIKRAVAN, SEAN P MD	11/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	80371	67	Endocrinology	0	In state provider	None	2720 N HARBOR BLVD	None	FULLERTON	CA	92835	2830	30	06059	33.90126238	-117.9292154	Orange County
237828	Fee-for-Service	1447847207	1447847207	1	1	NEIGHBORHOOD HEALTHCARE	5/3/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	FQHC	4371 LATHAM STREET	None	RIVERSIDE	CA	92501	1706	33	06065	34.00254078	-117.375234	Riverside County
237830	Fee-for-Service	1144429317	1144429317	1	1	NEITLICH, TYLER M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4300 ALTON ROAD	None	MIAMI BEACH	FL	33140	2800	00	None	25.81334191	-80.139276	Miami-Dade County
237881	Fee-for-Service	1215204276	1215204276	1	1	NIRVANA DRUG AND ALCOHOL TRE	3/6/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ATMENT PROGRAM	1100 KANSAS AVE	SUITE B-C-D	MODESTO	CA	95351	1596	50	06099	37.64597051	-121.0234275	Stanislaus County
237917	Fee-for-Service	1295962157	1295962157	1	2	NGUYEN, KEVIN K MD INC	4/8/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	86874	08	Family Practice	0	In state provider	None	29798 HAUN RD	STE 206	SUN CITY	CA	92586	6542	33	06065	33.68787713	-117.1748638	Riverside County
237932	Fee-for-Service	1649383472	1649383472	1	1	NEONATOLOGY MED GRP INC	3/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	TOTS TO TEENS PEDIATRIC	10459 MOUNTAIN VIEW AVE	STE F	LOMA LINDA	CA	92354	2033	36	06071	34.063722	-117.2436545	San Bernardino County
237933	Fee-for-Service	1962413203	1962413203	1	1	NGUYEN, DAVID HUNG MD	1/31/1993	207P00000X	NA	Other	026	PHYSICIANS	76737	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1700 COFFEE RD	None	MODESTO	CA	95355	2803	50	06099	37.668645	-120.9756715	Stanislaus County
237940	Fee-for-Service	1235636580	1235636580	1	1	NAYAK, KRISTEN M MD	8/18/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	163553	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
237947	Fee-for-Service	1740731835	1740731835	1	1	NEVEL, CYLYSTINA	4/30/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
238048	Fee-for-Service	1285694190	1285694190	1	1	NGUYEN, THI LE MD	4/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76415	40	Pediatrics	0	In state provider	OAK TREE PEDIATRICS INC	2929 SUMMIT ST	STE 210	OAKLAND	CA	94609	3423	01	06001	37.81835392	-122.2648668	Alameda County
238062	Fee-for-Service	1285679449	1285679449	1	1	NGUYEN, TUNG C DO	5/24/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	5784	66	Emergency Medicine (Urgent Care)	0	In state provider	SUNNYSIDE MEDICAL CLINIC	2509 W FIRST ST	None	SANTA ANA	CA	92703	3401	30	06059	33.7453747	-117.9026814	Orange County
238117	Fee-for-Service	1447847207	1447847207	1	1	NEIGHBORHOOD HEALTHCARE	5/3/2024	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	FQHC	4371 LATHAM STREET	None	RIVERSIDE	CA	92501	1706	33	06065	34.00254078	-117.375234	Riverside County
238147	Fee-for-Service	1144504564	1144504564	1	1	NORMAN, DWIGHT J PSYD	6/23/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA ST	STE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
238164	Fee-for-Service	1770606998	1770606998	1	1	NUNLEY, JAMES C MD	6/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	02	General Surgery	1	Border provider	None	6554 S MCCARRAN BLVD	STE B	RENO	NV	89509	6149	00	None	39.47663442	-119.7992969	Washoe County
238312	Fee-for-Service	1558689588	1558689588	1	1	NGUYEN-TRAN, DUONG H T MD	2/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132632	05	Anesthesiology	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
238375	Fee-for-Service	1487185583	1487185583	1	1	NGUYEN, JOSEPHINE B MD	8/20/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	157172	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
238396	Fee-for-Service	1275781346	1275781346	1	1	NGUYEN, JUDY Q MD	9/11/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110404	42	Nuclear Medicine	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
238406	Fee-for-Service	1003106212	1003106212	1	1	NELLIGAN, IAN J MD	9/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	121255	01	General Practice	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
238454	Fee-for-Service	1023243821	1023243821	1	1	NGUYEN, CAROLINE T	6/7/2010	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11105 KNOTT AVE	STE A-B	CYPRESS	CA	90630	5137	30	06059	33.80083909	-118.0111199	Orange County
238563	Fee-for-Service	1902227234	1902227234	1	1	NIKOLAUS, AARON CRNA	11/4/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
238604	Fee-for-Service	1538152038	1538152038	1	1	NUSSER, CHRISTOPHER A MD	1/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
238802	Fee-for-Service	1841452885	1841452885	1	1	NOH, GRACE J MD	2/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	105178	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
238954	Fee-for-Service	1356429443	1356429443	1	1	NELSON, PHILIP F MD	3/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	51509	07	Dermatology	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
238976	Fee-for-Service	1013690619	1013690619	1	1	NGUYEN, HUNG JOHN PT	10/30/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2339 W HAMMER LN	STE K	STOCKTON	CA	95209	2368	39	06077	38.02138826	-121.344545	San Joaquin County
238978	Fee-for-Service	1992913974	1992913974	1	1	NELSON, KARI J MD	8/1/2008	2085R0204X	NA	Other	026	PHYSICIANS	100055	None	None	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
238991	Fee-for-Service	1255301024	1255301024	1	3	NASSIR, JOSEPH MD	10/4/2023	207R00000X	NA	Other	026	PHYSICIANS	52865	None	None	0	In state provider	None	17822 BEACH BLVD	430	HUNTINGTON BEACH	CA	92647	7102	30	06059	33.70331388	-117.9890471	Orange County
239008	Fee-for-Service	1902811391	1902811391	1	1	NASSER-MOADDELI, SHAHRIA	6/1/1995	207R00000X	NA	Other	026	PHYSICIANS	51518	45	Nephrology (Renal-Kidney)	0	In state provider	None	1513 W TEMPLE ST	STE 100	LOS ANGELES	CA	90026	5024	19	06037	34.06787233	-118.2594381	Los Angeles County
239037	Fee-for-Service	1699169227	1699169227	1	1	NACIONALES, DAVID DO	9/1/2020	2084N0400X	NA	Neurology	026	PHYSICIANS	15651	13	Neurology (M.D. only)	0	In state provider	None	58457 29 PALMS HIGHWAY	STE 200	YUCCA VALLEY	CA	92284	5879	36	06071	34.13247642	-116.3885551	San Bernardino County
239053	Fee-for-Service	1396936951	1396936951	1	1	NAM, SAMUEL S MD	7/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109595	41	Internal Medicine	0	In state provider	None	4311 THIRD AVE	None	SAN DIEGO	CA	92103	1407	37	06073	32.758578	-117.1637685	San Diego County
239090	Fee-for-Service	1841452885	1841452885	1	1	NOH, GRACE J MD	2/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	105178	47	Miscellaneous	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
239107	Fee-for-Service	1104897610	1104897610	1	1	NAKAYAMA, GLENN S OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	100 E HUNTINGTON DR	STE 102	ALHAMBRA	CA	91801	1022	19	06037	34.10711692	-118.1339527	Los Angeles County
239161	Fee-for-Service	1972690592	1972690592	1	1	NEVAREZ, CHRISTOPHER M MD	9/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	9300 W SUNSET RD	None	LAS VEGAS	NV	89148	4844	00	None	36.072729	-115.295094	Clark County
239163	Fee-for-Service	1497193643	1497193643	1	1	NGUYEN, TIM T MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126136	01	General Practice	0	In state provider	None	1520 STOCKTON STREET	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
239170	Fee-for-Service	1194090563	1194090563	1	1	NIVERA ENTERPRISES INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1152 E ROUTE 66	None	GLENDORA	CA	91740	3773	19	06037	34.12872048	-117.8445555	Los Angeles County
239325	Fee-for-Service	1699169227	1699169227	1	1	NACIONALES, DAVID DO	9/1/2020	2084N0400X	NA	Neurology	026	PHYSICIANS	15651	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	58457 29 PALMS HIGHWAY	STE 200	YUCCA VALLEY	CA	92284	5879	36	06071	34.13247642	-116.3885551	San Bernardino County
239388	Fee-for-Service	1922240423	1922240423	1	1	NGO, DAVID MD	5/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120431	66	Emergency Medicine (Urgent Care)	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
239397	Fee-for-Service	1255776274	1255776274	1	1	NOGUEIRA WALIA, MONIQUE D B	2/25/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	PHD	3454 HILLCREST AVENUE	None	ANTIOCH	CA	94531	8238	07	06013	37.98739901	-121.7808007	Contra Costa County
239404	Fee-for-Service	1689693749	1689693749	1	1	NGUYEN, TAO T MD INC	5/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	44456	40	Pediatrics	0	In state provider	None	3100 E FLORENCE AVE	STE 9	HUNTINGTON PARK	CA	90255	5848	19	06037	33.97277388	-118.2118093	Los Angeles County
239419	Fee-for-Service	1265583892	1265583892	1	1	NORTH PLATTE FIRE DEPARTMENT	10/10/2007	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	715 S JEFFERS ST	None	NORTH PLATTE	NE	69101	5318	00	None	41.12742469	-100.7639399	Lincoln County
239424	Fee-for-Service	1306921986	1306921986	1	1	NGUYEN, CHINH T	10/9/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	83 W MARCH LANE	STE 4	STOCKTON	CA	95207	5730	39	06077	37.99534619	-121.3071026	San Joaquin County
239440	Fee-for-Service	1477915452	1477915452	1	1	NGUYEN, JAN DO	7/23/2019	390200000X	NA	Other	026	PHYSICIANS	17105	41	Internal Medicine	0	In state provider	None	2777 PACIFIC AVE	SUITE E	LONG BEACH	CA	90806	2626	19	06037	33.80761478	-118.193744	Los Angeles County
239455	Fee-for-Service	1194090563	1194090563	1	1	NIVERA ENTERPRISES INC	11/1/2013	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1152 E ROUTE 66	None	GLENDORA	CA	91740	3773	19	06037	34.12872048	-117.8445555	Los Angeles County
239514	Fee-for-Service	1710045174	1710045174	1	2	NGUYEN, HENRY OD INC	3/1/2003	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	17264 FOOTHILL BLVD	STE E	FONTANA	CA	92335	9051	36	06071	34.10678654	-117.4277541	San Bernardino County
239530	Fee-for-Service	1750469326	1750469326	1	1	NAN, ALLEN W MD	8/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	73566	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2150 APPIAN WAY	# 3103	PINOLE	CA	94564	2583	07	06013	37.9958468	-122.3021554	Contra Costa County
239557	Fee-for-Service	1932856630	1932856630	1	1	NEWCOMB, NATALYA PSYD	3/24/2022	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	8300 UTICA AVE	STE 245	RANCHO CUCAMONGA	CA	91730	3852	36	06071	34.10227306	-117.5715643	San Bernardino County
239586	Fee-for-Service	1255393682	1255393682	1	1	NAT, NARINDAR K MD	8/28/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	38254	40	Pediatrics	0	In state provider	None	27141 HIDAWAY AVE	SUITE 200	CANYON COUNTRY	CA	91351	4144	19	06037	34.41483	-118.469039	Los Angeles County
239600	Fee-for-Service	1134655848	1134655848	1	1	NELSON, JODI DO	8/29/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	20079	None	None	0	In state provider	None	8635 W 3RD ST	STE 485W	LOS ANGELES	CA	90048	6121	19	06037	34.07361928	-118.3803143	Los Angeles County
239610	Fee-for-Service	1043332679	1043332679	1	1	NEUBAUER, DIANA L DC	4/15/2013	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	1813 PROFESSIONAL DR	STE B	SACRAMENTO	CA	95825	2162	34	06067	38.598255	-121.3873785	Sacramento County
239621	Fee-for-Service	1912946757	1912946757	1	1	NUTTER, DAVID W MD	7/31/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	58102	09	Gynecology (D.O. only)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
239673	Fee-for-Service	1194097816	1194097816	1	1	NGUYEN, LILY M K MD	9/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118833	40	Pediatrics	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	0000	07	06013	37.94947636	-121.7752571	Contra Costa County
239737	Fee-for-Service	1699861344	1699861344	1	1	NICHOLAS, PAUL E MD	4/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	98793	36	Psychiatry	0	In state provider	None	1335 NORTH DUTTON AVENUE	None	SANTA ROSA	CA	95401	4609	49	06097	38.449431	-122.734035	Sonoma County
239824	Fee-for-Service	1386377612	1386377612	1	1	NWACHUKWU, JOECOLINE NP	2/6/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	473 E. CARNEGIE DRIVE	SUITE 200	SAN BERNARDINO	CA	92408	4201	36	06071	34.0683677	-117.2746246	San Bernardino County
239839	Fee-for-Service	1568982866	1568982866	1	1	NYLAND, CHRISTOPHER R MD	8/13/2021	207R00000X	NA	Other	026	PHYSICIANS	170777	None	None	0	In state provider	None	1033 3RD ST	None	SAN RAFAEL	CA	94901	3107	21	06041	37.97209412	-122.5280013	Marin County
239863	Fee-for-Service	1861489700	1861489700	1	1	NILFOROOSHAM, REZA MD	2/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	40399	34	Urology and Urological Surgery	0	In state provider	None	9460 N NAME UNO	STE 245	GILROY	CA	95020	3538	43	06085	37.037781	-121.570965	Santa Clara County
239876	Fee-for-Service	1912268616	1912268616	1	1	NABAR, MANASI M MD	10/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135882	41	Internal Medicine	0	In state provider	None	220 E HACIENDA AVE	None	CAMPBELL	CA	95008	6617	43	06085	37.26914953	-121.9566285	Santa Clara County
239910	Fee-for-Service	1912946757	1912946757	1	1	NUTTER, DAVID W MD	7/31/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	58102	01	General Practice	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
239916	Fee-for-Service	1073572582	1073572582	1	1	NAPA VALLEY NEPHROLOGY	5/24/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	ASSOC MED GRP	3443 VILLA LN	STE 6	NAPA	CA	94558	6417	28	06055	38.3259594	-122.2945735	Napa County
239945	Fee-for-Service	1144600354	1144600354	1	1	NGUYEN, CAROLINE H MD	2/14/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	175212	None	None	0	In state provider	None	500 UNIVERSITY AVE	None	SACRAMENTO	CA	95825	6504	34	06067	38.568402	-121.418019	Sacramento County
239998	Fee-for-Service	1528590700	1528590700	1	1	NAITAQI, GHIZAL MD	6/23/2021	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	171217	None	None	0	In state provider	None	1505 W 17TH ST	None	SAN BERNARDINO	CA	92411	1202	36	06071	34.13045153	-117.31869	San Bernardino County
240034	Fee-for-Service	1528069408	1528069408	1	1	NSEIR, GEORGES MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	ARIZONA HEART INSTITUTE	2632 N 20TH STREET	None	PHOENIX	AZ	85006	0000	00	None	33.478101	-112.039623	Maricopa County
240095	Fee-for-Service	1841858701	1841858701	1	1	NEWBURY, COLLEEN LMFT	1/14/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	415 KNOLLCREST DR	STE 101	REDDING	CA	96002	0181	45	06089	40.57267376	-122.3643496	Shasta County
240102	Fee-for-Service	1700861580	1700861580	1	1	NORTHWEST HOSPITAL	3/1/1999	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1550 N 115TH ST	None	SEATTLE	WA	98133	8401	00	None	47.714643	-122.337108	King County
240143	Fee-for-Service	1558435370	1558435370	1	1	NEBEN, JAIMEE V MD	6/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101363	05	Anesthesiology	0	In state provider	None	1531 ESPALANADE	None	CHICO	CA	95926	3310	04	06007	39.74248474	-121.8493369	Butte County
240151	Fee-for-Service	1861489700	1861489700	1	1	NILFOROOSHAM, REZA MD	2/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	40399	02	General Surgery	0	In state provider	None	9460 N NAME UNO	STE 245	GILROY	CA	95020	3538	43	06085	37.037781	-121.570965	Santa Clara County
240218	Fee-for-Service	1356328330	1356328330	1	3	NEWPORT CHILDRENS MEDICAL	4/14/2003	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	17822 BEACH BLVD	SUITE 374	HUNTINGTON BEACH	CA	92647	7193	30	06059	33.70331388	-117.9890471	Orange County
240227	Fee-for-Service	1902430671	1902430671	1	1	NG, RYAN C PT	7/26/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3100 DUBLIN BLVD	None	DUBLIN	CA	94568	3112	01	06001	37.70453535	-121.8586496	Alameda County
240382	Fee-for-Service	1104083815	1104083815	1	1	NIZAR, JONATHAN M MD	4/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111898	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
240386	Fee-for-Service	1588911820	1588911820	1	1	NGUYEN, HANH JUDY OD	5/9/2016	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	158 N MAPLE AVE	None	MANTECA	CA	95336	4503	39	06077	37.7985567	-121.2177685	San Joaquin County
240390	Fee-for-Service	1700861580	1700861580	1	1	NORTHWEST HOSPITAL	8/6/2007	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1550 N 115TH ST	None	SEATTLE	WA	98133	8401	00	None	47.714643	-122.337108	King County
240418	Fee-for-Service	1770699506	1770699506	1	1	NGUYEN, PHONG K MD	2/1/1993	207P00000X	NA	Other	026	PHYSICIANS	51595	66	Emergency Medicine (Urgent Care)	0	In state provider	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	4850	36	06071	34.03717616	-117.2046115	San Bernardino County
240448	Fee-for-Service	1407483787	1407483787	1	1	NGUYEN, PETER H MD	7/3/2023	207R00000X	NA	Other	026	PHYSICIANS	180796	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
240464	Fee-for-Service	1598140345	1598140345	1	1	NORTHERN CALIFORNIA THERAPY	8/31/2015	193400000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	2889 COHASSET RD	STE 6	CHICO	CA	95973	0991	04	06007	39.7686278	-121.8436048	Butte County
240526	Fee-for-Service	1366737652	1366737652	1	1	NWOKEJI, NNENNAYA E MD	8/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	131564	36	Psychiatry	0	In state provider	None	3454 HILLCREST AVE	None	ANTIOCH	CA	94531	8238	07	06013	37.98739901	-121.7808007	Contra Costa County
240537	Fee-for-Service	1902312051	1902312051	1	1	NGUYEN, KHANH-LY	2/20/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
240538	Fee-for-Service	1346568227	1346568227	1	1	NOVICK, MICHAEL K MD	6/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112341	None	None	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
240542	Fee-for-Service	1497739114	1497739114	2	1	NAKAI, YUICHIRO D MD	10/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	76178	67	Endocrinology	0	In state provider	None	95 MONTGOMERY DR	STE 120	SANTA ROSA	CA	95404	6617	49	06097	38.442357	-122.704641	Sonoma County
240565	Fee-for-Service	1659996700	1659996700	1	1	NICHOLAS, ZACHARY MD	7/13/2023	390200000X	NA	Other	026	PHYSICIANS	183407	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
240578	Fee-for-Service	1063426294	1063426294	1	1	NOVAK, GEORGANNE K MD	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	54601	08	Family Practice	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
240647	Fee-for-Service	1679670764	1679670764	1	1	NESS, AMEN	8/31/1983	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	49484	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2999 REGENT ST	STE 225	BERKELEY	CA	94705	2117	01	06001	37.85592021	-122.2566436	Alameda County
240657	Fee-for-Service	1609913441	1609913441	1	2	NEJAT ROSTAMI MEDICAL	9/30/1992	174400000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	GROUP INC	2972 WILSHIRE BLVD	None	LOS ANGELES	CA	90010	1101	19	06037	34.06178055	-118.2862935	Los Angeles County
240706	Fee-for-Service	1902106560	1902106560	1	1	NAITO, STACEY K DO	5/22/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	8154	07	Dermatology	0	In state provider	None	9043 WOODMAN AVE	STE C	ARLETA	CA	91331	6493	19	06037	34.23411011	-118.4395658	Los Angeles County
240719	Fee-for-Service	1760935589	1760935589	1	1	NAJMI, NEDA MD	10/7/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	161968	None	None	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
240742	Fee-for-Service	1417536855	1417536855	1	1	NGUYEN, JOYCE V NP	8/22/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
240751	Fee-for-Service	1003243262	1003243262	1	1	NISHIMURA, MARIN MD	5/7/2021	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	147365	None	None	0	In state provider	None	300 S PIERCE ST	STE 102	EL CAJON	CA	92020	4124	37	06073	32.79286035	-116.9780352	San Diego County
240836	Fee-for-Service	1033371604	1033371604	1	1	NGUYEN, TRI M DO	9/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	11215	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7117 BROCKTON AVE	None	RIVERSIDE	CA	92506	3912	33	06065	33.94354395	-117.394926	Riverside County
240837	Fee-for-Service	1225292378	1225292378	1	1	NGUYEN, TUAN-ANH T MD	9/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109378	36	Psychiatry	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
240845	Fee-for-Service	1942620778	1942620778	1	1	NAM, YURI NP	5/22/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
240892	Fee-for-Service	1154869576	1154869576	1	1	NICOLAYSEN, ANTHONY MD	7/12/2023	207RN0300X	NA	Nephrology	026	PHYSICIANS	174994	None	None	0	In state provider	None	12665 GARDEN GROVE BLVD	STE 211	GARDEN GROVE	CA	92843	1916	30	06059	33.77450141	-117.9123364	Orange County
240933	Fee-for-Service	1699837898	1699837898	1	1	NDLELA, JOHANNES C MD	3/11/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	53938	36	Psychiatry	0	In state provider	None	255 TERRACINA BLVD	SUITE 204	REDLANDS	CA	92373	4870	36	06071	34.03788441	-117.2055761	San Bernardino County
240935	Fee-for-Service	1376166801	1376166801	1	1	NASSTROM, BLAIRE DO	1/13/2025	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	22503	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7695 CARDINAL CT	STE 240	SAN DIEGO	CA	92123	3357	37	06073	32.79146985	-117.1578472	San Diego County
240947	Fee-for-Service	1609913441	1609913441	1	2	NEJAT ROSTAMI MEDICAL	9/30/1992	174400000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	GROUP INC	2972 WILSHIRE BLVD	None	LOS ANGELES	CA	90010	1101	19	06037	34.06178055	-118.2862935	Los Angeles County
240978	Fee-for-Service	1225140213	1225140213	1	1	NEWMAN PIONEER DRUG INC	8/1/2003	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1261 MAIN ST	None	NEWMAN	CA	95360	1324	50	06099	37.31617626	-121.0230311	Stanislaus County
240994	Fee-for-Service	1902106560	1902106560	1	1	NAITO, STACEY K DO	5/22/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	8154	08	Family Practice	0	In state provider	None	9043 WOODMAN AVE	STE C	ARLETA	CA	91331	6493	19	06037	34.23411011	-118.4395658	Los Angeles County
241067	Fee-for-Service	1174895882	1174895882	1	1	NARASIMHULU, DEEPA MAHESWARI	11/16/2021	207VX0201X	NA	Obstetrics & Gynecology	026	PHYSICIANS	175124	None	None	0	In state provider	MD	147 BRENT	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
241126	Fee-for-Service	1710392931	1710392931	1	1	NAKATA, ROGER K DO	8/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15214	40	Pediatrics	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
241156	Fee-for-Service	1952779076	1952779076	1	1	NIDHI HEALTHCARE INC	10/23/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	932 S EUCLID STREET	None	ANAHEIM	CA	92802	1423	30	06059	33.81900658	-117.9413125	Orange County
241232	Fee-for-Service	1609913441	1609913441	1	2	NEJAT ROSTAMI MEDICAL	9/30/1992	174400000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	GROUP INC	2972 WILSHIRE BLVD	None	LOS ANGELES	CA	90010	1101	19	06037	34.06178055	-118.2862935	Los Angeles County
241264	Fee-for-Service	1912286493	1912286493	1	1	NAWAYTOU, HYTHEM M MD	8/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	114502	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
241279	Fee-for-Service	1811288418	1811288418	1	1	NHAN, LISA DPM	1/15/2016	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	5 CENTERPOINTE DRIVE	None	LA PALMA	CA	90623	1050	30	06059	33.86168254	-118.0308375	Orange County
241347	Fee-for-Service	1033995915	1033995915	1	1	NAVARRO, ERIKA O LCSW	11/18/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	UNIT 203	UPLAND	CA	91786	4167	36	06071	34.10424442	-117.6701797	San Bernardino County
241481	Fee-for-Service	1902085426	1902085426	1	1	NGUYEN, BRYANT H MD	8/4/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117314	None	None	0	In state provider	None	300 SOUTH PEIRCE STREET	SUITE 102	EL CAJON	CA	92020	4124	37	06073	32.79286035	-116.9780352	San Diego County
241522	Fee-for-Service	1821280074	1821280074	1	1	NATH, ASHISH MD	10/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120952	02	General Surgery	0	In state provider	None	6109 W RAMSEY ST	None	BANNING	CA	92220	3051	33	06065	33.92940576	-116.9437965	Riverside County
241526	Fee-for-Service	1043443120	1043443120	1	1	NGUYEN, TRISHA T PSYD	7/26/2020	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2240 MERCURY WAY	None	SANTA ROSA	CA	95407	5413	49	06097	38.421135	-122.752008	Sonoma County
241545	Fee-for-Service	1154388601	1154388601	1	1	NEUENDORF, JOHANNES M DO	2/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9506	66	Emergency Medicine (Urgent Care)	0	In state provider	None	624 E ELDER ST	None	FALLBROOK	CA	92028	3004	37	06073	33.38020455	-117.2446307	San Diego County
241608	Fee-for-Service	1629560149	1629560149	1	1	NORCAL PEDIATRIC SURGICAL	7/2/2018	2086S0120X	NA	General Surgery	022	PHYSICIANS GROUP	-	85	Surgery-Pediatric	0	In state provider	PARTNERS	1815 ARNOLD DR	None	MARTINEZ	CA	94553	4219	07	06013	37.99146026	-122.0890542	Contra Costa County
241620	Fee-for-Service	1487217923	1487217923	1	1	NIEBLAS, CHRISTINA D LCSW	8/7/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
241654	Fee-for-Service	1912061615	1912061615	1	1	NARAYAN, GIRISH A MD	1/4/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	72111	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
241724	Fee-for-Service	1245522119	1245522119	1	1	NASH-NAIYER, JENNIFER L LMFT	9/28/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9330 BASELINE ROAD	STE 102	RANCHO CUCAMONGA	CA	91701	5827	36	06071	34.12157046	-117.6011595	San Bernardino County
241788	Fee-for-Service	1609103910	1609103910	1	1	NIZZA, MICHELE D CD	3/25/2024	176B00000X	NA	Licensed Midwife	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	27	06053	0	0	None
241808	Fee-for-Service	1588330617	1588330617	1	1	NANOOM PHARMACY, INC.	9/22/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4301 S FIGUEROA ST	STE. E	LOS ANGELES	CA	90037	2671	19	06037	34.005132	-118.282769	Los Angeles County
241829	Fee-for-Service	1154388601	1154388601	1	1	NEUENDORF, JOHANNES M DO	2/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9506	08	Family Practice	0	In state provider	None	624 E ELDER ST	None	FALLBROOK	CA	92028	3004	37	06073	33.38020455	-117.2446307	San Diego County
241892	Fee-for-Service	1427214378	1427214378	1	1	NIKSEFAT, SAMIRA	8/19/2008	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1100 W GLENOAKS BLVD	None	GLENDALE	CA	91202	2606	19	06037	34.16406001	-118.28021	Los Angeles County
242010	Fee-for-Service	1265510937	1265510937	1	1	NORRIS, ROBERT P MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	70002	66	Emergency Medicine (Urgent Care)	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	0000	39	06077	37.88652418	-121.2820956	San Joaquin County
242048	Fee-for-Service	1477935484	1477935484	1	2	NIKGOHAR, HOUMAN LMFT	6/16/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	215 MARENGO	354	PASADENA	CA	91101	1503	19	06037	34.142085	-118.145936	Los Angeles County
242081	Fee-for-Service	1275505521	1275505521	1	1	NISHITH MAJMUNDAR M.D.	5/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	11800 ASTORIA BLVD	None	HOUSTON	TX	77089	6041	00	None	29.5835234	-95.20877661	Harris County
242121	Fee-for-Service	1154931970	1154931970	1	1	NEGASH, DAGMAWIT A LCSW	4/29/2024	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
242208	Fee-for-Service	1871028894	1871028894	1	1	NIEVES-KIM, DANNY N MD	5/12/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	157693	-	NOT APPLICABLE	0	In state provider	None	1628 BROADWAY	SUITES A AND B	VALLEJO	CA	94590	2405	48	06095	38.12477216	-122.250021	Solano County
242296	Fee-for-Service	1548417751	1548417751	1	1	NAFES, GHAFAR MD	1/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	104813	08	Family Practice	0	In state provider	None	225 EAST 2ND AVE	None	ESCONDIDO	CA	92025	4249	37	06073	33.12175817	-117.0787555	San Diego County
242316	Fee-for-Service	1154804250	1154804250	1	1	NICHOLAS, KELLY RCP	10/4/2018	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
242408	Fee-for-Service	1578820536	1578820536	1	1	NAGASAWA, DANIEL MD	7/29/2019	207T00000X	NA	General Surgery	026	PHYSICIANS	129098	14	Neurological Surgery	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
242410	Fee-for-Service	1417153552	1417153552	1	1	NGUYEN, NGOC PATRICK V	4/30/1993	208C00000X	NA	General Surgery	026	PHYSICIANS	77112	02	General Surgery	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
242576	Fee-for-Service	1669756359	1669756359	1	1	NETTEN, VANESSA M	2/14/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
242578	Fee-for-Service	1932384120	1932384120	1	2	NEIGHBORHOOD HEALTHCARE	5/17/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	10039B VINE ST	None	LAKESIDE	CA	92040	3122	37	06073	32.8611441	-116.9211341	San Diego County
242661	Fee-for-Service	1033293436	1033293436	1	1	NORWALK HEALTHCARE INC	11/1/2003	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	& REHABILITATION CENTER	12627 STUDEBAKER RD	None	NORWALK	CA	90650	2518	19	06037	33.91643529	-118.0993313	Los Angeles County
242662	Fee-for-Service	1083894083	1083894083	1	1	NTIM, GIFTYMARIA J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116039	41	Internal Medicine	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
242729	Fee-for-Service	1922168715	1922168715	1	1	NGUYEN, LOAN K MD	8/26/1995	207W00000X	NA	Ophthalmology	026	PHYSICIANS	50981	18	Ophthalmology	0	In state provider	None	6767 N FRESNO ST	None	FRESNO	CA	93710	3709	10	06019	36.83686637	-119.7813437	Fresno County
242746	Fee-for-Service	1902001407	1902001407	1	1	NAVIZADEH, NAVID MD INC	10/9/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	78087	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25751 MCBEAN PARKWAY	STE 220	VALENCIA	CA	91355	3701	19	06037	34.39972502	-118.5511766	Los Angeles County
242760	Fee-for-Service	1982764866	1982764866	1	1	NGU, SONIA TUYET OD	10/12/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8450 VALLEY BLVD	STE 100	ROSEMEAD	CA	91770	1679	19	06037	34.08038284	-118.0848722	Los Angeles County
242807	Fee-for-Service	1033764626	1033764626	1	1	NAGRA, RAMNINDER S MD	2/29/2024	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	225 NORTH JACKSON	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
242874	Fee-for-Service	1932384120	1932384120	1	2	NEIGHBORHOOD HEALTHCARE	5/17/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	10039B VINE ST	None	LAKESIDE	CA	92040	3122	37	06073	32.8611441	-116.9211341	San Diego County
242894	Fee-for-Service	1457413064	1457413064	1	1	NGUYEN, ANNE Y OD	1/11/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
242951	Fee-for-Service	1083894083	1083894083	1	1	NTIM, GIFTYMARIA J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116039	40	Pediatrics	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
242972	Fee-for-Service	1205178506	1205178506	1	1	NARAYANAN, PRIYADGARSHINI MD	9/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138446	41	Internal Medicine	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
243016	Fee-for-Service	1790839306	1790839306	1	2	NGUYET LE MD INC	12/13/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1771 W ROMNEYA DR	STE. E1	ANAHEIM	CA	92801	1817	30	06059	33.85067649	-117.9445635	Orange County
243116	Fee-for-Service	1932406907	1932406907	1	1	NICHOLS, BROOKE A MD	5/22/2020	207RH0002X	NA	Adult Primary Care	026	PHYSICIANS	138972	41	Internal Medicine	0	In state provider	None	4910 AIRPORT PLAZA DRIVE	SUITE 100	LONG BEACH	CA	90815	1264	19	06037	33.80854316	-118.1359209	Los Angeles County
243158	Fee-for-Service	1275934820	1275934820	1	1	NOCHTA, KATHLEEN A	4/11/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
243232	Fee-for-Service	1629174552	1629174552	1	1	NAKAMURA, RYOTARO MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	78660	68	Hematology	0	In state provider	None	1500 DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
243306	Fee-for-Service	1205074028	1205074028	1	1	NEINSTEIN, AARON B MD	5/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106501	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
243351	Fee-for-Service	1831367762	1831367762	1	1	NASSIRI, ALI DO	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	9369	05	Anesthesiology	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
243423	Fee-for-Service	1376912451	1376912451	1	1	NINYO, ORLY NP	11/26/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
243453	Fee-for-Service	1710190178	1710190178	1	1	NAVARRO, JOANNA I	6/29/2012	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	633 N CENTRAL AVE	#201	GLENDALE	CA	91203	1801	19	06037	34.155054	-118.2579675	Los Angeles County
243553	Fee-for-Service	1013958982	1013958982	1	1	NEVADA CVS PHARMACY LLC	11/14/2012	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	1	Border provider	None	2662 W HORIZON RIDGE PKW	None	HENDERSON	NV	89052	2844	00	None	35.99988983	-115.1040655	Clark County
243602	Fee-for-Service	1568616480	1568616480	1	1	N M HOLDERMAN HOSPITAL	4/10/1986	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	YOUNTVILLE	CA	94599	0000	28	06055	38.39765811	-122.3590658	Napa County
243794	Fee-for-Service	1134516453	1134516453	1	1	NATTIV, JONATHAN MD	7/6/2022	207RA0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	144935	None	None	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
243853	Fee-for-Service	1689698342	1689698342	1	2	NAUGLER, WILLSCOTT E MD	6/25/2008	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	-	10	Gastroenterology (M.D. only)	2	Out of state provider	None	3181 SW SAM JACKSON PARK	None	PORTLAND	OR	97232	1315	00	None	45.49936609	-122.6856232	Multnomah County
243861	Fee-for-Service	1629470299	1629470299	1	1	NURSECARE HOME HEALTH INC	9/5/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	21000 DEVONSHIRE STREET	SUITE 102C	CHATSWORTH	CA	91311	8202	19	06037	34.25721852	-118.5910335	Los Angeles County
243884	Fee-for-Service	1568616480	1568616480	1	1	N M HOLDERMAN HOSPITAL	4/6/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	VETERAN'S HOME OF CA	None	YOUNTVILLE	CA	94599	0000	28	06055	38.39765811	-122.3590658	Napa County
243956	Fee-for-Service	1992999031	1992999031	1	1	NAIK, RAHUL R MD	11/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	101362	68	Hematology	0	In state provider	None	1700 CESAR E CHAVEZ AVE	SUITE 3500	LOS ANGELES	CA	90033	2480	19	06037	34.05101259	-118.217259	Los Angeles County
244010	Fee-for-Service	1609947506	1609947506	1	1	NEFF, CAROLYN S MD	3/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77648	13	Neurology (M.D. only)	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
244046	Fee-for-Service	1104890821	1104890821	1	1	NEWMAN, BEVERLY MD	8/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52407	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
244083	Fee-for-Service	1376560755	1376560755	1	1	NORRELL, LAURA L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76977	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1600 OWENS STREET	None	SAN FRANCISCO	CA	94158	2261	38	06075	37.76850146	-122.3949365	San Francisco County
244144	Fee-for-Service	1023459294	1023459294	1	1	NEWELL, KATHY A NP	3/6/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	292 EUCLID AVE	STE 115	SAN DIEGO	CA	92114	3629	37	06073	32.70706919	-117.0850896	San Diego County
244164	Fee-for-Service	1689237182	1689237182	1	1	NAMBIAR, NITHYALAKSHMI MD	9/12/2022	207R00000X	NA	Other	026	PHYSICIANS	175969	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
244174	Fee-for-Service	1336611268	1336611268	1	1	NG, YING RCP	8/29/2020	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
244177	Fee-for-Service	1235590159	1235590159	1	1	NGO, SABRINA H MD	10/12/2020	207L00000X	NA	Other	026	PHYSICIANS	167564	05	Anesthesiology	0	In state provider	None	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
244243	Fee-for-Service	1992999031	1992999031	1	1	NAIK, RAHUL R MD	11/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	101362	78	Neoplastic Diseases/Oncology	0	In state provider	None	1700 CESAR E CHAVEZ AVE	SUITE 3500	LOS ANGELES	CA	90033	2480	19	06037	34.05101259	-118.217259	Los Angeles County
244297	Fee-for-Service	1760744593	1760744593	1	1	NEPAL, ARJUN MD	11/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144891	40	Pediatrics	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
244298	Fee-for-Service	1043362270	1043362270	1	1	NEWMAN, HOLLY B MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	64914	41	Internal Medicine	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
244333	Fee-for-Service	1063864916	1063864916	1	1	NAING, AKARI THEIN MD	1/27/2023	207R00000X	NA	Other	026	PHYSICIANS	159344	None	None	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
244344	Fee-for-Service	1497181523	1497181523	1	1	NP PHARMA INC	11/12/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1420 EAST ROSEVILLE PKWY	#130	ROSEVILLE	CA	95661	3081	31	06061	38.76199451	-121.249161	Placer County
244430	Fee-for-Service	1053655027	1053655027	1	1	NGUYEN, DUC V MD INC	4/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	42546	41	Internal Medicine	0	In state provider	None	8748 E VALLEY BLVD	STE H	ROSEMEAD	CA	91770	1763	19	06037	34.0806055	-118.0788318	Los Angeles County
244471	Fee-for-Service	1427710821	1427710821	1	1	NGUYEN, DAVID OD	2/4/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12100 WILSHIRE BLVD.	SUITE 1275	LOS ANGELES	CA	90025	7143	19	06037	34.04370122	-118.4678993	Los Angeles County
244514	Fee-for-Service	1659430304	1659430304	1	1	NERI, MICHAEL A MD	1/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	63907	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
244534	Fee-for-Service	1124088323	1124088323	1	1	NEWKIRK, MARY K MD	1/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	37632	41	Internal Medicine	0	In state provider	None	1165 S DORA ST	STE F2	UKIAH	CA	95482	6353	23	06045	39.13602308	-123.2095502	Mendocino County
244605	Fee-for-Service	1093746166	1093746166	1	1	NEWSOM, PETER E MD	5/28/2010	2084P0800X	NA	Psychiatry	026	PHYSICIANS	65766	36	Psychiatry	0	In state provider	None	1187 UNIVERSITY DRIVE	None	MENLO PARK	CA	94025	4423	41	06081	37.45052953	-122.1873948	San Mateo County
244636	Fee-for-Service	1861841769	1861841769	1	1	NAIR, SUJAY R PT	8/18/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1229 COMMERCE AVE	None	ATWATER	CA	95301	5224	24	06047	37.34298769	-120.6128556	Merced County
244690	Fee-for-Service	1306280672	1306280672	1	1	NORTH COUNTY GERIATRICS	7/21/2023	193200000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	15611 POMERADO RD	SUITE 400	SAN DIEGO	CA	92064	2437	37	06073	32.99706	-117.05544	San Diego
244717	Fee-for-Service	1437205903	1437205903	1	1	NG, BENNY OD	9/11/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3553 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
244779	Fee-for-Service	1295174761	1295174761	1	1	NARDI, SEAN L DO	2/1/2020	207P00000X	NA	Other	026	PHYSICIANS	13579	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4002 VISTA WAY	None	OCEANSIDE	CA	92056	4506	37	06073	33.1857	-117.290538	San Diego County
244821	Fee-for-Service	1124088323	1124088323	1	1	NEWKIRK, MARY K MD	1/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	37632	08	Family Practice	0	In state provider	None	1165 S DORA ST	STE F2	UKIAH	CA	95482	6353	23	06045	39.13602308	-123.2095502	Mendocino County
244834	Fee-for-Service	1114023850	1114023850	1	1	NORRIS, MICHAEL MD	1/31/1983	208800000X	NA	Other	026	PHYSICIANS	20625	34	Urology and Urological Surgery	0	In state provider	None	2888 LONG BEACH BLVD	STE 340	LONG BEACH	CA	90806	1552	19	06037	33.809706	-118.189343	Los Angeles County
244857	Fee-for-Service	1184019051	1184019051	1	1	NGUYEN, VIET D MD	2/24/2020	207RN0300X	NA	Nephrology	026	PHYSICIANS	149088	45	Nephrology (Renal-Kidney)	0	In state provider	None	4060 FOURTH AVE	STE 220	SAN DIEGO	CA	92103	2120	37	06073	32.75053673	-117.1616539	San Diego County
244862	Fee-for-Service	1508125048	1508125048	1	1	NASMAN, BENJAMIN W DO	8/3/2017	2085N0700X	NA	MRI Provider	026	PHYSICIANS	14574	31	Roentgenology, Radiology (M.D. only)	0	In state provider	None	945 SHASTA ST	None	YUBA CITY	CA	95991	4114	51	06101	39.14392271	-121.6160328	Sutter County
244891	Fee-for-Service	1093746166	1093746166	1	1	NEWSOM, PETER E MD	5/28/2010	2084P0800X	NA	Psychiatry	026	PHYSICIANS	65766	26	Psychiatry (child)	0	In state provider	None	1187 UNIVERSITY DRIVE	None	MENLO PARK	CA	94025	4423	41	06081	37.45052953	-122.1873948	San Mateo County
244903	Fee-for-Service	1386867950	1386867950	1	1	NGUYEN, YOUNG D LCSW	5/18/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
244924	Fee-for-Service	1144385998	1144385998	1	2	NEWPORT MESA AUDIOLOGY INC	6/6/2011	193200000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	777 CORPORATE DR	STE 130	LADERA RANCH	CA	92694	2136	30	06059	33.557436	-117.6293075	Orange County
244997	Fee-for-Service	1699794156	1699794156	1	1	NIRENSTEIN, JAMES E LMFT	3/29/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	45 QUAIL CT	STE 200	WALNUT CREEK	CA	94596	8729	07	06013	37.8875744	-122.0545737	Contra Costa County
245047	Fee-for-Service	1942610795	1942610795	1	1	NORTHERN CALIFORNIA ORTHOPAE	12/28/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	DIC ASSOCIATES CORP	7807 LAGUNA BLVD. #480	None	ELK GROVE	CA	95757	7953	34	06067	38.423619	-121.41099	Sacramento County
245101	Fee-for-Service	1740711043	1740711043	1	1	NGUYEN, BRADFORD MD	6/17/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	157149	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
245105	Fee-for-Service	1508271982	1508271982	1	1	NOONAN, KEITH DO	10/31/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	14757	36	Psychiatry	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
245164	Fee-for-Service	1740601269	1740601269	1	1	NGUYEN, MICHELLE C CNP	6/23/2021	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	17782 COWAN STE A	None	IRVINE	CA	92614	6041	30	06059	33.69590054	-117.862371	Orange County
245168	Fee-for-Service	1013102581	1013102581	1	1	NICHOLAS, ELISA A MD	2/8/2015	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	46763	40	Pediatrics	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
245226	Fee-for-Service	1306807789	1306807789	1	1	NGUYEN, TRIET M MD INC	11/30/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	76262	18	Ophthalmology	0	In state provider	OMNIVISION	9286 BOLSA AVE	None	WESTMINSTER	CA	92683	5557	30	06059	33.7447137	-117.966824	Orange County
245250	Fee-for-Service	1477689248	1477689248	1	1	NEJEDLY, MARY P NP	11/19/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
245262	Fee-for-Service	1265994818	1265994818	1	2	NWOSU, OGOCHUKWU R NP	5/20/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	201901241	-	NOT APPLICABLE	0	In state provider	None	717 MISSOURI ST	SUITE B	FAIRFIELD	CA	94533	6252	48	06095	38.24809951	-122.042511	Solano County
245264	Fee-for-Service	1285874990	1285874990	1	1	NAYEB-HASHEMI, HAMED MD	10/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	106620	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	STE 365,420,120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
245338	Fee-for-Service	1942610795	1942610795	1	1	NORTHERN CALIFORNIA ORTHOPAE	12/28/2023	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	DIC ASSOCIATES CORP	7807 LAGUNA BLVD. #480	None	ELK GROVE	CA	95757	7953	34	06067	38.423619	-121.41099	Sacramento County
245351	Fee-for-Service	1912341116	1912341116	1	1	NGOC H TRAN OD INC	9/23/2013	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8327 RESEDA BLVD	None	NORTHRIDGE	CA	91324	4620	19	06037	34.221699	-118.5360985	Los Angeles County
245389	Fee-for-Service	1104029354	1104029354	1	1	NICHOLSON, SVATI V. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2801 N GANTENBEIN AVE	None	PORTLAND	OR	97227	1623	00	None	45.54387841	-122.6696022	Multnomah County
245407	Fee-for-Service	1124766886	1124766886	1	1	NAYLOR, JILLIAN MD	7/29/2022	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	401 GRAND AVE	SUITE 380	OAKLAND	CA	94610	5054	01	06001	37.80873036	-122.2535337	Alameda County
245464	Fee-for-Service	1174672075	1174672075	1	1	NGEE-LEUNG, MARY JANE	6/2/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	CRNA	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
245548	Fee-for-Service	1285874990	1285874990	1	1	NAYEB-HASHEMI, HAMED MD	10/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	106620	10	Gastroenterology (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA	STE 365,420,120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
245689	Fee-for-Service	1710045174	1710045174	1	1	NGUYEN, HENRY OD INC	3/7/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	23080 ALESSANDRO BLVD	STE 206	MORENO VALLEY	CA	92553	9674	33	06065	33.91731429	-117.2599095	Riverside County
245752	Fee-for-Service	1851544100	1851544100	1	1	NARAYAN, ANNE K MD	6/2/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	155827	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	19582 BEACH BLVD STE 202	None	HUNTINGTON BEACH	CA	92648	2996	30	06059	33.67831649	-117.9885198	Orange County
245806	Fee-for-Service	1871028894	1871028894	1	2	NIEVES-KIM, DANNY N MD	10/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	157693	None	None	0	In state provider	None	617 VETERANS BLVD	STE 101	REDWOOD CITY	CA	94063	1496	41	06081	37.4924484	-122.2318516	San Mateo County
245824	Fee-for-Service	1760669667	1760669667	1	1	NORTHEAST VALLEY HEALTH	2/6/2008	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	LAC-VALENCIA	23763 VALENCIA BLVD	None	VALENCIA	CA	91355	2105	19	06037	34.41433111	-118.5509046	Los Angeles County
245839	Fee-for-Service	1588920425	1588920425	1	1	NEWLIN STEWART, JENNIFER	12/2/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	90124	-	NOT APPLICABLE	0	In state provider	MFT	11777 SEBASTIAN WAY	SUITE 102	RANCHO CUCAMONGA	CA	91730	0707	36	06071	34.10414799	-117.548378	San Bernardino County
245950	Fee-for-Service	1619596798	1619596798	1	1	NGUYEN, DUC M MD	6/26/2023	390200000X	NA	Other	026	PHYSICIANS	181388	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
246048	Fee-for-Service	1184137432	1184137432	1	1	NEAL, ERIC W PT	3/7/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
246060	Fee-for-Service	1700096393	1700096393	1	1	NINH, CHRISTOPHER C MD	12/6/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	98528	20	Orthopedic Surgery	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
246114	Fee-for-Service	1326275405	1326275405	1	1	NGUYEN, LINDA MD	8/6/2018	207P00000X	NA	Other	026	PHYSICIANS	149129	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
246154	Fee-for-Service	1356405765	1356405765	1	1	NUNES, MICHAEL A LCSW	12/30/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST ST	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
246171	Fee-for-Service	1619190071	1619190071	1	1	NEVADA JOINT UNION HSD	7/1/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	11645 RIDGE RD	None	GRASS VALLEY	CA	95945	5024	29	06057	39.239658	-121.053114	Nevada County
246205	Fee-for-Service	1386838530	1386838530	1	1	NAGARAJ,MADUGONDE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1200 N BEAVER ST	None	FLAGSTAFF	AZ	86001	0000	00	None	35.208594	-111.645099	Coconino County
246240	Fee-for-Service	1730277344	1730277344	1	1	NCSRA MEDICAL CORPORATION	2/2/2024	208100000X	NA	Physical Medicine and Rehabilitation	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2801 K ST	SUITE 410	SACRAMENTO	CA	95816	5119	34	06067	38.572947	-121.46904	Sacramento County
246246	Fee-for-Service	1396033882	1396033882	1	1	NORTHERN CALIFORNIA SURGICAL	9/9/2011	193400000X	NA	Other	026	PHYSICIANS	99595	02	General Surgery	0	In state provider	ASSOCIATES INC	8120 TIMBERLAKE WAY	SUITE 109	SACRAMENTO	CA	95823	5405	34	06067	38.461023	-121.41414	Sacramento County
246252	Fee-for-Service	1043452956	1043452956	1	1	NORMAN, DANIEL MD INC	6/16/2009	207R00000X	NA	Other	026	PHYSICIANS	86203	41	Internal Medicine	0	In state provider	None	1328 22ND STREET	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
246288	Fee-for-Service	1578841607	1578841607	1	1	NGUYEN, RICHARD LE CPO	9/15/2011	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	4479 STONERIDGE RD	#A	PLEASANTON	CA	94588	8447	01	06001	37.68796252	-121.8761775	Alameda County
246289	Fee-for-Service	1477134773	1477134773	1	1	NABATI, CAMELLIA MD	4/17/2025	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
246295	Fee-for-Service	1538181763	1538181763	1	1	NGUYEN, HUNG	1/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	71814	None	None	0	In state provider	None	10900 WESTMINSTER AVE	STE 3	GARDEN GROVE	CA	92843	4984	30	06059	33.75955055	-117.9388485	Orange County
246299	Fee-for-Service	1386092922	1386092922	1	1	NICHOLS, CHANCE A MD	8/4/2022	2086S0102X	NA	General Surgery	026	PHYSICIANS	171608	None	None	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
246306	Fee-for-Service	1396710851	1396710851	1	1	NORTH VALLEY HOSPITAL INC	7/22/2010	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1600 HOSPITAL WAY	None	WHITEFISH	MT	59937	7849	00	None	48.3804	-114.331275	Flathead County
246335	Fee-for-Service	1396359352	1396359352	1	1	NGUYEN, EMERALD MD	10/30/2023	261QU0200X	NA	Other	026	PHYSICIANS	191139	None	None	0	In state provider	None	1201 ALHAMBRA BLVD	STE 210	SACRAMENTO	CA	95816	5241	34	06067	38.570076	-121.4657145	Sacramento County
246353	Fee-for-Service	1134184021	1134184021	1	1	NICKEL, LAVONNE R MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	52307	05	Anesthesiology	0	In state provider	None	812 4TH ST	STE A	MARYSVILLE	CA	95901	5667	58	06115	39.13860196	-121.5959755	Yuba County
246383	Fee-for-Service	1477797603	1477797603	1	1	NADARAJA, GARANI S MD	4/7/2014	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	105932	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
246454	Fee-for-Service	1619190071	1619190071	1	1	NEVADA JOINT UNION HSD	11/25/2024	No Taxonomy Provided	NA	None	112	CYBHI FEE SCHEDULE	-	-	NOT APPLICABLE	0	In state provider	None	11645 RIDGE RD	None	GRASS VALLEY	CA	95945	5024	29	06057	39.239658	-121.053114	Nevada County
246515	Fee-for-Service	1013188051	1013188051	1	1	NGUYEN, ANH QUAN T MD	3/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	102865	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
246529	Fee-for-Service	1700099090	1700099090	1	1	NELSON, CYNTHIA K LMFT	12/4/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	53004	-	NOT APPLICABLE	0	In state provider	None	2180 JOHNSON AVENUE	1ST FLOOR	SAN LUIS OBISPO	CA	93401	4513	40	06079	35.27488974	-120.6468257	San Luis Obispo County
246538	Fee-for-Service	1043452956	1043452956	1	1	NORMAN, DANIEL MD INC	6/16/2009	207R00000X	NA	Other	026	PHYSICIANS	86203	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1328 22ND STREET	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
246548	Fee-for-Service	1962777078	1962777078	1	1	NAYLOR, SARA-MEGUMI L MD	1/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127310	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	STE 365, 420, 120	LOS ANGELES	CA	90045	5655	19	06037	34.06527974	-118.4462792	Los Angeles County
246565	Fee-for-Service	1952418378	1952418378	1	3	NORTH BAY EYE ASSOCIATES A	7/29/1996	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	MEDICAL GROUP INC	1260 N DUTTON AVE	STE 230	SANTA ROSA	CA	95401	7161	49	06097	38.449197	-122.7320775	Sonoma County
246569	Fee-for-Service	1447403696	1447403696	1	1	NAGI, SUKHVINDER MD	5/14/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	104018	05	Anesthesiology	0	In state provider	None	250 HOSPITAL PKWAY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
246594	Fee-for-Service	1396710851	1396710851	1	1	NORTH VALLEY HOSPITAL INC	7/22/2010	282NC0060X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1600 HOSPITAL WAY	None	WHITEFISH	MT	59937	7849	00	None	48.3804	-114.331275	Flathead County
246595	Fee-for-Service	1689097057	1689097057	1	1	NEVILLE, ROBIN E LCSW	12/19/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
246598	Fee-for-Service	1184678112	1184678112	1	1	NAJAFI-TAGOL, KATHRYN MD	11/18/2004	207W00000X	NA	Ophthalmology	026	PHYSICIANS	68850	18	Ophthalmology	0	In state provider	None	4000 CIVIC CENTER DR	STE 200A	SAN RAFAEL	CA	94903	5233	21	06041	38.0041783	-122.538861	Marin County
246639	Fee-for-Service	1134184021	1134184021	1	1	NICKEL, LAVONNE R MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	52307	66	Emergency Medicine (Urgent Care)	0	In state provider	None	812 4TH ST	STE A	MARYSVILLE	CA	95901	5667	58	06115	39.13860196	-121.5959755	Yuba County
246689	Fee-for-Service	1235276478	1235276478	1	1	NEMANI, RAMACHANDRA R MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	30934	41	Internal Medicine	0	In state provider	None	2001 SANTA MONICA BLVD	STE 1265	SANTA MONICA	CA	90404	2113	19	06037	34.02891163	-118.4797466	Los Angeles County
246691	Fee-for-Service	1992813323	1992813323	1	1	NGUYEN, THANH T OD	2/9/2009	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1617 ST MARKS PLAZA	STE D	STOCKTON	CA	95207	6423	39	06077	37.98864819	-121.3268062	San Joaquin County
246707	Fee-for-Service	1871577403	1871577403	1	1	NGUYEN, CHAN V MD	12/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	86185	30	Radiology	0	In state provider	None	2800 L ST	STE 260	SACRAMENTO	CA	95816	5616	34	06067	38.571237	-121.469958	Sacramento County
246809	Fee-for-Service	1528646544	1528646544	1	1	NGUYEN, LOUIS T MD	1/14/2025	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6430 SOUTH ST	None	LAKEWOOD	CA	90713	1713	19	06037	33.85826253	-118.107441	Los Angeles County
246815	Fee-for-Service	1871933366	1871933366	1	1	NGUYEN, PETER T DO	6/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14978	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
246828	Fee-for-Service	1043452956	1043452956	1	1	NORMAN, DANIEL MD INC	6/16/2009	207R00000X	NA	Other	026	PHYSICIANS	86203	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1328 22ND STREET	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
246829	Fee-for-Service	1427765346	1427765346	1	1	NGUGI, GEOFFREY MUIGAI	12/8/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10913 GLADLANDS AVE	None	STOCKTON	CA	95219	0001	39	06077	38.05547839	-121.3976381	San Joaquin County
246850	Fee-for-Service	1952418378	1952418378	1	3	NORTH BAY EYE ASSOCIATES A	7/29/1996	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	MEDICAL GROUP INC	1260 N DUTTON AVE	STE 230	SANTA ROSA	CA	95401	7161	49	06097	38.449197	-122.7320775	Sonoma County
246947	Fee-for-Service	1265524524	1265524524	1	1	NAVARRO, MELVIN PHD	6/11/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA ST	SUITE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
247055	Fee-for-Service	1225155997	1225155997	1	1	NIKI MILLESON D.O.	5/31/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	901 ADAMS ST	None	AFTON	WY	83110	9621	00	None	42.71688	-110.9314035	Lincoln County
247093	Fee-for-Service	1821213778	1821213778	1	1	NEWTON MCMILLAN, MARGARET D	12/6/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	CNP	14330 CULVER DR	None	IRVINE	CA	92604	0303	30	06059	33.70654758	-117.7857461	Orange County
247095	Fee-for-Service	1538659396	1538659396	1	1	NAVARRO, CYBILL DO	4/20/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19156	None	None	0	In state provider	None	1313 W 8TH ST	STE 100	LOS ANGELES	CA	90017	4420	19	06037	34.05048998	-118.269586	Los Angeles County
247117	Fee-for-Service	1427765346	1427765346	1	1	NGUGI, GEOFFREY MUIGAI	12/8/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10913 GLADLANDS AVE	None	STOCKTON	CA	95219	0001	39	06077	38.05547839	-121.3976381	San Joaquin County
247139	Fee-for-Service	1467795377	1467795377	1	1	NULSEN, BENJAMIN F MD	6/12/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	147910	10	Gastroenterology (M.D. only)	0	In state provider	None	2428 SANTA MONICA BLVD	STE 200	SANTA MONICA	CA	90404	2046	19	06037	34.0317559	-118.4762013	Los Angeles County
247248	Fee-for-Service	1922011782	1922011782	1	1	NASUR, ALI MD MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1 BURDICK EXPY W	None	MINOT	ND	58701	4406	00	None	48.2325845	-101.2938165	Ward County
247319	Fee-for-Service	1639435969	1639435969	1	1	NARDINE, TIMOTHY M MD	6/29/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	143112	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2425 SAMARITAN DR	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
247424	Fee-for-Service	1467795377	1467795377	1	1	NULSEN, BENJAMIN F MD	6/12/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	147910	41	Internal Medicine	0	In state provider	None	2428 SANTA MONICA BLVD	STE 200	SANTA MONICA	CA	90404	2046	19	06037	34.0317559	-118.4762013	Los Angeles County
247451	Fee-for-Service	1245855949	1245855949	1	1	NGUYEN, THIEN P DO	3/27/2024	207QS1201X	NA	Adult Primary Care	026	PHYSICIANS	20727	None	None	0	In state provider	None	3701 SKYPARK DRIVE	200	TORRANCE	CA	90505	4749	19	06037	33.81114782	-118.349449	Los Angeles County
247465	Fee-for-Service	1053655704	1053655704	1	1	NORTH EAST MEDICAL SERVICES	6/25/2013	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	38	06075	37.75415191	-122.4788414	San Francisco County
247486	Fee-for-Service	1962908202	1962908202	1	1	NASOUF, LUQMAN MD	10/22/2020	390200000X	NA	Other	026	PHYSICIANS	166040	None	None	0	In state provider	None	675 S ARROYO PKWY	None	PASADENA	CA	91105	3263	19	06037	34.13385453	-118.1474229	Los Angeles County
247495	Fee-for-Service	1164767646	1164767646	1	1	NISHI, YORIKO LMFT	12/27/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
247501	Fee-for-Service	1053725820	1053725820	1	1	NANDANOOR, DHEERAJ MD	3/14/2019	207R00000X	NA	Other	026	PHYSICIANS	153227	41	Internal Medicine	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	0001	39	06077	37.97026329	-121.2890849	San Joaquin County
247514	Fee-for-Service	1760695761	1760695761	1	1	NAHEEDY, JOHN H MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	99832	None	None	0	In state provider	None	7901 FROST STREET	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
247532	Fee-for-Service	1811510548	1811510548	1	1	NCM CARE HOME HEALTH	4/21/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	303 N GLENOAKS BLVD	STE 225	BURBANK	CA	91502	1116	19	06037	34.18486122	-118.308553	Los Angeles County
247538	Fee-for-Service	1033952353	1033952353	1	1	NAIEM, AHMED A MD	7/2/2024	2086S0129X	NA	General Surgery	026	PHYSICIANS	None	02	General Surgery	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
247549	Fee-for-Service	1023061181	1023061181	1	1	NASKER, HEATHER J CRNA	11/25/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	210 CANAL ST	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
247564	Fee-for-Service	1154431815	1154431815	1	1	NOB HILL GENERAL STORE INC	8/19/1998	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1700 AIRLINE HWY	None	HOLLISTER	CA	95023	5621	35	06069	36.83780435	-121.3901429	San Benito County
247590	Fee-for-Service	1750143574	1750143574	1	1	NOLOT, LAUREN F	2/20/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	30	06059	0	0	None
247606	Fee-for-Service	1437173754	1437173754	1	1	NGUYEN, TAN	1/25/1995	207P00000X	NA	Other	026	PHYSICIANS	80578	None	None	0	In state provider	None	2400 S FLOWER ST	None	LOS ANGELES	CA	90007	2629	19	06037	34.02861627	-118.273964	Los Angeles County
247660	Fee-for-Service	1558432468	1558432468	1	1	NARASIMHAN, RAJALAXMI MD	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	51422	05	Anesthesiology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
247673	Fee-for-Service	1235463498	1235463498	1	1	NORTH COAST AUDIOLOGY INC	6/15/2010	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1930 MYRTLE AVE	None	EUREKA	CA	95501	1406	12	06023	40.790329	-124.1337607	Humboldt County
247717	Fee-for-Service	1902003700	1902003700	1	1	NELSON, RICHARD N MD	10/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90081	05	Anesthesiology	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
247763	Fee-for-Service	1851890966	1851890966	1	1	NOLBERTO, DEVONEY DASHAY	2/9/2018	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	15715 SEAFORTH AVE	None	NORWALK	CA	90650	7366	19	06037	33.88861951	-118.0669744	Los Angeles County
247785	Fee-for-Service	1477154565	1477154565	1	1	NEW WAY HOSPICE AND	9/29/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	13701 RIVERSIDE DR	SUITE 314	SHERMAN OAKS	CA	91423	2447	19	06037	34.15762986	-118.4316325	Los Angeles County
247814	Fee-for-Service	1750752358	1750752358	1	1	NELSON, D'ANDRA LMFT	2/10/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1041 E YORBA LINDA BLVD	202	PLACENTIA	CA	92870	3760	30	06059	33.88848865	-117.8451029	Orange County
247815	Fee-for-Service	1881731610	1881731610	1	1	NICHOLAS, RYAN H MD	7/31/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	97243	08	Family Practice	0	In state provider	None	6555 COYLE AVENUE	None	CARMICHAEL	CA	95608	0000	34	06067	38.66859	-121.3118055	Sacramento County
247923	Fee-for-Service	1528298528	1528298528	1	1	NORDSTROM, CARL E MD	7/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116293	10	Gastroenterology (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA	SUITE 365, 420, 120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
247942	Fee-for-Service	1558432468	1558432468	1	1	NARASIMHAN, RAJALAXMI MD	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	51422	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
248031	Fee-for-Service	1376977298	1376977298	1	1	NOMURA, MARIKO MD	7/4/2020	207P00000X	NA	Other	026	PHYSICIANS	154436	70	Clinic (mixed specialty)	0	In state provider	None	975 S. FAIRMONT AVENUE	None	LODI	CA	95241	5118	39	06077	38.12188356	-121.285872	San Joaquin County
248044	Fee-for-Service	1336227933	1336227933	1	1	NORMOYLE, JENNIFER L MD	5/28/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	54851	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	C B O VALLEJO	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
248051	Fee-for-Service	1851890966	1851890966	1	1	NOLBERTO, DEVONEY DASHAY	2/9/2018	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	15715 SEAFORTH AVE	None	NORWALK	CA	90650	7366	19	06037	33.88861951	-118.0669744	Los Angeles County
248077	Fee-for-Service	1477154565	1477154565	1	1	NEW WAY HOSPICE AND	9/29/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	13701 RIVERSIDE DR	SUITE 314	SHERMAN OAKS	CA	91423	2447	19	06037	34.15762986	-118.4316325	Los Angeles County
248145	Fee-for-Service	1972580363	1972580363	1	1	NORTHERN CALIFORNIA	8/23/2007	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	REHABILITATION HOSP, LLC	2801 EUREKA WAY	None	REDDING	CA	96001	0222	45	06089	40.58569445	-122.4137153	Shasta County
248152	Fee-for-Service	1265782817	1265782817	1	1	NEEMUCHWALA, FATIMA H MD	9/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	156986	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
248160	Fee-for-Service	1598733552	1598733552	1	1	NIETO, JOE MD	10/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	88921	None	None	0	In state provider	None	1401 GARCES HWY	None	DELANO	CA	93215	3690	15	06029	35.76144847	-119.238912	Kern County
248209	Fee-for-Service	1528298528	1528298528	1	1	NORDSTROM, CARL E MD	7/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116293	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	SUITE 365, 420, 120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
248226	Fee-for-Service	1982690582	1982690582	1	1	NGO, DEAN B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	60674	66	Emergency Medicine (Urgent Care)	0	In state provider	None	10900 WESTMINSTER AVE	STE 3	GARDEN GROVE	CA	92843	4984	30	06059	33.75955055	-117.9388485	Orange County
248265	Fee-for-Service	1598922254	1598922254	1	1	NGUYEN, HAO G MD	5/6/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	105578	34	Urology and Urological Surgery	0	In state provider	None	1001 POTRERO AVE	RM 3A20	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
248278	Fee-for-Service	1639290620	1639290620	1	1	NEWELL, CLINTON P LPCC	3/3/2025	101Y00000X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	72925 FRED WARING DR STE	102	PALM DESERT	CA	92260	9405	33	06065	33.72860149	-116.3920095	Riverside County
248279	Fee-for-Service	1972523389	1972523389	1	1	NIZAMANI, SAIFULLAH MD	8/22/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52218	36	Psychiatry	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
248287	Fee-for-Service	1275563058	1275563058	1	1	NARIMATSU, SCOTT K MD	7/19/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	88839	66	Emergency Medicine (Urgent Care)	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
248307	Fee-for-Service	1073551446	1073551446	1	1	NATIONWIDE MEDICAL INC	7/20/2015	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	29901 AGOURA ROAD	None	AGOURA HILLS	CA	91301	2513	19	06037	34.14493432	-118.7752047	Los Angeles County
248318	Fee-for-Service	1376977298	1376977298	1	1	NOMURA, MARIKO MD	7/4/2020	207P00000X	NA	Other	026	PHYSICIANS	154436	66	Emergency Medicine (Urgent Care)	0	In state provider	None	975 S. FAIRMONT AVENUE	None	LODI	CA	95241	5118	39	06077	38.12188356	-121.285872	San Joaquin County
248377	Fee-for-Service	1467408807	1467408807	1	1	NEOMAN, AYMAN MD A MEDICAL	6/21/2016	174400000X	NA	Other	026	PHYSICIANS	69221	28	Proctology (colon and rectal)	0	In state provider	None	701 E 28TH ST	STE 301	LONG BEACH	CA	90806	2777	19	06037	33.80803441	-118.1847137	Los Angeles County
248380	Fee-for-Service	1942558218	1942558218	1	1	NITENSON, JOSHUA M	10/24/2013	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
248382	Fee-for-Service	1144071887	1144071887	1	2	NEW SOCAL MEDICAL GROUP PROF	10/8/2024	2084N0402X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	ESSIONAL CORPORATION	47647 CALEO BAY DR	STE 101	LA QUINTA	CA	92253	8857	33	06065	33.70305235	-116.2936509	Riverside County
248387	Fee-for-Service	1396844411	1396844411	1	1	NGUYEN, NGOC THUY M.D.	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	34740	01	General Practice	0	In state provider	None	12302 GARDEN GROVE BLVD	STE 27	GARDEN GROVE	CA	92843	1834	30	06059	33.77428392	-117.9181185	Orange County
248433	Fee-for-Service	1972580363	1972580363	1	1	NORTHERN CALIFORNIA	6/30/2005	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	REHABILITATION HOSP, LLC	2801 EUREKA WAY	None	REDDING	CA	96001	0222	45	06089	40.58569445	-122.4137153	Shasta County
248470	Fee-for-Service	1104842293	1104842293	1	1	NAKAHIRA, LAURIE T DO	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	6820	41	Internal Medicine	0	In state provider	None	3081 TEAGARDEN ST	None	SAN LEANDRO	CA	94577	5720	01	06001	37.70519163	-122.1536391	Alameda County
248495	Fee-for-Service	1770585044	1770585044	1	1	NGUYEN, KHANH K MD	11/23/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	61955	10	Gastroenterology (M.D. only)	0	In state provider	None	2340 MONTPELIER DR	STE A	SAN JOSE	CA	95116	1622	43	06085	37.36500087	-121.8478263	Santa Clara County
248511	Fee-for-Service	1346372950	1346372950	1	1	NAUS, ERIN K PHD	2/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	227 EAST 11TH STREET	None	TRACY	CA	95376	4015	39	06077	37.73973751	-121.4217675	San Joaquin County
248515	Fee-for-Service	1982690582	1982690582	1	1	NGO, DEAN B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	60674	41	Internal Medicine	0	In state provider	None	10900 WESTMINSTER AVE	STE 3	GARDEN GROVE	CA	92843	4984	30	06059	33.75955055	-117.9388485	Orange County
248568	Fee-for-Service	1497701080	1497701080	1	1	NWAKO, CHUMA	5/30/2007	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	PACIFICA MED SUPPLIES	15238 CRENSHAW BLVD	None	GARDENA	CA	90249	4049	19	06037	33.8925747	-118.3264725	Los Angeles County
248668	Fee-for-Service	1467408807	1467408807	1	1	NEOMAN, AYMAN MD A MEDICAL	6/21/2016	174400000X	NA	Other	026	PHYSICIANS	69221	02	General Surgery	0	In state provider	None	701 E 28TH ST	STE 301	LONG BEACH	CA	90806	2777	19	06037	33.80803441	-118.1847137	Los Angeles County
248671	Fee-for-Service	1144071887	1144071887	1	2	NEW SOCAL MEDICAL GROUP PROF	10/8/2024	2084N0402X	NA	Neurology	022	PHYSICIANS GROUP	-	79	Neurology-Child	0	In state provider	ESSIONAL CORPORATION	47647 CALEO BAY DR	STE 101	LA QUINTA	CA	92253	8857	33	06065	33.70305235	-116.2936509	Riverside County
248716	Fee-for-Service	1417193921	1417193921	1	1	NORMAN, DEBBIE	1/1/2009	163W00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1525 E TAM O'SHANTER ST	None	ONTARIO	CA	91761	6354	36	06071	34.025589	-117.618507	San Bernardino County
248722	Fee-for-Service	1700204443	1700204443	1	1	NORTHCUTT, MICHAEL J MD	8/26/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	167883	41	Internal Medicine	0	In state provider	None	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	4506	41	06081	37.592811	-122.382351	San Mateo County
248750	Fee-for-Service	1518371053	1518371053	1	1	NGUYEN, ANN T PHD	2/5/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
248775	Fee-for-Service	1134309818	1134309818	1	1	NWAMUO, DAWN C MD	7/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	93407	30	Radiology	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
248783	Fee-for-Service	1295022259	1295022259	1	1	NGUYEN, HONG T MD	5/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120467	07	Dermatology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
248830	Fee-for-Service	1831237569	1831237569	1	2	NHAN, HANG T OD	9/29/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	340 CERNON STREET	None	VACAVILLE	CA	95688	4502	48	06095	38.355291	-121.9910265	Solano County
248831	Fee-for-Service	1306819826	1306819826	1	1	NCHEKWUBE, EMEKA MD INC	8/25/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	39163	14	Neurological Surgery	0	In state provider	None	725 E SANTA CLARA ST	STE 305	SAN JOSE	CA	95112	1938	43	06085	37.34328626	-121.8756374	Santa Clara County
248832	Fee-for-Service	1154528560	1154528560	1	1	NAG, ADITI MD	9/13/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94792	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
248867	Fee-for-Service	1487661625	1487661625	1	1	NYE, ROBERT A MD	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	84914	05	Anesthesiology	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
248887	Fee-for-Service	1376697797	1376697797	1	1	NEWMAN, MICHAEL S DO	10/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	12416	41	Internal Medicine	0	In state provider	None	1520 SAN PABLO ST	SUITE 1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
248910	Fee-for-Service	1679152896	1679152896	1	1	NYC, MARY A MD	2/9/2024	390200000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	7117 BROCKTON AVE	None	RIVERSIDE	CA	92506	2620	33	06065	33.94354395	-117.394926	Riverside County
248930	Fee-for-Service	1326004821	1326004821	1	1	NGUYEN, HUY M MD	11/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	87642	05	Anesthesiology	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
248958	Fee-for-Service	1144071887	1144071887	1	2	NEW SOCAL MEDICAL GROUP PROF	10/8/2024	2084N0402X	NA	Neurology	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	ESSIONAL CORPORATION	47647 CALEO BAY DR	STE 101	LA QUINTA	CA	92253	8857	33	06065	33.70305235	-116.2936509	Riverside County
248967	Fee-for-Service	1578630455	1578630455	1	1	NG, ROWONA ANNA MD	9/30/1990	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	64454	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
249009	Fee-for-Service	1700204443	1700204443	1	1	NORTHCUTT, MICHAEL J MD	8/26/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	167883	10	Gastroenterology (M.D. only)	0	In state provider	None	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	4506	41	06081	37.592811	-122.382351	San Mateo County
249027	Fee-for-Service	1528401783	1528401783	1	1	NEWPORT CARE MEDICAL GROUP,	3/5/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	441 OLD NEWPORT BLVD	None	NEWPORT BEACH	CA	92663	4233	30	06059	33.6268583	-117.9263906	Orange County
249057	Fee-for-Service	1265834816	1265834816	1	1	NATURES GRACE ACUPUNCTURE	9/10/2018	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	25470 MEDICAL CENTER DR	STE 104	MURRIETA	CA	92562	4901	33	06065	33.55723646	-117.1859554	Riverside County
249089	Fee-for-Service	1003834987	1003834987	1	1	NICOLAS CAMILO MD	12/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	190 E BANNOCK ST	None	BOISE	ID	83712	6241	00	None	43.6124738	-116.1926844	Ada County
249096	Fee-for-Service	1295802312	1295802312	1	1	NORTH, BARBARA B MD	6/17/2019	207Q00000X	NA	Adult Primary Care	086	MEDICAL DIRECTORS	35082	-	NOT APPLICABLE	0	In state provider	None	9024 SNIKTAW LN	None	FORT JONES	CA	96032	9408	47	06093	41.59983924	-122.9748122	Siskiyou County
249124	Fee-for-Service	1497836464	1497836464	1	1	NANAYAKKARA, GAMAGE N MD	7/21/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	35609	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	760 WASHBURN AVE	STE 9	CORONA	CA	92882	3303	33	06065	33.87374678	-117.5678721	Riverside County
249174	Fee-for-Service	1376697797	1376697797	1	1	NEWMAN, MICHAEL S DO	10/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	12416	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1520 SAN PABLO ST	SUITE 1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
249218	Fee-for-Service	1184684557	1184684557	1	1	NERENBERG, MICHAEL I MD	5/31/1990	207ZC0500X	NA	Other	026	PHYSICIANS	68545	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
249233	Fee-for-Service	1124331095	1124331095	1	1	NAMINI, ALIREZA S MD	11/8/2019	2085N0700X	NA	MRI Provider	026	PHYSICIANS	134520	30	Radiology	0	In state provider	None	101 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3809	30	06059	33.89356031	-117.9271656	Orange County
249275	Fee-for-Service	1053442020	1053442020	1	1	NGUYEN, JAMIE H MD	7/31/1995	207R00000X	NA	Other	026	PHYSICIANS	60926	41	Internal Medicine	0	In state provider	None	1901 COLLEGE AVE	None	SANTA ANA	CA	92706	2334	30	06059	33.76163312	-117.8918492	Orange County
249296	Fee-for-Service	1134539240	1134539240	1	1	NEISA, ROBERTO A MD	1/2/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	158450	05	Anesthesiology	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
249297	Fee-for-Service	1689221087	1689221087	1	1	NOR-CAL LONG TERM CARE PHARM	10/18/2019	3336L0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CES	495 ELDER	SUITE 8/9	SAND CITY	CA	93955	3547	27	06053	36.61176155	-121.8523322	Monterey County
249307	Fee-for-Service	1184191009	1184191009	1	1	NEGASH, SAMSON	5/29/2024	225700000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
249322	Fee-for-Service	1922061779	1922061779	2	1	NEWPORT EMERGENCY MEDICAL GR	3/2/2020	261QM2500X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	OUP INC	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
249337	Fee-for-Service	1043478902	1043478902	1	1	NATION, JAVAN J MD	6/16/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125279	None	None	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
249393	Fee-for-Service	1558968727	1558968727	1	1	NICOLE KELLEHER, M.D., P.C.	2/8/2021	207QG0300X	NA	Adult Primary Care	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	10251 VISTA SORRENTO PAR	SUITE 280	SAN DIEGO	CA	92121	3776	37	06073	32.89524013	-117.2142063	San Diego County
249529	Fee-for-Service	1023559408	1023559408	1	1	NAZARYAN, ANNI	4/5/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	9084 RIDERWOOD DR	None	SUNLAND	CA	91040	2639	19	06037	34.26417149	-118.3305496	Los Angeles County
249540	Fee-for-Service	1427062348	1427062348	1	1	NIKAKHTAR, NEHZAT MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	36773	02	General Surgery	0	In state provider	None	421 E ANGELENO AVE	STE 102	BURBANK	CA	91501	2286	19	06037	34.18278568	-118.3048911	Los Angeles County
249579	Fee-for-Service	1457309775	1457309775	1	1	NEMER, JACQUELINE A MD	8/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85340	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
249630	Fee-for-Service	1073046926	1073046926	1	1	NGUYEN, DANNY H DO	9/28/2021	207R00000X	NA	Other	026	PHYSICIANS	17628	None	None	0	In state provider	None	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
249676	Fee-for-Service	1558968727	1558968727	1	1	NICOLE KELLEHER, M.D., P.C.	4/30/2021	207QG0300X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	10251 VISTA SORRENTO PAR	SUITE 280	SAN DIEGO	CA	92121	3776	37	06073	32.89524013	-117.2142063	San Diego County
249743	Fee-for-Service	1922196575	1922196575	1	1	NICHOLS, MARK O MD	11/16/1989	208600000X	NA	General Surgery	026	PHYSICIANS	42121	02	General Surgery	0	In state provider	None	2656 EDITH AVE	None	REDDING	CA	96001	3043	45	06089	40.57073094	-122.3974088	Shasta County
249806	Fee-for-Service	1184240459	1184240459	1	1	NSPIRING CHANGE- MARRIAGE AN	6/1/2022	101YP2500X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	16519 VICTOR ST	421	VICTORVILLE	CA	92395	3935	36	06071	34.5212432	-117.3044617	San Bernardino County
249816	Fee-for-Service	1023559408	1023559408	1	1	NAZARYAN, ANNI	4/5/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	9084 RIDERWOOD DR	None	SUNLAND	CA	91040	2639	19	06037	34.26417149	-118.3305496	Los Angeles County
249861	Fee-for-Service	1770840530	1770840530	1	1	NGUYEN, TIFFANY T MD	10/5/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128638	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
249924	Fee-for-Service	1417735036	1417735036	1	1	NADJAR, TALIA CNP	6/26/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	12304 SANTA MONICA BLVD	STE 116	LOS ANGELES	CA	90025	2586	19	06037	34.03948285	-118.4656304	Los Angeles County
249960	Fee-for-Service	1215165667	1215165667	1	1	NEAL-KRAAL, REBEKAH A	12/20/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113701	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
249967	Fee-for-Service	1558968727	1558968727	1	1	NICOLE KELLEHER, M.D., P.C.	2/8/2021	207QG0300X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	10251 VISTA SORRENTO PAR	SUITE 280	SAN DIEGO	CA	92121	3776	37	06073	32.89524013	-117.2142063	San Diego County
250007	Fee-for-Service	1962722850	1962722850	1	1	NAGUBANDI, RAVI MD	11/1/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101714	02	General Surgery	0	In state provider	None	2809 OLIVE HWY	STE 320	OROVILLE	CA	95966	6118	04	06007	39.50386798	-121.5410203	Butte County
250024	Fee-for-Service	1558537357	1558537357	1	1	NURMI, ERIKA L MD	7/13/2010	2084P0800X	NA	Psychiatry	026	PHYSICIANS	95861	36	Psychiatry	0	In state provider	None	760 WESTWOOD PLAZA	RM 48-256B	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
250075	Fee-for-Service	1073965232	1073965232	1	1	NAIK, POOJA OD	1/17/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3301 E 12TH ST	STE 109	OAKLAND	CA	94601	2943	01	06001	37.77617499	-122.2247899	Alameda County
250094	Fee-for-Service	1295228757	1295228757	1	1	NATH, JULIA B MD	7/13/2022	207R00000X	NA	Other	026	PHYSICIANS	176716	None	None	0	In state provider	None	2100 WEBSTER ST	516	SAN FRANCISCO	CA	94115	2373	38	06075	37.7904826	-122.4324477	San Francisco County
250097	Fee-for-Service	1184240459	1184240459	1	1	NSPIRING CHANGE- MARRIAGE AN	11/11/2021	101YP2500X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	16519 VICTOR ST	421	VICTORVILLE	CA	92395	3935	36	06071	34.5212432	-117.3044617	San Bernardino County
250141	Fee-for-Service	1881686350	1881686350	1	1	NEWMARK, MICHAEL J MD	8/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	33786	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	18	06035	40.43814074	-120.6259249	Lassen County
250168	Fee-for-Service	1821442104	1821442104	1	1	NATURAL HEALTH THERAPY	6/19/2018	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	1418 S SAN GABRIEL BLVD	STE B	SAN GABRIEL	CA	91775	4605	19	06037	34.082541	-118.090754	Los Angeles County
250213	Fee-for-Service	1912351925	1912351925	1	1	NGUYEN, DAVID DO	8/31/2020	207L00000X	NA	Other	026	PHYSICIANS	18273	05	Anesthesiology	0	In state provider	None	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
250269	Fee-for-Service	1427053628	1427053628	1	1	NATARAJAN, PONNUSWAMY MD	5/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	55575	41	Internal Medicine	0	In state provider	None	949 CALHOUN PLACE	SUITE D	HEMET	CA	92543	4403	33	06065	33.7502744	-116.9618423	Riverside County
250285	Fee-for-Service	1619190071	1619190071	1	5	NEVADA JOINT UNION HSD	10/6/2011	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	11761 RIDGE ROAD	None	GRASS VALLEY	CA	95945	5025	29	06057	39.239658	-121.053114	Nevada County
250289	Fee-for-Service	1407380710	1407380710	1	1	NGUYEN, KERRIE K MD	3/8/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	158244	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
250307	Fee-for-Service	1275783680	1275783680	1	2	NEIGHBORHOOD HOME HEALTH	2/4/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1650 EAST WALNUT ST	SUITE B	PASADENA	CA	91106	1619	19	06037	34.14952148	-118.1162925	Los Angeles County
250382	Fee-for-Service	1962772491	1962772491	1	1	NGUYEN, KHOI D MD	3/15/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	51519	None	None	0	In state provider	None	905 S A ST	#1	OXNARD	CA	93030	9253	56	06111	34.19225229	-119.178671	Ventura County
250385	Fee-for-Service	1184240459	1184240459	1	1	NSPIRING CHANGE- MARRIAGE AN	11/11/2021	101YP2500X	NA	Other	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	None	16519 VICTOR ST	421	VICTORVILLE	CA	92395	3935	36	06071	34.5212432	-117.3044617	San Bernardino County
250410	Fee-for-Service	1710080940	1710080940	2	1	NEWPORT COAST INFECTIOUS	9/20/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	42690	77	Infectious Disease	0	In state provider	DISEASE MEDICAL CORP	720 N TUSTIN AVE	SUITE 201	SANTA ANA	CA	92705	3606	30	06059	33.75168221	-117.8342151	Orange County
250460	Fee-for-Service	1053377697	1053377697	1	1	NEWTON, JENNIFER L MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	73288	66	Emergency Medicine (Urgent Care)	0	In state provider	None	720 NORTH TUSTIN AVENUE	SUITE 100	SANTA ANA	CA	92705	3606	30	06059	33.75168221	-117.8342151	Orange County
250470	Fee-for-Service	1831876655	1831876655	1	1	NH CARE, LLC	7/12/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	15757 SEPTO ST	None	NORTH HILLS	CA	91343	1535	19	06037	34.25103649	-118.4759595	Los Angeles County
250494	Fee-for-Service	1902421886	1902421886	2	1	NAKANDI, AMINA	6/16/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	6625 RESEDA BLVD	UNIT 311	RESEDA	CA	91335	8446	19	06037	34.191018	-118.5360695	Los Angeles County
250509	Fee-for-Service	1245213404	1245213404	1	1	NORMAN,JENNIFER C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	THOMPSON MEDICAL GROUP	2555 E 13TH STREET	STE #130	LOVELAND	CO	80537	0000	00	None	40.40518811	-105.0408772	Larimer County
250539	Fee-for-Service	1043246531	1043246531	1	1	NAYAK, KESHAV R MD	12/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	72112	01	General Practice	0	In state provider	None	3700 CALIFORNIA STREET	None	SAN FRANCISCO	CA	94118	1618	38	06075	37.78614008	-122.4556866	San Francisco County
250557	Fee-for-Service	1427053628	1427053628	1	1	NATARAJAN, PONNUSWAMY MD	5/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	55575	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	949 CALHOUN PLACE	SUITE D	HEMET	CA	92543	4403	33	06065	33.7502744	-116.9618423	Riverside County
250583	Fee-for-Service	1609863885	1609863885	1	1	NGUYEN, AARON L MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	81615	34	Urology and Urological Surgery	0	In state provider	None	160 E ARTESIA ST	STE 220	POMONA	CA	91767	2921	19	06037	34.07556833	-117.7507835	Los Angeles County
250650	Fee-for-Service	1609201185	1609201185	1	1	NUESA, CHRISTOPHER S NP	2/17/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	43112 N 15TH ST WEST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
250715	Fee-for-Service	1295803518	1295803518	3	1	NORMA DUNN, MD	8/18/2020	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1901 1ST AVE	None	NEW YORK	NY	10029	7494	00	None	40.784778	-73.9439055	New York County
250719	Fee-for-Service	1457681769	1457681769	1	1	NASIKA, GEETA PT	10/18/2018	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39180 FARWELL DR	SUITE 211	FREMONT	CA	94538	1000	01	06001	37.53211262	-121.9981587	Alameda County
250748	Fee-for-Service	1255909958	1255909958	1	1	NGUYEN, CHRISTOPHER DPM	7/16/2024	207XX0004X	NA	Orthopedic Surgery	027	PODIATRISTS	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
250784	Fee-for-Service	1902421886	1902421886	2	1	NAKANDI, AMINA	6/16/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	6625 RESEDA BLVD	UNIT 311	RESEDA	CA	91335	8446	19	06037	34.191018	-118.5360695	Los Angeles County
250787	Fee-for-Service	1518256429	1518256429	1	1	NGUYEN, HA S MD	5/5/2020	207T00000X	NA	General Surgery	026	PHYSICIANS	153737	14	Neurological Surgery	0	In state provider	None	227 W JANSS RD	125	THOUSAND OAKS	CA	91360	1856	56	06111	34.20611691	-118.883861	Ventura County
250894	Fee-for-Service	1194138263	1194138263	1	1	NWACHUKWU, CHIKA R MD	5/30/2023	2085R0001X	NA	Other	026	PHYSICIANS	137996	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
250897	Fee-for-Service	1851476253	1851476253	1	1	NAJAY SERVICE CORPORATION	8/17/1995	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	24909 NOGAL ST	None	MORENO VALLEY	CA	92553	5830	33	06065	33.91052949	-117.227745	Riverside County
251002	Fee-for-Service	1053355198	1053355198	1	1	NG,ANGUS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1901 SO UNION AVE	None	TACOMA	WA	98405	0000	00	None	47.2412305	-122.4823303	Pierce County
251023	Fee-for-Service	1942752266	1942752266	1	1	NHAN HOA COMPREHENSIVE	4/1/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE CLINIC	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
251025	Fee-for-Service	1801135876	1801135876	1	1	NGUYEN, HELAN H LMFT	3/25/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1305 TOMMYDON	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
251078	Fee-for-Service	1053781682	1053781682	1	1	NG, NORMAN Y PT	8/27/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
251131	Fee-for-Service	1568842672	1568842672	1	1	NG, CALEB MD	7/1/2019	390200000X	NA	Other	026	PHYSICIANS	144080	18	Ophthalmology	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
251166	Fee-for-Service	1174796049	1174796049	1	1	NGUYEN, ALBERT T MD	9/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111896	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3828 DELMAS TERRACE	None	CULVER CITY	CA	90232	2713	19	06037	34.02308948	-118.3972101	Los Angeles County
251229	Fee-for-Service	1528113479	1528113479	1	1	NORCROSS, TIMOTHY L DO	4/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	9826	08	Family Practice	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
251315	Fee-for-Service	1881799146	1881799146	1	1	NATH, MANOJ MD	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1776 E WARM SPRINGS RD	STE 106	LAS VEGAS	NV	89119	4676	00	None	36.0576584	-115.1281104	Clark County
251407	Fee-for-Service	1023387263	1023387263	1	1	NGUYEN, DENNIS DC	1/11/2016	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	6005 FLORIN ROAD	STE 300	SACRAMENTO	CA	92823	2487	34	06067	38.496474	-121.434021	Sacramento County
251449	Fee-for-Service	1164766713	1164766713	1	1	NOCK, LESHEA S	9/14/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	770 MAGNOLIA AVE	STE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
251458	Fee-for-Service	1508216995	1508216995	1	1	NAOWAMONDHOL, KRIS	4/19/2022	207L00000X	NA	Other	026	PHYSICIANS	18839	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
251478	Fee-for-Service	1558955799	1558955799	1	1	NGUYEN, ANTHONY H NP	5/1/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1310 STEWART DR	STE 301	ORANGE	CA	92868	3854	30	06059	33.78236048	-117.8664975	Orange County
251497	Fee-for-Service	1407290166	1407290166	1	1	NOEL, JULIA E MD	6/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	131963	04	Otology, Laryngology, Rhinology	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
251509	Fee-for-Service	1154692556	1154692556	1	1	NASSERIAN, CYRUS MD	11/6/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	122271	36	Psychiatry	0	In state provider	None	415 W ROUTE 66	SUITE 202	GLENDORA	CA	91740	4335	19	06037	34.12883848	-117.869958	Los Angeles County
251536	Fee-for-Service	1639420409	1639420409	1	1	NAFEH, SHARAREH S LMFT	10/2/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	420 S BEVERLY DR	STE 100-15	BEVERLY HILLS	CA	90212	4426	19	06037	34.05860174	-118.3978013	Los Angeles County
251565	Fee-for-Service	1871658492	1871658492	1	1	NGO, HY P MD	9/30/2020	207R00000X	NA	Other	026	PHYSICIANS	69736	41	Internal Medicine	0	In state provider	None	625 E VALLEY BLVD	SUITE H,I &G	SAN GABRIEL	CA	91776	3591	19	06037	34.0801262	-118.0919781	Los Angeles County
251586	Fee-for-Service	1790720563	1790720563	1	1	NOURMAND, HAMID MD	7/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	83551	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
251652	Fee-for-Service	1861883456	1861883456	1	1	NAVAEI, MINA LMFT	10/1/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2102 BUSINESS CENTER DR	None	IRVINE	CA	92612	1001	30	06059	33.68027087	-117.855546	Orange County
251679	Fee-for-Service	1760011639	1760011639	1	1	NGUYEN, PATRICK MD	10/23/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	185678	None	None	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
251680	Fee-for-Service	1073256897	1073256897	1	1	NUTTALL, CAMILLE	6/16/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3555 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
251779	Fee-for-Service	1770579492	1770579492	1	1	NDIDIAMAKA OBIESIE MD	12/30/2023	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1111 E MCDOWELL RD	None	PHOENIX	AZ	85006	2612	00	None	33.463935	-112.0596975	Maricopa County
251920	Fee-for-Service	1093786204	1093786204	1	1	NHCI OF HILLSBORO INC	7/13/2007	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	HILL REGIONAL HOSP	101 CIRCLE DRIVE	None	HILLSBRO	TX	76645	0000	00	None	32.01230352	-97.09943159	Hill County
251960	Fee-for-Service	1992765242	1992765242	1	1	NORRIS, JENIFER E MD	12/22/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	60046	None	None	0	In state provider	None	1090 3RD ST	None	SOUTH LAKE TAHOE	CA	96150	3462	09	06017	38.91492536	-119.9966528	El Dorado County
251972	Fee-for-Service	1750783940	1750783940	1	1	NGUYEN, STEPHANIE V LCSW	4/12/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
252027	Fee-for-Service	1801324884	1801324884	1	1	NIELSON, COLE DO	9/13/2021	207L00000X	NA	Other	026	PHYSICIANS	19048	None	None	0	In state provider	None	3315 WATT AVE	None	SACRAMENTO	CA	95821	3600	34	06067	38.626056	-121.3834455	Sacramento County
252047	Fee-for-Service	1952381907	1952381907	1	1	NISHIO, WAYNE A OD	9/15/1981	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	145 N 2ND ST	STE 101	CHOWCHILLA	CA	93610	2910	20	06039	37.12342437	-120.260796	Madera County
252075	Fee-for-Service	1336130186	1336130186	2	1	NOBLE PHARMACY INC	1/29/2020	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	321 E ALAMEDA AVENUE	SUITE L	BURBANK	CA	91502	3328	19	06037	34.17641391	-118.2977894	Los Angeles County
252159	Fee-for-Service	1578710703	1578710703	1	1	NASH, CARRI J LMFT	12/14/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	335 SAN BENITO ST	STE 200	HOLLISTER	CA	95023	3965	35	06069	36.85288363	-121.4020124	San Benito County
252201	Fee-for-Service	1881822864	1881822864	1	1	NICOLE M SCHACHERER MD	4/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	601 CHILDRENS LN	None	NORFOLK	VA	23507	1910	00	None	36.8619664	-76.30130371	Norfolk city
252207	Fee-for-Service	1700897410	1700897410	1	1	NYBERG, MICHAEL A MD	6/21/2000	207W00000X	NA	Ophthalmology	026	PHYSICIANS	50064	18	Ophthalmology	0	In state provider	None	15706 POMERADO RD	STE 206	POWAY	CA	92064	2033	37	06073	32.99909223	-117.0579393	San Diego County
252218	Fee-for-Service	1043669831	1043669831	1	1	NG, KRISTEN MD	7/24/2020	207P00000X	NA	Other	026	PHYSICIANS	168651	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
252280	Fee-for-Service	1083242655	1083242655	1	1	NGUYEN, BRIAN	4/9/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	21615	40	Pediatrics	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
252281	Fee-for-Service	1104634963	1104634963	1	1	NA YOUNG SONG, D.O., A PROFE	2/24/2025	163WG0000X	NA	Other	026	PHYSICIANS	None	01	General Practice	0	In state provider	SSIONAL CORPORATION	2001 S BARRINGTON AVE	STE 111	LOS ANGELES	CA	90025	5337	19	06037	34.03672191	-118.4500156	Los Angeles County
252328	Fee-for-Service	1750563029	1750563029	1	1	NGUYEN, MINH H MD	10/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98914	41	Internal Medicine	0	In state provider	None	3466 MT DIABLO BLVD	C 100	LAFAYETTE	CA	94549	3952	07	06013	37.89256947	-122.1150289	Contra Costa County
252447	Fee-for-Service	1215498761	1215498761	1	1	NGUYEN, DIEM-TRAN I MD	10/22/2024	207K00000X	NA	Other	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	725 W LA VETA	STE 100	ORANGE	CA	92868	4445	30	06059	33.78063949	-117.8603285	Orange County
252460	Fee-for-Service	1851969059	1851969059	1	1	NORTH STATE SOCIAL WORK & PS	9/20/2021	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1135 PINE ST	21	REDDING	CA	96001	0750	45	06089	40.58859278	-122.3911662	Shasta County
252503	Fee-for-Service	1588794085	1588794085	1	1	NATARAJAN, SUNDAR MD	1/7/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84407	41	Internal Medicine	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
252544	Fee-for-Service	1912010257	1912010257	1	1	NAJARIAN, HAIG MD	6/30/1996	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	77745	10	Gastroenterology (M.D. only)	0	In state provider	None	1140 W LAVETA AVE	STE 555	ORANGE	CA	92868	0000	30	06059	33.7802984	-117.8651669	Orange County
252555	Fee-for-Service	1093429623	1093429623	1	1	NIMA TAHERI MD INC	3/30/2023	208M00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	3751 KATELLA AVE	None	LOS ALAMITOS	CA	90720	3101	30	06059	33.80318353	-118.0666665	Orange County
252627	Fee-for-Service	1639428758	1639428758	1	1	NELSON, CHRISTIE J LMFT	6/27/2023	103TC1900X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11318 NATIONAL BLVD	None	LOS ANGELES	CA	90064	3727	19	06037	34.02583378	-118.4321226	Los Angeles County
252689	Fee-for-Service	1972949725	1972949725	1	1	NGUYEN, STEVEN A MD	7/3/2018	390200000X	NA	Other	026	PHYSICIANS	142463	08	Family Practice	0	In state provider	None	555 TECHEVAH DRIVE	None	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
252730	Fee-for-Service	1366609620	1366609620	1	1	NISHANT GUPTA MD	10/6/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9520 W PALM LN	STE 150-A	PHOENIX	AZ	85037	4403	00	None	33.468894	-112.267413	Maricopa County
252737	Fee-for-Service	1215498761	1215498761	1	1	NGUYEN, DIEM-TRAN I MD	10/22/2024	207K00000X	NA	Other	026	PHYSICIANS	None	03	Allergy	0	In state provider	None	725 W LA VETA	STE 100	ORANGE	CA	92868	4445	30	06059	33.78063949	-117.8603285	Orange County
252803	Fee-for-Service	1063433100	1063433100	1	1	NABONG-VERZOSA, MARIGOLD MD	3/2/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	77045	-	NOT APPLICABLE	0	In state provider	None	8912 VOLUNTEER LN	None	SACRAMENTO	CA	95826	3221	34	06067	38.55438	-121.3756965	Sacramento County
252919	Fee-for-Service	1639253396	1639253396	1	1	NOSRATIAN, FARSHAD J	9/30/1988	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	53751	06	Cardiovascular Disease (M.D. only)	0	In state provider	INC	4477 W 118TH ST	STE 501	HAWTHORNE	CA	90250	2260	19	06037	33.92734752	-118.354221	Los Angeles County
252937	Fee-for-Service	1558516476	1558516476	1	1	NGUYEN, HANH T MD	7/6/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106080	08	Family Practice	0	In state provider	None	23512 MADERO ROAD	None	MISSION VIEJO	CA	92691	2743	30	06059	33.62192373	-117.6765103	Orange County
252965	Fee-for-Service	1790222909	1790222909	1	1	NASR, RASHANAK OD	2/5/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	A PROFESSIONAL CORP	9418 FIRESTONE BLVD	None	DOWNEY	CA	90241	5504	19	06037	33.93147456	-118.1159463	Los Angeles County
253009	Fee-for-Service	1720311608	1720311608	1	1	NADERI, NAZILA MD	11/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118119	41	Internal Medicine	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
253053	Fee-for-Service	1093833485	1093833485	1	1	NEWLIN, DENNIS J MFT	12/2/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	32034	-	NOT APPLICABLE	0	In state provider	None	976 LENZEN AVENUE	SUITE 1900	SAN JOSE	CA	95126	2737	43	06085	37.33463902	-121.9121497	Santa Clara County
253057	Fee-for-Service	1922489913	1922489913	1	1	NAVLYT, ANDREW MD	6/30/2021	207P00000X	NA	Other	026	PHYSICIANS	157058	None	None	0	In state provider	None	2825 CAPITOL AVENUE	None	SACRAMENTO	CA	95816	6039	34	06067	38.570805	-121.4696385	Sacramento County
253059	Fee-for-Service	1851684120	1851684120	1	1	NIELSEN, JON P MD	8/9/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
253102	Fee-for-Service	1962623462	1962623462	1	2	NGUYEN, LOC T MD	4/22/2021	207R00000X	NA	Other	026	PHYSICIANS	133981	None	None	0	In state provider	EDICINE	4545 GEORGETOWN PLACE	C16	STOCKTON	CA	95207	6230	39	06077	37.98906659	-121.3134248	San Joaquin County
253215	Fee-for-Service	1639253396	1639253396	1	1	NOSRATIAN, FARSHAD J	9/30/1988	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	53751	41	Internal Medicine	0	In state provider	INC	4477 W 118TH ST	STE 501	HAWTHORNE	CA	90250	2260	19	06037	33.92734752	-118.354221	Los Angeles County
253258	Fee-for-Service	1770689697	1770689697	1	1	NORTH VALLEY NURSING CTR	4/1/1992	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7660 WYNGATE ST	None	TUJUNGA	CA	91042	1736	19	06037	34.25740652	-118.2997842	Los Angeles County
253329	Fee-for-Service	1871936070	1871936070	1	1	NADERI, ROXANA	11/30/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	TWO MEDICAL PLAZA	STE 205	ROSEVILLE	CA	95661	3044	31	06061	38.76507948	-121.2477476	Placer County
253337	Fee-for-Service	1821613977	1821613977	1	1	NGUGI, JANE W	9/11/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	44623 ORCHARD LN	None	LANCASTER	CA	93534	2834	19	06037	34.693731	-118.159549	Los Angeles County
253359	Fee-for-Service	1972025534	1972025534	1	1	NAKAGAWA, THERESA M LMFT	10/23/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	80299	-	NOT APPLICABLE	0	In state provider	None	10529 SLATER AVE	STE 10505, 10507,10537	FOUNTAIN VALLEY	CA	92708	7725	30	06059	33.70910384	-117.944985	Orange County
253368	Fee-for-Service	1750114328	1750114328	1	1	NGUYEN, JERRY H CRNA	8/28/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	465 PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
253409	Fee-for-Service	1295962157	1295962157	1	1	NGUYEN, KEVIN K MD INC	11/25/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	86874	08	Family Practice	0	In state provider	None	31515 RANCHO PUEBLO RD	STE 102	TEMECULA	CA	92592	4836	33	06065	33.47922478	-117.1107757	Riverside County
253412	Fee-for-Service	1043464985	1043464985	1	1	NOGUCHI, KENTARO LMFT	8/11/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2835 CAMINO DEL RIO	SUITE 120	SAN DIEGO	CA	92108	3825	37	06073	32.77026716	-117.1330711	San Diego County
253425	Fee-for-Service	1922061779	1922061779	2	2	NEWPORT EMERGENCY MEDICAL GR	3/2/2020	261QM2500X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	OUP INC	16200 SAND CANYON AVE	None	IRVINE	CA	92618	3714	30	06059	33.6617581	-117.7736362	Orange County
253528	Fee-for-Service	1033435961	1033435961	1	1	NG, JACQUELINE K MD	6/6/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	130214	18	Ophthalmology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
253595	Fee-for-Service	1497882252	1497882252	1	1	NARCOTICS PREVENTION	7/23/1998	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	COMMUNITY HLTH CARE CLNC	942 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	4004	19	06037	34.01922246	-118.1576303	Los Angeles County
253600	Fee-for-Service	1174764187	1174764187	1	1	NAGEL, JESSICA L CNM	2/11/2022	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
253626	Fee-for-Service	1821613977	1821613977	1	1	NGUGI, JANE W	9/11/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	44623 ORCHARD LN	None	LANCASTER	CA	93534	2834	19	06037	34.693731	-118.159549	Los Angeles County
253673	Fee-for-Service	1568553428	1568553428	1	1	NAKANO, GEORGE J MD	9/28/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	40619	18	Ophthalmology	0	In state provider	None	1101 WELCH RD	# 8	PALO ALTO	CA	94304	1904	43	06085	37.43506092	-122.1791054	Santa Clara County
253712	Fee-for-Service	1760594238	1760594238	1	1	NADISH GARG MD	10/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	877 JEFFERSON AVE	None	MEMPHIS	TN	38103	2807	00	None	35.14259562	-90.03187321	Shelby County
253721	Fee-for-Service	1912063926	1912063926	1	1	NGUYENPHUC, YENCHI MD	6/13/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	63064	40	Pediatrics	0	In state provider	None	14571 MAGNOLIA ST	ST #210	WESTMINSTER	CA	92683	5576	30	06059	33.75097286	-117.9723502	Orange County
253813	Fee-for-Service	1770841744	1770841744	1	1	NIEMASIK, ERIN E MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142916	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
253884	Fee-for-Service	1043660087	1043660087	1	1	NGUYEN, CATHERINE N MD	1/5/2018	390200000X	NA	Other	026	PHYSICIANS	152492	08	Family Practice	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
253908	Fee-for-Service	1437606779	1437606779	1	1	NAKHONGSRI, ARUNEE NP	12/17/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3551 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.6057383	-122.0834562	Alameda County
253956	Fee-for-Service	1265475958	1265475958	1	1	NELSON,DOUGLAS P MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2525 E ROOSEVELT ST	None	PHOENIX	AZ	85008	0000	00	None	33.4584867	-112.0269093	Maricopa County
253958	Fee-for-Service	1154759785	1154759785	1	1	NORTHRIDGE EYE CARE, APC	7/1/2014	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	530 MAIN STREET	None	RED BLUFF	CA	96080	3455	52	06103	40.17614537	-122.2337058	Tehama County
253969	Fee-for-Service	1477656817	1477656817	1	1	NAGY, CATHERINE S MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	65532	03	Allergy	0	In state provider	None	4801 J ST	STE A	SACRAMENTO	CA	95819	3746	34	06067	38.567115	-121.4434665	Sacramento County
253996	Fee-for-Service	1487797445	1487797445	1	1	NIGAM, ARTI	1/27/2009	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2680 S WHITE RD	STE 275	SAN JOSE	CA	95148	2081	43	06085	37.32946528	-121.7984732	Santa Clara County
254008	Fee-for-Service	1477501484	1477501484	1	1	NATH, MAHENDRA MD	4/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	32279	25	Physical Medicine and Rehabilitation	0	In state provider	None	801 E CHAPEL STREET	None	SANTA MARIA	CA	93454	4607	42	06083	34.9542915	-120.424455	Santa Barbara County
254070	Fee-for-Service	1184290793	1184290793	1	1	NEIMAN, AMANDA	6/28/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4849 RONSON CT	SUITE 207	SAN DIEGO	CA	92111	1805	37	06073	32.83028739	-117.1459009	San Diego County
254081	Fee-for-Service	1629133236	1629133236	1	1	NOUNE PASHINIAN MD APC	7/8/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	83	Rheumatology	0	In state provider	None	435 ARDEN AVE	#510	GLENDALE	CA	91203	1137	19	06037	34.15848148	-118.2628845	Los Angeles County
254169	Fee-for-Service	1366613457	1366613457	1	1	NGO, THIENKIM V MD	8/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	102050	05	Anesthesiology	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
254248	Fee-for-Service	1154759785	1154759785	1	1	NORTHRIDGE EYE CARE, APC	7/1/2014	152W00000X	NA	Other	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	530 MAIN STREET	None	RED BLUFF	CA	96080	3455	52	06103	40.17614537	-122.2337058	Tehama County
254250	Fee-for-Service	1316502297	1316502297	1	1	NGUYEN, PHONG D CNP	4/21/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1900 19TH AVE	None	SAN FRANCISCO	CA	94116	1250	38	06075	37.75211157	-122.4762664	San Francisco County
254263	Fee-for-Service	1407958432	1407958432	1	1	NYDAM JENNIFER E CNM	8/18/2010	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	583 SUMMERFIELD RD	None	SANTA ROSA	CA	95405	5239	49	06097	38.45268	-122.672088	Sonoma County
254269	Fee-for-Service	1306925797	1306925797	1	1	NEALON, SEAN J MD	9/1/2000	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	63547	40	Pediatrics	0	In state provider	None	8120 TIMBERLAKE WAY	STE 109	SACRAMENTO	CA	95823	5413	34	06067	38.461023	-121.41414	Sacramento County
254270	Fee-for-Service	1851397764	1851397764	1	1	NAVIGATOR HEALTH MGMNT	6/13/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	SOLUTIONS, INC	1000 CORPORATE CENTER DR	STE 100	FRANKLIN	TN	37067	0000	00	None	35.9488014	-86.80887865	Williamson County
254286	Fee-for-Service	1437613254	1437613254	1	1	NAGRANT, JENNIFER DOULA	4/19/2025	No Taxonomy Provided	NA	None	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
254299	Fee-for-Service	1235609793	1235609793	1	1	NEW HORIZON LODGE, INC	10/3/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	8541 WEST CERRITOS AVE	None	STANTON	CA	90680	1838	30	06059	33.81032483	-117.9837777	Orange County
254369	Fee-for-Service	1629133236	1629133236	1	1	NOUNE PASHINIAN MD APC	7/8/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	435 ARDEN AVE	#510	GLENDALE	CA	91203	1137	19	06037	34.15848148	-118.2628845	Los Angeles County
254398	Fee-for-Service	1043935380	1043935380	1	1	NGO, NATHAN NP	9/14/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	301 VICTORIA STREET	None	COSTA MESA	CA	92627	1995	30	06059	33.65258952	-117.9121545	Orange County
254430	Fee-for-Service	1396204095	1396204095	1	1	NORDAHL PHARMACY CORP	9/3/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	740 NORDAHL RD	SUITE 120	SAN MARCOS	CA	92069	3545	37	06073	33.13476309	-117.1197239	San Diego County
254554	Fee-for-Service	1538858535	1538858535	1	1	NEW HOPE SENIOR CARE, INC	9/5/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	8403 HILLVIEW AVENUE	None	CANOGA PARK	CA	91304	3407	19	06037	34.22226508	-118.6027513	Los Angeles County
254651	Fee-for-Service	1386264398	1386264398	1	1	NG, ANITA OD	6/22/2021	390200000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 N BRAND BLVD	STE 110	GLENDALE	CA	91203	2308	19	06037	34.15116156	-118.2549512	Los Angeles County
254654	Fee-for-Service	1609014836	1609014836	1	1	NOSRATI, SOLTANA S LCSW	6/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	28594	-	NOT APPLICABLE	0	In state provider	None	15305 RAYEN STREET	None	NORTH HILLS	CA	91343	5117	19	06037	34.23191048	-118.4657625	Los Angeles County
254695	Fee-for-Service	1902076359	1902076359	1	1	NABIPOUR, SOLMAZ MD	6/10/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94466	05	Anesthesiology	0	In state provider	None	1555 SOQUEL DR	None	SANTA CRUZ	CA	95065	1705	44	06087	36.98863619	-121.9830754	Santa Cruz County
254794	Fee-for-Service	1932468592	1932468592	1	1	NGUYEN, KIMBERLY PSYD	4/4/2025	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
254812	Fee-for-Service	1417012428	1417012428	1	1	NOLAND, JANESTA L MD	6/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	63061	40	Pediatrics	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
254843	Fee-for-Service	1952454936	1952454936	1	1	NGUYEN, PAT H OD	3/19/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8333 VAN NUYS BLVD	None	PANORAMA CITY	CA	91402	3607	19	06037	34.222617	-118.4487785	Los Angeles County
254862	Fee-for-Service	1730512740	1730512740	1	1	NASSER, NICOLE P NP	1/15/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	SUITE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
254864	Fee-for-Service	1104072545	1104072545	1	1	NANGIANA, JASVINDER S MD	3/17/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	115268	14	Neurological Surgery	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
254869	Fee-for-Service	1790281301	1790281301	1	1	NATH, ANUSHA MD	12/7/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	175000	None	None	0	In state provider	None	2071 SAN JOAQUIN HILLS R	None	NEWPORT BEACH	CA	92660	6505	30	06059	33.61676129	-117.869325	Orange County
254949	Fee-for-Service	1336165562	1336165562	1	1	NIMERI, ABDELRAHMAN A MD	7/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91821	02	General Surgery	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
254974	Fee-for-Service	1932280583	1932280583	1	1	NG, LAWRENCE M MD	12/7/1991	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	24151	40	Pediatrics	0	In state provider	None	1234 E 14TH ST	STE 401	SAN LEANDRO	CA	94577	4512	01	06001	37.72546198	-122.1564484	Alameda County
254984	Fee-for-Service	1699020792	1699020792	1	1	NEWBURG, HANNAH M MD	9/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126678	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
255015	Fee-for-Service	1932151362	1932151362	1	1	NEWTON, KIM I MD	1/1/1988	207P00000X	NA	Other	026	PHYSICIANS	58101	66	Emergency Medicine (Urgent Care)	0	In state provider	None	100 S RAYMOND AVE	None	ALHAMBRA	CA	91801	3166	19	06037	34.09027878	-118.1450083	Los Angeles County
255125	Fee-for-Service	1881155232	1881155232	1	1	NGUYEN, JULIA K MD	8/12/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
255235	Fee-for-Service	1275160681	1275160681	1	1	NOYON, TAMANNA M DO	2/21/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19602	None	None	0	In state provider	None	1201 ALHAMBRA BLVD	STE 400	SACRAMENTO	CA	95816	5243	34	06067	38.570076	-121.4657145	Sacramento County
255239	Fee-for-Service	1740478775	1740478775	1	1	NGO, TIN C MD	11/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	105311	34	Urology and Urological Surgery	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
255274	Fee-for-Service	1447615539	1447615539	1	1	NATIONAL COUNCIL ON	1/4/2016	101YA0400X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ALCOHOLISM AND DRUG	656 N PARK AVE	None	POMONA	CA	91768	3679	19	06037	34.06417421	-117.7547068	Los Angeles County
255474	Fee-for-Service	1992320444	1992320444	1	1	NGUYEN, CHUCK T MD	8/1/2024	207L00000X	NA	Other	026	PHYSICIANS	189456	05	Anesthesiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
255488	Fee-for-Service	1861540742	1861540742	1	1	NITAHARA, KENNETH S MD	7/1/1998	208800000X	NA	Other	026	PHYSICIANS	81822	34	Urology and Urological Surgery	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
255566	Fee-for-Service	1588160253	1588160253	1	1	NGO, JENNIFER P MD	11/1/2021	207R00000X	NA	Other	026	PHYSICIANS	17958	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
255574	Fee-for-Service	1356359277	1356359277	1	1	NICIFOROS, PETER MD INC	1/1/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	26175	None	None	0	In state provider	None	9695 BASELINE RD	None	RANCHO CUCAMONGA	CA	91730	1314	36	06071	34.12150868	-117.5938959	San Bernardino County
255606	Fee-for-Service	1467890137	1467890137	1	1	NEPENTHE LABORATORY SERVICES	2/4/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	LLC	1710 WILLOW CREEK CIR	2	EUGENE	OR	97402	9192	00	None	44.0384832	-123.1803304	Lane County
255631	Fee-for-Service	1801214853	1801214853	1	1	NILOO MEDICAL GROUP INC	8/11/2014	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	112671	None	None	0	In state provider	None	4762 WHITTIER BLVD	None	LOS ANGELES	CA	90022	3026	19	06037	34.02207006	-118.1653083	Los Angeles County
255656	Fee-for-Service	1588654693	1588654693	1	1	NAVIZADEH, NAVID MD	10/9/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	78087	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	15306 DEVONSHIRE ST	STE A	MISSION HILLS	CA	91345	2774	19	06037	34.25726354	-118.465479	Los Angeles County
255659	Fee-for-Service	1144751660	1144751660	1	1	NAGAMINE, MASAKI MD	1/25/2022	390200000X	NA	Other	026	PHYSICIANS	160415	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
255708	Fee-for-Service	1770763633	1770763633	1	1	NORTH ORANGE COUNTY	3/7/1988	2080A0000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	PEDIATRICS MEDICAL GROUP	895 E YORBA LINDA BLVD	STE 101	PLACENTIA	CA	92870	7600	30	06059	33.88944355	-117.8486322	Orange County
255772	Fee-for-Service	1366483489	1366483489	1	1	NELSON, LINDA D PHD	8/4/1988	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
255779	Fee-for-Service	1164613287	1164613287	1	1	NAGANUMA, JUNICHI MD	12/5/2017	207L00000X	NA	Other	026	PHYSICIANS	148795	05	Anesthesiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
255784	Fee-for-Service	1730111048	1730111048	1	1	NATARAJAN, SATHYABAMA MD	11/1/2000	207ZP0102X	NA	Other	026	PHYSICIANS	53834	22	Pathology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	RM B186	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
255815	Fee-for-Service	1821313032	1821313032	1	1	NGUYEN, NGHIA T LCSW	4/23/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
255844	Fee-for-Service	1285742965	1285742965	1	1	NELSON, BARRY M MD	5/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	8398	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 CANAL ST	None	KING CITY	CA	93930	3431	27	06053	36.20653258	-121.1319345	Monterey County
255854	Fee-for-Service	1124481619	1124481619	1	1	NENE, PRACHI S MD	7/14/2022	163WG0100X	NA	Other	026	PHYSICIANS	154558	None	None	0	In state provider	None	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	4506	41	06081	37.592811	-122.382351	San Mateo County
255855	Fee-for-Service	1457008732	1457008732	1	1	NICHOLSON, LINDSEY R NP	4/7/2022	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
255865	Fee-for-Service	1538742689	1538742689	1	1	NEBULA MARRIAGE AND FAMILY T	6/3/2021	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	HERAPY, CORP.	150 N SANTA ANITA AVE	STE 300	ARCADIA	CA	91006	3116	19	06037	34.14186	-118.0314005	Los Angeles County
255933	Fee-for-Service	1851437511	1851437511	1	1	NARAYANAN, PADUVILAN MD	4/27/1984	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	35200	01	General Practice	0	In state provider	#303	501 W CHANNEL ISLANDS BL	None	PORT HUENEME	CA	93041	2126	56	06111	34.17603362	-119.211875	Ventura County
255970	Fee-for-Service	1912035254	1912035254	1	1	NEWGREN, KEVIN P PSY	4/29/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1660 E ROSEVILLE PARKWAY	BUILDING C	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
255981	Fee-for-Service	1154827954	1154827954	1	1	NEWMAN, DANIELLA A DO	7/29/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17881	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
256029	Fee-for-Service	1831146513	1831146513	1	1	NITASAKA, TADASHI MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	63573	05	Anesthesiology	0	In state provider	None	3325 CHANATE RD	None	SANTA ROSA	CA	95404	1707	49	06097	38.469537	-122.707314	Sonoma County
256076	Fee-for-Service	1740955731	1740955731	1	1	NAGY, LIZA OD	2/5/2025	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4001 HALLMARK PKWY	None	SAN BERNARDINO	CA	92407	1876	36	06071	34.16311738	-117.3353622	San Bernardino County
256095	Fee-for-Service	1619469392	1619469392	1	1	NASIRUDDIN, MELISSA DO	6/19/2023	207R00000X	NA	Other	026	PHYSICIANS	19867	None	None	0	In state provider	None	1000 FRANKLIN PARKWAY	None	SAN MATEO	CA	94403	1922	41	06081	37.54350476	-122.2913782	San Mateo County
256101	Fee-for-Service	1750440335	1750440335	1	1	NAVARRO, CHRISTINE E MD	12/31/1996	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	61640	08	Family Practice	0	In state provider	None	4747 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
256251	Fee-for-Service	1699713396	1699713396	1	1	NIKLASON, RANDY F MD	12/25/2007	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	2	Out of state provider	None	221 MAHALANI STREET	None	WAILUKU	HI	96793	2526	00	None	20.88554026	-156.4902142	Maui County
256319	Fee-for-Service	1831146513	1831146513	1	1	NITASAKA, TADASHI MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	63573	01	General Practice	0	In state provider	None	3325 CHANATE RD	None	SANTA ROSA	CA	95404	1707	49	06097	38.469537	-122.707314	Sonoma County
256324	Fee-for-Service	1225416167	1225416167	1	1	NGUYEN, AU-CO L DO	11/5/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17320	None	None	0	In state provider	None	17762 BEACH BLVD.	220	HUNTINGTON BEACH	CA	92647	6860	30	06059	33.70404013	-117.9890603	Orange County
256329	Fee-for-Service	1740580992	1740580992	1	1	NGUYEN, HOA MD INC	6/23/2012	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	58722	10	Gastroenterology (M.D. only)	0	In state provider	None	5835 WESTMINSTER BLVD	SUITE A	WESTMINSTER	CA	92683	9109	30	06059	33.75907713	-118.0270765	Orange County
256362	Fee-for-Service	1558917161	1558917161	1	1	NGUYEN, CATHINA T	9/1/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
256365	Fee-for-Service	1104913599	1104913599	1	1	NGUYEN, VU H MD	4/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	70547	41	Internal Medicine	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
256524	Fee-for-Service	1790995975	1790995975	1	1	NGUYEN, HOANG M DO	8/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	10655	41	Internal Medicine	0	In state provider	None	696 E SANTA CLARA STREET	SUITE 108	SAN JOSE	CA	95112	1911	43	06085	37.34280728	-121.876519	Santa Clara County
256541	Fee-for-Service	1104819945	1104819945	1	1	NGUYEN, HUNG V MD	7/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	42303	01	General Practice	0	In state provider	None	7227 RESEDA BLVD	None	RESEDA	CA	91335	3046	19	06037	34.20211447	-118.536077	Los Angeles County
256616	Fee-for-Service	1740580992	1740580992	1	1	NGUYEN, HOA MD INC	6/23/2012	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	58722	41	Internal Medicine	0	In state provider	None	5835 WESTMINSTER BLVD	SUITE A	WESTMINSTER	CA	92683	9109	30	06059	33.75907713	-118.0270765	Orange County
256630	Fee-for-Service	1104032820	1104032820	1	1	NOLAN, APRIL M CCC-SLP	10/5/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	6965 SAN LUIS AVE	None	ATASCADERO	CA	93422	5201	40	06079	35.48021573	-120.6597811	San Luis Obispo County
256651	Fee-for-Service	1104913599	1104913599	1	1	NGUYEN, VU H MD	4/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	70547	78	Neoplastic Diseases/Oncology	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
256676	Fee-for-Service	1598791352	1598791352	1	1	NGUYEN, QUYNH-QUEEN DO	8/2/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	8237	41	Internal Medicine	0	In state provider	None	1675 BURDETTE DR	STE 20	SAN JOSE	CA	95121	1667	43	06085	37.32055997	-121.8247789	Santa Clara County
256730	Fee-for-Service	1467912600	1467912600	1	1	NGUYEN, QUYNH GIAO T DO	7/18/2022	207R00000X	NA	Other	026	PHYSICIANS	19369	None	None	0	In state provider	None	9888 GENESEE	None	LA JOLLA	CA	92037	1205	37	06073	32.8865608	-117.2250386	San Diego County
256733	Fee-for-Service	1710340492	1710340492	1	1	NGUYEN, DIANA M MD	9/7/2019	207R00000X	NA	Other	026	PHYSICIANS	152491	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
256734	Fee-for-Service	1598968364	1598968364	1	1	NARENSKY, CHRISTINA PSYD	2/3/2019	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2233 SANTA CLARA AVE	SUITE 6	ALAMEDA	CA	94501	4416	01	06001	37.76671148	-122.2449733	Alameda County
256816	Fee-for-Service	1679895544	1679895544	1	1	NGUYEN GRECO, VAN P MD	7/25/2017	2080C0008X	NA	Psychiatry	026	PHYSICIANS	63824	40	Pediatrics	0	In state provider	None	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
256846	Fee-for-Service	1326272089	1326272089	1	1	NOVOA, ROBERTO A MD	9/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131200	07	Dermatology	0	In state provider	None	300 PASTEUR DRIVE	MC5548	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
256871	Fee-for-Service	1477848604	1477848604	1	1	NISHIKAWA, DEVYN M CRNA	7/27/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
256940	Fee-for-Service	1104913599	1104913599	1	1	NGUYEN, VU H MD	4/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	70547	68	Hematology	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
256950	Fee-for-Service	1619246774	1619246774	1	1	NIEHAS, CRYSTAL L LMFT	6/12/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5588 N PALM AVE	None	FRESNO	CA	93704	1913	10	06019	36.818874	-119.8082415	Fresno County
256951	Fee-for-Service	1518358282	1518358282	1	1	NORTON, CHRISTOPHER P LPCC	12/17/2023	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
256959	Fee-for-Service	1760805055	1760805055	1	1	NAYAR, SURESH K MD	11/6/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	70	Clinic (mixed specialty)	0	In state provider	None	350 30TH ST	100	OAKLAND	CA	94609	3422	01	06001	37.81892183	-122.2640154	Alameda County
256962	Fee-for-Service	1760611214	1760611214	1	1	NG, RUBY PT	10/24/2017	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
256965	Fee-for-Service	1598791352	1598791352	1	1	NGUYEN, QUYNH-QUEEN DO	8/2/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	8237	08	Family Practice	0	In state provider	None	1675 BURDETTE DR	STE 20	SAN JOSE	CA	95121	1667	43	06085	37.32055997	-121.8247789	Santa Clara County
257037	Fee-for-Service	1710901129	1710901129	1	1	NGUYEN, MICHAEL H DO	3/14/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	8569	None	None	0	In state provider	None	500 S MAIN ST	STE 1210	ORANGE	CA	92868	4556	30	06059	33.77991974	-117.8674745	Orange County
257119	Fee-for-Service	1821162736	1821162736	1	1	NGUYEN, ANTHONY MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	70716	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
257168	Fee-for-Service	1003910282	1003910282	1	1	NGUYEN, TRUNG B MD	6/30/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	35613	24	Plastic Surgery	0	In state provider	None	9400 E ROSECRANS BLVD	None	BELLFLOWER	CA	90706	0000	19	06037	33.9040752	-118.1328995	Los Angeles County
257184	Fee-for-Service	1003164260	1003164260	1	1	NARANJO, DIANA M PHD	10/17/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
257266	Fee-for-Service	1952460560	1952460560	1	1	NG, STANLEY W MD	8/6/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	72194	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
257317	Fee-for-Service	1225148794	1225148794	1	1	NICKOLOPOULOS, JAMES DPM	1/1/1979	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2237 IRVING ST	None	SAN FRANCISCO	CA	94122	1618	38	06075	37.76332535	-122.4820787	San Francisco County
257318	Fee-for-Service	1285395657	1285395657	1	1	NELSON, AMY E LCSW	3/25/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
257326	Fee-for-Service	1285775270	1285775270	1	1	NEUROLOGY ASSOCIATES OF TULA	5/22/2007	2084S0012X	NA	Neurology	026	PHYSICIANS	96966	13	Neurology (M.D. only)	0	In state provider	RE PC	4042 S DEMAREE ST	None	VISALIA	CA	93277	9476	54	06107	36.294165	-119.3295825	Tulare County
257329	Fee-for-Service	1104828706	1104828706	1	1	NOVACK, ROGER MD	1/1/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	53779	18	Ophthalmology	0	In state provider	None	14914 SHERMAN WAY	None	VAN NUYS	CA	91405	2113	19	06037	34.20110364	-118.458051	Los Angeles County
257342	Fee-for-Service	1639410921	1639410921	1	1	NASSMAN, DALIA M DO	2/12/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	13662	66	Emergency Medicine (Urgent Care)	0	In state provider	None	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
257353	Fee-for-Service	1144555418	1144555418	1	1	NICHOLSON, CARL V INC	6/2/2009	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	709 E COLORADO BLVD	#101	PASADENA	CA	91101	9119	19	06037	34.14591949	-118.135836	Los Angeles County
257361	Fee-for-Service	1740827211	1740827211	1	1	NIEDZWIECKI, EMILY FAYE OT	5/13/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7737 MEANY AVE	B5-7	BAKERSFIELD	CA	93308	5266	15	06029	35.39423549	-119.0882835	Kern County
257403	Fee-for-Service	1952418378	1952418378	1	5	NORTH BAY EYE ASSOCIATES A	7/29/1996	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	MEDICAL CORPORATION	181 ANDRIEUX STREET	STE 100	SONOMA	CA	95476	6936	49	06097	38.28809911	-122.4613026	Sonoma County
257410	Fee-for-Service	1265887244	1265887244	1	1	NGUYEN, WINSTON T NP	12/17/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10670 WHITE ROCK RD	STE 100	RANCHO CORDOVA	CA	95670	6146	34	06067	38.586177	-121.291812	Sacramento County
257439	Fee-for-Service	1144391194	1144391194	1	1	NGAN, MARIO K.	10/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	67744	22	Pathology (M.D. only)	0	In state provider	None	17821 PIONEER BLVD	None	ARTESIA	CA	90701	3901	19	06037	33.8691791	-118.0823685	Los Angeles County
257453	Fee-for-Service	1952336216	1952336216	1	1	NIU, PAUL MD	5/1/1996	207RN0300X	NA	Nephrology	026	PHYSICIANS	46376	01	General Practice	0	In state provider	None	2301 W MAGNOLIA BLVD	None	BURBANK	CA	91506	1735	19	06037	34.17252521	-118.3332018	Los Angeles County
257466	Fee-for-Service	1417533266	1417533266	1	1	NGUYEN, DAN-THANH MD	9/3/2024	208M00000X	NA	Other	026	PHYSICIANS	181322	41	Internal Medicine	0	In state provider	None	1 HOAG DRIVE	None	NEWPORT BEACH	CA	92663	3663	30	06059	33.62421676	-117.9309656	Orange County
257471	Fee-for-Service	1063436475	1063436475	1	1	NGUYEN, MICHAEL H MD	4/5/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151061	08	Family Practice	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
257484	Fee-for-Service	1609985308	1609985308	1	1	NAMBA, TERI R MD	4/30/1992	207L00000X	NA	Other	026	PHYSICIANS	55219	05	Anesthesiology	0	In state provider	None	415 E HARVARD ST	STE 101	GLENDALE	CA	91205	1045	19	06037	34.14448348	-118.250604	Los Angeles County
257553	Fee-for-Service	1952460560	1952460560	1	1	NG, STANLEY W MD	8/6/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	72194	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
257564	Fee-for-Service	1932896321	1932896321	1	1	NEW LIFE DISCOVERY PROJECT I	2/12/2025	261QR0405X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	NC.	1201 PLACER STREET	None	REDDING	CA	96001	0605	45	06089	40.58291759	-122.3877927	Shasta County
257565	Fee-for-Service	1710062492	1710062492	1	1	NICHOLAS B VEDDER M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	329 9TH AVE	MS 359110 C/O UWP	SEATTLE	WA	98145	5095	00	None	47.60414369	-122.3235136	King County
257632	Fee-for-Service	1861713182	1861713182	1	1	NWAOGU, IHEOMA Y MD	8/17/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150923	02	General Surgery	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
257640	Fee-for-Service	1073924650	1073924650	1	1	NEUDORF, DANIEL S DO	7/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	14581	25	Physical Medicine and Rehabilitation	0	In state provider	None	4860 Y STREET	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
257673	Fee-for-Service	1396872107	1396872107	1	1	NASR, HANY M MD	8/28/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	98792	25	Physical Medicine and Rehabilitation	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
257678	Fee-for-Service	1669853966	1669853966	1	1	NATALIE REYNOLDS	4/29/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	901 MOUNTAIN VIEW DR	None	SHELTON	WA	98584	4401	00	None	47.2267481	-123.1151279	Mason County
257684	Fee-for-Service	1922214519	1922214519	1	1	NICOLAS BAIDA-FRAGOSO, M.D	8/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1900 DENVER AVE	None	EL PASO	TX	79902	3008	00	None	31.78141019	-106.4757478	El Paso County
257691	Fee-for-Service	1952418378	1952418378	1	5	NORTH BAY EYE ASSOCIATES A	7/29/1996	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	MEDICAL CORPORATION	181 ANDRIEUX STREET	STE 100	SONOMA	CA	95476	6936	49	06097	38.28809911	-122.4613026	Sonoma County
257694	Fee-for-Service	1407054380	1407054380	1	1	NG, JEREMY T MD	1/22/2020	207PS0010X	NA	Other	026	PHYSICIANS	164668	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
257754	Fee-for-Service	1245899988	1245899988	1	1	NAZ, TABISH MD	3/19/2024	207QS1201X	NA	Adult Primary Care	026	PHYSICIANS	184152	None	None	0	In state provider	None	1111 W 4TH ST	STE A	MADERA	CA	93637	4474	20	06039	36.95563823	-120.0735861	Madera County
257829	Fee-for-Service	1780010504	1780010504	1	1	NORTON, RACHEL OT	10/20/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	5270 ELVAS AVE	None	SACRAMENTO	CA	95819	2332	34	06067	38.57603261	-121.4349541	Sacramento County
257903	Fee-for-Service	1154358992	1154358992	1	1	NAMBISAN, RAMACHANDRAN	3/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	37212	41	Internal Medicine	0	In state provider	None	5575 W LAS POSITAS BLVD	STE 270	PLEASANTON	CA	94588	5803	01	06001	37.69214859	-121.8796532	Alameda County
257983	Fee-for-Service	1407054380	1407054380	1	1	NG, JEREMY T MD	1/22/2020	207PS0010X	NA	Other	026	PHYSICIANS	164668	08	Family Practice	0	In state provider	None	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
258082	Fee-for-Service	1689139818	1689139818	1	1	NEUROPSYCHOLOGY SERVICES NPS	5/30/2024	103G00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	INC	16553 RINALDI ST	None	GRANADA HILLS	CA	91344	3762	19	06037	34.27927048	-118.492803	Los Angeles County
258095	Fee-for-Service	1649222308	1649222308	1	1	NGUYEN-CLARK, HANH T MD	10/1/1999	207L00000X	NA	Other	026	PHYSICIANS	62739	05	Anesthesiology	0	In state provider	None	725 E SANTA CLARA ST	STE 101	SAN JOSE	CA	95112	1936	43	06085	37.34328626	-121.8756374	Santa Clara County
258155	Fee-for-Service	1124417092	1124417092	1	1	NIRR INC	12/21/2021	2085R0204X	NA	Other	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	None	2151 N HARBOR BLVD	3100	FULLERTON	CA	92835	3825	30	06059	33.89443025	-117.9288328	Orange County
258192	Fee-for-Service	1154358992	1154358992	1	1	NAMBISAN, RAMACHANDRAN	3/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	37212	02	General Surgery	0	In state provider	None	5575 W LAS POSITAS BLVD	STE 270	PLEASANTON	CA	94588	5803	01	06001	37.69214859	-121.8796532	Alameda County
258208	Fee-for-Service	1154442655	1154442655	1	1	NIPARKO, NANCY A MD	7/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	43728	79	Neurology-Child	0	In state provider	None	9100 WILSHIRE BLVD	STE 850W	BEVERLY HILLS	CA	90212	3415	19	06037	34.06703047	-118.390212	Los Angeles County
258216	Fee-for-Service	1528536638	1528536638	1	1	NEGRETE, KRISTINE C PT	11/14/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
258221	Fee-for-Service	1003965997	1003965997	1	1	NORCAL IMAGING	3/13/2007	2471M2300X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2600 PARK AVE	STE 203	CONCORD	CA	94520	1929	07	06013	37.98468938	-122.0340623	Contra Costa County
258284	Fee-for-Service	1598980518	1598980518	1	1	NANDA, ASHISH MD	3/1/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	174401	None	None	0	In state provider	None	2624 EDITH	None	REDDING	CA	96001	3043	45	06089	40.57136027	-122.397513	Shasta County
258297	Fee-for-Service	1407367618	1407367618	1	1	NGUYEN, MICHELLE M MD	5/30/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
258320	Fee-for-Service	1376611608	1376611608	1	1	NG, DAVID H MD	11/19/2007	207U00000X	NA	Other	026	PHYSICIANS	84882	42	Nuclear Medicine	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
258334	Fee-for-Service	1841234952	1841234952	1	1	NGUYEN, SI VAN MD	8/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	48904	22	Pathology (M.D. only)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
258361	Fee-for-Service	1124125943	1124125943	1	1	NGUYEN, VANIA T MD	12/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	86445	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
258433	Fee-for-Service	1952443483	1952443483	1	1	NDUDIM, NKEIRU M OD	12/3/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1805 N CALIFORNIA STREET	STE 101	STOCKTON	CA	95004	6032	39	06077	37.9711691	-121.2894221	San Joaquin County
258442	Fee-for-Service	1124417092	1124417092	1	1	NIRR INC	12/21/2021	2085R0204X	NA	Other	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	2151 N HARBOR BLVD	3100	FULLERTON	CA	92835	3825	30	06059	33.89443025	-117.9288328	Orange County
258449	Fee-for-Service	1316307747	1316307747	1	1	NYSA THERAPY INC	12/14/2023	1041C0700X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	None	572 RIO LINDO AVE	STE 108	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
258469	Fee-for-Service	1184700890	1184700890	1	1	NORMAN, ROBERT M MD	12/31/1991	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	46022	08	Family Practice	0	In state provider	None	25 N 14TH ST	STE 1020	SAN JOSE	CA	95112	6209	43	06085	37.34293357	-121.8775187	Santa Clara County
258482	Fee-for-Service	1447296462	1447296462	1	1	NEMATBAKHSH,MOHAMMAD A	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	74814	05	Anesthesiology	0	In state provider	None	1200 N STATE ST	None	LOS ANGELES	CA	90033	1029	19	06037	34.05855992	-118.209755	Los Angeles County
258511	Fee-for-Service	1780176537	1780176537	1	1	NAVARRO-PRESCOTT, DIANE C LC	3/28/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	SW	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
258527	Fee-for-Service	1932430865	1932430865	1	1	NAEINI, RAMIN M MD	4/21/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	104955	30	Radiology	0	In state provider	None	1001 POTRERO AVE	RM 1X	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
258698	Fee-for-Service	1013197946	1013197946	1	2	NAWABI, SALMA E NP	3/31/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15030 7TH ST.	None	VICTORVILLE	CA	92395	3811	36	06071	34.52471945	-117.3042336	San Bernardino County
258739	Fee-for-Service	1316307747	1316307747	1	1	NYSA THERAPY INC	10/1/2018	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	572 RIO LINDO AVE	STE 108	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
258742	Fee-for-Service	1518994433	1518994433	1	1	NABIL, NARMEEN MD	6/21/2000	207RE0101X	NA	Endocrinology	026	PHYSICIANS	40680	41	Internal Medicine	0	In state provider	None	18546 ROSCOE BLVD	STE 200	NORTHRIDGE	CA	91324	5453	19	06037	34.22069869	-118.537684	Los Angeles County
258785	Fee-for-Service	1982233813	1982233813	1	1	NYABOGA, ALVIN A MD	4/16/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA	265	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
258980	Fee-for-Service	1841376217	1841376217	1	1	NELSON, CHRISTINE A MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	24574	40	Pediatrics	0	In state provider	None	290 N WAYTE LN	None	FRESNO	CA	93701	2124	10	06019	36.74643429	-119.7837416	Fresno County
259000	Fee-for-Service	1366128357	1366128357	1	1	NUNGARI, ROSEANNE MUTHONI	8/2/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	16945 RAIL WAY	None	LATHROP	CA	95330	8641	39	06077	37.80727503	-121.3098149	San Joaquin County
259025	Fee-for-Service	1316307747	1316307747	1	1	NYSA THERAPY INC	10/1/2018	1041C0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	572 RIO LINDO AVE	STE 108	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
259030	Fee-for-Service	1518994433	1518994433	1	1	NABIL, NARMEEN MD	6/21/2000	207RE0101X	NA	Endocrinology	026	PHYSICIANS	40680	67	Endocrinology	0	In state provider	None	18546 ROSCOE BLVD	STE 200	NORTHRIDGE	CA	91324	5453	19	06037	34.22069869	-118.537684	Los Angeles County
259277	Fee-for-Service	1306845649	1306845649	1	1	NEVINS, RUSSELL T MD	7/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	20	Orthopedic Surgery	1	Border provider	None	2650 N TENAYA WAY	STE 301	LAS VEGAS	NV	89128	1112	00	None	36.20804839	-115.2501292	Clark County
259285	Fee-for-Service	1366128357	1366128357	1	1	NUNGARI, ROSEANNE MUTHONI	8/2/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	16945 RAIL WAY	None	LATHROP	CA	95330	8641	39	06077	37.80727503	-121.3098149	San Joaquin County
259297	Fee-for-Service	1740629211	1740629211	1	1	NOURI, SARVENAZ MD	10/15/2020	208600000X	NA	General Surgery	026	PHYSICIANS	136959	02	General Surgery	0	In state provider	None	25470 MEDICAL CENTER DR	SUITE 203	MURRIETA	CA	92562	4901	33	06065	33.55723646	-117.1859554	Riverside County
259312	Fee-for-Service	1316307747	1316307747	1	1	NYSA THERAPY INC	10/1/2018	1041C0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	572 RIO LINDO AVE	STE 108	CHICO	CA	95926	1851	04	06007	39.75508407	-121.8487933	Butte County
259389	Fee-for-Service	1922011279	1922011279	1	1	NG, MICHAEL C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	81734	05	Anesthesiology	0	In state provider	None	817 COFFEE RD	STE C3	MODESTO	CA	95355	4241	50	06099	37.655235	-120.975616	Stanislaus County
259391	Fee-for-Service	1245544873	1245544873	1	1	NAIR, AJITHA K DPM	8/4/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
259437	Fee-for-Service	1255474235	1255474235	1	1	NUNES, CARMEN C LMFT	10/5/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1789 W YOSEMITE AVE	None	MANTECA	CA	95337	5160	39	06077	37.79964	-121.246425	San Joaquin County
259483	Fee-for-Service	1255617569	1255617569	1	1	NOVOCURE INC	8/16/2018	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	195 COMMERCE WAY	None	PORTSMOUTH	NH	03801	3251	00	None	43.09050561	-70.78541749	Rockingham County
259486	Fee-for-Service	1932332657	1932332657	1	1	NEWSOM, VERONICA J LMFT	8/2/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4199 CAMPUS DR	SUITE 550, OFFICE 57	IRVINE	CA	92612	4684	30	06059	33.650775	-117.838296	Orange County
259491	Fee-for-Service	1023311305	1023311305	1	1	NORTH TAHOE ORTHOPEDICS	12/12/2011	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	10051 LAKE AVENUE	SUITE 3	TRUCKEE	CA	96161	4870	29	06057	39.32550268	-120.2025066	Nevada County
259519	Fee-for-Service	1679564561	1679564561	1	1	NGUYEN-MINH, NHAT C MD	3/24/2009	208600000X	NA	General Surgery	026	PHYSICIANS	53124	02	General Surgery	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
259534	Fee-for-Service	1881706877	1881706877	1	1	NEWMAN PIONEER DRUG INC	9/9/2003	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	PIONEER DRUG #2	397 5TH ST	None	GUSTINE	CA	95322	1126	24	06047	37.25617978	-120.9997272	Merced County
259536	Fee-for-Service	1497373468	1497373468	1	1	NORTH VALLEY HOSPICE INC	3/20/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	9010 CORBIN AVE	UNIT 4B-2	NORTHRIDGE	CA	91324	3344	19	06037	34.23447488	-118.5622843	Los Angeles County
259553	Fee-for-Service	1437183092	1437183092	1	1	NUSSBAUM, ROBERT L MD	8/8/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52306	01	General Practice	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
259572	Fee-for-Service	1336555333	1336555333	1	1	NGUYEN, QUY T MD	8/17/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	131609	None	None	0	In state provider	None	2001 SANTA MONICA	370W, 380W, 860W, 1070	SANTA MONICA	CA	90404	2102	19	06037	34.02891163	-118.4797466	Los Angeles County
259601	Fee-for-Service	1568010775	1568010775	1	1	NAY, MARIE H CNP	11/25/2019	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
259622	Fee-for-Service	1164722450	1164722450	1	1	NG, GLADYS Y D MD	6/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	112276	34	Urology and Urological Surgery	0	In state provider	None	200 MEDICAL PLAZA	STE 140	LOS ANGELES	CA	90095	8344	19	06037	34.06527974	-118.4462792	Los Angeles County
259636	Fee-for-Service	1508026097	1508026097	1	1	NIGUSSE BLAND, ANTON MD	1/24/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	125483	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
259651	Fee-for-Service	1265808927	1265808927	1	1	NHAN, GIAN MD INC	8/1/2015	207L00000X	NA	Other	026	PHYSICIANS	64288	05	Anesthesiology	0	In state provider	None	1720 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90033	2414	19	06037	34.04925	-118.2177405	Los Angeles County
259675	Fee-for-Service	1659772770	1659772770	1	1	NAJERA, EMMANUEL LCSW	2/4/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	STE 203	UPLAND	CA	91786	4165	36	06071	34.10424442	-117.6701797	San Bernardino County
259780	Fee-for-Service	1902881238	1902881238	1	1	NGUYEN, VICTORIA A DO	11/20/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	9153	30	Radiology	0	In state provider	None	18436 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.22078873	-118.5351265	Los Angeles County
259790	Fee-for-Service	1194974402	1194974402	1	1	NORTH ORANGE COUNTY REG	10/16/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1182 N EUCLID ST	None	ANAHEIM	CA	92801	1900	30	06059	33.849909	-117.9416115	Orange County
259797	Fee-for-Service	1487039780	1487039780	1	1	NUNEZ, MARISOL E LMFT	12/11/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9700 RESEDA BLVD	208	NORTHRIDGE	CA	91324	2025	19	06037	34.246647	-118.5360505	Los Angeles County
259825	Fee-for-Service	1497373468	1497373468	1	1	NORTH VALLEY HOSPICE INC	3/20/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	9010 CORBIN AVE	UNIT 4B-2	NORTHRIDGE	CA	91324	3344	19	06037	34.23447488	-118.5622843	Los Angeles County
259830	Fee-for-Service	1811086036	1811086036	1	2	NAJEEB, RUBINA T MD	11/7/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	53937	-	NOT APPLICABLE	0	In state provider	None	100 E WARDLOW RD	None	LONG BEACH	CA	90503	1727	19	06037	33.8188341	-118.1923297	Los Angeles County
259843	Fee-for-Service	1437183092	1437183092	1	1	NUSSBAUM, ROBERT L MD	8/8/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52306	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
259932	Fee-for-Service	1942408323	1942408323	1	1	NAHIDI, TARLAN A MD	1/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	105837	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
259937	Fee-for-Service	1548447949	1548447949	1	1	NEVILLE, THANH H MD	7/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98492	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	STE 365, 420, 120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
260025	Fee-for-Service	1639146376	1639146376	1	1	NEEL, JAMES V MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	38079	36	Psychiatry	0	In state provider	None	1120 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4815	49	06097	38.442708	-122.7009465	Sonoma County
260077	Fee-for-Service	1194974402	1194974402	1	1	NORTH ORANGE COUNTY REG	10/16/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1182 N EUCLID ST	None	ANAHEIM	CA	92801	1900	30	06059	33.849909	-117.9416115	Orange County
260092	Fee-for-Service	1922019264	1922019264	1	1	NGUYEN, HOANG N DPM	6/18/2012	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1700 MOUNT VERNON AVENUE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
260108	Fee-for-Service	1558777870	1558777870	1	1	NALIBOFF, LESLEY MD	4/27/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	153756	15	Obstetrics (D.O. only)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
260137	Fee-for-Service	1629496807	1629496807	1	1	NARASIMHALU, NINA V MD	3/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138891	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
260172	Fee-for-Service	1922141324	1922141324	1	1	NG, SIN WOON M LMFT	2/6/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3629 SANTA ANITA AVE	107	EL MONTE	CA	91731	2450	19	06037	34.07564024	-118.0414325	Los Angeles County
260205	Fee-for-Service	1124461892	1124461892	1	1	NIROUMAND, NASIEM M MD	9/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	152790	30	Radiology	0	In state provider	None	8700 BEVERLY BLVD	STE M-335	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
260220	Fee-for-Service	1265842470	1265842470	1	1	NGUYEN, ALEXANDER C DO	4/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14372	41	Internal Medicine	0	In state provider	None	1680 EAST 120TH STREET	None	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
260264	Fee-for-Service	1659320372	1659320372	1	1	NGUYEN, KHIEM P V MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	57301	None	None	0	In state provider	None	10681 BOLSA AVE	None	GARDEN GROVE	CA	92843	5270	30	06059	33.7450695	-117.9427815	Orange County
260303	Fee-for-Service	1508871013	1508871013	1	1	NAIK, ARPANA M. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3181 SW SAM JACKSON PARK	None	PORTLAND	OR	97239	3011	00	None	45.49936609	-122.6856232	Multnomah County
260313	Fee-for-Service	1639146376	1639146376	1	1	NEEL, JAMES V MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	38079	25	Physical Medicine and Rehabilitation	0	In state provider	None	1120 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4815	49	06097	38.442708	-122.7009465	Sonoma County
260367	Fee-for-Service	1194974402	1194974402	1	1	NORTH ORANGE COUNTY REG	10/16/2012	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1182 N EUCLID ST	None	ANAHEIM	CA	92801	1900	30	06059	33.849909	-117.9416115	Orange County
260388	Fee-for-Service	1235495458	1235495458	1	1	NATHAN FAGAN	10/6/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	700 CHILDRENS DR	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
260397	Fee-for-Service	1558777870	1558777870	1	1	NALIBOFF, LESLEY MD	4/27/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	153756	09	Gynecology (D.O. only)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
260424	Fee-for-Service	1881931020	1881931020	1	1	NIEDZWIECKI, JACQUELINE LMF	3/19/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	T	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
260442	Fee-for-Service	1154734267	1154734267	1	1	NINO, NICHOLE J OD	6/26/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	119 S L STREET	None	DINUBA	CA	93618	2324	54	06107	36.54055651	-119.3899159	Tulare County
260484	Fee-for-Service	1750817128	1750817128	1	1	NGUYEN, VINCENT	3/21/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	185472	30	Radiology	0	In state provider	None	210 CANAL ST	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
260526	Fee-for-Service	1336230010	1336230010	3	1	NTEGROUS CORE CORPORATION	8/4/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1864 EAST WASHINGTON BLV	105	PASADENA	CA	91104	1667	19	06037	34.16910848	-118.112022	Los Angeles County
260527	Fee-for-Service	1346285509	1346285509	1	1	NEWSOME, ANN E MD	8/24/2004	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	27340	01	General Practice	0	In state provider	None	10510 CHAPMAN AVE	STE 10	GARDEN GROVE	CA	92840	3131	30	06059	33.7886115	-117.949473	Orange County
260619	Fee-for-Service	1598786790	1598786790	1	1	NEUWELT, C M MD	1/29/1996	174400000X	NA	Other	026	PHYSICIANS	38264	None	None	0	In state provider	None	3007 TELEGRAPH AVE	# 1	OAKLAND	CA	94609	3205	01	06001	37.81933406	-122.2671164	Alameda County
260654	Fee-for-Service	1194974402	1194974402	1	1	NORTH ORANGE COUNTY REG	10/16/2012	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1182 N EUCLID ST	None	ANAHEIM	CA	92801	1900	30	06059	33.849909	-117.9416115	Orange County
260673	Fee-for-Service	1104046747	1104046747	1	1	NAMAZIE, ALI R MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	60291	04	Otology, Laryngology, Rhinology	0	In state provider	A MEDICAL GROUP INC	4955 VAN NUYS BLVD	STE 505	SHERMAN OAKS	CA	91403	1829	19	06037	34.160805	-118.4487295	Los Angeles County
260681	Fee-for-Service	1477630317	1477630317	1	1	NGUYEN, BOB H MD	6/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85347	20	Orthopedic Surgery	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
260698	Fee-for-Service	1952514796	1952514796	1	1	NGUYEN, JOHN D MD	5/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	103153	30	Radiology	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
260780	Fee-for-Service	1861599540	1861599540	1	2	NUFACTOR, INC	3/23/2023	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	44900 WINCHESTER ROAD	None	TEMECULA	CA	92590	2579	33	06065	33.5145764	-117.1841257	Riverside County
260785	Fee-for-Service	1235526450	1235526450	1	1	NIKIZAD, HOOMAN MD	10/4/2022	208200000X	NA	General Surgery	026	PHYSICIANS	180206	None	None	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
260792	Fee-for-Service	1740407220	1740407220	1	1	NGUYEN, VU T MD	5/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	82170	41	Internal Medicine	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
260799	Fee-for-Service	1750857306	1750857306	1	1	NSRT ENTERPRISES	3/23/2022	344600000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	510 FRAZIER AVE	None	SANTA ROSA	CA	95404	5917	49	06097	38.4264	-122.7109365	Sonoma County
260806	Fee-for-Service	1659711539	1659711539	1	1	NORRIS, ROBYN D LMFT	10/4/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5051 CANYON CREST DR	SUITE 204	RIVERSIDE	CA	92507	0000	33	06065	33.9589602	-117.3311519	Riverside County
260814	Fee-for-Service	1144030545	1144030545	1	1	NEW HORIZONS FAMILY COUNSELI	1/10/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	ICES	2295 HILLTOP DR	STE #7	REDDING	CA	96002	0515	45	06089	40.57406508	-122.3579629	Shasta County
260860	Fee-for-Service	1952692782	1952692782	1	1	NEWPORT HARBOR CARDIOLOGY IN	11/4/2011	261QM2500X	NA	Other	026	PHYSICIANS	99639	35	Pediatric Cardiology (M.D. only)	0	In state provider	C	601 DOVER DR	STE 2	NEWPORT BEACH	CA	92663	5700	30	06059	33.6195854	-117.9076755	Orange County
260962	Fee-for-Service	1104046747	1104046747	1	1	NAMAZIE, ALI R MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	60291	84	Surgery-Head and Neck	0	In state provider	A MEDICAL GROUP INC	4955 VAN NUYS BLVD	STE 505	SHERMAN OAKS	CA	91403	1829	19	06037	34.160805	-118.4487295	Los Angeles County
260987	Fee-for-Service	1275172132	1275172132	1	1	NEWHALL, SARAH C MD	7/31/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 NORTH PEPPER AVENUE	None	COLTON	CA	92324	1819	36	06071	34.073505	-117.3505995	San Bernardino County
261088	Fee-for-Service	1073529681	1073529681	1	1	NORTH COUNTY HEALTH PROJECT	1/6/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INC	220 ROTANZI STREET	None	RAMONA	CA	92065	2583	37	06073	33.02892485	-116.889131	San Diego County
261098	Fee-for-Service	1366679508	1366679508	1	1	NOUR, MAY MD	12/11/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115026	30	Radiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
261107	Fee-for-Service	1023266160	1023266160	1	1	NGUYEN, TRANG Q MD	11/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131785	84	Surgery-Head and Neck	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
261126	Fee-for-Service	1770718967	1770718967	1	1	NABAVI, MAZIAR MD	4/27/2022	207R00000X	NA	Other	026	PHYSICIANS	127123	None	None	0	In state provider	None	12923 INGLEWOOD AVE	STE. 1	HAWTHORNE	CA	90250	5573	19	06037	33.914961	-118.3613055	Los Angeles County
261149	Fee-for-Service	1952692782	1952692782	1	1	NEWPORT HARBOR CARDIOLOGY IN	11/4/2011	261QM2500X	NA	Other	026	PHYSICIANS	99639	40	Pediatrics	0	In state provider	C	601 DOVER DR	STE 2	NEWPORT BEACH	CA	92663	5700	30	06059	33.6195854	-117.9076755	Orange County
261255	Fee-for-Service	1124176045	1124176045	1	1	NASSER, KENT D MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67895	66	Emergency Medicine (Urgent Care)	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
261278	Fee-for-Service	1477976603	1477976603	1	1	NGUYEN, DONNA OD	9/12/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
261292	Fee-for-Service	1356735799	1356735799	1	1	NGUYEN, ANH MD	9/21/2019	207R00000X	NA	Other	026	PHYSICIANS	144835	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
261308	Fee-for-Service	1902071780	1902071780	1	1	NAGARAJAN, ANURADHA MD	12/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121296	41	Internal Medicine	0	In state provider	None	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
261318	Fee-for-Service	1497811806	1497811806	1	1	NELSON, TRACY L LMFT	8/26/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
261360	Fee-for-Service	1942590542	1942590542	1	1	NILI, SOODEH MD	5/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127432	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
261368	Fee-for-Service	1275767006	1275767006	1	1	NACHIAPPAN, NACCHAL MD	7/6/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107370	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
261377	Fee-for-Service	1073529681	1073529681	1	1	NORTH COUNTY HEALTH PROJECT	10/28/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INC	220 ROTANZI STREET	None	RAMONA	CA	92065	2583	37	06073	33.02892485	-116.889131	San Diego County
261387	Fee-for-Service	1235863184	1235863184	1	1	NEURANIMUS P C	2/4/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	135 N JACKSON AVE.	SUITE 202	SAN JOSE	CA	95116	1917	43	06085	37.36164758	-121.8466827	Santa Clara County
261388	Fee-for-Service	1578051017	1578051017	1	1	NGUYEN, NANCY K CNP	2/12/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7740 RANCHO SANTA FE RD	None	CARLSBAD	CA	92009	8685	37	06073	33.08100093	-117.2372485	San Diego County
261418	Fee-for-Service	1558896381	1558896381	1	1	NGUYEN, HOWARD K DO	8/21/2024	2084P0805X	NA	Psychiatry	026	PHYSICIANS	20728	38	Geriatrics	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
261421	Fee-for-Service	1568961621	1568961621	1	1	NICOLAS, CHARLOTTE S NP	5/21/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	5122 KATELLA AVE	STE 308	LOS ALAMITOS	CA	90720	2826	30	06059	33.80290311	-118.0433422	Orange County
261538	Fee-for-Service	1588786602	1588786602	1	1	NGUYEN, TRAM N	7/9/2007	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	5842 E 2ND ST	None	LONG BEACH	CA	90803	5045	19	06037	33.75626418	-118.1203171	Los Angeles County
261565	Fee-for-Service	1477664282	1477664282	1	1	NACHIMSON, SUSAN B	1/1/1979	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1240 EVERGREEN RD	STE 1	REDWAY	CA	95560	9753	12	06023	40.12130934	-123.7996701	Humboldt County
261566	Fee-for-Service	1760794218	1760794218	1	1	NSC MANAGEMENT COMPANY	7/7/2010	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	8327 RESEDA BLVD	None	NORTHRIDGE	CA	91324	4620	19	06037	34.221699	-118.5360985	Los Angeles County
261596	Fee-for-Service	1902071780	1902071780	1	1	NAGARAJAN, ANURADHA MD	12/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121296	66	Emergency Medicine (Urgent Care)	0	In state provider	None	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
261599	Fee-for-Service	1720128622	1720128622	1	1	NEWMAN, NATALIE Y MD	6/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84675	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
261600	Fee-for-Service	1487017075	1487017075	1	1	NEFEDOV, PAUL OD	7/15/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4860 Y STREET	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
261666	Fee-for-Service	1073529681	1073529681	1	1	NORTH COUNTY HEALTH PROJECT	10/28/1991	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INC	220 ROTANZI STREET	None	RAMONA	CA	92065	2583	37	06073	33.02892485	-116.889131	San Diego County
261672	Fee-for-Service	1700409158	1700409158	1	1	NGUYEN, TIMOTHY MD	8/26/2024	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	185470	25	Physical Medicine and Rehabilitation	0	In state provider	None	2080 CENTURY PARK E	STE 300	LOS ANGELES	CA	90067	2006	19	06037	34.05887194	-118.4122914	Los Angeles County
261700	Fee-for-Service	1366462806	1366462806	1	1	NUCHO, RAMSAY C MD	6/1/1984	208G00000X	NA	General Surgery	026	PHYSICIANS	41229	02	General Surgery	0	In state provider	None	1710 BROOKLYN AVE	STE 225	LOS ANGELES	CA	90033	2439	19	06037	34.040502	-118.191954	Los Angeles County
261703	Fee-for-Service	1700945425	1700945425	1	1	NGUYEN, MAI N MD	3/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	69826	40	Pediatrics	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
261706	Fee-for-Service	1326190554	1326190554	1	1	NICKERSON, WILLIAM A MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	40622	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
261790	Fee-for-Service	1134475270	1134475270	1	1	NAZEER, OMER T MD	7/7/2021	207P00000X	NA	Other	026	PHYSICIANS	169003	None	None	0	In state provider	None	27200 CALAROGA	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
261820	Fee-for-Service	1396856928	1396856928	1	1	NEWMAN, ILENE MD	10/31/1986	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	54610	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	45 S 17TH ST	None	SAN JOSE	CA	95112	2032	43	06085	37.34311801	-121.8738218	Santa Clara County
261834	Fee-for-Service	1134204654	1134204654	1	1	NGUYEN, MAI-ANH C OD	9/1/2002	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1661 BURDETTE DR	STE H	SAN JOSE	CA	95121	1681	43	06085	37.32012377	-121.8254031	Santa Clara County
261935	Fee-for-Service	1083158034	1083158034	1	1	NOBLE, ROBIN L LMFT	1/16/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8575 MORRO RD	STE. C	ATASCADERO	CA	93422	3924	40	06079	35.47073106	-120.6693149	San Luis Obispo County
261952	Fee-for-Service	1073529681	1073529681	1	1	NORTH COUNTY HEALTH PROJECT	7/1/1994	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INC	220 ROTANZI STREET	None	RAMONA	CA	92065	2583	37	06073	33.02892485	-116.889131	San Diego County
261995	Fee-for-Service	1922123561	1922123561	1	1	NGUYEN, THAO P OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	14322 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4608	30	06059	33.753825	-117.954801	Orange County
262082	Fee-for-Service	1548569619	1548569619	1	1	NGUYEN, HENRY S MD	11/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115544	40	Pediatrics	0	In state provider	None	12665 GARDEN GROVE BLVD	STE 713	GARDEN GROVE	CA	92843	1921	30	06059	33.77450141	-117.9123364	Orange County
262105	Fee-for-Service	1689638744	1689638744	1	1	NULL, DANIEL HESS MD	9/30/1990	207R00000X	NA	Other	026	PHYSICIANS	73163	41	Internal Medicine	0	In state provider	UCSF MED CTR	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
262132	Fee-for-Service	1992988521	1992988521	1	1	NEAL P DIXON, M.D. A GENERAL	1/14/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SURGICAL MEDICAL CORP.	2438 N PONDEROSA DR	STE C207	CAMARILLO	CA	93010	2374	56	06111	34.24219545	-119.0227012	Ventura County
262170	Fee-for-Service	1558317834	1558317834	1	1	NOVELL, GIA A MD	5/23/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89742	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
262182	Fee-for-Service	1699265975	1699265975	1	1	NAWAWI, CAMILLE NP	10/8/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
262220	Fee-for-Service	1649484858	1649484858	1	1	NALAMLIANG, MICHAELA F NP	2/6/2022	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
262222	Fee-for-Service	1487302402	1487302402	1	1	NGO, ANGELINE OD	7/21/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
262323	Fee-for-Service	1417444282	1417444282	1	1	NGO, LINH T OD	6/4/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
262408	Fee-for-Service	1831293083	1831293083	1	1	NAMIHAS, STEVEN C MD	8/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	63396	01	General Practice	0	In state provider	None	2480 SONOMA ST	None	REDDING	CA	96001	3027	45	06089	40.57326337	-122.403701	Shasta County
262438	Fee-for-Service	1912133364	1912133364	2	1	NEW LIGHT MEDICAL GROUP INC	5/4/2015	302R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1716 W MEDICAL CENTER DR	None	ANAHEIM	CA	92801	1801	30	06059	33.85174853	-117.9427275	Orange County
262450	Fee-for-Service	1457338816	1457338816	1	1	NGUYEN, TOM T MD	1/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	82255	30	Radiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
262484	Fee-for-Service	1760534713	1760534713	1	9	NORTHBAY HEALTHCARE GROUP	6/8/2022	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1020 NUT TREE RD	STE 390	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
262489	Fee-for-Service	1427721661	1427721661	1	1	NGUYEN, SCOTT OD	2/14/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 N HARBOR BLVD	STE 101	FULLERTON	CA	92835	9283	30	06059	33.88408114	-117.9253959	Orange County
262566	Fee-for-Service	1982125969	1982125969	1	1	NGO, VIVIAN K MD	7/2/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164499	08	Family Practice	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
262589	Fee-for-Service	1285083378	1285083378	1	1	NASSAR, DIANA MD	5/24/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	19	06037	34.06704253	-118.3835029	Los Angeles County
262624	Fee-for-Service	1679014005	1679014005	1	1	NING, WEIHUANG V MD	7/2/2021	208M00000X	NA	Other	026	PHYSICIANS	157759	None	None	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
262631	Fee-for-Service	1154826907	1154826907	1	1	NAWAZ, AHMED M MD	12/29/2021	207R00000X	NA	Other	026	PHYSICIANS	175207	None	None	0	In state provider	None	15248 ELEVENTH ST	None	VICTORVILLE	CA	92395	3704	36	06071	34.52825401	-117.2925587	San Bernardino County
262652	Fee-for-Service	1528257110	1528257110	1	1	NEEP, BRIAN CPO	10/26/2021	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	4404 SCOTTS VALLEY DR	F	SCOTTS VALLEY	CA	95066	4588	44	06087	37.04690773	-122.0186751	Santa Cruz County
262678	Fee-for-Service	1891015871	1891015871	1	1	NGUYEN, THUY MD	9/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	110589	08	Family Practice	0	In state provider	None	4311 THIRD AVE	None	SAN DIEGO	CA	92103	1407	37	06073	32.758578	-117.1637685	San Diego County
262687	Fee-for-Service	1588224265	1588224265	1	1	NOORI, MOSTAFA CRNA	11/21/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
262718	Fee-for-Service	1073790713	1073790713	1	1	NOUCHIAN, SHEILA MD	7/11/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108653	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVENUE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
262731	Fee-for-Service	1205483443	1205483443	1	1	NEIVEEN PETER MEDICAL CORPOR	4/26/2021	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	ATION	1509 WILSON	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
262738	Fee-for-Service	1922549138	1922549138	1	1	NGUYEN, JONATHAN MD	12/11/2020	207R00000X	NA	Other	026	PHYSICIANS	158975	None	None	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
262740	Fee-for-Service	1417445958	1417445958	1	1	NAIR, AARTI R PHD	7/19/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
262756	Fee-for-Service	1538358395	1538358395	1	1	NEMANA, GOPALARAO MD	1/1/1982	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	31165	01	General Practice	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
262786	Fee-for-Service	1851514640	1851514640	1	1	NGUYEN, HUY TRONG MD	3/14/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	89993	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	18031 US HIGHWAY 18	STE B	APPLE VALLEY	CA	92307	2152	36	06071	34.54008717	-117.2706344	San Bernardino County
262806	Fee-for-Service	1023120086	1023120086	1	1	NELSON, KEITH R LCSW	12/16/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
262811	Fee-for-Service	1942229117	1942229117	1	1	NAYA RIMAL, M.D.	4/25/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3355 RIVERBEND DR	STE 240	SPRINGFIELD	OR	97477	8800	00	None	44.08239413	-123.0281717	Lane County
262816	Fee-for-Service	1194258178	1194258178	1	1	NATOUR, MUNTASIR MD	10/1/2024	390200000X	NA	Other	026	PHYSICIANS	192003	40	Pediatrics	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
262839	Fee-for-Service	1134873656	1134873656	1	1	NEFZGER, KYLE D CNP	2/28/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
262864	Fee-for-Service	1811009012	1811009012	1	1	NUEVA CLINICA CALIFORNIA	9/4/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	MEDICAL GROUP INC	1490 6TH ST	None	COACHELLA	CA	92236	1712	33	06065	33.67863924	-116.1766654	Riverside County
262998	Fee-for-Service	1245459973	1245459973	1	1	NEYAZ, MOHAMMED D DO	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13534	41	Internal Medicine	0	In state provider	None	631 E GRAND AVE	None	ESCONDIDO	CA	92025	4402	37	06073	33.12468152	-117.073451	San Diego County
263047	Fee-for-Service	1093755878	1093755878	1	1	NAUDIN, VERONICA L MD	6/1/1994	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	75489	40	Pediatrics	0	In state provider	None	4094 4TH AVE	STE 200	SAN DIEGO	CA	92103	2143	37	06073	32.75153771	-117.161688	San Diego County
263078	Fee-for-Service	1851514640	1851514640	1	1	NGUYEN, HUY TRONG MD	3/14/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	89993	41	Internal Medicine	0	In state provider	None	18031 US HIGHWAY 18	STE B	APPLE VALLEY	CA	92307	2152	36	06071	34.54008717	-117.2706344	San Bernardino County
263096	Fee-for-Service	1255903217	1255903217	1	1	NAM, HYUN JOO CRNA	1/28/2025	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2215 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
263098	Fee-for-Service	1174879522	1174879522	1	1	NG, MICHELLE L LMFT	5/11/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5861 PINE AVE	STE B-6	CHINO HILLS	CA	91709	6540	36	06071	33.94759807	-117.6760557	San Bernardino County
263126	Fee-for-Service	1801457767	1801457767	1	1	NGUYEN, TRAN Q DO	12/7/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19895	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
263267	Fee-for-Service	1003523663	1003523663	1	1	NADI MEDICAL GROUP	4/11/2023	207R00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	4535 70TH ST	None	LA MESA	CA	91942	0701	37	06073	32.76144168	-117.046842	San Diego County
263281	Fee-for-Service	1649938994	1649938994	1	1	NGO, PHILLIP PT	8/9/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2820 BELLFLOWER BLVD	None	LONG BEACH	CA	90815	1125	19	06037	33.80733578	-118.125179	Los Angeles County
263287	Fee-for-Service	1245459973	1245459973	1	1	NEYAZ, MOHAMMED D DO	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13534	45	Nephrology (Renal-Kidney)	0	In state provider	None	631 E GRAND AVE	None	ESCONDIDO	CA	92025	4402	37	06073	33.12468152	-117.073451	San Diego County
263328	Fee-for-Service	1629211909	1629211909	1	1	NGUYEN, RUDOLPH MD	9/9/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	113771	05	Anesthesiology	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
263335	Fee-for-Service	1598923195	1598923195	1	1	NARLA, ANUPAMA MD	7/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	91218	68	Hematology	0	In state provider	None	725 WELCH RD	MC 5500	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
263339	Fee-for-Service	1609674233	1609674233	1	1	NEW LEAF THERAPY MARRIAGE AN	3/24/2025	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1661 HARVEY MILK ST	516	SAN DIEGO	CA	92103	3592	37	06073	32.74901937	-117.14862	San Diego County
263356	Fee-for-Service	1417101593	1417101593	1	1	NAENI, ILA P DO	9/13/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	10626	08	Family Practice	0	In state provider	None	2828 FRESNO ST STE 203	None	FRESNO	CA	93721	1321	10	06019	36.7418099	-119.7838487	Fresno County
263372	Fee-for-Service	1073532826	1073532826	1	1	NGUYEN, HUNG B MD	7/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	82566	66	Emergency Medicine (Urgent Care)	0	In state provider	None	11234 ANDERSON ST	# A108	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
263433	Fee-for-Service	1558057158	1558057158	1	1	NAJERA, JESUS M PT	9/10/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
263443	Fee-for-Service	1437398070	1437398070	1	1	NEWPORT MEDICAL SUPPLY LLC	5/14/2012	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	3414 W BALL RD	SUITE D	ANAHEIM	CA	92804	3726	30	06059	33.81723326	-118.0087815	Orange County
263459	Fee-for-Service	1700264157	1700264157	1	1	NORTH COUNTY DERMATOLOGY	3/14/2016	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CENTER A PROFESSIONAL CO	477 N EL CAMINO REAL	C312	ENCINITAS	CA	92024	1328	37	06073	33.05700866	-117.262449	San Diego County
263517	Fee-for-Service	1225171333	1225171333	1	1	NAPLES, ANTHONY F MD	2/28/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	36930	01	General Practice	0	In state provider	None	13095 JAMBOREE RD	None	TUSTIN	CA	92782	9150	30	06059	33.73033216	-117.7875003	Orange County
263548	Fee-for-Service	1083287759	1083287759	1	1	NEWELL, JULIA L NP	7/5/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
263625	Fee-for-Service	1598923195	1598923195	1	1	NARLA, ANUPAMA MD	7/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	91218	40	Pediatrics	0	In state provider	None	725 WELCH RD	MC 5500	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
263634	Fee-for-Service	1548313786	1548313786	1	1	NGUYEN, MINH H T OD	1/9/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1481 E PLAZA BLVD	None	NATIONAL CITY	CA	91950	3613	37	06073	32.6768163	-117.0909096	San Diego County
263644	Fee-for-Service	1326096603	1326096603	1	1	NAZARENO, GASPAR M MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	68335	10	Gastroenterology (M.D. only)	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
263702	Fee-for-Service	1497021984	1497021984	1	1	NAJAFI, SHAHEEN T MD	6/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127705	41	Internal Medicine	0	In state provider	None	4860 Y STREET	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
263711	Fee-for-Service	1821621665	1821621665	1	1	NAZAROFF, TATIANA PT	5/18/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	19066 MAGNOLIA ST	None	HUNTINGTON BEACH	CA	92646	2232	30	06059	33.68568661	-117.9714001	Orange County
263762	Fee-for-Service	1639393762	1639393762	1	1	NGUYEN, TUAN MD	5/16/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	88605	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
263767	Fee-for-Service	1902868359	1902868359	1	1	NGUYEN, JOHN T MD	8/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71352	41	Internal Medicine	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
263790	Fee-for-Service	1851063085	1851063085	1	1	NO LIMIT GROUP LLC	1/11/2022	261QP2000X	NA	Physical Therapist	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	11667 COMPASS POINT DR N	UNIT 1	SAN DIEGO	CA	92126	5589	37	06073	32.92927602	-117.1221694	San Diego County
263804	Fee-for-Service	1225171333	1225171333	1	1	NAPLES, ANTHONY F MD	2/28/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	36930	36	Psychiatry	0	In state provider	None	13095 JAMBOREE RD	None	TUSTIN	CA	92782	9150	30	06059	33.73033216	-117.7875003	Orange County
263817	Fee-for-Service	1548843899	1548843899	1	1	NOBLE CARE CENTER, LLC	5/1/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2740 N CALIFORNIA ST	None	STOCKTON	CA	95204	5529	39	06077	37.97723759	-121.2917351	San Joaquin County
263890	Fee-for-Service	1154310779	1154310779	1	1	NAWAZ, DILSHER M. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1444 S POTOMAC ST	STE 300	AURORA	CO	80012	4510	00	None	39.690306	-104.830155	Arapahoe County
263927	Fee-for-Service	1326099680	1326099680	1	1	NORTH VALLEY EYE MED GRP	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	11550 INDIAN HILLS RD	STE 341	MISSION HILLS	CA	91345	1246	19	06037	34.28024575	-118.4588775	Los Angeles County
264118	Fee-for-Service	1740569409	1740569409	1	1	NGHIEM, VU Q DO	1/8/2020	390200000X	NA	Other	026	PHYSICIANS	17538	08	Family Practice	0	In state provider	None	4871 WHITE LN	None	BAKERSFIELD	CA	93309	6375	15	06029	35.31793896	-119.0561249	Kern County
264179	Fee-for-Service	1669436002	1669436002	1	1	NGUYEN, TRI M MD	1/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	78829	None	None	0	In state provider	None	11100 WARNER AVE	STE 104	FOUNTAIN VALLEY	CA	92708	7500	30	06059	33.716291	-117.9355051	Orange County
264192	Fee-for-Service	1144385998	1144385998	1	1	NEWPORT MESA AUDIOLOGY INC	6/1/1997	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	INC	500 N NEWPORT BLVD	STE 101	NEWPORT BEACH	CA	92663	4234	30	06059	33.62822418	-117.9267832	Orange County
264193	Fee-for-Service	1104429778	1104429778	1	1	NDUNDU, GRACE W	12/11/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	9568 MOSS HILL WAY	None	SACRAMENTO	CA	95829	9364	34	06067	38.484765	-121.342329	Sacramento County
264264	Fee-for-Service	1932566494	1932566494	1	1	NGUYEN, JOANN MD INC	4/5/2016	193400000X	NA	Other	026	PHYSICIANS	122870	01	General Practice	0	In state provider	None	1255 EAST SANTA CLARA ST	None	SAN JOSE	CA	95116	2341	43	06085	37.34799184	-121.8658049	Santa Clara County
264299	Fee-for-Service	1265781371	1265781371	1	1	NUNEZ, ESMERALDA	3/15/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	100 FALLS CANYON ROAD	None	AVALON	CA	90704	1563	19	06037	33.33904622	-118.3307237	Los Angeles County
264338	Fee-for-Service	1447200126	1447200126	1	7	NEPHROLOGY ASSOCIATES MEDICA	9/28/2007	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	36320 INLAND VALLEY DR	STE 308	WILDOMAR	CA	92595	7512	33	06065	33.592158	-117.2367705	Riverside County
264349	Fee-for-Service	1942366885	1942366885	1	1	NALAM, BHASKARARAO MD	3/16/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	35263	02	General Surgery	0	In state provider	None	58471 29 PALMS HWY	STE 202	YUCCA VALLEY	CA	92284	5818	36	06071	34.13270029	-116.3881647	San Bernardino County
264371	Fee-for-Service	1699863464	1699863464	1	1	NGO, ANDREA A MD	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	64486	41	Internal Medicine	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
264475	Fee-for-Service	1538446372	1538446372	1	1	NEDJATI, SUZAN LMFT	11/12/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
264482	Fee-for-Service	1104429778	1104429778	1	1	NDUNDU, GRACE W	12/11/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	9568 MOSS HILL WAY	None	SACRAMENTO	CA	95829	9364	34	06067	38.484765	-121.342329	Sacramento County
264487	Fee-for-Service	1053424648	1053424648	1	1	NORTH BREVARD COUNTY	3/1/2010	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL DISTRICT	951 N WASHINGTON AVE	None	TITUSVILLE	FL	32796	2163	00	None	28.62963	-80.822781	Brevard County
264505	Fee-for-Service	1659394419	1659394419	1	1	NGUYEN, QUOC A MD	10/1/1998	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	75928	04	Otology, Laryngology, Rhinology	0	In state provider	None	101 THE CITY DR S	BLDG 25	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
264583	Fee-for-Service	1033299425	1033299425	1	1	NELSON, DOUGLAS S MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	2	Out of state provider	PERIATRIC EMERGENCY MED	100 N MEDICAL DR	None	SALT LAKE CITY	UT	84113	1103	00	None	40.77069459	-111.8370155	Salt Lake County
264624	Fee-for-Service	1447200126	1447200126	1	7	NEPHROLOGY ASSOCIATES MEDICA	9/28/2007	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	None	36320 INLAND VALLEY DR	STE 308	WILDOMAR	CA	92595	7512	33	06065	33.592158	-117.2367705	Riverside County
264642	Fee-for-Service	1942366885	1942366885	1	1	NALAM, BHASKARARAO MD	3/16/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	35263	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	58471 29 PALMS HWY	STE 202	YUCCA VALLEY	CA	92284	5818	36	06071	34.13270029	-116.3881647	San Bernardino County
264680	Fee-for-Service	1538225156	1538225156	1	1	NGUYEN, LIEN MD INC	8/31/1996	193400000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	73 W MARCH LN	STE C	STOCKTON	CA	95207	5723	39	06077	37.99550203	-121.3068758	San Joaquin County
264761	Fee-for-Service	1285163931	1285163931	1	1	NORDSTROM, RACHEL MD	10/1/2023	207P00000X	NA	Other	026	PHYSICIANS	186094	None	None	0	In state provider	None	2825 CAPITOL AVENUE	None	SACRAMENTO	CA	95816	6039	34	06067	38.570805	-121.4696385	Sacramento County
264764	Fee-for-Service	1023500683	1023500683	1	1	NAL HOME HEALTH CARE INC	3/17/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	8925 SEPULVEDA BLVD	UNIT 203	NORTH HILLS	CA	91343	4353	19	06037	34.232355	-118.467768	Los Angeles County
264766	Fee-for-Service	1033297924	1033297924	1	1	NEIS-GIMENEZ, MARISSA C	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74241	01	General Practice	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
264771	Fee-for-Service	1053424648	1053424648	1	1	NORTH BREVARD COUNTY	12/1/2003	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL DISTRICT	951 N WASHINGTON AVE	None	TITUSVILLE	FL	32796	2163	00	None	28.62963	-80.822781	Brevard County
264775	Fee-for-Service	1851532246	1851532246	1	1	NGUYEN, TAY H MD	6/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106749	66	Emergency Medicine (Urgent Care)	0	In state provider	None	43830 N 10TH ST WEST	None	LANCASTER	CA	93534	4826	19	06037	34.67913961	-118.1478725	Los Angeles County
264787	Fee-for-Service	1114966389	1114966389	1	1	NELSON, BARBARA E MD	7/31/1991	207R00000X	NA	Other	026	PHYSICIANS	71343	41	Internal Medicine	0	In state provider	None	7223 CHURCH ST	None	HIGHLAND	CA	92346	5869	36	06071	34.122888	-117.1737945	San Bernardino County
264793	Fee-for-Service	1659394419	1659394419	1	1	NGUYEN, QUOC A MD	10/1/1998	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	75928	84	Surgery-Head and Neck	0	In state provider	None	101 THE CITY DR S	BLDG 25	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
264966	Fee-for-Service	1538225156	1538225156	1	1	NGUYEN, LIEN MD INC	8/31/1996	193400000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	73 W MARCH LN	STE C	STOCKTON	CA	95207	5723	39	06077	37.99550203	-121.3068758	San Joaquin County
265047	Fee-for-Service	1720070071	1720070071	1	1	NORTHBAY HEALTHCARE GRP	5/10/1995	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4520 BUSINESS CENTER DR	STE 160	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
265058	Fee-for-Service	1790288470	1790288470	1	1	NSHANYAN, GOHAR CNP	10/24/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2037 VERDUGO BLVD	None	MONTROSE	CA	91020	1626	19	06037	34.20478879	-118.2210421	Los Angeles County
265164	Fee-for-Service	1811018666	1811018666	1	1	NELSON, BRITTANY LMFT	8/6/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	107 N H ST	STE L	LOMPOC	CA	93436	6856	42	06083	34.63947574	-120.4579586	Santa Barbara County
265196	Fee-for-Service	1255509741	1255509741	1	1	NORTH VALLEY PHARM	3/19/2008	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	AND MEDICAL SUPP	11541 LAUREL CYN BLVD	STE C	SAN FERNANDO	CA	91340	4602	19	06037	34.27958858	-118.4542979	Los Angeles County
265331	Fee-for-Service	1720070071	1720070071	1	1	NORTHBAY HEALTHCARE GRP	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	4520 BUSINESS CENTER DR	STE 160	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
265339	Fee-for-Service	1265695878	1265695878	1	1	NORLANDER, LISA M MD	4/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111359	08	Family Practice	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
265382	Fee-for-Service	1427135367	1427135367	1	1	NGUYEN, BIC N MD	2/10/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	80292	41	Internal Medicine	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
265437	Fee-for-Service	1013068576	1013068576	1	2	NG, RUSSELL B OD	9/7/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	710B W ONSTOTT RD	None	YUBA CITY	CA	95991	3511	51	06101	39.1331447	-121.6352208	Sutter County
265441	Fee-for-Service	1396278115	1396278115	1	1	NGUYEN, CRISTINA H MD	8/10/2020	207R00000X	NA	Other	026	PHYSICIANS	160132	41	Internal Medicine	0	In state provider	None	11420 WARNER AVE.	None	FOUNTAIN VALLEY	CA	92708	2529	30	06059	33.71633952	-117.929061	Orange County
265475	Fee-for-Service	1528507795	1528507795	1	1	NEULINE HEALTH MANAGEMENT	10/22/2018	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	2	Out of state provider	LLC	6675 MEDITERRANEAN DR	STE 206	MCKINNEY	TX	75070	5634	00	None	33.19629336	-96.70578731	Collin County
265525	Fee-for-Service	1770528028	1770528028	1	1	NGUYEN, ELIZABETH U MD	5/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90331	41	Internal Medicine	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
265540	Fee-for-Service	1689240053	1689240053	1	1	NGUYEN, JESSICA MD	8/23/2024	207R00000X	NA	Other	026	PHYSICIANS	22111	41	Internal Medicine	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
265561	Fee-for-Service	1225013030	1225013030	1	1	NEWMAN, CAROLYN A OT	2/9/2021	225XN1300X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1535 RIVER PARK DR	STE 1000	SACRAMENTO	CA	95815	4601	34	06067	38.600334	-121.4361675	Sacramento County
265581	Fee-for-Service	1710926464	1710926464	1	1	NICOLAS EUGENE WALSH, M.D.	6/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4502 MEDICAL DR	None	SAN ANTONIO	TX	78229	4493	00	None	29.508012	-98.578683	Bexar County
265627	Fee-for-Service	1356345318	1356345318	1	1	NEBRASKA ORTHOPAEDIC HOSPITA	2/15/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2808 S 143RD PLZ	None	OMAHA	NE	68144	5611	00	None	41.23208951	-96.13560171	Douglas County
265671	Fee-for-Service	1982684031	1982684031	1	1	NAMAZIE, GISELLE C MD	2/21/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	55710	None	None	0	In state provider	None	5000 VAN NUYS BLVD	STE 200	SHERMAN OAKS	CA	91403	1717	19	06037	34.16148087	-118.4486642	Los Angeles County
265729	Fee-for-Service	1316523483	1316523483	1	1	NTEGE, CAROLINE N	2/17/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	408 SANTA MARIA	None	IRVINE	CA	92606	0614	30	06059	33.69827693	-117.8026048	Orange County
265743	Fee-for-Service	1700038338	1700038338	1	1	NAZEMI, REZA MD INC	12/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	81680	41	Internal Medicine	0	In state provider	None	99 N LA CIENEGA BLVD	SUITE 107	BEVERLY HILLS	CA	90211	2222	19	06037	34.06736471	-118.3763201	Los Angeles County
265754	Fee-for-Service	1861569717	1861569717	1	1	NGUYEN, KHANG A MD	10/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80863	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
265758	Fee-for-Service	1477559029	1477559029	1	1	NORTH HAWAII COMMUNITY	8/12/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	67-1125 MAMALAHOA HWY	None	KAMUELA	HI	96743	8496	00	None	20.02320549	-155.6654303	Hawaii County
265774	Fee-for-Service	1548379605	1548379605	1	1	NILSON, BJORN MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	35140	40	Pediatrics	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
265848	Fee-for-Service	1598127227	1598127227	1	1	NGUYEN, FLANG MD	12/9/2019	390200000X	NA	Other	026	PHYSICIANS	150581	41	Internal Medicine	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
265858	Fee-for-Service	1588002877	1588002877	2	1	NOVOTNY, RICHARD MD	3/19/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	143811	None	None	0	In state provider	None	8627 ATLANTIC AVE	None	SOUTH GATE	CA	90280	3501	19	06037	33.95462085	-118.1838426	Los Angeles County
265879	Fee-for-Service	1265176051	1265176051	1	1	NKWOCHA, LECHI C PT	6/4/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	521 E ELDER ST	SUITE 106/107	FALLBROOK	CA	92028	3081	37	06073	33.38015149	-117.246267	San Diego County
265891	Fee-for-Service	1225494453	1225494453	1	1	NGUYEN, NINA M CRNA	4/18/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2823 FRESNO AND R ST	None	FRESNO	CA	93721	1365	10	06019	36.741663	-119.7841005	Fresno County
265919	Fee-for-Service	1558531962	1558531962	1	1	NGUYEN, TUNG T DO INC	6/17/2008	261QP2300X	NA	Other	026	PHYSICIANS	8238	08	Family Practice	0	In state provider	TULLY HEALTH CENTER	621 TULLY RD	# A105	SAN JOSE	CA	95111	1013	43	06085	37.30881726	-121.846547	Santa Clara County
265923	Fee-for-Service	1245768480	1245768480	1	1	NNAJI, ERIKA R LCSW	10/17/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
265933	Fee-for-Service	1295869923	1295869923	1	1	NEVES, MARK A	3/23/2007	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3575 BEACON AVE	None	FREMONT	CA	94538	1407	01	06001	37.54913518	-121.9816504	Alameda County
265945	Fee-for-Service	1780106948	1780106948	1	1	NORTON, BROOKE K PSYD	6/10/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5215 W NOBLE AVE	119	VISALIA	CA	93277	8352	54	06107	36.32643	-119.3490855	Tulare County
265957	Fee-for-Service	1467074195	1467074195	1	1	NEXUS HOSPICE OF THE INLAND	5/26/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	EMPIRE LLC	1325 E COOLEY DR	STE 103	COLTON	CA	92324	3966	36	06071	34.05468148	-117.306261	San Bernardino County
265958	Fee-for-Service	1386251122	1386251122	1	1	NOZAKI, MATTHEW PHD	7/18/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	23 CORPORATE PLAZA DR	STE 150	NEWPORT BEACH	CA	92660	7908	30	06059	33.6090297	-117.8748261	Orange County
265976	Fee-for-Service	1023152766	1023152766	1	1	NGUYEN, HOWARD H T OD	2/3/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	14400 BEAR VALLEY RD	STE 204	VICTORVILLE	CA	92392	5406	36	06071	34.473717	-117.347913	San Bernardino County
265988	Fee-for-Service	1215949102	1215949102	1	1	NAKAMOTO, KENNETH K MD	11/30/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	34422	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
265994	Fee-for-Service	1376297010	1376297010	1	1	NGURE, LILIAN	3/2/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	27497 COYOTE MESA DRIVE	None	CORONA	CA	92883	7907	33	06065	33.7199216	-117.4174427	Riverside County
266015	Fee-for-Service	1316523483	1316523483	1	1	NTEGE, CAROLINE N	2/17/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	408 SANTA MARIA	None	IRVINE	CA	92606	0614	30	06059	33.69827693	-117.8026048	Orange County
266029	Fee-for-Service	1700038338	1700038338	1	1	NAZEMI, REZA MD INC	12/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	81680	67	Endocrinology	0	In state provider	None	99 N LA CIENEGA BLVD	SUITE 107	BEVERLY HILLS	CA	90211	2222	19	06037	34.06736471	-118.3763201	Los Angeles County
266031	Fee-for-Service	1760050017	1760050017	1	1	NG FRANCHISE VENTURES LLC	11/1/2023	No Taxonomy Provided	NA	None	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	13710 WHITTIER BLVD	STE 101	WHITTIER	CA	90605	4400	19	06037	33.96022719	-118.027897	Los Angeles County
266043	Fee-for-Service	1477559029	1477559029	1	1	NORTH HAWAII COMMUNITY	3/1/2000	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	67-1125 MAMALAHOA HWY	None	KAMUELA	HI	96743	8496	00	None	20.02320549	-155.6654303	Hawaii County
266076	Fee-for-Service	1083663736	1083663736	1	1	NISHIME, JOY A MD	10/19/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	91153	41	Internal Medicine	0	In state provider	None	2500 MERCED ST	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
266096	Fee-for-Service	1760018790	1760018790	1	1	NG, DAMOND B MD	10/2/2023	207R00000X	NA	Other	026	PHYSICIANS	187474	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
266130	Fee-for-Service	1962598425	1962598425	1	1	NGUYEN, TRI T MD	11/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	79496	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4344 CONVOY ST	STE T	SAN DIEGO	CA	92111	3737	37	06073	32.81949721	-117.1550284	San Diego County
266243	Fee-for-Service	1467074195	1467074195	1	1	NEXUS HOSPICE OF THE INLAND	5/26/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	EMPIRE LLC	1325 E COOLEY DR	STE 103	COLTON	CA	92324	3966	36	06071	34.05468148	-117.306261	San Bernardino County
266279	Fee-for-Service	1376297010	1376297010	1	1	NGURE, LILIAN	3/2/2022	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	27497 COYOTE MESA DRIVE	None	CORONA	CA	92883	7907	33	06065	33.7199216	-117.4174427	Riverside County
266338	Fee-for-Service	1255583506	1255583506	1	1	NOYA, CAROLINA E NP	8/30/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
266357	Fee-for-Service	1003141102	1003141102	1	1	NGUYEN, KHOI D DO	10/31/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11589	20	Orthopedic Surgery	0	In state provider	None	3800 JANES RD	None	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
266358	Fee-for-Service	1265787980	1265787980	1	1	NGUYEN, TAM T PHD	2/22/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
266364	Fee-for-Service	1083663736	1083663736	1	1	NISHIME, JOY A MD	10/19/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	91153	84	Surgery-Head and Neck	0	In state provider	None	2500 MERCED ST	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
266390	Fee-for-Service	1235157132	1235157132	1	1	NGUYEN FRIEND, KRISTIN L	4/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	85147	40	Pediatrics	0	In state provider	MD	425 UNIVERSITY AVE	STE 200	SACRAMENTO	CA	95825	6509	34	06067	38.570067	-121.4177265	Sacramento County
266393	Fee-for-Service	1427547330	1427547330	1	1	NDIFOR, ANISAH N MD	10/17/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	187005	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
266417	Fee-for-Service	1962598425	1962598425	1	1	NGUYEN, TRI T MD	11/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	79496	41	Internal Medicine	0	In state provider	None	4344 CONVOY ST	STE T	SAN DIEGO	CA	92111	3737	37	06073	32.81949721	-117.1550284	San Diego County
266467	Fee-for-Service	1851719132	1851719132	1	1	NGUYEN, TUONG V D MD	2/7/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	141635	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
266472	Fee-for-Service	1366186918	1366186918	1	1	NGUYEN, CHRISTINA MD	1/9/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	21729	08	Family Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
266473	Fee-for-Service	1699861146	1699861146	1	1	NGUYEN, KELVIN A MD	8/1/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	80408	01	General Practice	0	In state provider	None	2601 E CHAPMAN AVE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
266490	Fee-for-Service	1871538421	1871538421	1	1	NAVARRO, WILLIS MD	4/1/1999	207RH0000X	NA	Hematology	026	PHYSICIANS	81278	78	Neoplastic Diseases/Oncology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
266574	Fee-for-Service	1093478190	1093478190	1	1	NAZARIAN, JENNIFER NP	2/17/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	436 S RIVERSIDE AVE	None	RIALTO	CA	92376	6523	36	06071	34.093089	-117.3703775	San Bernardino County
266591	Fee-for-Service	1467677575	1467677575	1	1	NAVARRO, BLANCA E PSYD	1/27/2025	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
266687	Fee-for-Service	1205907961	1205907961	1	1	NEWBURY, ROBERT O MD	3/1/1995	207ZP0102X	NA	Other	026	PHYSICIANS	49890	22	Pathology (M.D. only)	0	In state provider	None	3030 CHILDRENS WAY	STE 210	SAN DIEGO	CA	92123	4227	37	06073	32.798889	-117.150826	San Diego County
266701	Fee-for-Service	1962598425	1962598425	1	1	NGUYEN, TRI T MD	11/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	79496	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4344 CONVOY ST	STE T	SAN DIEGO	CA	92111	3737	37	06073	32.81949721	-117.1550284	San Diego County
266702	Fee-for-Service	1336166024	1336166024	1	1	NUCATOLA, DEBORAH L MD	4/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	70101	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
266723	Fee-for-Service	1043822927	1043822927	1	1	NAIR, NISHA NP	10/9/2020	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6730 N WEST AVE	SUITE 115	FRESNO	CA	93711	4301	10	06019	36.83543245	-119.8261062	Fresno County
266731	Fee-for-Service	1619190071	1619190071	1	2	NEVADA JOINT UNION HSD	10/6/2011	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	250 SIERRA COLLEGE DRIVE	None	GRASS VALLEY	CA	95945	5726	29	06057	39.23567583	-121.0528142	Nevada County
266761	Fee-for-Service	1386755486	1386755486	1	1	NORDLI, DOUGLAS R JR MD	5/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142211	13	Neurology (M.D. only)	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
266776	Fee-for-Service	1871538421	1871538421	1	1	NAVARRO, WILLIS MD	4/1/1999	207RH0000X	NA	Hematology	026	PHYSICIANS	81278	68	Hematology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
266999	Fee-for-Service	1215568076	1215568076	1	1	NUTTER, TRACEY L NP	4/19/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	3229	-	NOT APPLICABLE	0	In state provider	None	280 E STANDLEY ST	None	UKIAH	CA	95482	4414	23	06045	39.15101964	-123.205602	Mendocino County
267031	Fee-for-Service	1205824638	1205824638	1	1	NORRIS, THOMAS R MD INC	7/31/1984	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	21569	02	General Surgery	0	In state provider	None	2351 CLAY ST	# 510	SAN FRANCISCO	CA	94115	1931	38	06075	37.79101512	-122.4316059	San Francisco County
267073	Fee-for-Service	1851448039	1851448039	1	1	NAPA VALLEY UROLOGY ASSO	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP	3250 BEARD RD	None	NAPA	CA	94558	3406	28	06055	38.32213362	-122.2955155	Napa County
267079	Fee-for-Service	1457783938	1457783938	1	1	NEPHROLOGY MEDICAL GROUP OF	12/18/2015	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	OUNTY	5401 WHITE LN	None	BAKERSFIELD	CA	93309	6279	15	06029	35.31803715	-119.0627831	Kern County
267121	Fee-for-Service	1346401841	1346401841	1	1	NAZERALI, RAHIM S MD	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108937	24	Plastic Surgery	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
267147	Fee-for-Service	1972902161	1972902161	1	1	NORTH HILLS HEALTHCARE &	10/11/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	WELLNESS CENTRE LP	9655 SEPULVEDA BLVD	None	NORTH HILLS	CA	91343	3307	19	06037	34.246107	-118.4676395	Los Angeles County
267253	Fee-for-Service	1053400986	1053400986	1	1	NGUYEN, VUONG D MD	2/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	50199	36	Psychiatry	0	In state provider	None	121 S LONG BEACH BLVD	None	COMPTON	CA	90221	3423	19	06037	33.89475493	-118.2080292	Los Angeles County
267284	Fee-for-Service	1912387812	1912387812	1	1	NGUYEN, PETER MD	9/1/2021	207RP1001X	NA	Pulmonology	026	PHYSICIANS	148606	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
267320	Fee-for-Service	1548897770	1548897770	1	1	NUTAITIS, ALEXANDRA DO	7/10/2024	207VG0400X	NA	Obstetrics & Gynecology	026	PHYSICIANS	22485	09	Gynecology (D.O. only)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
267330	Fee-for-Service	1093701690	1093701690	1	1	NGUYEN, VUONG H MD	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	69222	41	Internal Medicine	0	In state provider	BOLSA MEDICAL GROUP	10362 BOLSA AVE	None	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
267401	Fee-for-Service	1629093653	1629093653	1	1	NELSON, THOMAS D DPM	1/2/1979	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2627 H ST	None	BAKERSFIELD	CA	93301	2819	15	06029	35.38346593	-119.0211745	Kern County
267419	Fee-for-Service	1124076344	1124076344	1	1	NASEIB, SAMEH E MD	4/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	74479	41	Internal Medicine	0	In state provider	None	2 W FERN AVE	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
267440	Fee-for-Service	1447200126	1447200126	1	11	NEPHROLOGY ASSOCIATES MEDICA	4/29/2022	193200000X	NA	Other	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	L GROUP INC	4334 CENTRAL AVE	None	RIVERSIDE	CA	92506	2918	33	06065	33.95346346	-117.3993495	Riverside County
267459	Fee-for-Service	1710599790	1710599790	1	1	NEILL, JULIE LMFT	2/27/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	964 5TH AVENUE	SUITE 535	SAN DIEGO	CA	92101	6102	37	06073	32.71539477	-117.1601872	San Diego County
267480	Fee-for-Service	1952591455	1952591455	1	1	NGUYEN, NGOCBICH MD INC	8/14/2012	193400000X	NA	Other	026	PHYSICIANS	77428	41	Internal Medicine	0	In state provider	None	4060 4TH AVE	#500	SAN DIEGO	CA	92103	2121	37	06073	32.75053673	-117.1616539	San Diego County
267583	Fee-for-Service	1639533326	1639533326	1	1	NOVOTNY, SADIE N LMFT	5/6/2020	101YA0400X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2240 MERCURY WAY	None	SANTA ROSA	CA	95407	5413	49	06097	38.421135	-122.752008	Sonoma County
267611	Fee-for-Service	1417051574	1417051574	1	1	NAZARI, KENNETH K	12/24/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	34798	None	None	0	In state provider	None	501 E HARDY ST	STE 424	INGLEWOOD	CA	90301	4065	19	06037	33.9491005	-118.348857	Los Angeles County
267615	Fee-for-Service	1912124496	1912124496	1	1	NG, PATRICIA W MD	3/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	67613	40	Pediatrics	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
267625	Fee-for-Service	1780765024	1780765024	1	1	NISSIM,JOSEPH J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2030 W MOUNTAIN VIEW	AVE SUITE 400	LONGMONT	CO	80501	0000	00	None	40.18134373	-105.127622	Boulder County
267656	Fee-for-Service	1154373538	1154373538	1	1	NGAW, LILLIAN W MD	12/31/1995	207R00000X	NA	Other	026	PHYSICIANS	50290	41	Internal Medicine	0	In state provider	None	185 S EUCLID AVE	STE 2	PASADENA	CA	91101	2420	19	06037	34.14233627	-118.1429909	Los Angeles County
267705	Fee-for-Service	1376924928	1376924928	1	1	NATARAJAN, SIVA V MD INC APC	7/29/2015	207L00000X	NA	Other	026	PHYSICIANS	107471	05	Anesthesiology	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
267719	Fee-for-Service	1447200126	1447200126	1	11	NEPHROLOGY ASSOCIATES MEDICA	4/29/2022	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	L GROUP INC	4334 CENTRAL AVE	None	RIVERSIDE	CA	92506	2918	33	06065	33.95346346	-117.3993495	Riverside County
267755	Fee-for-Service	1730270380	1730270380	1	1	NGUYEN, TUAN T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	68761	41	Internal Medicine	0	In state provider	None	2406 ULRIC ST	None	SAN DIEGO	CA	92111	6040	37	06073	32.78682108	-117.1710633	San Diego County
267785	Fee-for-Service	1649805508	1649805508	1	1	NOALAB CLINIC, INC.	12/1/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	6428 COLDWATER CYN AVE	None	NORTH HOLLYWOOD	CA	91606	1113	19	06037	34.18757276	-118.4137803	Los Angeles County
267788	Fee-for-Service	1710449822	1710449822	1	1	NGUYEN-DANG, PETER D MD	8/8/2022	207R00000X	NA	Other	026	PHYSICIANS	178332	None	None	0	In state provider	None	400 PEPPER	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
267802	Fee-for-Service	1942569389	1942569389	1	1	NORTH, CANDICE M MD	7/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134835	08	Family Practice	0	In state provider	None	3000 Q ST	None	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
267949	Fee-for-Service	1700031374	1700031374	1	1	NOOR, ZARIN MD	7/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	105652	01	General Practice	0	In state provider	None	680 WEST TENNYSON ROAD	None	HAYWARD	CA	94544	5236	01	06001	37.63204354	-122.0681454	Alameda County
268041	Fee-for-Service	1730270380	1730270380	1	1	NGUYEN, TUAN T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	68761	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2406 ULRIC ST	None	SAN DIEGO	CA	92111	6040	37	06073	32.78682108	-117.1710633	San Diego County
268070	Fee-for-Service	1649805508	1649805508	1	1	NOALAB CLINIC, INC.	12/1/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	6428 COLDWATER CYN AVE	None	NORTH HOLLYWOOD	CA	91606	1113	19	06037	34.18757276	-118.4137803	Los Angeles County
268134	Fee-for-Service	1841040771	1841040771	1	1	NAPOLEON, JUDITH	4/24/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	348 ARCHES AVE	None	EL DORADO HILLS	CA	95762	7313	09	06017	38.65970597	-121.0811181	El Dorado County
268157	Fee-for-Service	1376567867	1376567867	1	1	NUECHTERLEIN, KEITH H PHD	7/5/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.07067	-118.4432445	Los Angeles County
268165	Fee-for-Service	1902223159	1902223159	1	1	NGUYEN, PETER N MD	8/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155631	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
268178	Fee-for-Service	1215936059	1215936059	1	1	NEJAD, FARSHID DPM	5/2/2016	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	240 S LA CIEGENA BLVD	STE 300	BEVERLY HILLS	CA	90211	3315	19	06037	0	0	None
268250	Fee-for-Service	1346217510	1346217510	1	1	NICHOLS, STEPHEN W	12/14/1994	207LP2900X	NA	Other	026	PHYSICIANS	53775	05	Anesthesiology	0	In state provider	None	300 PARK MARINA CIR	STE 204	REDDING	CA	96001	0964	45	06089	40.57646517	-122.3723537	Shasta County
268296	Fee-for-Service	1124417092	1124417092	1	2	NIRR INC	12/21/2021	2085R0204X	NA	Other	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	None	3700 EAST SOUTH STREET	None	LAKEWOOD	CA	90712	1419	19	06037	33.8601747	-118.148313	Los Angeles County
268303	Fee-for-Service	1720650781	1720650781	1	1	NAKANO, RICHARD A MD	3/15/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184079	None	None	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
268322	Fee-for-Service	1730270380	1730270380	1	1	NGUYEN, TUAN T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	68761	01	General Practice	0	In state provider	None	2406 ULRIC ST	None	SAN DIEGO	CA	92111	6040	37	06073	32.78682108	-117.1710633	San Diego County
268349	Fee-for-Service	1487039780	1487039780	1	2	NUNEZ, MARISOL LMFT	3/20/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	762, 734, AND 732 GRISWO	None	SAN FERNANDO	CA	91340	2105	19	06037	0	0	None
268410	Fee-for-Service	1720009095	1720009095	1	1	NGUYEN, LEIGH E MD	2/13/2024	207R00000X	NA	Other	026	PHYSICIANS	185788	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
268417	Fee-for-Service	1841040771	1841040771	1	1	NAPOLEON, JUDITH	4/24/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	348 ARCHES AVE	None	EL DORADO HILLS	CA	95762	7313	09	06017	38.65970597	-121.0811181	El Dorado County
268437	Fee-for-Service	1346484110	1346484110	1	1	NATHANSON, GAIL	12/15/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1827 KNOLL DR	None	VENTURA	CA	93003	7321	56	06111	34.25641704	-119.2199387	Ventura County
268448	Fee-for-Service	1972565000	1972565000	1	1	NAM, JERRY I MD	7/25/2023	2085N0700X	NA	MRI Provider	026	PHYSICIANS	65698	None	None	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
268488	Fee-for-Service	1013494228	1013494228	1	1	NOLAND ENTERPRISES, INC.	10/22/2020	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	2510 AIRPARK DRIVE	SUITE 103	REDDING	CA	96001	2461	45	06089	40.57119566	-122.4016582	Shasta County
268512	Fee-for-Service	1396705299	1396705299	1	1	NISSAN, BETI MD	1/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	64487	40	Pediatrics	0	In state provider	None	1400 S GRAND AVE	None	LOS ANGELES	CA	90015	3048	19	06037	34.03692236	-118.2655238	Los Angeles County
268520	Fee-for-Service	1902930647	1902930647	1	1	NAVA, MICHAEL F LCSW	4/24/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	710 S BROADWAY	None	WALNUT CREEK	CA	94956	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
268545	Fee-for-Service	1821139650	1821139650	1	1	NAVARRO, CORAZON S MD	9/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	41604	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4950 SAN BERNARDINO ST	STE 106	MONTCLAIR	CA	91763	2328	36	06071	34.07768363	-117.6968874	San Bernardino County
268579	Fee-for-Service	1124417092	1124417092	1	2	NIRR INC	12/21/2021	2085R0204X	NA	Other	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	3700 EAST SOUTH STREET	None	LAKEWOOD	CA	90712	1419	19	06037	33.8601747	-118.148313	Los Angeles County
268608	Fee-for-Service	1154569986	1154569986	1	1	NGUYEN, TUAN MD INC	3/15/2011	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	68761	41	Internal Medicine	0	In state provider	None	4141 FAIRMOUNT AVE	STE 201	SAN DIEGO	CA	92105	1609	37	06073	32.75219102	-117.1008495	San Diego County
268681	Fee-for-Service	1841493665	1841493665	1	1	NELSON, ANDREW MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1055 N CURTIS RD	None	BOISE	ID	83706	1309	00	None	43.61455048	-116.256231	Ada County
268763	Fee-for-Service	1447200126	1447200126	1	10	NEPHROLOGY ASSOCIATES MEDICA	10/5/2010	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	None	22555 ALESSANDRO BLVD	STE B	MORENO VALLEY	CA	92553	8533	33	06065	33.9169235	-117.2693745	Riverside County
268835	Fee-for-Service	1841238128	1841238128	1	1	NGUYEN, NHAT Q MD	12/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106897	05	Anesthesiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
268838	Fee-for-Service	1114109600	1114109600	1	1	NELSON, WARREN MD AMC	1/16/2008	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	2000 VALE RD	None	SAN PABLO	CA	94806	3808	07	06013	37.95393251	-122.3375029	Contra Costa County
268861	Fee-for-Service	1013916048	1013916048	1	1	NGUYEN, THANG DUY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	78238	41	Internal Medicine	0	In state provider	None	27830 BRADLEY RD	None	SUN CITY	CA	92586	2239	33	06065	33.71615891	-117.1906431	Riverside County
268889	Fee-for-Service	1154569986	1154569986	1	1	NGUYEN, TUAN MD INC	3/15/2011	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	68761	10	Gastroenterology (M.D. only)	0	In state provider	None	4141 FAIRMOUNT AVE	STE 201	SAN DIEGO	CA	92105	1609	37	06073	32.75219102	-117.1008495	San Diego County
268902	Fee-for-Service	1689991499	1689991499	1	1	NEUROPSYCHIATRIC MEDICAL	5/11/2010	2084P0800X	NA	Psychiatry	026	PHYSICIANS	78072	36	Psychiatry	0	In state provider	SERVICES & CONSULTATION	4002 VISTA WAY	None	OCEANSIDE	CA	92056	4506	37	06073	33.1857	-117.290538	San Diego County
268927	Fee-for-Service	1821363706	1821363706	1	1	NGUYEN, DAVID DC MD CORP	11/28/2011	2080A0000X	NA	Pediatric Primary Care	026	PHYSICIANS	54119	40	Pediatrics	0	In state provider	None	16040 HARBOR BLVD	STE I	FOUNTAIN VALLEY	CA	92708	1327	30	06059	33.730461	-117.919794	Orange County
268938	Fee-for-Service	1649615139	1649615139	1	1	NGUYEN, DANG H MD	2/23/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125673	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
268975	Fee-for-Service	1063879583	1063879583	1	1	NGO, JOLIE CRNA	2/10/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
268978	Fee-for-Service	1760544266	1760544266	1	1	NORTON, BRIGID MD	8/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	52353	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
268999	Fee-for-Service	1538428529	1538428529	1	1	NOYAN HOME HEALTH CARE INC	3/1/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	425 E COLORADO ST	SUITE 680	GLENDALE	CA	91205	5126	19	06037	34.14266036	-118.2504208	Los Angeles County
269030	Fee-for-Service	1326587353	1326587353	1	1	NEELY-GILBERT, KRISTEN R NP	1/27/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	140 CENTENNIAL WAY	None	TUSTIN	CA	92780	3711	30	06059	33.74496	-117.818857	Orange County
269047	Fee-for-Service	1447200126	1447200126	1	10	NEPHROLOGY ASSOCIATES MEDICA	10/5/2010	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	22555 ALESSANDRO BLVD	STE B	MORENO VALLEY	CA	92553	8533	33	06065	33.9169235	-117.2693745	Riverside County
269062	Fee-for-Service	1023779865	1023779865	1	1	NORTH MEDICAL TRANSPORTATION	10/24/2022	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	INC	3600 LIME ST	None	RIVERSIDE	CA	92501	2971	33	06065	33.98276147	-117.3693188	Riverside County
269072	Fee-for-Service	1346499019	1346499019	1	1	NGUYEN, KHANH N LMFT	9/11/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
269103	Fee-for-Service	1023193125	1023193125	1	1	NGUYEN, JONATHAN T MD	5/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	73239	41	Internal Medicine	0	In state provider	None	555 E PACIFIC COAST HWY	STE 102	LONG BEACH	CA	90806	5579	19	06037	33.7899015	-118.1860425	Los Angeles County
269162	Fee-for-Service	1922079243	1922079243	1	1	NAUGLE, DAVID K MD	5/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	87730	30	Radiology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
269167	Fee-for-Service	1598269441	1598269441	1	1	NGUYEN, NATALIE M	5/25/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17893	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
269303	Fee-for-Service	1588962740	1588962740	1	1	NOR-CAL PROFESSIONAL HOME	10/21/2013	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE SERVICES INC	3031 TISCH WAY	SUITE 100	SAN JOSE	CA	95128	2530	43	06085	37.3171883	-121.947648	Santa Clara County
269421	Fee-for-Service	1033151931	1033151931	1	1	NORTH STATE RADIOLOGY	8/1/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP INC	1702 ESPLANADE	None	CHICO	CA	95926	3315	04	06007	39.74458257	-121.8503103	Butte County
269437	Fee-for-Service	1972669067	1972669067	1	1	NOMURA, ELIZABETH L CRNA	6/2/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
269474	Fee-for-Service	1538337282	1538337282	1	1	NOWAK, THOMAS P MD INC	4/22/2008	207T00000X	NA	General Surgery	026	PHYSICIANS	59443	14	Neurological Surgery	0	In state provider	None	515 S SIERRA AVE	STE 109	SOLANA BEACH	CA	92075	2243	37	06073	32.98503013	-117.2714971	San Diego County
269560	Fee-for-Service	1184274805	1184274805	1	1	NEXT CARE HOSPICE INC	8/18/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	16480 HARBOR BLVD	STE 205	FOUNTAIN VALLEY	CA	92708	1361	30	06059	33.7240063	-117.9197565	Orange County
269599	Fee-for-Service	1063490712	1063490712	1	1	NASSERI, AMIR G	1/14/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	68974	None	None	0	In state provider	None	13309 VAN NUYS BLVD	None	PACOIMA	CA	91331	3006	19	06037	34.2652134	-118.423365	Los Angeles County
269623	Fee-for-Service	1215036777	1215036777	1	1	NISAR, SALMAN MD	10/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	53804	40	Pediatrics	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
269627	Fee-for-Service	1861473779	1861473779	1	1	NUROK, MICHAEL MD	1/5/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132555	None	None	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	WEST HOLLYWOOD	CA	91748	1729	19	06037	34.07671715	-118.3799413	Los Angeles County
269679	Fee-for-Service	1558545863	1558545863	1	1	NOTASH, MARK A MD	4/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102233	41	Internal Medicine	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
269683	Fee-for-Service	1003277930	1003277930	1	1	NGUYEN, HARRY V DO	8/23/2023	390200000X	NA	Other	026	PHYSICIANS	21145	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
269792	Fee-for-Service	1821625963	1821625963	1	1	NAQVI, SYED S MD	7/14/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	177788	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
269813	Fee-for-Service	1235206103	1235206103	1	1	NIMITSILPA, BHOOMIN P MD	8/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61642	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
269834	Fee-for-Service	1922413285	1922413285	1	1	NUANES, STEVEN C DO	9/5/2023	208M00000X	NA	Other	026	PHYSICIANS	21067	None	None	0	In state provider	None	700 RIVER DRIVE	None	FORT BRAGG	CA	95437	5403	23	06045	39.43163763	-123.8007631	Mendocino County
269839	Fee-for-Service	1184274805	1184274805	1	1	NEXT CARE HOSPICE INC	8/18/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	16480 HARBOR BLVD	STE 205	FOUNTAIN VALLEY	CA	92708	1361	30	06059	33.7240063	-117.9197565	Orange County
269955	Fee-for-Service	1992737761	1992737761	1	1	NEWTON WELLESLEY HOSPITAL	6/23/2014	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2014 WASHINGTON STREET	None	NEWTON	MA	02462	1607	00	None	42.331473	-71.245521	Middlesex County
269958	Fee-for-Service	1558545863	1558545863	1	1	NOTASH, MARK A MD	4/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102233	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
269999	Fee-for-Service	1316007206	1316007206	1	1	NEUSCHWANDER, CARLOS V LCSW	4/22/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD ROAD	BLDG 2	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
270001	Fee-for-Service	1699195685	1699195685	1	1	NICOLE R HODGSON	2/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2601 E ROOSEVELT ST	None	PHOENIX	AZ	85008	4973	00	None	33.457203	-112.0262625	Maricopa County
270030	Fee-for-Service	1548262926	1548262926	1	2	NORTHERN CALIFORNIA MEDICAL	11/9/2018	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ASSOCIATES, INC.	558 THIRD ST W	None	SONOMA	CA	95476	6502	49	06097	38.29133791	-122.4636079	Sonoma County
270061	Fee-for-Service	1316026883	1316026883	1	1	NICOLE LENORE MIHALOPOULOS	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	50 N MEDICAL DR	None	SALT LAKE CTY	UT	84132	0001	00	None	40.77197161	-111.8352608	Salt Lake County
270083	Fee-for-Service	1912962044	1912962044	1	1	NEWEL, GAIL JANZEN MD	9/1/1992	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	62822	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
270184	Fee-for-Service	1962907907	1962907907	1	1	NOORI, NEELOFAR NP	8/8/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2433 MARCONI AVE	None	SACRAMENTO	CA	95821	4807	34	06067	38.619405	-121.4045595	Sacramento County
270200	Fee-for-Service	1922143247	1922143247	1	1	NGUYEN, THUAN VAN MD	12/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	36037	01	General Practice	0	In state provider	None	15420 CRENSHAW BLVD	None	GARDENA	CA	90249	4524	19	06037	33.8903685	-118.3264725	Los Angeles County
270233	Fee-for-Service	1992737761	1992737761	1	1	NEWTON WELLESLEY HOSPITAL	6/23/2014	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2014 WASHINGTON STREET	None	NEWTON	MA	02462	1607	00	None	42.331473	-71.245521	Middlesex County
270334	Fee-for-Service	1427429695	1427429695	1	1	NAKATA, LARRIANNI S	1/11/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1526 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
270407	Fee-for-Service	1457493405	1457493405	1	1	NGUYEN, DOAN Q MD	9/10/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	50714	36	Psychiatry	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
270475	Fee-for-Service	1275620676	1275620676	1	1	NGUYEN, KY NGOC MD INC	3/29/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	15682 SUNBURST LN	None	HUNTINGTON BEACH	CA	92647	2958	30	06059	33.73455969	-118.0074503	Orange County
270486	Fee-for-Service	1205489242	1205489242	1	1	NEGRETE, SENECA M LMFT	11/20/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2001 SANTA MONICA	370W, 380W, 860W, 1070	SANTA MONICA	CA	90404	2102	19	06037	34.02891163	-118.4797466	Los Angeles County
270494	Fee-for-Service	1932225976	1932225976	1	1	NG, MATTIANA S	10/1/2007	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1530 S OLIVE STREET	None	LOS ANGELES	CA	90015	3023	19	06037	34.03542552	-118.2652073	Los Angeles County
270533	Fee-for-Service	1073666897	1073666897	1	1	NGUYEN, CONNIE OD	10/20/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4405 VANDEVER AVE	None	SAN DIEGO	CA	92120	3315	37	06073	32.78765609	-117.09908	San Diego County
270537	Fee-for-Service	1073141925	1073141925	1	1	NIEZRECKI, RACHEL N MD	8/29/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
270569	Fee-for-Service	1497974422	1497974422	1	1	NEALON, S S MD	10/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	77335	30	Radiology	0	In state provider	None	3000 Q STREET	None	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
270580	Fee-for-Service	1205891884	1205891884	1	1	NG, RONALD OD	1/11/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1635 DIVISADERO STREET	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
270583	Fee-for-Service	1073185237	1073185237	1	1	NUNEZ, NAYELY N PSYD	4/5/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
270607	Fee-for-Service	1386836997	1386836997	1	2	NODAK ANESTHESIA, INC	4/11/2005	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1025 N DOUTY ST	None	HANFORD	CA	93230	3722	16	06031	36.33611794	-119.6460191	Kings County
270696	Fee-for-Service	1154769743	1154769743	1	2	NIKOLAOU, CHRYSTALA CCC-SLP	10/19/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	842 JANSEN AVE	None	SAN JOSE	CA	95125	2438	43	06085	37.30458765	-121.8898038	Santa Clara County
270783	Fee-for-Service	1235335324	1235335324	1	1	NISSIM, LAHAV MD	11/13/2023	2085R0204X	NA	Other	026	PHYSICIANS	126137	None	None	0	In state provider	None	150 W. WASHINGTON STREET	None	SAN DIEGO	CA	92103	2005	37	06073	32.74999225	-117.1647027	San Diego County
270786	Fee-for-Service	1588712525	1588712525	1	1	NGUYEN, JOHN H D MD	1/4/2008	207YX0007X	NA	ENT/Otolaryngology	026	PHYSICIANS	91564	04	Otology, Laryngology, Rhinology	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
270794	Fee-for-Service	1710039185	1710039185	1	1	NGUYEN, NGUYEN K MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	55583	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
270824	Fee-for-Service	1154394765	1154394765	1	1	NG, KEVIN P MD	1/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	85346	05	Anesthesiology	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
270828	Fee-for-Service	1528638046	1528638046	1	1	NGUYEN, STEPHANIE A MD	12/22/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	174486	None	None	0	In state provider	None	1001 POTRERO AVE	RM 1X55	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
270857	Fee-for-Service	1902072424	1902072424	1	1	NGUYEN, ETHAN N MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	94286	05	Anesthesiology	0	In state provider	None	1050 LINDEN AVE	None	LONG BEACH	CA	90813	3321	19	06037	33.78003775	-118.1866604	Los Angeles County
270884	Fee-for-Service	1831174747	1831174747	1	1	NORDAHL, THOMAS E MD	5/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	50553	36	Psychiatry	0	In state provider	None	2525 STOCKTON BLVD	# 2008	SACRAMENTO	CA	95817	2207	34	06067	38.551311	-121.454433	Sacramento County
270948	Fee-for-Service	1720069891	1720069891	1	8	NORTHERN CALIFORNIA RADIATIO	8/19/2021	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	N THERAPISTS & ONCOLOGIS	2333 BUCHANAN STREET	None	SAN FRANCISCO	CA	94115	1925	38	06075	37.79071145	-122.4308506	San Francisco County
270976	Fee-for-Service	1821611492	1821611492	1	1	NAVARRETE, RAVEN LMFT	9/14/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1140 MANGROVE AVE	STE D	CHICO	CA	95926	3500	04	06007	39.74217522	-121.8384743	Butte County
270988	Fee-for-Service	1760534713	1760534713	1	7	NORTHBAY HEALTHCARE GROUP	6/8/2022	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	IVE MEDICINE	1020 NUT TREE RD	SUITE 270	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
271008	Fee-for-Service	1558651448	1558651448	1	1	NGOTRAN, LILY MD	8/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134101	36	Psychiatry	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
271016	Fee-for-Service	1376791749	1376791749	1	1	NANDI, JYOTI S MD	11/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	110857	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
271043	Fee-for-Service	1235339235	1235339235	1	1	NORTON, PATRICK PHD	9/18/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	425 GOUGH ST	STE. 4	SAN FRANCISCO	CA	94102	4415	38	06075	37.7772585	-122.4230739	San Francisco County
271073	Fee-for-Service	1710039185	1710039185	1	1	NGUYEN, NGUYEN K MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	55583	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
271075	Fee-for-Service	1699938423	1699938423	1	1	NGUYEN, HARRISON B MD	6/10/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	101821	36	Psychiatry	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
271093	Fee-for-Service	1972668416	1972668416	1	1	NASSER, SUSAN M DO	10/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	8970	08	Family Practice	0	In state provider	None	42135 10TH ST W	STE 201	LANCASTER	CA	93534	7099	19	06037	34.648533	-118.1477975	Los Angeles County
271201	Fee-for-Service	1174752836	1174752836	1	1	NGUYEN, KIM-TAN MD	7/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120361	66	Emergency Medicine (Urgent Care)	0	In state provider	None	12601 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92843	1908	30	06059	33.77450951	-117.913014	Orange County
271222	Fee-for-Service	1154706091	1154706091	1	1	NAVARRO, JOSE LMFT	8/19/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	801 S GRAND STREET	SUITE 780	LOS ANGELES	CA	90017	8590	19	06037	34.04532806	-118.258462	Los Angeles County
271245	Fee-for-Service	1528594827	1528594827	1	1	NOBLE-KING, STEPHANIE A LMFT	7/29/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	111 N MARKET	STE 950	SAN JOSE	CA	95113	1112	43	06085	37.33791617	-121.8939388	Santa Clara County
271264	Fee-for-Service	1760534713	1760534713	1	7	NORTHBAY HEALTHCARE GROUP	9/16/2022	207Q00000X	NA	Adult Primary Care	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	IVE MEDICINE	1020 NUT TREE RD	SUITE 270	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
271281	Fee-for-Service	1780233650	1780233650	1	1	NICKOLA, RAZALYN D LMFT	4/15/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
271342	Fee-for-Service	1235297284	1235297284	1	1	NG, REBECCA L OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	24022 CALLE DE LA PLATA	STE 305	LAGUNA HILLS	CA	92653	3629	30	06059	33.6104493	-117.7110924	Orange County
271421	Fee-for-Service	1689230765	1689230765	1	1	NARDONI, NOLAN MD	4/19/2022	390200000X	NA	Other	026	PHYSICIANS	176822	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
271432	Fee-for-Service	1760649453	1760649453	1	1	NOROOZKHANI, SARA MD	10/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	103093	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
271475	Fee-for-Service	1417060054	1417060054	1	1	NORTON, MARILYN S MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70444	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2400 E 4TH ST	None	NATIONAL CITY	CA	91950	2026	37	06073	32.68637926	-117.0828839	San Diego County
271476	Fee-for-Service	1093851768	1093851768	1	1	NGUYEN, SON LAM DO	3/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9317	41	Internal Medicine	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
271509	Fee-for-Service	1992729933	1992729933	1	1	NGUYEN, THANG P MD	6/28/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	66089	01	General Practice	0	In state provider	None	1271 S UNION AVE	None	LOS ANGELES	CA	90015	2043	19	06037	34.0451151	-118.2767455	Los Angeles County
271669	Fee-for-Service	1184853616	1184853616	1	1	NICHOLS, PATRICK M DO	8/19/2021	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7124	00	None	32.683167	-114.633459	Yuma County
271684	Fee-for-Service	1780835108	1780835108	1	1	NAVARRO, BLANCO A NP	10/29/2012	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1645 ANAHEIM ST	None	HARBOR CITY	CA	90710	3213	19	06037	33.78620705	-118.3059457	Los Angeles County
271694	Fee-for-Service	1528056389	1528056389	1	2	NIAZ, QAISER MD	5/19/2022	207RH0003X	NA	Oncology	026	PHYSICIANS	55286	None	None	0	In state provider	None	20400 LAKE CHABOT RD	STE 102	CASTRO VALLEY	CA	94546	5314	01	06001	37.69628351	-122.0866765	Alameda County
271753	Fee-for-Service	1417060054	1417060054	1	1	NORTON, MARILYN S MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70444	68	Hematology	0	In state provider	None	2400 E 4TH ST	None	NATIONAL CITY	CA	91950	2026	37	06073	32.68637926	-117.0828839	San Diego County
271754	Fee-for-Service	1093851768	1093851768	1	1	NGUYEN, SON LAM DO	3/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9317	66	Emergency Medicine (Urgent Care)	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
271796	Fee-for-Service	1356780944	1356780944	1	1	NAVASARTIAN, DOUGLAS J MD	2/1/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	160456	None	None	0	In state provider	None	2510 AIRPARK DR	STE 301	REDDING	CA	96001	2462	45	06089	40.57119566	-122.4016582	Shasta County
271837	Fee-for-Service	1316326952	1316326952	1	1	NOBE, ANDREW S MD	8/7/2019	390200000X	NA	Other	026	PHYSICIANS	145544	08	Family Practice	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
271862	Fee-for-Service	1033279302	1033279302	1	1	NGUYEN, VAN H	8/8/2017	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	15581 BROOKHURST ST	None	WESTMINSTER	CA	92683	7554	30	06059	33.7361613	-117.9548204	Orange County
271968	Fee-for-Service	1609982248	1609982248	2	1	NAIK, MUKESH H DO	5/1/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	6091	None	None	0	In state provider	None	525 OREGON ST	None	VALLEJO	CA	94590	3201	48	06095	38.11827873	-122.2491077	Solano County
272012	Fee-for-Service	1407881592	1407881592	1	1	NAQVI, KIRAN MD	8/22/2022	207R00000X	NA	Other	026	PHYSICIANS	143761	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
272033	Fee-for-Service	1417060054	1417060054	1	1	NORTON, MARILYN S MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70444	78	Neoplastic Diseases/Oncology	0	In state provider	None	2400 E 4TH ST	None	NATIONAL CITY	CA	91950	2026	37	06073	32.68637926	-117.0828839	San Diego County
272053	Fee-for-Service	1013169572	1013169572	1	1	NIEDENS, MICHAEL D DO	2/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101670	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 OLD RIVER RD	None	BAKERSFIELD	CA	93311	9781	15	06029	35.351487	-119.1143025	Kern County
272126	Fee-for-Service	1619382819	1619382819	1	1	NARAYANA PANICKER, DHANYA MD	8/7/2017	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	148733	40	Pediatrics	0	In state provider	None	3636 N FIRST STREET	120-121	FRESNO	CA	93726	6818	10	06019	36.78322578	-119.7724022	Fresno County
272189	Fee-for-Service	1700294386	1700294386	1	1	NOWZARI, FARSHAD MD INC	12/8/2014	193400000X	NA	Other	026	PHYSICIANS	75966	34	Urology and Urological Surgery	0	In state provider	None	1141 REDONDO BEACH BLVD	SUITE 303	GARDENA	CA	90247	3586	19	06037	33.89247036	-118.2941482	Los Angeles County
272237	Fee-for-Service	1740316272	1740316272	1	1	NGUYEN, MINH D MD	3/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	98526	68	Hematology	0	In state provider	None	17500 RED HILL AVENUE	SUITE 250	IRVINE	CA	92614	7600	30	06059	33.69482227	-117.8539174	Orange County
272239	Fee-for-Service	1215664610	1215664610	1	1	NUNEZ, LAUREN N CCC-SLP	10/25/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1500 S HAVEN AVE	SUITE 190	ONTARIO	CA	91761	2969	36	06071	34.046307	-117.576387	San Bernardino County
272266	Fee-for-Service	1619553385	1619553385	1	1	NGUYEN, ANDREW	10/30/2024	207R00000X	NA	Other	026	PHYSICIANS	21360	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
272316	Fee-for-Service	1487096764	1487096764	1	1	NINAN, ELIZABETH T MD	9/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139592	40	Pediatrics	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
272336	Fee-for-Service	1508906033	1508906033	1	1	NGUYEN, LIEN T NP	10/21/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1900 E 4TH STREET	None	SANTA ANA	CA	92705	3910	30	06059	33.74805463	-117.8400671	Orange County
272346	Fee-for-Service	1447200126	1447200126	1	9	NEPHROLOGY ASSOCIATES MEDICA	12/22/2009	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	GROUP,INC	401 E HIGHLAND AVE	# 551	SAN BERNARDINO	CA	92404	3861	36	06071	34.1358627	-117.2757778	San Bernardino County
272437	Fee-for-Service	1770528515	1770528515	1	1	NGUYEN, VIET H DO	9/19/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9011	41	Internal Medicine	0	In state provider	None	2 W FERN AVE	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
272506	Fee-for-Service	1740316272	1740316272	1	1	NGUYEN, MINH D MD	3/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	98526	78	Neoplastic Diseases/Oncology	0	In state provider	None	17500 RED HILL AVENUE	SUITE 250	IRVINE	CA	92614	7600	30	06059	33.69482227	-117.8539174	Orange County
272528	Fee-for-Service	1871041970	1871041970	1	1	NIJJAR, NISHA S NP	12/4/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2261 DOUGLAS BLVD	None	ROSEVILLE	CA	95661	3831	31	06061	38.74434897	-121.2413247	Placer County
272616	Fee-for-Service	1992379556	1992379556	1	1	NEW TRAN PHARMACY, INC	6/17/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10551 MCFADDEN AVE	B	GARDEN GROVE	CA	92843	5329	30	06059	33.73796199	-117.9453037	Orange County
272618	Fee-for-Service	1447200126	1447200126	1	9	NEPHROLOGY ASSOCIATES MEDICA	12/22/2009	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	GROUP,INC	401 E HIGHLAND AVE	# 551	SAN BERNARDINO	CA	92404	3861	36	06071	34.1358627	-117.2757778	San Bernardino County
272623	Fee-for-Service	1235269994	1235269994	1	1	NG, WINNIE Y LP	5/2/2023	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2195 CLUB CENTER DR	STE L	SAN BERNARDINO	CA	92408	4162	36	06071	34.06055692	-117.2814193	San Bernardino County
272625	Fee-for-Service	1245626423	1245626423	1	1	NELSON, BERNARD J MD	7/31/2019	207L00000X	NA	Other	026	PHYSICIANS	160875	05	Anesthesiology	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
272633	Fee-for-Service	1013241199	1013241199	1	1	NORTH EAST MEDICAL SERVICES	1/25/2010	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1505	38	06075	37.72907852	-122.4042585	San Francisco County
272649	Fee-for-Service	1598829236	1598829236	1	1	NICHOL, LELAH J LCSW	12/8/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	111 SMITH RANCH RD	None	SAN RAFAEL	CA	94901	1939	21	06041	38.01951576	-122.5315893	Marin County
272655	Fee-for-Service	1811200439	1811200439	1	1	NIRVANA DRUG AND ALCOHOL TRE	2/22/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	AMENT	1028 RENO AVE	None	MODESTO	CA	95351	1127	50	06099	37.648989	-121.0279415	Stanislaus County
272661	Fee-for-Service	1669693073	1669693073	1	1	NEW ERA ULTIMATE INVSTMT INC	6/21/2007	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	233 S CARMALITA ST	None	HEMET	CA	92543	4231	33	06065	33.744762	-116.969496	Riverside County
272725	Fee-for-Service	1952424004	1952424004	1	1	NGUYEN, STEPHANIE T MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74187	40	Pediatrics	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
272737	Fee-for-Service	1568415446	1568415446	1	1	NG, VICTOR MD	9/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	72204	05	Anesthesiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
272885	Fee-for-Service	1851463673	1851463673	1	1	NGUYEN, NICOLAS T MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70581	41	Internal Medicine	0	In state provider	None	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
272905	Fee-for-Service	1558364125	1558364125	1	1	NORMAN S NIELSON M.D.	8/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	150 W 100 N	None	VERNAL	UT	84078	2036	00	None	40.45713947	-109.531368	Uintah County
272912	Fee-for-Service	1982813630	1982813630	1	1	NARAGHI, ASHKAN L MD	11/30/2010	207R00000X	NA	Other	026	PHYSICIANS	98791	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
272927	Fee-for-Service	1003975723	1003975723	1	1	NGUYEN, JANETTE P DPM	12/14/2010	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	14373 CLARK STREET	None	BELLFLOWER	CA	90706	2901	19	06037	33.9032193	-118.134141	Los Angeles County
272953	Fee-for-Service	1528248770	1528248770	1	1	NGUYEN, NHAN X MD	8/30/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	50424	41	Internal Medicine	0	In state provider	None	10298 WESTMINSTER AVE	None	GARDEN GROVE	CA	92843	4830	30	06059	33.75949952	-117.9497955	Orange County
272968	Fee-for-Service	1972782829	1972782829	1	1	NGUYEN, KY NGOC MD	6/30/1978	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	32504	08	Family Practice	0	In state provider	None	9141 BOLSA AVE	STE 301	WESTMINSTER	CA	92683	1302	30	06059	33.74495346	-117.96975	Orange County
273063	Fee-for-Service	1295806222	1295806222	1	1	NEWTON, TODD R MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	78573	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
273069	Fee-for-Service	1760004675	1760004675	1	1	NGUYEN, TERESA P MD	10/30/2024	390200000X	NA	Other	026	PHYSICIANS	189254	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
273076	Fee-for-Service	1730274507	1730274507	1	1	NG, THERESA M J DO	4/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	11197	40	Pediatrics	0	In state provider	None	1510 FLORIDA AVE	STE B	MODESTO	CA	95350	4437	50	06099	37.666053	-120.996222	Stanislaus County
273134	Fee-for-Service	1780771550	1780771550	1	1	NAKATA, MICHAEL K MD	4/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	45916	05	Anesthesiology	0	In state provider	None	1154 N EUCLID ST	None	ANAHEIM	CA	92801	1955	30	06059	33.849	-117.941662	Orange County
273161	Fee-for-Service	1417248428	1417248428	1	1	NEWCOMER, CHARLES A MD	11/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125437	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	32-263 CHS	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
273259	Fee-for-Service	1477936524	1477936524	1	1	NOWROOZIZADEH, BEHDOKHT MD	5/13/2020	390200000X	NA	Other	026	PHYSICIANS	150880	22	Pathology (M.D. only)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
273277	Fee-for-Service	1871818351	1871818351	1	1	NAHAR, DEEPTI MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	140341	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1100 N PALM CANYON DR	STE 212	PALM SPRINGS	CA	92262	4426	33	06065	33.838182	-116.546744	Riverside County
273302	Fee-for-Service	1669932620	1669932620	1	1	NISHIDA, KEVIN MD	12/28/2023	207L00000X	NA	Other	026	PHYSICIANS	182285	None	None	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
273365	Fee-for-Service	1245246412	1245246412	1	1	NOVERO, CARETTE P MD	11/12/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	108994	08	Family Practice	0	In state provider	None	14427 CHASE ST	None	PANORAMA CITY	CA	91402	3020	19	06037	34.22477664	-118.4478733	Los Angeles County
273487	Fee-for-Service	1144071887	1144071887	1	1	NEW SOCAL MEDICAL GROUP PROF	8/1/2024	2084N0402X	NA	Neurology	022	PHYSICIANS GROUP	-	79	Neurology-Child	0	In state provider	ESSIONAL CORPORATION	371 N SAN JACINTO ST	STE A	HEMET	CA	92543	3105	33	06065	33.752547	-116.958686	Riverside County
273548	Fee-for-Service	1750989141	1750989141	1	1	NOOR SABA AZIMI MD INC	12/18/2020	208600000X	NA	General Surgery	026	PHYSICIANS	None	None	None	0	In state provider	None	20103 LAKE CHABOT RD.	None	CASTRO VALLEY	CA	94546	4062	01	06001	37.698264	-122.090112	Alameda County
273616	Fee-for-Service	1861534711	1861534711	1	1	NISHIMURA, MIDORI MD	11/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61183	08	Family Practice	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
273714	Fee-for-Service	1366739880	1366739880	1	1	NSAIR, ALI MD	10/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	108268	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA	#365	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
273734	Fee-for-Service	1740888627	1740888627	1	1	NGO, JENNIFER OD	4/6/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 N BRAND BLVD	STE 110	GLENDALE	CA	91203	2308	19	06037	34.15116156	-118.2549512	Los Angeles County
273755	Fee-for-Service	1144071887	1144071887	1	1	NEW SOCAL MEDICAL GROUP PROF	8/1/2024	2084N0402X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	ESSIONAL CORPORATION	371 N SAN JACINTO ST	STE A	HEMET	CA	92543	3105	33	06065	33.752547	-116.958686	Riverside County
273760	Fee-for-Service	1346632981	1346632981	1	1	NOORZAD, JAVAID M DO	2/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	13671	01	General Practice	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
273776	Fee-for-Service	1205119435	1205119435	1	1	NA, CHRISTINE	8/18/2017	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9280 W STOCKTON BLVD	STE 116	ELK GROVE	CA	95758	8073	34	06067	38.420235	-121.394961	Sacramento County
273778	Fee-for-Service	1275910770	1275910770	1	1	NIBLEY, PHILIP MD	8/1/2018	207P00000X	NA	Other	026	PHYSICIANS	154947	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7500 HOSPITAL DRIVE	None	SACRAMENTO	CA	95823	5403	34	06067	38.463381	-121.416183	Sacramento County
273853	Fee-for-Service	1841503174	1841503174	1	1	NAZARIAN, DORON DPM	5/5/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	44105 15TH STREET WEST	None	LANCASTER	CA	93534	4088	19	06037	34.684218	-118.1568465	Los Angeles County
273855	Fee-for-Service	1750542874	1750542874	1	1	NAVARRO, LAURA D LMFT	9/17/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3733 SAN DIMAS STREET	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
273864	Fee-for-Service	1235367640	1235367640	1	1	NWE, ZIN M MD	12/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120514	10	Gastroenterology (M.D. only)	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
273867	Fee-for-Service	1720069891	1720069891	1	7	NORTHERN CALIFORNIA RADIATIO	8/19/2021	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	N THERAPISTS & ONCOLOGIS	900 HYDE STREET	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
274020	Fee-for-Service	1144071887	1144071887	1	1	NEW SOCAL MEDICAL GROUP PROF	8/1/2024	2084N0402X	NA	Neurology	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	ESSIONAL CORPORATION	371 N SAN JACINTO ST	STE A	HEMET	CA	92543	3105	33	06065	33.752547	-116.958686	Riverside County
274038	Fee-for-Service	1154401313	1154401313	1	1	NADESWARAN, BAVANI MD	7/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	55637	49	Unknown	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
274140	Fee-for-Service	1760534713	1760534713	1	10	NORTHBAY HEALTHCARE GROUP	6/15/2022	282N00000X	NA	Hospitals	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1020 NUT TREE RD	SUITE 260	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
274193	Fee-for-Service	1861439085	1861439085	1	1	NESSEL, REBECCA K MD	9/28/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	90329	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
274199	Fee-for-Service	1174815500	1174815500	1	1	NARAYANA, RASHMI K MD	9/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128911	01	General Practice	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
274214	Fee-for-Service	1669807699	1669807699	1	1	NGUYEN, THOMAS T MD	11/23/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127610	41	Internal Medicine	0	In state provider	None	751 S BASCOM AVENUE	None	SAN JOSE	CA	95128	2614	43	06085	37.313433	-121.9318385	Santa Clara County
274252	Fee-for-Service	1457487852	1457487852	1	1	NORMAL LIFE CALIFORNIA	2/20/1998	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	601 TAYLOR PL	None	ARROYO GRANDE	CA	93420	3209	40	06079	35.11794514	-120.5888186	San Luis Obispo County
274330	Fee-for-Service	1568870434	1568870434	1	1	NAGEOTTE, STEPHEN J MD	8/16/2021	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	130139	None	None	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
274336	Fee-for-Service	1770903874	1770903874	1	1	NIU, ISABELLA MD	9/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	141115	41	Internal Medicine	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
274346	Fee-for-Service	1619368461	1619368461	1	1	NEKRASOV, VICTOR O MD	2/13/2023	207R00000X	NA	Other	026	PHYSICIANS	134686	None	None	0	In state provider	None	2251 N HARBOR BLVD	None	FULLERTON	CA	92835	2601	30	06059	33.89691672	-117.9291749	Orange County
274389	Fee-for-Service	1265140222	1265140222	1	1	NJOKU, JOAN C	6/15/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
274404	Fee-for-Service	1760534713	1760534713	1	10	NORTHBAY HEALTHCARE GROUP	6/15/2022	282N00000X	NA	Hospitals	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1020 NUT TREE RD	SUITE 260	VACAVILLE	CA	95687	4100	48	06095	38.35512	-121.94973	Solano County
274442	Fee-for-Service	1255988085	1255988085	1	1	NGUYEN, NATALIE M LPCC	12/6/2024	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
274460	Fee-for-Service	1093088064	1093088064	1	1	NANCY SAMUDIO MD & PHILIS D	9/24/2012	193400000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	RANSOM MD INC A PROFESSI	399 E HIGHLAND AVE	SUITE 516	SAN BERNARDINO	CA	92404	3875	36	06071	34.1358627	-117.2757898	San Bernardino County
274462	Fee-for-Service	1407462880	1407462880	1	1	NEWLAND, PAUL LMFT	10/11/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
274490	Fee-for-Service	1205191251	1205191251	1	1	NATH, JAIDEV R MD	12/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137190	40	Pediatrics	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
274503	Fee-for-Service	1609903400	1609903400	1	1	NGUYEN, CUONG T MD	5/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51209	36	Psychiatry	0	In state provider	None	1047 E CAPITOL EXPY	None	SAN JOSE	CA	95121	2415	43	06085	37.30008565	-121.8215958	Santa Clara County
274566	Fee-for-Service	1609111665	1609111665	1	1	NGUYEN, JACQUELINE K MD	11/2/2022	207XX0004X	NA	Orthopedic Surgery	026	PHYSICIANS	128602	None	None	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
274569	Fee-for-Service	1962899930	1962899930	1	1	NIKNAFS, NICHOLE P DO MD	2/28/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	14973	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
274579	Fee-for-Service	1699113829	1699113829	1	1	NGUYEN, TAMMY DO	10/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14644	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
274602	Fee-for-Service	1770903874	1770903874	1	1	NIU, ISABELLA MD	9/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	141115	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
274642	Fee-for-Service	1215414586	1215414586	1	1	NICOLA-MENKE, GIOVANNA C LMF	3/10/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	T	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
274664	Fee-for-Service	1417170523	1417170523	1	1	NATHAN, LEENA S MD	4/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	94923	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1250 LA VENTA DRIVE	SUITE 105	WESTLAKE VILLAGE	CA	91361	3758	56	06111	34.14827603	-118.8227637	Ventura County
274666	Fee-for-Service	1649383472	1649383472	1	2	NEONATOLOGY MED GRP INC	5/13/2014	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	1800 WESTERN AVE	SUITE 106	SAN BERNARDINO	CA	92411	1352	36	06071	34.1315778	-117.3182453	San Bernardino County
274684	Fee-for-Service	1407513005	1407513005	1	1	NAKAHODO, SEKAI KENZO	12/2/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	7574 CHANNEL VIEW ST	None	CHINO HILLS	CA	91708	9460	36	06071	33.95894042	-117.6397181	San Bernardino County
274742	Fee-for-Service	1689709560	1689709560	1	1	NGUYEN, LANANH J PHD	10/7/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	590 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3257	54	06107	36.06962449	-119.030337	Tulare County
274748	Fee-for-Service	1447200126	1447200126	1	4	NEPHROLOGY ASSOCIATES MEDICA	5/1/1996	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP, INC.	2057 COMPTON AVE	STE 102	CORONA	CA	92881	3147	33	06065	33.84971564	-117.536168	Riverside County
274772	Fee-for-Service	1346586906	1346586906	1	1	NOVESTERAS, HELENE MD	10/10/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	51250	40	Pediatrics	0	In state provider	PROFESSIONAL MEDICAL COR	1530 N BESSIE AVE	SUITE 106	TRACY	CA	95376	3080	39	06077	37.74570848	-121.4330255	San Joaquin County
274821	Fee-for-Service	1013197946	1013197946	1	1	NAWABI, SALMA E NP	4/1/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	17499	-	NOT APPLICABLE	0	In state provider	None	17822 BEACH BLVD	278	HUNTINGTON BEACH	CA	92647	7180	30	06059	33.70331388	-117.9890471	Orange County
274854	Fee-for-Service	1215688585	1215688585	1	1	NEW HOPE GENERAL AND ONCOLOG	2/21/2022	208600000X	NA	General Surgery	026	PHYSICIANS	None	None	None	0	In state provider	IC SURGERY, INC.	431 S BATAVIA ST	202	ORANGE	CA	92868	3938	30	06059	33.781851	-117.8618145	Orange County
274911	Fee-for-Service	1043695133	1043695133	1	1	NOBORI, ALEXANDER MD	5/9/2019	207ZP0101X	NA	Other	026	PHYSICIANS	149113	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	10833 LE CONTE AVE	RM B186	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
274944	Fee-for-Service	1407513005	1407513005	1	1	NAKAHODO, SEKAI KENZO	12/2/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	7574 CHANNEL VIEW ST	None	CHINO HILLS	CA	91708	9460	36	06071	33.95894042	-117.6397181	San Bernardino County
274976	Fee-for-Service	1619778818	1619778818	1	1	NURTURE AND FLOW LLC	3/24/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	19	06037	0	0	None
275024	Fee-for-Service	1437329562	1437329562	1	1	NAIR, DEEPU S MD	7/11/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	82854	41	Internal Medicine	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
275027	Fee-for-Service	1235660937	1235660937	1	1	NIM, PHUNG C DO	4/27/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17396	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
275044	Fee-for-Service	1518064641	1518064641	1	1	NASH-GOELITZ, ALYSSA A M	1/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97756	07	Dermatology	0	In state provider	None	3629 VISTA WAY	None	OCEANSIDE	CA	92056	4522	37	06073	33.1814285	-117.3093613	San Diego County
275051	Fee-for-Service	1770050890	1770050890	1	1	NAZARYAN, RUBEN RCP	4/9/2024	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
275081	Fee-for-Service	1346268778	1346268778	1	1	NGUYEN, PHONG T MD	7/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95447	01	General Practice	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
275094	Fee-for-Service	1770961971	1770961971	1	1	NOVO, MEGAN MD	9/6/2018	208M00000X	NA	Other	026	PHYSICIANS	147981	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
275143	Fee-for-Service	1730397845	1730397845	1	1	NGUYEN, HIEN Q	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	10872 WESTMINSTER AVE	STE 106	GARDEN GROVE	CA	92843	4958	30	06059	33.75955452	-117.938637	Orange County
275149	Fee-for-Service	1033173943	1033173943	1	1	NAKAKURA, ERIC K MD	3/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	88496	02	General Surgery	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
275171	Fee-for-Service	1225449333	1225449333	1	1	NEZAMABADI, ARYAN A MD	2/15/2018	207R00000X	NA	Other	026	PHYSICIANS	149717	41	Internal Medicine	0	In state provider	None	450 E ROMIE LN	None	SALINAS	CA	93901	4029	27	06053	36.65983988	-121.6458041	Monterey County
275260	Fee-for-Service	1295766178	1295766178	1	1	NG, PHILLIP MD	9/1/1998	207RN0300X	NA	Nephrology	026	PHYSICIANS	61233	41	Internal Medicine	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
275266	Fee-for-Service	1285717298	1285717298	1	1	NIAGARA FALLS MEM MED CT	4/13/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	621 10TH ST	None	NIAGARA FALLS	NY	14301	1813	00	None	43.093953	-79.049628	Niagara County
275341	Fee-for-Service	1346268778	1346268778	1	1	NGUYEN, PHONG T MD	7/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95447	08	Family Practice	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
275342	Fee-for-Service	1639796998	1639796998	1	1	NGO, JAMIE A OD	10/19/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
275368	Fee-for-Service	1265750202	1265750202	1	1	NAKHLA, CINDY MD	1/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	112274	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5335 LAUREL CANYON BLVD	None	VALLEY VILLAGE	CA	91607	2711	19	06037	34.16789941	-118.3965279	Los Angeles County
275476	Fee-for-Service	1821261256	1821261256	1	1	NAUSHEEN, SARA MD	6/9/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101917	77	Infectious Disease	0	In state provider	None	3567 W MT WHITNEY AVE	None	RIVERDALE	CA	93656	0000	10	06019	36.43078218	-119.8620732	Fresno County
275525	Fee-for-Service	1285717298	1285717298	1	1	NIAGARA FALLS MEM MED CT	5/16/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	621 10TH ST	None	NIAGARA FALLS	NY	14301	1813	00	None	43.093953	-79.049628	Niagara County
275545	Fee-for-Service	1962975623	1962975623	1	1	NGUYEN, HANH H RCP	5/23/2024	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
275584	Fee-for-Service	1912093626	1912093626	1	1	NABER, WILLIAM D MD	12/3/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	41429	01	General Practice	0	In state provider	None	2299 POST ST	STE 210	SAN FRANCISCO	CA	94115	3473	38	06075	37.78434298	-122.4392033	San Francisco County
275734	Fee-for-Service	1821261256	1821261256	1	1	NAUSHEEN, SARA MD	6/9/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101917	41	Internal Medicine	0	In state provider	None	3567 W MT WHITNEY AVE	None	RIVERDALE	CA	93656	0000	10	06019	36.43078218	-119.8620732	Fresno County
275848	Fee-for-Service	1487229233	1487229233	1	1	NOGUCHI, NAOKO	8/31/2021	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	4950 BARRANCA PKWY	SUITE 301	IRVINE	CA	92604	4631	30	06059	33.67620851	-117.7948348	Orange County
275864	Fee-for-Service	1063611531	1063611531	1	1	NGUYEN, ANTHONY H MD	7/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119427	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
275910	Fee-for-Service	1740624105	1740624105	1	1	NELSON, KRISTEN M MD	12/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148060	36	Psychiatry	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
275959	Fee-for-Service	1528073038	1528073038	1	1	NAGAR, DEEPA MD	1/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	1	Border provider	None	3186 S MARYLAND PARKWAY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
275979	Fee-for-Service	1962473181	1962473181	1	1	NGUYEN, CHAU P OD	8/31/1991	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15627 BROOKHURST ST	None	WESTMINSTER	CA	92683	7556	30	06059	33.73547224	-117.9548001	Orange County
276031	Fee-for-Service	1194974402	1194974402	1	2	NORTH ORANGE COUNTY REG	2/18/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1182 NORTH EUCLID STREET	None	ANAHEIM	CA	92801	1900	30	06059	33.849909	-117.9416115	Orange County
276038	Fee-for-Service	1578121943	1578121943	1	1	NAJAFI, SONA MD	8/16/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	176523	None	None	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
276043	Fee-for-Service	1467459081	1467459081	1	1	NAST, CYNTHIA MD	12/31/1986	207ZP0101X	NA	Other	026	PHYSICIANS	49791	01	General Practice	0	In state provider	BLDG A-1	200 NORTH ROBERTSON	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
276108	Fee-for-Service	1912593641	1912593641	1	1	NGOTHO, ALEX K	10/7/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1329 ALBERTON CIR	None	LINCOLN	CA	95648	3214	31	06061	38.86591684	-121.3077789	Placer County
276124	Fee-for-Service	1750855516	1750855516	1	1	NEIL, MICHELLE M LCSW	12/18/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18191 VON KARMAN AVE	100	IRVINE	CA	92612	7103	30	06059	33.67831005	-117.852138	Orange County
276127	Fee-for-Service	1306812896	1306812896	1	1	NGUYEN, MARK M MD	10/28/2008	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	53085	25	Physical Medicine and Rehabilitation	0	In state provider	None	275 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1106	43	06085	37.23951066	-121.8013511	Santa Clara County
276220	Fee-for-Service	1609391077	1609391077	1	1	NG, SHANNON Y	6/26/2019	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
276230	Fee-for-Service	1396769196	1396769196	1	1	NGUYEN, KHOA KE	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	110 S PARK VICTORIA DR	None	MILPITAS	CA	95035	5724	43	06085	37.43398628	-121.8836912	Santa Clara County
276260	Fee-for-Service	1487858213	1487858213	1	1	NATAL-HERNANDEZ, LUZ I MD	4/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	105132	40	Pediatrics	0	In state provider	None	500 DOYLE PARK	None	SANTA ROSA	CA	95405	4559	49	06097	38.44332	-122.6985255	Sonoma County
276264	Fee-for-Service	1386662369	1386662369	1	1	NELSON, ANDREA PSYD	7/20/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	530 W OJAI AVE	SUITE 206	OJAI	CA	93023	2472	56	06111	34.44574111	-119.2516473	Ventura County
276284	Fee-for-Service	1194974402	1194974402	1	2	NORTH ORANGE COUNTY REG	2/18/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1182 NORTH EUCLID STREET	None	ANAHEIM	CA	92801	1900	30	06059	33.849909	-117.9416115	Orange County
276294	Fee-for-Service	1467459081	1467459081	1	1	NAST, CYNTHIA MD	12/31/1986	207ZP0101X	NA	Other	026	PHYSICIANS	49791	22	Pathology (M.D. only)	0	In state provider	BLDG A-1	200 NORTH ROBERTSON	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
276311	Fee-for-Service	1265523351	1265523351	1	1	NG, DANIEL A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	70052	28	Proctology (colon and rectal)	0	In state provider	None	1401 AVOCADO AVE	STE 603	NEWPORT BEACH	CA	92660	8715	30	06059	33.61235015	-117.8704573	Orange County
276329	Fee-for-Service	1245203074	1245203074	1	1	NGUYEN, KHANG N MD	10/7/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80496	41	Internal Medicine	0	In state provider	None	2600 REDONDO AVE	None	LONG BEACH	CA	90806	2325	19	06037	33.806097	-118.151378	Los Angeles County
276351	Fee-for-Service	1154582575	1154582575	1	1	NUDLEMAN, ERIC D MD	9/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131592	18	Ophthalmology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
276359	Fee-for-Service	1912593641	1912593641	1	1	NGOTHO, ALEX K	10/7/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1329 ALBERTON CIR	None	LINCOLN	CA	95648	3214	31	06061	38.86591684	-121.3077789	Placer County
276396	Fee-for-Service	1821688797	1821688797	1	1	NGO, JOHN A NP	1/24/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	100 S RAYMOND AVE	None	ALHAMBRA	CA	91801	3166	19	06037	34.09027878	-118.1450083	Los Angeles County
276528	Fee-for-Service	1073680336	1073680336	1	1	NOAH, JEROLD A MD	12/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83320	None	None	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
276546	Fee-for-Service	1528126430	1528126430	1	1	NIAZI, ZIAD A MD INC	6/9/1980	208800000X	NA	Other	026	PHYSICIANS	35335	34	Urology and Urological Surgery	0	In state provider	None	1760 GOLD ST	STE 500	REDDING	CA	96001	1804	45	06089	40.57873165	-122.3934095	Shasta County
276650	Fee-for-Service	1427169002	1427169002	1	1	NARAYAN, SUBHENDU MD	5/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	62132	41	Internal Medicine	0	In state provider	R. BERHSTEIN, MD, INC	2006 DWIGHT WAY	STE 205	BERKELEY	CA	94704	2633	01	06001	37.86367103	-122.2693938	Alameda County
276689	Fee-for-Service	1902807951	1902807951	2	2	NASISE, NORMAN C MD	6/8/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	36977	None	None	0	In state provider	None	2550 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4327	52	06103	40.14847323	-122.2180997	Tehama County
276703	Fee-for-Service	1972595957	1972595957	1	1	NEGRETE, ALFREDO MD	3/20/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	74018	40	Pediatrics	0	In state provider	None	702 WAKE AVE	None	EL CENTRO	CA	92243	7502	13	06025	32.77066047	-115.560144	Imperial County
276765	Fee-for-Service	1821146705	1821146705	1	1	NGUYEN, AN X MD	7/1/1998	207R00000X	NA	Other	026	PHYSICIANS	61641	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
276776	Fee-for-Service	1407534639	1407534639	1	1	NIELSON, ANDREA	3/22/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	75100 MEDITERRANEAN	None	PALM DESERT	CA	92211	9069	33	06065	33.74397149	-116.3546505	Riverside County
276782	Fee-for-Service	1245539048	1245539048	1	1	NAEMI, KAVEH DO	7/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	9368	02	General Surgery	0	In state provider	None	400 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
276784	Fee-for-Service	1831279439	1831279439	1	1	NGUYEN, ALISON H MD	4/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	73410	01	General Practice	0	In state provider	None	3200 KEARNEY ST	None	FREMONT	CA	94538	2299	01	06001	37.54866156	-121.9750739	Alameda County
276785	Fee-for-Service	1811018666	1811018666	1	2	NELSON, BRITTANY LMFT	8/1/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1414 MILLER ST	UNIT 10B	SANTA MARIA	CA	93454	6923	42	06083	34.937433	-120.431561	Santa Barbara County
276790	Fee-for-Service	1053922005	1053922005	1	1	NAZAK MOZAFFARIEH, O.D., INC	9/8/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	.	1773 SAN PABLO AVE.	A1	PINOLE	CA	94564	2084	07	06013	38.00411948	-122.296239	Contra Costa County
276800	Fee-for-Service	1346804028	1346804028	1	1	NITTI, MATTHEW D MD	9/18/2024	208800000X	NA	Other	026	PHYSICIANS	None	34	Urology and Urological Surgery	0	In state provider	None	1260 15TH STREET	1024	SANTA MONICA	CA	90404	1145	19	06037	34.02648965	-118.4867439	Los Angeles County
276816	Fee-for-Service	1992190417	1992190417	1	1	NADIMI, ARDESHIR MD	3/11/2025	207ND0101X	NA	Dermatology	026	PHYSICIANS	168788	07	Dermatology	0	In state provider	None	713 N DOUGLAS ST.	None	EL SEGUNDO	CA	90245	2830	19	06037	33.92546537	-118.3832318	Los Angeles County
276824	Fee-for-Service	1063006229	1063006229	1	1	NGUYEN, CHAN-QUAN LCSW	12/20/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2001 JUNIPERO SERRA BLVD	STE 650	DALY CITY	CA	94014	3891	41	06081	37.70124814	-122.4706974	San Mateo County
276897	Fee-for-Service	1427169002	1427169002	1	1	NARAYAN, SUBHENDU MD	5/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	62132	10	Gastroenterology (M.D. only)	0	In state provider	R. BERHSTEIN, MD, INC	2006 DWIGHT WAY	STE 205	BERKELEY	CA	94704	2633	01	06001	37.86367103	-122.2693938	Alameda County
276939	Fee-for-Service	1316391915	1316391915	1	1	NUBLA, TRICHELE D CRNA	10/26/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6601 WHITE FEATHER RD	None	JOSHUA TREE	CA	92252	6607	36	06071	34.13189479	-116.2767026	San Bernardino County
276953	Fee-for-Service	1952418378	1952418378	1	1	NORTH BAY EYE ASSOCIATES A	3/1/1995	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	GROUP	104 LYNCH CREEK WAY	STE 15	PETALUMA	CA	94954	2387	49	06097	38.25218808	-122.6339241	Sonoma County
276964	Fee-for-Service	1275620676	1275620676	1	2	NGUYEN, KY NGOC MD INC	8/29/2014	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	32504	01	General Practice	0	In state provider	None	9746 WESTMINSTER AVE	SUITE D3	GARDEN GROVE	CA	92844	2984	30	06059	33.75949073	-117.9590728	Orange County
276968	Fee-for-Service	1457967804	1457967804	1	1	NIRMALA VISION PC	1/11/2021	207WX0009X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	LAUCOMA	801 N TUSTIN AVE	STE. 700	SANTA ANA	CA	92705	3611	30	06059	33.752286	-117.8341735	Orange County
277010	Fee-for-Service	1114189396	1114189396	1	1	NEIHEISEL, ANDREW J MD	7/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	120062	05	Anesthesiology	0	In state provider	None	11234 ANDERSON STREET	None	LOMA LINDA	CA	92359	2808	36	06071	34.049547	-117.264078	San Bernardino County
277016	Fee-for-Service	1184203291	1184203291	1	1	NGO, JOSEPHINE D PHD	4/23/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1660 E ROSEVILLE PARKWAY	None	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
277107	Fee-for-Service	1811724610	1811724610	1	1	NEXGENRX, INC.	10/9/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1119 S LA BREA AVE	None	INGLEWOOD	CA	90301	3819	19	06037	33.9486229	-118.3528053	Los Angeles County
277143	Fee-for-Service	1508182742	1508182742	1	1	NAVEED, NAUSHEEN MD	10/1/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	161969	30	Radiology	0	In state provider	None	29101 HOSPITAL RD	None	LAKE ARROWHEAD	CA	92352	9706	36	06071	34.26577765	-117.1695461	San Bernardino County
277225	Fee-for-Service	1669414587	1669414587	1	1	NORMAN, DAVID M	2/1/1984	207T00000X	NA	General Surgery	026	PHYSICIANS	19631	30	Radiology	0	In state provider	UNIV OF CALIF	DEPT OF RADIOLOGY RM 380	None	SAN FRANCISCO	CA	94143	0001	38	06075	0	0	None
277253	Fee-for-Service	1982698528	1982698528	1	1	NGUYEN, DAT D MD	12/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	87138	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3630 EAST IMPERIAL HWY	None	LYNWOOD	CA	90262	2609	19	06037	33.93112671	-118.2035532	Los Angeles County
277270	Fee-for-Service	1861537656	1861537656	1	1	NGUYEN, THUYTRANG D MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	61868	41	Internal Medicine	0	In state provider	None	33081 CALLE PERFECTO	STE A	SAN JUAN CAPISTRA	CA	92675	4762	30	06059	33.48253814	-117.673478	Orange County
277344	Fee-for-Service	1710530696	1710530696	1	1	NINA YAFTALI	5/29/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	444 BRUCE ST	None	YREKA	CA	96097	3450	47	06093	41.71863548	-122.6458755	Siskiyou County
277349	Fee-for-Service	1639581986	1639581986	1	1	NUGYEN, HANH H DO	3/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14414	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
277357	Fee-for-Service	1790989325	1790989325	1	1	NILAKANTAN, AMY B MD	4/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	10153	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
277423	Fee-for-Service	1902366552	1902366552	1	1	NGUYEN, KIMNGAN P MD	5/25/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	178831	None	None	0	In state provider	None	501 DEEP VALLEY DRIVE	100	ROLLING HILLS EST	CA	90274	7606	19	06037	33.77279445	-118.3748253	Los Angeles County
277453	Fee-for-Service	1831700541	1831700541	1	1	NEW ERA HOSPICE INC	1/24/2024	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1600 SACRAMENTO INN WAY	STE 224	SACRAMENTO	CA	95815	3461	34	06067	38.60775	-121.429233	Sacramento County
277494	Fee-for-Service	1033121280	1033121280	1	1	NGHIEM, RICHARD S MD	12/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80768	41	Internal Medicine	0	In state provider	None	1771 W ROMNEYA DR	STE C	ANAHEIM	CA	92801	1817	30	06059	33.85067649	-117.9445635	Orange County
277504	Fee-for-Service	1780040204	1780040204	1	1	NG, ALLEN C	3/28/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4510 VIEWRIDGE AVE	None	SAN DIEGO	CA	92123	1637	37	06073	32.82283469	-117.1248707	San Diego County
277516	Fee-for-Service	1740349349	1740349349	1	1	NAMDARI, PARIBORZ MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	42943	05	Anesthesiology	0	In state provider	ATTN MGA OFFICE	7300 MEDICAL CENTER	None	WEST HILLS	CA	91307	1902	19	06037	34.20289797	-118.6294006	Los Angeles County
277539	Fee-for-Service	1184983785	1184983785	1	1	NAZARIAN, ANDRUI MD	1/30/2018	207LP2900X	NA	Other	026	PHYSICIANS	130381	05	Anesthesiology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
277543	Fee-for-Service	1295731982	1295731982	1	1	NAKAUCHI, STEVEN OD	9/3/1975	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2223 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90033	1845	19	06037	34.04757437	-118.2094208	Los Angeles County
277618	Fee-for-Service	1780147058	1780147058	1	1	NELSON, CHRISTOPHER MD	8/3/2023	207P00000X	NA	Other	026	PHYSICIANS	178884	None	None	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
277699	Fee-for-Service	1831700541	1831700541	1	1	NEW ERA HOSPICE INC	1/24/2024	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1600 SACRAMENTO INN WAY	STE 224	SACRAMENTO	CA	95815	3461	34	06067	38.60775	-121.429233	Sacramento County
277710	Fee-for-Service	1851793491	1851793491	1	1	NOE, KYLE PT	6/25/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	7900 DISTRICT BLVD	C	BAKERSFIELD	CA	93313	4844	15	06029	35.31318383	-119.0908089	Kern County
277741	Fee-for-Service	1033121280	1033121280	1	1	NGHIEM, RICHARD S MD	12/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80768	38	Geriatrics	0	In state provider	None	1771 W ROMNEYA DR	STE C	ANAHEIM	CA	92801	1817	30	06059	33.85067649	-117.9445635	Orange County
277751	Fee-for-Service	1053842161	1053842161	1	1	NARSING, BIVA MD	7/8/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	159989	40	Pediatrics	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
277791	Fee-for-Service	1972076644	1972076644	1	1	NEW HOPE MEDICAL GROUP, A PR	5/23/2022	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	OFESSIONAL CORPORATION	1820 FULLERTON AVE	230	CORONA	CA	92881	3147	33	06065	33.858756	-117.5503465	Riverside County
277826	Fee-for-Service	1033386503	1033386503	1	1	NATHAN, MANJARI MD	2/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	80974	41	Internal Medicine	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
277847	Fee-for-Service	1346568227	1346568227	1	2	NOVICK, MICHAEL K MD	10/1/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	112341	30	Radiology	0	In state provider	None	29101 HOSPITAL RD	None	LAKE ARROWHEAD	CA	92352	9706	36	06071	34.26577765	-117.1695461	San Bernardino County
277902	Fee-for-Service	1326458175	1326458175	1	1	NAN, XINYU MD	3/19/2021	207RH0003X	NA	Oncology	026	PHYSICIANS	148056	None	None	0	In state provider	None	1010 WEST LA VENTA AVE	STE 250	ORANGE	CA	92868	4304	30	06059	33.78028244	-117.8635552	Orange County
277909	Fee-for-Service	1548661101	1548661101	1	1	NADAL, MONICA M NP	12/30/2019	363LA2200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	125 SHOREWAY RD	STE A	SAN CARLOS	CA	94070	2718	41	06081	37.51910794	-122.2613338	San Mateo County
277912	Fee-for-Service	1942377882	1942377882	1	1	NGUYEN, JOHN HOP-DOAN	4/21/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86489	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
277954	Fee-for-Service	1396249009	1396249009	1	1	NAKHAIMA, SELASI M MD	6/28/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	150 W. WASHINGTON STREET	None	SAN DIEGO	CA	92103	2005	37	06073	32.74999225	-117.1647027	San Diego County
277978	Fee-for-Service	1821394347	1821394347	1	1	NAVARRO, IRENE LMFT	11/9/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	27201 TOURNEY ROAD	SUITE 201 K	VALENCIA	CA	91355	1854	19	06037	34.41741018	-118.5770409	Los Angeles County
277994	Fee-for-Service	1295907764	1295907764	1	1	NUMMERT, DIANA I MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	855 MONTGOMERY ST	None	FORT WORTH	TX	76107	2553	00	None	32.750541	-97.3698605	Tarrant County
278011	Fee-for-Service	1336208032	1336208032	1	1	NGUYEN, CHARLENE C OD	1/22/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8001 VENTURA CANYON AVE	None	PANORAMA CITY	CA	91402	6312	19	06037	34.21619623	-118.4287605	Los Angeles County
278048	Fee-for-Service	1821056904	1821056904	1	1	NOVAK, RICHARD J MD	5/26/1992	207L00000X	NA	Other	026	PHYSICIANS	45299	05	Anesthesiology	0	In state provider	None	701 WELCH RD	STE 216	PALO ALTO	CA	94304	1705	43	06085	37.43702969	-122.1737907	Santa Clara County
278081	Fee-for-Service	1427485242	1427485242	1	1	NICOLE COLETTE LEWIS NP	1/21/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1301 PUNCHBOWL ST	None	HONOLULU	HI	96813	2402	00	None	21.30800017	-157.8550765	Honolulu County
278105	Fee-for-Service	1003915125	1003915125	1	1	NGUYEN, THUY THANH MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	32855	40	Pediatrics	0	In state provider	PROF ARTS BLDG	12302 GARDEN GROVE BLVD	STE 27	GARDEN GROVE	CA	92843	1834	30	06059	33.77428392	-117.9181185	Orange County
278149	Fee-for-Service	1295167302	1295167302	1	1	NANA DOMFEH MD	8/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	20701 N SCOTTSDALE RD	# 107-601	SCOTTSDALE	AZ	85255	6413	00	None	33.6750627	-111.9253307	Maricopa County
278165	Fee-for-Service	1992995997	1992995997	1	1	NGUYEN, HONG PHUC MD	8/8/2019	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	44469 N 10TH STREET WEST	None	LANCASTER	CA	93534	3324	19	06037	34.691454	-118.148068	Los Angeles County
278224	Fee-for-Service	1780605113	1780605113	1	1	NGUYEN, THAI JONATHAN MD	8/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77460	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
278228	Fee-for-Service	1164558326	1164558326	1	1	NGUYEN, MINDIE H	10/31/1993	207R00000X	NA	Other	026	PHYSICIANS	79013	01	General Practice	0	In state provider	UCSD MED DEPT OF MED	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
278234	Fee-for-Service	1487680328	1487680328	1	1	NARAIN, KESHAV	11/9/2009	207W00000X	NA	Ophthalmology	026	PHYSICIANS	83173	18	Ophthalmology	0	In state provider	None	2110 FOREST AVE	STE D	SAN JOSE	CA	95128	1469	43	06085	37.32701954	-121.9374675	Santa Clara County
278235	Fee-for-Service	1700171279	1700171279	1	1	NAKAO, ZACHARY M MD	3/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	12016	66	Emergency Medicine (Urgent Care)	0	In state provider	None	275 HOSPITAL DRIVE	None	UKIAH	CA	95482	4531	23	06045	39.15305697	-123.2037774	Mendocino County
278274	Fee-for-Service	1467624957	1467624957	1	1	NASSAR KUHN, NADIA S MD	12/3/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	102746	-	NOT APPLICABLE	0	In state provider	None	4990 WILLIAMS AVE	None	LA MESA	CA	91942	7409	37	06073	32.76933362	-117.0371085	San Diego County
278394	Fee-for-Service	1730359258	1730359258	1	1	NGUYEN, KIMANH D MD	7/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120362	04	Otology, Laryngology, Rhinology	0	In state provider	None	200 MEDICAL PLAZA	SUITE 550	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
278398	Fee-for-Service	1366494577	1366494577	1	1	NELSON, TREVOR D MD	3/1/2003	2085R0204X	NA	Other	026	PHYSICIANS	66930	30	Radiology	0	In state provider	None	7301 GIRARD AVE	STE B	LA JOLLA	CA	92037	5150	37	06073	32.83764565	-117.2715586	San Diego County
278442	Fee-for-Service	1093821837	1093821837	1	1	NORTH PACIFIC CARDIOLOGY	5/18/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP	3800 JANES ROAD	None	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
278495	Fee-for-Service	1992187496	1992187496	1	1	NARESH, AKSHAY PSYD	7/10/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3555 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
278600	Fee-for-Service	1114322757	1114322757	1	1	NAPA COUNTY HEALTH AND HUMAN	10/27/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	100 HARTLE COURT	None	NAPA	CA	94559	4020	28	06055	38.28325345	-122.2795703	Napa County
278611	Fee-for-Service	1528120151	1528120151	1	1	NORTH COUNTY HEALTH CTR	3/1/1997	261Q00000X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	380 90TH ST	None	DALY CITY	CA	94015	1807	41	06081	37.69110985	-122.4742036	San Mateo County
278634	Fee-for-Service	1366494577	1366494577	1	1	NELSON, TREVOR D MD	3/1/2003	2085R0204X	NA	Other	026	PHYSICIANS	66930	02	General Surgery	0	In state provider	None	7301 GIRARD AVE	STE B	LA JOLLA	CA	92037	5150	37	06073	32.83764565	-117.2715586	San Diego County
278738	Fee-for-Service	1811224405	1811224405	1	1	NOURIAN, ARDALAN A MD	10/16/2018	207XS0117X	NA	Orthopedic Surgery	026	PHYSICIANS	128908	20	Orthopedic Surgery	0	In state provider	None	3525 LOMA VISTA RD	STE A	VENTURA	CA	93003	3101	56	06111	34.27680789	-119.2480851	Ventura County
278741	Fee-for-Service	1255033197	1255033197	1	1	NOBLE CARE TRANSPORTATION IN	6/6/2023	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	C	1061 STONEGATE COVE DR	B	PORTERVILLE	CA	93257	1581	54	06107	36.08504754	-119.0384535	Tulare County
278753	Fee-for-Service	1215012984	1215012984	1	1	NADLER, ANDREW R MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	37899	01	General Practice	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
278759	Fee-for-Service	1447368022	1447368022	1	1	NEYMARK, EDWARD MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	60093	30	Radiology	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
278760	Fee-for-Service	1164657094	1164657094	1	1	NANJIREDDY, REENA M MD	11/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	139161	13	Neurology (M.D. only)	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2064	43	06085	37.313433	-121.9318385	Santa Clara County
278767	Fee-for-Service	1477755528	1477755528	1	1	NAWATHE, AMAR C MD	8/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	96528	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA #365	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
278823	Fee-for-Service	1730168154	1730168154	1	1	NORTHERN MEDICAL GRP INC	1/1/1984	207ZP0101X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	2145 COURT ST	None	REDDING	CA	96001	2531	45	06089	40.57727841	-122.3931992	Shasta County
278935	Fee-for-Service	1669574182	1669574182	1	1	NEW CENTURY MED TRAN INC	4/15/2001	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	YEFIM LEN	8230 BEVERLY BLVD	STE 22	LOS ANGELES	CA	90048	4528	19	06037	34.07605048	-118.369206	Los Angeles County
278954	Fee-for-Service	1730137431	1730137431	1	2	NORTHCOAST ANESTHESIA	9/2/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	3800 JANES RD	None	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
278961	Fee-for-Service	1104828508	1104828508	1	1	NGUYEN, ETHAN-QUAN H MD	10/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	77748	07	Dermatology	0	In state provider	None	11370 ANDERSON ST	# 2600	LOMA LINDA	CA	93454	3450	36	06071	34.047153	-117.2611485	San Bernardino County
278962	Fee-for-Service	1700894334	1700894334	1	1	NEIGHBOR, MARTHA MD	1/1/1982	207P00000X	NA	Other	026	PHYSICIANS	44224	41	Internal Medicine	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
279091	Fee-for-Service	1144227513	1144227513	1	1	NATHAN, SUSAN J PHD	12/29/2009	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	428 AVENIDA SEVILLA	UNIT C	LAGUNA WOODS	CA	92637	8066	30	06059	33.6038759	-117.7173748	Orange County
279093	Fee-for-Service	1720069891	1720069891	1	4	NORTHERN CALIFORNIA RADIATIO	8/19/2021	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	N THERAPISTS & ONCOLOGIS	100 HOSPITAL DRIVE	None	VALLEJO	CA	94589	2582	48	06095	38.13100118	-122.2403008	Solano County
279112	Fee-for-Service	1992933154	1992933154	1	1	NELSON, DANIEL A MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125049	None	None	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1691	43	06085	37.36217918	-121.8472051	Santa Clara County
279145	Fee-for-Service	1477086643	1477086643	1	1	NRP PHYSICAL THERAPY CORP.	3/4/2024	225X00000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6133 BRISTOL PKWY	STE 200	CULVER CITY	CA	90230	6670	19	06037	33.98472747	-118.3891179	Los Angeles County
279164	Fee-for-Service	1669412060	1669412060	1	1	NIJJAR, AJIT S MD	2/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	52804	30	Radiology	0	In state provider	None	3535 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1661	15	06029	35.39123916	-119.008246	Kern County
279285	Fee-for-Service	1669890885	1669890885	1	1	NAGARAJ, GANESH MD	3/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138622	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
279293	Fee-for-Service	1982206876	1982206876	1	1	NGUYEN, THAI MY N NP	7/16/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
279298	Fee-for-Service	1851746028	1851746028	1	1	NGUYEN, ANDY	6/30/2022	207RE0101X	NA	Endocrinology	026	PHYSICIANS	17347	None	None	0	In state provider	None	9211 BOLSA AVE STE 221	None	WESTMINSTER	CA	92683	5571	30	06059	33.74498712	-117.9684267	Orange County
279334	Fee-for-Service	1013273796	1013273796	1	1	NELSON, BRYAN T MD	10/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127740	01	General Practice	0	In state provider	None	1201 ALHAMBRA BLVD	STE 300	SACRAMENTO	CA	95816	5238	34	06067	38.570076	-121.4657145	Sacramento County
279337	Fee-for-Service	1730277922	1730277922	1	1	NEWPORT HLTH NETWORK INC	5/1/1995	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	DBA NEWPORT AUDIOLOGY CT	24401 CALLE DE LA LOUISA	STE 310	LAGUNA HILLS	CA	92653	3625	30	06059	33.60941999	-117.7083212	Orange County
279352	Fee-for-Service	1447200126	1447200126	1	8	NEPHROLOGY ASSOCIATES MEDICA	3/26/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	28125 BRADLEY ROAD	#270	SUN CITY	CA	92586	2279	33	06065	33.71309746	-117.1898349	Riverside County
279378	Fee-for-Service	1477086643	1477086643	1	1	NRP PHYSICAL THERAPY CORP.	3/4/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	6133 BRISTOL PKWY	STE 200	CULVER CITY	CA	90230	6670	19	06037	33.98472747	-118.3891179	Los Angeles County
279451	Fee-for-Service	1902851504	1902851504	1	1	NG, CHERESA C MD	2/1/1999	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	81035	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3838 CALIFORNIA ST	RM 408	SAN FRANCISCO	CA	94118	1506	38	06075	37.78591809	-122.4575439	San Francisco County
279455	Fee-for-Service	1598919771	1598919771	1	1	NARGUND, PREETI R MD	2/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110498	41	Internal Medicine	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
279461	Fee-for-Service	1912061383	1912061383	1	1	NOLAND ENTERPRISE, INC.	5/9/2022	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1255 LIBERTY ST.	STE G	REDDING	CA	96001	0100	45	06089	40.58769807	-122.3879041	Shasta County
279521	Fee-for-Service	1962550491	1962550491	1	1	NGHIEM, JUSTINE V MD	1/14/2008	207R00000X	NA	Other	026	PHYSICIANS	87687	41	Internal Medicine	0	In state provider	None	1033 LOS PALOS DR	None	SALINAS	CA	93901	3916	27	06053	36.65911769	-121.6448024	Monterey County
279544	Fee-for-Service	1609839299	1609839299	1	1	NGUYEN, TAN T MD	12/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	67119	41	Internal Medicine	0	In state provider	None	555 WASHINGTON ST	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
279572	Fee-for-Service	1619190071	1619190071	1	4	NEVADA JOINT UNION HSD	10/6/2011	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	11130 MAGNOLIA ROAD	None	GRASS VALLEY	CA	95949	8366	29	06057	39.04623466	-121.0740715	Nevada County
279575	Fee-for-Service	1447682430	1447682430	1	1	NOVA HOME HOSPICE, INC	6/22/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1551 W 13TH STREET	SUITE 104	UPLAND	CA	91786	2993	36	06071	34.1105382	-117.6797484	San Bernardino County
279643	Fee-for-Service	1699029793	1699029793	1	1	NWAGWU, ODOCHI MD INC	11/13/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77049	40	Pediatrics	0	In state provider	None	11678 RANCHO ROAD	None	ADELANTO	CA	92301	2700	36	06071	34.5592985	-117.410409	San Bernardino County
279677	Fee-for-Service	1841407764	1841407764	1	1	NG, YVONNE OD	10/16/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM DRIVE	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
279741	Fee-for-Service	1780959734	1780959734	1	1	NI, NINA MD	6/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137049	18	Ophthalmology	0	In state provider	None	1001 POTRERO AVE	ROOM 4M	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
279806	Fee-for-Service	1447682430	1447682430	1	1	NOVA HOME HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1551 W 13TH STREET	SUITE 104	UPLAND	CA	91786	2993	36	06071	34.1105382	-117.6797484	San Bernardino County
279910	Fee-for-Service	1558428979	1558428979	2	1	NATIONAL SEATING & MOBILITY,	2/1/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	350 ALABAMA STREET	SUITES C, D & E	REDLANDS	CA	92373	8098	36	06071	34.05687474	-117.2087509	San Bernardino County
280055	Fee-for-Service	1972752467	1972752467	1	1	NAKAMURA, MAMOO MD	5/9/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115062	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
280076	Fee-for-Service	1700057254	1700057254	1	1	NORTH STATE SURGERY CENTERS,	3/1/2008	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	LP	2175 ROSALINE AVE	STE A	REDDING	CA	96001	2510	45	06089	40.57278686	-122.3958519	Shasta County
280083	Fee-for-Service	1740576511	1740576511	1	1	NAVA, MARIA B MD	9/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142216	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
280088	Fee-for-Service	1467711614	1467711614	1	1	NGUYEN, VU T MD	1/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120848	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
280177	Fee-for-Service	1982983805	1982983805	1	1	NAKAO, LINDSEY M DO	9/3/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	12847	01	General Practice	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
280221	Fee-for-Service	1134721830	1134721830	1	1	NOMAD RADIOLOGY LLC	7/13/2022	335V00000X	NA	Other	028	PORTABLE X-RAY	-	-	NOT APPLICABLE	0	In state provider	None	8929 UNIVERSITY CENTER L	None	SAN DIEGO	CA	92122	1006	37	06073	32.87036657	-117.2263573	San Diego County
280280	Fee-for-Service	1972752467	1972752467	1	1	NAKAMURA, MAMOO MD	5/9/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115062	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
280282	Fee-for-Service	1619439262	1619439262	1	1	NG, SAMUEL MD	2/6/2024	207RR0500X	NA	Other	026	PHYSICIANS	177975	83	Rheumatology	0	In state provider	None	13851 E 14TH ST	STE 102A	SAN LEANDRO	CA	94578	2630	01	06001	37.71458918	-122.1418781	Alameda County
280309	Fee-for-Service	1629398227	1629398227	1	1	NATIONAL HOME HEALTH	12/9/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES-WEST INC	2305 CAMINO RAMON	STE 217	SAN RAMON	CA	94583	1316	07	06013	37.77544224	-121.9657563	Contra Costa County
280315	Fee-for-Service	1598858144	1598858144	1	1	NETTLETON, ERIN E LMFT	11/15/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	36239	-	NOT APPLICABLE	0	In state provider	None	14140 BEACH BLVD	STE 120, 155, 200	WESTMINSTER	CA	92683	4453	30	06059	33.756966	-117.9894915	Orange County
280321	Fee-for-Service	1669549663	1669549663	1	1	NEY, BRYAN R MD	8/6/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	41543	41	Internal Medicine	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
280370	Fee-for-Service	1013930908	1013930908	1	1	NAKAMURA, GLENN E MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	65764	05	Anesthesiology	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
280549	Fee-for-Service	1740600345	1740600345	1	1	NAWROCKI, ALLEN MD	2/8/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	170257	None	None	0	In state provider	None	1600 ESPLANADE	SUITE C	CHICO	CA	95926	3369	04	06007	39.74352822	-121.8495394	Butte County
280562	Fee-for-Service	1508083270	1508083270	1	1	NEWTON, CATHERINE M MD	8/28/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94687	40	Pediatrics	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
280577	Fee-for-Service	1649499443	1649499443	1	1	NELSON, RICHARD S DO	10/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	02	General Surgery	1	Border provider	None	537 SW UNION ST	None	GRANTS PASS	OR	97527	5543	00	None	42.42237366	-123.3423317	Josephine County
280583	Fee-for-Service	1245306794	1245306794	1	1	NGUYEN, TRUNG HOAI MD	10/31/1984	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	37299	08	Family Practice	0	In state provider	None	280 N JACKSON AVE	STE D	SAN JOSE	CA	95116	1607	43	06085	37.36481704	-121.8495691	Santa Clara County
280624	Fee-for-Service	1912133364	1912133364	2	2	NEW LIGHT MEDICAL GROUP INC	9/15/2015	302R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	760 S WASHBURN AVE	SUITE 21	CORONA	CA	92882	3303	33	06065	33.87374611	-117.567875	Riverside County
280653	Fee-for-Service	1760971071	1760971071	1	1	NAIME, BAYAN Z OD INC	7/6/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12568 VALLEY VIEW ST	None	GARDEN GROVE	CA	92845	2006	30	06059	33.78049752	-118.0307808	Orange County
280720	Fee-for-Service	1962584698	1962584698	1	1	NG, DAVID S OD	8/1/1976	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1755 WILLOW PASS RD	None	CONCORD	CA	94520	2613	07	06013	37.97385737	-122.0400137	Contra Costa County
280743	Fee-for-Service	1306163001	1306163001	1	1	NGUYEN, MARIA T MD	11/27/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119374	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
280744	Fee-for-Service	1194973529	1194973529	1	1	NINO, TANYA S MD	7/21/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110129	07	Dermatology	0	In state provider	None	7000 BOULDER AVENUE	None	HIGHLAND	CA	92346	5635	36	06071	34.12632952	-117.1956652	San Bernardino County
280753	Fee-for-Service	1245211762	1245211762	1	1	NGUYEN, HUNG T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	48074	05	Anesthesiology	0	In state provider	None	14571 MAGNOLIA ST	STE 107	WESTMINSTER	CA	92683	5575	30	06059	33.75097286	-117.9723502	Orange County
280765	Fee-for-Service	1225578321	1225578321	1	1	NORTH BAY PROSTHETICS AND OR	5/13/2021	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	RTHOTICS	151 N SUNRISE AVE	STE 1203	ROSEVILLE	CA	95661	2932	31	06061	38.74746043	-121.2655348	Placer County
280807	Fee-for-Service	1083047195	1083047195	1	1	NICHELLE, KIA LMFT	2/14/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	24910 WASHINGTON AVE	301	MURRIETA	CA	92562	9283	33	06065	33.55228335	-117.2126509	Riverside County
280873	Fee-for-Service	1326152497	1326152497	1	1	NOWLING, TARA L LMFT	3/25/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2829 WATT AVENUE	None	SACRAMENTO	CA	95821	6237	34	06067	38.615247	-121.383558	Sacramento County
280954	Fee-for-Service	1578641239	1578641239	1	1	NOGUCHI,GEARY MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70001	None	None	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
280966	Fee-for-Service	1144204231	1144204231	1	1	NGUYEN, SON C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76999	30	Radiology	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
280985	Fee-for-Service	1114347333	1114347333	1	1	NAM, KEEBAN C MD	12/9/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	140587	36	Psychiatry	0	In state provider	None	31872 COAST HWY	None	LAGUNA BEACH	CA	92651	6773	30	06059	33.49961197	-117.7420867	Orange County
281002	Fee-for-Service	1083336531	1083336531	1	1	NEW LIFE PHARMACY SERVICES I	11/28/2022	183500000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	520 N BROOKHURST ST	STE 118	ANAHEIM	CA	92801	5232	30	06059	33.838974	-117.959013	Orange County
281016	Fee-for-Service	1386792182	1386792182	1	1	NACHENBERG, ANDREA MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	31824	36	Psychiatry	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
281023	Fee-for-Service	1396249702	1396249702	1	1	NGUYEN, BAO SEAN H MD	6/18/2022	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	165846	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
281053	Fee-for-Service	1821371188	1821371188	1	1	NANG, AEIN K MD	6/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118027	41	Internal Medicine	0	In state provider	None	901 NEVIN AVENUE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
281100	Fee-for-Service	1982668430	1982668430	1	1	NEEKI, MICHAEL M MD	11/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9117	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
281128	Fee-for-Service	1447200126	1447200126	1	2	NEPHROLOGY ASSOCIATES MEDICA	10/30/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	None	36955 COOK ST	STE 102	PALM DESERT	CA	92211	6084	33	06065	33.77893112	-116.355881	Riverside County
281241	Fee-for-Service	1679599161	1679599161	1	1	NORTHERN ASSET MANAGEM	10/23/2006	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ANDERSON PHYSICAL THERAP	2835 CHILDRESS DR	None	ANDERSON	CA	96007	3563	45	06089	40.45498247	-122.2907255	Shasta County
281260	Fee-for-Service	1528054640	1528054640	1	1	NANDURI, PADMA MD	1/30/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	73131	18	Ophthalmology	0	In state provider	None	9834 GENESEE AVE	STE 406	LA JOLLA	CA	92037	1216	37	06073	32.884074	-117.225855	San Diego County
281278	Fee-for-Service	1912089442	1912089442	1	1	NGUYEN, NIKKI L OD	2/8/2015	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1509 N MAIN STREET	SUITE J	SANTA ANA	CA	92701	7418	30	06059	33.75824797	-117.8675575	Orange County
281341	Fee-for-Service	1518606433	1518606433	1	1	NORTH VALLEY SURGERY CENTER	7/11/2023	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	1720 BRUCE RD	None	CHICO	CA	95928	7942	04	06007	39.73479993	-121.7876245	Butte County
281342	Fee-for-Service	1447200126	1447200126	1	2	NEPHROLOGY ASSOCIATES MEDICA	10/30/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	36955 COOK ST	STE 102	PALM DESERT	CA	92211	6084	33	06065	33.77893112	-116.355881	Riverside County
281351	Fee-for-Service	1760837447	1760837447	2	1	NIKU, ADAM MD	11/12/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	155770	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1941 JOHNSON AVE	STE 101	SAN LUIS OBISPO	CA	93401	4154	40	06079	35.27804785	-120.649711	San Luis Obispo County
281354	Fee-for-Service	1437404647	1437404647	1	1	NONIYEVA, YULIANA PHD	11/3/2017	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92109	9001	37	06073	32.7537975	-117.1658298	San Diego County
281432	Fee-for-Service	1699107698	1699107698	1	1	NEHA AMIN	3/3/2022	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3950 AUSTELL RD	None	AUSTELL	GA	30106	1121	00	None	33.857235	-84.605022	Cobb County
281475	Fee-for-Service	1528054640	1528054640	1	1	NANDURI, PADMA MD	1/30/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	73131	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9834 GENESEE AVE	STE 406	LA JOLLA	CA	92037	1216	37	06073	32.884074	-117.225855	San Diego County
281502	Fee-for-Service	1235585944	1235585944	1	1	NATIONAL MENTOR HEALTHCARE	2/1/2017	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	LLC	824 18TH STREET	None	BAKERSFIELD	CA	93301	4824	15	06029	35.3752647	-119.011562	Kern County
281518	Fee-for-Service	1972709418	1972709418	1	1	NASIR ZAREEN	2/14/2022	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1001 SCHNEIDER DR	None	MALVERN	AR	72104	4811	00	None	34.358751	-92.785941	Hot Spring County
281530	Fee-for-Service	1558755793	1558755793	1	1	NOORVASH, DAVID MD	9/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	154194	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2975 SYCAMORE DRIVE	None	SIMI VALLEY	CA	93065	1201	56	06111	34.28924598	-118.7439214	Ventura County
281607	Fee-for-Service	1477675858	1477675858	1	1	NGUYEN, PAUL T DC	3/12/2018	111NR0400X	NA	Other	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	10301 BOLSA AVE STE 103	None	WESTMINSTER	CA	92683	6784	30	06059	33.74508782	-117.9495976	Orange County
281628	Fee-for-Service	1083157606	1083157606	1	1	NEGRETE, CHRISTOPHER G NP	12/13/2016	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4929 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91403	1702	19	06037	34.1602022	-118.4487313	Los Angeles County
281633	Fee-for-Service	1467434001	1467434001	1	1	NISHIOKA, LUCAS I MD	10/23/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	51191	30	Radiology	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
281655	Fee-for-Service	1811285422	1811285422	1	1	NGUYEN, SON T MD	10/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129440	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
281737	Fee-for-Service	1760666168	1760666168	1	1	NGUYEN, HENRY T MD	9/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	89457	02	General Surgery	0	In state provider	None	11370 ANDERSON STREET	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
281876	Fee-for-Service	1942466149	1942466149	1	1	NAM, NA-YON MD	9/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116435	05	Anesthesiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
281879	Fee-for-Service	1578883997	1578883997	1	1	NAJI, FIRAS MD	11/20/2021	207R00000X	NA	Other	026	PHYSICIANS	18478	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
281885	Fee-for-Service	1255726949	1255726949	1	1	NISHTALA, ARVIND MD	6/28/2021	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	146594	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	1821	38	06075	37.7634502	-122.4579779	San Francisco County
281893	Fee-for-Service	1396924205	1396924205	1	1	NEWMAN, JEFFREY L MD PC	4/8/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	43808	08	Family Practice	0	In state provider	None	204 S SANTA FE AVE	None	VISTA	CA	92084	6002	37	06073	33.20046605	-117.2425987	San Diego County
281938	Fee-for-Service	1578066890	1578066890	1	1	NEXUS LEGACY INC	10/29/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	640 S SUNSET AVENUE	STE 202	WEST COVINA	CA	91790	2808	19	06037	34.06977627	-117.9371391	Los Angeles County
281943	Fee-for-Service	1013598911	1013598911	1	1	NWOSU, NWAMAKA CNP	3/31/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2505 SANTA MONICA BLVD	None	SANTA MONICA	CA	90404	2011	19	06037	34.03287856	-118.4748782	Los Angeles County
281953	Fee-for-Service	1952394561	1952394561	1	1	NGUYEN, NHUNG CAM	5/27/1988	183500000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9014 BOLSA AVE	None	WESTMINSTER	CA	92683	5531	30	06059	33.7446957	-117.9714835	Orange County
281954	Fee-for-Service	1770191330	1770191330	1	1	NEW HOPE HOSPICE CARE	10/24/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	12444 VICTORY BLVD	408	NORTH HOLLYWOOD	CA	91606	3199	19	06037	34.18663951	-118.4043555	Los Angeles County
282063	Fee-for-Service	1023837671	1023837671	1	1	NISPEROS, NATALIE R PT	1/8/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
282094	Fee-for-Service	1063465656	1063465656	1	1	NOHARA, ALISON M MD	3/10/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	63314	30	Radiology	0	In state provider	None	20103 LAKE CHABOT RD	STE 103	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
282096	Fee-for-Service	1194803965	1194803965	1	1	NGUYEN, MYNGOC T MD	4/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	50040	03	Allergy	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
282124	Fee-for-Service	1821662545	1821662545	1	1	NIBBANA HEALTHCARE INC	1/3/2022	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	4805 CENTENNIAL PLAZA WA	200	BAKERSFIELD	CA	93312	1905	15	06029	35.40329695	-119.0934977	Kern County
282127	Fee-for-Service	1720205768	1720205768	1	1	NGUYEN, ANH V MD	11/26/2007	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	96730	40	Pediatrics	0	In state provider	None	3250 SEPULVEDA BLVD	None	TORRANCE	CA	90505	2719	19	06037	33.82491629	-118.3437278	Los Angeles County
282145	Fee-for-Service	1578066890	1578066890	1	1	NEXUS LEGACY INC	10/29/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	640 S SUNSET AVENUE	STE 202	WEST COVINA	CA	91790	2808	19	06037	34.06977627	-117.9371391	Los Angeles County
282161	Fee-for-Service	1770191330	1770191330	1	1	NEW HOPE HOSPICE CARE	10/24/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	12444 VICTORY BLVD	408	NORTH HOLLYWOOD	CA	91606	3199	19	06037	34.18663951	-118.4043555	Los Angeles County
282219	Fee-for-Service	1922373638	1922373638	3	1	NAKSHATRA RX SERVICES INC	9/2/2021	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	407 EAST GILBERT ST	4	SAN BERNARDINO	CA	92404	5325	36	06071	34.12675051	-117.2758095	San Bernardino County
282221	Fee-for-Service	1295246288	1295246288	1	1	NEWTON, PRISCILLA A LMFT	10/1/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	30851 MARILYN DR	None	LAGUNA BEACH	CA	92651	8129	30	06059	33.51495795	-117.7540532	Orange County
282234	Fee-for-Service	1619190071	1619190071	1	3	NEVADA JOINT UNION HSD	10/6/2011	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	140 PARK AVENUE	None	GRASS VALLEY	CA	95945	7202	29	06057	39.21112101	-121.0635998	Nevada County
282244	Fee-for-Service	1467877233	1467877233	1	1	NING, YANGCHUN	4/15/2024	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1351 HARRISON ST	None	SAN FRANCISCO	CA	94103	4334	38	06075	37.77196189	-122.4107316	San Francisco County
282250	Fee-for-Service	1467458166	1467458166	1	1	NIAZI, FAY FERESHTEH D OD	1/31/1989	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	21297 FOOTHILL BLVD	SUITE 101	HAYWARD	CA	94541	1554	01	06001	37.68517105	-122.0923896	Alameda County
282276	Fee-for-Service	1851766208	1851766208	1	1	NELSON, MARISSA LMFT	7/5/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1500 PALMA DR FL 2	None	VENTURA	CA	93003	6451	56	06111	34.25975064	-119.2276657	Ventura County
282302	Fee-for-Service	1437180395	1437180395	1	1	NGUYEN, TAN VAN MD INC	4/30/1995	261QP2300X	NA	Other	026	PHYSICIANS	53027	01	General Practice	0	In state provider	None	9646 E GARVEY AVE	SUITE 101	SOUTH EL MONTE	CA	91733	4600	19	06037	34.0626837	-118.0584064	Los Angeles County
282315	Fee-for-Service	1801114418	1801114418	1	1	NASIRI, ZARGHOONA MD	3/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132941	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7601 STONERIDGE DRIVE	None	PLEASANTON	CA	94588	4501	01	06001	37.69013379	-121.9265243	Alameda County
282325	Fee-for-Service	1821036526	1821036526	1	1	NAZARIAN, NAHID MD	11/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	34340	30	Radiology	0	In state provider	None	4316 E SLAUSON AVE	None	MAYWOOD	CA	90270	2838	19	06037	33.98746055	-118.1892788	Los Angeles County
282345	Fee-for-Service	1073533519	1073533519	1	1	NEPOMUCENO-PEREZ, MIA MD	5/1/1998	207ZP0105X	NA	Other	026	PHYSICIANS	65593	None	None	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
282534	Fee-for-Service	1477521342	1477521342	1	1	NAGAPPALA, BASAVARAJ MD	8/25/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91561	05	Anesthesiology	0	In state provider	None	1100 BUTTE ST	None	REDDING	CA	96001	0852	45	06089	40.5853603	-122.3869865	Shasta County
282638	Fee-for-Service	1649283961	1649283961	1	1	NGUYEN, SOPHIE T CA	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	ADVANCED ACUPUNCTURE	1148 E HOLT AVE	None	POMONA	CA	91767	5827	19	06037	34.06287974	-117.7275052	Los Angeles County
282750	Fee-for-Service	1174843916	1174843916	1	1	NAND, PRIYASHEELTA MD	5/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119122	41	Internal Medicine	0	In state provider	None	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
282793	Fee-for-Service	1437461209	1437461209	1	1	NAYAK, LINA MD	6/23/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118028	30	Radiology	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
282904	Fee-for-Service	1588198204	1588198204	1	1	NGUYEN, SONNY T MD	9/20/2022	207RN0300X	NA	Nephrology	026	PHYSICIANS	158782	None	None	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
282918	Fee-for-Service	1700248879	1700248879	1	1	NGUYEN, HAIVY T	9/3/2024	207R00000X	NA	Other	026	PHYSICIANS	168119	41	Internal Medicine	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
282929	Fee-for-Service	1922082189	1922082189	1	1	NEWMAN, JEFFREY L MD	5/31/1989	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	43808	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5550 UNIVERSITY AVE	None	SAN DIEGO	CA	92105	2307	37	06073	32.74809744	-117.0773303	San Diego County
282953	Fee-for-Service	1205824067	1205824067	1	1	NISAM, MERRILL R MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	45217	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
282985	Fee-for-Service	1881023034	1881023034	1	1	NGUYEN, TUAN N MD	11/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119783	None	None	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
282986	Fee-for-Service	1376780247	1376780247	1	1	NASEEM, TARIQ M MD	4/1/2021	207LC0200X	NA	Other	026	PHYSICIANS	131662	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
283006	Fee-for-Service	1114216462	1114216462	1	1	NARSINH, KAZIM H MD	7/9/2019	2085R0204X	NA	Other	026	PHYSICIANS	122716	30	Radiology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
283050	Fee-for-Service	1992156962	1992156962	1	1	NNACHETAM, FIDELIA NP	4/1/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
283086	Fee-for-Service	1316075617	1316075617	1	1	NETZER, APRIL LMFT	9/15/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10460 SAN PABLO AVE	None	EL CERRITO	CA	94530	2829	07	06013	37.90881637	-122.3067327	Contra Costa County
283148	Fee-for-Service	1831141985	1831141985	1	1	NAIME, EDDY Z OD	5/4/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4545 E 3RD ST	STE 105	LOS ANGELES	CA	90022	1656	19	06037	34.03343353	-118.167849	Los Angeles County
283152	Fee-for-Service	1679673404	1679673404	1	1	NORD, AMY C	12/1/2005	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9280 W STOCKTON BLVD	STE 116	ELK GROVE	CA	95758	8073	34	06067	38.420235	-121.394961	Sacramento County
283214	Fee-for-Service	1144281163	1144281163	1	1	NIEBERG, KENNETH MD INC	6/30/1984	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	6245 DE LONGPRE AVE	None	LOS ANGELES	CA	90028	8253	19	06037	34.0962065	-118.325178	Los Angeles County
283249	Fee-for-Service	1184782583	1184782583	1	1	NEIGHBORHOOD MEDICAL	5/27/2019	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	CLINIC OF RIVERSIDE INC	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
283253	Fee-for-Service	1861648214	1861648214	1	1	NGUYEN, DAVIS B MD	8/21/2008	207YS0123X	NA	ENT/Otolaryngology	026	PHYSICIANS	84628	24	Plastic Surgery	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
283271	Fee-for-Service	1962623462	1962623462	1	1	NGUYEN, LOC T MD	2/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133981	41	Internal Medicine	0	In state provider	None	2458 HILBORN RD	None	FAIRFIELD	CA	94534	1072	48	06095	38.27537655	-122.0521998	Solano County
283312	Fee-for-Service	1518165059	1518165059	1	1	NGUYEN, JOHN C MD	7/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116554	22	Pathology (M.D. only)	0	In state provider	None	7592 METROPOLITAN WAY	STE 405	SAN DIEGO	CA	92108	4428	37	06073	32.77772014	-117.1575637	San Diego County
283337	Fee-for-Service	1528401155	1528401155	1	1	NOORYANI, KAMBIZ MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138311	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
283375	Fee-for-Service	1871554147	1871554147	1	1	NAYAK, SURESH R MD INC	7/19/2008	261Q00000X	NA	Other	026	PHYSICIANS	33868	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 JOSE FIGUERES AVE	STE 305	SAN JOSE	CA	95116	1592	43	06085	37.36122014	-121.8505998	Santa Clara County
283403	Fee-for-Service	1972527455	1972527455	1	1	NAIDUS, RICHARD M MD	12/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	25944	66	Emergency Medicine (Urgent Care)	0	In state provider	None	600 MARINE BLVD	None	MOSS BEACH	CA	94038	9641	41	06081	37.52703039	-122.5075216	San Mateo County
283426	Fee-for-Service	1376152645	1376152645	1	1	NAVIN DIALYSIS LLC	6/17/2021	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	4314 E JENSEN AVE	None	FRESNO	CA	93725	2105	10	06019	36.7061501	-119.7531426	Fresno County
283439	Fee-for-Service	1184782583	1184782583	1	1	NEIGHBORHOOD MEDICAL	9/12/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CLINIC OF RIVERSIDE INC	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
283440	Fee-for-Service	1861648214	1861648214	1	1	NGUYEN, DAVIS B MD	8/21/2008	207YS0123X	NA	ENT/Otolaryngology	026	PHYSICIANS	84628	04	Otology, Laryngology, Rhinology	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
283479	Fee-for-Service	1720069891	1720069891	1	6	NORTHERN CALIFORNIA RADIATIO	8/19/2021	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	N THERAPISTS & ONCOLOGIS	450 STANYAN STREET	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
283499	Fee-for-Service	1780766568	1780766568	1	1	NRM HOLDINGS LTD	11/21/2006	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MANCHESTER PROFESSIONAL	600 W MANCHESTER AVE	None	LOS ANGELES	CA	90044	5700	19	06037	33.96003353	-118.2845745	Los Angeles County
283523	Fee-for-Service	1447395181	1447395181	1	1	NUHIC, ZVJEZDAN MD	7/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98099	36	Psychiatry	0	In state provider	None	450 FOURTH AVE	#215	CHULA VISTA	CA	91910	4428	37	06073	32.63513513	-117.0820663	San Diego County
283628	Fee-for-Service	1184782583	1184782583	1	1	NEIGHBORHOOD MEDICAL	11/4/2018	No Taxonomy Provided	NA	None	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	CLINIC OF RIVERSIDE INC	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
283633	Fee-for-Service	1427793439	1427793439	1	1	NUNEZ-SALAZAR, RAQUEL NP	11/6/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
283634	Fee-for-Service	1982625430	1982625430	1	1	NGUYEN, ROGER L MD	3/16/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	68125	03	Allergy	0	In state provider	None	9746 WESTMINSTER AVE	STE A	GARDEN GROVE	CA	92844	2984	30	06059	33.75949073	-117.9590728	Orange County
283696	Fee-for-Service	1417948449	1417948449	1	1	NGUYEN, QUANG N OD	7/1/2002	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4405 VANDEVER AVE	None	SAN DIEGO	CA	92120	3315	37	06073	32.78765609	-117.09908	San Diego County
283810	Fee-for-Service	1184782583	1184782583	1	1	NEIGHBORHOOD MEDICAL	11/4/2018	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	CLINIC OF RIVERSIDE INC	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
283816	Fee-for-Service	1982625430	1982625430	1	1	NGUYEN, ROGER L MD	3/16/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	68125	41	Internal Medicine	0	In state provider	None	9746 WESTMINSTER AVE	STE A	GARDEN GROVE	CA	92844	2984	30	06059	33.75949073	-117.9590728	Orange County
283820	Fee-for-Service	1760534713	1760534713	1	12	NORTHBAY HEALTHCARE GROUP	5/15/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1305 STRATFORD AVE	None	DIXON	CA	95620	2024	48	06095	38.45801155	-121.839444	Solano County
283876	Fee-for-Service	1689976946	1689976946	1	1	NELSON, LANCE A	1/27/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2438 N PONDEROSA DR	STE C110	CAMARILLO	CA	93010	2374	56	06111	34.24219545	-119.0227012	Ventura County
283879	Fee-for-Service	1962864223	1962864223	1	1	NGUYEN, MAI-HUONG	6/7/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
283888	Fee-for-Service	1558416784	1558416784	1	1	NAPA COUNTY HEALTH AND HUMAN	2/3/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	2344 OLD SONOMA RD	BLDGS A, B, C, F, J	NAPA	CA	94559	3708	28	06055	38.2878005	-122.298057	Napa County
283969	Fee-for-Service	1538332176	1538332176	1	1	NYLAND, DEANNE M MD	7/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123960	None	None	0	In state provider	None	6555 COYLE AVE	None	CARMICHAEL	CA	95608	0302	34	06067	38.66859	-121.3118055	Sacramento County
283992	Fee-for-Service	1184782583	1184782583	1	1	NEIGHBORHOOD MEDICAL	5/8/2019	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	CLINIC OF RIVERSIDE INC	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
283993	Fee-for-Service	1043779366	1043779366	1	1	NAYAK, KRISHA MD	8/2/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
283995	Fee-for-Service	1760534713	1760534713	1	12	NORTHBAY HEALTHCARE GROUP	5/15/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1305 STRATFORD AVE	None	DIXON	CA	95620	2024	48	06095	38.45801155	-121.839444	Solano County
284056	Fee-for-Service	1053452680	1053452680	1	1	NEUENDORFF, HAROLD T OT	9/24/2018	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1901 W LUGONIA AVE	SUITE 240	REDLANDS	CA	92374	9703	36	06071	34.07027851	-117.218421	San Bernardino County
284061	Fee-for-Service	1063640290	1063640290	1	1	NGUYEN, ANGELICA T MD	5/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116346	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
284136	Fee-for-Service	1255347894	1255347894	1	1	NORTH COUNTY HEALTH PROJECT	4/4/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INC	2210 MESA DR	STE 300	OCEANSIDE	CA	92069	3756	37	06073	33.20786753	-117.3579677	San Diego County
284177	Fee-for-Service	1821596974	1821596974	1	1	NAYAK, PADMA NP	12/17/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7300 N FRESNO	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
284236	Fee-for-Service	1235203555	1235203555	1	1	NGUYEN, KHOA V MD	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73945	41	Internal Medicine	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
284285	Fee-for-Service	1134289879	1134289879	1	1	NA, STEVE C MD	12/26/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96838	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
284311	Fee-for-Service	1255347894	1255347894	1	1	NORTH COUNTY HEALTH PROJECT	6/3/1996	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INC	2210 MESA DR	STE 300	OCEANSIDE	CA	92069	3756	37	06073	33.20786753	-117.3579677	San Diego County
284327	Fee-for-Service	1306907134	1306907134	2	1	NTN PHARMACY INC	2/7/2008	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	FINLEY'S REXALL DRUG	8554 SIERRA AVE	None	FONTANA	CA	92335	3840	36	06071	34.09833734	-117.4358293	San Bernardino County
284357	Fee-for-Service	1689863516	1689863516	1	1	NATIVE AMERICAN HEALTH	5/30/1992	207R00000X	NA	Other	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	2950 INTERNATIONAL BLVD	None	OAKLAND	CA	94601	2228	01	06001	37.77893032	-122.2284286	Alameda County
284366	Fee-for-Service	1558416784	1558416784	1	2	NAPA COUNTY HEALTH AND HUMAN	12/15/2017	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	OHOL AND DRUG SERVICES	2751 NAPA VALLEY CORPORA	BLDG A, SUITES A201, A20	NAPA	CA	94558	6216	28	06055	38.24829023	-122.2745626	Napa County
284367	Fee-for-Service	1477537264	1477537264	1	1	NOWICKI, STEPHEN T MD	12/4/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78949	40	Pediatrics	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
284411	Fee-for-Service	1770539355	1770539355	1	1	NEMROW, BARRY M DPM	11/30/1983	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1223 GRANT AVE	STE D	NOVATO	CA	94945	3157	21	06041	38.1081764	-122.5735135	Marin County
284414	Fee-for-Service	1164469243	1164469243	1	1	NORTHERN UTAH HEALTHCARE	5/10/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	COLUMBIA ST MARKS HOSP	1200 E 3900 S	None	SALT LAKE CTY	UT	84124	1300	00	None	40.68703142	-111.857243	Salt Lake County
284425	Fee-for-Service	1548720915	1548720915	1	1	NAZERY, DONYA DO	11/15/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	20630	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
284433	Fee-for-Service	1801158498	1801158498	1	1	NUEVO DIALYSIS LLC	4/4/2013	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	25332 CABOT ROAD	None	LAGUNA HILLS	CA	92653	5521	30	06059	33.59425142	-117.6751885	Orange County
284482	Fee-for-Service	1356438568	1356438568	1	1	NARAYANAN, KRISHNASWAMY	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67018	02	General Surgery	0	In state provider	MD, A PROFESSIONAL CORP	641 S SANTA ANITA AVE	None	SAN MARINO	CA	91108	1419	19	06037	34.134993	-118.098809	Los Angeles County
284483	Fee-for-Service	1255347894	1255347894	1	1	NORTH COUNTY HEALTH PROJECT	6/3/1996	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INC	2210 MESA DR	STE 300	OCEANSIDE	CA	92069	3756	37	06073	33.20786753	-117.3579677	San Diego County
284527	Fee-for-Service	1689863516	1689863516	1	1	NATIVE AMERICAN HEALTH	3/10/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	2950 INTERNATIONAL BLVD	None	OAKLAND	CA	94601	2228	01	06001	37.77893032	-122.2284286	Alameda County
284580	Fee-for-Service	1134385685	1134385685	1	1	NGUYEN, TRUCLINH T DO	8/29/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	10470	41	Internal Medicine	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
284585	Fee-for-Service	1164469243	1164469243	1	1	NORTHERN UTAH HEALTHCARE	3/1/2003	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	COLUMBIA ST MARKS HOSP	1200 E 3900 S	None	SALT LAKE CTY	UT	84124	1300	00	None	40.68703142	-111.857243	Salt Lake County
284676	Fee-for-Service	1669644951	1669644951	1	1	NGUYEN, TUAN A MD	10/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129624	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	399 E HIGHLAND AVE	STE 110	SAN BERNARDINO	CA	92404	3842	36	06071	34.1358627	-117.2757898	San Bernardino County
284700	Fee-for-Service	1912121146	1912121146	1	1	NAJAND, HARES MD	6/1/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111275	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4897	49	06097	38.443806	-122.701374	Sonoma County
284701	Fee-for-Service	1689863516	1689863516	1	1	NATIVE AMERICAN HEALTH	5/30/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	2950 INTERNATIONAL BLVD	None	OAKLAND	CA	94601	2228	01	06001	37.77893032	-122.2284286	Alameda County
284707	Fee-for-Service	1407094188	1407094188	1	1	NAGI, JASDEEPA MD	9/30/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126208	41	Internal Medicine	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
284711	Fee-for-Service	1265434286	1265434286	1	1	NYGARD, SCOTT R OD	1/1/1979	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7325 GREENBACK LN	None	CITRUS HEIGHTS	CA	95621	5530	34	06067	38.680416	-121.292442	Sacramento County
284712	Fee-for-Service	1578029500	1578029500	1	1	NOBLE, EMMA	5/15/2019	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	2201 BROADWAY	STE M2	OAKLAND	CA	94612	3048	01	06001	37.81102599	-122.267067	Alameda County
284735	Fee-for-Service	1609080720	1609080720	1	1	NANCY GUNDERSEN	8/9/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5121 S COTTONWOOD ST	None	MURRAY	UT	84107	5701	00	None	40.659588	-111.891798	Salt Lake County
284736	Fee-for-Service	1427120252	1427120252	1	1	NGUYEN, DOAN-TRANG T MD	12/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	63836	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
284737	Fee-for-Service	1952418378	1952418378	1	4	NORTH BAY EYE ASSOCIATES A	7/29/1996	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	MEDICAL GROUP INC	1310 PRENTICE DR	STE F	HEALDSBURG	CA	95448	5004	49	06097	38.626578	-122.8666945	Sonoma County
284738	Fee-for-Service	1508857533	1508857533	1	1	NGUYEN, AI D OD	10/17/2003	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	968 W VALLEY PKWY	None	ESCONDIDO	CA	92025	2554	37	06073	33.11750926	-117.0956386	San Diego County
284754	Fee-for-Service	1992102990	1992102990	1	1	NGUYEN, KHAI MD	2/25/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	151492	None	None	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
284870	Fee-for-Service	1407094188	1407094188	1	1	NAGI, JASDEEPA MD	9/30/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126208	78	Neoplastic Diseases/Oncology	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
284875	Fee-for-Service	1558771576	1558771576	1	1	NICHOLSON, LUKE T MD	10/6/2019	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	131976	20	Orthopedic Surgery	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
284902	Fee-for-Service	1427169937	1427169937	1	1	NAPA VALLEY PLASTIC	9/5/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	24	Plastic Surgery	0	In state provider	SURGERY INC AMC	1175 TRANCAS ST	None	NAPA	CA	94558	2907	28	06055	38.32285311	-122.2995636	Napa County
284903	Fee-for-Service	1952418378	1952418378	1	4	NORTH BAY EYE ASSOCIATES A	7/29/1996	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	MEDICAL GROUP INC	1310 PRENTICE DR	STE F	HEALDSBURG	CA	95448	5004	49	06097	38.626578	-122.8666945	Sonoma County
284957	Fee-for-Service	1104836956	1104836956	1	1	NEWPORT MESA MEDICAL GROUP	5/7/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	INC	275 VICTORIA ST	STE #1E	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
284995	Fee-for-Service	1568570547	1568570547	1	1	NICHOLS, MICHAEL L DO	5/7/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	6470	08	Family Practice	0	In state provider	None	1201 ALHAMBRA BLVD	STE 300	SACRAMENTO	CA	95816	5241	34	06067	38.570076	-121.4657145	Sacramento County
285030	Fee-for-Service	1831478122	1831478122	1	1	NAFISI, ARASH MD	2/10/2022	207R00000X	NA	Other	026	PHYSICIANS	126134	None	None	0	In state provider	None	27235 TOURNEY	2500	VALENCIA	CA	91355	5908	19	06037	34.41755702	-118.5772646	Los Angeles County
285038	Fee-for-Service	1407094188	1407094188	1	1	NAGI, JASDEEPA MD	9/30/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126208	68	Hematology	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
285067	Fee-for-Service	1184729857	1184729857	1	1	NELSON, LORRAINE K MD	8/23/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	39689	08	Family Practice	0	In state provider	None	830 W OLIVE AVE	STE C	MERCED	CA	95348	2420	24	06047	37.31914899	-120.4828231	Merced County
285157	Fee-for-Service	1568570547	1568570547	1	1	NICHOLS, MICHAEL L DO	5/7/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	6470	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	1201 ALHAMBRA BLVD	STE 300	SACRAMENTO	CA	95816	5241	34	06067	38.570076	-121.4657145	Sacramento County
285203	Fee-for-Service	1205087087	1205087087	1	1	NOUREDDIN, MAZEN MD	1/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	101301	41	Internal Medicine	0	In state provider	None	301 S FAIR OAKS AVE	None	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
285212	Fee-for-Service	1861526469	1861526469	1	1	NIEBUR, DEWAYNE E MD	8/15/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	7600 OLD DOMINION CT	None	APTOS	CA	95003	3821	44	06087	36.97913818	-121.9099818	Santa Cruz County
285218	Fee-for-Service	1780756502	1780756502	1	1	NGO, TIMOTHY T MD	9/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	79892	01	General Practice	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
285236	Fee-for-Service	1174883052	1174883052	1	1	NAVARRO, SHANNON M MD	7/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	126458	30	Radiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
285254	Fee-for-Service	1003259870	1003259870	1	1	NASSIRY, AKBAR M MD	9/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125091	01	General Practice	0	In state provider	None	24451 HEALTH CENTER DR	None	LAGUNA HILLS	CA	92653	3689	30	06059	33.60848903	-117.7079742	Orange County
285257	Fee-for-Service	1336104264	1336104264	1	1	NGUYEN, LAN-HUONG T MD	11/23/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	36628	08	Family Practice	0	In state provider	None	10402 WESTMINSTER AVE	STE 100	GARDEN GROVE	CA	92843	4862	30	06059	33.75951204	-117.9478527	Orange County
285270	Fee-for-Service	1992199343	1992199343	1	1	NGUYEN, HUONG Q MD	5/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145864	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
285287	Fee-for-Service	1336619022	1336619022	1	1	NGUYEN, DENNIS H PT	2/7/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	26700 TOWNE CENTER DRIVE	SUITE 110	FOOTHILL RANCH	CA	92610	2844	30	06059	33.67455886	-117.6639195	Orange County
285294	Fee-for-Service	1881959500	1881959500	1	1	NGUYEN, MICHELLE DINH MD A	10/29/2013	207L00000X	NA	Other	026	PHYSICIANS	119712	05	Anesthesiology	0	In state provider	MEDICAL CORPORATION	2701 S BRISTOL ST	None	SANTA ANA	CA	92704	6201	30	06059	33.71114199	-117.8853958	Orange County
285297	Fee-for-Service	1710203211	1710203211	1	1	NAMVAR, DAMON DPM	8/4/2010	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	500 UNIVERSITY AVE	#100	SACRAMENTO	CA	95825	6804	34	06067	38.568402	-121.418019	Sacramento County
285300	Fee-for-Service	1003321050	1003321050	1	1	NGUYEN, SAMANTHA LMFT	6/14/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
285368	Fee-for-Service	1205087087	1205087087	1	1	NOUREDDIN, MAZEN MD	1/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	101301	10	Gastroenterology (M.D. only)	0	In state provider	None	301 S FAIR OAKS AVE	None	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
285422	Fee-for-Service	1508347097	1508347097	1	1	NGUYEN, HOANGOANH ANNA PSYD	10/20/2023	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	345 ROEDER CT	None	SAN JOSE	CA	95111	4057	43	06085	37.26716028	-121.8093137	Santa Clara County
285627	Fee-for-Service	1396312708	1396312708	1	1	NEJATMAHMOODALILOO, PARVIN	1/2/2025	208M00000X	NA	Other	026	PHYSICIANS	187965	41	Internal Medicine	0	In state provider	MD	975 S FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
285641	Fee-for-Service	1811966492	1811966492	1	1	NGUYEN, HUU N DO	9/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	9220	41	Internal Medicine	0	In state provider	None	350 HAWTHORNE AVE	STE 2320	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
285655	Fee-for-Service	1093771222	1093771222	1	1	NORTHRIDGE EMERGENCY MED	2/28/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	GROUP	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
285682	Fee-for-Service	1255960548	1255960548	1	1	NGUYEN, TUYEN MD	10/10/2024	207L00000X	NA	Other	026	PHYSICIANS	188490	05	Anesthesiology	0	In state provider	None	815 POLLARD RD	None	LOS GATOS	CA	95032	1438	43	06085	37.26214754	-121.9701986	Santa Clara County
285691	Fee-for-Service	1780729392	1780729392	1	1	NIC USA, INC	1/9/1998	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HAPPY VALLEY ICF/DD-H #4	4160 PHOENIX ST	None	CONCORD	CA	94521	1808	07	06013	37.96956853	-121.991473	Contra Costa County
285697	Fee-for-Service	1477583334	1477583334	1	1	NEW MEDICAL HORIZONS II	9/6/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	LTD	10655 STEEPLETOP DR	None	HOUSTON	TX	77065	4222	00	None	29.927088	-95.58856699	Harris County
285726	Fee-for-Service	1043252059	1043252059	1	1	NORMAN, JOYCE MD	2/28/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	39637	01	General Practice	0	In state provider	None	2975 SYCAMORE DR	None	SIMI VALLEY	CA	93065	1201	56	06111	34.28924598	-118.7439214	Ventura County
285740	Fee-for-Service	1720069891	1720069891	1	5	NORTHERN CALIFORNIA RADIATIO	8/19/2021	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	N THERAPISTS & ONCOLOGIS	1900 SULLIVAN AVE	None	DALY CITY	CA	94015	2200	41	06081	37.67984327	-122.4730264	San Mateo County
285787	Fee-for-Service	1932757960	1932757960	1	1	NAVIA, MONICA S PT	10/2/2019	208100000X	NA	Physical Medicine and Rehabilitation	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1350 BURTON DRIVE	STE 260	VACAVILLE	CA	95687	3545	48	06095	38.36416107	-121.9552032	Solano County
285835	Fee-for-Service	1720182868	1720182868	1	1	NUNEZ, JOSEPH A MD	12/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71015	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1430 E MAIN ST	STE 201	SANTA MARIA	CA	93454	4832	42	06083	34.9528467	-120.4127301	Santa Barbara County
285851	Fee-for-Service	1477583334	1477583334	1	1	NEW MEDICAL HORIZONS II	3/7/2008	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	LTD	10655 STEEPLETOP DR	None	HOUSTON	TX	77065	4222	00	None	29.927088	-95.58856699	Harris County
285856	Fee-for-Service	1417035171	1417035171	1	1	NGUYEN, HEINVU C DPM	9/14/2010	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
285882	Fee-for-Service	1043252059	1043252059	1	1	NORMAN, JOYCE MD	2/28/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	39637	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2975 SYCAMORE DR	None	SIMI VALLEY	CA	93065	1201	56	06111	34.28924598	-118.7439214	Ventura County
285974	Fee-for-Service	1760534713	1760534713	1	1	NORTHBAY HEALTHCARE GROUP	9/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1000 NUT TREE RD	None	VACAVILLE	CA	95687	4100	48	06095	38.35581953	-121.9530257	Solano County
285987	Fee-for-Service	1427125384	1427125384	1	1	NGUYEN, MINH X MD	11/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	52136	01	General Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
285988	Fee-for-Service	1720182868	1720182868	1	1	NUNEZ, JOSEPH A MD	12/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71015	40	Pediatrics	0	In state provider	None	1430 E MAIN ST	STE 201	SANTA MARIA	CA	93454	4832	42	06083	34.9528467	-120.4127301	Santa Barbara County
285995	Fee-for-Service	1700967460	1700967460	1	1	NORTH LAKE PEDIATRICS	11/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	MEDICAL GROUP	10956 DONNER PASS RD	STE 130	TRUCKEE	CA	96161	4860	29	06057	39.32625521	-120.2012059	Nevada County
286017	Fee-for-Service	1407378953	1407378953	1	1	NGUYEN, ALEX DO	10/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16065	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
286028	Fee-for-Service	1205090057	1205090057	1	1	NIKAC, VIOLETA MD	7/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	151695	30	Radiology	0	In state provider	None	1509 WILSON TERRACE	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
286031	Fee-for-Service	1184386187	1184386187	1	2	NELSON AUDIOLOGY, INC.	2/26/2024	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2674 E MAIN S	SUITE I	VENTURA	CA	93003	2820	56	06111	34.27388698	-119.2602437	Ventura County
286033	Fee-for-Service	1053846485	1053846485	1	1	NGUYEN, MICHAEL H MD	8/7/2023	207RH0003X	NA	Oncology	026	PHYSICIANS	160141	None	None	0	In state provider	None	23600 TELO AVE	260	TORRANCE	CA	90505	0000	19	06037	33.81215054	-118.3384029	Los Angeles County
286043	Fee-for-Service	1689794422	1689794422	1	1	NEW MORNING YOUTH AND FAMILY	1/28/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	6765 GREEN VALLEY ROAD	None	PLACERVILLE	CA	95667	8984	09	06017	38.72039732	-120.8664353	El Dorado County
286126	Fee-for-Service	1760534713	1760534713	1	1	NORTHBAY HEALTHCARE GROUP	7/5/2022	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1000 NUT TREE RD	None	VACAVILLE	CA	95687	4100	48	06095	38.35581953	-121.9530257	Solano County
286141	Fee-for-Service	1427125384	1427125384	1	1	NGUYEN, MINH X MD	11/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	52136	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
286199	Fee-for-Service	1770500266	1770500266	1	1	NITTI, GARY MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	49747	05	Anesthesiology	0	In state provider	None	11999 SAN VICENTE BLVD	STE 440	LOS ANGELES	CA	90049	5042	19	06037	34.05233327	-118.4727195	Los Angeles County
286225	Fee-for-Service	1609040450	1609040450	1	1	NIHO, HENRY K MD	3/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78576	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	#365,420,120	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
286279	Fee-for-Service	1760534713	1760534713	1	1	NORTHBAY HEALTHCARE GROUP	3/25/2020	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1000 NUT TREE RD	None	VACAVILLE	CA	95687	4100	48	06095	38.35581953	-121.9530257	Solano County
286322	Fee-for-Service	1063506756	1063506756	1	1	NEWMAN, STEPHEN R MD	12/21/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	48074	01	General Practice	0	In state provider	None	1000 NUT TREE RD	None	VACAVILLE	CA	95687	4100	48	06095	38.35581953	-121.9530257	Solano County
286390	Fee-for-Service	1720222847	1720222847	1	1	NIKRAVESH, ROSE DO	4/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	12932	36	Psychiatry	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
286430	Fee-for-Service	1346307089	1346307089	1	1	NATIONAL SCHOOL DIST	4/25/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1500 N AVE	None	NATIONAL CITY	CA	91950	4827	37	06073	32.67371656	-117.0902726	San Diego County
286440	Fee-for-Service	1609817717	1609817717	1	1	NICHOLS, WESLEY S MD	3/30/1989	174400000X	NA	Other	026	PHYSICIANS	24783	22	Pathology (M.D. only)	0	In state provider	None	200 NORTH ROBERTSON	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
286459	Fee-for-Service	1871528224	1871528224	1	1	NGHIA N. VO. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4500 SAND POINT WAY NE	STE 100	SEATTLE	WA	98105	3954	00	None	47.66165594	-122.2864502	King County
286470	Fee-for-Service	1063506756	1063506756	1	1	NEWMAN, STEPHEN R MD	12/21/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	48074	08	Family Practice	0	In state provider	None	1000 NUT TREE RD	None	VACAVILLE	CA	95687	4100	48	06095	38.35581953	-121.9530257	Solano County
286520	Fee-for-Service	1275824757	1275824757	1	1	NAHM, LAURA S MD	10/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	122270	25	Physical Medicine and Rehabilitation	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
286533	Fee-for-Service	1790019917	1790019917	1	1	NGUYEN, SUMMER H MD	12/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116683	08	Family Practice	0	In state provider	None	11420 WARNER AVENUE	None	FOUNTAIN VALLEY	CA	92708	2529	30	06059	33.71633952	-117.929061	Orange County
286535	Fee-for-Service	1992264188	1992264188	1	1	NIRSCHL, JEFFERY J MD	6/26/2023	207ZP0101X	NA	Other	026	PHYSICIANS	181217	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
286576	Fee-for-Service	1093933939	1093933939	1	1	NOBEL CARE MEDICAL GROUP INC	6/21/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7033	01	General Practice	0	In state provider	SAN FERNANDO MED CTR	501 N MACLAY AVE	None	SAN FERNANDO	CA	91340	2424	19	06037	34.28782178	-118.4351701	Los Angeles County
286602	Fee-for-Service	1235348855	1235348855	1	1	NEWASKAR, MANISHA MD	12/3/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	85391	None	None	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
286674	Fee-for-Service	1508423708	1508423708	1	1	NOLAN, HANNAH R NP	7/17/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
286706	Fee-for-Service	1841583390	1841583390	1	1	NAEL AMZAJERDI, ALI MD	6/8/2018	207ZP0102X	NA	Other	026	PHYSICIANS	131562	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
286719	Fee-for-Service	1093933939	1093933939	1	1	NOBEL CARE MEDICAL GROUP INC	6/21/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7033	08	Family Practice	0	In state provider	SAN FERNANDO MED CTR	501 N MACLAY AVE	None	SAN FERNANDO	CA	91340	2424	19	06037	34.28782178	-118.4351701	Los Angeles County
286774	Fee-for-Service	1992725741	1992725741	1	1	NOWRANGI, PUSHPA MD	6/8/1995	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	51802	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	# 3600	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
286791	Fee-for-Service	1447376785	1447376785	1	1	NGUYEN, VANANH T MD	11/30/2018	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	75772	30	Radiology	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
286932	Fee-for-Service	1982043279	1982043279	1	1	NGUYEN, HONG-NGAN T MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139882	01	General Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
287023	Fee-for-Service	1386086908	1386086908	1	1	NASTASI, MELISSA M PT	5/17/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
287027	Fee-for-Service	1366147936	1366147936	1	1	NEW HORIZONS CCA	6/21/2023	No Taxonomy Provided	NA	None	093	CARE COORDINATOR AGENCIES (CCA)	-	-	NOT APPLICABLE	0	In state provider	None	6060 SUNRISE VISTA DR	STE 3200	CITRUS HEIGHTS	CA	95610	7058	34	06067	38.676861	-121.263903	Sacramento County
287159	Fee-for-Service	1942291729	1942291729	1	1	NAHAB, FATTA B MD	8/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	75964	36	Psychiatry	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
287189	Fee-for-Service	1003331323	1003331323	1	1	NIESS, ELISABETH M CNM	4/5/2018	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
287193	Fee-for-Service	1023060845	1023060845	1	1	NICHOLSON, LAURA J MD	8/22/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	84107	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
287198	Fee-for-Service	1629136544	1629136544	1	1	NAMATALLA, GALAL S MD	4/17/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	66970	40	Pediatrics	0	In state provider	MARIAM MEDICAL CENTER	5985 FLORENCE AVE	STE N	BELL GARDENS	CA	90201	6754	19	06037	33.96721965	-118.1580537	Los Angeles County
287199	Fee-for-Service	1295952968	1295952968	1	2	NGUYEN, LAURA OD INC	8/3/2007	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	10191 MAGNOLIA AVE	STE B	RIVERSIDE	CA	92503	3444	33	06065	33.9133215	-117.4591636	Riverside County
287253	Fee-for-Service	1568400380	1568400380	1	1	NGHIEM, CRAIG C MD	5/1/1999	207L00000X	NA	Other	026	PHYSICIANS	68503	05	Anesthesiology	0	In state provider	None	27700 MEDICAL CENTER RD	None	MISSION VIEJO	CA	92691	6426	30	06059	33.56008604	-117.6657795	Orange County
287258	Fee-for-Service	1972758787	1972758787	1	1	NUTHALAPATY, SAM S MD	10/24/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	118421	41	Internal Medicine	0	In state provider	None	16850 BEAR VALLEY RD	None	VICTORVILLE	CA	92395	5795	36	06071	34.47092468	-117.2977236	San Bernardino County
287296	Fee-for-Service	1942291729	1942291729	1	1	NAHAB, FATTA B MD	8/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	75964	13	Neurology (M.D. only)	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
287314	Fee-for-Service	1891788527	1891788527	1	1	NATH, PRAVENE MD	1/13/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	53476	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
287315	Fee-for-Service	1861459216	1861459216	1	1	NAGATA, FRED H DPM	1/1/1979	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1191 E HERNDON AVE	STE 101	FRESNO	CA	93720	3164	10	06019	36.83718778	-119.7682864	Fresno County
287316	Fee-for-Service	1487186672	1487186672	1	1	NGUYEN, JOHNKIM MD INC	5/22/2017	207L00000X	NA	Other	026	PHYSICIANS	106896	05	Anesthesiology	0	In state provider	None	4650 LINCOLN BLVD	None	MARINA DEL REY	CA	90292	6306	19	06037	33.98160766	-118.4400667	Los Angeles County
287361	Fee-for-Service	1922169101	1922169101	1	1	NORMAN, MARC A	3/27/2000	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
287364	Fee-for-Service	1003871724	1003871724	1	1	NGUYEN, TUNG T MD	12/31/1992	207R00000X	NA	Other	026	PHYSICIANS	75840	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
287404	Fee-for-Service	1205206364	1205206364	1	1	NARANJO, JAIME A LCSW	1/25/2023	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
287449	Fee-for-Service	1740222892	1740222892	1	1	NICHOLAS J WHITE M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	601 CHILDRENS LANE	None	NORFOLK	VA	23507	0000	00	None	36.8619664	-76.30130371	Norfolk city
287560	Fee-for-Service	1235202797	1235202797	1	1	NAIDU, MAYA C MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	69734	36	Psychiatry	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
287585	Fee-for-Service	1578926622	1578926622	1	1	NGUYEN, TUYET A MD	2/21/2018	390200000X	NA	Other	026	PHYSICIANS	151316	07	Dermatology	0	In state provider	None	4733 SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
287617	Fee-for-Service	1730137431	1730137431	1	1	NORTHCOAST ANESTHESIA	10/31/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
287646	Fee-for-Service	1134135155	1134135155	1	1	NISSANOFF, JONATHAN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	82348	20	Orthopedic Surgery	0	In state provider	SAN DIEGO ADV ORTHO MED	15525 POMERADO RD	STE E6	POWAY	CA	92064	2427	37	06073	32.99479918	-117.0579468	San Diego County
287651	Fee-for-Service	1669976627	1669976627	1	1	NAKASHIMA, BRANDON J MD	9/6/2022	208600000X	NA	General Surgery	026	PHYSICIANS	166645	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
287663	Fee-for-Service	1811987936	1811987936	1	1	NADERI, SASSAN MD	4/24/2024	207PE0004X	NA	Other	026	PHYSICIANS	84332	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1900 SULLIVAN AVE	None	DALY CITY	CA	94015	2200	41	06081	37.67984327	-122.4730264	San Mateo County
287679	Fee-for-Service	1326079997	1326079997	1	1	NGUYEN, HAI H MD	1/31/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	34468	08	Family Practice	0	In state provider	None	210 N JACKSON AVE	STE 20	SAN JOSE	CA	95116	1621	43	06085	37.36328001	-121.848119	Santa Clara County
287764	Fee-for-Service	1710156450	1710156450	1	1	NEWTON, REBECCA MICHELLE PT	4/16/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	7737 MEANY AVE	B5-7	BAKERSFIELD	CA	93308	5266	15	06029	35.39423549	-119.0882835	Kern County
287773	Fee-for-Service	1538393608	1538393608	1	1	NGUYEN, ANTHONY S DPM	10/11/2016	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	349 E BULLARD AVE	SUITE 105	FRESNO	CA	93710	5298	10	06019	36.82285854	-119.7825885	Fresno County
287786	Fee-for-Service	1437117447	1437117447	1	1	NATALI, VINCENT G MD	7/3/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	33343	08	Family Practice	0	In state provider	None	130 BRENTWOOD DR	None	CHESTER	CA	96020	9030	32	06063	40.30535806	-121.2340359	Plumas County
287837	Fee-for-Service	1669471363	1669471363	1	1	NEUMANN, PACITA B MD	7/25/1983	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	40240	01	General Practice	0	In state provider	None	12225 SOUTH ST	STE 102	ARTESIA	CA	90701	7046	19	06037	33.85857051	-118.0713645	Los Angeles County
287860	Fee-for-Service	1538542287	1538542287	1	1	NGO, DIEM L MD	3/15/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151194	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
287904	Fee-for-Service	1962454181	1962454181	1	1	NITCH, STEPHEN R PHD	10/31/2006	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	11374 MOUNTAIN VIEW AVE	STE A	LOMA LINDA	CA	92354	3830	36	06071	34.0465275	-117.2436991	San Bernardino County
287907	Fee-for-Service	1538136460	1538136460	1	1	NISHITANI, BEVERLY A MD	11/1/1995	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	417 N EUCLID AVE	None	ONTARIO	CA	91762	3427	36	06071	34.067583	-117.6513885	San Bernardino County
287908	Fee-for-Service	1336244094	1336244094	1	1	NG, LIONEL P MD	2/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	28806	40	Pediatrics	0	In state provider	None	2329 E HUNTINGTON DR	None	DUARTE	CA	91010	2102	19	06037	34.1398743	-117.9544393	Los Angeles County
287909	Fee-for-Service	1790103182	1790103182	1	1	NGUYEN, HUY C	11/3/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4201 W CHAPMAN AVE	None	ORANGE	CA	92868	1505	30	06059	33.78900343	-117.8985235	Orange County
287919	Fee-for-Service	1386848166	1386848166	1	1	NASSIR, BASSAM K MD	2/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	101888	41	Internal Medicine	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
287973	Fee-for-Service	1649533274	1649533274	1	1	NOPPEN, SARAH N DO	6/22/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	18175	15	Obstetrics (D.O. only)	0	In state provider	None	19341 BEAR VALLEY RD	STE 105	APPLE VALLEY	CA	92308	5152	36	06071	34.47101125	-117.2412548	San Bernardino County
288032	Fee-for-Service	1245402684	1245402684	1	1	NATIONAL HEALTH SVS	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	WASCO MEDICAL CENTER	2101 7TH ST	BLDG A-F	WASCO	CA	93280	1502	15	06029	35.59426049	-119.3498955	Kern County
288057	Fee-for-Service	1700949344	1700949344	1	1	NICOLAISEN, RACHAEL W	4/20/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
288092	Fee-for-Service	1619291929	1619291929	1	1	NAMVARGOLIAN, YASER MD	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115498	40	Pediatrics	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
288098	Fee-for-Service	1649533274	1649533274	1	1	NOPPEN, SARAH N DO	6/22/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	18175	09	Gynecology (D.O. only)	0	In state provider	None	19341 BEAR VALLEY RD	STE 105	APPLE VALLEY	CA	92308	5152	36	06071	34.47101125	-117.2412548	San Bernardino County
288208	Fee-for-Service	1902939663	1902939663	1	1	NATALIE BEKETOVA	5/24/2012	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	5906 ETIWANDA AVE	UNIT # 18	TARZANA	CA	91356	1600	19	06037	34.17771332	-118.5307829	Los Angeles County
288244	Fee-for-Service	1477136117	1477136117	1	1	NEW SAHAR COUNSELING SERVICE	8/22/2023	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	S	473 EAST CARNEGIE DRIVE	SUITE 200	SAN BERNARDINO	CA	92408	4201	36	06071	34.0683677	-117.2746246	San Bernardino County
288295	Fee-for-Service	1750561056	1750561056	1	1	NAIK, HALEY B MD	10/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	138472	07	Dermatology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
288317	Fee-for-Service	1902148265	1902148265	1	2	NASSOIY, SEAN P DO	6/15/2022	208600000X	NA	General Surgery	026	PHYSICIANS	18245	None	None	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
288348	Fee-for-Service	1861053159	1861053159	1	1	NGUYEN, AIMEE L MD	7/14/2023	207R00000X	NA	Other	026	PHYSICIANS	185790	None	None	0	In state provider	None	27235 TOURNEY	2500	VALENCIA	CA	91355	5908	19	06037	34.41755702	-118.5772646	Los Angeles County
288353	Fee-for-Service	1114577533	1114577533	1	1	NEAT SERVICES LLC	9/9/2019	347E00000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	27700 AVENIDA BELLEZA	None	CATHEDRAL CITY	CA	92234	5519	33	06065	33.846624	-116.477482	Riverside County
288389	Fee-for-Service	1336671635	1336671635	1	1	NGUYEN, LINDA MD	5/27/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	176043	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
288411	Fee-for-Service	1518999010	1518999010	1	1	NEUROLOGY CLINIC OF MARIN, A	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	45	Nephrology (Renal-Kidney)	0	In state provider	MEDICAL CORPORATION	50 RED HILL AVE	None	SAN ANSELMO	CA	94960	2424	21	06041	37.97663553	-122.5520104	Marin County
288429	Fee-for-Service	1295484178	1295484178	1	1	NGUYEN, TIFFANY MD	10/31/2024	2085B0100X	NA	MRI Provider	026	PHYSICIANS	189150	30	Radiology	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
288525	Fee-for-Service	1518999010	1518999010	1	1	NEUROLOGY CLINIC OF MARIN, A	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	MEDICAL CORPORATION	50 RED HILL AVE	None	SAN ANSELMO	CA	94960	2424	21	06041	37.97663553	-122.5520104	Marin County
288531	Fee-for-Service	1386925634	1386925634	1	1	NADA, ARWA A MD	7/3/2024	2080P0210X	NA	Nephrology	026	PHYSICIANS	None	45	Nephrology (Renal-Kidney)	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
288544	Fee-for-Service	1215020490	1215020490	1	1	NGUYEN, DIEM DOAN OD	9/19/2009	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	LITTLE SAIGON OPT INC	9567 BOLSA AVE	None	WESTMINSTER	CA	92683	5904	30	06059	33.74500952	-117.9617175	Orange County
288560	Fee-for-Service	1144288762	1144288762	1	1	NOURIN, AFSANEH A MD	12/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	64870	41	Internal Medicine	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
288580	Fee-for-Service	1104309780	1104309780	1	1	NAFF, SARAH M LMFT	3/5/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3555 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
288646	Fee-for-Service	1386925634	1386925634	1	1	NADA, ARWA A MD	7/3/2024	2080P0210X	NA	Nephrology	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
288733	Fee-for-Service	1760560577	1760560577	1	1	NELSON, BRETT S MD	2/28/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	66765	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
288746	Fee-for-Service	1558421883	1558421883	1	1	NGUYEN, ANTHONY H MD	4/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	68674	24	Plastic Surgery	0	In state provider	None	260 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
288787	Fee-for-Service	1396017232	1396017232	1	1	NAVARRO, ANTHONY LMFT	9/4/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	43112 15TH ST W	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
288810	Fee-for-Service	1184386187	1184386187	1	1	NELSON AUDIOLOGY, INC.	6/12/2023	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1320 MARICOPA HWY	STE B	OJAI	CA	93023	3154	56	06111	34.44248874	-119.2654707	Ventura County
288822	Fee-for-Service	1841402591	1841402591	1	1	NOURSE, RANDALL LEE MD	11/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	38165	41	Internal Medicine	0	In state provider	None	9850 GENESEE AVE	STE 780	LA JOLLA	CA	92037	1232	37	06073	32.882913	-117.226341	San Diego County
288860	Fee-for-Service	1043775604	1043775604	1	1	NIELSEN, VERNON C CRNA	2/26/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2823 FRESNO STREET	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
288895	Fee-for-Service	1437628401	1437628401	1	1	NAKAMURA, ELIZABETH T PT	6/26/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
288896	Fee-for-Service	1801068648	1801068648	1	1	NOLL, EARLYN C MD	9/1/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113815	07	Dermatology	0	In state provider	None	3301 C ST	None	SACRAMENTO	CA	95816	3300	34	06067	38.579877	-121.456143	Sacramento County
288914	Fee-for-Service	1376705707	1376705707	1	1	NARAYAN, HARI K MD	11/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144821	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
288927	Fee-for-Service	1841402591	1841402591	1	1	NOURSE, RANDALL LEE MD	11/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	38165	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	9850 GENESEE AVE	STE 780	LA JOLLA	CA	92037	1232	37	06073	32.882913	-117.226341	San Diego County
288994	Fee-for-Service	1801425467	1801425467	1	1	NOCES, ANTHONY MD	10/3/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	185723	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
289019	Fee-for-Service	1376705707	1376705707	1	1	NARAYAN, HARI K MD	11/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144821	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
289020	Fee-for-Service	1659505402	1659505402	1	1	NONSURGICAL MEDICAL GROUP	6/26/2013	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	INC	3801 S HARBOR BLVD	SUITE B	SANTA ANA	CA	92704	7901	30	06059	33.69677395	-117.9193475	Orange County
289072	Fee-for-Service	1811905599	1811905599	1	1	NAVARAN, PRASHANTH S MD	9/30/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	67976	02	General Surgery	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
289120	Fee-for-Service	1164959185	1164959185	1	1	NGUYEN, TUAN D MD	5/23/2022	207R00000X	NA	Other	026	PHYSICIANS	18461	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
289124	Fee-for-Service	1659505402	1659505402	1	1	NONSURGICAL MEDICAL GROUP	7/29/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	INC	3801 S HARBOR BLVD	SUITE B	SANTA ANA	CA	92704	7901	30	06059	33.69677395	-117.9193475	Orange County
289175	Fee-for-Service	1386390862	1386390862	1	1	NEELY, MARY J LCSW	3/12/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2001 SANTA MONICA	370W, 380W, 860W, 1070	SANTA MONICA	CA	90404	2102	19	06037	34.02891163	-118.4797466	Los Angeles County
289191	Fee-for-Service	1962158758	1962158758	1	1	NEW CARE	7/24/2022	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12384 PALMDALE RD	105	VICTORVILLE	CA	92392	8506	36	06071	34.50675814	-117.3929237	San Bernardino County
289257	Fee-for-Service	1053928606	1053928606	1	1	NOR CAL TRAUMA HEALING CENTE	11/25/2020	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	R	6 GODELLO CT	None	SACRAMENTO	CA	95833	4400	34	06067	38.627496	-121.528413	Sacramento County
289284	Fee-for-Service	1427835438	1427835438	1	1	NICOLE C. RECORD DO, A MEDIC	3/14/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	AL CORPORATION	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
289313	Fee-for-Service	1982467890	1982467890	1	1	NIETO-ANDREWS, ALEXIS	4/8/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	41421 DATE STREET	101	MURRIETA	CA	92562	7079	33	06065	33.53012372	-117.174507	Riverside County
289350	Fee-for-Service	1780078071	1780078071	1	1	NA, BRIAN MD	3/8/2021	2080P0207X	NA	Hematology	026	PHYSICIANS	154739	None	None	0	In state provider	None	200 MEDICAL PLAZA	265	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
289353	Fee-for-Service	1124176060	1124176060	1	1	NEAL, MICHELLE NP	10/31/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
289370	Fee-for-Service	1720037799	1720037799	1	1	NORTH VISTA HOSP INC	4/29/2004	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1409 E LAKE MEAD BLVD	None	N LAS VEGAS	NV	89030	7120	00	None	36.19579448	-115.1228925	Clark County
289380	Fee-for-Service	1346611514	1346611514	1	1	NIP, ANGEL S MD	9/10/2021	2080P0205X	NA	Endocrinology	026	PHYSICIANS	154500	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
289435	Fee-for-Service	1346635919	1346635919	1	1	NAUGHTON, ASHLEY S MD	8/5/2019	207R00000X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
289459	Fee-for-Service	1720037799	1720037799	1	1	NORTH VISTA HOSP INC	4/29/2004	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1409 E LAKE MEAD BLVD	None	N LAS VEGAS	NV	89030	7120	00	None	36.19579448	-115.1228925	Clark County
289486	Fee-for-Service	1033475041	1033475041	1	1	NUNEZ GUTIERREZ, RAFAEL MD	12/31/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	122273	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
289593	Fee-for-Service	1922123561	1922123561	1	2	NGUYEN, THAO P OD	5/21/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	ENTER	14322 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4608	30	06059	33.753825	-117.954801	Orange County
289612	Fee-for-Service	1891478954	1891478954	1	1	NURSING INFUSION CENTERS OF	8/23/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	AMERICA A PROFESSIONAL N	4254 GREEN RIVER RD	None	CORONA	CA	92878	3869	33	06065	33.87912141	-117.6478946	Riverside County
289620	Fee-for-Service	1225264401	1225264401	1	1	NATER, RANDY L LCSW	7/24/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7365 CARNELIAN ST	STE 202	RANCHO CUCAMONGA	CA	91730	1100	36	06071	34.12038413	-117.6160525	San Bernardino County
289647	Fee-for-Service	1659505402	1659505402	1	2	NONSURGICAL MEDICAL GROUP, I	12/26/2018	207XX0005X	NA	Orthopedic Surgery	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	NC.	3801 S HARBOR BLVD	SUITE B	SANTA ANA	CA	92704	7901	30	06059	33.69677395	-117.9193475	Orange County
289660	Fee-for-Service	1952355224	1952355224	1	1	NEWMAN, DEBRA J MD	1/9/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	51819	05	Anesthesiology	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
289710	Fee-for-Service	1225010135	1225010135	1	1	NGUYEN, CHAU MD	2/28/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	79548	41	Internal Medicine	0	In state provider	None	28125 BRADLEY RD	None	SUN CITY	CA	92586	2248	33	06065	33.71309746	-117.1898349	Riverside County
289720	Fee-for-Service	1841377173	1841377173	1	1	NICKLES, GEORGE B MD	10/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1600 MEDICAL PARKWAY	None	CARSON CITY	NV	89703	4625	00	None	39.202263	-119.7841095	Consolidated Municipality of Carson City
289756	Fee-for-Service	1518109438	1518109438	1	1	NIEDBALEC, ERICA C MD	9/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120217	41	Internal Medicine	0	In state provider	None	3000 Q STREET	None	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
289761	Fee-for-Service	1447200126	1447200126	1	3	NEPHROLOGY ASSOCIATES MEDICA	5/1/1996	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP, INC.	1011 E DEVONSHIRE AVE	STE 201	HEMET	CA	92543	3033	33	06065	33.75118151	-116.9615025	Riverside County
289776	Fee-for-Service	1568129104	1568129104	1	1	NGUYEN, MICHELLE PT	7/11/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1251 E DYER RD	SUITE 150	SANTA ANA	CA	92705	5662	30	06059	33.70870351	-117.8551005	Orange County
289856	Fee-for-Service	1386962421	1386962421	1	1	NGUYEN, KHOA D MD	1/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111239	41	Internal Medicine	0	In state provider	None	3687 MT DIABLO BLVD	#200	LAFAYETTE	CA	94549	3746	07	06013	37.8898926	-122.1304235	Contra Costa County
289912	Fee-for-Service	1265052849	1265052849	1	1	NORDSTROM, MEAGAN MD	5/22/2024	207R00000X	NA	Other	026	PHYSICIANS	186735	41	Internal Medicine	0	In state provider	None	2170 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	7026	09	06017	38.91229842	-119.9978133	El Dorado County
290047	Fee-for-Service	1447200126	1447200126	1	1	NEPHROLOGY ASSOCIATES MEDICA	5/1/1996	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	MEDICAL GROUP, INC.	3660 PARK SIERRA DR	208	RIVERSIDE	CA	92501	1768	33	06065	33.90330693	-117.4707039	Riverside County
290049	Fee-for-Service	1144533118	1144533118	1	1	NORTH BAY PROSTHETICS AND	8/17/2017	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	ORTHOTICS LLC	3273 CLAREMONT WAY	STE 101	NAPA	CA	94558	3328	28	06055	38.32062499	-122.3012501	Napa County
290054	Fee-for-Service	1821484403	1821484403	1	1	NGUYEN, HEAJUNG MD	8/25/2023	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	149005	None	None	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
290064	Fee-for-Service	1952600850	1952600850	1	1	NGUYEN, JOSEPH	6/10/2013	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	11005	02	General Surgery	0	In state provider	None	14571 MAGNOLIA ST	STE 105	WESTMINSTER	CA	92683	5575	30	06059	33.75097286	-117.9723502	Orange County
290107	Fee-for-Service	1447200126	1447200126	1	1	NEPHROLOGY ASSOCIATES MEDICA	5/1/1996	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MEDICAL GROUP, INC.	3660 PARK SIERRA DR	208	RIVERSIDE	CA	92501	1768	33	06065	33.90330693	-117.4707039	Riverside County
290283	Fee-for-Service	1386064269	1386064269	1	1	NGUYEN CHEW, JENNIFER MD	9/2/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	153945	None	None	0	In state provider	None	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	29	06057	39.33573744	-120.180872	Nevada County
290304	Fee-for-Service	1326077496	1326077496	1	1	NANAVATI, SUJAL M MD	6/26/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81399	30	Radiology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
290376	Fee-for-Service	1669916532	1669916532	1	1	NIKOWITZ, MELANIE LCSW	2/2/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
290377	Fee-for-Service	1962577981	1962577981	1	1	NATIONAL STAND UP IMAGING	8/12/2013	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	LLC	5757 WILSHIRE BLVD	P8	LOS ANGELES	CA	90036	5810	19	06037	34.0624504	-118.3534253	Los Angeles County
290400	Fee-for-Service	1851698096	1851698096	1	1	NORMAN, GIOVANDA D PHD	8/15/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	SOLUTIONS	7211 JOSHUA LANE	3	YUCCA VALLEY	CA	92284	6469	36	06071	34.12221862	-116.4139946	San Bernardino County
290522	Fee-for-Service	1508023706	1508023706	1	1	NGHIEM-EILBECK, HUONG G MD M	9/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	108734	None	None	0	In state provider	None	200 MEDICAL PLAZA	STE 430	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
290554	Fee-for-Service	1013579507	1013579507	1	1	NARAYAN, KENNETH C CRNA	3/25/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	15630 18TH AVE	None	CLEARLAKE	CA	95422	9336	17	06033	38.93612361	-122.6201499	Lake County
290653	Fee-for-Service	1104088103	1104088103	1	1	NAVARRO, IRIS MAY V MD	1/17/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	100332	08	Family Practice	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
290798	Fee-for-Service	1548457187	1548457187	1	1	NAHED, MOHAMMAD R MD INC	4/30/1979	207R00000X	NA	Other	026	PHYSICIANS	33769	29	Pulmonary Diseases (M.D. only)	0	In state provider	M REZA NAHED MD INC	11550 INDIAN HILLS RD	STE 301	MISSION HILLS	CA	91345	1203	19	06037	34.28024575	-118.4588775	Los Angeles County
290820	Fee-for-Service	1831288406	1831288406	1	1	NGUYEN, RYAN Q DO	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	7395	None	None	0	In state provider	None	7215 55TH ST	None	SACRAMENTO	CA	95823	2601	34	06067	38.495196	-121.440681	Sacramento County
290824	Fee-for-Service	1548457187	1548457187	1	1	NAHED, MOHAMMAD R MD INC	4/30/1979	207R00000X	NA	Other	026	PHYSICIANS	33769	41	Internal Medicine	0	In state provider	M REZA NAHED MD INC	11550 INDIAN HILLS RD	STE 301	MISSION HILLS	CA	91345	1203	19	06037	34.28024575	-118.4588775	Los Angeles County
290836	Fee-for-Service	1720045230	1720045230	1	1	NORMAN L MEYER, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	877 JEFFERSON AVE	None	MEMPHIS	TN	38103	2807	00	None	35.14259562	-90.03187321	Shelby County
290863	Fee-for-Service	1003932930	1003932930	1	1	NANDIPATI, RAMA L R MD	7/13/2007	207RP1001X	NA	Pulmonology	026	PHYSICIANS	46021	29	Pulmonary Diseases (M.D. only)	0	In state provider	INC	450 E YOSEMITE AVE	STE A	MERCED	CA	95340	8429	24	06047	37.33211352	-120.4620165	Merced County
290891	Fee-for-Service	1003932930	1003932930	1	1	NANDIPATI, RAMA L R MD	7/13/2007	207RP1001X	NA	Pulmonology	026	PHYSICIANS	46021	41	Internal Medicine	0	In state provider	INC	450 E YOSEMITE AVE	STE A	MERCED	CA	95340	8429	24	06047	37.33211352	-120.4620165	Merced County
290919	Fee-for-Service	1194369520	1194369520	1	1	NASTER, JACQUELYN L CPO	4/27/2021	222Z00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1645 DONLON STREET	#102	VENTURA	CA	93003	5667	56	06111	34.25714805	-119.2376516	Ventura County
291028	Fee-for-Service	1073888657	1073888657	1	1	NIKANJAM, MINA MD	7/21/2017	207RH0003X	NA	Oncology	026	PHYSICIANS	122500	68	Hematology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
291066	Fee-for-Service	1154769743	1154769743	1	1	NIKOLAOU, CHRYSTALA CCC-SLP	7/2/2018	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	206 N JACKSON ST	SUITE 202	GLENDALE	CA	91206	4330	19	06037	34.14852285	-118.2501237	Los Angeles County
291070	Fee-for-Service	1366610263	1366610263	1	1	NASIROV, TEIMOUR MD	9/9/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	91219	02	General Surgery	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
291087	Fee-for-Service	1740299080	1740299080	1	1	NORTHERN CALIFORNIA	10/18/2010	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	ANESTHESIA ASSOCIATES	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
291090	Fee-for-Service	1265404172	1265404172	1	1	NEWBROUGH, STEPHEN B MD	6/24/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	38357	08	Family Practice	0	In state provider	None	2323 16TH ST	STE 108	BAKERSFIELD	CA	93301	3453	15	06029	35.37238027	-119.0288508	Kern County
291099	Fee-for-Service	1295952968	1295952968	1	1	NGUYEN, LAURA OD INC	5/20/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	444 S WATERMAN AVE	SUITE E & F	SAN BERNARDINO	CA	92408	1518	36	06071	34.092765	-117.2788655	San Bernardino County
291149	Fee-for-Service	1013947670	1013947670	1	1	NATHAN, MARK D MD	7/31/1987	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	35395	41	Internal Medicine	0	In state provider	None	400 EL CERRO BLVD	STE 202	DANVILLE	CA	94526	1731	07	06013	37.82888506	-122.0021827	Contra Costa County
291150	Fee-for-Service	1699530386	1699530386	1	1	NAJERA, VERONICA LMFT	3/27/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3400 DOUGLAS BLVD	STE 225	ROSEVILLE	CA	95661	4283	31	06061	38.74390969	-121.2319271	Placer County
291153	Fee-for-Service	1700959889	1700959889	1	1	NGUYEN, UYEN N MD INC	8/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76872	08	Family Practice	0	In state provider	None	18682 BEACH BLVD	STE 160	HUNTINGTON BEACH	CA	92648	2077	30	06059	33.69152695	-117.9887007	Orange County
291155	Fee-for-Service	1417987025	1417987025	1	1	NATARAJAN, UMA R MD	11/6/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92641	08	Family Practice	0	In state provider	None	27212 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63229023	-122.0896425	Alameda County
291165	Fee-for-Service	1013947670	1013947670	1	1	NATHAN, MARK D MD	7/31/1987	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	35395	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	400 EL CERRO BLVD	STE 202	DANVILLE	CA	94526	1731	07	06013	37.82888506	-122.0021827	Contra Costa County
291195	Fee-for-Service	1871509018	1871509018	1	1	NELSON, CATHERINE S MD	8/9/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	95264	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
291236	Fee-for-Service	1588894414	1588894414	1	1	NGUYEN, RITA P MD	8/16/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126135	41	Internal Medicine	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
291337	Fee-for-Service	1215227624	1215227624	1	1	NGUYEN, MIKE C DO	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12560	41	Internal Medicine	0	In state provider	None	11370 ANDERSON	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
291348	Fee-for-Service	1730961053	1730961053	1	1	NWAFOR, LILLIAN CNP	2/27/2025	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
291478	Fee-for-Service	1326449810	1326449810	1	1	NECKEL, KATELYN I	7/26/2019	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
291517	Non-Physician Medical Practitioner	None	1477630036	0	0	NGUYEN, ANNE QUYEN	1/2/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10203 WINECREEK CT	None	SAN DIEGO	CA	92127	3728	00	06000	33.00087865	-117.1188329	San Diego County
291519	Non-Physician Medical Practitioner	None	1639187362	0	0	NAGY, JOSEPH S PA	1/13/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
291527	Non-Physician Medical Practitioner	None	1861842106	0	0	NOTKIN, GARY PA	2/21/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	00	06000	34.06633051	-118.4452686	Los Angeles County
291557	Non-Physician Medical Practitioner	None	1326551219	0	0	NGUYEN, ANDY K	3/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	328 FRANKFORT ST	None	DALY CITY	CA	94014	1317	00	06000	37.70493405	-122.4486381	San Mateo County
291590	Non-Physician Medical Practitioner	None	1740485101	0	0	NIKOO, FARHAD G	7/29/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5092 CINNAMON	None	IRVINE	CA	92612	2318	00	06000	33.66376288	-117.803696	Orange County
291600	Non-Physician Medical Practitioner	None	1184802332	0	0	NEWMAN, NICOLE R PA-C	7/3/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	00	06000	33.92721419	-117.561448	Riverside County
291618	Non-Physician Medical Practitioner	None	1376915769	0	0	NEWMAN, DANA E PA-C	2/7/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	450 E ROMIE LN	None	SALINAS	CA	93901	4029	00	06000	36.65983988	-121.6458041	Monterey County
291621	Non-Physician Medical Practitioner	None	1376060319	0	0	NGUYEN, DUC T NP	7/18/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6531 GLEN DR	None	HUNTINGTON BEACH	CA	92647	3158	00	06000	33.73399237	-118.0148436	Orange County
291651	Non-Physician Medical Practitioner	None	1235612193	0	0	NYAGAYA, LINDA NP	12/6/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15615 POMERADO ROAD	None	POWAY	CA	92064	2405	00	06000	32.99706	-117.05544	San Diego County
291660	Non-Physician Medical Practitioner	None	1841408390	0	0	NULL, LAURA M	5/27/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1614 CLEAR SPRINGS DR	None	FULLERTON	CA	92831	1876	00	06000	33.88634571	-117.9202868	Orange County
291676	Non-Physician Medical Practitioner	None	1518395425	0	0	NGUYEN, VI H NP	3/20/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12351 LOUISE STREET	None	GARDEN GROVE	CA	92841	3285	00	06000	33.7831226	-117.9832436	Orange County
291727	Non-Physician Medical Practitioner	None	1215589007	0	0	NGUYENTAT, ASHLEY K PA	10/2/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
291789	Non-Physician Medical Practitioner	None	1861813057	0	0	NEWTON, ALISON K PA	4/4/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2929 HEALTH CENTER DR	None	SAN DIEGO	CA	92123	2762	00	06000	32.79692047	-117.1567137	San Diego County
291823	Non-Physician Medical Practitioner	None	1023369881	0	0	NORTH EAST MEDICAL SERVICES	12/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	00	06000	37.75415191	-122.4788414	San Francisco County
291840	Non-Physician Medical Practitioner	None	1841395985	0	0	NELSON, TRAVIS K	4/14/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2496 BENT TREE DRIVE	None	ROSEVILLE	CA	95747	5008	00	06000	38.80379537	-121.3345224	Placer County
291851	Non-Physician Medical Practitioner	None	1750753570	0	0	NGUYEN, VI T	11/21/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5256 TRIANA STREET	None	SAN DIEGO	CA	92117	3245	00	06000	32.82945748	-117.1778985	San Diego County
291895	Non-Physician Medical Practitioner	None	1801127907	0	0	NADZHAFOV, EVELINA PA	10/22/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1711 W TEMPLE STREET	STE 3695	LOS ANGELES	CA	90026	5421	00	06000	34.06891181	-118.2638033	Los Angeles County
291916	Non-Physician Medical Practitioner	None	1457949943	0	0	NGUYEN, CHRISTINA PA	9/6/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2504 SAMARITAN DRIVE	SUITE 20	SAN JOSE	CA	95124	4005	00	06000	37.25107307	-121.9492074	Santa Clara County
291925	Non-Physician Medical Practitioner	None	1336775766	0	0	NICKERSON, ASHLEY	6/26/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	06000	32.683167	-114.633459	Yuma County
291991	Non-Physician Medical Practitioner	None	1336398304	0	0	NYSTROM, LAUREN M	1/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	00	06000	37.89189148	-122.057999	Contra Costa County
292022	Non-Physician Medical Practitioner	None	1417323734	0	0	NGUYEN, VAN K NP	9/15/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1030 WOODRIDGE DR	None	VACAVILLE	CA	95687	6440	00	06000	38.34041174	-121.9518885	Solano County
292031	Non-Physician Medical Practitioner	None	1871849950	0	0	NGUYEN, TRAN N PA	6/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	280 HOSPITAL PKWAY	None	SAN JOSE	CA	95119	1103	00	06000	37.23931375	-121.8014189	Santa Clara County
292036	Non-Physician Medical Practitioner	None	1164804167	0	0	NICOLAS, LILIA D G NP	8/31/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1439 N KEYSTONE ST	None	BURBANK	CA	91506	1007	00	06000	34.185798	-118.3337495	Los Angeles County
292141	Non-Physician Medical Practitioner	None	1992580559	0	0	NGUYEN, ANNIE NP	10/5/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8330 RED OAK ST	STE 101	RANCHO CUCAMONGA	CA	91730	0602	00	06000	34.10217525	-117.5693231	San Bernardino County
292214	Non-Physician Medical Practitioner	None	1235113580	0	0	NELMS, MICHAEL J PA-C	5/11/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4244 RIVERWALK PKWY	170	RIVERSIDE	CA	92505	8509	00	06000	33.90336622	-117.49394	Riverside County
292282	Non-Physician Medical Practitioner	None	1104602457	0	0	NAVARRO, BE-VERLYN NP	1/10/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5167 CLAYTON ROAD	SUITE H	CONCORD	CA	94521	3170	00	06000	37.95557623	-121.9667432	Contra Costa County
292323	Non-Physician Medical Practitioner	None	1699713966	0	0	NIXON, ALEXIS	11/13/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6245 DE LONGPRE AVE	206	HOLLYWOOD	CA	90028	8253	00	06000	34.0962065	-118.325178	Los Angeles County
292341	Non-Physician Medical Practitioner	None	1225670318	0	0	NG, JENNIFER R NP	3/9/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19042 SOLEDAD CANYON RD	A	SANTA CLARITA	CA	91351	3362	00	06000	34.4156522	-118.46848	Los Angeles County
292374	Non-Physician Medical Practitioner	None	1548396310	0	0	NESBETH, MARCUS A	12/12/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12021 WILMINGTON AVE	None	LOS ANGELES	CA	90059	3019	00	06000	33.922863	-118.2431655	Los Angeles County
292396	Non-Physician Medical Practitioner	None	1538781372	0	0	NOVICK, JACOB A PA	12/28/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4601 DALE ROAD	None	MODESTO	CA	95356	9718	00	06000	37.706508	-121.052457	Stanislaus County
292492	Non-Physician Medical Practitioner	None	1104647205	0	0	NAZARI, ROSHANA NP	1/9/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2131 ELKS	104	SAN BERNARDINO	CA	92404	5544	00	06000	34.13470788	-117.262434	San Bernardino County
292543	Non-Physician Medical Practitioner	None	1821124462	0	0	NAVAR, MARIA D	2/19/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1670 E 120TH ST	None	LOS ANGELES	CA	90059	3026	00	06000	33.92456051	-118.2417525	Los Angeles County
292580	Non-Physician Medical Practitioner	None	1639624786	0	0	NELSON, TARAH N NP	11/7/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2460 BUHNE ST	None	EUREKA	CA	95501	3207	00	06000	40.78588193	-124.1402099	Humboldt County
292604	Non-Physician Medical Practitioner	None	1093006991	0	0	NGUYEN, THU MINH	6/3/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7955 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4001	00	06000	33.75932839	-117.9902744	Orange County
292663	Non-Physician Medical Practitioner	None	1538581491	0	0	NATTKEMPER, HEATHER A	9/7/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	3108 NORTH 25TH STREET	None	TACOMA	WA	98406	6620	00	06000	47.27007013	-122.4766469	Pierce County
292680	Non-Physician Medical Practitioner	None	1982257010	0	0	NGO, CATHERINE L NP	9/26/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14331 EUCLID STREET	SUITE 104	GARDEN GROVE	CA	92843	6509	00	06000	33.754329	-117.9376195	Orange County
292726	Non-Physician Medical Practitioner	None	1265160931	0	0	NAMKOONG, PAUL T PA	3/1/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	06000	36.132948	-115.136874	Clark County
292740	Non-Physician Medical Practitioner	None	1629791199	0	0	NGUYEN, MISHA H PA	5/9/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
292762	Non-Physician Medical Practitioner	None	1104412824	0	0	NEATON, MEGAN R PA	7/8/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3030 CHILDREN'S WAY	None	SAN DIEGO	CA	92123	4232	00	06000	32.798889	-117.150826	San Diego County
292779	Non-Physician Medical Practitioner	None	1730411455	0	0	NICHOLS, CAMERON L	5/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	4581 S STAR CANYON DR	None	GILBERT	AZ	85297	9609	00	06000	33.268311	-111.6939375	Maricopa County
292796	Non-Physician Medical Practitioner	None	1548038417	0	0	NELSON, NICOLE NP	11/21/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13365 W WASHINGTON BLVD	None	CULVER CITY	CA	90066	5134	00	06000	33.99238471	-118.4439832	Los Angeles County
292798	Non-Physician Medical Practitioner	None	1821455767	0	0	NGUYEN, JANE N PA	10/26/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8101 NEWMAN AVE	STE B	HUNTINGTON BEACH	CA	92647	7042	00	06000	33.70483151	-117.987264	Orange County
292866	Non-Physician Medical Practitioner	None	1326218421	0	0	NGUYEN, LILLIAN C	2/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2324 FLUSHING DR	None	SAN DIEGO	CA	92111	6207	00	06000	32.78567404	-117.1658126	San Diego County
292930	Non-Physician Medical Practitioner	None	1396416533	0	0	NICHOLS, SHAWN M NP	1/3/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
292962	Non-Physician Medical Practitioner	None	1669819702	0	0	NAVAL, VANESSA NP	8/15/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3816 WILD ROSE LANE	None	STOCKTON	CA	95206	6106	00	06000	37.91081345	-121.3171327	San Joaquin County
292973	Non-Physician Medical Practitioner	None	1982255071	0	0	NAZIRI, JASMAN PA	6/9/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	00	06000	34.19395645	-118.463265	Los Angeles County
292990	Non-Physician Medical Practitioner	None	1700862372	0	0	NOORT, JANICE M	4/20/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4150 V ST STE 3400	PSSB-SUITE 1200, MED: IN	SACRAMENTO	CA	95817	1460	00	06000	38.556081	-121.4570475	Sacramento County
293119	Non-Physician Medical Practitioner	None	1831843846	0	0	NARAIN, NICOLE M NP	2/6/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2395 LOMBARD ST	None	SAN FRANCISCO	CA	94123	2601	00	06000	37.79922688	-122.4406853	San Francisco County
293146	Non-Physician Medical Practitioner	None	1639252448	0	0	NGHIEM, DEAN X	9/6/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3130 S HARBOR BLVD	250	SANTA ANA	CA	92704	6824	00	06000	33.70467057	-117.919705	Orange County
293152	Non-Physician Medical Practitioner	None	1639519473	0	0	NIELSEN, TIFFANY K NP	1/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7152 BESTEL	None	WESTMINSTER	CA	92683	2204	00	06000	33.76818504	-118.0044358	Orange County
293155	Non-Physician Medical Practitioner	None	1801250139	0	0	NG, DIANA S L NP	7/5/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19800 VALLCO PKWY	UNIT 356	CUPERTINO	CA	95014	7117	00	06000	37.32555255	-122.012766	Santa Clara County
293273	Non-Physician Medical Practitioner	None	1821376492	0	0	NODAL, SONIA B PA	7/23/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	00	06000	34.21980849	-118.4301135	Los Angeles County
293323	Non-Physician Medical Practitioner	None	1578278115	0	0	NIEH, JEN-LING PA-C	1/2/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	00	06000	37.43920432	-122.162109	Santa Clara County
293361	Non-Physician Medical Practitioner	None	1578878625	0	0	NOLLEY, RICKI PA	12/5/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	00	06000	38.00771973	-122.1331484	Contra Costa County
293381	Non-Physician Medical Practitioner	None	1184656449	0	0	NGUYEN, KAYLIE KIM CHI	7/21/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	750 WELCH RD STE 116	PEDIATRIC GASTROENTEROLO	PALO ALTO	CA	94304	1508	00	06000	37.43749692	-122.175445	Santa Clara County
293388	Non-Physician Medical Practitioner	None	1750762639	0	0	NAVARRO, ARACELI	5/27/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9099 TRUMBAUER WAY	None	ELK GROVE	CA	95758	7434	00	06000	38.426778	-121.4745525	Sacramento County
293410	Non-Physician Medical Practitioner	None	1497284202	0	0	NICOLAS, MICHAEL A NP	9/23/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1010 W CHAPMAN AVE	None	ORANGE	CA	92868	2847	00	06000	33.78785047	-117.8631495	Orange County
293416	Non-Physician Medical Practitioner	None	1043944143	0	0	NG, AMANDA PA	1/30/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18433 ROSCOE BLVD	SUITE 104	NORTHRIDGE	CA	91325	4108	00	06000	34.22076747	-118.534725	Los Angeles County
293469	Non-Physician Medical Practitioner	None	1891184941	0	0	NAYLOR, SHANNA RN MA	6/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2261 DOUGLAS BLVD	None	ROSEVILLE	CA	95661	3831	00	06000	38.74434897	-121.2413247	Placer County
293524	Non-Physician Medical Practitioner	None	1407305980	0	0	NACKORD, KIMBERLY NP	4/17/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1450 TREAT BLVD	STE 250A	WALNUT CREEK	CA	94597	2168	00	06000	37.92643968	-122.0521822	Contra Costa County
293568	Non-Physician Medical Practitioner	None	1588602833	0	0	NICHOLAS, TREVOR L	4/8/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	291 HORIZON CIRCLE	None	GRASS VALLEY	CA	95945	9713	00	06000	39.23862618	-121.0607779	Nevada County
293592	Non-Physician Medical Practitioner	None	1851770721	0	0	NYAGGAH, SAFARINI N PA	1/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	720 E CARNEGIE DR.	STE 140	SAN BERNARDINO	CA	92408	3516	00	06000	34.06914052	-117.2695442	San Bernardino County
293598	Non-Physician Medical Practitioner	None	1346786019	0	0	NELSEN, JENNIFER D NP	4/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2305 WEST ROBIN AVENUE	None	VISALIA	CA	93291	8069	00	06000	36.353628	-119.3163615	Tulare County
293655	Non-Physician Medical Practitioner	None	1437730777	0	0	NGUYEN, FRANK PA-C	1/1/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	00	06000	33.912117	-117.195849	Riverside County
293667	Non-Physician Medical Practitioner	None	1356675979	0	0	NASH, BERNADETTE E	10/4/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16101 SUNSET BLVD	STE 308	PACIFIC PALISADES	CA	90272	3414	00	06000	34.04894553	-118.5360255	Los Angeles County
293684	Non-Physician Medical Practitioner	None	1710044888	0	0	NISLEY, DAVID DEAN	3/8/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	20 REED RD	None	OAKDALE	CA	95361	8203	00	06000	37.75752	-120.8742565	Stanislaus County
293703	Non-Physician Medical Practitioner	None	1790151074	0	0	NGUYEN, TONY S NP	11/2/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11938 PARAMOUNT BLVD.	None	DOWNEY	CA	90242	2306	00	06000	33.93385032	-118.1444253	Los Angeles County
293711	Non-Physician Medical Practitioner	None	1609996263	0	0	NOBLE, SARAH R NP	4/20/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	307 SEMILLON CIRCLE	None	CLAYTON	CA	94517	1419	00	06000	37.93750427	-121.9320045	Contra Costa County
293758	Non-Physician Medical Practitioner	None	1700270915	0	0	NWOSU, FRANCISCA PA	8/17/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15477 VENTURA BLVD	STE 100	SHERMAN OAKS	CA	91403	3046	00	06000	34.15468022	-118.4712272	Los Angeles County
293779	Non-Physician Medical Practitioner	None	1922477496	0	0	NIKONOVICH, NATALIE E	12/4/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	121 E TASMAN DR	APT 330	SAN JOSE	CA	95134	2749	00	06000	37.41140322	-121.9407396	Santa Clara County
293822	Non-Physician Medical Practitioner	None	1588339022	0	0	NGUYEN, CHRISTINA L NP	1/20/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4640 ADMIRALTY WAY	718	MARINA DEL REY	CA	90292	6621	00	06000	33.98120707	-118.4409729	Los Angeles County
293879	Non-Physician Medical Practitioner	None	1801488143	0	0	NAVARRO, DANIELA L NP	5/3/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1223 16TH ST	1100	SANTA MONICA	CA	90404	1217	00	06000	34.02773198	-118.4862675	Los Angeles County
293891	Non-Physician Medical Practitioner	None	1386693208	0	0	NERIA, PIA	5/23/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	801 S CHEVY CHASE DR	#105	GLENDALE	CA	91205	4431	00	06000	34.136757	-118.2396195	Los Angeles County
293904	Non-Physician Medical Practitioner	None	1548798358	0	0	NGUYEN, ALEXANDER	4/20/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
293934	Non-Physician Medical Practitioner	None	1275543068	0	0	NUNO, JOSE M PA	9/17/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	739 EAST PENNSYLVANIA AV	STE C	ESCONDIDO	CA	92025	3004	00	06000	33.12712182	-117.0727888	San Diego County
293961	Non-Physician Medical Practitioner	None	1194131268	0	0	NATAN, CHRISTINE J NP	6/13/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	700 BRUSSELS STREET	None	SAN FRANCISCO	CA	94134	1904	00	06000	37.72334619	-122.4040305	San Francisco County
294007	Non-Physician Medical Practitioner	None	1881233229	0	0	NJIE, EMADE S PA-C	6/11/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	401 E HIGHLAND AVE STE 3	None	SAN BERNARDINO	CA	92404	3830	00	06000	34.1358627	-117.2757778	San Bernardino County
294016	Non-Physician Medical Practitioner	None	1548812621	0	0	NGUYEN, STEPHANIE P PA	12/19/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2623 E SLAUSON AVE	None	HUNTINGTON PARK	CA	90255	2926	00	06000	33.98921547	-118.2242565	Los Angeles County
294075	Non-Physician Medical Practitioner	None	1932391406	0	0	NELSON, TRACY B NP	1/23/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	00	06000	32.798691	-117.150829	San Diego County
294091	Non-Physician Medical Practitioner	None	1508039199	0	0	NAVARRO, LENITO M	6/4/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	H3249, MC5623	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
294137	Non-Physician Medical Practitioner	None	1760120927	0	0	NGUYEN, MARGARET PA	9/1/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5600 CALIFORNIA AVE	STE 101	BAKERSFIELD	CA	93309	1614	00	06000	35.356203	-119.0612695	Kern County
294147	Non-Physician Medical Practitioner	None	1457781254	0	0	NGUYEN, PAUL G	4/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	105 STREAM VIEW CT	None	SARVER	PA	16055	1819	00	06000	40.73942524	-79.76647896	Butler County
294169	Non-Physician Medical Practitioner	None	1578175097	0	0	NELSON, MARIANA NP	2/12/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8307 BRIMHALL RD STE 170	None	BAKERSFIELD	CA	93312	4343	00	06000	35.366481	-119.0948445	Kern County
294174	Non-Physician Medical Practitioner	None	1528360724	0	0	NIETO, ALEJANDRA MARIA	4/6/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	790 E BONITA AVE	2ND FLOOR	POMONA	CA	91767	1906	00	06000	34.09621447	-117.737406	Los Angeles County
294186	Non-Physician Medical Practitioner	None	1609310242	0	0	NGUYEN, JASMINE-VY Q	3/30/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	162 ROYAL CANYON DR	None	LAS VEGAS	NV	89128	7396	00	06000	36.19075818	-115.2730053	Clark County
294200	Non-Physician Medical Practitioner	None	1104462803	0	0	NGUYEN, LESLIE PA-C	10/11/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	714 N AVALON BLVD	None	WILMINGTON	CA	90744	5809	00	06000	33.77897659	-118.2623373	Los Angeles County
294233	Non-Physician Medical Practitioner	None	1235670977	0	0	NATHAN, CARLY	3/6/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
294335	Non-Physician Medical Practitioner	None	1922629559	0	0	NUNO, TIFFANY B PA	9/7/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
294415	Non-Physician Medical Practitioner	None	1275107328	0	0	NGUYEN, TAMMY T PA-C	12/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	00	06000	33.912117	-117.195849	Riverside County
294426	Non-Physician Medical Practitioner	None	1083177125	0	0	NGOLE, KELSEY V NP	7/17/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16040 HARBOR BLVD	STE G	FOUNTAIN VALLEY	CA	92708	1327	00	06000	33.730461	-117.919794	Orange County
294471	Non-Physician Medical Practitioner	None	1235800376	0	0	NGUYEN, JANET L NP	5/13/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	4506	00	06000	37.592811	-122.382351	San Mateo County
294595	Non-Physician Medical Practitioner	None	1972248870	0	0	NOONAN, ALEXANDER U PA	6/8/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	725 WELCH RD	None	PALO ALTO	CA	94304	1601	00	06000	37.43721275	-122.1744449	Santa Clara County
294688	Non-Physician Medical Practitioner	None	1275619454	0	0	NELSON, LINDA E	4/15/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	350 DEL NORTE AVE	None	YUBA CITY	CA	95991	0000	00	06000	39.14502655	-121.615685	Sutter County
294739	Non-Physician Medical Practitioner	None	1942493556	0	0	NABORS, COURTNEY B NP	11/25/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 THE CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
294747	Non-Physician Medical Practitioner	None	1265734149	0	0	NELSON, JILLIAN	9/7/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11878 AVENUE OF INDUSTRY	None	SAN DIEGO	CA	92128	3423	00	06000	32.99058739	-117.0752486	San Diego County
294748	Non-Physician Medical Practitioner	None	1427646116	0	0	NUNEZ, NELSON PA	12/2/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	00	06000	34.0956033	-118.2916918	Los Angeles County
294791	Non-Physician Medical Practitioner	None	1841730140	0	0	NEISES, KAMERAN	3/9/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	00	06000	33.02257788	-117.0856332	San Diego County
294798	Non-Physician Medical Practitioner	None	1710437454	0	0	NAHAR, DIYA NP	6/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	915 SAN RAMON VALLEY BLV	SUITE 100	DANVILLE	CA	94526	4062	00	06000	37.80740959	-121.9917956	Contra Costa County
294822	Non-Physician Medical Practitioner	None	1285828764	0	0	NYZNYK, SARAH L	5/18/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	730 WELCH RD	None	PALO ALTO	CA	94304	1503	00	06000	37.43731858	-122.1746139	Santa Clara County
294829	Non-Physician Medical Practitioner	None	1699446138	0	0	NIKOGHOSSIAN, PRISCILLA N PA	2/9/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 E CESAR E CHAVEZ AV	SUITE 2500	LOS ANGELES	CA	90033	2434	00	06000	34.05101259	-118.217259	Los Angeles County
294838	Non-Physician Medical Practitioner	None	1760193148	0	0	NICKELL, CATHERINE NP	12/16/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	215 CHINA GRADE LOOP	None	BAKERSFIELD	CA	93308	1707	00	06000	35.4265209	-119.0190909	Kern County
294848	Non-Physician Medical Practitioner	None	1053640581	0	0	NORMANI, SARA NP	11/1/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27720 JEFFERSON	SUITE 200	TEMECULA	CA	92590	2610	00	06000	33.51188961	-117.1586219	Riverside County
294861	Non-Physician Medical Practitioner	None	1265834121	0	0	NAING, SONY NP	10/16/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1443 MYRTLE AVENUE	None	LONG BEACH	CA	90813	3526	00	06000	33.7843504	-118.1817735	Los Angeles County
294866	Non-Physician Medical Practitioner	None	1902090939	0	0	NICOLE, GORSUCH K	1/15/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	00	06000	34.03122319	-118.4797185	Los Angeles County
294887	Non-Physician Medical Practitioner	None	1760543391	0	0	NEDRESKY, PETER ERIC	1/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2025 MORSE AVE	None	SACRAMENTO	CA	95825	0000	00	06000	38.602089	-121.3925895	Sacramento County
295029	Non-Physician Medical Practitioner	None	1326279852	0	0	NORTH EAST MEDICAL SERVICES	11/17/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1505	00	06000	37.72907852	-122.4042585	San Francisco County
295053	Non-Physician Medical Practitioner	None	1457464331	0	0	NESSARY, ZABIULLAH	6/22/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5925 SAN VICENTE BLVD	None	LOS ANGELES	CA	90019	6630	00	06000	34.05682871	-118.360716	Los Angeles County
295065	Non-Physician Medical Practitioner	None	1093478190	0	0	NAZARIAN, JENNIFER NP	3/4/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	403 W F ST	None	ONTARIO	CA	91762	3207	00	06000	34.069293	-117.655065	San Bernardino County
295097	Non-Physician Medical Practitioner	None	1013250919	0	0	NEMAN, JASMINE	11/8/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4550 VAN NUYS BLVD	STE A4	SHERMAN OAKS	CA	91403	2844	00	06000	34.154658	-118.4486715	Los Angeles County
295101	Non-Physician Medical Practitioner	None	1003196940	0	0	NIKKAR, ANOOSHEH	3/6/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1040 GREENWICH STREET	24	SAN FRANCISCO	CA	94133	2542	00	06000	37.8014055	-122.4168567	San Francisco County
295103	Non-Physician Medical Practitioner	None	1053436741	0	0	NGUYEN, THOMAS T	1/13/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5325 VIA SEVILLA	None	YORBA LINDA	CA	92887	3131	00	06000	33.88192965	-117.7746534	Orange County
295128	Non-Physician Medical Practitioner	None	1710317912	0	0	NOLAN, TANYA CNM	10/10/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	00	06000	33.5580705	-117.1835458	Riverside County
295156	Non-Physician Medical Practitioner	None	1992176044	0	0	NORVELL, MICHELLE A	12/28/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	559 CENTER GREEN DR	None	LAS VEGAS	NV	89148	5224	00	06000	36.03812817	-115.2929514	Clark County
295179	Non-Physician Medical Practitioner	None	1518294065	0	0	NOLAND, BRET M PA	9/24/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8881 FLETCHER PKWY	360	LA MESA	CA	91942	3134	00	06000	32.78442148	-117.0073814	San Diego County
295298	Non-Physician Medical Practitioner	None	1154170413	0	0	NILSON, ERICK W PA	9/25/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3082 MCMURRAY	None	ANDERSON	CA	96007	3544	00	06000	40.45499506	-122.2929002	Shasta County
295308	Non-Physician Medical Practitioner	None	1437702552	0	0	NGUYEN, KATHY T NP	8/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	# B10	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
295368	Non-Physician Medical Practitioner	None	1700510229	0	0	NAJERA, JENNIE M NP	9/16/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9710 BRIMHALL ROAD	None	BAKERSFIELD	CA	93312	2779	00	06000	35.3687456	-119.1106561	Kern County
295490	Non-Physician Medical Practitioner	None	1861734428	0	0	NATHAN, TODD S NP	9/2/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8715 CANTERBURY AVE	None	PANORAMA CITY	CA	91402	4004	00	06000	34.22790527	-118.4228127	Los Angeles County
295512	Non-Physician Medical Practitioner	None	1366429821	0	0	NUDD, RICHARD J	11/18/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	330 EAST CHAPARRAL	None	HENDERSON	NV	89015	8103	00	06000	36.01356151	-114.979586	Clark County
295542	Non-Physician Medical Practitioner	None	1528785813	0	0	NGUYEN, ABRAHAM	8/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	657 N TOWN CENTER DR	None	LAS VEGAS	NV	89144	6367	00	06000	36.180999	-115.3174815	Clark County
295569	Non-Physician Medical Practitioner	None	1265007884	0	0	NEUPANE PAUDEL, MIRA NP	2/9/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	220 CONCOURSE BLVD	None	SANTA ROSA	CA	95403	8210	00	06000	38.51395202	-122.7888221	Sonoma County
295589	Non-Physician Medical Practitioner	None	1154840551	0	0	NDIKURIYO, JEAN-PIERRE	2/12/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1538 10TH ST	APT 8	SANTA MONICA	CA	90401	2829	00	06000	34.01884409	-118.4870082	Los Angeles County
295700	Non-Physician Medical Practitioner	None	1154679546	0	0	NG, MABEL PA-C	12/13/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6673 FOOTHILL BLVD	None	TUJUNGA	CA	91042	2706	00	06000	34.24711056	-118.2779523	Los Angeles County
295775	Non-Physician Medical Practitioner	None	1518414515	0	0	NELSON, SARAH NP	7/3/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	00	06000	33.92721419	-117.561448	Riverside County
295777	Non-Physician Medical Practitioner	None	1912542069	0	0	NAVAL, MARK A PA-C	4/4/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	00	06000	33.808185	-118.1850575	Los Angeles County
295803	Non-Physician Medical Practitioner	None	1235712241	0	0	NAGHIEH, ALASTAIR	10/1/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	600 N HIGHLAND SPRINGS A	None	BANNING	CA	92220	3046	00	06000	33.9316595	-116.9468639	Riverside County
295813	Non-Physician Medical Practitioner	None	1386132975	0	0	NGUYEN, TRACY-TRAM N PA-C	11/25/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	557 N. MACLAY AVE	None	SAN FERNANDO	CA	91340	2424	00	06000	34.28872206	-118.4339388	Los Angeles County
295860	Non-Physician Medical Practitioner	None	1881987576	0	0	NORTHEAST COMMUNITY CLINIC	12/1/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2822 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	5749	00	06000	33.9735534	-118.2191326	Los Angeles County
295866	Non-Physician Medical Practitioner	None	1629194667	0	0	NATSUHARA, KAREN H NP	1/9/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3662 GLENEAGLES DR	None	SACRAMENTO	CA	95219	1824	00	06000	37.97331774	-121.3560656	San Joaquin County
295919	Non-Physician Medical Practitioner	None	1154744928	0	0	NAIR, BINDHU R NP	6/13/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5588 CALIFORNIA OAK ST	None	SIMI VALLEY	CA	93063	4505	00	06000	34.26399796	-118.6829977	Ventura County
295963	Non-Physician Medical Practitioner	None	1063764256	0	0	NUNEZ, JENNIFER Q NP	1/21/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7100 VAN NUYS BLVD	SUITE 110	VAN NUYS	CA	91405	3063	00	06000	34.19957761	-118.4487663	Los Angeles County
295991	Non-Physician Medical Practitioner	None	1033560784	0	0	NORTON, CHRISTOPHER C	5/16/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2838 BARKLEY RD	None	CAMINO	CA	95709	9701	00	06000	38.74410705	-120.6912965	El Dorado County
295997	Non-Physician Medical Practitioner	None	1336265586	0	0	NGUYEN, HUEY	3/20/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4684 ROCKINGHAM LOOP	None	RIVERSIDE	CA	92509	8837	00	06000	34.00302736	-117.502111	Riverside County
296022	Non-Physician Medical Practitioner	None	1144578345	0	0	NGUYEN, MATT T	5/28/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	2508	00	06000	34.12811155	-118.2577764	Los Angeles County
296047	Non-Physician Medical Practitioner	None	1487005443	0	0	NGO, TACH H NP	1/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	279 ZORIA FARMS LANE	None	SAN JOSE	CA	95127	1886	00	06000	37.36824885	-121.8397522	Santa Clara County
296094	Non-Physician Medical Practitioner	None	1225477375	0	0	NGUYEN, YEN T NP	3/17/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16931 JEANETTE AVE	None	CERRITOS	CA	90703	1200	00	06000	33.87691135	-118.0566527	Los Angeles County
296103	Non-Physician Medical Practitioner	None	1780700948	0	0	NGUYEN, LIEN P	4/9/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17585 WATERTON STREET	None	FOUNTAIN VALLEY	CA	92708	4839	00	06000	33.70806628	-117.9436421	Orange County
296120	Non-Physician Medical Practitioner	None	1891319430	0	0	NICHOLS, MELANIE B PA	1/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4002 VISTA WAY	None	OCEANSIDE	CA	92056	4506	00	06000	33.1857	-117.290538	San Diego County
296183	Non-Physician Medical Practitioner	None	1952793689	0	0	NGUYEN, NGOCLIEN T PA	8/10/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1569 LEXANN AVE	STE 120	SAN JOSE	CA	95121	1793	00	06000	37.30790568	-121.8141983	Santa Clara County
296196	Non-Physician Medical Practitioner	None	1023398211	0	0	NOYES, ERIN I NP	7/21/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	571 W WARWICK AVE	None	CLOVIS	CA	93619	0404	00	06000	36.86140663	-119.7240157	Fresno County
296235	Non-Physician Medical Practitioner	None	1285720250	0	0	NELLIS, STACIE LYNN	6/28/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	80495 US HIGHWAY 111	None	INDIO	CA	92201	6534	00	06000	33.70724448	-116.260686	Riverside County
296384	Non-Physician Medical Practitioner	None	1679896674	0	0	NEAGOS, NEGOITA M	4/18/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5404 BELLINGHAM AVE	STE 1	VALLEY VILLAGE	CA	91607	6103	00	06000	34.16887641	-118.3992132	Los Angeles County
296401	Non-Physician Medical Practitioner	None	1568153492	0	0	NICKSON, CARI A NP	3/14/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3111 CAMINO DEL RIO	STE 625	SAN DIEGO	CA	92108	5718	00	06000	32.77510996	-117.1277427	San Diego County
296456	Non-Physician Medical Practitioner	None	1053796482	0	0	NITTA, AMY R NP	11/24/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1710 ANDERSON ROAD	None	DAVIS	CA	95616	0917	00	06000	38.558205	-121.758551	Yolo County
296461	Non-Physician Medical Practitioner	None	1023447786	0	0	NGUYEN, CHARLENE K	3/18/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3269 LAHAR LANE	None	CLOVIS	CA	93619	5407	00	06000	36.792576	-119.654073	Fresno County
296465	Non-Physician Medical Practitioner	None	1407802606	0	0	NAYLON, STEPHEN C	7/12/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1524 W. LACEY BLVD	SUITE 105	HANFORD	CA	93230	0000	00	06000	36.32816338	-119.6690189	Kings County
296477	Non-Physician Medical Practitioner	None	1699051755	0	0	NAVANI, ELAINE C PA	4/27/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4116 E TOWNSEND AVE	None	ORANGE	CA	92867	2147	00	06000	33.83212718	-117.8099297	Orange County
296482	Non-Physician Medical Practitioner	None	1124584149	0	0	NELSON, CHRISTIE L PA	5/28/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4500 BROCKTON AVE	STE 319	RIVERSIDE	CA	92501	4090	00	06000	33.97785263	-117.3836152	Riverside County
296512	Non-Physician Medical Practitioner	None	1144654609	0	0	NADERI, BAHAR M	3/14/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	20455 KESLEY ST	None	CANYON COUNTRY	CA	91351	1074	00	06000	34.435457	-118.4930952	Los Angeles County
296529	Non-Physician Medical Practitioner	None	1831740133	0	0	NEALON, MADISON D PA-C	8/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	00	06000	34.42887662	-119.7237878	Santa Barbara County
296591	Non-Physician Medical Practitioner	None	1902539257	0	0	NGUYEN, TRANG L PA-C	12/6/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1071 BLOSSOM HILL RD	None	SAN JOSE	CA	95123	1103	00	06000	37.2509447	-121.8743507	Santa Clara County
296654	Non-Physician Medical Practitioner	None	1760997472	0	0	NGUYEN, PHUONG UYEN T NP	9/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	760 OTAY LAKES RD	None	CHULA VISTA	CA	91910	6915	00	06000	32.64603447	-117.0015068	San Diego County
296679	Non-Physician Medical Practitioner	None	1851689574	0	0	NINKYI, NANCY	3/15/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1731 E 120TH ST	None	LOS ANGELES	CA	90059	3051	00	06000	33.92461329	-118.2426436	Los Angeles County
296680	Non-Physician Medical Practitioner	None	1255433033	0	0	NITAFAN-YOUNG, CATHERINE	8/16/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7373 WEST LN	None	STOCKTON	CA	95210	3377	00	06000	38.017701	-121.297869	San Joaquin County
296862	Non-Physician Medical Practitioner	None	1780917021	0	0	NITTA, SHOKO O NP	11/28/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3256 DALEMEAD ST	None	TORRANCE	CA	90505	6921	00	06000	33.79624561	-118.3444989	Los Angeles County
296977	Non-Physician Medical Practitioner	None	1104450006	0	0	NGUYEN, ANH H	5/26/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	900 S MAIN ST	STE 108	CORONA	CA	92882	3401	00	06000	33.87190191	-117.5669613	Riverside County
296983	Non-Physician Medical Practitioner	None	1194477687	0	0	NGUYEN, NGOC-HIEU T PA	10/6/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	00	06000	38.470392	-121.4223975	Sacramento County
297024	Non-Physician Medical Practitioner	None	1538769807	0	0	NGUYEN, AI V NP	1/5/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	2508	00	06000	34.12811155	-118.2577764	Los Angeles County
297093	Non-Physician Medical Practitioner	None	1841609799	0	0	NAVARRO, ERICA R	5/17/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4841 PINE FOREST PLACE	None	SAN JOSE	CA	95118	5204	00	06000	37.25170986	-121.9047109	Santa Clara County
297132	Non-Physician Medical Practitioner	None	1720245699	0	0	NG, NETTIE N PA-C	9/21/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
297160	Non-Physician Medical Practitioner	None	1205171659	0	0	NGAMFON, NKWAIN W PA-C	4/29/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1131 W 6TH ST	250	ONTARIO	CA	91762	1108	00	06000	34.084404	-117.6717015	San Bernardino County
297161	Non-Physician Medical Practitioner	None	1215286356	0	0	NGUYEN, TONY PA	3/29/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22 ODYSSEY	SUITE 205	IRVINE	CA	92618	3197	00	06000	33.66719598	-117.7642461	Orange County
297222	Non-Physician Medical Practitioner	None	1891079059	0	0	NGUYEN, PHUONG P PA-C	4/3/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	00	06000	37.7634502	-122.4579779	San Francisco County
297223	Non-Physician Medical Practitioner	None	1588129209	0	0	NGHIEM, RICHARD B NP	11/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2151 N HARBOR BLVD	None	FULLERTON	CA	92835	3801	00	06000	33.89443025	-117.9288328	Orange County
297262	Non-Physician Medical Practitioner	None	1053471052	0	0	NICKLAS, CATHI T NP	9/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	00	06000	34.06704253	-118.3835029	Los Angeles County
297317	Non-Physician Medical Practitioner	None	1932459179	0	0	NAKAMITSU, ABIGAIL L	11/28/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	226 BROOKVIEW CT	None	SANTEE	CA	92071	6943	00	06000	32.84638151	-116.9864585	San Diego County
297331	Non-Physician Medical Practitioner	None	1316622467	0	0	NAVARRO, AMANDA PA-C	11/20/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1100 MARSHALL WAY	None	PLACERVILLE	CA	95667	6533	00	06000	38.72453536	-120.7921649	El Dorado County
297375	Non-Physician Medical Practitioner	None	1811583362	0	0	NGUYEN, VIVIAN PA	3/4/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	175 JACKSON AVE	STE 200	SAN JOSE	CA	95116	1909	00	06000	37.36217918	-121.8472051	Santa Clara County
297389	Non-Physician Medical Practitioner	None	1265669758	0	0	NICHOLS, DAVID U PA-C	4/22/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
297420	Non-Physician Medical Practitioner	None	1427731751	0	0	NGUYEN, LINDSEY PA	10/31/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	00	06000	37.36217918	-121.8472051	Santa Clara County
297459	Non-Physician Medical Practitioner	None	1285193664	0	0	NGUYEN, ALICE T PA	5/16/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	00	06000	34.06238259	-118.2030986	Los Angeles County
297488	Non-Physician Medical Practitioner	None	1750509576	0	0	NGUYEN, HUNG H	2/24/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16662 CAROUSEL LANE	None	HUNTINGTON BEACH	CA	92649	2118	00	06000	33.72067725	-118.0628511	Orange County
297496	Non-Physician Medical Practitioner	None	1962774935	0	0	NARAYAN, AMI NP	6/30/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	725 WELCH RD	None	PALO ALTO	CA	94304	1601	00	06000	37.43721275	-122.1744449	Santa Clara County
297515	Non-Physician Medical Practitioner	None	1558790774	0	0	NERETTE, NADEGE PA	8/31/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
297542	Non-Physician Medical Practitioner	None	1972512473	0	0	NUNN, STUART F PA	11/12/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2141 N HARBOR BLVD	SUITE 35000	FULLERTON	CA	92835	3616	00	06000	33.89443025	-117.9288328	Orange County
297571	Non-Physician Medical Practitioner	None	1528875150	0	0	NAVARRO, GINA NP	1/22/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19333 BEAR VALLEY RD	STE 201	APPLE VALLEY	CA	92308	5150	00	06000	34.47104148	-117.2413863	San Bernardino County
297574	Non-Physician Medical Practitioner	None	1801263306	0	0	NGUYEN, ALICE	12/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1011 MILLER AVENUE	None	SAN JOSE	CA	95129	2940	00	06000	37.30920701	-122.0139104	Santa Clara County
297577	Non-Physician Medical Practitioner	None	1407969470	0	0	NEUMAN, DAVID H	8/25/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	75 HOBSON ST	UNIT 2B	SAN JOSE	CA	95110	2257	00	06000	37.34609274	-121.899795	Santa Clara County
297642	Non-Physician Medical Practitioner	None	1386971760	0	0	NOCEDA, ANA BARONGAN	11/24/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	00	06000	32.798691	-117.150829	San Diego County
297705	Non-Physician Medical Practitioner	None	1518564665	0	0	NGUYEN, TUONG-VY	4/16/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	210 N TUSTIN AVE	None	SANTA ANA	CA	92705	3807	00	06000	33.746805	-117.834147	Orange County
297708	Non-Physician Medical Practitioner	None	1912466269	0	0	NAM, ANGIE PA	5/22/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3600 BROADWAY	None	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
297723	Non-Physician Medical Practitioner	None	1639607666	0	0	NEVEU, MICHELLE A	12/7/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	514 LONGWOOD PLACE	None	VACAVILLE	CA	95668	2763	00	06000	38.36732635	-121.9959235	Solano County
297732	Non-Physician Medical Practitioner	None	1376219246	0	0	NGUYEN, VANESSA	7/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	44045 MARGARITA RD	STE 106	TEMECULA	CA	92592	2729	00	06000	33.48351542	-117.1027964	Riverside County
297803	Non-Physician Medical Practitioner	None	1245512854	0	0	NG, GLORIA	12/14/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	210 N TUSTIN AVE	None	SANTA ANA	CA	92705	3807	00	06000	33.746805	-117.834147	Orange County
297855	Non-Physician Medical Practitioner	None	1164761680	0	0	NEALE, KELLY L NP	3/7/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1220 14TH AVE	APT 101	SAN FRANCISCO	CA	94122	2149	00	06000	37.76515617	-122.4717455	San Francisco County
297882	Non-Physician Medical Practitioner	None	1912370305	0	0	NICOLOFF, JEREMY M F	6/27/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	320 PENINSULA AVE	113	SAN MATEO	CA	94401	0000	00	06000	37.57794144	-122.3380838	San Mateo County
297904	Non-Physician Medical Practitioner	None	1568524247	0	0	NELSON, LISA I NP	10/23/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3100 SUMMIT ST	2ND FLOOR	OAKLAND	CA	94609	3410	00	06000	37.82018974	-122.2643221	Alameda County
297907	Non-Physician Medical Practitioner	None	1962864850	0	0	NYE, ANTHONY T NP	10/8/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4860 Y ST	None	SACRAMENTO	CA	95817	2307	00	06000	38.552211	-121.449429	Sacramento County
297908	Non-Physician Medical Practitioner	None	1932277027	0	0	NEITZEL, EVELYN JOAN	4/7/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	00	06000	37.55102172	-121.9759026	Alameda County
297956	Non-Physician Medical Practitioner	None	1124117700	0	0	NOTHERN, MATTHEW ROLAND	9/1/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3200 LONG BEACH BOULEVAR	None	LONG BECH	CA	90806	5062	00	06000	33.815637	-118.1892215	Los Angeles County
297961	Non-Physician Medical Practitioner	None	1689021131	0	0	NGUYEN, RYAN H	12/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3762 E CALIFORNIA BLVD	None	PASADENA	CA	91107	5726	00	06000	34.13464867	-118.0718947	Los Angeles County
297978	Non-Physician Medical Practitioner	None	1013033265	0	0	NIELSEN, KARIN L	3/17/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23946 OAKMONT PL	None	WEST HILLS	CA	91304	2128	00	06000	34.22692954	-118.648431	Los Angeles County
297988	Non-Physician Medical Practitioner	None	1194025866	0	0	NGUYEN, SON H	5/10/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11861 TURQUOISE ST	None	GARDEN GROVE	CA	92845	1233	00	06000	33.79019207	-118.025518	Orange County
298062	Non-Physician Medical Practitioner	None	1720542665	0	0	NGUYEN, JAYLENE T PA-C	2/22/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11190 WARNER AVE	SUITE 300	FOUNTAIN VALLEY	CA	92708	4019	00	06000	33.714	-117.9333585	Orange County
298087	Non-Physician Medical Practitioner	None	1235866773	0	0	NALLI, DIVYA NP	2/6/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	515 MICHIGAN BLVD	None	WEST SACRAMENTO	CA	95691	2705	00	06000	38.58298316	-121.5265736	Yolo County
298119	Non-Physician Medical Practitioner	None	1447260831	0	0	NAJI-TALAKAR, BAHMAN	12/22/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	9683 EAST 38TH PLACE	None	YUMA	AZ	85365	5994	00	06000	32.658669	-114.466689	Yuma County
298129	Non-Physician Medical Practitioner	None	1083380885	0	0	NOJAN, JOSEPH Z PA	1/17/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26024 ACERO	None	MISSION VIEJO	CA	92691	2768	00	06000	33.61784172	-117.6769661	Orange County
298138	Non-Physician Medical Practitioner	None	1205364015	0	0	NGUYEN, CHI H NP	3/19/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
298195	Non-Physician Medical Practitioner	None	1316982721	0	0	NARCISO, EMILY S PA	7/26/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
298245	Non-Physician Medical Practitioner	None	1790838449	0	0	NGUYEN, TOM H	12/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	240 EAST LONGDEN AVE	None	ARCADIA	CA	91006	5344	00	06000	34.11422509	-118.023477	Los Angeles County
298259	Non-Physician Medical Practitioner	None	1831848795	0	0	NGUYEN, MIMIE NP	8/3/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	00	06000	33.749316	-117.868123	Orange County
298276	Non-Physician Medical Practitioner	None	1558474890	0	0	NUNO, CHARLENE	1/1/2000	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1500 E DUARTE RD	None	DUARTE	CA	91010	0000	00	06000	34.129683	-117.970857	Los Angeles County
298356	Non-Physician Medical Practitioner	None	1235671181	0	0	NORTHNESS, ANDREW J PA	1/20/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2549 MARSHA WAY	None	SAN JOSE	CA	95125	4030	00	06000	37.28194124	-121.8886784	Santa Clara County
298357	Non-Physician Medical Practitioner	None	1144754763	0	0	NJOKU, LINDA NP	11/10/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	461 TENNESSEE ST	SUITE C	REDLANDS	CA	92373	8161	00	06000	34.058745	-117.2000975	San Bernardino County
298384	Non-Physician Medical Practitioner	None	1023465747	0	0	NORTON-ROSALES, TRESSA K NP	12/12/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	565 N MOUNT VERNON AVE	None	SAN BERNARDINO	CA	92411	2661	00	06000	34.109406	-117.313813	San Bernardino County
298475	Non-Physician Medical Practitioner	None	1114682366	0	0	NUNOKAWA, JOSEPH PA	4/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1401 S GRANDE AVE	None	LOS ANGELES	CA	90015	3010	00	06000	34.03719097	-118.2654105	Los Angeles County
298528	Non-Physician Medical Practitioner	None	1710287032	0	0	NAGHIBI, MOHAMMAD R	6/4/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8686 W OLYMPIC BLVD	APT 3	LOS ANGELES	CA	90035	1918	00	06000	34.05933348	-118.381212	Los Angeles County
298543	Non-Physician Medical Practitioner	None	1477369510	0	0	NIELSEN, ARYON PA	2/25/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1095 MARSHALL WAY	None	PLACERVILLE	CA	95667	5722	00	06000	38.7257686	-120.7910663	El Dorado County
298566	Non-Physician Medical Practitioner	None	1720294606	0	0	NOSOVSKY, IRINA	10/6/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2702 LOW CT	None	FAIRFIELD	CA	94534	9771	00	06000	38.23678474	-122.0847463	Solano County
298569	Non-Physician Medical Practitioner	None	1598847584	0	0	NORRIS, KOEPCKE PATRICIA L	6/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2311 E 2ND STREET	None	LONG BEACH	CA	90806	5127	00	06000	33.76589145	-118.163894	Los Angeles County
298646	Non-Physician Medical Practitioner	None	1962525113	0	0	NESBIT, EVADNA T	5/15/2003	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1209 CYPRESS CIR	None	CARSON	CA	90746	7420	00	06000	33.86980936	-118.251894	Los Angeles County
298719	Non-Physician Medical Practitioner	None	1407371578	0	0	NAMDARAN, REBECCA L NP	9/5/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	00	06000	34.06269295	-118.2030006	Los Angeles County
298722	Non-Physician Medical Practitioner	None	1508188657	0	0	NAVARRO, MARIA PAZ N PA	11/27/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	00	06000	37.79926205	-122.2314248	Alameda County
298731	Non-Physician Medical Practitioner	None	1942772355	0	0	NGUYEN, ANNIE PA	6/15/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	00	06000	34.29981583	-118.473722	Los Angeles County
298859	Non-Physician Medical Practitioner	None	1780743559	0	0	NUNEZ, JOHN A PA-C	12/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1230 JEFFERSON ST	None	DELANO	CA	93215	2204	00	06000	35.77274103	-119.2450573	Kern County
298884	Non-Physician Medical Practitioner	None	1649284993	0	0	NISHIHARA, HA T B H NP	10/15/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	765 W FREMONT AVE	None	CLOVIS	CA	93612	0178	00	06000	36.83527747	-119.728602	Fresno County
298913	Non-Physician Medical Practitioner	None	1558577692	0	0	NEGRIN, CHERYL ANN NP	2/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1179 N MCDOWELL BLVD	None	PETALUMA	CA	94954	6559	00	06000	38.26876442	-122.6598332	Sonoma County
299009	Non-Physician Medical Practitioner	None	1679172092	0	0	NOORY, GHAZAL NP	11/23/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
299012	Non-Physician Medical Practitioner	None	1083699318	0	0	NASH, GINA M	9/17/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1650 RESPONSE RD	None	SACRAMENTO	CA	95815	4807	00	06000	38.596581	-121.4303535	Sacramento County
299013	Non-Physician Medical Practitioner	None	1831802552	0	0	NGUYEN, KRISTINA T PA-C	10/11/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	00	06000	34.062852	-117.9446658	Los Angeles County
299049	Non-Physician Medical Practitioner	None	1063125698	0	0	NILES, ALEXANDRA PA	4/12/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1100 BUTTE STREET	None	REDDING	CA	96001	0852	00	06000	40.5853603	-122.3869865	Shasta County
299073	Non-Physician Medical Practitioner	None	1124460274	0	0	NORTHEAST COMMUNITY CLINIC	9/20/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2975 ZOE AVE	None	HUNTINGTON PARK	CA	90255	0000	00	06000	33.9793863	-118.216134	Los Angeles County
299080	Non-Physician Medical Practitioner	None	1871277459	0	0	NGO, JUDY PA	9/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2823 FRESNO ST	None	FRESNO	CA	93721	1324	00	06000	36.7423511	-119.7834688	Fresno County
299095	Non-Physician Medical Practitioner	None	1093151383	0	0	NIGRO, ROZALYN R NP	5/4/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1601 49TH STREET	None	SACRAMENTO	CA	95819	4404	00	06000	38.559249	-121.4455815	Sacramento County
299099	Non-Physician Medical Practitioner	None	1053655704	0	0	NORTH EAST MEDICAL SERVICES	6/25/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4432	00	06000	37.75415191	-122.4788414	San Francisco County
299159	Non-Physician Medical Practitioner	None	1902676331	0	0	NJOROGE, JANE NP	9/26/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10880 WILSHIRE BLVD	1101	LOS ANGELES	CA	90024	4112	00	06000	34.05897499	-118.4431123	Los Angeles County
299172	Non-Physician Medical Practitioner	None	1568765576	0	0	NGUYEN, JASON V PA-C	1/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	00	06000	37.78956486	-122.417072	San Francisco County
299192	Non-Physician Medical Practitioner	None	1174146203	0	0	NOWICKI, JILL M PA	8/12/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	00	06000	38.746836	-121.250529	Placer County
299259	Non-Physician Medical Practitioner	None	1205904877	0	0	NGO, KENNY	8/13/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	00	06000	37.43920432	-122.162109	Santa Clara County
299370	Non-Physician Medical Practitioner	None	1134697576	0	0	NWAFOR, LARRY U NP	3/2/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14860 ROSCOE BLVD	#200	PANORAMA CITY	CA	91402	4683	00	06000	34.2214515	-118.4573205	Los Angeles County
299376	Non-Physician Medical Practitioner	None	1336665975	0	0	NGUYEN, CATHERINE A Q	10/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	235 BARNES RD	None	TUSTIN	CA	92782	3748	00	06000	33.69910793	-117.8139472	Orange County
299408	Non-Physician Medical Practitioner	None	1265887244	0	0	NGUYEN, WINSTON T NP	1/24/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8831 GARRITY DR	None	ELK GROVE	CA	95624	4074	00	06000	38.436714	-121.392198	Sacramento County
299455	Non-Physician Medical Practitioner	None	1457080061	0	0	NOBRIGA, MITCHELL A PA	3/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1235 W VINE ST	None	LODI	CA	95240	5144	00	06000	38.12279179	-121.2879362	San Joaquin County
299507	Non-Physician Medical Practitioner	None	1730960758	0	0	NGUYEN, NGOC PA	3/30/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	00	06000	34.069509	-118.383743	Los Angeles County
299560	Non-Physician Medical Practitioner	None	1164651121	0	0	NINICHUCK, JOSHUA L	12/28/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7638 RIDGELINE DR	None	DUBLIN	CA	94568	5574	00	06000	37.70238641	-121.9733882	Alameda County
299577	Non-Physician Medical Practitioner	None	1467124107	0	0	NGUGI, ERIC NP	11/27/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6316 HOLMES AVE	None	LOS ANGELES	CA	90001	1824	00	06000	33.982263	-118.2411845	Los Angeles County
299605	Non-Physician Medical Practitioner	None	1720420649	0	0	NEWSOM HEALY, SARAH P	9/6/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15 LOHOMA CT	None	HILLSBOROUGH	CA	94010	7412	00	06000	37.54306172	-122.3361707	San Mateo County
299616	Non-Physician Medical Practitioner	None	1265823561	0	0	NOWAK, PAUL J PA-C	2/15/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2121 SANTA MONICA BLVD	None	SANTA MONICA	CA	90404	2303	00	06000	34.02980528	-118.4786605	Los Angeles County
299617	Non-Physician Medical Practitioner	None	1194254995	0	0	NGAKAM, JAQUES PA-C	1/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	726 4TH ST	None	MARYSVILLE	CA	95901	5656	00	06000	39.13872267	-121.5944372	Yuba County
299690	Non-Physician Medical Practitioner	None	1306619788	0	0	NGO, JANET PA	3/1/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	00	06000	38.55204	-121.455387	Sacramento County
299723	Non-Physician Medical Practitioner	None	1316656416	0	0	NISHIOKA, JOHN PA	3/2/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	00	06000	33.78034779	-117.8655767	Orange County
299765	Non-Physician Medical Practitioner	None	1952011769	0	0	NOJANG, BERTRAND NP	2/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2251 W ROSECRANS AVE	UNIT 21	COMPTON	CA	90222	3860	00	06000	33.90273823	-118.2557598	Los Angeles County
299769	Non-Physician Medical Practitioner	None	1831880145	0	0	NAIK, REENA K PA-C	9/27/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	201 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6385	00	06000	37.36812305	-122.0312314	Santa Clara County
299812	Non-Physician Medical Practitioner	None	1477709426	0	0	NORTH, JENNIFER M.	4/30/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	00	06000	33.904782	-117.469323	Riverside County
299835	Non-Physician Medical Practitioner	None	1669010260	0	0	NGUYEN, VAN PA	4/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	06000	36.1590063	-115.1674415	Clark County
299840	Non-Physician Medical Practitioner	None	1235902255	0	0	NAHEBZADA, FARISHTA PA	11/27/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1114 6TH ST	None	MODESTO	CA	95354	2203	00	06000	37.63901905	-121.0057149	Stanislaus County
299909	Non-Physician Medical Practitioner	None	1689754004	0	0	NASSER, WENDY Q NP	12/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	06000	29.70724683	-95.4026169	Harris County
299997	Non-Physician Medical Practitioner	None	1528597242	0	0	NOTLEY, STEPHANIE A NP	7/11/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1250 16TH STREET	None	SANTA MONICA	CA	90404	1249	00	06000	34.02749142	-118.486063	Los Angeles County
300014	Non-Physician Medical Practitioner	None	1912308222	0	0	NGO, ANTHONY N PA	2/21/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22110 ROSCOE BLVD	STE 201	CANOGA PARK	CA	91304	3861	00	06000	34.21957849	-118.6082685	Los Angeles County
300015	Non-Physician Medical Practitioner	None	1174099295	0	0	NURRE, KRISTIN A NP	2/4/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	00	06000	34.27771547	-119.2540344	Ventura County
300085	Non-Physician Medical Practitioner	None	1114426327	0	0	NGUYEN-SHARMA, UYEN P NP	9/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	632 W GIBSON RD	None	WOODLAND	CA	95695	5169	00	06000	38.66314048	-121.794696	Yolo County
300101	Non-Physician Medical Practitioner	None	1326316076	0	0	NGUYEN, CATHERINE NHY	8/10/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10141 WESTMINSTER AVE	SUITE E	GARDEN GROVE	CA	92843	4790	00	06000	33.75965047	-117.9517066	Orange County
300122	Non-Physician Medical Practitioner	None	1962773580	0	0	NOTHERN, TARYL L NP	11/7/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8611 HARRIET LN	None	STANTON	CA	90680	1812	00	06000	33.81201851	-117.982386	Orange County
300208	Non-Physician Medical Practitioner	None	1639709645	0	0	NESMITH, ALYSIA N PA-C	9/1/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	00	06000	33.912117	-117.195849	Riverside County
300257	Non-Physician Medical Practitioner	None	1700838315	0	0	NGUYEN, VAN H T	1/22/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8605 HAWLEY WAY	None	ELK GROVE	CA	95624	4575	00	06000	38.444841	-121.4019135	Sacramento County
300304	Non-Physician Medical Practitioner	None	1639181514	0	0	NGUYEN, MEAGAN	5/13/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3200 KEARNEY ST	None	FREMONT	CA	94538	2299	00	06000	37.54866156	-121.9750739	Alameda County
300319	Non-Physician Medical Practitioner	None	1043793466	0	0	NELSON, JENNIFER M NP	6/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9300 VALLEY CHILRENS PL	None	MADERA	CA	93638	8761	00	06000	36.88437894	-119.8003484	Madera County
300425	Non-Physician Medical Practitioner	None	1992789028	0	0	NGUYEN, MIRELLA B NP	7/5/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	461 POPPY PLACE	None	MOUNTAIN VIEW	CA	94043	4516	00	06000	37.40260586	-122.0832292	Santa Clara County
300459	Non-Physician Medical Practitioner	None	1225175821	0	0	NOLT, JENNIFER DAWN	9/9/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10818 N WHITNEY AVE	None	FRESNO	CA	93730	5146	00	06000	36.89369454	-119.7411867	Fresno County
300511	Non-Physician Medical Practitioner	None	1720678758	0	0	NIKCHEVICH, KAITLYN PA	5/24/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	00	06000	34.17030266	-118.5881699	Los Angeles County
300565	Non-Physician Medical Practitioner	None	1588273270	0	0	NGUYEN, KIMBERLY N PA-C	1/29/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	00	06000	37.37715796	-122.0651926	Santa Clara County
300566	Non-Physician Medical Practitioner	None	1295143808	0	0	NISPEROS, LORNA NP	5/2/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	00	06000	37.88652418	-121.2820956	San Joaquin County
300615	Non-Physician Medical Practitioner	None	1962971648	0	0	NERY, JUDITH NP	5/13/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	00	06000	34.13998921	-118.7070142	Los Angeles County
300641	Non-Physician Medical Practitioner	None	1093359549	0	0	NWOKEABIA, JANE NP	10/28/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1656 W AVENUE J	None	LANCASTER	CA	93534	2814	00	06000	34.6893627	-118.1604668	Los Angeles County
300664	Non-Physician Medical Practitioner	None	1649525437	0	0	NGO, ANNA	8/14/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	1505	00	06000	37.72907852	-122.4042585	San Francisco County
300687	Non-Physician Medical Practitioner	None	1275930695	0	0	NGUYEN, LAN C T NP	5/15/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3209 ARTESIA ST	None	SANTA ANA	CA	92704	6105	00	06000	33.70507312	-117.8967428	Orange County
300689	Non-Physician Medical Practitioner	None	1770059834	0	0	NGUYEN, NATALIE N PA	7/23/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	00	06000	32.781483	-117.007182	San Diego County
300693	Non-Physician Medical Practitioner	None	1932388840	0	0	NERI, JAIME C JR	1/30/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11202 ROSE STREET	None	CERRITOS	CA	90703	5554	00	06000	33.86958515	-118.0947375	Los Angeles County
300788	Non-Physician Medical Practitioner	None	1457787467	0	0	NGUYEN, VIVIAN T PA	8/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	00	06000	34.27771547	-119.2540344	Ventura County
300815	Non-Physician Medical Practitioner	None	1720233893	0	0	NORTH COUNTY HEALTH PROJECT,INC	8/31/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3220 MISSION AVE	UNIT 1	OCEANSIDE	CA	92058	1351	00	06000	33.2141644	-117.3472638	San Diego County
300846	Non-Physician Medical Practitioner	None	1295420685	0	0	NGUYEN, PHUONG ANH N PA-C	4/21/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8251 WESTMINSTER BLVD	STE 110	WESTMINSTER	CA	92683	3370	00	06000	33.75934151	-117.985113	Orange County
300848	Non-Physician Medical Practitioner	None	1407362239	0	0	NI, HUAN NP	7/10/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	43360 MISSION BLVD	SUITE 100	FREMONT	CA	94539	5829	00	06000	37.53249631	-121.9198141	Alameda County
300893	Non-Physician Medical Practitioner	None	1720686983	0	0	NGUYEN, JOCELYN L PA-C	5/10/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17100 NORWALK BLVD	STE 101	CERRITOS	CA	90703	2750	00	06000	33.87557796	-118.0725386	Los Angeles County
300894	Non-Physician Medical Practitioner	None	1639230147	0	0	NEWHOUSE, KELLY	12/22/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	450 6TH AVE	None	SAN FRANCISCO	CA	94118	3010	00	06000	37.7802547	-122.4642049	San Francisco County
300899	Non-Physician Medical Practitioner	None	1437606779	0	0	NAKHONGSRI, ARUNEE NP	8/9/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3540 SAN MORITZ AVE	None	MERCED	CA	95348	3568	00	06000	37.32870826	-120.5008822	Merced County
300936	Non-Physician Medical Practitioner	None	1629325105	0	0	NEUPANE, PUJA NP	11/7/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16194 LOS COYTOES STREET	None	FONTANA	CA	92336	5652	00	06000	34.14355286	-117.4515058	San Bernardino County
301068	Non-Physician Medical Practitioner	None	1174292874	0	0	NGUYEN, MARICEL D NP	8/23/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23181 VERDUGO DR	STE 103A	LAGUNA HILLS	CA	92653	1313	00	06000	33.62609529	-117.7293191	Orange County
301072	Non-Physician Medical Practitioner	None	1558693655	0	0	NORTHEAST VALLEY HEALTH CORPORATION	12/2/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	91351	3722	00	06000	34.41652146	-118.45647	Los Angeles County
301111	Non-Physician Medical Practitioner	None	1972836484	0	0	NOVENARIO, ROS L	7/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1001 N TUSTIN AVE	None	SANTA ANA	CA	92705	3502	00	06000	33.75363187	-117.8341886	Orange County
301191	Non-Physician Medical Practitioner	None	1326797358	0	0	NAVARRETE, MISTY NP	11/11/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6926 BROCKTON AVE	SUITE 6	RIVERSIDE	CA	92506	3804	00	06000	33.947919	-117.3967225	Riverside County
301199	Non-Physician Medical Practitioner	None	1225376460	0	0	NGUYEN, ANN P V NP	4/18/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8828 LAND STAR WAY	None	ELK GROVE	CA	95758	6303	00	06000	38.437335	-121.429719	Sacramento County
301208	Non-Physician Medical Practitioner	None	1598445736	0	0	NGUYEN, DARLENE NGUYEN PA	9/8/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2823 FRESNO ST	None	FRESNO	CA	93721	1324	00	06000	36.7423511	-119.7834688	Fresno County
301228	Non-Physician Medical Practitioner	None	1942445424	0	0	NELSON, VELVET D NP	1/28/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4301 WINDY DALE DR	None	SHINGLE SPRINGS	CA	95682	8023	00	06000	38.59569541	-120.9946423	El Dorado County
301243	Non-Physician Medical Practitioner	None	1710006176	0	0	NGUYEN, QUYEN H NP	4/9/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5002 BLUEJAY CIR	None	HUNTINGTON BEACH	CA	92649	1401	00	06000	33.73269632	-118.041175	Orange County
301285	Non-Physician Medical Practitioner	None	1508999301	0	0	NOURIZADEH, MAHZADEH	4/23/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	700 S TUSTIN ST	None	ORANGE	CA	92866	3425	00	06000	33.77685748	-117.8357804	Orange County
301299	Non-Physician Medical Practitioner	None	1659998185	0	0	NGUYEN, JACKIE T PA	10/5/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	725 WELCH RD	None	PALO ALTO	CA	94304	1601	00	06000	37.43721275	-122.1744449	Santa Clara County
301318	Non-Physician Medical Practitioner	None	1699972158	0	0	NICKLISCH, AMORET ELIZABETH	8/31/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1013 HILLVIEW LN	None	WINTERS	CA	95694	2318	00	06000	38.53017584	-121.9777497	Yolo County
301407	Non-Physician Medical Practitioner	None	1295376101	0	0	NEWCOMB, ROBERT D NP	12/29/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	2508	00	06000	34.12811155	-118.2577764	Los Angeles County
301415	Non-Physician Medical Practitioner	None	1013462852	0	0	NAJERA-HIGAREDA, ANAPATRICIA	10/3/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	577 PALOMAR ST	APT 21	CHULA VISTA	CA	91913	2966	00	06000	32.60381567	-117.0769685	San Diego County
301480	Non-Physician Medical Practitioner	None	1952870370	0	0	NGUYEN, PATRICK V	1/1/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1907 CLEMENT ST	APT A	SAN FRANCISCO	CA	94121	2216	00	06000	37.78218036	-122.4796448	San Francisco County
301541	Non-Physician Medical Practitioner	None	1659945723	0	0	NGUYEN, SANDY N PA-C	2/21/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	00	06000	34.062852	-117.9446658	Los Angeles County
301552	Non-Physician Medical Practitioner	None	1023345998	0	0	NARANJO, ROCIO P PA-C	7/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7471 N FRESNO ST	None	FRESNO	CA	93720	2457	00	06000	36.84632065	-119.783885	Fresno County
301657	Non-Physician Medical Practitioner	None	1346242724	0	0	NUDD, RICHARD J	11/18/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	330 EAST CHAPARRAL	None	HENDERSON	NV	89015	8103	00	06000	36.01356151	-114.979586	Clark County
301676	Non-Physician Medical Practitioner	None	1154196723	0	0	NGUYEN, KIMMY PA-C	1/29/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9710 19TH ST	None	RANCHO CUCAMONGA	CA	91737	3538	00	06000	34.13274747	-117.593073	San Bernardino County
301771	Non-Physician Medical Practitioner	None	1982075792	0	0	NGUYEN, ANGELA C NP	6/24/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18411 HOMESTEAD AVE	None	YORBA LINDA	CA	92886	6139	00	06000	33.9037183	-117.8129956	Orange County
301820	Non-Physician Medical Practitioner	None	1073980843	0	0	NGUYEN, TAMMY T PA	2/8/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	00	06000	34.03781261	-118.3755101	Los Angeles County
301849	Non-Physician Medical Practitioner	None	1780189670	0	0	NGUYEN, ANGIE	6/6/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3710 E CESAR CHAVEZ AVE	None	LOS ANGELES	CA	90063	2219	00	06000	34.04048853	-118.1854845	Los Angeles County
301949	Non-Physician Medical Practitioner	None	1528741691	0	0	NGUYEN, GIA N PA	3/5/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	555 WASHINGTON STREET	None	SAN DIEGO	CA	92103	2289	00	06000	32.74986289	-117.1599343	San Diego County
302009	Non-Physician Medical Practitioner	None	1225224744	0	0	NGUYEN, MINH T	8/25/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2703 CORABEL LN	APT 248	SACRAMENTO	CA	95821	5277	00	06000	38.61639	-121.3985025	Sacramento County
302066	Non-Physician Medical Practitioner	None	1285998690	0	0	NISPEROS, MARICHU G PA-C	7/10/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	330 NORTHGATE DR	None	MANTECA	CA	95336	3139	00	06000	37.81903505	-121.2213788	San Joaquin County
302073	Non-Physician Medical Practitioner	None	1215466354	0	0	NOVOTNY, MEGAN R	8/22/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	301 SANTA MARIA AVE	None	SAN LUIS OBISPO	CA	93405	2139	00	06000	35.29389686	-120.6469559	San Luis Obispo County
302079	Non-Physician Medical Practitioner	None	1831336593	0	0	NGUYEN, TERESA T NP	11/28/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18959 AMBERLY PL	None	ROWLAND HEIGHTS	CA	91748	4887	00	06000	33.97032614	-117.8878783	Los Angeles County
302085	Non-Physician Medical Practitioner	None	1053919258	0	0	NEUFELD, LACEY E NP	4/6/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3280 WASHINGTON STREET	None	PLACERVILLE	CA	95667	5838	00	06000	38.72270909	-120.7893981	El Dorado County
302101	Non-Physician Medical Practitioner	None	1255760443	0	0	NOWAK, KELLI K PA-C	5/23/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	373 W NEES AVE	APT 113	FRESNO	CA	93711	6154	00	06000	36.85176855	-119.7978795	Fresno County
302116	Non-Physician Medical Practitioner	None	1902273576	0	0	NAIR, VIDYA V NP	11/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26948 N CHERRY WILLOW DR	None	SANTA CLARITA	CA	91387	1809	00	06000	34.40497703	-118.4359954	Los Angeles County
302117	Non-Physician Medical Practitioner	None	1285935304	0	0	NAZARYAN, ANNA	1/21/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3901 SAN AUGUSTINE DR	None	GLENDALE	CA	91206	1206	00	06000	34.17718196	-118.1916392	Los Angeles County
302130	Non-Physician Medical Practitioner	None	1932470788	0	0	NGUYEN, DANG B	11/25/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13871 FERNWOOD DR	None	GARDEN GROVE	CA	92843	3449	00	06000	33.76124343	-117.9394514	Orange County
302143	Non-Physician Medical Practitioner	None	1689959645	0	0	NIKOGHOSSIAN, SONA NP	4/2/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9245 SCOTMONT DR	None	TUJUNDA	CA	91042	3336	00	06000	34.23732832	-118.2769798	Los Angeles County
302231	Non-Physician Medical Practitioner	None	1225688260	0	0	NELSON, JEREMY A PA-C	9/16/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	00	06000	37.53039072	-122.2987772	San Mateo County
302298	Non-Physician Medical Practitioner	None	1801508106	0	0	NGUYEN, ALYSON V PA-C	4/22/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19671 BEACH BLVD,	SUITE 215	HUNTINGTON BEACH	CA	92648	7101	00	06000	33.67718578	-117.9887516	Orange County
302310	Non-Physician Medical Practitioner	None	1255097283	0	0	NGUYEN, TERESA PA	6/17/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17271 BROOKHURST ST	None	FOUNTAIN VALLEY	CA	92708	3701	00	06000	33.71228787	-117.9545597	Orange County
302367	Non-Physician Medical Practitioner	None	1730787151	0	0	NG, ANNA NP	9/30/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	250 W BONITA AVE	100	POMONA	CA	91767	1863	00	06000	34.09664881	-117.751261	Los Angeles County
302370	Non-Physician Medical Practitioner	None	1407938483	0	0	NAVARRO, PAUL MICHAEL	4/7/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	0000	00	06000	37.55102172	-121.9759026	Alameda County
302386	Non-Physician Medical Practitioner	None	1952492183	0	0	NORMAN, KIRK R	10/1/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1624 PINE ST	None	NAPA	CA	94559	3808	00	06000	38.29125746	-122.2914825	Napa County
302470	Non-Physician Medical Practitioner	None	1083035984	0	0	NASSMAN, DAREEN M	11/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1440 QUEEN SUMMIT DR	None	WEST COVINA	CA	91791	3949	00	06000	34.04925248	-117.9028903	Los Angeles County
302495	Non-Physician Medical Practitioner	None	1548697444	0	0	NORTH EAST MEDICAL SERVICES	12/26/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1870 LUNDY AVE	None	SAN JOSE	CA	95131	1826	00	06000	37.39271022	-121.8903238	Santa Clara County
302502	Non-Physician Medical Practitioner	None	1275281446	0	0	NAOE, KRYSTEL A NP	11/18/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	FIVE MEDICAL PLAZA	STE 190	ROSEVILLE	CA	95661	2865	00	06000	38.76523677	-121.2493453	Placer County
302510	Non-Physician Medical Practitioner	None	1063894988	0	0	NGUYEN, CHRISTINA T PA-C	5/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 THE CITY DR S	STE 1A	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
302528	Non-Physician Medical Practitioner	None	1013961572	0	0	NONATO, MARGARET M PA-C	10/25/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2290 SACRAMENTO ST	None	VALLEJO	CA	94590	2929	00	06000	38.12370851	-122.2637378	Solano County
302537	Non-Physician Medical Practitioner	None	1669042438	0	0	NIEVES, ALDRIN NP	3/15/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1498 SOUTHGATE AVE	STE 102	DALY CITY	CA	94015	4015	00	06000	37.67558947	-122.4761175	San Mateo County
302580	Non-Physician Medical Practitioner	None	1568818268	0	0	NODELL, GARRETT E	8/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1636 BROADWAY ST	APT 109	FRESNO	CA	93721	1634	00	06000	36.73954471	-119.7980827	Fresno County
302663	Non-Physician Medical Practitioner	None	1417678426	0	0	NGUYEN, ANGELA D NP	11/25/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8631 W THIRD STREET	None	LOS ANGELES	CA	90048	5901	00	06000	34.07361928	-118.3803143	Los Angeles County
302671	Non-Physician Medical Practitioner	None	1780296954	0	0	NELSON, BRITTANY A PA-C	1/13/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	215 PESETAS LN	None	SANTA BARBARA	CA	93110	1416	00	06000	34.44257521	-119.7584538	Santa Barbara County
302703	Non-Physician Medical Practitioner	None	1962085795	0	0	NGUYEN, VIVIAN M PA	11/3/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13768 ROSWELL AVENUE	SUITE 118	CHINO	CA	91710	1402	00	06000	34.0038	-117.7218555	San Bernardino County
302706	Non-Physician Medical Practitioner	None	1023710787	0	0	NATOUR, SARA PA-C	5/19/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	210 W SAN BERNARDINO RD	None	COVINA	CA	91723	1515	00	06000	34.088004	-117.893475	Los Angeles County
302755	Non-Physician Medical Practitioner	None	1992149314	0	0	NOBLE, LISA ANNE MARIE	10/31/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
302803	Non-Physician Medical Practitioner	None	1114114394	0	0	NGUYEN, TOLAN T	10/1/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1100 W STEWART DR	None	ORANGE	CA	92868	3849	00	06000	33.78236558	-117.8648414	Orange County
302849	Non-Physician Medical Practitioner	None	1902324031	0	0	NGUYEN, NELSON PA-C	10/18/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	220 S 1ST ST	None	ALHAMBRA	CA	91801	3893	00	06000	34.09192598	-118.1259775	Los Angeles County
302981	Non-Physician Medical Practitioner	None	1295229235	0	0	NGUYEN, AN TAM T PA-C	3/11/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	901 SAN BERNARDINO RD	STE 102	UPLAND	CA	91786	4988	00	06000	34.10050176	-117.6382066	San Bernardino County
302990	Non-Physician Medical Practitioner	None	1619609708	0	0	NO, ANGELA	8/30/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
302995	Non-Physician Medical Practitioner	None	1821164880	0	0	NGUYEN, VAN H	6/5/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3526 SADDLE HILL RD	None	LAKE ELSINORE	CA	92532	2589	00	06000	33.66758408	-117.2457142	Riverside County
303005	Non-Physician Medical Practitioner	None	1124074927	0	0	NORTON, RICHARD D NP	10/27/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16455 MAIN ST	STE 1	HESPERIA	CA	92345	3500	00	06000	34.42186386	-117.3038021	San Bernardino County
303010	Non-Physician Medical Practitioner	None	1225581754	0	0	NGUYEN, VIVIAN I PA	7/13/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
303012	Non-Physician Medical Practitioner	None	1699443879	0	0	NOLAN, KATHERINE M NP	10/15/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	00	06000	37.36217918	-121.8472051	Santa Clara County
303021	Non-Physician Medical Practitioner	None	1619344868	0	0	NGUYEN, THUY D NP	6/29/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2650 S BRISTOL ST	STE 101-103	SANTA ANA	CA	92704	5751	00	06000	33.71118647	-117.885452	Orange County
303067	Non-Physician Medical Practitioner	None	1063514578	0	0	NOVITS, CHRISTOPHER S	10/23/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1222 PRINCETON ST	UNIT 18	SANTA MONICA	CA	90404	1437	00	06000	34.03627377	-118.475997	Los Angeles County
303163	Non-Physician Medical Practitioner	None	1588721518	0	0	NEVES, HEATHER L	11/17/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	444 PLUMAS BLVD	None	YUBA CITY	CA	95991	5071	00	06000	39.13178911	-121.6141048	Sutter County
303213	Non-Physician Medical Practitioner	None	1639410244	0	0	NELSON, KRISTEN D NP	2/24/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1483 AALBORG WAY	None	SOLVANG	CA	93463	2001	00	06000	34.60333572	-120.1448283	Santa Barbara County
303230	Non-Physician Medical Practitioner	None	1104596907	0	0	NOLAN, ERIN	1/20/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 EAST REDLANDS BLVD	SUITE 106	REDLANDS	CA	92373	0000	00	06000	34.05731952	-117.181197	San Bernardino County
303236	Non-Physician Medical Practitioner	None	1265682033	0	0	NAGLE, WENDY MICHELE	6/28/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	00	06000	36.88437894	-119.8003484	Madera County
303374	Non-Physician Medical Practitioner	None	1659335735	0	0	NOLE, MARCELLA A NP	7/27/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8769 N HAYSTON AVENUE	None	FRESNO	CA	93720	1992	00	06000	36.86375236	-119.7518663	Fresno County
303393	Non-Physician Medical Practitioner	None	1235473984	0	0	NORTH EAST MEDICAL SERVICES	4/2/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1033 CLEMENT ST	None	SAN FRANCISCO	CA	94118	2112	00	06000	37.78261628	-122.470294	San Francisco County
303402	Non-Physician Medical Practitioner	None	1699213835	0	0	NARDI, CHRISTINA M NP	6/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 CALDECOTT LANE	UNIT 19	OAKLAND	CA	94618	2420	00	06000	37.85664201	-122.2213465	Alameda County
303447	Non-Physician Medical Practitioner	None	1528521408	0	0	NGUYEN, KELLY PA	12/8/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	00	06000	37.7634502	-122.4579779	San Francisco County
303506	Non-Physician Medical Practitioner	None	1629272307	0	0	NORAVIAN, FREDERICK	2/13/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	406 EAST FAIRVIEW AVE	APT 2	GLENDALE	CA	91207	1983	00	06000	34.16024551	-118.2506265	Los Angeles County
303603	Non-Physician Medical Practitioner	None	1104076462	0	0	NELSON, WENDY J NP	2/5/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1980 KETTNER BLVD	APT 618	SAN DIEGO	CA	92101	2268	00	06000	32.72465245	-117.1696598	San Diego County
303642	Non-Physician Medical Practitioner	None	1184894545	0	0	NGUYEN, LE CHI	2/14/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2203 17TH ST	None	BAKERSFIELD	CA	93301	3604	00	06000	35.37431634	-119.0272969	Kern County
303720	Non-Physician Medical Practitioner	None	1134671480	0	0	NG, MELVIN NP	9/9/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	00	06000	34.13998921	-118.7070142	Los Angeles County
303727	Non-Physician Medical Practitioner	None	1508384462	0	0	NGUYEN, JANET NP	1/1/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8696 GARO LANE	None	GARDEN GROVE	CA	92844	2506	00	06000	33.7610581	-117.9776719	Orange County
303729	Non-Physician Medical Practitioner	None	1679082531	0	0	NGUYEN, TUYET V	12/28/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	811 ALMOND ST	APT A	SUISUN CITY	CA	94585	6505	00	06000	38.2405197	-122.0356939	Solano County
303756	Non-Physician Medical Practitioner	None	1932666955	0	0	NGUYEN, THAO NP	7/15/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16040 HARBOR BLVD	STE G	FOUNTAIN VALLEY	CA	92708	1327	00	06000	33.730461	-117.919794	Orange County
303791	Non-Physician Medical Practitioner	None	1255954988	0	0	NGUYEN, LAMSON D PA	5/1/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5725 W LAS POSITAS BLVD	STE 100	PLEASANTON	CA	94588	4007	00	06000	37.688107	-121.8861427	Alameda County
303843	Non-Physician Medical Practitioner	None	1669010021	0	0	NGUYEN, NICHOLAS H NP	10/31/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15611 POMERADO RD	STE 400	POWAY	CA	92064	2437	00	06000	32.99706	-117.05544	San Diego County
303876	Non-Physician Medical Practitioner	None	1720423767	0	0	NGUYEN, TRINH K NP	12/17/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
303904	Non-Physician Medical Practitioner	None	1730714338	0	0	NWAGBO, NNENNA E NP	4/14/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	255 TERRACINA BLVD	SUITE 204	REDLANDS	CA	92373	4870	00	06000	34.03788441	-117.2055761	San Bernardino County
303951	Non-Physician Medical Practitioner	None	1215465257	0	0	NAZARIAN, NORA PA	2/4/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 CESAR E CHAVEZ AVE	STE 2200	LOS ANGELES	CA	90033	2476	00	06000	34.05101259	-118.217259	Los Angeles County
303957	Non-Physician Medical Practitioner	None	1942604236	0	0	NEWTON, ERNEST J	1/27/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11565 WELEBIR STREET	None	LOMA LINDA	CA	92354	3651	00	06000	34.04341179	-117.2508039	San Bernardino County
303984	Non-Physician Medical Practitioner	None	1598978082	0	0	NGUYEN, DUNG N PA-C	7/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2146 E ANAHEIM ST	None	LONG BEACH	CA	90804	3408	00	06000	33.78257051	-118.165896	Los Angeles County
303997	Non-Physician Medical Practitioner	None	1134572662	0	0	NEALEIGH, NATALIE A PA-C	6/27/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	25495 MEDICAL CENTER DR	204	MURRIETA	CA	92562	4903	00	06000	33.55804188	-117.1834064	Riverside County
304045	Non-Physician Medical Practitioner	None	1265194617	0	0	NGUYEN, BRANDON B PA-C	1/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	00	06000	37.36217918	-121.8472051	Santa Clara County
304052	Non-Physician Medical Practitioner	None	1942913108	0	0	NGUYEN, DON PA	7/10/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7923 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4225	00	06000	33.77386849	-117.994176	Orange County
304135	Non-Physician Medical Practitioner	None	1881960128	0	0	NORTHERN VALLEY INDIAN HEALTH INC	7/2/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	175 W COURT ST	None	WOODLAND	CA	95695	2913	00	06000	38.67889514	-121.7923678	Yolo County
304184	Non-Physician Medical Practitioner	None	1437854510	0	0	NGUYEN, DONNA K NP	7/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
304270	Non-Physician Medical Practitioner	None	1841825007	0	0	NEWMAN, DONNA PA	1/27/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	00	06000	34.06477215	-117.9845382	Los Angeles County
304272	Non-Physician Medical Practitioner	None	1942528104	0	0	NELSON, AMY NP	4/21/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	74785 US HIGHWAY 111	STE 101	INDIAN WELLS	CA	92210	7129	00	06000	33.72131925	-116.360116	Riverside County
304277	Non-Physician Medical Practitioner	None	1285381525	0	0	NGHIEM, JOHNNY PA-C	7/11/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 N PEPPER AVE	None	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
304291	Non-Physician Medical Practitioner	None	1740634286	0	0	NORTHERN VALLEY INDIAN HEALT	5/16/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	500 COHASSET ROAD	SUITE 15	CHICO	CA	95926	2260	00	06000	39.75142109	-121.8506286	Butte County
304303	Non-Physician Medical Practitioner	None	1487832739	0	0	NICHOLLS, CORYN I	2/15/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	00	06000	37.9141514	-122.0422089	Contra Costa County
304345	Non-Physician Medical Practitioner	None	1053486944	0	0	NINO, EDWARD B NP	6/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17772 BEACH BLVD	None	HUNTINGTON BEACH	CA	92647	6819	00	06000	33.703677	-117.9865035	Orange County
304364	Non-Physician Medical Practitioner	None	1538613989	0	0	NAZARENO, CLAIRE ANN S NP	10/14/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 PRAIRIE CITY RD	None	FOLSOM	CA	95630	9594	00	06000	38.652012	-121.166901	Sacramento County
304366	Non-Physician Medical Practitioner	None	1730814609	0	0	NEWTON, BRIAN J PA-C	1/19/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	00	06000	37.36893518	-122.0779448	Santa Clara County
304381	Non-Physician Medical Practitioner	None	1063067353	0	0	NAGEL, EMILY M NP	4/21/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
304391	Non-Physician Medical Practitioner	None	1114534286	0	0	NGUYEN, DZUNG C PA-C	5/14/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5555 W LAS POSITAS BLVD	None	PLEASANTON	CA	94588	4000	00	06000	37.69212528	-121.8803442	Alameda County
304452	Non-Physician Medical Practitioner	None	1033660659	0	0	NG, YUEN H NP	2/7/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3034 WILLARD AVENUE	None	ROSEMEAD	CA	91770	2756	00	06000	34.0637438	-118.0835631	Los Angeles County
304558	Non-Physician Medical Practitioner	None	1831342088	0	0	NGUYEN, KHANH H	2/14/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18081 DEBI LANE	None	YORBA LINDA	CA	92886	2307	00	06000	33.89531124	-117.8184632	Orange County
304603	Non-Physician Medical Practitioner	None	1427774009	0	0	NAGOULAT, MIRIAM-NIRVANA NP	2/27/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1920 N GAREY AVE	None	POMONA	CA	91767	2708	00	06000	34.08095869	-117.7526975	Los Angeles County
304698	Non-Physician Medical Practitioner	None	1861881690	0	0	NEWDANG, SCOTT S PA-C	9/18/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4871 WHITE LN	None	BAKERSFIELD	CA	93309	6375	00	06000	35.31793896	-119.0561249	Kern County
304720	Non-Physician Medical Practitioner	None	1063821700	0	0	NEAL, HEATHER PA	12/3/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	06000	34.480224	-114.3390555	Mohave County
304765	Non-Physician Medical Practitioner	None	1225434988	0	0	NELSON, KEVIN S PA	4/7/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
304785	Non-Physician Medical Practitioner	None	1073947362	0	0	NEGLEY, JOELLE N	2/11/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3858 MURRAY HILL ROAD	None	LA MESA	CA	91941	7622	00	06000	32.74970667	-117.0389945	San Diego County
304813	Non-Physician Medical Practitioner	None	1376093310	0	0	NASSER, AMANDA V NP	1/24/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1282 ANGELUS AVENUE	None	SAN DIEGO	CA	92114	3107	00	06000	32.71976527	-117.0413835	San Diego County
304877	Non-Physician Medical Practitioner	None	1164674669	0	0	NEDRESKY, MATTHEW JOSEPH	4/30/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1307 FEDERAL ST	SECOND FLOOR	PITTSBURGH	PA	15212	4769	00	06000	40.45728158	-80.00726234	Allegheny County
304879	Non-Physician Medical Practitioner	None	1659423093	0	0	NIJJAR, SURJIT K	7/9/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9340 WADDELL LANE	None	ELK GROVE	CA	95624	5017	00	06000	38.45061	-121.351149	Sacramento County
304936	Non-Physician Medical Practitioner	None	1356742910	0	0	NELSON, BRANDON J	12/5/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17955 CAMINITO PINERO	UNIT 284	SAN DIEGO	CA	92128	4811	00	06000	33.03617604	-117.0755945	San Diego County
305000	Non-Physician Medical Practitioner	None	1265804132	0	0	NAJAC, BRADLEY PA	11/5/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11190 WARNER	SUITE 300	FOUNTAIN VALLEY	CA	92708	4045	00	06000	33.714	-117.9333585	Orange County
305072	Non-Physician Medical Practitioner	None	1174764187	0	0	NAGEL, JESSICA LYNN WITTY	5/1/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2020 SUTTER PL	SUITE 203	DAVIS	CA	95616	6213	00	06000	38.56287659	-121.7715536	Yolo County
305106	Non-Physician Medical Practitioner	None	1023359601	0	0	NYGREN, KIRSTIN MARIE	4/22/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 UCLA MEDICAL PLZ STE	None	LOS ANGELES	CA	90095	8346	00	06000	34.06465655	-118.4461	Los Angeles County
305126	Non-Physician Medical Practitioner	None	1578045993	0	0	NGUYEN, LAUREN PA	12/22/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3670 DEGNAN BLVD	None	LOS ANGELES	CA	90018	4015	00	06000	34.02110503	-118.329693	Los Angeles County
305142	Non-Physician Medical Practitioner	None	1225454655	0	0	NEJAD, SANAM PA-C	7/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	00	06000	37.79926205	-122.2314248	Alameda County
305156	Non-Physician Medical Practitioner	None	1467958306	0	0	NAYANI, SARAH	5/15/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	360 BERRY STREET	APT 402	SAN FRANCISCO	CA	94158	1618	00	06000	37.7728749	-122.3970626	San Francisco County
305184	Non-Physician Medical Practitioner	None	1336305796	0	0	NAVOA, JESUS T JR	11/30/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3061 LA SELVA ST	APT 101	SAN MATEO	CA	94403	2127	00	06000	37.54409177	-122.2841859	San Mateo County
305229	Non-Physician Medical Practitioner	None	1265642110	0	0	NGUYEN, KIMHUYNH T NP	7/20/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	239 CALLE DESCANSO	None	WALNUT	CA	91789	1620	00	06000	34.01459948	-117.877228	Los Angeles County
305231	Non-Physician Medical Practitioner	None	1952609380	0	0	NERA'S HEALTH CARE SOLUTIONS	7/25/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22635 FRIAR ST	None	WOODLAND HILLS	CA	91367	1718	00	06000	34.18548807	-118.6202794	Los Angeles County
305249	Non-Physician Medical Practitioner	None	1669063681	0	0	NASSIRI, ARIANA PA	8/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
305279	Non-Physician Medical Practitioner	None	1346527918	0	0	NORTH EAST MEDICAL SERVICES	8/14/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	211 EASTMOOR AVE	None	DALY CITY	CA	94015	2036	00	06000	37.6847337	-122.4787562	San Mateo County
305353	Non-Physician Medical Practitioner	None	1124200159	0	0	NORMAN-BRIVET, TATIANA R NP	2/12/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	668 CHIQUITA AVE	APT 3	MOUNTAIN VIEW	CA	94041	1799	00	06000	37.39230477	-122.0929246	Santa Clara County
305383	Non-Physician Medical Practitioner	None	1033225057	0	0	NICOLOFF, NATALYA	4/7/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	00	06000	37.60573981	-122.0835989	Alameda County
305418	Non-Physician Medical Practitioner	None	1013768720	0	0	NGUYEN, DOANTRANG K PA	1/10/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	00	06000	37.37715796	-122.0651926	Santa Clara County
305486	Non-Physician Medical Practitioner	None	1790334464	0	0	NIELSON, MARLEY R PA-C	3/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	350 W 5TH ST	STE 209	SAN PEDRO	CA	90731	2752	00	06000	33.73971779	-118.2852574	Los Angeles County
305494	Non-Physician Medical Practitioner	None	1356992614	0	0	NAVARRO, MARK J NP	10/4/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12595 HESPERIA RD	STE 101	VICTORVILLE	CA	92395	8318	00	06000	34.47992741	-117.2908165	San Bernardino County
305584	Non-Physician Medical Practitioner	None	1386307569	0	0	NINO-LOPEZ, JUAN-DAVID NP	4/28/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2800 BENEDICT DR	None	SAN LEANDRO	CA	94577	6840	00	06000	37.71593435	-122.131151	Alameda County
305715	Non-Physician Medical Practitioner	None	1689012452	0	0	NGUYEN, ANGELA A T	9/30/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10402 GAINSBOROUGH CT	None	BAKERSFIELD	CA	93312	7040	00	06000	35.35912401	-119.1189418	Kern County
305727	Non-Physician Medical Practitioner	None	1932725231	0	0	NGUYEN, THO PA-C	2/15/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1300 N LA BREA AVE	None	LOS ANGELES	CA	90028	7504	00	06000	34.094502	-118.3440745	Los Angeles County
305747	Non-Physician Medical Practitioner	None	1326599333	0	0	NIELSEN, VICTORIA	12/16/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	657 N TOWN CENTER DR	None	LAS VEGAS	NV	89144	6367	00	06000	36.180999	-115.3174815	Clark County
305748	Non-Physician Medical Practitioner	None	1346755337	0	0	NGUYEN, LAUREN E	4/13/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12280 OLD HARBOR CT	None	SEAL BEACH	CA	90740	2777	00	06000	33.784524	-118.069334	Orange County
305757	Non-Physician Medical Practitioner	None	1932509072	0	0	NELSON, AMANDA J PA-C	6/27/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3991 MACARTHUR BLVD	SUITE 200	NEWPORT BEACH	CA	92660	3009	00	06000	33.65957329	-117.8631723	Orange County
305832	Non-Physician Medical Practitioner	None	1720649361	0	0	NORTH, LAUREN N NP	9/6/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	725 WELCH RD	None	PALO ALTO	CA	94304	1601	00	06000	37.43721275	-122.1744449	Santa Clara County
305868	Non-Physician Medical Practitioner	None	1891216370	0	0	NGUYEN, NGOC NP	1/10/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10900 WARNER AVE	STE 201	FOUNTAIN VALLEY	CA	92708	3846	00	06000	33.71628153	-117.9388215	Orange County
305873	Non-Physician Medical Practitioner	None	1881286813	0	0	NGUYEN, JENNY V PA-C	12/6/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1621 W IMOLA AVE	None	NAPA	CA	94559	4721	00	06000	38.28190003	-122.2926629	Napa County
305878	Non-Physician Medical Practitioner	None	1295802031	0	0	NILSEN, JOYCE A NP	9/6/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23181 VERDUGO DR STE 103	None	LAGUNA HILLS	CA	92653	1313	00	06000	33.62609529	-117.7293191	Orange County
305970	Non-Physician Medical Practitioner	None	1285111575	0	0	NGUYEN, GRACE K PA	9/10/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1798 N GAREY AVE	None	POMONA	CA	91767	2918	00	06000	34.076894	-117.7522688	Los Angeles County
305981	Non-Physician Medical Practitioner	None	1376191551	0	0	NAUNGAYAN-RAMIREZ, ELOISA NP	11/21/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
305982	Non-Physician Medical Practitioner	None	1417321746	0	0	NORTH COUNTY HEALTH PROJECT, INC	6/15/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	00	06000	33.14066871	-117.156095	San Diego County
305992	Non-Physician Medical Practitioner	None	1003070244	0	0	NELSON, GRETCHEN A NP	10/27/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5128 HORSESHOE BEND	None	CLOVIS	CA	93619	9531	00	06000	36.89078274	-119.6907513	Fresno County
306019	Non-Physician Medical Practitioner	None	1255849865	0	0	NGUYEN, HINH H PA-C	11/12/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11942 PARAMOUNT BLVD	STE B	DOWNEY	CA	90242	2306	00	06000	33.93374098	-118.1445557	Los Angeles County
306028	Non-Physician Medical Practitioner	None	1396954079	0	0	NOUROLLAH, SHOHREH	10/31/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1741 S BEDFORD ST	None	LOS ANGELES	CA	90035	4320	00	06000	34.04688995	-118.381771	Los Angeles County
306042	Non-Physician Medical Practitioner	None	1851473037	0	0	NUNEZ, MOLLY E NP	2/10/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
306046	Non-Physician Medical Practitioner	None	1235919564	0	0	NGUYEN, HELEN HOANG	1/9/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9191 WESTMINSTER AVE	SUITE 205	GARDEN GROVE	CA	92844	2751	00	06000	33.75946879	-117.9688437	Orange County
306112	Non-Physician Medical Practitioner	None	1538653589	0	0	NAZERIMONFARED, SARAH M NP	11/2/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	06000	36.143271	-115.1254975	Clark County
306201	Non-Physician Medical Practitioner	None	1235607508	0	0	NAMGOONG, HEE PA-C	9/17/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2490 HOSPITAL DRIVE	SUITE 111	MOUNTAIN VIEW	CA	94040	4124	00	06000	37.369827	-122.0818185	Santa Clara County
306267	Non-Physician Medical Practitioner	None	1790317873	0	0	NGUYEN, DENNIS NP	2/26/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	975 S. FAIRMONT AVENUE	None	LODI	CA	95241	5118	00	06000	38.12188356	-121.285872	San Joaquin County
306273	Non-Physician Medical Practitioner	None	1174978779	0	0	NOLAN, BRITTANY L	10/27/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	33 NIETO AVE	STE 3	LONG BEACH	CA	90803	3348	00	06000	33.75663305	-118.1376427	Los Angeles County
306306	Non-Physician Medical Practitioner	None	1891099917	0	0	NENDZE-SCHEITLER, DEBRA NP	6/23/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	00	06000	39.506454	-121.5412785	Butte County
306362	Non-Physician Medical Practitioner	None	1417432535	0	0	NGUYEN, CALVIN D PA-C	6/11/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	401 E HIGHLAND AVE STE 3	None	SAN BERNARDINO	CA	92404	3830	00	06000	34.1358627	-117.2757778	San Bernardino County
306363	Non-Physician Medical Practitioner	None	1427193762	0	0	NERMAL, NERCHI L NP	6/26/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
306380	Non-Physician Medical Practitioner	None	1396465001	0	0	NIKOLAYCHUK, VERA NP	7/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7910 FROST ST	SUITE 335	SAN DIEGO	CA	92123	2771	00	06000	32.80027449	-117.153846	San Diego County
306449	Non-Physician Medical Practitioner	None	1417032921	0	0	NORTHERN INYO HEALTHCARE DISTRICT	7/10/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	153 PIONEER LN	None	BISHOP	CA	93514	2557	00	06000	37.3624356	-118.4073711	Inyo County
306465	Non-Physician Medical Practitioner	None	1871136929	0	0	NGUYEN, RAYMOND T NP	7/20/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	00	06000	34.129683	-117.970857	Los Angeles County
306469	Non-Physician Medical Practitioner	None	1487968608	0	0	NANCE-CHASTAIN, CHRISTY E NP	8/3/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5400 W HILLSDALE AVE	None	VISALIA	CA	93291	6238	00	06000	36.330327	-119.351943	Tulare County
306482	Non-Physician Medical Practitioner	None	1568820405	0	0	NGUYEN, HALEY T	10/12/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3027 BRIDGEFORD WY	None	EL DORADO HILLS	CA	95762	8021	00	06000	38.62339263	-121.0425569	El Dorado County
306491	Non-Physician Medical Practitioner	None	1811583073	0	0	NGUYEN, PHUONG T NP	5/5/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1020 S ANAHEIM BLVD	SUITE 220	ANAHEIM	CA	92805	5821	00	06000	33.82002206	-117.9087091	Orange County
306510	Non-Physician Medical Practitioner	None	1114220357	0	0	NORTH KERN SOUTH TULARE HOSPITAL DISTRICT	4/27/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1500 6TH AVE	None	DELANO	CA	93215	0000	00	06000	35.76504054	-119.236779	Kern County
306529	Non-Physician Medical Practitioner	None	1891028171	0	0	NORTHEAST COMMUNITY CLINIC	12/14/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4455 W 117TH ST STE 300	None	HAWTHORNE	CA	90250	2240	00	06000	33.92825048	-118.3539285	Los Angeles County
306532	Non-Physician Medical Practitioner	None	1063822096	0	0	NUNN, DARA L NP	2/26/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12629 RIVERSIDE DRIVE	APT 212	VALLEY VILLAGE	CA	91607	3479	00	06000	34.15763646	-118.408473	Los Angeles County
306567	Non-Physician Medical Practitioner	None	1134647811	0	0	NG-TANG, KEVIN	12/15/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 POLK ST	APT 501	SAN FRANCISCO	CA	94102	4755	00	06000	37.77776761	-122.4181106	San Francisco County
306571	Non-Physician Medical Practitioner	None	1346488210	0	0	NEEDHAM, ANNETTE L NP	7/16/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2193 DORRINGTON DRIVE	None	ROSEVILLE	CA	95661	4086	00	06000	38.76377418	-121.2268893	Placer County
306592	Non-Physician Medical Practitioner	None	1154786846	0	0	NEIGHBORHOOD HEALTHCARE	7/6/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	903 E DEVONSHIRE AVE	STE D	HEMET	CA	92543	3097	00	06000	33.75116958	-116.9627485	Riverside County
306600	Non-Physician Medical Practitioner	None	1942775887	0	0	NGUYEN, DIEM-CHI PA	7/5/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	00	06000	32.83133206	-117.1252363	San Diego County
306654	Non-Physician Medical Practitioner	None	1932612306	0	0	NIAZI, HAYATULLAH	1/22/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10327 FRANK GREG WAY	None	ELK GROVE	CA	95757	5912	00	06000	38.38176	-121.427019	Sacramento County
306665	Non-Physician Medical Practitioner	None	1104400498	0	0	NGUYEN, KAILEY PA-C	10/6/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9041 MAGNOLIA AVE	STE 305	RIVERSIDE	CA	92503	3957	00	06000	33.92541585	-117.4378266	Riverside County
306680	Non-Physician Medical Practitioner	None	1790463875	0	0	NGUYEN, PATRISIA NP	3/4/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	555 E HARDY ST	IRA KAUFMAN PAVILION	INGLEWOOD	CA	90301	4106	00	06000	33.94909549	-118.3481595	Los Angeles County
306796	Non-Physician Medical Practitioner	None	1194069997	0	0	NEVIL, MICHELLE J	4/20/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8300 CANTERSHIRE WAY	None	GRANITE BAY	CA	95746	9477	00	06000	38.74722753	-121.1922857	Placer County
306888	Non-Physician Medical Practitioner	None	1972547537	0	0	NAKAMURA, JANET GEISLER	11/21/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1798 N. GAREY AVENUE	None	POMONA	CA	91767	0000	00	06000	34.076894	-117.7522688	Los Angeles County
306889	Non-Physician Medical Practitioner	None	1053773739	0	0	NOKES, RYAN C Z	7/12/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	831 CORONADO CENTER DR	APT 4104	HENDERSON	NV	89052	4270	00	06000	36.002205	-115.1120025	Clark County
306891	Non-Physician Medical Practitioner	None	1770840902	0	0	NARGISO, SARAH A	9/26/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1155 N LA CIENEGA BLVD	UNIT 112	W HOLLYWOOD	CA	90069	2430	00	06000	34.0920713	-118.3763327	Los Angeles County
306909	Non-Physician Medical Practitioner	None	1962799023	0	0	NOMURA, MARCIE L NP	1/19/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8512 CROYDON AVENUE	None	LOS ANGELES	CA	90045	3041	00	06000	33.96059234	-118.3925113	Los Angeles County
306926	Non-Physician Medical Practitioner	None	1972937837	0	0	NOVOTNY, AVA M	11/2/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	137 WINGED FOOT PLACE	None	SAN RAMON	CA	94583	3924	00	06000	37.73265764	-121.9263458	Contra Costa County
307023	Non-Physician Medical Practitioner	None	1427312644	0	0	NGUYEN, KHANH K	1/5/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
307065	Non-Physician Medical Practitioner	None	1629847231	0	0	NGU, MEALYNNE NP	2/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1530 E CHEVY CHASE DR	STE 202	GLENDALE	CA	91206	4139	00	06000	34.150689	-118.2303855	Los Angeles County
307088	Non-Physician Medical Practitioner	None	1124100136	0	0	NGUYEN, CHARLES D PA	8/3/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
307160	Non-Physician Medical Practitioner	None	1326229162	0	0	NELSON, KATHLEEN	4/18/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14711 PRINCETON AVE	SUITE 2	MOORPARK	CA	93021	1457	00	06000	34.29579742	-118.8570277	Ventura County
307224	Non-Physician Medical Practitioner	None	1922276948	0	0	NUNEZ, DANIEL CHRISTOPHER	7/29/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	32709 MIRA ST	None	MENIFEE	CA	92584	7854	00	06000	33.64618902	-117.1411881	Riverside County
307238	Non-Physician Medical Practitioner	None	1518931476	0	0	NGUYEN, NGOC D	4/7/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1712 S 6TH STREET	APT 6	ALHAMBRA	CA	91803	3451	00	06000	34.07452605	-118.1292431	Los Angeles County
307242	Non-Physician Medical Practitioner	None	1225020118	0	0	NALUMALUHIA, ROBERT A	8/1/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	67 WHITE MOUNTAIN DRIVE	None	CHALFANT VALLEY	CA	93514	9461	00	06000	37.53388554	-118.3632904	Mono County
307245	Non-Physician Medical Practitioner	None	1760704761	0	0	NASSAR, JEANNE PA	4/2/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
307373	Non-Physician Medical Practitioner	None	1679922413	0	0	NGO, CAROLYN PA	7/14/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	127 MERIDETH AVE	APT A	PASADENA	CA	91106	2257	00	06000	34.14368868	-118.114483	Los Angeles County
307399	Non-Physician Medical Practitioner	None	1083730238	0	0	NEAL, BILLIE P JR	3/6/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1170 NEWCASTLE CT	None	OCEANSIDE	CA	92056	6463	00	06000	33.239902	-117.2739163	San Diego County
307414	Non-Physician Medical Practitioner	None	1447903869	0	0	NASH, RENADA J NP	4/27/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	43839 15TH ST W	None	LANCASTER	CA	93534	4756	00	06000	34.678791	-118.156867	Los Angeles County
307422	Non-Physician Medical Practitioner	None	1073613063	0	0	NEWMAN, KATHLEEN S	4/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17619 ERIC AVE	None	CERRITOS	CA	90701	5534	00	06000	33.87049342	-118.094985	Los Angeles County
307491	Non-Physician Medical Practitioner	None	1477963908	0	0	NELSON, JENNIFER L CRNA	11/13/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5547 SAND PIPER CT	None	STOCKTON	CA	95207	5417	00	06000	37.99742405	-121.3267298	San Joaquin County
307498	Non-Physician Medical Practitioner	None	1609302348	0	0	NEINCHEL, LISA A NP	7/14/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	190 ROSE COURT	3	CAMPBELL	CA	95008	2894	00	06000	37.28600691	-121.9533547	Santa Clara County
307529	Non-Physician Medical Practitioner	None	1447689609	0	0	NEGRETE, STACEY M NP	7/18/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16460 JOY STREET	L6	LAKE ELSINORE	CA	92530	8907	00	06000	33.68165565	-117.3736125	Riverside County
307571	Non-Physician Medical Practitioner	None	1326682428	0	0	NGUYEN, TAMMY T PA-C	3/18/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1125 E 17TH ST	UNIT N-452	SANTA ANA	CA	92701	2201	00	06000	33.76004145	-117.854838	Orange County
307580	Non-Physician Medical Practitioner	None	1174156475	0	0	NGUYEN, VY PA-C	10/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14443 CULVER DR	14443-A	IRVINE	CA	92604	0343	00	06000	33.70541708	-117.7871432	Orange County
307619	Non-Physician Medical Practitioner	None	1952843609	0	0	NG, WAN TING NP	8/25/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	2508	00	06000	34.12811155	-118.2577764	Los Angeles County
307633	Non-Physician Medical Practitioner	None	1548504533	0	0	NGUYEN, CHAU D PA	11/8/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	00	06000	34.06477215	-117.9845382	Los Angeles County
307645	Non-Physician Medical Practitioner	None	1255822334	0	0	NEBO, STEPHANIE R NP	4/11/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13132 STUDEBAKER RD	10	NORWALK	CA	90650	2562	00	06000	33.911874	-118.099151	Los Angeles County
307655	Non-Physician Medical Practitioner	None	1558924803	0	0	NGUYEN, JOHN PA-C	7/16/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2823 FRESNO ST	None	FRESNO	CA	93721	1324	00	06000	36.7423511	-119.7834688	Fresno County
307710	Non-Physician Medical Practitioner	None	1831369230	0	0	NGUYEN, DAN T T	9/28/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7206 MORTON PL	None	CASTRO VALLEY	CA	94552	5284	00	06000	37.72049529	-122.0285565	Alameda County
307711	Non-Physician Medical Practitioner	None	1013304567	0	0	NIEBUHR, ALAINA R NP	11/28/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1695 BEACH ST	APT 301	SAN FRANCISCO	CA	94123	1725	00	06000	37.80455269	-122.4367238	San Francisco County
307736	Non-Physician Medical Practitioner	None	1639641699	0	0	NUR, ZAHRA J NP	6/27/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16660 PARAMOUNT BLVD	306	PARAMOUNT	CA	90723	5459	00	06000	33.882723	-118.1599535	Los Angeles County
307740	Non-Physician Medical Practitioner	None	1548049471	0	0	NEDDERMANN, ARIANA	11/2/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11525 BROOKSHIRE AVE	SUITE 202	DOWNEY	CA	90241	4983	00	06000	33.93544635	-118.1318321	Los Angeles County
307844	Non-Physician Medical Practitioner	None	1245096684	0	0	NJIE, ERNESTINE NP	10/24/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	504 S SIERRA MADRE BLVD	None	PASADENA	CA	91107	5240	00	06000	34.137603	-118.101464	Los Angeles County
307931	Non-Physician Medical Practitioner	None	1487117594	0	0	NASTASI, JOHN PA	2/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	00	06000	33.85429563	-117.8166478	Orange County
307962	Non-Physician Medical Practitioner	None	1154090744	0	0	NARVAEZ, AKSEL NP	10/30/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1600 S IMPERIAL AVE	STE 5	EL CENTRO	CA	92243	4242	00	06000	32.77882919	-115.5697116	Imperial County
308031	Non-Physician Medical Practitioner	None	1346366580	0	0	NOYES, LISE A	6/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	734 HASTINGS CT	None	SAN MARCOS	CA	92069	2070	00	06000	33.15122014	-117.1327463	San Diego County
308067	Non-Physician Medical Practitioner	None	1750663993	0	0	NIGAM, PRATIBHA	12/19/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
308078	Non-Physician Medical Practitioner	None	1083929707	0	0	NANDWANI, MONICA CHRISTINE R	9/12/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	825 MARSHALL ST	APT 325	REDWOOD CITY	CA	94063	2168	00	06000	37.48777614	-122.2256689	San Mateo County
308085	Non-Physician Medical Practitioner	None	1548227507	0	0	NUNAN-LUI, CORRIE L	3/24/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
308091	Non-Physician Medical Practitioner	None	1225562853	0	0	NEUMANN, KRISTEN NP	8/17/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
308131	Non-Physician Medical Practitioner	None	1841617958	0	0	NEIGHBORHOOD HEALTHCARE	9/3/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26926 CHERRY HILLS BLVD	None	MENIFEE	CA	92586	2500	00	06000	33.71084821	-117.1899782	Riverside County
308148	Non-Physician Medical Practitioner	None	1255447496	0	0	NAGEL, IRENE K	7/2/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4 ADELE STREET	None	LADERA RANCH	CA	92694	1524	00	06000	33.53407465	-117.643434	Orange County
308159	Non-Physician Medical Practitioner	None	1104307305	0	0	NGO, VI A PA-C	1/23/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2425 SAMARITAN DR	None	SAN JOSE	CA	95124	3908	00	06000	37.25111017	-121.9465891	Santa Clara County
308251	Non-Physician Medical Practitioner	None	1861736589	0	0	NGUYEN, DYAN S NP	3/28/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	28924 GUNTER RD	None	RANCHO PALOS VERD	CA	90275	2020	00	06000	33.75479785	-118.3117564	Los Angeles County
308324	Non-Physician Medical Practitioner	None	1578518791	0	0	NOGOSEK, LORENA D	7/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1545 ARROWHEAD COURT	None	GILROY	CA	95020	7789	00	06000	37.02935535	-121.6115811	Santa Clara County
308331	Non-Physician Medical Practitioner	None	1033561444	0	0	NASH, MICHAEL R NP	9/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	20025 PINEVILLE CT	None	YORBA LINDA	CA	92886	6713	00	06000	33.86556877	-117.7847887	Orange County
308333	Non-Physician Medical Practitioner	None	1609171644	0	0	NGUYEN, MICHELLE K NP	9/21/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1726 S IVANHOE ST	None	ANAHEIM	CA	92804	6510	00	06000	33.80436084	-117.9512032	Orange County
308365	Non-Physician Medical Practitioner	None	1558111039	0	0	NASROLLAHY, ANNETTE NP	10/15/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1010 W CHAPMAN AVE	None	ORANGE	CA	92868	2847	00	06000	33.78785047	-117.8631495	Orange County
308396	Non-Physician Medical Practitioner	None	1144670431	0	0	NGUYEN, HOANG THY T NP	9/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	800 OAKLAND AVE	None	ROSEVILLE	CA	95678	2553	00	06000	38.74818921	-121.2945204	Placer County
308409	Non-Physician Medical Practitioner	None	1598967507	0	0	NG, CHUN J PA-C	2/23/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18575 GALE AVE	SUITE 278	CITY OF INDUSTRY	CA	91748	1340	00	06000	33.99497471	-117.8986874	Los Angeles County
308454	Non-Physician Medical Practitioner	None	1437344264	0	0	NEELY, MICOLE D	6/1/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	27 W GEORGIA AVE	None	PHOENIX	AZ	85013	2012	00	06000	33.514461	-112.0751235	Maricopa County
308457	Non-Physician Medical Practitioner	None	1700455714	0	0	NGUYEN, KARMEN A NP	11/8/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4312 WOODMAN AVENUE	SUITE 102	SHERMAN OAKS	CA	91423	5546	00	06000	34.148637	-118.4312035	Los Angeles County
308502	Non-Physician Medical Practitioner	None	1588750244	0	0	NALLEY, LORRAINE E NP	12/9/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2408 HEMLOCK AVE	None	MORRO BAY	CA	93442	1744	00	06000	35.38773195	-120.8537987	San Luis Obispo County
308526	Non-Physician Medical Practitioner	None	1457507576	0	0	NELSON, WENDY A NP	12/12/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1535 GRANVILLE AVE	APARTMENT 103	LOS ANGELES	CA	90025	2820	00	06000	34.04183068	-118.4573582	Los Angeles County
308527	Non-Physician Medical Practitioner	None	1932643251	0	0	NGUYEN, DIANA T CNM	8/4/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2185 CITRACADA PARKWAY	None	ESCONDIDO	CA	92029	4159	00	06000	33.12123297	-117.1199417	San Diego County
308564	Non-Physician Medical Practitioner	None	1790219707	0	0	NIMESGERN, ANN M PA-C	3/23/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2581 SAMARITAN DR	None	SAN JOSE	CA	95124	4112	00	06000	37.25305684	-121.9507351	Santa Clara County
308581	Non-Physician Medical Practitioner	None	1689009557	0	0	NGUYEN, MINHDAN PA	9/13/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5215 TORRANCE BLVD	STE 300	TORRANCE	CA	90503	4009	00	06000	33.83760237	-118.3692467	Los Angeles County
308657	Non-Physician Medical Practitioner	None	1326596602	0	0	NEMECEK, KATE PA	1/12/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	955 W IMPERIAL HWY	SUITE 110	BREA	CA	92821	3812	00	06000	33.91745451	-117.9133065	Orange County
308822	Non-Physician Medical Practitioner	None	1215645247	0	0	NGUYEN, MARINA NP	7/18/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1552 COFFEE ROAD	SUITE 200	MODESTO	CA	95355	3122	00	06000	37.666872	-120.975684	Stanislaus County
308924	Non-Physician Medical Practitioner	None	1093716474	0	0	NORTHEAST VALLEY HEALTH CORPORATION	2/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7138 VAN NUYS BLVD	None	VAN NUYS	CA	91405	3005	00	06000	34.200464	-118.4487407	Los Angeles County
308934	Non-Physician Medical Practitioner	None	1871138164	0	0	NGUYEN, TIFFANY PA	4/3/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5525 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3009	00	06000	32.781195	-117.0070695	San Diego County
308939	Non-Physician Medical Practitioner	None	1962241000	0	0	NGUYEN, GLORIA PA-C	10/1/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1420 RIVER PARK DR	STE 120	SACRAMENTO	CA	95815	4506	00	06000	38.597571	-121.4392905	Sacramento County
308953	Non-Physician Medical Practitioner	None	1154096501	0	0	NELSON, TAMARA J CNM	3/28/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1505 SOQUEL DR	STE 1	SANTA CRUZ	CA	95065	1716	00	06000	36.98803429	-121.9848045	Santa Cruz County
308967	Non-Physician Medical Practitioner	None	1225534472	0	0	NEWLAND, ANNIESATU NP	4/20/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	00	06000	33.83760674	-118.3572569	Los Angeles County
308982	Non-Physician Medical Practitioner	None	1336955053	0	0	NAGLE, LISA NP	3/6/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	800 S MAIN ST	None	CORONA	CA	92882	3420	00	06000	33.872958	-117.568359	Riverside County
308993	Non-Physician Medical Practitioner	None	1508998733	0	0	NUNEZ, FELIPE PA	6/23/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 CESAR E CHAVEZ AVE	STE 2200	LOS ANGELES	CA	90033	2476	00	06000	34.05101259	-118.217259	Los Angeles County
309034	Non-Physician Medical Practitioner	None	1932225976	0	0	NG, MATTIANA S CNM	5/23/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27314 BRIGHTON LN	None	VALENCIA	CA	91354	1808	00	06000	34.43837108	-118.5492653	Los Angeles County
309035	Non-Physician Medical Practitioner	None	1063042968	0	0	NUGENT, CODY	2/6/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8770 CUYAMACA STREET	SUITE 4	SANTEE	CA	92071	4289	00	06000	32.83525722	-116.9839255	San Diego County
309126	Non-Physician Medical Practitioner	None	1316179344	0	0	NELSON, SCOTT A	11/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8054 N MAROA AVE	APT 106	FRESNO	CA	93711	6119	00	06000	36.85263501	-119.7990191	Fresno County
309141	Non-Physician Medical Practitioner	None	1194154070	0	0	NGO, CHAU M PA-C	7/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17213 SANTA CATHERINE ST	None	FOUNTAIN VALLEY	CA	92708	3334	00	06000	33.71273684	-117.9754047	Orange County
309147	Non-Physician Medical Practitioner	None	1881161511	0	0	NEWMAN, GARRETT L NP	12/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	00	06000	34.047153	-117.2611485	San Bernardino County
309191	Non-Physician Medical Practitioner	None	1922775121	0	0	NGUYEN, CYNTHIA O PA	11/10/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	955 W IMPERIAL HWY	SUITE 110	BREA	CA	92821	3812	00	06000	33.91745451	-117.9133065	Orange County
309237	Non-Physician Medical Practitioner	None	1588922058	0	0	NASH-FAIRFAX, ERIN E	8/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18990 VISTA DE MONTANAS	None	MURRIETA	CA	92562	9323	00	06000	33.558687	-117.3303405	Riverside County
309402	Non-Physician Medical Practitioner	None	1447352232	0	0	NASTANSKY, DARLENE E PA	3/11/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
309531	Non-Physician Medical Practitioner	None	1750831228	0	0	NGUYEN, ANDY AN PHUOC NP	4/3/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	646 KENNEDY ST	APT 111	OAKLAND	CA	94606	5313	00	06000	37.77606326	-122.2374767	Alameda County
309535	Non-Physician Medical Practitioner	None	1427522713	0	0	NAVARRO, AMANDA PA-C	7/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23929 MCBEAN PKWY	STE 215	VALENCIA	CA	91355	4468	00	06000	34.39588575	-118.5538975	Los Angeles County
309537	Non-Physician Medical Practitioner	None	1962775684	0	0	NGUYEN, KIMBERLY V	4/3/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1115 SANDI LN	None	COSTA MESA	CA	92627	3964	00	06000	33.65314534	-117.9450528	Orange County
309541	Non-Physician Medical Practitioner	None	1982360913	0	0	NGUYEN, KAITLYN L PA-C	6/30/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16415 COLORADO AVE	SUITE 402	PARAMOUNT	CA	90723	5035	00	06000	33.8853075	-118.1614695	Los Angeles County
309543	Non-Physician Medical Practitioner	None	1538772371	0	0	NONG, ELLEN Q PA	7/15/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	25455 BARTON RD	STE 108A	LOMA LINDA	CA	92354	3129	00	06000	34.04805253	-117.249534	San Bernardino County
309567	Non-Physician Medical Practitioner	None	1952641136	0	0	NORTHEAST COMMUNITY CLINIC	8/12/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1403 LOMITA BLVD	SUITE 100, 101, 106	HARBOR CITY	CA	90710	2076	00	06000	33.79783692	-118.30188	Los Angeles County
309631	Non-Physician Medical Practitioner	None	1871041970	0	0	NIJJAR, NISHA NP	1/13/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1111 EXPOSITION BLVD	BLDG 700	SACRAMENTO	CA	95815	4300	00	06000	38.598876	-121.4502885	Sacramento County
309640	Non-Physician Medical Practitioner	None	1124190004	0	0	NEWHAUSER, NICOLE M	1/16/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	00	06000	37.9469952	-122.5373892	Marin County
309673	Non-Physician Medical Practitioner	None	1194303958	0	0	NGUYEN, THEODORA P PA-C	5/15/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4950 SAN BERNARDINO ST	200	MONTCLAIR	CA	91763	2328	00	06000	34.07768363	-117.6968874	San Bernardino County
309683	Non-Physician Medical Practitioner	None	1558535609	0	0	NWISU, EMMANUEL AZUBUIKE	12/28/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 E HOBSONWAY STE C	None	BLYTHE	CA	92225	1700	00	06000	33.61046174	-114.5964009	Riverside County
309707	Non-Physician Medical Practitioner	None	1083913180	0	0	NAKAGAWA, JENNA PA	8/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 CORPORATE POINTE	STE 465	CULVER CITY	CA	90230	8706	00	06000	33.98867148	-118.3837334	Los Angeles County
309731	Non-Physician Medical Practitioner	None	1063589810	0	0	NAGAO, TROY T	4/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4232 MCCONNELL BLVD	None	LOS ANGELES	CA	90066	6111	00	06000	33.99315829	-118.4328315	Los Angeles County
309754	Non-Physician Medical Practitioner	None	1134869886	0	0	NGAHA, ROGER NP	5/3/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	520 N MAIN ST	SUITE 120	SANTA ANA	CA	92701	4623	00	06000	33.749316	-117.868123	Orange County
309776	Non-Physician Medical Practitioner	None	1235363136	0	0	NAOR, REBECCA	7/31/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
309799	Non-Physician Medical Practitioner	None	1689139057	0	0	NUNN, JOHN PA-C	3/21/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	41870 GARSTIN DRIVE	None	BIG BEAR LAKE	CA	92315	1649	00	06000	34.24602097	-116.8885243	San Bernardino County
309848	Non-Physician Medical Practitioner	None	1386965986	0	0	NASH, NOJA A NP	5/11/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8710 MONROE CT	SUITE 150	RANCHO CUCAMONGA	CA	91730	4883	00	06000	34.09544496	-117.5747968	San Bernardino County
309854	Non-Physician Medical Practitioner	None	1417146655	0	0	NORMAN, STACY T PA-C	5/11/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4244 RIVERWALK PKWY	170	RIVERSIDE	CA	92505	8509	00	06000	33.90336622	-117.49394	Riverside County
309858	Non-Physician Medical Practitioner	None	1891166625	0	0	NOSON, LEAH NP	6/14/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
309888	Non-Physician Medical Practitioner	None	1205507142	0	0	NDIRITU, JESSICA NP	10/15/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1144 65TH ST STE F	None	OAKLAND	CA	94608	1053	00	06000	37.84779018	-122.2868874	Alameda County
309937	Non-Physician Medical Practitioner	None	1811696230	0	0	NNADI, TOCHUKWU NP	11/8/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	510 PLAZA DRIVE	STE 170	FOLSOM	CA	95630	4790	00	06000	38.65716	-121.1738175	Sacramento County
309948	Non-Physician Medical Practitioner	None	1477897452	0	0	NGUYEN, THANH H NP	6/6/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22784 CANYON VIEW DR	None	CORONA	CA	92883	9104	00	06000	33.78873715	-117.5031885	Riverside County
309980	Non-Physician Medical Practitioner	None	1497125447	0	0	NGUYEN, HEATHER D NP	6/8/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9192 INGRAM AVE	None	GARDEN GROVE	CA	92844	2710	00	06000	33.76090753	-117.969232	Orange County
309998	Non-Physician Medical Practitioner	None	1740225655	0	0	NGARIPIN, NATALIE	9/17/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5990 VISTA DE LA LUZ	None	WOODLAND HILLS	CA	91367	1068	00	06000	34.1816733	-118.6663154	Los Angeles County
310180	Non-Physician Medical Practitioner	None	1629725742	0	0	NEIGHBOR, JONATHAN S PA	8/15/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	00	06000	35.38333823	-119.0188872	Kern County
310191	Non-Physician Medical Practitioner	None	1497588479	0	0	NG, YIM MEI RN MA	10/2/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	223 N. GARFIELD AVE	202	MONTEREY PARK	CA	91754	1700	00	06000	34.0646166	-118.1228948	Los Angeles County
310195	Non-Physician Medical Practitioner	None	1144635848	0	0	NAVARRO, KIMBERLY NP	6/4/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 THE CITY DR S	None	ORANGE	CA	92868	3298	00	06000	33.78674051	-117.8888713	Orange County
310203	Non-Physician Medical Practitioner	None	1750695904	0	0	NICKELSON, JULIE PA-C	7/18/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	00	06000	39.506454	-121.5412785	Butte County
310407	Non-Physician Medical Practitioner	None	1679168389	0	0	NARTEA, MA ELENA NP	12/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3805 SAN DIMAS STREET	SUITE B	BAKERSFIELD	CA	93301	2014	00	06000	35.39508529	-119.0082516	Kern County
310411	Non-Physician Medical Practitioner	None	1962564542	0	0	NEDRESKY, AMY L	4/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1451 ROCKY RIDGE RD	APT 508	ROSEVILLE	CA	95661	3004	00	06000	38.75341372	-121.2471694	Placer County
310439	Non-Physician Medical Practitioner	None	1225717705	0	0	NGUYEN, THUY DUNG T PA	10/30/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1510 FLORIDA AVE	STE B	MODESTO	CA	95350	4437	00	06000	37.666053	-120.996222	Stanislaus County
310467	Non-Physician Medical Practitioner	None	1528481421	0	0	NAKAJIMA, ERIKO PA	3/30/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16404 COLIMA RD	None	HACIENDA HEIGHTS	CA	91745	5502	00	06000	33.98596755	-117.9536776	Los Angeles County
310523	Non-Physician Medical Practitioner	None	1003499799	0	0	NEUBUERGER, LAURAN PA	1/2/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2725 CAPITOL AVE	None	SACRAMENTO	CA	95816	6004	00	06000	38.571084	-121.471074	Sacramento County
310554	Non-Physician Medical Practitioner	None	1780103291	0	0	NAJJUMA, CAROLINE NP	2/13/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	19800 ATASCOCITA SHORES	None	HUMBLE	TX	77346	2371	00	06000	30.00760886	-95.14331553	Harris County
310576	Non-Physician Medical Practitioner	None	1194974402	0	0	NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION	12/10/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	901 W ORANGETHORPE AVE	None	FULLERTON	CA	92832	2826	00	06000	33.85940147	-117.939735	Orange County
310655	Non-Physician Medical Practitioner	None	1538824784	0	0	NGUYEN, KEEMLIN NP	11/8/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	00	06000	34.129683	-117.970857	Los Angeles County
310660	Non-Physician Medical Practitioner	None	1639220981	0	0	NISBET, KENNETH	1/21/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	401 E CARRILLO ST	None	SANTA BARBARA	CA	93101	1460	00	06000	34.42588572	-119.6972176	Santa Barbara County
310662	Non-Physician Medical Practitioner	None	1033390216	0	0	NEWLIN, KIMBERLY S	1/10/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3037	00	06000	38.76553806	-121.2497067	Placer County
310698	Non-Physician Medical Practitioner	None	1174197131	0	0	NHAN, JACK PA	8/10/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	00	06000	35.382555	-118.970757	Kern County
310708	Non-Physician Medical Practitioner	None	1710429048	0	0	NEWMAN, LEVI PA	10/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	00	06000	33.9040752	-118.1328995	Los Angeles County
310740	Non-Physician Medical Practitioner	None	1710367032	0	0	NORIEGA, DEBORAH PA	9/11/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
310792	Non-Physician Medical Practitioner	None	1548824188	0	0	NGUYEN, FELIX P PA-C	11/7/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 N PEPPER AVE	None	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
310829	Non-Physician Medical Practitioner	None	1730659756	0	0	NORTON, SARAH E NP	4/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	525 N GARFIELD AVE	None	MONTEREY PARK	CA	91754	1202	00	06000	34.06794352	-118.1229278	Los Angeles County
310847	Non-Physician Medical Practitioner	None	1710371794	0	0	NAVARRO, JOSE D NP	4/7/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	69 ROCKING HORSE DR	None	HEBER	CA	92249	9653	00	06000	32.74011954	-115.541424	Imperial County
310870	Non-Physician Medical Practitioner	None	1205419843	0	0	NWANKWO, CHIDINMA NP	6/5/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1620 S GRAND AVE	None	GLENDORA	CA	91740	5433	00	06000	34.10974369	-117.872489	Los Angeles County
310880	Non-Physician Medical Practitioner	None	1194291484	0	0	NGUYEN, HALEY N T	12/24/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4211 WEST 1ST ST	SPC 139	SANTA ANA	CA	92703	4078	00	06000	33.74516751	-117.9245619	Orange County
310893	Non-Physician Medical Practitioner	None	1497889158	0	0	NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC	11/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7761 GARDEN GROVE BLVD.	None	GARDEN GROVE	CA	92841	4200	00	06000	33.77387145	-117.9966555	Orange County
310917	Non-Physician Medical Practitioner	None	1417622655	0	0	NG, MATTHEW PA-C	5/31/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17100 EUCLID STREET	None	FOUNTAIN VALLEY	CA	92708	4004	00	06000	33.715035	-117.936993	Orange County
310940	Non-Physician Medical Practitioner	None	1417005349	0	0	NEILL-FIOLA, MINDI B	4/29/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35685 COUNTRY PARK DR	None	WILDOMAR	CA	92595	7840	00	06000	33.602256	-117.2274795	Riverside County
311118	Non-Physician Medical Practitioner	None	1497531131	0	0	NGUYEN, TRIDANG T PA	7/16/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4550 VAN NUYS BLVD	STE A4	SHERMAN OAKS	CA	91403	2844	00	06000	34.154658	-118.4486715	Los Angeles County
311205	Non-Physician Medical Practitioner	None	1477193761	0	0	NGUYEN, VICTORIA PA	12/6/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5602 UNIVERSITY AVE	None	SAN DIEGO	CA	92105	2308	00	06000	32.7481088	-117.0743149	San Diego County
311219	Non-Physician Medical Practitioner	None	1275387383	0	0	NEASE, NATHANIEL NP	11/13/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	06000	36.132948	-115.136874	Clark County
311280	Non-Physician Medical Practitioner	None	1821341777	0	0	NWOCHIE, ANGEL O NP	5/20/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	940 N WESTERN AVE	A	SAN PEDRO	CA	90732	2403	00	06000	33.75111361	-118.3090432	Los Angeles County
311288	Non-Physician Medical Practitioner	None	1689112617	0	0	NACHARYAN, VAHAGN NP	9/24/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1737 W GLENOAKS BLVD	None	GLENDALE	CA	91201	1542	00	06000	34.17214599	-118.2908947	Los Angeles County
311333	Non-Physician Medical Practitioner	None	1629626122	0	0	NGUYEN, SHEILA NP	5/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
311424	Non-Physician Medical Practitioner	None	1952852600	0	0	NGO, JACKLYN M NP	4/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16420 HALSTED STREET	None	NORTH HILLS	CA	91343	1817	00	06000	34.24485602	-118.4899289	Los Angeles County
311456	Non-Physician Medical Practitioner	None	1194716563	0	0	NAY, JENNIFER N	4/2/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1080 N DEWITT	None	CLOVIS	CA	93611	7040	00	06000	36.85006574	-119.7061546	Fresno County
311460	Non-Physician Medical Practitioner	None	1891080750	0	0	NGUYEN, JENNIFER K	10/11/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1466 MARIPOSA ST	None	SAN DIEGO	CA	92114	6427	00	06000	32.68880733	-117.0752736	San Diego County
311568	Non-Physician Medical Practitioner	None	1407500614	0	0	NAPASINDAYAO, LIZ S NP	9/7/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	50 ALESSANDRO PLACE	SUITE 440	PASADENA	CA	91105	0000	00	06000	34.13101049	-118.151532	Los Angeles County
311569	Non-Physician Medical Practitioner	None	1235543240	0	0	NGUYEN, HANG T NP	2/12/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1411 SARATOGA AVE	APT 254	SAN JOSE	CA	95219	4452	00	06000	37.29809486	-121.9849678	Santa Clara County
311592	Non-Physician Medical Practitioner	None	1598462467	0	0	NUNEZ-MAGANA, LIZETTE G	5/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 N EL CIELO RD	None	PALM SPRINGS	CA	92262	6972	00	06000	33.82736911	-116.5109632	Riverside County
311610	Non-Physician Medical Practitioner	None	1013620889	0	0	NGUYEN, HA PA	1/27/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
311640	Non-Physician Medical Practitioner	None	1649513821	0	0	NICHOLS, LINDSAY R CNM	10/8/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	321 MIDDLEFIELD ROAD	SUITE 165,260	MENLO PARK	CA	94025	3500	00	06000	37.45657153	-122.168099	San Mateo County
311645	Non-Physician Medical Practitioner	None	1336182963	0	0	NAKANO, JEFFREY H	10/21/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 N PEPPER AVE	None	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
311647	Non-Physician Medical Practitioner	None	1225306111	0	0	NELLA, ALEXANDER S PA-C	4/20/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	00	06000	38.55204	-121.455387	Sacramento County
311706	Non-Physician Medical Practitioner	None	1568866853	0	0	NINTZEL, GARRETT PA-C	9/6/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
311714	Non-Physician Medical Practitioner	None	1417106915	0	0	NEUWIRTH, REBECCA SHARON	5/3/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	00	06000	37.48948529	-122.2232468	San Mateo County
311737	Non-Physician Medical Practitioner	None	1548678568	0	0	NWACHUKU, ADA F NP	9/3/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1639 WELLINGTON RD	None	LOS ANGELES	CA	90019	5941	00	06000	34.04432486	-118.3312937	Los Angeles County
311760	Non-Physician Medical Practitioner	None	1881997088	0	0	NICKERSON, BERKLEY	1/18/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	19 BRADHURST AVE	SUITE 1400	HAWTHORNE	NY	10532	2140	00	06000	41.087934	-73.8015165	Westchester County
311802	Non-Physician Medical Practitioner	None	1790292712	0	0	NIKNAM, SARA PA-C	6/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	729 SUNRISE AVE	SUITE 602	ROSEVILLE	CA	95661	4542	00	06000	38.73444822	-121.2720033	Placer County
311836	Non-Physician Medical Practitioner	None	1679208946	0	0	NAJJAR, AZIZA B PA	1/3/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15855 POMONA RINCON RD	BLDG 4	CHINO HILLS	CA	91709	3162	00	06000	33.96437546	-117.6900161	San Bernardino County
311858	Non-Physician Medical Practitioner	None	1154831915	0	0	NAKAMOTO, KYLE S PA-C	9/30/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1100 W STEWART DR	None	ORANGE	CA	92868	3849	00	06000	33.78236558	-117.8648414	Orange County
311891	Non-Physician Medical Practitioner	None	1467474908	0	0	NELSON, GARY DUANE	10/26/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3037	00	06000	38.76553806	-121.2497067	Placer County
311892	Non-Physician Medical Practitioner	None	1861834400	0	0	NGUYEN, DIANA N	11/4/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	639 GUERRERO ST	3	SAN FRANCISCO	CA	94110	1577	00	06000	37.76090633	-122.4237022	San Francisco County
311938	Non-Physician Medical Practitioner	None	1760253231	0	0	NA, DANNY NP	7/5/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	255 TERRACINA BLVD	SUITE 204	REDLANDS	CA	92373	4870	00	06000	34.03788441	-117.2055761	San Bernardino County
311953	Non-Physician Medical Practitioner	None	1275869497	0	0	NORTON, TYSEN N	1/23/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 VLAARDINGEN LANE	None	PETALUMA	CA	94952	9210	00	06000	38.32467624	-122.7926637	Sonoma County
311954	Non-Physician Medical Practitioner	None	1316313190	0	0	NOLASCO, MARIA NP	11/10/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10523 CROCKETT STREET	None	SUN VALLEY	CA	91352	4121	00	06000	34.22020492	-118.3605143	Los Angeles County
311964	Non-Physician Medical Practitioner	None	1811509359	0	0	NAVARETTE, KRISTI L NP	10/20/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	06000	36.143271	-115.1254975	Clark County
312029	Non-Physician Medical Practitioner	None	1720010580	0	0	NICOL, ANN M NP	2/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1179 N MCDOWELL BLVD	None	PETALUMA	CA	94954	6559	00	06000	38.26876442	-122.6598332	Sonoma County
312051	Non-Physician Medical Practitioner	None	1235411422	0	0	NGUYEN, HAI	9/23/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10301 BOLSA AVE	STE 107	WESTMINSTER	CA	92683	6784	00	06000	33.74508782	-117.9495976	Orange County
312053	Non-Physician Medical Practitioner	None	1205945250	0	0	NEUNER, JEREMY J NP	8/10/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2150 N WATERMAN AVE	STE 102	SAN BERNARDINO	CA	92404	4811	00	06000	34.134705	-117.2787865	San Bernardino County
312058	Non-Physician Medical Practitioner	None	1366983595	0	0	NGUYEN, ANH H PA	7/8/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
312070	Non-Physician Medical Practitioner	None	1164130431	0	0	NGUYEN, VIVIAN A NP	10/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3828 DELMAS	None	CULVER CITY	CA	90232	2713	00	06000	34.02308948	-118.3972101	Los Angeles County
312084	Non-Physician Medical Practitioner	None	1720387640	0	0	NORTH EAST MEDICAL SERVICES	8/14/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2308 TARAVAL ST	None	SAN FRANCISCO	CA	94116	2252	00	06000	37.74240656	-122.4910367	San Francisco County
312097	Non-Physician Medical Practitioner	None	1306320197	0	0	NGUYEN, TIEN NP	11/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	PO BOX 3535	None	SEAL BEACH	CA	90740	7535	00	06000	0	0	None
312220	Non-Physician Medical Practitioner	None	1295914786	0	0	NWAJUAKU, TRACY	11/26/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6316 HOLMES AVE	None	LOS ANGELES	CA	90001	1824	00	06000	33.982263	-118.2411845	Los Angeles County
312246	Non-Physician Medical Practitioner	None	1083035505	0	0	NORTH EAST MEDICAL SERVICES	12/30/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1870 LUNDY AVE	None	SAN JOSE	CA	95131	1826	00	06000	37.39271022	-121.8903238	Santa Clara County
312298	Non-Physician Medical Practitioner	None	1104103001	0	0	NORTH EAST MEDICAL SERVICES	12/15/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	211 EASTMOOR AVE	None	DALY CITY	CA	94015	2036	00	06000	37.6847337	-122.4787562	San Mateo County
312313	Non-Physician Medical Practitioner	None	1508930058	0	0	NEVIN, ALYSSA C	11/21/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	839 KEARNEY ST	None	EL CERRITO	CA	94530	2822	00	06000	37.90930936	-122.3061183	Contra Costa County
312339	Non-Physician Medical Practitioner	None	1073939542	0	0	NORTH, LISA K NP	4/5/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3000 Q ST	6TH FL	SACRAMENTO	CA	95816	7058	00	06000	38.564991	-121.4696565	Sacramento County
312384	Non-Physician Medical Practitioner	None	1841332376	0	0	NIKOLOPOULOS, AYARPI PA-C	6/14/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	00	06000	34.06169385	-118.2044698	Los Angeles County
312404	Non-Physician Medical Practitioner	None	1174303820	0	0	NG, HERBERT NP	3/8/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8767 WILSHIRE BLVD	2ND AND 3RD FLOOR	BEVERLY HILLS	CA	90211	2714	00	06000	34.06704253	-118.3835029	Los Angeles County
312448	Non-Physician Medical Practitioner	None	1538562996	0	0	NAPA VALLEY COLLEGE	5/21/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2277 NAPA VALLEJO HWY	BUILDING 2250	NAPA	CA	94558	6236	00	06000	38.272905	-122.276601	Napa County
312537	Non-Physician Medical Practitioner	None	1164939930	0	0	NGUYEN, EDWARD A	3/13/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3725 JASMINE CIRCLE	None	SAN JOSE	CA	95135	2377	00	06000	37.3105735	-121.7568758	Santa Clara County
312548	Non-Physician Medical Practitioner	None	1902684467	0	0	NUNES, KATHLEEN A NP	5/16/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1686 BARTON ROAD	None	REDLANDS	CA	92373	7761	00	06000	34.04833901	-117.2120103	San Bernardino County
312614	Non-Physician Medical Practitioner	None	1346619731	0	0	NGUYEN, HIEU T	1/8/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	113 E KING ST	None	SAN BERNARDINO	CA	92408	1120	00	06000	34.10175648	-117.2845935	San Bernardino County
312675	Non-Physician Medical Practitioner	None	1942742804	0	0	NICHOLS, AMY N NP	7/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9675 BRIGHTON WAY	422	BEVERLY HILLS	CA	90210	5132	00	06000	34.06763711	-118.4052901	Los Angeles County
312694	Non-Physician Medical Practitioner	None	1811375629	0	0	NUNEZ, BLANCA E	1/11/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 S SPRUCE ST	APT 216	ESCONDIDO	CA	92025	4059	00	06000	33.11633878	-117.0904879	San Diego County
312726	Non-Physician Medical Practitioner	None	1669897047	0	0	NGUYEN, CAROLINE K	4/2/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	28452 ZURITA	None	MISSION VIEJO	CA	92692	2340	00	06000	33.60850433	-117.6334971	Orange County
312750	Non-Physician Medical Practitioner	None	1851839880	0	0	NGUYEN, KATIE T NP	11/2/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11942 PARAMOUNT BLVD	STE B	DOWNEY	CA	90242	2306	00	06000	33.93374098	-118.1445557	Los Angeles County
312757	Non-Physician Medical Practitioner	None	1881863959	0	0	NONO, JAZELLE MEDRANO	10/31/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	00	06000	37.37715796	-122.0651926	Santa Clara County
312798	Non-Physician Medical Practitioner	None	1730376914	0	0	NGUYEN, HA HONG	11/10/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1994 PALOMA ST.	None	PASADENA	CA	91104	4819	00	06000	34.15919408	-118.1093803	Los Angeles County
312822	Non-Physician Medical Practitioner	None	1881073047	0	0	NELSON, COURTNEY E	3/22/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	455 GRANT AVE	APT 6	PALO ALTO	CA	94306	1817	00	06000	37.42500038	-122.1431144	Santa Clara County
312823	Non-Physician Medical Practitioner	None	1053446617	0	0	NIKLAS, BARBARA L NP	10/11/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2410 RED COACH LN	None	LA HABRA	CA	90631	6254	00	06000	33.91854959	-117.973331	Orange County
312831	Non-Physician Medical Practitioner	None	1740861566	0	0	NGUYEN, CHAU M NP	12/13/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1595 SOQUEL DR	210	SANTA CRUZ	CA	95065	1719	00	06000	36.98879599	-121.9826354	Santa Cruz County
312836	Non-Physician Medical Practitioner	None	1679648729	0	0	NOCERINO, PATRICE MONGER	4/15/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2350 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3305	00	06000	37.78305866	-122.4421313	San Francisco County
312855	Non-Physician Medical Practitioner	None	1588132344	0	0	NAVARRETE-MOTE, OLGA G NP	8/22/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	340 4TH AVE	7A	CHULA VISTA	CA	91910	3813	00	06000	32.63831293	-117.0833536	San Diego County
312903	Non-Physician Medical Practitioner	None	1427793439	0	0	NUNEZ-SALAZAR, RAQUEL M NP	8/10/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	00	06000	33.92721419	-117.561448	Riverside County
312975	Non-Physician Medical Practitioner	None	1326573494	0	0	NWAOHA-EZEKWO, THERESA	2/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10324 GRACIOSA WAY	None	ELK GROVE	CA	95757	3464	00	06000	38.381337	-121.419306	Sacramento County
313010	Non-Physician Medical Practitioner	None	1194286633	0	0	NESBITT, ROSEL B PA-C	1/21/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	800 S MAIN ST	None	CORONA	CA	92882	3420	00	06000	33.872958	-117.568359	Riverside County
313094	Non-Physician Medical Practitioner	None	1619665189	0	0	NADALIZADEH, FARNOOSH PA-C	5/14/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2720 N HARBOR BOULEVARD	SUITE 210	FULLERTON	CA	92835	2626	00	06000	33.90126238	-117.9292154	Orange County
313143	Non-Physician Medical Practitioner	None	1316483118	0	0	NGUYEN, HOANG T NP	3/22/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16323 CLARK AVE	None	BELLFLOWER	CA	90706	5209	00	06000	33.885693	-118.1339975	Los Angeles County
313190	Non-Physician Medical Practitioner	None	1053705087	0	0	NGUYEN, VENUS NP	6/11/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	00	06000	32.77950118	-115.5697279	Imperial County
313230	Non-Physician Medical Practitioner	None	1205490521	0	0	NGUYEN, THUY-VY PA-C	1/20/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4244 RIVERWALK PKWY	170	RIVERSIDE	CA	92505	8509	00	06000	33.90336622	-117.49394	Riverside County
313274	Non-Physician Medical Practitioner	None	1699465930	0	0	NEWBERRY, HAILEY PA-C	6/7/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7115 N CHESTNUT AVE	STE 101	FRESNO	CA	93720	0361	00	06000	36.83977368	-119.7366985	Fresno County
313368	Non-Physician Medical Practitioner	None	1366751539	0	0	NGUYEN, JENNIFER HONGHANH	4/22/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4920 W 135TH ST	None	HAWTHORNE	CA	90250	5626	00	06000	33.90944575	-118.3649788	Los Angeles County
313385	Non-Physician Medical Practitioner	None	1326284274	0	0	NOWICKI, DANUTA E NP	12/10/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15239 EARLHAM STREET	None	PACIFIC PALISADES	CA	90272	4342	00	06000	34.0371834	-118.5263697	Los Angeles County
313404	Non-Physician Medical Practitioner	None	1912619214	0	0	NGUYEN, QUAN M PA	3/16/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	30281 GOLDEN LANTERN	None	LAGUNA NIGUEL	CA	92677	5979	00	06000	33.52255027	-117.6859055	Orange County
313450	Non-Physician Medical Practitioner	None	1336512102	0	0	NGUYEN, MARY H NP	2/28/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10651 LINNELL AVE	None	GARDEN GROVE	CA	92843	3318	00	06000	33.76164141	-117.9434645	Orange County
313454	Non-Physician Medical Practitioner	None	1386796118	0	0	NGO, VINH D	2/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	845 PAYETTE DRIVE	None	CORONA	CA	92881	3183	00	06000	33.82901153	-117.5643873	Riverside County
313470	Non-Physician Medical Practitioner	None	1841715844	0	0	NGUYEN, HAN T PA	9/23/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
313471	Non-Physician Medical Practitioner	None	1508174129	0	0	NASAFI, FARIDA	10/21/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	444 PLUMAS BLVD	None	YUBA CITY	CA	95991	5071	00	06000	39.13178911	-121.6141048	Sutter County
313498	Non-Physician Medical Practitioner	None	1205957412	0	0	NIEMAN, BARRY G	1/31/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	00	06000	34.049547	-117.264078	San Bernardino County
313531	Non-Physician Medical Practitioner	None	1366968513	0	0	NAICK, JONATHAN H PA	4/20/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 CESAR E CHAVEZ AVE	STE 2200	LOS ANGELES	CA	90033	2476	00	06000	34.05101259	-118.217259	Los Angeles County
313588	Non-Physician Medical Practitioner	None	1528650629	0	0	NGUYEN, THAO P NP	5/2/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6316 HOLMES AVE	None	LOS ANGELES	CA	90001	1824	00	06000	33.982263	-118.2411845	Los Angeles County
313612	Non-Physician Medical Practitioner	None	1477689248	0	0	NEJEDLY, MARY P	10/2/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
313629	Non-Physician Medical Practitioner	None	1891573002	0	0	NEUFELD, SAMUEL PA-C	1/15/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	726 4TH ST	None	MARYSVILLE	CA	95901	5656	00	06000	39.13872267	-121.5944372	Yuba County
313637	Non-Physician Medical Practitioner	None	1316386204	0	0	NORRIS, TERESA A NP	10/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6031 IRONGATE CIRCLE	None	HUNTINGTON BEACH	CA	92648	1014	00	06000	33.69974178	-118.0232693	Orange County
313656	Non-Physician Medical Practitioner	None	1790024297	0	0	NGUYEN, VIEH H T NP	2/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	354 HARVARD DR	None	ARCADIA	CA	91007	1216	00	06000	34.14581251	-118.0447829	Los Angeles County
313678	Non-Physician Medical Practitioner	None	1265278279	0	0	NORDMAN, SARAH NP	8/22/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
313679	Non-Physician Medical Practitioner	None	1265022438	0	0	NGUYEN, AMY PA-C	10/8/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11100 WARNER AVE	STE 310	FOUNTAIN VALLEY	CA	92708	4009	00	06000	33.716291	-117.9355051	Orange County
313705	Non-Physician Medical Practitioner	None	1689154726	0	0	NEUZIL, TIMOTHY E PA-C	4/8/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	119 S LOCUST ST	STE B	VISALIA	CA	93291	6251	00	06000	36.329382	-119.2937355	Tulare County
313717	Non-Physician Medical Practitioner	None	1063109197	0	0	NGUYEN, PATRICK PA-C	5/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18225 BROOKHURST ST	STE 6	FOUNTAIN VALLEY	CA	92708	6719	00	06000	33.69890502	-117.9544165	Orange County
313740	Non-Physician Medical Practitioner	None	1629554571	0	0	NESTOR, DANE L NP	9/24/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 OLD RIVER ROAD	None	BAKERSFIELD	CA	93311	9781	00	06000	35.351487	-119.1143025	Kern County
313769	Non-Physician Medical Practitioner	None	1992923668	0	0	NGUYEN, JENNIFER T	4/29/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	50 E HAMILTON AVE STE 12	None	CAMPBELL	CA	95008	0251	00	06000	37.29415254	-121.948758	Santa Clara County
313780	Non-Physician Medical Practitioner	None	1962047365	0	0	NGUYEN, DANIEL T PA-C	1/21/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11190 WARNER AVE	SUITE 300	FOUNTAIN VALLEY	CA	92708	4019	00	06000	33.714	-117.9333585	Orange County
313823	Non-Physician Medical Practitioner	None	1902308810	0	0	NEHRBASS, MENDY D NP	9/23/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18785 BROOKHURST STREET	STE 101	FOUNTAIN VALLEY	CA	92708	7300	00	06000	33.68987636	-117.9542321	Orange County
313858	Non-Physician Medical Practitioner	None	1548346083	0	0	NEWCOMBE, JENNIFER B NP	6/2/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7608 BELPINE PL	None	RANCHO CUCAMONGA	CA	91730	6743	00	06000	34.11743642	-117.5605688	San Bernardino County
313863	Non-Physician Medical Practitioner	None	1801597398	0	0	NADRES, TERESITA F	5/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
313996	Non-Physician Medical Practitioner	None	1548551880	0	0	NAUS, KRYSTAL N	6/7/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 MOUNT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	00	06000	35.382555	-118.970757	Kern County
314030	Non-Physician Medical Practitioner	None	1114541760	0	0	NIGRELLI-BARRIENTOS, SAMANTHA B NP	7/21/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3030 CHILDREN'S WAY	None	SAN DIEGO	CA	92123	4232	00	06000	32.798889	-117.150826	San Diego County
314050	Non-Physician Medical Practitioner	None	1669901468	0	0	NGUYEN, JOSEPH P	1/8/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1644 CALLE DE ARMONIA	None	SAN DIMAS	CA	91773	4010	00	06000	34.08116401	-117.8250148	Los Angeles County
314064	Non-Physician Medical Practitioner	None	1356385082	0	0	NORDLUND, KENNETH W NP	8/22/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11831 KNIGHTSBRIDGE PL	None	LOMA LINDA	CA	92354	4167	00	06000	34.03877003	-117.2310411	San Bernardino County
314078	Non-Physician Medical Practitioner	None	1902260672	0	0	NOVAK, RAIA PA-C	10/21/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4640 ADMIRALTY WAY	718	MARINA DEL REY	CA	90292	6621	00	06000	33.98120707	-118.4409729	Los Angeles County
314132	Non-Physician Medical Practitioner	None	1952060303	0	0	NGUYEN, IVY NP	4/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	20101 LAKE CHABOT RD	3RD FLOOR	CASTRO VALLEY	CA	94546	5305	00	06000	37.69819004	-122.0873124	Alameda County
314155	Non-Physician Medical Practitioner	None	1235730789	0	0	NGUYEN, VINCENT V PA	2/14/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3630 E IMPERIAL HWY	None	LYNWOOD	CA	90262	2609	00	06000	33.93112671	-118.2035532	Los Angeles County
314175	Non-Physician Medical Practitioner	None	1639619331	0	0	NGUYEN, SHAUNA PA	6/16/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	00	06000	38.556288	-121.458474	Sacramento County
314186	Non-Physician Medical Practitioner	None	1316681265	0	0	NELSON, CHRISTOPHER J NP	1/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7300 MEDICAL CENTER DR.	None	WEST HILLS	CA	91307	1902	00	06000	34.20289797	-118.6294006	Los Angeles County
314210	Non-Physician Medical Practitioner	None	1083654057	0	0	NGUYEN, HOAIMINH	3/8/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1441 FLORIDA AVENUE	None	MODESTO	CA	95350	0000	00	06000	37.66508443	-120.9962589	Stanislaus County
314225	Non-Physician Medical Practitioner	None	1578689709	0	0	NGUYEN, TRI H	3/17/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14752 DEVONSHIRE AVE	None	TUSTIN	CA	92780	6654	00	06000	33.72355619	-117.822155	Orange County
314242	Non-Physician Medical Practitioner	None	1528483385	0	0	NORVELL, DEBORAH A	1/12/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
314256	Non-Physician Medical Practitioner	None	1548085699	0	0	NOWAK, CHRISTINE T NP	1/23/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1620 S GRAND AVE	None	GLENDORA	CA	91740	5433	00	06000	34.10974369	-117.872489	Los Angeles County
314347	Non-Physician Medical Practitioner	None	1174300875	0	0	NGO, JENNIFER T NP	10/12/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1040 ELM AVE	SUITE 302	LONG BEACH	CA	90813	3264	00	06000	33.779799	-118.1879535	Los Angeles County
314348	Non-Physician Medical Practitioner	None	1528203643	0	0	NAVARRO, ALEJANDRO SABUGO	3/25/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	10652 S EASTERN AVE	SUITE A	HENDERSON	NV	89052	4952	00	06000	35.99768202	-115.1026769	Clark County
314390	Non-Physician Medical Practitioner	None	1205596616	0	0	NAKHLA, GINA PA-C	4/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	33560 ALVARADO NILES	None	UNION CITY	CA	94587	3111	00	06000	37.59123987	-122.0355648	Alameda County
314476	Non-Physician Medical Practitioner	None	1265191209	0	0	NGUYEN, HUYEN T PA-C	3/21/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	00	06000	34.13502	-117.2758635	San Bernardino County
314523	Non-Physician Medical Practitioner	None	1154322311	0	0	NG, ROSALIND S NP	2/22/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	349 HILL VALLEY CT	None	SIMI VALLEY	CA	93065	8213	00	06000	34.23414332	-118.7960644	Ventura County
314565	Non-Physician Medical Practitioner	None	1811312408	0	0	NGAI, YI L NP	11/24/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3222 GLENDORA DRIVE	APT 210	SAN MATEO	CA	94403	3750	00	06000	37.53226078	-122.3264903	San Mateo County
314741	Non-Physician Medical Practitioner	None	1588970537	0	0	NETERER, AMY E PA	1/20/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	29100 PORTOLA PKWY	SUITE B	LAKE FOREST	CA	92630	8712	00	06000	33.66214655	-117.6532809	Orange County
314750	Non-Physician Medical Practitioner	None	1457700296	0	0	NGUYEN, MAI THAO C PA-C	8/4/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2571 W LA PALMA AVE	None	ANAHEIM	CA	92801	2622	00	06000	33.84687747	-117.975258	Orange County
314790	Non-Physician Medical Practitioner	None	1598327736	0	0	NOEL, VERONA ESTER L NP	9/20/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	00	06000	38.556288	-121.458474	Sacramento County
314829	Non-Physician Medical Practitioner	None	1154053148	0	0	NAKAMURA, KRISTA M PA-C	7/27/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	100 E VALENCIA MESA DR	STE 211	FULLERTON	CA	92835	3817	00	06000	33.89343304	-117.9279349	Orange County
314872	Non-Physician Medical Practitioner	None	1548666738	0	0	NICOLAISEN, JOHN E	11/5/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	235 N FAIRWAY DR	None	LAKE ARROWHEAD	CA	92352	0000	00	06000	34.25400025	-117.2297666	San Bernardino County
314926	Non-Physician Medical Practitioner	None	1124206453	0	0	NGUYEN, MYHANH PHAM	4/2/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27200 CALAROGA AVE	None	HAYWARD	CA	94545	4339	00	06000	37.63347961	-122.0897735	Alameda County
314966	Non-Physician Medical Practitioner	None	1689925729	0	0	NORTHEAST VALLEY HEALTH CORPORATION	12/5/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26974 RAINBOW GLEN DR	None	SANTA CLARITA	CA	91351	4875	00	06000	34.42098578	-118.4901552	Los Angeles County
314991	Non-Physician Medical Practitioner	None	1609019959	0	0	NERY, JAYMEE SYGENGCO	6/16/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	710 LAWRENCE EXPRESSWAY	DEPT 282	SANTA CLARA	CA	95051	0000	00	06000	37.33636857	-121.9958111	Santa Clara County
314993	Non-Physician Medical Practitioner	None	1306315502	0	0	NGUYEN, TIEN T PA-C	10/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
315026	Non-Physician Medical Practitioner	None	1538700448	0	0	NGUYEN, KATARINA M NP	2/8/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
315034	Non-Physician Medical Practitioner	None	1912929936	0	0	NACE, MICHAEL A NP	5/28/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3018 COLE GRADE DR	None	SANTEE	CA	92071	7606	00	06000	32.84001598	-116.9612007	San Diego County
315068	Non-Physician Medical Practitioner	None	1306168158	0	0	NEWLIN, BARBARA	4/7/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1701 DIVISADERO ST	STE 559, 1732	SAN FRANCISCO	CA	94143	1732	00	06000	37.78553106	-122.4399475	San Francisco County
315097	Non-Physician Medical Practitioner	None	1790333706	0	0	NGUYEN, HOANG T NP	5/20/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2773 HARRIS ST	STE A & D	EUREKA	CA	95503	4866	00	06000	40.78052829	-124.1363953	Humboldt County
315111	Non-Physician Medical Practitioner	None	1053483008	0	0	NORRIS, HELENA P NP	8/13/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1665 DOMINICAN WAY	SUITE 222A	SANTA CRUZ	CA	95065	1580	00	06000	36.99032886	-121.9811968	Santa Cruz County
315147	Non-Physician Medical Practitioner	None	1144304569	0	0	NILLAS, NORINA LORA	4/16/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3130 S HARBOR BLVD	250	SANTA ANA	CA	92704	6824	00	06000	33.70467057	-117.919705	Orange County
315179	Non-Physician Medical Practitioner	None	1730512740	0	0	NASSER, NICOLE P NP	9/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	824 38TH ST	None	SACRAMENTO	CA	95816	6180	00	06000	38.572155	-121.455828	Sacramento County
315215	Non-Physician Medical Practitioner	None	1477920841	0	0	NOVAK-NIZAMI, SUSAN C NP	10/11/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7905 RUINART CT	None	VALLEJO	CA	94591	8561	00	06000	38.129786	-122.2126067	Solano County
315314	Non-Physician Medical Practitioner	None	1891073599	0	0	NA, YOUNG H	7/16/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12291 WASHINGTON BLVD	#500	WHITTIER	CA	90606	2500	00	06000	33.96734104	-118.0508773	Los Angeles County
315345	Non-Physician Medical Practitioner	None	1689780942	0	0	NERIA, DA THAO	11/18/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
315355	Non-Physician Medical Practitioner	None	1700555299	0	0	NABAVI, LEILA PA-C	5/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	1821	00	06000	37.7634502	-122.4579779	San Francisco County
315369	Non-Physician Medical Practitioner	None	1689248221	0	0	NGO, CAROLYN PA	9/15/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	00	06000	37.36217918	-121.8472051	Santa Clara County
315376	Non-Physician Medical Practitioner	None	1730891284	0	0	NELSON, KEVIN M PA-C	2/15/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1162 MONTGOMERY DR	SUITE 200 & 300	SANTA ROSA	CA	95405	4802	00	06000	38.442978	-122.6999565	Sonoma County
315395	Non-Physician Medical Practitioner	None	1932210812	0	0	NEWHARD-PARKS, JANE A NP	11/21/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1045 MARSHALL WAY	None	PLACERVILLE	CA	95667	5721	00	06000	38.72585311	-120.7912815	El Dorado County
315438	Non-Physician Medical Practitioner	None	1407690936	0	0	NOVILLA, JANELL-FRANCINE P PA	1/10/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8851 CENTER DR	STE 600	LA MESA	CA	91942	3061	00	06000	32.78189749	-117.0075062	San Diego County
315477	Non-Physician Medical Practitioner	None	1427666239	0	0	NIMTZ, ABIGAIL Q PA-C	5/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8731 W PICO BLVD	None	LOS ANGELES	CA	90035	2205	00	06000	34.05456946	-118.3824636	Los Angeles County
315512	Non-Physician Medical Practitioner	None	1831818103	0	0	NORAKY, SOMPRASONG NP	9/6/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9878 CARMEL MOUNTAIN RD	STE B	SAN DIEGO	CA	92129	2893	00	06000	32.96028359	-117.114844	San Diego County
315515	Non-Physician Medical Practitioner	None	1417962937	0	0	NANNIE, LISA	8/22/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
315539	Non-Physician Medical Practitioner	None	1548025059	0	0	NGUYEN, KIM KHANH H PA-C	4/17/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	201 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6385	00	06000	37.36812305	-122.0312314	Santa Clara County
315607	Non-Physician Medical Practitioner	None	1104155761	0	0	NORTH, BRENT ARTHUR	6/23/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12408 HESPERIA RD	SUITE 2	VICTORVILLE	CA	92395	7718	00	06000	34.47685861	-117.291289	San Bernardino County
315608	Non-Physician Medical Practitioner	None	1275057226	0	0	NAVARRO, BRANDY A NP	10/16/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14524 STARFALL PLACE	None	MORENO VALLEY	CA	92555	6221	00	06000	33.909561	-117.1724825	Riverside County
315670	Non-Physician Medical Practitioner	None	1982938213	0	0	NORTHEAST COMMUNITY CLINIC	10/21/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1400 S GRAND AVE	SUITE 700, 7TH FLOOR	LOS ANGELES	CA	90015	3048	00	06000	34.03692236	-118.2655238	Los Angeles County
315683	Non-Physician Medical Practitioner	None	1760674964	0	0	NGUYEN TRUAX, FAYETTE K NP	6/18/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	36243 INLAND VALLEY DR	STE 80	WILDOMAR	CA	92595	9547	00	06000	33.591528	-117.2393325	Riverside County
315713	Non-Physician Medical Practitioner	None	1043207459	0	0	NAKASONE, RYAN H	12/26/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	323 DUNSMUIR AVE	None	VENTURA	CA	93004	1644	00	06000	34.27777874	-119.1832626	Ventura County
315723	Non-Physician Medical Practitioner	None	1538712740	0	0	NGUYEN, MICHELLE QUYEN NP	3/20/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5800 STANFORD RANCH RD	BLDG 800	ROCKLIN	CA	95765	4387	00	06000	38.79842203	-121.2627131	Placer County
315728	Non-Physician Medical Practitioner	None	1093023343	0	0	NEWAY, ASHLEY L	8/3/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	140 BELMONT STREET	APT 2	SANTA CRUZ	CA	95060	2260	00	06000	36.98798029	-122.0198467	Santa Cruz County
315741	Non-Physician Medical Practitioner	None	1003421975	0	0	NGUYEN, MIRANDA M PA	2/20/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	1821	00	06000	37.7634502	-122.4579779	San Francisco County
315768	Non-Physician Medical Practitioner	None	1619119682	0	0	NOONAN, SAMANTHA A PA	4/20/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	00	06000	32.79293009	-117.0952438	San Diego County
315866	Non-Physician Medical Practitioner	None	1396311205	0	0	NAZARI, JASMINE PA-C	10/19/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5600 CALIFORNIA AVE	STE 101	BAKERSFIELD	CA	93309	1614	00	06000	35.356203	-119.0612695	Kern County
315880	Non-Physician Medical Practitioner	None	1811426745	0	0	NESS, ANASTASIA M NP	3/16/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	00	06000	38.55204	-121.455387	Sacramento County
315904	Non-Physician Medical Practitioner	None	1598383689	0	0	NGUYEN, MY VAN L NP	11/20/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6155 CORNERSTONE CT E	220	SAN DIEGO	CA	92121	4736	00	06000	32.89582335	-117.1880966	San Diego County
315944	Non-Physician Medical Practitioner	None	1982695615	0	0	NESBIT, MARY P PA	2/25/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1000 TRANCAS ST	None	NAPA	CA	94558	2906	00	06000	38.32349768	-122.2963137	Napa County
316010	Non-Physician Medical Practitioner	None	1215345822	0	0	NGO, PRISCILLA T NP	8/14/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	500 DOYLE PARK DR	STE 303	SANTA ROSA	CA	95405	4559	00	06000	38.44332	-122.6985255	Sonoma County
316016	Non-Physician Medical Practitioner	None	1760746275	0	0	NORTH EAST MEDICAL SERVICES	10/2/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1033 CLEMENT ST	None	SAN FRANCISCO	CA	94118	2112	00	06000	37.78261628	-122.470294	San Francisco County
316022	Non-Physician Medical Practitioner	None	1427621606	0	0	NUMATA, LINDSAY PA	10/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13299 EAST SOUTH STREET	None	CERRITOS	CA	90703	7307	00	06000	33.85879939	-118.0490429	Los Angeles County
316050	Non-Physician Medical Practitioner	None	1730794314	0	0	NOGHREYAN, DEBORAH PA	11/20/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	00	06000	34.06169385	-118.2044698	Los Angeles County
316134	Ordering, Referring, Prescribing	N/A	1003163106	0	0	NAVARRETE, REYNA LCSW	8/8/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95894	N/A	N/A	N/A	N/A	N/A	3430 A ST	None	ATWATER	CA	95301	5100	00	06000	37.36706977	-120.570351	Merced County
316155	Ordering, Referring, Prescribing	N/A	1003190166	0	0	NGUYEN, LINH P	7/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64368	N/A	N/A	N/A	N/A	N/A	12490 CENTRAL AVE	None	CHINO	CA	91710	2603	00	06000	34.026831	-117.6895075	San Bernardino County
316178	Ordering, Referring, Prescribing	N/A	1003219734	0	0	NAYLOR, RECHELLE M LCSW	4/28/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	107861	N/A	N/A	N/A	N/A	N/A	675 TEXAS ST	SUITE 3800	FAIRFIELD	CA	94533	6372	00	06000	38.24921151	-122.0412735	Solano County
316252	Ordering, Referring, Prescribing	N/A	1003321050	0	0	NGUYEN, SAMANTHA LMFT	3/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT118775	N/A	N/A	N/A	N/A	N/A	18350 MOUNT LANGLEY ST	220	FOUNTAIN VALLEY	CA	92708	6900	00	06000	33.69633523	-117.9420534	Orange County
316271	Ordering, Referring, Prescribing	N/A	1003350398	0	0	NGUYEN, CHRISTINA T LMFT	6/9/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	88715	N/A	N/A	N/A	N/A	N/A	423 LOS ARBOLES ST	None	SAN JOSE	CA	95111	2344	00	06000	37.28554503	-121.8308949	Santa Clara County
316286	Ordering, Referring, Prescribing	N/A	1003360967	0	0	NIGH, DEVIN LMFT	8/24/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	127716	N/A	N/A	N/A	N/A	N/A	2828 FORD ST	None	OAKLAND	CA	94601	2114	00	06000	37.77357837	-122.2352589	Alameda County
316319	Ordering, Referring, Prescribing	N/A	1003411323	0	0	NJENGA, KERA E NP	11/24/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95016083	N/A	N/A	N/A	N/A	N/A	5925 W LAS POSITAS BLVD	100	PLEASANTON	CA	94588	8537	00	06000	37.68360997	-121.8990082	Alameda County
316414	Ordering, Referring, Prescribing	N/A	1003649054	0	0	NIEBUR, JOANN CNM	8/22/2024	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	NMW236483	N/A	N/A	N/A	N/A	N/A	55 BRENNAN ST	ROOM 201	WATSONVILLE	CA	95076	4342	00	06000	36.91428188	-121.7585516	Santa Cruz County
316416	Ordering, Referring, Prescribing	N/A	1003634239	0	0	NGUYEN, THAI PHARMD	9/23/2024	Taxonomy not applicable	NA	n/a	000	Unknown	90259	N/A	N/A	N/A	N/A	N/A	150 E EL CAMINO REAL	None	SUNNYVALE	CA	94087	0021	00	06000	37.36500202	-122.0290606	Santa Clara County
316479	Ordering, Referring, Prescribing	N/A	1003981457	0	0	NGUYEN, LAN-PHUONG PHARMD	2/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	49842	N/A	N/A	N/A	N/A	N/A	411 N. LAKEVIEW AVE	B23	ANAHEIM	CA	92807	3089	00	06000	33.8531521	-117.8160824	Orange County
316509	Ordering, Referring, Prescribing	N/A	1013050020	0	0	NGUYEN, KHAI H LMFT	11/12/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT40629	N/A	N/A	N/A	N/A	N/A	108 W VICTORIA ST	None	GARDENA	CA	90248	3523	00	06000	33.86509452	-118.2762279	Los Angeles County
316533	Ordering, Referring, Prescribing	N/A	1013092683	0	0	NG, MICHELE PHARMD	3/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48730	N/A	N/A	N/A	N/A	N/A	3801 HOWE ST	None	OAKLAND	CA	94611	5312	00	06000	37.8242732	-122.2568561	Alameda County
316537	Ordering, Referring, Prescribing	N/A	1013099167	0	0	NGUYEN-SMITH, THUY B LCSW	2/8/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW16997	N/A	N/A	N/A	N/A	N/A	720 SACRAMENTO STREET	None	SAN FRANCISCO	CA	94108	2535	00	06000	37.79355846	-122.4050846	San Francisco County
316538	Ordering, Referring, Prescribing	N/A	1013102581	0	0	NICHOLAS, ELISA MD	12/5/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G46763	N/A	N/A	N/A	N/A	N/A	455 E COLUMBIA ST	201	LONG BEACH	CA	90806	1602	00	06000	33.80900524	-118.1874314	Los Angeles County
316593	Ordering, Referring, Prescribing	N/A	1013205574	0	0	NUNES, JENNA C LMFT	5/6/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100190	N/A	N/A	N/A	N/A	N/A	642 W. MAIN ST.	None	MERCED	CA	95240	4718	00	06000	37.3023305	-120.4858296	Merced County
316632	Ordering, Referring, Prescribing	N/A	1013274539	0	0	NAZMY, MIRIAM MD	10/4/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A137830	N/A	N/A	N/A	N/A	N/A	1450 E HOLT AVENUE	None	POMONA	CA	91767	5822	00	06000	34.06299829	-117.7215562	Los Angeles County
316655	Ordering, Referring, Prescribing	N/A	1013302652	0	0	NARULA, NOOPUR	9/15/2016	Taxonomy not applicable	NA	n/a	000	Unknown	737681	N/A	N/A	N/A	N/A	N/A	661 WEST FIRST STREET	STE G	TUSTIN	CA	92780	2939	00	06000	33.74578153	-117.831231	Orange County
316726	Ordering, Referring, Prescribing	N/A	1013408343	0	0	NGUYEN, MINHTHAO T DO	3/26/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A18758	N/A	N/A	N/A	N/A	N/A	10301 BOLSA AVE, STE 103	None	WESTMINSTER	CA	92683	6784	00	06000	33.74508782	-117.9495976	Orange County
316753	Ordering, Referring, Prescribing	N/A	1013451129	0	0	NAYAR, ELAINA PHARMD	2/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	75455	N/A	N/A	N/A	N/A	N/A	13652 CANTARA ST	MOB4 AREA 105	PANORAMA CITY	CA	91402	5423	00	06000	34.21980849	-118.4301135	Los Angeles County
316754	Ordering, Referring, Prescribing	N/A	1013459205	0	0	NGUYEN, NEILE LCSW	4/7/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW93253	N/A	N/A	N/A	N/A	N/A	1350 ARNOLD DRIVE	SUITE 102	MARTINEZ	CA	94553	4190	00	06000	37.99217145	-122.0982508	Contra Costa County
316770	Ordering, Referring, Prescribing	N/A	1013480813	0	0	NJOKU, NNEKA NP	6/8/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95010561	N/A	N/A	N/A	N/A	N/A	4211 AVALON BLVD	None	LOS ANGELES	CA	90011	5622	00	06000	34.007238	-118.2653065	Los Angeles County
316801	Ordering, Referring, Prescribing	N/A	1013540087	0	0	NGUYEN, NHU H PHARMD	4/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	82134	N/A	N/A	N/A	N/A	N/A	6898 RALEIGH RD	None	SAN JOSE	CA	95119	1730	00	06000	37.2429835	-121.7845232	Santa Clara County
316830	Ordering, Referring, Prescribing	N/A	1013628858	0	0	NGUYEN, TAM B PHARMD	11/21/2022	Taxonomy not applicable	NA	n/a	000	Unknown	87356	N/A	N/A	N/A	N/A	N/A	4170 EL CAMINO REAL	None	PALO ALTO	CA	94306	4008	00	06000	37.41148135	-122.1243315	Santa Clara County
316861	Ordering, Referring, Prescribing	N/A	1013950708	0	0	NELSON, JEFFERSON E MD	6/3/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C152398	N/A	N/A	N/A	N/A	N/A	1441 CONSTITUTION BLVD	BUILDING 400, SUITE 200	SALINAS	CA	93906	3127	00	06000	36.696987	-121.633164	Monterey County
316865	Ordering, Referring, Prescribing	N/A	1013982024	0	0	NGUYEN, TUNG T DO	4/11/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A8238	N/A	N/A	N/A	N/A	N/A	621 TULLY RD	A105	SAN JOSE	CA	95111	1013	00	06000	37.30881726	-121.846547	Santa Clara County
316869	Ordering, Referring, Prescribing	N/A	1023019205	0	0	NICK, BRENT MD	10/1/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C199319	N/A	N/A	N/A	N/A	N/A	949 PALM AVENUE	None	IMPERIAL BEACH	CA	91932	1503	00	06000	32.58380109	-117.1133687	San Diego County
316887	Ordering, Referring, Prescribing	N/A	1023103793	0	0	NEUBUERGER, CHRISTOPHER O MD	10/20/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G79994	N/A	N/A	N/A	N/A	N/A	2801 K ST	STE 410	SACRAMENTO	CA	95816	5119	00	06000	38.572947	-121.46904	Sacramento County
316918	Ordering, Referring, Prescribing	N/A	1023153376	0	0	NILSEN, JEREMY P LMFT	1/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT45118	N/A	N/A	N/A	N/A	N/A	1540 NIGHTFALL LN	None	FAIRFIELD	CA	94533	7162	00	06000	0	0	None
316919	Ordering, Referring, Prescribing	N/A	1023152766	0	0	NGUYEN, HOWARD H OD	11/30/2017	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	13181	N/A	N/A	N/A	N/A	N/A	12345 MOUNTAIN AVE	STE. X	CHINO	CA	91719	2783	00	06000	34.02882	-117.667613	San Bernardino County
316927	Ordering, Referring, Prescribing	N/A	1023168150	0	0	NORTON, BEVERLY A PSYD	2/17/2021	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	22268	N/A	N/A	N/A	N/A	N/A	410 JONES ST C-1	None	UKIAH	CA	95482	5414	00	06000	39.14534524	-123.2117406	Mendocino County
316929	Ordering, Referring, Prescribing	N/A	1023173481	0	0	NGUYEN, LEIGH ANH N PHARMD	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	50315	N/A	N/A	N/A	N/A	N/A	957 MONICA WAY	None	WALNUT	CA	91789	4464	00	06000	34.03244277	-117.8569018	Los Angeles County
317005	Ordering, Referring, Prescribing	N/A	1023359601	0	0	NYGREN, KIRSTIN M	3/22/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0724628	N/A	N/A	N/A	N/A	N/A	300 UCLA MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	00	06000	34.06465655	-118.4461	Los Angeles County
317024	Ordering, Referring, Prescribing	N/A	1023390820	0	0	NGUYEN, MY D PHARMD	7/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH49615	N/A	N/A	N/A	N/A	N/A	15990 BROOKHURST ST	None	FOUNTAIN VALLEY	CA	92708	1014	00	06000	33.73092238	-117.9545522	Orange County
317056	Ordering, Referring, Prescribing	N/A	1023436912	0	0	NARCISO, HEATHER E MD	7/18/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A138301	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPWY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
317090	Ordering, Referring, Prescribing	N/A	1023490703	0	0	NEWSUM, JONATHAN O LMFT	11/13/2017	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	41394	N/A	N/A	N/A	N/A	N/A	1025 ATLANTIC AVE	STE 101	ALAMEDA	CA	94501	1189	00	06000	37.78071789	-122.2658953	Alameda County
317092	Ordering, Referring, Prescribing	N/A	1023487790	0	0	NGUYEN, ANTHONY	8/6/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A18119	N/A	N/A	N/A	N/A	N/A	771 W BLAINE ST	None	RIVERSIDE	CA	92507	3940	00	06000	33.98300646	-117.327555	Riverside County
317149	Ordering, Referring, Prescribing	N/A	1023584752	0	0	NEWBY, JOSHUA D	2/14/2020	Taxonomy not applicable	NA	n/a	000	Unknown	57836	N/A	N/A	N/A	N/A	N/A	400 E OAK AVE	None	VISALIA	CA	93291	5034	00	06000	36.332253	-119.288691	Tulare County
317155	Ordering, Referring, Prescribing	N/A	1023589587	0	0	NGUYEN, KELLY D LMFT	3/17/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT138665	N/A	N/A	N/A	N/A	N/A	12912 BROOKHURST ST. SUI	None	GARDEN GROVE	CA	92840	4867	00	06000	33.77487003	-117.9552276	Orange County
317192	Ordering, Referring, Prescribing	N/A	1023662269	0	0	NASERI, GHAZAL OD	7/17/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	34274	N/A	N/A	N/A	N/A	N/A	340 WEST PORTAL AVE	None	SAN FRANCISCO	CA	94127	1412	00	06000	37.73744363	-122.4697471	San Francisco County
317208	Ordering, Referring, Prescribing	N/A	1023710787	0	0	NATOUR, SARA PA-C	1/23/2024	Taxonomy not applicable	NA	n/a	000	Unknown	62507	N/A	N/A	N/A	N/A	N/A	2334 N SIERRA WAY	None	SAN BERNARDINO	CA	92405	3546	00	06000	34.137378	-117.2851665	San Bernardino County
317255	Ordering, Referring, Prescribing	N/A	1033140884	0	0	NELSEN, MARIE J NP	5/4/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP16053	N/A	N/A	N/A	N/A	N/A	147 N BRENT ST	None	VENTURA	CA	93003	2809	00	06000	34.2746295	-119.2573399	Ventura County
317258	Ordering, Referring, Prescribing	N/A	1033149802	0	0	NAHMIAS, LARRY M MD	7/27/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C134790	N/A	N/A	N/A	N/A	N/A	14320 PALM DR	None	DESERT HOT SPRING	CA	92240	6874	00	06000	33.94460044	-116.5012511	Riverside County
317296	Ordering, Referring, Prescribing	N/A	1033252283	0	0	NIERODZIK, MISOOK O PSYD	9/3/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY32024	N/A	N/A	N/A	N/A	N/A	3727 W 6TH ST	None	LOS ANGELES	CA	90020	5105	00	06000	34.06358655	-118.3037656	Los Angeles County
317298	Ordering, Referring, Prescribing	N/A	1033254792	0	0	NICA, ANCA R	5/26/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D45941	N/A	N/A	N/A	N/A	N/A	15301 S SAN JOSE AVE	None	COMPTON	CA	90221	3131	00	06000	33.8941921	-118.1817657	Los Angeles County
317321	Ordering, Referring, Prescribing	N/A	1033289699	0	0	NGUYEN, QUY H MD	8/16/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G79096	N/A	N/A	N/A	N/A	N/A	1725 W 17TH ST	101E	SANTA ANA	CA	92706	2316	00	06000	33.75999552	-117.892593	Orange County
317327	Ordering, Referring, Prescribing	N/A	1033306444	0	0	NIHEI, JUDITH LMFT	3/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	49535	N/A	N/A	N/A	N/A	N/A	3801 THIRD STREET	SUITE 610	SAN FRANCISCO	CA	94124	1446	00	06000	37.74208019	-122.3880422	San Francisco County
317344	Ordering, Referring, Prescribing	N/A	1033329347	0	0	NIBBIO, JONATHAN E LMFT	2/20/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	29668	N/A	N/A	N/A	N/A	N/A	1255 KENDALL RD	None	SAN LUIS OBISPO	CA	93401	8750	00	06000	35.2372881	-120.6292313	San Luis Obispo County
317353	Ordering, Referring, Prescribing	N/A	1033356969	0	0	NG, AMY NP	6/4/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP22245	N/A	N/A	N/A	N/A	N/A	1171 MISSION ST	None	SAN FRANCISCO	CA	94103	1519	00	06000	37.77778679	-122.412703	San Francisco County
317399	Ordering, Referring, Prescribing	N/A	1033439625	0	0	NUNNENKAMP, JAIME K LCSW	12/16/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW75898	N/A	N/A	N/A	N/A	N/A	506 W JACKMAN ST	None	LANCASTER	CA	93534	2531	00	06000	34.70193469	-118.1377582	Los Angeles County
317518	Ordering, Referring, Prescribing	N/A	1033587498	0	0	NICOLETTE, JOHN P PHARMD	12/15/2020	Taxonomy not applicable	NA	n/a	000	Unknown	73065	N/A	N/A	N/A	N/A	N/A	3383 BASS LAKE RD	None	EL DORADO HILLS	CA	95762	6623	00	06000	38.67607992	-121.0295773	El Dorado County
317539	Ordering, Referring, Prescribing	N/A	1033636998	0	0	NOFZIGER, JILL L PHARMD	6/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	84506	N/A	N/A	N/A	N/A	N/A	275 HOSPITAL PKWY	625	SAN JOSE	CA	95119	1106	00	06000	37.23951066	-121.8013511	Santa Clara County
317549	Ordering, Referring, Prescribing	N/A	1033635958	0	0	NOLASCO, MARTIN A PHD	4/14/2023	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	34153	N/A	N/A	N/A	N/A	N/A	202 N 8TH ST	None	EL CENTRO	CA	92243	2302	00	06000	32.794335	-115.5614775	Imperial County
317575	Ordering, Referring, Prescribing	N/A	1033681952	0	0	NOBORIKAWA, JENNIFER LAC	4/12/2021	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	18272	N/A	N/A	N/A	N/A	N/A	16200 AMBER VALLEY DR	None	WHITTIER	CA	90604	4051	00	06000	33.92458653	-117.9826605	Los Angeles County
317599	Ordering, Referring, Prescribing	N/A	1033730163	0	0	NAVARRETE HERNANDEZ, FABIOLA LMFT	2/1/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT144741	N/A	N/A	N/A	N/A	N/A	13925 SAN PABLO AVE	#203	SAN PABLO	CA	94806	3652	00	06000	37.96027199	-122.3423693	Contra Costa County
317602	Ordering, Referring, Prescribing	N/A	1033721063	0	0	NGUYEN, JUSTIN OD	8/7/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	34609	N/A	N/A	N/A	N/A	N/A	11717 BERNARDO PLAZA COU	STE 105	SAN DIEGO	CA	92128	2419	00	06000	33.01929872	-117.0777714	San Diego County
317619	Ordering, Referring, Prescribing	N/A	1033769773	0	0	NGO, HOANG	10/1/2018	Taxonomy not applicable	NA	n/a	000	Unknown	59874	N/A	N/A	N/A	N/A	N/A	751 SOUTH BASCOM	4M51	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
317626	Ordering, Referring, Prescribing	N/A	1033782396	0	0	NGUYEN, NHA-HAN OD	3/10/2022	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	35102	N/A	N/A	N/A	N/A	N/A	11980 MOUNT VERNON AVENU	None	GRAND TERRACE	CA	92313	5172	00	06000	34.036353	-117.3136565	San Bernardino County
317778	Ordering, Referring, Prescribing	N/A	1043492531	0	0	NIYATI, LAILA OD	9/18/2018	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	13451	N/A	N/A	N/A	N/A	N/A	1923 SYCAMORE LANE	None	DAVIS	CA	95616	3152	00	06000	38.56027081	-121.7638618	Yolo County
317887	Ordering, Referring, Prescribing	N/A	1043687007	0	0	NGO, TINA T	11/23/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D65027	N/A	N/A	N/A	N/A	N/A	333 LAWS AVE	None	UKIAH	CA	95482	6540	00	06000	39.12772164	-123.2111168	Mendocino County
317898	Ordering, Referring, Prescribing	N/A	1043693435	0	0	NUNEZ, CARLA L LCSW	6/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW95051	N/A	N/A	N/A	N/A	N/A	3200 MOTOR AVE	None	LOS ANGELES	CA	90034	3710	00	06000	34.03321301	-118.4109122	Los Angeles County
317909	Ordering, Referring, Prescribing	N/A	1043714421	0	0	NKANSAH, MARGARET M MD	5/5/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A166434	N/A	N/A	N/A	N/A	N/A	7601 IMPERIAL HWY	None	DOWNEY	CA	90242	3456	00	06000	33.929829	-118.157607	Los Angeles County
317985	Ordering, Referring, Prescribing	N/A	1043833932	0	0	NAMBO, DIANA I LPCC	7/20/2024	Taxonomy not applicable	NA	n/a	000	Unknown	17025	N/A	N/A	N/A	N/A	N/A	742 10TH ST	None	IMPERIAL BEACH	CA	91932	2216	00	06000	32.58294554	-117.111886	San Diego County
318086	Ordering, Referring, Prescribing	N/A	1053195024	0	0	NEPOMUCENO, REBECCA ASHLEY L PHARMD	4/3/2023	Taxonomy not applicable	NA	n/a	000	Unknown	84547	N/A	N/A	N/A	N/A	N/A	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	00	06000	37.23948065	-121.8005798	Santa Clara County
318091	Ordering, Referring, Prescribing	N/A	1053322503	0	0	NZERIBE, REX C MD	6/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	A95863	N/A	N/A	N/A	N/A	N/A	49165 RD 426	None	OAKHURST	CA	93644	8621	00	06000	37.33008829	-119.6505029	Madera County
318094	Ordering, Referring, Prescribing	N/A	1053329128	0	0	NELSON, MICHAEL J	6/21/1985	Taxonomy not applicable	NA	n/a	099	DENTIST	D33641	N/A	N/A	N/A	N/A	N/A	201 S HARBOR BVD	None	LA HABRA	CA	90631	5654	00	06000	33.93029897	-117.9331306	Orange County
318151	Ordering, Referring, Prescribing	N/A	1053476796	0	0	NIP, HO YAN LCSW	2/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW62422	N/A	N/A	N/A	N/A	N/A	982 MISSION ST.,	None	SAN FRANCISCO	CA	94103	2911	00	06000	37.7813638	-122.4082438	San Francisco County
318211	Ordering, Referring, Prescribing	N/A	1053580209	0	0	NGO, JUDY PHARMD	8/23/2018	Taxonomy not applicable	NA	n/a	000	Unknown	51720	N/A	N/A	N/A	N/A	N/A	2400 MOORPARK AVE	None	SAN JOSE	CA	95128	2631	00	06000	37.3160785	-121.937121	Santa Clara County
318275	Ordering, Referring, Prescribing	N/A	1053693556	0	0	NGUYEN, NAM PHARMD	7/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53641	N/A	N/A	N/A	N/A	N/A	19001 BROOKHURST ST	None	HUNTINGTON BEACH	CA	92646	4512	00	06000	33.6863847	-117.9541714	Orange County
318305	Ordering, Referring, Prescribing	N/A	1053728691	0	0	NUNEZ, ERIC C LCSW	3/12/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW100487	N/A	N/A	N/A	N/A	N/A	725 E MAIN ST	3RD FLOOR	SANTA PAULA	CA	93060	2748	00	06000	34.35240876	-119.0649129	Ventura County
318351	Ordering, Referring, Prescribing	N/A	1053784116	0	0	NGUYEN, CATHY PHARMD	2/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	50991	N/A	N/A	N/A	N/A	N/A	2633 ATLANTIC AVE.	None	LONG BEACH	CA	90806	2710	00	06000	33.805107	-118.185058	Los Angeles County
318389	Ordering, Referring, Prescribing	N/A	1053836189	0	0	NGUYEN, JONATHAN H	10/9/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	101827	N/A	N/A	N/A	N/A	N/A	355 CENTRAL AVE	None	FILLMORE	CA	93015	1920	00	06000	34.40028802	-118.9137057	Ventura County
318396	Ordering, Referring, Prescribing	N/A	1053842534	0	0	NGHIEM, LINDA PHARMD	8/30/2022	Taxonomy not applicable	NA	n/a	000	Unknown	71676	N/A	N/A	N/A	N/A	N/A	3955 MISSOURI FLAT RD	None	PLACERVILLE	CA	95667	5208	00	06000	38.714409	-120.839742	El Dorado County
318398	Ordering, Referring, Prescribing	N/A	1053849513	0	0	NOLASCO-GARCIA, LELIS CCC-SLP	6/22/2022	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	26387	N/A	N/A	N/A	N/A	N/A	2240 OLD RIVER RD	None	UKIAH	CA	95482	6103	00	06000	39.1293897	-123.1645436	Mendocino County
318414	Ordering, Referring, Prescribing	N/A	1053884767	0	0	NGAN, ALLISON PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH79834	N/A	N/A	N/A	N/A	N/A	500 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2203	00	06000	37.76351054	-122.4579681	San Francisco County
318430	Ordering, Referring, Prescribing	N/A	1053906040	0	0	NGUYEN, NHAT THANH T PHARMD	8/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH82594	N/A	N/A	N/A	N/A	N/A	2140 EL CAMINO REAL	None	SANTA CLARA	CA	95050	4052	00	06000	37.35228453	-121.961556	Santa Clara County
318436	Ordering, Referring, Prescribing	N/A	1053927335	0	0	NAVARRO, SAMANTHA MSW LCSW	8/21/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	117585	N/A	N/A	N/A	N/A	N/A	1515 S BON VIEW AVE	None	ONTARIO	CA	91761	4408	00	06000	34.045335	-117.636444	San Bernardino County
318462	Ordering, Referring, Prescribing	N/A	1063006732	0	0	NGUYEN, JENNIFER T PHARMD	8/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH82475	N/A	N/A	N/A	N/A	N/A	2453 S AZUSA AVE	None	WEST COVINA	CA	91792	1530	00	06000	34.03209594	-117.914484	Los Angeles County
318480	Ordering, Referring, Prescribing	N/A	1063048841	0	0	NUNES, JESSICA OT	8/4/2022	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	20046	N/A	N/A	N/A	N/A	N/A	17800 HIGHWAY 18	None	APPLE VALLEY	CA	92307	1221	00	06000	34.54007429	-117.2744761	San Bernardino County
318490	Ordering, Referring, Prescribing	N/A	1063080562	0	0	NEESLEY, SEAN LMFT	9/22/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT139875	N/A	N/A	N/A	N/A	N/A	700 FREDERICK ST	103	SANTA CRUZ	CA	95062	2239	00	06000	36.98031434	-122.004438	Santa Cruz County
318538	Ordering, Referring, Prescribing	N/A	1063433100	0	0	NABONG-VERZOSA, MARIGOLD MD	12/29/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G77045	N/A	N/A	N/A	N/A	N/A	9343 TECH CENTER DR.	None	SACRAMENTO	CA	95826	2563	00	06000	38.564091	-121.3509285	Sacramento County
318550	Ordering, Referring, Prescribing	N/A	1063496024	0	0	NEARING, MARCIA Y OD	12/27/2021	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	12234	N/A	N/A	N/A	N/A	N/A	215 W. BEAMER STREET	None	DAVIS	CA	95695	2510	00	06000	38.68483629	-121.7937301	Yolo County
318578	Ordering, Referring, Prescribing	N/A	1063539864	0	0	NGUYEN, HONORA V PHARMD	6/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH50992	N/A	N/A	N/A	N/A	N/A	9161 SHERIDAN DR	None	HUNTINGTON BEACH	CA	92646	3460	00	06000	33.6761175	-117.9680895	Orange County
318588	Ordering, Referring, Prescribing	N/A	1063542215	0	0	NGUYEN-DERY, ANH P DDS	4/7/2022	Taxonomy not applicable	NA	n/a	000	Unknown	40173	N/A	N/A	N/A	N/A	N/A	2100 W 3RD ST	None	LOS ANGELES	CA	90057	1944	00	06000	34.06308947	-118.2733326	Los Angeles County
318592	Ordering, Referring, Prescribing	N/A	1063551802	0	0	NAJERA, DAVID LMFT	6/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	44692	N/A	N/A	N/A	N/A	N/A	1660 HOTEL CIR N	101	SAN DIEGO	CA	92108	2807	00	06000	32.75964178	-117.1791442	San Diego County
318707	Ordering, Referring, Prescribing	N/A	1063764256	0	0	NUNEZ, JENNIFER	8/21/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	19243	N/A	N/A	N/A	N/A	N/A	12756 VAN NUYS BLVD	None	PACOIMA	CA	91331	1626	00	06000	34.27415381	-118.4110145	Los Angeles County
318713	Ordering, Referring, Prescribing	N/A	1063771319	0	0	NGUYEN, GRACE H MD FAAP	11/22/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C175546	N/A	N/A	N/A	N/A	N/A	1945 LAKEPOINTE DRIVE	None	LEWISVILLE	TX	75057	6424	00	06000	33.01521451	-96.974145	Denton County
318714	Ordering, Referring, Prescribing	N/A	1063773224	0	0	NGUYEN, MELANIE T PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66259	N/A	N/A	N/A	N/A	N/A	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	00	06000	33.904782	-117.469323	Riverside County
318762	Ordering, Referring, Prescribing	N/A	1063822096	0	0	NUNN, DARA L NP	5/22/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	703914	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BOULEVARD	MS 82	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
318805	Ordering, Referring, Prescribing	N/A	1063884104	0	0	NAGASHIMA, JUNKO LMFT	11/10/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	106774	N/A	N/A	N/A	N/A	N/A	23201 MILL CREEK DR	220	LAGUNA HILLS	CA	92653	7905	00	06000	33.62516256	-117.7353393	Orange County
318822	Ordering, Referring, Prescribing	N/A	1063908549	0	0	NGO, TUAN A PHARMD	3/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	76660	N/A	N/A	N/A	N/A	N/A	3240 ARDEN WAY	None	SACRAMENTO	CA	95825	2015	00	06000	38.594898	-121.3884765	Sacramento County
318870	Ordering, Referring, Prescribing	N/A	1063989127	0	0	NGUIFFO, ROSEMOND NP	3/18/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95010125	N/A	N/A	N/A	N/A	N/A	1414 NORTH CALIFORNIA ST	SUITE #A, B, C	STOCKTON	CA	95202	1515	00	06000	37.96761084	-121.2883234	San Joaquin County
318887	Ordering, Referring, Prescribing	N/A	1073002184	0	0	NGO, SAM DDS	7/24/2023	Taxonomy not applicable	NA	n/a	000	Unknown	106018	N/A	N/A	N/A	N/A	N/A	45124 10TH ST W	None	LANCASTER	CA	93534	2310	00	06000	34.702929	-118.1480935	Los Angeles County
318904	Ordering, Referring, Prescribing	N/A	1073035143	0	0	NIIDA, JAYMIE OD	12/31/2021	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	33699	N/A	N/A	N/A	N/A	N/A	4425 S CENTRAL AVENUE	None	LOS ANGELES	CA	90011	3629	00	06000	34.003116	-118.2565185	Los Angeles County
318956	Ordering, Referring, Prescribing	N/A	1073140778	0	0	NOWLIN, MORGAN DO	5/2/2024	Taxonomy not applicable	NA	n/a	000	Unknown	20A22876	N/A	N/A	N/A	N/A	N/A	1415 W HOBSONWAY	None	BLYTHE	CA	92225	1479	00	06000	33.611922	-114.613272	Riverside County
318971	Ordering, Referring, Prescribing	N/A	1073171807	0	0	NEELY, MERCY PHARMD	9/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58214	N/A	N/A	N/A	N/A	N/A	2177 SUNSET BLVD	None	ROCKLIN	CA	95765	4743	00	06000	38.80527905	-121.2731306	Placer County
318973	Ordering, Referring, Prescribing	N/A	1073169066	0	0	NGUYEN, THOMAS T	5/6/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	104177	N/A	N/A	N/A	N/A	N/A	726 POLK ST	FL 4	SAN FRANCISCO	CA	94109	7812	00	06000	37.78379532	-122.4192766	San Francisco County
318985	Ordering, Referring, Prescribing	N/A	1073186714	0	0	NGUYEN, QUYNH MY PHARMD	11/29/2022	Taxonomy not applicable	NA	n/a	000	Unknown	84660	N/A	N/A	N/A	N/A	N/A	510 S VERMONT AVE	None	LOS ANGELES	CA	90020	1912	00	06000	34.065	-118.291631	Los Angeles County
318998	Ordering, Referring, Prescribing	N/A	1073268405	0	0	NG, SHEILA NP	1/12/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023889	N/A	N/A	N/A	N/A	N/A	5959 GREENBACK LN	500	CITRUS HEIGHTS	CA	95621	4700	00	06000	38.681397	-121.322682	Sacramento County
319004	Ordering, Referring, Prescribing	N/A	1073290433	0	0	NEKOROSKI, STEPHANIE NP	3/3/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024482	N/A	N/A	N/A	N/A	N/A	2 H ST	None	SAN RAFAEL	CA	94901	1700	00	06000	37.97437033	-122.5385699	Marin County
319041	Ordering, Referring, Prescribing	N/A	1073609921	0	0	NGUYEN, ANN T PHARMD	3/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52302	N/A	N/A	N/A	N/A	N/A	411 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	00	06000	33.8531521	-117.8160824	Orange County
319094	Ordering, Referring, Prescribing	N/A	1073743712	0	0	NELSON, BIANCA	10/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW97607	N/A	N/A	N/A	N/A	N/A	202 N. EIGHTH ST	None	EL CENTRO	CA	92243	2301	00	06000	32.794335	-115.5614775	Imperial County
319150	Ordering, Referring, Prescribing	N/A	1073884037	0	0	NGUYEN, ELISE S PHARMD	10/1/2018	Taxonomy not applicable	NA	n/a	000	Unknown	64214	N/A	N/A	N/A	N/A	N/A	2221 ENBORG LN	1J018	SAN JOSE	CA	95128	2608	00	06000	37.31105733	-121.937923	Santa Clara County
319151	Ordering, Referring, Prescribing	N/A	1073884581	0	0	NGUYEN, THUYDUNG PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65515	N/A	N/A	N/A	N/A	N/A	215 N. 2ND STREET	None	EL CAJON	CA	92021	7243	00	06000	32.796792	-116.935631	San Diego County
319163	Ordering, Referring, Prescribing	N/A	1073898144	0	0	NIDGUNDI, NIMISHA C	5/2/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	D58682	N/A	N/A	N/A	N/A	N/A	55 E JULIAN ST	None	SAN JOSE	CA	95112	4007	00	06000	37.34118198	-121.8925795	Santa Clara County
319169	Ordering, Referring, Prescribing	N/A	1073916649	0	0	NGUYEN, CINDY LCSW	1/13/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99589	N/A	N/A	N/A	N/A	N/A	290 IOOF AVENUE	None	GILROY	CA	95020	5204	00	06000	37.01377513	-121.5685719	Santa Clara County
319238	Ordering, Referring, Prescribing	N/A	1083015580	0	0	NELSON, TERRY B MD	8/15/2017	Taxonomy not applicable	NA	n/a	027	PODIATRISTS	5347	N/A	N/A	N/A	N/A	N/A	210 N CHESTER AVE	None	BAKERSFIELD	CA	93308	4841	00	06000	35.407179	-119.0208925	Kern County
319245	Ordering, Referring, Prescribing	N/A	1083024814	0	0	NEELY, PATRICK S LMFT	6/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	95111	N/A	N/A	N/A	N/A	N/A	2416 W SHAW AVE	114	FRESNO	CA	93711	3303	00	06000	36.80841047	-119.835657	Fresno County
319261	Ordering, Referring, Prescribing	N/A	1083037774	0	0	NGUYEN, HUY PHUNG PHARMD	5/3/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61767	N/A	N/A	N/A	N/A	N/A	14501 HINDRY AVE	None	HAWTHORNE	CA	90250	6748	00	06000	33.89988119	-118.3721861	Los Angeles County
319265	Ordering, Referring, Prescribing	N/A	1083041818	0	0	NAWY, JENA F LCSW	6/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW82818	N/A	N/A	N/A	N/A	N/A	13585 SAN PABLO AVENUE	None	SAN PABLO	CA	94806	3804	00	06000	37.95651393	-122.3371491	Contra Costa County
319324	Ordering, Referring, Prescribing	N/A	1083135370	0	0	NORTON, PHINETTE T LMFT	5/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	98449	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DR	120	OXNARD	CA	93036	2612	00	06000	34.219566	-119.1539365	Ventura County
319356	Ordering, Referring, Prescribing	N/A	1083177125	0	0	NGOLE, KELSEY V NP	12/13/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95010664	N/A	N/A	N/A	N/A	N/A	9862 CHAPMAN AVE	None	GARDEN GROVE	CA	92841	2726	00	06000	33.78849558	-117.9607338	Orange County
319380	Ordering, Referring, Prescribing	N/A	1083222442	0	0	NGUYEN, NHU A PHARMD	9/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH81678	N/A	N/A	N/A	N/A	N/A	4029 43RD ST	None	SAN DIEGO	CA	92105	1510	00	06000	32.75012697	-117.1019424	San Diego County
319465	Ordering, Referring, Prescribing	N/A	1083656052	0	0	NICKLAS, DAVID DC	5/30/2023	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	20332	N/A	N/A	N/A	N/A	N/A	2800 RIVERSIDE AVE	None	PASO ROBLES	CA	93446	1311	00	06000	35.64351546	-120.6888699	San Luis Obispo County
319487	Ordering, Referring, Prescribing	N/A	1083737753	0	0	NAVARRO, GRACE B LCSW	4/6/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW91433	N/A	N/A	N/A	N/A	N/A	1212 N CALIFORNIA ST	None	STOCKTON	CA	95202	1552	00	06000	37.96681769	-121.2881382	San Joaquin County
319495	Ordering, Referring, Prescribing	N/A	1083746697	0	0	NISEN, BROOKE LMFT	1/13/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT44017	N/A	N/A	N/A	N/A	N/A	5400 E. OLYMPIC BLVD.	FIRST FLOOR	COMMERCE	CA	90022	5147	00	06000	34.01564534	-118.1555473	Los Angeles County
319517	Ordering, Referring, Prescribing	N/A	1083795769	0	0	NGO, VINH T DDS	2/15/2022	Taxonomy not applicable	NA	n/a	000	Unknown	49159	N/A	N/A	N/A	N/A	N/A	6001 E. WASHINGTON BLVD.	None	COMMERCE	CA	90040	2451	00	06000	33.99703164	-118.1499826	Los Angeles County
319534	Ordering, Referring, Prescribing	N/A	1083833552	0	0	NEWLUN, SYLVIA D LMFT	6/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT81835	N/A	N/A	N/A	N/A	N/A	10877 CONDUCTOR BLVD	300	SUTTER CREEK	CA	95685	9688	00	06000	38.36440771	-120.8174749	Amador County
319563	Ordering, Referring, Prescribing	N/A	1083913180	0	0	NAKAGAWA, JENNA PA-C	9/10/2018	Taxonomy not applicable	NA	n/a	000	Unknown	21419	N/A	N/A	N/A	N/A	N/A	300 CORPORATE POINTE	465	CULVER CITY	CA	90230	7614	00	06000	33.98867148	-118.3837334	Los Angeles County
319629	Ordering, Referring, Prescribing	N/A	1083999387	0	0	NADAFI, LAURA R	6/6/2001	Taxonomy not applicable	NA	n/a	099	DENTIST	D48340	N/A	N/A	N/A	N/A	N/A	355 CENTRAL AVE	None	FILLMORE	CA	93015	1920	00	06000	34.40028802	-118.9137057	Ventura County
319634	Ordering, Referring, Prescribing	N/A	1093003287	0	0	NICOLAI, ALEXANDRIA LCSW	1/5/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	22647	N/A	N/A	N/A	N/A	N/A	470 NOOR AVENUE	1057	SOUTH SAN FRANCIS	CA	94080	5957	00	06000	37.64110105	-122.4220074	San Mateo County
319641	Ordering, Referring, Prescribing	N/A	1093013666	0	0	NABAVI, FARIBA S	2/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	48387	N/A	N/A	N/A	N/A	N/A	150 LAWRENCE STATION RD	None	SUNNYVALE	CA	94086	5309	00	06000	37.371906	-121.9959845	Santa Clara County
319643	Ordering, Referring, Prescribing	N/A	1093009565	0	0	NGUYEN, THUONGPHUONG A MD	7/12/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A129063	N/A	N/A	N/A	N/A	N/A	12912 BROOKHURST ST., ST	None	GARDEN GROVE	CA	92840	4835	00	06000	33.77487003	-117.9552276	Orange County
319658	Ordering, Referring, Prescribing	N/A	1093056582	0	0	NOLLORA, SHIRLEY C LCSW	5/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW81438	N/A	N/A	N/A	N/A	N/A	1904 RICHLAND AVE	C2	CERES	CA	95307	4562	00	06000	37.60031128	-120.9658226	Stanislaus County
319659	Ordering, Referring, Prescribing	N/A	1093060782	0	0	NEJADIAN, ALINA LMFT	10/26/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100274	N/A	N/A	N/A	N/A	N/A	26137 LA PAZ RD	SUITE 230	MISSION VIEJO	CA	92691	5319	00	06000	33.60038172	-117.6735855	Orange County
319667	Ordering, Referring, Prescribing	N/A	1093083644	0	0	NGUYEN, VINH V PHARMD	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH60397	N/A	N/A	N/A	N/A	N/A	12574 LIMONITE AVE	None	EASTVALE	CA	91752	3684	00	06000	33.97513715	-117.5575964	Riverside County
319673	Ordering, Referring, Prescribing	N/A	1093091977	0	0	NUNEZ-RODARTE, CRISTINA	3/8/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145700	N/A	N/A	N/A	N/A	N/A	8912 VOLUNTEER LN	None	SACRAMENTO	CA	95826	3221	00	06000	38.55438	-121.3756965	Sacramento County
319681	Ordering, Referring, Prescribing	N/A	1093098873	0	0	NGUYEN, CHRISTINE PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	61019	N/A	N/A	N/A	N/A	N/A	140 LOS ANGELES AVE	None	MOORPARK	CA	93021	5047	00	06000	34.27891953	-118.8829485	Ventura County
319685	Ordering, Referring, Prescribing	N/A	1093098634	0	0	NGUYEN, YEN	8/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH48061	N/A	N/A	N/A	N/A	N/A	9200 ELK GROVE FLORIN RD	None	ELK GROVE	CA	95624	1609	00	06000	38.423097	-121.372128	Sacramento County
319690	Ordering, Referring, Prescribing	N/A	1093113631	0	0	NANNAPANENI, VIJAYSRI	1/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	67504	N/A	N/A	N/A	N/A	N/A	1801 E MARCH LANE	B280	STOCKTON	CA	95210	6653	00	06000	38.00315652	-121.2868715	San Joaquin County
319699	Ordering, Referring, Prescribing	N/A	1093137283	0	0	NGUYEN, MY-LINH T	8/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80574	N/A	N/A	N/A	N/A	N/A	4200 ARDEN WAY	None	SACRAMENTO	CA	95864	3021	00	06000	38.595015	-121.365306	Sacramento County
319713	Ordering, Referring, Prescribing	N/A	1093146607	0	0	NGUYEN, BEN T LMFT	10/5/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	105048	N/A	N/A	N/A	N/A	N/A	720 SACRAMENTO ST	None	SAN FRANCISCO	CA	94108	2535	00	06000	37.79355846	-122.4050846	San Francisco County
319811	Ordering, Referring, Prescribing	N/A	1093292831	0	0	NOJOOMI, SAYEH OD	7/24/2018	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	34010	N/A	N/A	N/A	N/A	N/A	1209 WHITLEY AVE	None	CORCORAN	CA	93212	2327	00	06000	36.09801547	-119.5628355	Kings County
319846	Ordering, Referring, Prescribing	N/A	1093374787	0	0	NARAYANAN, DIVYA MD	12/14/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL2888	N/A	N/A	N/A	N/A	N/A	8405 BEVERLY BLVD	None	LOS ANGELES	CA	90048	3401	00	06000	34.07607952	-118.373418	Los Angeles County
319948	Ordering, Referring, Prescribing	N/A	1093877458	0	0	NEW, SONJA P LMFT	8/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	32744	N/A	N/A	N/A	N/A	N/A	628 SECOND AVE,	206	CROCKETT	CA	94525	1237	00	06000	38.05332459	-122.2236792	Contra Costa County
319974	Ordering, Referring, Prescribing	N/A	1093910366	0	0	NADEL, LAURA LCSW	10/18/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	25105	N/A	N/A	N/A	N/A	N/A	18225 HALE AVE	None	MORGAN HILL	CA	95037	3547	00	06000	37.13761496	-121.6664813	Santa Clara County
319976	Ordering, Referring, Prescribing	N/A	1093900680	0	0	NUNEZ, MEGHAN L PSYD	6/23/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY29805	N/A	N/A	N/A	N/A	N/A	819 3RD ST	None	SANTA ROSA	CA	95404	4501	00	06000	38.44161	-122.709573	Sonoma County
320065	Ordering, Referring, Prescribing	N/A	1104101542	0	0	NGUYEN, ERIN H PHARMD	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH57556	N/A	N/A	N/A	N/A	N/A	3500 COFFEE RD	None	MODESTO	CA	95355	1305	00	06000	37.690002	-120.976061	Stanislaus County
320099	Ordering, Referring, Prescribing	N/A	1104172667	0	0	NGUY, VALERIE	1/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	66863	N/A	N/A	N/A	N/A	N/A	7562 CENTER AVE	None	HUNTINGTON BEACH	CA	92647	3002	00	06000	33.7339299	-117.9969861	Orange County
320126	Ordering, Referring, Prescribing	N/A	1104213255	0	0	NGUYEN-WONG, AN N	8/10/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	102489	N/A	N/A	N/A	N/A	N/A	15301 S SAN JOSE AVE	None	COMPTON	CA	90221	3131	00	06000	33.8941921	-118.1817657	Los Angeles County
320143	Ordering, Referring, Prescribing	N/A	1104241710	0	0	NGUYEN, TU YEN T PHARMD	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH69532	N/A	N/A	N/A	N/A	N/A	22555 MISSION BLVD	None	HAYWARD	CA	94541	5115	00	06000	37.671939	-122.0860215	Alameda County
320185	Ordering, Referring, Prescribing	N/A	1104309780	0	0	NAFF, SARAH LMFT	10/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT122328	N/A	N/A	N/A	N/A	N/A	251 LLEWELLYN AVE	None	CAMPBELL	CA	95008	1940	00	06000	37.29173129	-121.9584335	Santa Clara County
320189	Ordering, Referring, Prescribing	N/A	1104317056	0	0	NASIR, IMAAD MD	4/25/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A178055	N/A	N/A	N/A	N/A	N/A	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	00	06000	34.06633051	-118.4452686	Los Angeles County
320190	Ordering, Referring, Prescribing	N/A	1104320654	0	0	NGUYEN, SON MD	3/22/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A163997	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
320215	Ordering, Referring, Prescribing	N/A	1104343904	0	0	NOLAN, KARA L LMFT	4/3/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123003	N/A	N/A	N/A	N/A	N/A	29632 E HIGHWAY 299	None	ROUND MOUNTAIN	CA	96084	8000	00	06000	40.80385331	-121.9397745	Shasta County
320223	Ordering, Referring, Prescribing	N/A	1104360189	0	0	NGHIEM, PETER M	7/11/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D65217	N/A	N/A	N/A	N/A	N/A	160 CAPP ST	None	SAN FRANCISCO	CA	94110	1210	00	06000	37.76405528	-122.4186219	San Francisco County
320228	Ordering, Referring, Prescribing	N/A	1104370063	0	0	NEROSA, RAISA A PHARMD	7/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74726	N/A	N/A	N/A	N/A	N/A	13745 VICTORY BLVD	None	VAN NUYS	CA	91401	0001	00	06000	34.18669945	-118.432755	Los Angeles County
320254	Ordering, Referring, Prescribing	N/A	1104396241	0	0	NDEGWA RENNEBOHM, WILLIAM MD	12/2/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A189007	N/A	N/A	N/A	N/A	N/A	1530 S. OLIVE ST.	None	LOS ANGELES	CA	90015	0000	00	06000	34.03542552	-118.2652073	Los Angeles County
320263	Ordering, Referring, Prescribing	N/A	1104421577	0	0	NGUYEN, TRANG A PHARMD	9/23/2020	Taxonomy not applicable	NA	n/a	000	Unknown	59247	N/A	N/A	N/A	N/A	N/A	9188 MIRA MESA BLVD	None	SAN DIEGO	CA	92126	4804	00	06000	32.91725184	-117.125891	San Diego County
320264	Ordering, Referring, Prescribing	N/A	1104413889	0	0	NGUYEN, EMILY T PHARMD	4/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	83910	N/A	N/A	N/A	N/A	N/A	100 SMITH RANCH RD	None	SAN RAFAEL	CA	94903	1900	00	06000	38.01968283	-122.5339655	Marin County
320324	Ordering, Referring, Prescribing	N/A	1104848167	0	0	NOBARI, SADEGH LMFT	6/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT36530	N/A	N/A	N/A	N/A	N/A	3230 KERNER BLVD	None	SAN RAFAEL	CA	94901	4840	00	06000	37.96037915	-122.5019455	Marin County
320369	Ordering, Referring, Prescribing	N/A	1104963750	0	0	NGUYEN, AN V DDS	10/31/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS56731	N/A	N/A	N/A	N/A	N/A	321 VAN DUZEN RD	None	MAD RIVER	CA	95526	9508	00	06000	40.46004463	-123.5301743	Trinity County
320370	Ordering, Referring, Prescribing	N/A	1104966225	0	0	NAZARIAN, TATIANA LMFT	1/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	46578	N/A	N/A	N/A	N/A	N/A	2550 E. FOOTHILL BLVD	None	PASADENA	CA	91107	3406	00	06000	34.14979153	-118.0979955	Los Angeles County
320480	Ordering, Referring, Prescribing	N/A	1114176781	0	0	NGUYEN, MICHELLE M LCSW	3/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	75215	N/A	N/A	N/A	N/A	N/A	200 W SANTA ANA BLVD	SUITE 125	SANTA ANA	CA	92701	4134	00	06000	33.74970951	-117.8691975	Orange County
320582	Ordering, Referring, Prescribing	N/A	1114357597	0	0	NGUYEN, ANTHONY OD	11/25/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	34468	N/A	N/A	N/A	N/A	N/A	210 N. EL CIRLCULO AVE.	None	PATTERSON	CA	95363	8917	00	06000	37.47314055	-121.130966	Stanislaus County
320589	Ordering, Referring, Prescribing	N/A	1114377629	0	0	NOEL, ONIKA D MD	3/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A153429	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
320647	Ordering, Referring, Prescribing	N/A	1114462223	0	0	NERNSUAN, JUSTIN B PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	75817	N/A	N/A	N/A	N/A	N/A	1301 W BASE LINE ST	None	SAN BERNARDINO	CA	92411	1707	00	06000	34.12130051	-117.314487	San Bernardino County
320668	Ordering, Referring, Prescribing	N/A	1114504768	0	0	NGEA, VANESSA NP	5/1/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	202103258NPPP	N/A	N/A	N/A	N/A	N/A	1225 NE 2ND AVE	None	PORTLAND	OR	97232	2003	00	06000	45.53179918	-122.6637358	Multnomah County
320698	Ordering, Referring, Prescribing	N/A	1114569068	0	0	NGUYEN, JEANNY PHARMD	7/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH78455	N/A	N/A	N/A	N/A	N/A	1414 EL CAMINO REAL	None	SAN CARLOS	CA	94070	5102	00	06000	37.49716574	-122.2485578	San Mateo County
320708	Ordering, Referring, Prescribing	N/A	1114589314	0	0	NGUYEN, JOHN H MSW LCSW	3/11/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	121502	N/A	N/A	N/A	N/A	N/A	3055 W ORANGE AVE	105	ANAHEIM	CA	92804	3159	00	06000	33.8247435	-117.99621	Orange County
320795	Ordering, Referring, Prescribing	N/A	1124110176	0	0	NGUYEN, LY T PHARMD	4/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53607	N/A	N/A	N/A	N/A	N/A	6650 ALTON PKWY	None	IRVINE	CA	92618	3734	00	06000	33.65911992	-117.7737909	Orange County
320808	Ordering, Referring, Prescribing	N/A	1124132394	0	0	NOVOTA, PETER MD	8/14/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G156549	N/A	N/A	N/A	N/A	N/A	3998 VISTA WAY	STE 204	OCEANSIDE	CA	92056	4500	00	06000	33.18370179	-117.292963	San Diego County
320825	Ordering, Referring, Prescribing	N/A	1124146568	0	0	NANDA, ASHWIN DDS	6/30/2022	Taxonomy not applicable	NA	n/a	000	Unknown	43824	N/A	N/A	N/A	N/A	N/A	554-850 MEDICAL CENTER D	STE 554-850	BIEBER	CA	96009	0277	00	06000	0	0	None
320857	Ordering, Referring, Prescribing	N/A	1124210356	0	0	NGUYEN, THIEN C DMD	3/22/2023	Taxonomy not applicable	NA	n/a	000	Unknown	63337	N/A	N/A	N/A	N/A	N/A	333 LAWS AVE	None	UKIAH	CA	95482	6540	00	06000	39.12772164	-123.2111168	Mendocino County
320873	Ordering, Referring, Prescribing	N/A	1124229034	0	0	NORDSTROM, KEARSTEN E LMFT	10/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	51102	N/A	N/A	N/A	N/A	N/A	679 S NEW HAMPSHIRE AVE	None	LOS ANGELES	CA	90005	1355	00	06000	34.06107902	-118.2929191	Los Angeles County
320897	Ordering, Referring, Prescribing	N/A	1124301171	0	0	NGUYEN, THUY T PHARMD	8/20/2022	Taxonomy not applicable	NA	n/a	000	Unknown	59214	N/A	N/A	N/A	N/A	N/A	1025 ALHAMBRA BLVD	None	SACRAMENTO	CA	95816	5212	00	06000	38.571894	-121.4649	Sacramento County
320946	Ordering, Referring, Prescribing	N/A	1124380050	0	0	NUNEZ, REMBERTO A LCSW	1/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	79454	N/A	N/A	N/A	N/A	N/A	1200 N. STATE ST.	None	LOS ANGELES	CA	90033	1001	00	06000	34.05855992	-118.209755	Los Angeles County
320961	Ordering, Referring, Prescribing	N/A	1124407580	0	0	NGUYEN, NGAN K PHARMD	7/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH72458	N/A	N/A	N/A	N/A	N/A	840 EL CAMINO AVE	None	SACRAMENTO	CA	95815	0000	00	06000	38.610864	-121.4477595	Sacramento County
320964	Ordering, Referring, Prescribing	N/A	1124404298	0	0	NAVARRO, FRANCISCA Y LCSW	3/4/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW121390	N/A	N/A	N/A	N/A	N/A	6520 S MOONEY BLVD	None	VISALIA	CA	93277	9529	00	06000	36.271125	-119.3119785	Tulare County
320974	Ordering, Referring, Prescribing	N/A	1124403068	0	0	NEWMAN, JENNIFER K LCSW	8/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	86922	N/A	N/A	N/A	N/A	N/A	2828 FORD ST	None	OAKLAND	CA	45299	4608	00	06000	37.77357837	-122.2352589	Alameda County
321010	Ordering, Referring, Prescribing	N/A	1124472493	0	0	NGUI, DING MEE M	3/15/2020	Taxonomy not applicable	NA	n/a	000	Unknown	48194	N/A	N/A	N/A	N/A	N/A	18491 E COLIMA RD	None	ROWLAND HEIGHTS	CA	91748	2805	00	06000	33.98831212	-117.9021288	Los Angeles County
321014	Ordering, Referring, Prescribing	N/A	1124477401	0	0	NAVARRETE, JASMINE LMFT	4/8/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125435	N/A	N/A	N/A	N/A	N/A	727 SHASTA ST	None	REDWOOD CITY	CA	94063	0181	00	06000	37.47945362	-122.2230493	San Mateo County
321034	Ordering, Referring, Prescribing	N/A	1124514682	0	0	NADHAN, KUMAR MD	11/7/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A191911	N/A	N/A	N/A	N/A	N/A	9781 BLUE LARKSPUR LN	None	MONTEREY	CA	93940	6509	00	06000	36.57152408	-121.8037459	Monterey County
321062	Ordering, Referring, Prescribing	N/A	1124561972	0	0	NAVARRETE-MARTINEZ, PABLO R LMFT	3/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	113991	N/A	N/A	N/A	N/A	N/A	2275 ARLINGTON DR.	None	SAN LEANDRO	CA	94578	1132	00	06000	37.70851907	-122.1117036	Alameda County
321141	Ordering, Referring, Prescribing	N/A	1124742440	0	0	NANDOR, HANNAH PA-C	11/29/2023	Taxonomy not applicable	NA	n/a	000	Unknown	63752	N/A	N/A	N/A	N/A	N/A	250 W 5TH ST	None	HANFORD	CA	93230	5029	00	06000	36.32439821	-119.6472235	Kings County
321171	Ordering, Referring, Prescribing	N/A	1134123961	0	0	NGUYEN, PHUC V MD	6/5/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C50626	N/A	N/A	N/A	N/A	N/A	9500 BOLSA AVE	STE M	WESTMINSTER	CA	92683	5943	00	06000	33.74475113	-117.9634694	Orange County
321351	Ordering, Referring, Prescribing	N/A	1134519135	0	0	NJOROGE, EMILY W NP	1/14/2018	Taxonomy not applicable	NA	n/a	000	Unknown	95001647	N/A	N/A	N/A	N/A	N/A	250 NORTH GATE DR	STE 102	MANTECA	CA	95336	3161	00	06000	37.81869269	-121.2190817	San Joaquin County
321373	Ordering, Referring, Prescribing	N/A	1134562127	0	0	NGUYEN, HIEN T MD	7/18/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A135479	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL STE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
321380	Ordering, Referring, Prescribing	N/A	1134571300	0	0	NGAN, JENNIFER B PHARMD	2/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74692	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	362	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
321386	Ordering, Referring, Prescribing	N/A	1134574031	0	0	NELSON, RHONDA N PT	12/18/2019	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT22664	N/A	N/A	N/A	N/A	N/A	10431 COMMERCE STREET	SUITE A	REDLANDS	CA	92374	6600	00	06000	34.06427678	-117.2416506	San Bernardino County
321392	Ordering, Referring, Prescribing	N/A	1134580889	0	0	NOBORE, SYLVIA CNP	9/20/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95003860	N/A	N/A	N/A	N/A	N/A	14624 SHERMAN WAY	FLOOR 6	VAN NUYS	CA	91405	2241	00	06000	34.20078354	-118.450843	Los Angeles County
321399	Ordering, Referring, Prescribing	N/A	1134590920	0	0	NGUYEN, NGOCTHE T NP	3/27/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	531718	N/A	N/A	N/A	N/A	N/A	333 S BEAUDRY AVE	FL 29	LOS ANGELES	CA	90017	1644	00	06000	34.05611213	-118.2570905	Los Angeles County
321477	Ordering, Referring, Prescribing	N/A	1134718802	0	0	NIGRO, SAMANTHA G PA-C	1/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	PA59079	N/A	N/A	N/A	N/A	N/A	1908 N. BEALE RD	E	MARYSVILLE	CA	95901	6937	00	06000	39.1278388	-121.5457994	Yuba County
321520	Ordering, Referring, Prescribing	N/A	1134867260	0	0	NOYCE, LYNN NP	4/23/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95019519	N/A	N/A	N/A	N/A	N/A	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
321629	Ordering, Referring, Prescribing	N/A	1144450883	0	0	NELSON, GAIL R LCSW	9/28/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW65002	N/A	N/A	N/A	N/A	N/A	520 E. TULARE AVE.	None	VISALIA	CA	93292	3629	00	06000	36.320679	-119.2870845	Tulare County
321630	Ordering, Referring, Prescribing	N/A	1144450214	0	0	NASH, SANDRA LMFT	2/28/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	37235	N/A	N/A	N/A	N/A	N/A	1950 MARKET ST	None	RIVERSIDE	CA	92501	1720	00	06000	34.00316496	-117.3767967	Riverside County
321632	Ordering, Referring, Prescribing	N/A	1144431735	0	0	NAVARRO, ADRIANA LCSW	2/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27281	N/A	N/A	N/A	N/A	N/A	2751 NAPA VALLEY CORPORA	None	NAPA	CA	94558	2725	00	06000	38.24829023	-122.2745626	Napa County
321646	Ordering, Referring, Prescribing	N/A	1144483702	0	0	NELSON, CHRISTINE E NP	7/30/2015	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	244916	N/A	N/A	N/A	N/A	N/A	1469 HUMBOLDT RD	STE 200	CHICO	CA	95928	9203	00	06000	39.73527137	-121.8156849	Butte County
321663	Ordering, Referring, Prescribing	N/A	1144506346	0	0	NGUYEN, LILY PHARMD	7/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52943	N/A	N/A	N/A	N/A	N/A	120 W PARKRIDGE AVE	None	CORONA	CA	92878	1450	00	06000	33.89324293	-117.5638517	Riverside County
321676	Ordering, Referring, Prescribing	N/A	1144552688	0	0	NEWTON, CHRISTINA R LMFT	2/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT44868	N/A	N/A	N/A	N/A	N/A	2580 VICTOR AVE	STE C	REDDING	CA	96002	1455	00	06000	40.56964465	-122.3390284	Shasta County
321678	Ordering, Referring, Prescribing	N/A	1144553520	0	0	NG, WAI K	8/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	76397	N/A	N/A	N/A	N/A	N/A	5961 LA PALMA AVE	None	LA PALMA	CA	90623	2134	00	06000	33.84649747	-118.029168	Orange County
321702	Ordering, Referring, Prescribing	N/A	1144601154	0	0	NAMJOSHI, NATASHA S MD	7/25/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A146673	N/A	N/A	N/A	N/A	N/A	4600 BROADWAY	None	SACRAMENTO	CA	95820	1527	00	06000	38.546127	-121.452669	Sacramento County
321766	Ordering, Referring, Prescribing	N/A	1144684911	0	0	NGUYEN, MICHELLE K PHARMD	3/25/2018	Taxonomy not applicable	NA	n/a	000	Unknown	72763	N/A	N/A	N/A	N/A	N/A	2980 E CAPITOL EXPY	None	SAN JOSE	CA	95148	4247	00	06000	37.33024428	-121.8119226	Santa Clara County
321777	Ordering, Referring, Prescribing	N/A	1144697699	0	0	NGUYEN, KATIE T PHARMD	4/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73171	N/A	N/A	N/A	N/A	N/A	2500 MERCED ST	None	SAN LEANDRO	CA	94577	4201	00	06000	37.706364	-122.165163	Alameda County
321784	Ordering, Referring, Prescribing	N/A	1144711763	0	0	NUR, FARIAH LMFT	3/18/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145876	N/A	N/A	N/A	N/A	N/A	840 N. AVENUE 66	None	LOS ANGELES	CA	90042	1508	00	06000	34.12110842	-118.1725545	Los Angeles County
321790	Ordering, Referring, Prescribing	N/A	1144716622	0	0	NGUYEN, THAO T PHARMD	3/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77533	N/A	N/A	N/A	N/A	N/A	424 DEL MAR AVE	None	PACIFICA	CA	94044	1905	00	06000	37.64981036	-122.4877743	San Mateo County
321824	Ordering, Referring, Prescribing	N/A	1144754763	0	0	NJOKU, LINDA C CNP	4/24/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005858	N/A	N/A	N/A	N/A	N/A	750 E MAIN ST	None	BARSTOW	CA	92311	2354	00	06000	34.8986565	-117.017658	San Bernardino County
321846	Ordering, Referring, Prescribing	N/A	1144786203	0	0	NEVIS-PERRIEN, ANGELIQUE T LCSW	3/2/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW107146	N/A	N/A	N/A	N/A	N/A	3300 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3137	00	06000	35.37353416	-119.0392409	Kern County
321857	Ordering, Referring, Prescribing	N/A	1144803628	0	0	NEWMAN, JENEE M RDHAP	4/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	823	N/A	N/A	N/A	N/A	N/A	4900 CALIFORNIA AVE	100B	BAKERSFIELD	CA	93309	7081	00	06000	35.36440586	-119.0562732	Kern County
321858	Ordering, Referring, Prescribing	N/A	1144776451	0	0	NARASKY, STACIA LCSW	2/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	93138	N/A	N/A	N/A	N/A	N/A	8019 SOUTH COMPTON AVENU	None	LOS ANGELES	CA	90001	3409	00	06000	33.9664185	-118.2477481	Los Angeles County
321871	Ordering, Referring, Prescribing	N/A	1144829128	0	0	NGUYEN, MIMI PHARMD	3/29/2022	Taxonomy not applicable	NA	n/a	000	Unknown	70128	N/A	N/A	N/A	N/A	N/A	7400 ELK GROVE BLVD	None	ELK GROVE	CA	95757	6299	00	06000	38.405799	-121.4134875	Sacramento County
321940	Ordering, Referring, Prescribing	N/A	1154021707	0	0	NASH, NOAH	2/28/2023	Taxonomy not applicable	NA	n/a	000	Unknown	87690	N/A	N/A	N/A	N/A	N/A	1201 AVOCADO AVE	None	EL CAJON	CA	92020	7704	00	06000	32.778864	-116.9579805	San Diego County
321991	Ordering, Referring, Prescribing	N/A	1154342871	0	0	NGUYEN, PHUONG CHRISTINE MD	3/27/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A83319	N/A	N/A	N/A	N/A	N/A	2039 FOREST AVE	SUITE 105	SAN JOSE	CA	95128	4817	00	06000	37.32711929	-121.934266	Santa Clara County
321994	Ordering, Referring, Prescribing	N/A	1154355709	0	0	NOURI, LABEED	1/13/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C144916	N/A	N/A	N/A	N/A	N/A	677-93 S. MAGNOLIA AVENU	None	EL CAJON	CA	92020	5224	00	06000	32.787981	-116.962303	San Diego County
322062	Ordering, Referring, Prescribing	N/A	1154520096	0	0	NOVOTA, GABRIELA MD	8/14/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C155131	N/A	N/A	N/A	N/A	N/A	2210 MESA DR	SUITE 300	OCEANSIDE	CA	92054	3756	00	06000	33.20786753	-117.3579677	San Diego County
322071	Ordering, Referring, Prescribing	N/A	1154534147	0	0	NORDSTROM, SCOTT D LCSW	8/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	14899	N/A	N/A	N/A	N/A	N/A	555 HOSPITAL LN	None	SUSANVILLE	CA	96130	4808	00	06000	40.40857373	-120.666989	Lassen County
322077	Ordering, Referring, Prescribing	N/A	1154547040	0	0	NICHOLS-RAY, JANICE M NP	3/17/2014	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	528796	N/A	N/A	N/A	N/A	N/A	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	00	06000	35.382555	-118.970757	Kern County
322087	Ordering, Referring, Prescribing	N/A	1154571339	0	0	NGUYEN, DUY LMFT	6/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	52163	N/A	N/A	N/A	N/A	N/A	828 S BASCOM AVE	None	SAN JOSE	CA	95128	2651	00	06000	37.31225204	-121.9317854	Santa Clara County
322109	Ordering, Referring, Prescribing	N/A	1154604650	0	0	NGUYEN, VANANH PHARMD	9/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	37622	N/A	N/A	N/A	N/A	N/A	1399 W SAN CARLOS ST	None	SAN JOSE	CA	95126	3446	00	06000	37.32360523	-121.9134307	Santa Clara County
322110	Ordering, Referring, Prescribing	N/A	1154604775	0	0	NGUYEN, CHUONG V PHARMD	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58673	N/A	N/A	N/A	N/A	N/A	2799 S WHITE RD	None	SAN JOSE	CA	95148	2093	00	06000	37.32572871	-121.7973412	Santa Clara County
322112	Ordering, Referring, Prescribing	N/A	1154611465	0	0	NEWMAN, JASON C	8/3/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100091	N/A	N/A	N/A	N/A	N/A	680 WILSON AVE	None	NOVATO	CA	94947	3825	00	06000	38.1040296	-122.5964315	Marin County
322118	Ordering, Referring, Prescribing	N/A	1154621019	0	0	NGO-NGUYEN, NGOC T PHARMD	1/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54818	N/A	N/A	N/A	N/A	N/A	555 E CALAVERAS BLVD	None	MILPITAS	CA	95035	0000	00	06000	37.43317076	-121.8957393	Santa Clara County
322169	Ordering, Referring, Prescribing	N/A	1154710440	0	0	NUNEZ, ERIKA LMFT	3/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT115197	N/A	N/A	N/A	N/A	N/A	850 E FOOTHILL BLVD	None	RIALTO	CA	92376	5230	00	06000	34.10679449	-117.3542535	San Bernardino County
322188	Ordering, Referring, Prescribing	N/A	1154746030	0	0	NG, TIFFANY	2/15/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	109018	N/A	N/A	N/A	N/A	N/A	12966 EUCLID ST SUITE 49	None	GARDEN GROVE	CA	92840	0000	00	06000	33.77455935	-117.9378298	Orange County
322214	Ordering, Referring, Prescribing	N/A	1154783645	0	0	NGUYEN, MINH-VU H MD	1/29/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A152992	N/A	N/A	N/A	N/A	N/A	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
322248	Ordering, Referring, Prescribing	N/A	1154840551	0	0	NDIKURIYO, JEAN-PIERRE PA	8/8/2022	Taxonomy not applicable	NA	n/a	000	Unknown	54896	N/A	N/A	N/A	N/A	N/A	1080 N WESTERN AVE	None	LOS ANGELES	CA	90029	2310	00	06000	34.090281	-118.3091425	Los Angeles County
322257	Ordering, Referring, Prescribing	N/A	1154853745	0	0	NI, ANDREW MD	1/11/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A160334	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPRESSWAY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
322291	Ordering, Referring, Prescribing	N/A	1154903060	0	0	NARANJO, JESUS A DO	10/19/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL2196	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
322318	Ordering, Referring, Prescribing	N/A	1154968220	0	0	NORONA, ROLAND I PHARMD	1/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH81100	N/A	N/A	N/A	N/A	N/A	525 EL CAMINO REAL	None	MILLBRAE	CA	94030	2030	00	06000	37.60370496	-122.393958	San Mateo County
322338	Ordering, Referring, Prescribing	N/A	1164022729	0	0	NAHAR, SADIA PHARMD	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	83311	N/A	N/A	N/A	N/A	N/A	115 LAKE BLVD E	None	REDDING	CA	96003	2913	00	06000	40.61032419	-122.3732707	Shasta County
322350	Ordering, Referring, Prescribing	N/A	1164035002	0	0	NGUYEN, CHRISTINE	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	84081	N/A	N/A	N/A	N/A	N/A	4170 EL CAMINO REAL	None	PALO ALTO	CA	94306	4008	00	06000	37.41148135	-122.1243315	Santa Clara County
322378	Ordering, Referring, Prescribing	N/A	1164080446	0	0	NG, ASKA F LCSW	10/10/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW118543	N/A	N/A	N/A	N/A	N/A	9353 E VALLEY BLVD	SUITE #C	ROSEMEAD	CA	91770	1923	00	06000	34.08115618	-118.0651957	Los Angeles County
322447	Ordering, Referring, Prescribing	N/A	1164521563	0	0	NGUYEN, HAN T MD	12/29/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C50552	N/A	N/A	N/A	N/A	N/A	6833 STOCKTON BLVD	485	SACRAMENTO	CA	95823	2376	00	06000	38.502684	-121.430124	Sacramento County
322485	Ordering, Referring, Prescribing	N/A	1164577987	0	0	NGUYEN-NGO, BINH V PHARMD	8/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH52346	N/A	N/A	N/A	N/A	N/A	9746 WESTMINSTER AVE	D4	GARDEN GROVE	CA	92844	2984	00	06000	33.75949073	-117.9590728	Orange County
322492	Ordering, Referring, Prescribing	N/A	1164596599	0	0	NAMBA, LINDA S PHARMD	3/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	40972	N/A	N/A	N/A	N/A	N/A	7373 WEST LANE	None	STOCKTON	CA	95210	3377	00	06000	38.017701	-121.297869	San Joaquin County
322514	Ordering, Referring, Prescribing	N/A	1164622569	0	0	NACE, REBECCA MARIE LMFT	12/20/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	82018	N/A	N/A	N/A	N/A	N/A	1830 S. CENTRAL STREET	None	VISALIA	CA	93277	4418	00	06000	36.314271	-119.311362	Tulare County
322521	Ordering, Referring, Prescribing	N/A	1164656757	0	0	NATHANSON, JENNIFER D LMFT	4/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	88174	N/A	N/A	N/A	N/A	N/A	3075 MYERS ST.	1	RIVERSIDE	CA	92503	5525	00	06000	33.90872869	-117.4423238	Riverside County
322535	Ordering, Referring, Prescribing	N/A	1164692703	0	0	NUNEZ, HERIBERTO MD	4/19/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A79979	N/A	N/A	N/A	N/A	N/A	850 S ATLANTIC BLVD	203	MONTEREY PARK	CA	91754	6707	00	06000	34.05097684	-118.1379979	Los Angeles County
322539	Ordering, Referring, Prescribing	N/A	1164661617	0	0	NUNEZ, MEMORY A LCSW	2/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW84865	N/A	N/A	N/A	N/A	N/A	2531 W WOODLAND DR	None	ANAHEIM	CA	92801	2637	00	06000	33.8492705	-117.973044	Orange County
322542	Ordering, Referring, Prescribing	N/A	1164704128	0	0	NAKAO, JON PHARMD	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH59090	N/A	N/A	N/A	N/A	N/A	3570 ATLANTIC AVE	None	LONG BEACH	CA	90807	4516	00	06000	33.821568	-118.185003	Los Angeles County
322545	Ordering, Referring, Prescribing	N/A	1164705588	0	0	NGUYEN, WENDY U PHARMD	7/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH60596	N/A	N/A	N/A	N/A	N/A	2627 PACIFIC AVE	None	LONG BEACH	CA	90806	2610	00	06000	33.80511396	-118.1937379	Los Angeles County
322557	Ordering, Referring, Prescribing	N/A	1164715736	0	0	NGUYEN, HOANGLONG T MD	4/5/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A130677	N/A	N/A	N/A	N/A	N/A	14445 OLIVE VIEW DR.	None	SYLMAR	CA	91342	1438	00	06000	34.32450186	-118.4456317	Los Angeles County
322565	Ordering, Referring, Prescribing	N/A	1164734968	0	0	NOURIAN, SHAGHAYEGH S PSYD	2/2/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY26240	N/A	N/A	N/A	N/A	N/A	3200 MOTOR AVE.	None	LOS ANGELES	CA	90034	3710	00	06000	34.03321301	-118.4109122	Los Angeles County
322600	Ordering, Referring, Prescribing	N/A	1164800959	0	0	NG, STANLEY K MD	3/21/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A155274	N/A	N/A	N/A	N/A	N/A	1520 STOCKTON STREET	None	SAN FRANCISCO	CA	94133	3354	00	06000	37.79989786	-122.4090369	San Francisco County
322623	Ordering, Referring, Prescribing	N/A	1164826764	0	0	NGAI, BARBARA NP	5/25/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007808	N/A	N/A	N/A	N/A	N/A	4786 N PECK ROAD	B	EL MONTE	CA	91732	0000	00	06000	34.0907378	-118.0144392	Los Angeles County
322640	Ordering, Referring, Prescribing	N/A	1164866901	0	0	NGUYEN, NATHALIE DO	5/1/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A13787	N/A	N/A	N/A	N/A	N/A	1505 WILSON TERRACE	STE 130	GLENDALE	CA	91206	4074	00	06000	34.14960934	-118.2313491	Los Angeles County
322660	Ordering, Referring, Prescribing	N/A	1164897492	0	0	NGUYEN, KATHY PHARMD	3/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73390	N/A	N/A	N/A	N/A	N/A	3555 WHIPPLE RD	None	UNION CITY	CA	94587	1507	00	06000	37.60574038	-122.0836254	Alameda County
322666	Ordering, Referring, Prescribing	N/A	1164896627	0	0	NGUYEN, LINDA LCSW	8/2/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	93077	N/A	N/A	N/A	N/A	N/A	9343 TECH CENTER DR	175	SACRAMENTO	CA	95826	2563	00	06000	38.564091	-121.3509285	Sacramento County
322691	Ordering, Referring, Prescribing	N/A	1164950861	0	0	NGUYEN, TUNG	1/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64072	N/A	N/A	N/A	N/A	N/A	5688 TELEPHONE RD	None	VENTURA	CA	93003	5326	00	06000	34.26489851	-119.2152357	Ventura County
322694	Ordering, Referring, Prescribing	N/A	1164959037	0	0	NGUYEN, JULIE PHARMD	9/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82488	N/A	N/A	N/A	N/A	N/A	1359 N GRAND AVE	None	COVINA	CA	91724	1016	00	06000	34.104681	-117.872706	Los Angeles County
322695	Ordering, Referring, Prescribing	N/A	1164962940	0	0	NGUYEN, KATHIE Q	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	76102	N/A	N/A	N/A	N/A	N/A	82955 AVE 48	BLDG B	INDIO	CA	92201	0000	00	06000	33.70028627	-116.2170761	Riverside County
322729	Ordering, Referring, Prescribing	N/A	1174010847	0	0	NIJJAR, GURKARON	7/27/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A174481	N/A	N/A	N/A	N/A	N/A	3300 TRUXTON AVE	None	BAKERSFIELD	CA	93301	3137	00	06000	35.37353416	-119.0392409	Kern County
322735	Ordering, Referring, Prescribing	N/A	1174022719	0	0	NGUYEN, ANDY PHARMD	8/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78249	N/A	N/A	N/A	N/A	N/A	11604 WHITTIER BLVD	None	WHITTIER	CA	90601	0000	00	06000	33.98243673	-118.0530955	Los Angeles County
322740	Ordering, Referring, Prescribing	N/A	1174033260	0	0	NGUYEN, BRIAN T PHARMD	8/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH77078	N/A	N/A	N/A	N/A	N/A	15500 WASHINGTON AVE	None	SAN LEANDRO	CA	94579	1839	00	06000	37.68575579	-122.1388804	Alameda County
322745	Ordering, Referring, Prescribing	N/A	1174036412	0	0	NAKATA, LESLEY S PA	11/20/2017	Taxonomy not applicable	NA	n/a	000	Unknown	54948	N/A	N/A	N/A	N/A	N/A	4575 COLLEGE AVE	None	SAN DIEGO	CA	92115	4011	00	06000	32.76023438	-117.0667611	San Diego County
322814	Ordering, Referring, Prescribing	N/A	1174153944	0	0	NELSEN, KAREN LMFT	9/29/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	127033	N/A	N/A	N/A	N/A	N/A	740 FRONT STREET	250	SANTA CRUZ	CA	95060	4535	00	06000	36.97547419	-122.0254852	Santa Cruz County
322824	Ordering, Referring, Prescribing	N/A	1174160105	0	0	NGUYEN, THUY-VI H PHARMD	12/6/2019	Taxonomy not applicable	NA	n/a	000	Unknown	RPH81615	N/A	N/A	N/A	N/A	N/A	2101 N ROSE AVE	None	OXNARD	CA	93036	2682	00	06000	34.221969	-119.1618045	Ventura County
322864	Ordering, Referring, Prescribing	N/A	1174356216	0	0	NJOKU, ANNE C NP	7/17/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95031170	N/A	N/A	N/A	N/A	N/A	101 WEST COAST RD	None	REDWAY	CA	95560	0769	00	06000	40.11704433	-123.8133408	Humboldt County
322871	Ordering, Referring, Prescribing	N/A	1174516264	0	0	NGUYEN, LAN T MD	7/26/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A71625	N/A	N/A	N/A	N/A	N/A	135 N. JACKSON AVE	101	SAN JOSE	CA	95116	1917	00	06000	37.36164758	-121.8466827	Santa Clara County
322892	Ordering, Referring, Prescribing	N/A	1174623615	0	0	NGUYEN, JAIME A DDS	11/21/2023	Taxonomy not applicable	NA	n/a	000	Unknown	47396	N/A	N/A	N/A	N/A	N/A	1009 N AVALON BLVD	None	WILMINGTON	CA	90744	4505	00	06000	33.78320457	-118.2627263	Los Angeles County
322929	Ordering, Referring, Prescribing	N/A	1174692560	0	0	NGUYEN, LOAN A LAC	9/26/2017	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	3185	N/A	N/A	N/A	N/A	N/A	7901 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4001	00	06000	33.75930046	-117.991053	Orange County
322956	Ordering, Referring, Prescribing	N/A	1174734610	0	0	NEWMAN, PAULA PSYD	2/6/2024	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	18640	N/A	N/A	N/A	N/A	N/A	193 FAIRVIEW LN	K	SONORA	CA	95370	4828	00	06000	37.97880957	-120.3912459	Tuolumne County
322962	Ordering, Referring, Prescribing	N/A	1174772040	0	0	NGUYEN, THOMAS J	3/24/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	D54896	N/A	N/A	N/A	N/A	N/A	2020 J STREET	None	SACRAMENTO	CA	95811	3120	00	06000	38.576331	-121.4791155	Sacramento County
322992	Ordering, Referring, Prescribing	N/A	1174816789	0	0	NATTELL, NOAH A MD	11/17/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A136848	N/A	N/A	N/A	N/A	N/A	2333 LAKE AVE	2ND FLOOR	ALTADENA	CA	91001	2463	00	06000	34.18608596	-118.1315262	Los Angeles County
323021	Ordering, Referring, Prescribing	N/A	1174869127	0	0	NGUYEN, LAURA G LMFT	1/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	102780	N/A	N/A	N/A	N/A	N/A	501 N. BROOKHURST ST.	SUITE 320	ANAHEIM	CA	92801	5204	00	06000	33.8384428	-117.9590628	Orange County
323039	Ordering, Referring, Prescribing	N/A	1174891329	0	0	NAJARIAN, BETTY	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54726	N/A	N/A	N/A	N/A	N/A	310 S LAKE AVE	None	PASADENA	CA	91101	3537	00	06000	34.14044971	-118.1322366	Los Angeles County
323051	Ordering, Referring, Prescribing	N/A	1174905871	0	0	NIAZI, HARRIS O MD	11/16/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A146111	N/A	N/A	N/A	N/A	N/A	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	00	06000	32.70162897	-117.1465065	San Diego County
323106	Ordering, Referring, Prescribing	N/A	1174977607	0	0	NEBOORI, ANOOP H R MD	6/4/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A156302	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
323143	Ordering, Referring, Prescribing	N/A	1184019051	0	0	NGUYEN, VIET D MD	3/18/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A149088	N/A	N/A	N/A	N/A	N/A	4725 MARKET ST	None	SAN DIEGO	CA	92102	4715	00	06000	32.71127386	-117.0929781	San Diego County
323148	Ordering, Referring, Prescribing	N/A	1184022378	0	0	NGUYEN, TRUNG-DUONG VU PHARMD	7/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72122	N/A	N/A	N/A	N/A	N/A	440 BLOSSOM HILL ROAD	None	SAN JOSE	CA	95123	1608	00	06000	37.25120454	-121.829967	Santa Clara County
323188	Ordering, Referring, Prescribing	N/A	1184072423	0	0	NOURANIAN, GUITA LP	12/24/2021	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY33099	N/A	N/A	N/A	N/A	N/A	23461 S POINTE DR	100	LAGUNA HILLS	CA	92653	1547	00	06000	33.62535142	-117.7206568	Orange County
323198	Ordering, Referring, Prescribing	N/A	1184091571	0	0	NNEBE, IFEATU C	9/24/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D65052	N/A	N/A	N/A	N/A	N/A	19969 GREENLEY RD	C AND D	SONORA	CA	95370	5908	00	06000	37.98497262	-120.3669198	Tuolumne County
323210	Ordering, Referring, Prescribing	N/A	1184101206	0	0	NESBITT, WILL	9/11/2019	Taxonomy not applicable	NA	n/a	000	Unknown	55773	N/A	N/A	N/A	N/A	N/A	1100 BUTTE ST	None	REDDING	CA	96001	0852	00	06000	40.5853603	-122.3869865	Shasta County
323224	Ordering, Referring, Prescribing	N/A	1184114522	0	0	NWOKIKE, CHIDIOGO CNP	4/27/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95014548	N/A	N/A	N/A	N/A	N/A	1340 N TULLY RD STE 301	None	SAN JOSE	CA	95122	3055	00	06000	37.31710924	-121.8334186	Santa Clara County
323240	Ordering, Referring, Prescribing	N/A	1184149064	0	0	NGUYEN, EVELYN L PA-C	2/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59228	N/A	N/A	N/A	N/A	N/A	2928 E CESAR E CHAVEZ AV	SUITE 280	LOS ANGELES	CA	90033	3110	00	06000	34.04364362	-118.2006515	Los Angeles County
323312	Ordering, Referring, Prescribing	N/A	1184276081	0	0	NGUYEN, KASMIRA NP	6/14/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	F06191464	N/A	N/A	N/A	N/A	N/A	2017 FIRST AVENUE	301	SAN DIEGO	CA	92101	0000	00	06000	32.72646147	-117.1638767	San Diego County
323405	Ordering, Referring, Prescribing	N/A	1184750218	0	0	NGUYEN, TUAN M DDS	10/25/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS42750	N/A	N/A	N/A	N/A	N/A	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	00	06000	32.70162897	-117.1465065	San Diego County
323437	Ordering, Referring, Prescribing	N/A	1184805509	0	0	NGUYEN, TRAM	10/11/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0552336	N/A	N/A	N/A	N/A	N/A	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	00	06000	33.77387145	-117.9966555	Orange County
323442	Ordering, Referring, Prescribing	N/A	1184819278	0	0	NUNNELY, AMBER LCSW	6/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	76441	N/A	N/A	N/A	N/A	N/A	1660 HOTEL CIR N	314	SAN DIEGO	CA	92108	2807	00	06000	32.75964178	-117.1791442	San Diego County
323458	Ordering, Referring, Prescribing	N/A	1184848657	0	0	NOLLENBERGER, CYNTHIA LMFT	9/26/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	45068	N/A	N/A	N/A	N/A	N/A	1400 EMELINE AVE	None	SANTA CRUZ	CA	95060	1976	00	06000	36.99276804	-122.0178271	Santa Cruz County
323474	Ordering, Referring, Prescribing	N/A	1184882607	0	0	NICKELS, ELIZABETH L PSYD	12/8/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	22119	N/A	N/A	N/A	N/A	N/A	545 ESTUDILLO AVE	None	SAN LEANDRO	CA	94577	4611	00	06000	37.72679439	-122.1491972	Alameda County
323476	Ordering, Referring, Prescribing	N/A	1184873374	0	0	NICHOLS, LAURA C LCSW	10/15/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW126751	N/A	N/A	N/A	N/A	N/A	137 N COTTONWOOD ST	None	WOODLAND	CA	95695	6646	00	06000	38.68538399	-121.7933582	Yolo County
323494	Ordering, Referring, Prescribing	N/A	1184906414	0	0	NGUYEN, CHI H PHARMD	7/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60387	N/A	N/A	N/A	N/A	N/A	1630 OCEAN AVE	None	SAN FRANCISCO	CA	94112	1718	00	06000	37.7246634	-122.4596848	San Francisco County
323514	Ordering, Referring, Prescribing	N/A	1184939118	0	0	NUNEZ, JENNIFER B	5/26/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D63392	N/A	N/A	N/A	N/A	N/A	1381 UNIVERSITY AVE	None	HEALDSBURG	CA	95448	3314	00	06000	38.62757555	-122.8638141	Sonoma County
323518	Ordering, Referring, Prescribing	N/A	1184946097	0	0	NGHIEM, XUAN UYEN T	4/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	76518	N/A	N/A	N/A	N/A	N/A	1800 CAVITT DR	None	FOLSOM	CA	95630	6235	00	06000	38.645388	-121.1097645	Sacramento County
323581	Ordering, Referring, Prescribing	N/A	1194048835	0	0	NINAN, DANIEL J	4/28/2010	Taxonomy not applicable	NA	n/a	099	DENTIST	D59056	N/A	N/A	N/A	N/A	N/A	1454 E 2ND ST	None	SAN BERNARDINO	CA	92408	0118	00	06000	34.1035953	-117.2563723	San Bernardino County
323596	Ordering, Referring, Prescribing	N/A	1194085894	0	0	NATHANSON, SIMONE	1/20/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	74001	N/A	N/A	N/A	N/A	N/A	11303 W. WASHINGTON BLVD	SUITE 200	LOS ANGELES	CA	90066	6003	00	06000	34.00408212	-118.4147433	Los Angeles County
323622	Ordering, Referring, Prescribing	N/A	1194131268	0	0	NATAN, CHRISTINE JOY V NP	10/5/2016	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	743207	N/A	N/A	N/A	N/A	N/A	1682 7TH ST	None	OAKLAND	CA	94607	1351	00	06000	37.80663765	-122.3002667	Alameda County
323637	Ordering, Referring, Prescribing	N/A	1194158824	0	0	NOURIAN, SHAHIN LMFT	4/22/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	117684	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DR	210	OXNARD	CA	93036	0617	00	06000	34.219566	-119.1539365	Ventura County
323747	Ordering, Referring, Prescribing	N/A	1194354183	0	0	NEDIC, MEGHAN MD	7/17/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	73503	N/A	N/A	N/A	N/A	N/A	1515 SPRINGFIELD DR	None	CHICO	CA	95928	0000	00	06000	39.73096434	-121.8089646	Butte County
323838	Ordering, Referring, Prescribing	N/A	1194856708	0	0	NOVAK, NAOMI S LMFT	11/3/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	83636	N/A	N/A	N/A	N/A	N/A	43520 DIVISION ST	None	LANCASTER	CA	93535	4089	00	06000	34.673445	-118.130143	Los Angeles County
323855	Ordering, Referring, Prescribing	N/A	1194871673	0	0	NAVARRO, SUSAN J LCS	5/31/2013	Taxonomy not applicable	NA	n/a	034	MEDICARE CROSSOVER PROVIDER ONLY	CSW014895	N/A	N/A	N/A	N/A	N/A	11670 ATWOOD RD	None	AUBURN	CA	95603	9522	00	06000	38.93485327	-121.0988193	Placer County
323885	Ordering, Referring, Prescribing	N/A	1194935411	0	0	NICHOLS, DANA M LCSW	2/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW22856	N/A	N/A	N/A	N/A	N/A	1255 KENDALL RD	None	SAN LUIS OBISPO	CA	93401	8750	00	06000	35.2372881	-120.6292313	San Luis Obispo County
323938	Ordering, Referring, Prescribing	N/A	1205057692	0	0	NGUYEN, PHUONG DDS	1/9/2024	Taxonomy not applicable	NA	n/a	000	Unknown	40378	N/A	N/A	N/A	N/A	N/A	1035 PLACER ST	None	REDDING	CA	96001	1125	00	06000	40.58349378	-122.3853903	Shasta County
323971	Ordering, Referring, Prescribing	N/A	1205112026	0	0	NGUYEN-THOMPSON, DIANA T PHARMD	7/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH60367	N/A	N/A	N/A	N/A	N/A	301 E 18TH ST	None	OAKLAND	CA	94606	1813	00	06000	37.7996374	-122.2518906	Alameda County
323973	Ordering, Referring, Prescribing	N/A	1205119096	0	0	NISHIMURA, KRIS N PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66067	N/A	N/A	N/A	N/A	N/A	3701 BROADWAY	None	OAKLAND	CA	94611	5613	00	06000	37.82533768	-122.258094	Alameda County
323980	Ordering, Referring, Prescribing	N/A	1205127123	0	0	NGUYEN, QUANG THIEN PHARMD	8/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58144	N/A	N/A	N/A	N/A	N/A	17383 MAIN ST	None	HESPERIA	CA	92345	6111	00	06000	34.41887306	-117.2836865	San Bernardino County
323989	Ordering, Referring, Prescribing	N/A	1205136702	0	0	NGUYEN, AN L PHARMD	3/19/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH59022	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	MS SEC2-B	BOISE	ID	93701	3735	00	06000	43.59860438	-116.1806635	Ada County
324052	Ordering, Referring, Prescribing	N/A	1205274420	0	0	NATTA, ANDREA L	1/15/2018	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	AC8531	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
324082	Ordering, Referring, Prescribing	N/A	1205314358	0	0	NGUYEN, BAO-NHAN B MD	6/9/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164465	N/A	N/A	N/A	N/A	N/A	3055 W ORANGE AVE	105	ANAHEIM	CA	92804	3159	00	06000	33.8247435	-117.99621	Orange County
324086	Ordering, Referring, Prescribing	N/A	1205316403	0	0	NGUYEN, TU TRAM LCSW	8/12/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	125046	N/A	N/A	N/A	N/A	N/A	3055 WILSHIRE BLVD	#360	LOS ANGELES	CA	90010	1108	00	06000	34.06185807	-118.2880358	Los Angeles County
324152	Ordering, Referring, Prescribing	N/A	1205427275	0	0	NICHOLAOU, LUCAS J	10/22/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	106982	N/A	N/A	N/A	N/A	N/A	8405 BEVERLY BLVD	None	LOS ANGELES	CA	90048	3401	00	06000	34.07607952	-118.373418	Los Angeles County
324180	Ordering, Referring, Prescribing	N/A	1205489242	0	0	NEGRETE, SENECA M LMFT	8/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121107	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	#401	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
324226	Ordering, Referring, Prescribing	N/A	1205845237	0	0	NGUYEN, VAN T DO	6/8/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A6915	N/A	N/A	N/A	N/A	N/A	121 S. LONG BEACH BLVD.	None	COMPTON	CA	90221	3423	00	06000	33.89475493	-118.2080292	Los Angeles County
324282	Ordering, Referring, Prescribing	N/A	1205993524	0	0	NSEAR, FERNANDO AM TORRES PA	4/17/2019	Taxonomy not applicable	NA	n/a	000	Unknown	13383	N/A	N/A	N/A	N/A	N/A	1919 W 7TH ST	None	LOS ANGELES	CA	90057	4103	00	06000	34.05575686	-118.2751751	Los Angeles County
324294	Ordering, Referring, Prescribing	N/A	1215018544	0	0	NGUYEN, VAN ANH PHARMD	4/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53417	N/A	N/A	N/A	N/A	N/A	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	00	06000	32.79293009	-117.0952438	San Diego County
324300	Ordering, Referring, Prescribing	N/A	1215036918	0	0	NAYAK, MALA S MD	5/18/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A55279	N/A	N/A	N/A	N/A	N/A	2001 THE ALAMEDA	None	SAN JOSE	CA	95126	1136	00	06000	37.34293689	-121.9270392	Santa Clara County
324359	Ordering, Referring, Prescribing	N/A	1215136916	0	0	NG, JANICE	2/26/2018	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT86803	N/A	N/A	N/A	N/A	N/A	1490 MASON ST	None	SAN FRANCISCO	CA	94133	4222	00	06000	37.79713836	-122.4118701	San Francisco County
324361	Ordering, Referring, Prescribing	N/A	1215167887	0	0	NGUYEN, TUAN V PHARMD	3/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH52932	N/A	N/A	N/A	N/A	N/A	22633 SAVI RANCH PKWY	None	YORBA LINDA	CA	92887	4647	00	06000	33.87492883	-117.7432851	Orange County
324386	Ordering, Referring, Prescribing	N/A	1215216643	0	0	NORRIS, SARAH J NP	5/13/2020	Taxonomy not applicable	NA	n/a	000	Unknown	20407	N/A	N/A	N/A	N/A	N/A	475 BRUCE STREET	None	YREKA	CA	96097	3474	00	06000	41.71860037	-122.6467317	Siskiyou County
324389	Ordering, Referring, Prescribing	N/A	1215212477	0	0	NGUYEN, MARY N PHARMD	4/15/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54691	N/A	N/A	N/A	N/A	N/A	2660 PARK CENTER DR	None	SIMI VALLEY	CA	93065	6207	00	06000	34.28442036	-118.7968257	Ventura County
324407	Ordering, Referring, Prescribing	N/A	1215237623	0	0	NGUYEN, MAITRAM T PHARMD	3/19/2018	Taxonomy not applicable	NA	n/a	000	Unknown	48470	N/A	N/A	N/A	N/A	N/A	179 BRANHAM LANE	None	SAN JOSE	CA	95136	2300	00	06000	37.26610604	-121.8332166	Santa Clara County
324416	Ordering, Referring, Prescribing	N/A	1215244512	0	0	NGUYEN, TRINITY LCSW	1/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW91009	N/A	N/A	N/A	N/A	N/A	9353 E VALLEY BLVD.	None	ROSEMEAD	CA	91770	1923	00	06000	34.08115618	-118.0651957	Los Angeles County
324484	Ordering, Referring, Prescribing	N/A	1215363247	0	0	NGUYEN, VAN Q PT	2/2/2023	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT40657	N/A	N/A	N/A	N/A	N/A	5454 EL CAJON BLVD	None	SAN DIEGO	CA	92115	3621	00	06000	32.75809043	-117.0778038	San Diego County
324520	Ordering, Referring, Prescribing	N/A	1215410170	0	0	NGUYEN, QUOC CHRISTO V	12/31/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	103146	N/A	N/A	N/A	N/A	N/A	4815 WATT AVE	None	NORTH HIGHLANDS	CA	95660	5108	00	06000	38.653245	-121.3836075	Sacramento County
324533	Ordering, Referring, Prescribing	N/A	1215435573	0	0	NGUYEN, KIMCHI PA-C	12/4/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55298	N/A	N/A	N/A	N/A	N/A	700 S TUSTIN ST	None	ORANGE	CA	92866	3425	00	06000	33.77685748	-117.8357804	Orange County
324538	Ordering, Referring, Prescribing	N/A	1215450770	0	0	NANDAGOPAL, MUGUNTH N	9/23/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	102506	N/A	N/A	N/A	N/A	N/A	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
324568	Ordering, Referring, Prescribing	N/A	1215496799	0	0	NEWTON, MAKENNA B PHD	4/8/2022	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	33269	N/A	N/A	N/A	N/A	N/A	13585 SAN PABLO AVE	1ST FLOOR	SAN PABLO	CA	94806	0000	00	06000	37.95651393	-122.3371491	Contra Costa County
324622	Ordering, Referring, Prescribing	N/A	1215610548	0	0	NAPIER, GRACE PA	11/15/2023	Taxonomy not applicable	NA	n/a	000	Unknown	63691	N/A	N/A	N/A	N/A	N/A	260 STATION WAY	None	ARROYO GRANDE	CA	93420	3359	00	06000	35.11996545	-120.5781386	San Luis Obispo County
324635	Ordering, Referring, Prescribing	N/A	1215645049	0	0	NUQUES, ALLISON PA-C	11/1/2023	Taxonomy not applicable	NA	n/a	000	Unknown	63176	N/A	N/A	N/A	N/A	N/A	8405 BEVERLY BLVD.	None	LOS ANGELES	CA	90048	3401	00	06000	34.07607952	-118.373418	Los Angeles County
324637	Ordering, Referring, Prescribing	N/A	1215645247	0	0	NGUYEN, MARINA N NP	4/27/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95019719	N/A	N/A	N/A	N/A	N/A	1552 COFFEE ROAD	SUITE 200	MODESTO	CA	95355	3122	00	06000	37.666872	-120.975684	Stanislaus County
324643	Ordering, Referring, Prescribing	N/A	1215689039	0	0	NG, JEFFREY PHARMD	10/25/2022	Taxonomy not applicable	NA	n/a	000	Unknown	84879	N/A	N/A	N/A	N/A	N/A	1530 PALM AVE	None	SAN DIEGO	CA	92154	1016	00	06000	32.58396649	-117.10053	San Diego County
324673	Ordering, Referring, Prescribing	N/A	1225015258	0	0	NGUYEN, HUYEN L	7/30/2013	Taxonomy not applicable	NA	n/a	099	DENTIST	D35151	N/A	N/A	N/A	N/A	N/A	204 E BEACH ST	None	WATSONVILLE	CA	95076	4809	00	06000	36.91224802	-121.7541363	Santa Cruz County
324687	Ordering, Referring, Prescribing	N/A	1225104284	0	0	NGUYEN, MAI T PHARMD	3/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH45568	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	MOB BUILDING	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
324735	Ordering, Referring, Prescribing	N/A	1225182355	0	0	NUNEZ-OUJI, MARIA L	8/18/2000	Taxonomy not applicable	NA	n/a	099	DENTIST	D43379	N/A	N/A	N/A	N/A	N/A	4815 WATT AVE	None	NORTH HIGHLANDS	CA	95660	5108	00	06000	38.653245	-121.3836075	Sacramento County
324759	Ordering, Referring, Prescribing	N/A	1225224744	0	0	NGUYEN, CLAIRE M	7/23/2017	Taxonomy not applicable	NA	n/a	000	Unknown	52280	N/A	N/A	N/A	N/A	N/A	1500 21ST STREET	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
324767	Ordering, Referring, Prescribing	N/A	1225238678	0	0	NGUYEN, NGA T LCSW	3/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27923	N/A	N/A	N/A	N/A	N/A	1887 MONTEREY HWY	205	SAN JOSE	CA	95112	6192	00	06000	37.30869336	-121.8664126	Santa Clara County
324769	Ordering, Referring, Prescribing	N/A	1225247968	0	0	NETTLETON, CHRISTOPHER P LCSW	6/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW20215	N/A	N/A	N/A	N/A	N/A	7200 BANCROFT AVENUE	SUITE 125C	OAKLAND	CA	94605	2454	00	06000	37.768221	-122.17608	Alameda County
324827	Ordering, Referring, Prescribing	N/A	1225373715	0	0	NGO, NGOCYEN T PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	68815	N/A	N/A	N/A	N/A	N/A	4935 WARNER AVE	None	HUNTINGTON BEACH	CA	92649	1408	00	06000	33.71540451	-118.042119	Orange County
324837	Ordering, Referring, Prescribing	N/A	1225388598	0	0	NEWKIRK, ERICA S	7/12/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95100342	N/A	N/A	N/A	N/A	N/A	1556 S SULTANA AVENUE	None	ONTARIO	CA	91761	4238	00	06000	34.045119	-117.6464565	San Bernardino County
324911	Ordering, Referring, Prescribing	N/A	1225496946	0	0	NGUYEN, HOAIHUONG M	5/4/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	101691	N/A	N/A	N/A	N/A	N/A	3030 ALUM ROCK AVE	None	SAN JOSE	CA	95127	2807	00	06000	37.36514449	-121.8292446	Santa Clara County
324930	Ordering, Referring, Prescribing	N/A	1225519283	0	0	NGUYEN, HARRISON D PHARMD	7/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78643	N/A	N/A	N/A	N/A	N/A	27975 BRADLEY RD	None	MENIFEE	CA	92586	2273	00	06000	33.71488653	-117.1922164	Riverside County
324978	Ordering, Referring, Prescribing	N/A	1225570682	0	0	NGUYEN, HAN T PHARMD	8/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH75456	N/A	N/A	N/A	N/A	N/A	2140 EL CAMINO REAL	None	SANTA CLARA	CA	95050	4052	00	06000	37.35228453	-121.961556	Santa Clara County
324997	Ordering, Referring, Prescribing	N/A	1225617251	0	0	NGUYEN, AILAN PHARMD	1/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	50851	N/A	N/A	N/A	N/A	N/A	696 E SANTA CLARA ST	111	SAN JOSE	CA	95112	1911	00	06000	37.34280728	-121.876519	Santa Clara County
325007	Ordering, Referring, Prescribing	N/A	1225662901	0	0	NGUYEN, DAVID T PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80777	N/A	N/A	N/A	N/A	N/A	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	00	06000	38.38851772	-121.9382798	Solano County
325019	Ordering, Referring, Prescribing	N/A	1225682057	0	0	NELSON, CARRIE A RN	8/24/2019	Taxonomy not applicable	NA	n/a	000	Unknown	519450	N/A	N/A	N/A	N/A	N/A	426 N BLACKSTONE ST	None	TULARE	CA	93274	4449	00	06000	36.21426196	-119.3310042	Tulare County
325062	Ordering, Referring, Prescribing	N/A	1235165028	0	0	NEWBURY, IRIS L PHD	10/4/2018	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY17080	N/A	N/A	N/A	N/A	N/A	24236 VERDE STREET	None	LAKE FOREST	CA	92630	3672	00	06000	33.62844092	-117.707214	Orange County
325079	Ordering, Referring, Prescribing	N/A	1235218223	0	0	NGUYEN, ANNA N PHARMD	3/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53815	N/A	N/A	N/A	N/A	N/A	1550 GATEWAY BLVD.	None	FAIRFIELD	CA	94533	6901	00	06000	38.2629133	-122.0560176	Solano County
325096	Ordering, Referring, Prescribing	N/A	1235257023	0	0	NUNEZ, ERNEST V LCSW	1/11/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	13420	N/A	N/A	N/A	N/A	N/A	1841 WEST IMPERIAL HIGHW	None	LOS ANGELES	CA	90047	5021	00	06000	33.93104645	-118.310508	Los Angeles County
325168	Ordering, Referring, Prescribing	N/A	1235406810	0	0	NAGAR, GITESH	7/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH45563	N/A	N/A	N/A	N/A	N/A	2690 PACIFIC COAST HWY	None	TORRANCE	CA	90505	7038	00	06000	33.79160861	-118.3328475	Los Angeles County
325174	Ordering, Referring, Prescribing	N/A	1235409194	0	0	NAPIER, DAWN M LCSW	7/21/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	86532	N/A	N/A	N/A	N/A	N/A	2145 5TH AVE	None	OROVILLE	CA	95965	5870	00	06000	39.50368243	-121.5646958	Butte County
325176	Ordering, Referring, Prescribing	N/A	1235413212	0	0	NARAYANA, SUJATHA	7/20/2021	Taxonomy not applicable	NA	n/a	000	Unknown	62289	N/A	N/A	N/A	N/A	N/A	2293 RIVER OAKS BLVD	None	PLUMAS LAKE	CA	95961	9194	00	06000	39.01987812	-121.5507996	Yuba County
325237	Ordering, Referring, Prescribing	N/A	1235518911	0	0	NGUYEN, HELEN PHARMD	3/12/2018	Taxonomy not applicable	NA	n/a	000	Unknown	61070	N/A	N/A	N/A	N/A	N/A	19640 BEACH BLVD	None	HUNTINGTON BEACH	CA	92648	0000	00	06000	33.67711421	-117.9884946	Orange County
325269	Ordering, Referring, Prescribing	N/A	1235565680	0	0	NAKAMURA, JILL E LMFT	3/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT96602	N/A	N/A	N/A	N/A	N/A	2425 BISSO LANE	SUITE 120	CONCORD	CA	94529	4817	00	06000	37.98393807	-122.0466953	Contra Costa County
325274	Ordering, Referring, Prescribing	N/A	1235571530	0	0	NORMAN, SARAH A PHARMD	3/27/2023	Taxonomy not applicable	NA	n/a	000	Unknown	72882	N/A	N/A	N/A	N/A	N/A	300 PULLMAN ST	None	LIVERMORE	CA	94551	9756	00	06000	37.70755227	-121.7149933	Alameda County
325339	Ordering, Referring, Prescribing	N/A	1235663774	0	0	NGUYEN, AI P PHARMD	8/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72950	N/A	N/A	N/A	N/A	N/A	1826 WEST ORANGETHROPE A	None	FULLERTON	CA	92833	0000	00	06000	33.85917352	-117.96057	Orange County
325344	Ordering, Referring, Prescribing	N/A	1235672684	0	0	NGUYEN, CHAU B PHARMD	10/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	75848	N/A	N/A	N/A	N/A	N/A	6340 COMMERCE BLVD	None	ROHNERT PARK	CA	94928	2404	00	06000	38.34744961	-122.7095577	Sonoma County
325375	Ordering, Referring, Prescribing	N/A	1235752304	0	0	NGUYEN, HANG-THU T PHARMD	3/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH80776	N/A	N/A	N/A	N/A	N/A	4131 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3101	00	06000	37.78096053	-122.4637512	San Francisco County
325405	Ordering, Referring, Prescribing	N/A	1235834722	0	0	NGUYEN, TRAM N	7/29/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95031366	N/A	N/A	N/A	N/A	N/A	1333 E LOCUST AVE	None	ORANGE	CA	92867	0001	00	06000	33.80388046	-117.8390143	Orange County
325409	Ordering, Referring, Prescribing	N/A	1235871351	0	0	NGUYEN, KHOA T DMD	9/21/2022	Taxonomy not applicable	NA	n/a	000	Unknown	108108	N/A	N/A	N/A	N/A	N/A	2380 MONTPELIER DR	None	SAN JOSE	CA	95116	1620	00	06000	37.36522881	-121.8474637	Santa Clara County
325459	Ordering, Referring, Prescribing	N/A	1245300599	0	0	NGUYEN, HONG-DIEP T PHARMD	3/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53510	N/A	N/A	N/A	N/A	N/A	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	9998	00	06000	34.17030266	-118.5881699	Los Angeles County
325466	Ordering, Referring, Prescribing	N/A	1245324292	0	0	NGUYEN, MIMI	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51179	N/A	N/A	N/A	N/A	N/A	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	00	06000	38.470392	-121.4223975	Sacramento County
325468	Ordering, Referring, Prescribing	N/A	1245325943	0	0	NATORI, PAIGE S MD	5/27/2014	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A85612	N/A	N/A	N/A	N/A	N/A	23521 PASEO DE VALENCIA	STE 200	LAGUNA HILLS	CA	92653	3101	00	06000	33.61113028	-117.7126684	Orange County
325487	Ordering, Referring, Prescribing	N/A	1245360734	0	0	NOVACK, CAROLINE NERSESSIAN LCSW	11/12/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW18675	N/A	N/A	N/A	N/A	N/A	9650 ZELZAH AVENUE	None	NORTHRIDGE	CA	91325	2003	00	06000	34.24628267	-118.5232668	Los Angeles County
325530	Ordering, Referring, Prescribing	N/A	1245431915	0	0	NGUYEN, THANH Q MD	4/16/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A92305	N/A	N/A	N/A	N/A	N/A	10900 WARNER AVE	118	FOUNTAIN VALLEY	CA	92708	3846	00	06000	33.71628153	-117.9388215	Orange County
325533	Ordering, Referring, Prescribing	N/A	1245446814	0	0	NINOMIYA, JOE LMFT	10/5/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	24583	N/A	N/A	N/A	N/A	N/A	7800 NILES STREET	None	BAKERSFIELD	CA	93306	4922	00	06000	35.37628052	-118.9179	Kern County
325573	Ordering, Referring, Prescribing	N/A	1245512854	0	0	NG, GLORIA PA-C	9/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	21773	N/A	N/A	N/A	N/A	N/A	1971 E 4TH ST	200	SANTA ANA	CA	92705	3917	00	06000	33.7482685	-117.83934	Orange County
325614	Ordering, Referring, Prescribing	N/A	1245593953	0	0	NGUYEN, ANHDAI	9/1/2019	Taxonomy not applicable	NA	n/a	000	Unknown	48771	N/A	N/A	N/A	N/A	N/A	500 TULLY RD	None	SAN JOSE	CA	95111	1917	00	06000	37.30579894	-121.8506333	Santa Clara County
325632	Ordering, Referring, Prescribing	N/A	1245610948	0	0	NGO, DAVID	3/7/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A15286	N/A	N/A	N/A	N/A	N/A	9808 VENICE BLVD	STE 700	CULVER CITY	CA	90232	6824	00	06000	34.0236396	-118.3980847	Los Angeles County
325690	Ordering, Referring, Prescribing	N/A	1245709633	0	0	NGHIEM, HUNG PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74056	N/A	N/A	N/A	N/A	N/A	13052 NEWPORT AVE	None	TUSTIN	CA	92780	3536	00	06000	33.74896613	-117.8112946	Orange County
325704	Ordering, Referring, Prescribing	N/A	1245734136	0	0	NAMBELA-BARLOW, MAYLINE MD	2/6/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A166602	N/A	N/A	N/A	N/A	N/A	900 MONO WAY	None	SONORA	CA	95370	5229	00	06000	37.97560986	-120.3677839	Tuolumne County
325793	Ordering, Referring, Prescribing	N/A	1245851450	0	0	NGUYEN, HAI PHARMD	6/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81836	N/A	N/A	N/A	N/A	N/A	10810 WARNER AVE	STE 3	FOUNTAIN VALLEY	CA	92708	3848	00	06000	33.71627054	-117.940176	Orange County
325826	Ordering, Referring, Prescribing	N/A	1245933845	0	0	NGUYEN, BAO CHAU MINH MD	1/3/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL14327	N/A	N/A	N/A	N/A	N/A	3569 ROUND BARN CIRCLE	None	SANTA ROSA	CA	95403	5781	00	06000	38.479743	-122.729625	Sonoma County
325861	Ordering, Referring, Prescribing	N/A	1255051371	0	0	NWADIKE, CHINEDU	8/30/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95022434	N/A	N/A	N/A	N/A	N/A	15749 CORNUTA AVE	None	BELLFLOWER	CA	90706	3917	00	06000	33.89037526	-118.119939	Los Angeles County
325863	Ordering, Referring, Prescribing	N/A	1255047957	0	0	NGUYEN, YEN L NP	1/24/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023999	N/A	N/A	N/A	N/A	N/A	1625 SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
325879	Ordering, Referring, Prescribing	N/A	1255118550	0	0	NOXSEL, MICHELLE J NP	7/30/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95019662	N/A	N/A	N/A	N/A	N/A	250 N SEE VEE LN	None	BISHOP	CA	93514	8130	00	06000	37.365066	-118.410912	Inyo County
325956	Ordering, Referring, Prescribing	N/A	1255504528	0	0	NORTON, EMMA J	4/11/2018	Taxonomy not applicable	NA	n/a	000	Unknown	ND741	N/A	N/A	N/A	N/A	N/A	4106 SORRENTO VALLEY BLV	None	SAN DIEGO	CA	92121	1407	00	06000	32.90374896	-117.2171448	San Diego County
326005	Ordering, Referring, Prescribing	N/A	1255615761	0	0	NGUYEN, ANDREA PA-C	1/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	21886	N/A	N/A	N/A	N/A	N/A	17305 VON KARMAN AVE	107	IRVINE	CA	92614	0963	00	06000	33.68965051	-117.842184	Orange County
326015	Ordering, Referring, Prescribing	N/A	1255632527	0	0	NG, ROSALYN PHARMD	8/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH62829	N/A	N/A	N/A	N/A	N/A	6100 HELLYER AVE	100	SAN JOSE	CA	95138	1057	00	06000	37.25717739	-121.7803046	Santa Clara County
326075	Ordering, Referring, Prescribing	N/A	1255729521	0	0	NGUYEN, VICKI T PHARMD	7/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56301	N/A	N/A	N/A	N/A	N/A	3000 S BRISTOL ST	None	SANTA ANA	CA	92704	6707	00	06000	33.70717088	-117.8855039	Orange County
326101	Ordering, Referring, Prescribing	N/A	1255746475	0	0	NOWAKHTAR, TARA DO	8/17/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	16591	N/A	N/A	N/A	N/A	N/A	8520 S BROADWAY AVE	None	LOS ANGELES	CA	90047	0000	00	06000	33.96110579	-118.2782667	Los Angeles County
326141	Ordering, Referring, Prescribing	N/A	1255839106	0	0	NIELSEN, AMY J NP	4/29/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95007905	N/A	N/A	N/A	N/A	N/A	15301 TYLER FOOTE ROAD	None	NEVADA CITY	CA	95959	0000	00	06000	39.36622661	-121.0368658	Nevada County
326161	Ordering, Referring, Prescribing	N/A	1255866638	0	0	NAM, YOO J LMFT	9/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122198	N/A	N/A	N/A	N/A	N/A	660 S FAIR OAKS AVE 3RD	None	SUNNYVALE	CA	94086	7913	00	06000	37.36442862	-122.024102	Santa Clara County
326180	Ordering, Referring, Prescribing	N/A	1255893004	0	0	NEUSTEIN, MIA W NP	6/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95016859	N/A	N/A	N/A	N/A	N/A	71777 SAN JACINTO DRIVE	SUITE 202	RANCHO MIRAGE	CA	92270	3543	00	06000	33.74394755	-116.4124572	Riverside County
326197	Ordering, Referring, Prescribing	N/A	1255917910	0	0	NGUYEN, ANTHONY MD	12/15/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A192359	N/A	N/A	N/A	N/A	N/A	200 S MANCHESTER AVE	STE 835	ORANGE	CA	92868	3213	00	06000	33.788457	-117.8932475	Orange County
326226	Ordering, Referring, Prescribing	N/A	1255985875	0	0	NAHIGIAN, MELINDA C LMFT	11/18/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	135933	N/A	N/A	N/A	N/A	N/A	1540 E COLORADO ST	None	GLENDALE	CA	91205	1514	00	06000	34.1427285	-118.230039	Los Angeles County
326248	Ordering, Referring, Prescribing	N/A	1265012397	0	0	NGUYEN, VIVIAN T PHARMD	4/19/2022	Taxonomy not applicable	NA	n/a	000	Unknown	60242	N/A	N/A	N/A	N/A	N/A	9081 BOLSA AVE	SUITE 108	WESTMINSTER	CA	92683	5590	00	06000	33.7449813	-117.9708224	Orange County
326261	Ordering, Referring, Prescribing	N/A	1265061154	0	0	NHAM, WILLIAM W MD	6/12/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A186953	N/A	N/A	N/A	N/A	N/A	1870 LUNDY AVE	None	SAN JOSE	CA	95131	1826	00	06000	37.39271022	-121.8903238	Santa Clara County
326291	Ordering, Referring, Prescribing	N/A	1265140222	0	0	NJOKU, JOAN C	7/26/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95022012	N/A	N/A	N/A	N/A	N/A	151 KALMUS DR	STE K2	COSTA MESA	CA	92626	5975	00	06000	33.67282141	-117.8824994	Orange County
326305	Ordering, Referring, Prescribing	N/A	1265191209	0	0	NGUYEN, HUYEN PA	11/4/2023	Taxonomy not applicable	NA	n/a	000	Unknown	60753	N/A	N/A	N/A	N/A	N/A	1907 BORDER AVE	None	TORRANCE	CA	90501	3606	00	06000	33.828615	-118.3130985	Los Angeles County
326310	Ordering, Referring, Prescribing	N/A	1265199087	0	0	NGUYEN, ANH T PHARMD	8/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	84808	N/A	N/A	N/A	N/A	N/A	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	00	06000	38.38851772	-121.9382798	Solano County
326320	Ordering, Referring, Prescribing	N/A	1265282149	0	0	NGUYEN, DIEM-KHANH MD	8/6/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL15238	N/A	N/A	N/A	N/A	N/A	2051 MARENGO ST	None	LOS ANGELES	CA	90033	1352	00	06000	34.05627579	-118.2064774	Los Angeles County
326342	Ordering, Referring, Prescribing	N/A	1265488944	0	0	NIZ, DAVID O MD	1/19/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A75282	N/A	N/A	N/A	N/A	N/A	905 EAST 8TH ST.	None	LOS ANGELES	CA	90021	1848	00	06000	34.03639545	-118.2465917	Los Angeles County
326370	Ordering, Referring, Prescribing	N/A	1265557862	0	0	NILSSON, ANNICA LCSW	2/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	22439	N/A	N/A	N/A	N/A	N/A	1301 PINE AVE	None	LONG BEACH	CA	90813	3124	00	06000	33.782913	-118.192417	Los Angeles County
326421	Ordering, Referring, Prescribing	N/A	1265682033	0	0	NAGLE, WENDY M NP	2/9/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	16611	N/A	N/A	N/A	N/A	N/A	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	00	06000	36.88437894	-119.8003484	Madera County
326447	Ordering, Referring, Prescribing	N/A	1265713283	0	0	NGUYEN, TUONGVAN T PHARMD	8/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH63564	N/A	N/A	N/A	N/A	N/A	2323 16TH ST	None	BAKERSFIELD	CA	93301	3420	00	06000	35.37238027	-119.0288508	Kern County
326483	Ordering, Referring, Prescribing	N/A	1265750202	0	0	NAKHLA, CINDY MD	2/3/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A112274	N/A	N/A	N/A	N/A	N/A	1555 W 110TH ST	None	LOS ANGELES	CA	90047	4912	00	06000	33.93552408	-118.3026034	Los Angeles County
326515	Ordering, Referring, Prescribing	N/A	1265817126	0	0	NGUYEN, YEN P PHARMD	3/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	70294	N/A	N/A	N/A	N/A	N/A	1650 RESPONSE RD	None	SACRAMENTO	CA	95815	4807	00	06000	38.596581	-121.4303535	Sacramento County
326521	Ordering, Referring, Prescribing	N/A	1265826374	0	0	NATH, SHEFALI MD	5/5/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A147134	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL, SUITE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
326531	Ordering, Referring, Prescribing	N/A	1265849871	0	0	NEWCOMB, MICHELLE A LMFT	6/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT104721	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DR	210	OXNARD	CA	93036	2612	00	06000	34.219566	-119.1539365	Ventura County
326566	Ordering, Referring, Prescribing	N/A	1265895619	0	0	NICKERSON, DEREK W MD	12/27/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A171167	N/A	N/A	N/A	N/A	N/A	1934 VIA CENTRE	SUITE B	VISTA	CA	92081	6056	00	06000	33.18424849	-117.2827402	San Diego County
326596	Ordering, Referring, Prescribing	N/A	1265946438	0	0	NOON, LISA L LMFT	4/22/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125665	N/A	N/A	N/A	N/A	N/A	19325 BOLLINGER RD.	None	CUPERTINO	CA	95014	1414	00	06000	37.31054268	-122.011228	Santa Clara County
326647	Ordering, Referring, Prescribing	N/A	1275052862	0	0	NOLAN, JENNIFER LMFT	8/26/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	127801	N/A	N/A	N/A	N/A	N/A	108 W VICTORIA ST	None	GARDENA	CA	90248	3523	00	06000	33.86509452	-118.2762279	Los Angeles County
326652	Ordering, Referring, Prescribing	N/A	1275066151	0	0	NGUYEN, KATIE H	3/20/2018	Taxonomy not applicable	NA	n/a	000	Unknown	52770	N/A	N/A	N/A	N/A	N/A	3320 ARDEN WAY	None	SACRAMENTO	CA	95825	2017	00	06000	38.594439	-121.386672	Sacramento County
326671	Ordering, Referring, Prescribing	N/A	1275091183	0	0	NGUYEN, ELIZABETH PA-C	2/3/2020	Taxonomy not applicable	NA	n/a	000	Unknown	56607	N/A	N/A	N/A	N/A	N/A	1520 NUTMEG PL	None	COSTA MESA	CA	92626	2501	00	06000	33.68196448	-117.920322	Orange County
326685	Ordering, Referring, Prescribing	N/A	1275110850	0	0	NGUYEN, HAN MD	10/27/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A191465	N/A	N/A	N/A	N/A	N/A	7600 EAST GRAVES AVE	None	ROSEMEAD	CA	91770	3414	00	06000	34.05533251	-118.1034315	Los Angeles County
326703	Ordering, Referring, Prescribing	N/A	1275160681	0	0	NOYON, TAMANNA M DO	6/19/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A19602	N/A	N/A	N/A	N/A	N/A	500 WEST HOSPITAL ROAD	SUITE# A	FRENCH CAMP	CA	95231	9693	00	06000	37.88652418	-121.2820956	San Joaquin County
326734	Ordering, Referring, Prescribing	N/A	1275262214	0	0	NICHOLAS, MICHAEL K NP	1/5/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95019631	N/A	N/A	N/A	N/A	N/A	3075 ADELINE ST #280, BE	None	BERKELEY	CA	94703	2576	00	06000	37.85258905	-122.2697614	Alameda County
326752	Ordering, Referring, Prescribing	N/A	1275314916	0	0	NIMMAGADDA, NUTHANA PHARMD	2/25/2024	Taxonomy not applicable	NA	n/a	000	Unknown	RPH88015	N/A	N/A	N/A	N/A	N/A	1692 S 4TH STREET	SUITE-F	EL CENTRO	CA	92243	1495	00	06000	32.7785663	-115.5524203	Imperial County
326758	Ordering, Referring, Prescribing	N/A	1275397648	0	0	NADEW, TEHETNA	2/10/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	144488	N/A	N/A	N/A	N/A	N/A	4600 BROADWAY	None	SACRAMENTO	CA	95820	1527	00	06000	38.546127	-121.452669	Sacramento County
326785	Ordering, Referring, Prescribing	N/A	1275609760	0	0	NADEAU-MANNING, JULIE M LCSW	1/29/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW25094	N/A	N/A	N/A	N/A	N/A	4094 4TH AVE	None	SAN DIEGO	CA	92103	2143	00	06000	32.75153771	-117.161688	San Diego County
326793	Ordering, Referring, Prescribing	N/A	1275630618	0	0	NATH, DEVARSHI MD	3/9/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C54157	N/A	N/A	N/A	N/A	N/A	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	00	06000	33.14066871	-117.156095	San Diego County
326800	Ordering, Referring, Prescribing	N/A	1275648685	0	0	NORIEGA, DAVID C	1/23/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D48159	N/A	N/A	N/A	N/A	N/A	10039 VINE ST	STE B	LAKESIDE	CA	92040	3122	00	06000	32.86110914	-116.9211687	San Diego County
326817	Ordering, Referring, Prescribing	N/A	1275667495	0	0	NG, SHARON T PHARMD	1/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51537	N/A	N/A	N/A	N/A	N/A	604 ROSE AVE	None	VENICE	CA	90291	2767	00	06000	33.99891527	-118.4714129	Los Angeles County
326847	Ordering, Referring, Prescribing	N/A	1275741969	0	0	NGUYEN, MAI-PHUONG T MD	2/9/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G70301	N/A	N/A	N/A	N/A	N/A	11716 ENTERPRISE DR	None	AUBURN	CA	95603	3732	00	06000	38.90720197	-121.0838099	Placer County
326856	Ordering, Referring, Prescribing	N/A	1275761785	0	0	NGUYEN, LINH MD	8/30/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C168058	N/A	N/A	N/A	N/A	N/A	1080 EMELINE AVENUE	None	SANTA CRUZ	CA	95060	1966	00	06000	36.99191102	-122.0176744	Santa Cruz County
326876	Ordering, Referring, Prescribing	N/A	1275812968	0	0	NIJJER, HARMANDEEP K NP	12/12/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	697883	N/A	N/A	N/A	N/A	N/A	517 S MADERA AVE	None	KERMAN	CA	93630	1523	00	06000	36.72710606	-120.060325	Fresno County
326918	Ordering, Referring, Prescribing	N/A	1275882888	0	0	NAKAJIMA, KENTARO PHD	12/30/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY27817	N/A	N/A	N/A	N/A	N/A	9650 ZELZAH AVE	None	NORTHRIDGE	CA	91325	2003	00	06000	34.24628267	-118.5232668	Los Angeles County
326924	Ordering, Referring, Prescribing	N/A	1275886004	0	0	NEVANS, MICHAEL A LMFT	4/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	86217	N/A	N/A	N/A	N/A	N/A	6462 GOLF VIEW DR	None	SACRAMENTO	CA	95822	3838	00	06000	38.510379	-121.492044	Sacramento County
326976	Ordering, Referring, Prescribing	N/A	1275963449	0	0	NGUYEN, LYNDA LCSW	5/9/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99117	N/A	N/A	N/A	N/A	N/A	720 SACRAMENTO ST	None	SAN FRANCISCO	CA	94108	2535	00	06000	37.79355846	-122.4050846	San Francisco County
327005	Ordering, Referring, Prescribing	N/A	1275995920	0	0	NGUYEN, BAOTRAN AMANDA LMFT	11/21/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT143019	N/A	N/A	N/A	N/A	N/A	1555 PARKMOOR AVENUE	None	SAN JOSE	CA	95128	2407	00	06000	37.31712017	-121.9185451	Santa Clara County
327007	Ordering, Referring, Prescribing	N/A	1275999682	0	0	NOBARI, ROXANA LMFT	6/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT113019	N/A	N/A	N/A	N/A	N/A	401 ROLAND WAY	STE 150	OAKLAND	CA	94621	2034	00	06000	37.74106765	-122.2051051	Alameda County
327016	Ordering, Referring, Prescribing	N/A	1285006254	0	0	NEWSOM, LINDSAY PHARMD	3/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72883	N/A	N/A	N/A	N/A	N/A	200 MUIR RD	None	MARTINEZ	CA	94553	4614	00	06000	37.99430233	-122.1107194	Contra Costa County
327017	Ordering, Referring, Prescribing	N/A	1285008169	0	0	NAKATSUCHI, THOMAS W	8/23/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	D65112	N/A	N/A	N/A	N/A	N/A	1000 VALE TERRACE DR	None	VISTA	CA	92084	0000	00	06000	33.20904502	-117.2286439	San Diego County
327036	Ordering, Referring, Prescribing	N/A	1285030791	0	0	NGUYEN, LISA	1/13/2022	Taxonomy not applicable	NA	n/a	000	Unknown	71874	N/A	N/A	N/A	N/A	N/A	115 TECHNOLOGY DR	None	IRVINE	CA	92618	2408	00	06000	33.660243	-117.745596	Orange County
327065	Ordering, Referring, Prescribing	N/A	1285069609	0	0	NGO, JOANNE T	10/8/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D62607	N/A	N/A	N/A	N/A	N/A	2020 J ST	None	SACRAMENTO	CA	95811	3120	00	06000	38.576331	-121.4791155	Sacramento County
327069	Ordering, Referring, Prescribing	N/A	1285078915	0	0	NELSON, LATOYA L	11/30/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	83144	N/A	N/A	N/A	N/A	N/A	3576 ARLINGTON AVE	106	RIVERSIDE	CA	92506	3943	00	06000	33.94625192	-117.3913739	Riverside County
327096	Ordering, Referring, Prescribing	N/A	1285112714	0	0	NEEDHAM, MEREMY LMFT	2/1/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT124209	N/A	N/A	N/A	N/A	N/A	206 S. CALIFORNIA AVENUE	None	PALO ALTO	CA	94306	1618	00	06000	37.42834012	-122.1432823	Santa Clara County
327101	Ordering, Referring, Prescribing	N/A	1285123133	0	0	NGUYEN, THUAN LCSW	10/17/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	17696	N/A	N/A	N/A	N/A	N/A	1133 N PALM CANYON DR.	SUITE A	PALM SPRINGS	CA	92262	4431	00	06000	33.838164	-116.546796	Riverside County
327108	Ordering, Referring, Prescribing	N/A	1285136168	0	0	NGUYEN, RYAN T LMFT	3/7/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT145670	N/A	N/A	N/A	N/A	N/A	950 W JULIAN ST	None	SAN JOSE	CA	95126	2719	00	06000	37.33352455	-121.9089111	Santa Clara County
327146	Ordering, Referring, Prescribing	N/A	1285210989	0	0	NGO, JENNIFER DO	11/28/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A22308	N/A	N/A	N/A	N/A	N/A	55 E JULIAN ST	None	SAN JOSE	CA	95112	4007	00	06000	37.34118198	-121.8925795	Santa Clara County
327167	Ordering, Referring, Prescribing	N/A	1285238782	0	0	NG, GABRIELLE J PHARMD	7/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	83313	N/A	N/A	N/A	N/A	N/A	45 S EL CAMINO REAL	None	MILLBRAE	CA	94030	3124	00	06000	37.59720935	-122.3865478	San Mateo County
327169	Ordering, Referring, Prescribing	N/A	1285244053	0	0	NGUYEN, VAN GIANG PHARMD	7/14/2020	Taxonomy not applicable	NA	n/a	000	Unknown	82595	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	None	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
327179	Ordering, Referring, Prescribing	N/A	1285258194	0	0	NAJAR RANJBAR, MILAD MD	2/28/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A184621	N/A	N/A	N/A	N/A	N/A	3309 RENNER DR	None	FORTUNA	CA	95540	3119	00	06000	40.58239969	-124.1358904	Humboldt County
327221	Ordering, Referring, Prescribing	N/A	1285372417	0	0	NATARAJAN, EVALYNN M NP	4/19/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95020732	N/A	N/A	N/A	N/A	N/A	1328 S MISSION RD	None	FALLBROOK	CA	92028	4006	00	06000	33.36868654	-117.2507699	San Diego County
327238	Ordering, Referring, Prescribing	N/A	1285499756	0	0	NGUYEN, JASMINE DC	2/9/2024	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	36899	N/A	N/A	N/A	N/A	N/A	1625 SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
327244	Ordering, Referring, Prescribing	N/A	1285633776	0	0	NESSELLE, SHARON LMFT	12/20/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	34130	N/A	N/A	N/A	N/A	N/A	1625 SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
327264	Ordering, Referring, Prescribing	N/A	1285704502	0	0	NICHOLS, ELLEN LMFT	1/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	41877	N/A	N/A	N/A	N/A	N/A	2300 NORTHPOINT PKWY	None	SANTA ROSA	CA	95407	5004	00	06000	38.415258	-122.7536325	Sonoma County
327267	Ordering, Referring, Prescribing	N/A	1285713503	0	0	NOWLIN-FINCH, NANCY L MD	12/23/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G65510	N/A	N/A	N/A	N/A	N/A	11080 W OLYMPIC BLVD	None	LOS ANGELES	CA	90064	1937	00	06000	34.04036814	-118.4376056	Los Angeles County
327294	Ordering, Referring, Prescribing	N/A	1285772152	0	0	NOODLEMAN, FRANK R MD	4/5/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G42229	N/A	N/A	N/A	N/A	N/A	559 ABBOTT ST	SUITE A	SALINAS	CA	93901	4325	00	06000	36.66284132	-121.6420108	Monterey County
327346	Ordering, Referring, Prescribing	N/A	1285883272	0	0	NISHIKAWA, PATRICIA N MD	3/27/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G45988	N/A	N/A	N/A	N/A	N/A	333 S BEAUDRY AVE	FL 29	LOS ANGELES	CA	90017	1644	00	06000	34.05611213	-118.2570905	Los Angeles County
327440	Ordering, Referring, Prescribing	N/A	1295048007	0	0	NGUYEN, BRIAN T	1/10/2022	Taxonomy not applicable	NA	n/a	000	Unknown	53719	N/A	N/A	N/A	N/A	N/A	27972 CABOT RD	None	LAGUNA NIGUEL	CA	92677	1211	00	06000	33.55499737	-117.6785648	Orange County
327455	Ordering, Referring, Prescribing	N/A	1295091791	0	0	NELSON, JARED M DO	1/26/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A12215	N/A	N/A	N/A	N/A	N/A	850 EAST FOOTHILL BLVD	None	RIALTO	CA	92376	5230	00	06000	34.10679449	-117.3542535	San Bernardino County
327469	Ordering, Referring, Prescribing	N/A	1295109700	0	0	NGHIEM, KELLEY C PHARMD	7/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74030	N/A	N/A	N/A	N/A	N/A	27983 SLOAN CANYON RD	None	CASTAIC	CA	91384	2594	00	06000	34.49476297	-118.6260515	Los Angeles County
327488	Ordering, Referring, Prescribing	N/A	1295143808	0	0	NISPEROS, LORNA NP	4/2/2023	Taxonomy not applicable	NA	n/a	000	Unknown	NP20811	N/A	N/A	N/A	N/A	N/A	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	00	06000	37.88652418	-121.2820956	San Joaquin County
327499	Ordering, Referring, Prescribing	N/A	1295177582	0	0	NUNEZ-FLORES, CINDY LCSW	3/18/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	85972	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	None	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
327508	Ordering, Referring, Prescribing	N/A	1295192136	0	0	NOGUEIRA, ANA LUIZA LCSW	3/20/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	114386	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DR	210	OXNARD	CA	93036	0673	00	06000	34.219566	-119.1539365	Ventura County
327511	Ordering, Referring, Prescribing	N/A	1295189876	0	0	NAKAGAWA, JENNA T MD FACOG	12/7/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A171726	N/A	N/A	N/A	N/A	N/A	1670 E 120TH ST	None	LOS ANGELES	CA	90059	3026	00	06000	33.92456051	-118.2417525	Los Angeles County
327537	Ordering, Referring, Prescribing	N/A	1295230076	0	0	NGUYEN, BILLY	3/28/2022	Taxonomy not applicable	NA	n/a	000	Unknown	78144	N/A	N/A	N/A	N/A	N/A	7400 ELK GROVE BLVD	None	ELK GROVE	CA	95757	6299	00	06000	38.405799	-121.4134875	Sacramento County
327540	Ordering, Referring, Prescribing	N/A	1295234193	0	0	NARVAEZ, EMILY B LMFT	7/14/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	126981	N/A	N/A	N/A	N/A	N/A	3910 OAKWOOD AVE	None	LOS ANGELES	CA	90004	3413	00	06000	34.07769531	-118.2924147	Los Angeles County
327611	Ordering, Referring, Prescribing	N/A	1295358364	0	0	NIERENBERG, BRENDAN J LMFT	5/6/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT118762	N/A	N/A	N/A	N/A	N/A	9713 SANTA MONICA BLVD.	201	BEVERLY HILLS	CA	90210	4236	00	06000	34.06835061	-118.4076858	Los Angeles County
327612	Ordering, Referring, Prescribing	N/A	1295361343	0	0	NGUYEN, THAI DO	11/29/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A20430	N/A	N/A	N/A	N/A	N/A	26600 CACTUS AVE	300	MORENO VALLEY	CA	92555	3901	00	06000	33.91013953	-117.193383	Riverside County
327617	Ordering, Referring, Prescribing	N/A	1295371425	0	0	NESTMAN, BRETT J	4/3/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	114295089921	N/A	N/A	N/A	N/A	N/A	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	00	06000	40.89808837	-124.0923819	Humboldt County
327635	Ordering, Referring, Prescribing	N/A	1295460996	0	0	NUNEZ, SELINA MSW LCSW	6/20/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	113555	N/A	N/A	N/A	N/A	N/A	2600 REDONDO AVENUE	6TH FLOOR	LONG BEACH	CA	90806	2301	00	06000	33.806097	-118.151378	Los Angeles County
327654	Ordering, Referring, Prescribing	N/A	1295554525	0	0	NWANKWO, CHINEDU E NP	9/25/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95032358	N/A	N/A	N/A	N/A	N/A	5970 S CENTRAL AVE	None	LOS ANGELES	CA	90001	1150	00	06000	33.985584	-118.256433	Los Angeles County
327708	Ordering, Referring, Prescribing	N/A	1295859452	0	0	NGUYEN, GIANG T	12/23/1999	Taxonomy not applicable	NA	n/a	099	DENTIST	D46902	N/A	N/A	N/A	N/A	N/A	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	00	06000	33.77387145	-117.9966555	Orange County
327713	Ordering, Referring, Prescribing	N/A	1295865798	0	0	NEVAREZ, ESMERALDA LCSW	9/18/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	76374	N/A	N/A	N/A	N/A	N/A	7107 REMMET AVE	None	CANOGA PARK	CA	91303	2016	00	06000	34.199406	-118.6003185	Los Angeles County
327716	Ordering, Referring, Prescribing	N/A	1295860310	0	0	NIEVES, LESLIE I LMFT	3/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT77111	N/A	N/A	N/A	N/A	N/A	759 SOUTH VAN NESS	None	SAN FRANCISCO	CA	94110	1908	00	06000	37.76103073	-122.4170932	San Francisco County
327728	Ordering, Referring, Prescribing	N/A	1295901700	0	0	NKEMERE, BERTHA O NP	4/24/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95008391	N/A	N/A	N/A	N/A	N/A	750 E MAIN ST	None	BARSTOW	CA	92311	2354	00	06000	34.8986565	-117.017658	San Bernardino County
327772	Ordering, Referring, Prescribing	N/A	1295995959	0	0	NASRY, MANAL LMFT	6/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	116147	N/A	N/A	N/A	N/A	N/A	848 W LANCASTER BLVD	SUITE 102	LANCASTER	CA	93534	2347	00	06000	34.69727236	-118.1462398	Los Angeles County
327833	Ordering, Referring, Prescribing	N/A	1306122866	0	0	NGUYEN, QUYNH T PHARMD	11/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55896	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	None	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
327846	Ordering, Referring, Prescribing	N/A	1306149018	0	0	NINOMIYA, YUSUKE LCSW	12/26/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW79966	N/A	N/A	N/A	N/A	N/A	2600 REDONDO AVE.	FL. 3RD	LONG BEACH	CA	90806	2325	00	06000	33.806097	-118.151378	Los Angeles County
327851	Ordering, Referring, Prescribing	N/A	1306154877	0	0	NGUYEN, VI NAM T LMFT	11/23/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT112315	N/A	N/A	N/A	N/A	N/A	11100 ARTESIA BLVD	ST. A	ARTESIA	CA	90703	2547	00	06000	33.87288108	-118.097253	Los Angeles County
327868	Ordering, Referring, Prescribing	N/A	1306173257	0	0	NAHL, ANGELA B MD	3/26/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A65284	N/A	N/A	N/A	N/A	N/A	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	00	06000	32.70162897	-117.1465065	San Diego County
327870	Ordering, Referring, Prescribing	N/A	1306179239	0	0	NELSON, CHRISTOPHER D	9/8/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D58551	N/A	N/A	N/A	N/A	N/A	29632 HWY 299 EAST	None	ROUND MOUNTAIN	CA	96084	0000	00	06000	40.80385331	-121.9397745	Shasta County
327902	Ordering, Referring, Prescribing	N/A	1306223607	0	0	NGANWUCHU, ADRIEL K LCSW	1/6/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99512	N/A	N/A	N/A	N/A	N/A	121 S. LONG BEACH BLVD.	None	COMPTON	CA	90221	3423	00	06000	33.89475493	-118.2080292	Los Angeles County
327903	Ordering, Referring, Prescribing	N/A	1306228598	0	0	NGO, NANCY	3/31/2018	Taxonomy not applicable	NA	n/a	000	Unknown	58836	N/A	N/A	N/A	N/A	N/A	14201 JEFFREY RD	None	IRVINE	CA	92620	3405	00	06000	33.69506015	-117.7634492	Orange County
327918	Ordering, Referring, Prescribing	N/A	1306245832	0	0	NGUYEN, TUNG PHARMD	10/9/2018	Taxonomy not applicable	NA	n/a	000	Unknown	69334	N/A	N/A	N/A	N/A	N/A	725 E SANTA CLARA STREET	202	SAN JOSE	CA	95112	6204	00	06000	37.34328626	-121.8756374	Santa Clara County
328010	Ordering, Referring, Prescribing	N/A	1306422399	0	0	NGUYEN, DEREK D	7/1/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A197356	N/A	N/A	N/A	N/A	N/A	1100 VAN NESS AVE	4TH FLOOR	SAN FRANCISCO	CA	94109	7060	00	06000	37.78594176	-122.421322	San Francisco County
328032	Ordering, Referring, Prescribing	N/A	1306489778	0	0	NGUYEN, JENNIFER T	4/5/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95013028	N/A	N/A	N/A	N/A	N/A	3491 KURTZ ST	SUITE 150	SAN DIEGO	CA	92110	4430	00	06000	32.7557948	-117.209639	San Diego County
328066	Ordering, Referring, Prescribing	N/A	1306562178	0	0	NHAN, GIANG PHARMD	9/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86946	N/A	N/A	N/A	N/A	N/A	2811 MIDDLEFIELD RD	None	PALO ALTO	CA	94306	2522	00	06000	37.43244792	-122.1277424	Santa Clara County
328201	Ordering, Referring, Prescribing	N/A	1316085228	0	0	NORWOOD, TIFFANY T PHARMD	3/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52987	N/A	N/A	N/A	N/A	N/A	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	00	06000	34.072245	-117.4319685	San Bernardino County
328255	Ordering, Referring, Prescribing	N/A	1316216468	0	0	NGUYEN, CINDY C PHARMD	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54886	N/A	N/A	N/A	N/A	N/A	621 I ST	None	CHULA VISTA	CA	91910	5110	00	06000	32.62736031	-117.0886342	San Diego County
328264	Ordering, Referring, Prescribing	N/A	1316229925	0	0	NGUYEN-VU, MINH CHAU PHARMD	7/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53694	N/A	N/A	N/A	N/A	N/A	15316 NORDHOFF ST	None	NORTH HILLS	CA	91343	2234	00	06000	34.23548263	-118.465897	Los Angeles County
328267	Ordering, Referring, Prescribing	N/A	1316232267	0	0	NGUYEN, THUYTIEN T PHARMD	5/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48945	N/A	N/A	N/A	N/A	N/A	12400 BLOOMFIELD AVE	None	SANTA FE SPRINGS	CA	90670	4750	00	06000	33.91872688	-118.0638495	Los Angeles County
328326	Ordering, Referring, Prescribing	N/A	1316329055	0	0	NGUYEN, TAM T PHARMD	1/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH50098	N/A	N/A	N/A	N/A	N/A	2980 E CAPITOL EXPY	None	SAN JOSE	CA	95148	4247	00	06000	37.33024428	-121.8119226	Santa Clara County
328331	Ordering, Referring, Prescribing	N/A	1316333453	0	0	NGUYEN, MADELINE T DO	9/21/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A15108	N/A	N/A	N/A	N/A	N/A	3810 ROSIN CT	STE 100	SACRAMENTO	CA	95834	1656	00	06000	38.637702	-121.474773	Sacramento County
328372	Ordering, Referring, Prescribing	N/A	1316399363	0	0	NGUYEN, TUNG X PHARMD	2/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH73134	N/A	N/A	N/A	N/A	N/A	37323 FREMONT BLVD	None	FREMONT	CA	94536	3702	00	06000	37.55820562	-122.0070406	Alameda County
328377	Ordering, Referring, Prescribing	N/A	1316400641	0	0	NIEGA, XYNTIER LMFT	11/21/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	104989	N/A	N/A	N/A	N/A	N/A	23201 MILL CREEK DR	220	LAGUNA HILLS	CA	92653	7905	00	06000	33.62516256	-117.7353393	Orange County
328382	Ordering, Referring, Prescribing	N/A	1316413032	0	0	NG, CLIFTON K	3/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79296	N/A	N/A	N/A	N/A	N/A	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	00	06000	34.17030266	-118.5881699	Los Angeles County
328415	Ordering, Referring, Prescribing	N/A	1316463037	0	0	NGUYEN, JESSICA T PHARMD	4/15/2022	Taxonomy not applicable	NA	n/a	000	Unknown	75135	N/A	N/A	N/A	N/A	N/A	12350 CARMEL MOUNTAIN RD	None	SAN DIEGO	CA	92128	4616	00	06000	32.987565	-117.078192	San Diego County
328455	Ordering, Referring, Prescribing	N/A	1316511306	0	0	NOCERA, VINCENT A MD	7/27/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL7774	N/A	N/A	N/A	N/A	N/A	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	00	06000	37.53039072	-122.2987772	San Mateo County
328469	Ordering, Referring, Prescribing	N/A	1316532492	0	0	NAGIB, MINA E	2/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	84094	N/A	N/A	N/A	N/A	N/A	43543 20TH ST W	None	LANCASTER	CA	93534	5961	00	06000	34.67416843	-118.1658212	Los Angeles County
328472	Ordering, Referring, Prescribing	N/A	1316535875	0	0	NGOC, GARY Q PHARMD	8/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86627	N/A	N/A	N/A	N/A	N/A	103 W AMERICAN CANYON RD	None	AMERICAN CANYON	CA	94503	1112	00	06000	38.16553476	-122.2545326	Napa County
328473	Ordering, Referring, Prescribing	N/A	1316561137	0	0	NGUYEN, SOPHIE PHARMD	1/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	76780	N/A	N/A	N/A	N/A	N/A	2101 ALEXIAN DR	SUITE D	SAN JOSE	CA	95116	1901	00	06000	37.35943657	-121.848055	Santa Clara County
328490	Ordering, Referring, Prescribing	N/A	1316580442	0	0	NGUYEN, JENNY PHARMD	1/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80857	N/A	N/A	N/A	N/A	N/A	1190 N. MAIN ST	None	BISHOP	CA	93514	1111	00	06000	37.373499	-118.3914765	Inyo County
328533	Ordering, Referring, Prescribing	N/A	1316702491	0	0	NILFORUSHAN, ARIAN DDS	5/23/2024	Taxonomy not applicable	NA	n/a	000	Unknown	110105	N/A	N/A	N/A	N/A	N/A	27800 MEDICAL CENTER RD	SUITE 110 AND 109	MISSION VIEJO	CA	92691	6407	00	06000	33.55952733	-117.6645199	Orange County
328609	Ordering, Referring, Prescribing	N/A	1326159708	0	0	NUNEZ, EVANGELINA	5/29/2017	Taxonomy not applicable	NA	n/a	000	Unknown	14446	N/A	N/A	N/A	N/A	N/A	155 S NEWMARK AVE	None	PARLIER	CA	93648	2531	00	06000	36.60675722	-119.5299369	Fresno County
328623	Ordering, Referring, Prescribing	N/A	1326171695	0	0	NGUYEN, SCOTT N PHARMD	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	50661	N/A	N/A	N/A	N/A	N/A	1011 SNEATH LANE	None	SAN BRUNO	CA	94066	2311	00	06000	37.63437084	-122.4264474	San Mateo County
328688	Ordering, Referring, Prescribing	N/A	1326291972	0	0	NGO, JACKIE	1/3/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	90873	N/A	N/A	N/A	N/A	N/A	767 N HILL ST.	STE 400B	LOS ANGELES	CA	90012	2381	00	06000	34.06255157	-118.2397077	Los Angeles County
328757	Ordering, Referring, Prescribing	N/A	1326365404	0	0	NEWKIRK, MICHELLE R DO	2/1/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A18659	N/A	N/A	N/A	N/A	N/A	85 SIERRA PARK RD	None	MAMMOTH LAKES	CA	93546	2073	00	06000	37.64575895	-118.9638914	Mono County
328763	Ordering, Referring, Prescribing	N/A	1326381344	0	0	NUMAMOTO, CHRISTINA LMFT	6/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT106134	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	None	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
328775	Ordering, Referring, Prescribing	N/A	1326402330	0	0	NARSAI, TEJAL MD	2/26/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A154303	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
328827	Ordering, Referring, Prescribing	N/A	1326482142	0	0	NEDOPIL, ALEXANDER J MD	10/28/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A142405	N/A	N/A	N/A	N/A	N/A	1235 W VINE ST	22	LODI	CA	95240	5144	00	06000	38.12279179	-121.2879362	San Joaquin County
328852	Ordering, Referring, Prescribing	N/A	1326520735	0	0	NGUYEN, TRUMAN K DDS	4/11/2022	Taxonomy not applicable	NA	n/a	000	Unknown	103177	N/A	N/A	N/A	N/A	N/A	3945 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2440	00	06000	34.02394552	-118.187748	Los Angeles County
328895	Ordering, Referring, Prescribing	N/A	1326601667	0	0	NNODIM, SANDRA O DDS	9/1/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS105316	N/A	N/A	N/A	N/A	N/A	4815 WATT AVE	None	NORTH HIGHLANDS	CA	95660	5108	00	06000	38.653245	-121.3836075	Sacramento County
328898	Ordering, Referring, Prescribing	N/A	1326599952	0	0	NGUYEN, ANDREA PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	76486	N/A	N/A	N/A	N/A	N/A	400 CRAVEN RD	None	SAN MARCOS	CA	92078	4201	00	06000	33.12746646	-117.17028	San Diego County
328954	Ordering, Referring, Prescribing	N/A	1326717430	0	0	NAVA, ANGELICA OD	9/9/2021	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	34966	N/A	N/A	N/A	N/A	N/A	401 E SCHOOL AVE	None	VISALIA	CA	93291	5032	00	06000	36.332757	-119.288682	Tulare County
328974	Ordering, Referring, Prescribing	N/A	1326784729	0	0	NGUYEN, HELEN	4/15/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86069	N/A	N/A	N/A	N/A	N/A	1138 W TENNYSON RD	None	HAYWARD	CA	94544	4422	00	06000	37.63123947	-122.076639	Alameda County
328978	Ordering, Referring, Prescribing	N/A	1326843541	0	0	NARVAEZ, ERIKA M NP	2/4/2025	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95033848	N/A	N/A	N/A	N/A	N/A	276 WEST COLLEGE STREET	None	COVINA	CA	91723	1902	00	06000	34.08747441	-117.8941951	Los Angeles County
328991	Ordering, Referring, Prescribing	N/A	1336127257	0	0	NOURANIFAR-SIMO, RASHIN S	7/14/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D57110	N/A	N/A	N/A	N/A	N/A	3533 W PICO BLVD	None	LOS ANGELES	CA	90019	4534	00	06000	34.04721925	-118.3197384	Los Angeles County
329034	Ordering, Referring, Prescribing	N/A	1336276633	0	0	NEVAREZ, CARMEN R	5/1/2013	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G00041391	N/A	N/A	N/A	N/A	N/A	2185 PACHECO ST	None	CONCORD	CA	94520	2309	00	06000	37.97878977	-122.0345486	Contra Costa County
329048	Ordering, Referring, Prescribing	N/A	1336304955	0	0	NGUYEN, ERIQ F	10/5/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	D57276	N/A	N/A	N/A	N/A	N/A	14642 NEWPORT AVE	STE 300	TUSTIN	CA	92780	6059	00	06000	33.73082212	-117.8293987	Orange County
329080	Ordering, Referring, Prescribing	N/A	1336371582	0	0	NELSON, ROSALYNN MD	9/12/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A118707	N/A	N/A	N/A	N/A	N/A	185 MARTINVALE LN	None	SAN JOSE	CA	95119	1319	00	06000	37.22953469	-121.7790244	Santa Clara County
329106	Ordering, Referring, Prescribing	N/A	1336412014	0	0	NGO, EMILY PHARMD	4/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	66765	N/A	N/A	N/A	N/A	N/A	6750 STANFORD RANCH RD	None	ROSEVILLE	CA	95678	1907	00	06000	38.780055	-121.2657575	Placer County
329129	Ordering, Referring, Prescribing	N/A	1336455302	0	0	NGUYEN, DUYEN HAU DMD	2/23/2025	Taxonomy not applicable	NA	n/a	000	Unknown	DDS111272	N/A	N/A	N/A	N/A	N/A	85 SIERRA PARK RD	None	MAMMOTH LAKES	CA	93546	2073	00	06000	37.64575895	-118.9638914	Mono County
329147	Ordering, Referring, Prescribing	N/A	1336494996	0	0	NOEL, MARNIE PHARMD	1/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	67179	N/A	N/A	N/A	N/A	N/A	1380 HOWARD ST	None	SAN FRANCISCO	CA	94103	2638	00	06000	37.77424669	-122.4141502	San Francisco County
329168	Ordering, Referring, Prescribing	N/A	1336524016	0	0	NGUYEN, TU LMFT	7/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	120475	N/A	N/A	N/A	N/A	N/A	2050 FAIRMONT DRIVE	None	SAN LEANDRO	CA	94578	1001	00	06000	37.710738	-122.1146415	Alameda County
329233	Ordering, Referring, Prescribing	N/A	1336607241	0	0	NASAFI, ZAINAB A	10/28/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	105547	N/A	N/A	N/A	N/A	N/A	3701 J ST	STE 201	SACRAMENTO	CA	95816	5542	00	06000	38.571237	-121.4566245	Sacramento County
329284	Ordering, Referring, Prescribing	N/A	1336689017	0	0	NIERE, KATRINA G LMFT	3/30/2018	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	105652	N/A	N/A	N/A	N/A	N/A	32605 TEMECULA PKWY #219	None	TEMECULA	CA	92592	6840	00	06000	33.48367403	-117.088031	Riverside County
329349	Ordering, Referring, Prescribing	N/A	1336848316	0	0	NGUYEN, NATALIE A NP	1/26/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NPF95024054	N/A	N/A	N/A	N/A	N/A	17500 FOOTHILL BLVD	#A-2	FONTANA	CA	92335	3798	00	06000	34.1067065	-117.4218885	San Bernardino County
329430	Ordering, Referring, Prescribing	N/A	1346347010	0	0	NORTON, JON DDS	1/10/2022	Taxonomy not applicable	NA	n/a	099	DENTIST	D38342	N/A	N/A	N/A	N/A	N/A	1910 MISSION AVE	SUITE 4	OCEANSIDE	CA	92058	7129	00	06000	33.20377956	-117.3653012	San Diego County
329495	Ordering, Referring, Prescribing	N/A	1346466067	0	0	NARAYANAN, PRIYAMVADA MD	11/12/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C55875	N/A	N/A	N/A	N/A	N/A	3125 N BROADWAY	None	LOS ANGELES	CA	90031	2703	00	06000	34.07376948	-118.2081555	Los Angeles County
329511	Ordering, Referring, Prescribing	N/A	1346499258	0	0	NGO, HUNG H DC	2/14/2018	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	28584	N/A	N/A	N/A	N/A	N/A	1066 S WHITE RD	None	SAN JOSE	CA	95127	3812	00	06000	37.35676387	-121.8196933	Santa Clara County
329530	Ordering, Referring, Prescribing	N/A	1346537974	0	0	NASSER, MARYAM D PHARMD	7/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57506	N/A	N/A	N/A	N/A	N/A	27982 LA PAZ RD	None	LAGUNA NIGUEL	CA	92677	3921	00	06000	33.55690213	-117.7093902	Orange County
329535	Ordering, Referring, Prescribing	N/A	1346541257	0	0	NGO, HA PHARMD	2/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53223	N/A	N/A	N/A	N/A	N/A	1190 N MAIN ST	None	BISHOP	CA	93514	2302	00	06000	37.373499	-118.3914765	Inyo County
329543	Ordering, Referring, Prescribing	N/A	1346549375	0	0	NIIZAWA, ADRIANA LMFT	3/31/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	89887	N/A	N/A	N/A	N/A	N/A	18350 MT. LANGLEY STREET	220	FOUNTAIN VALLEY	CA	92708	6929	00	06000	33.69633523	-117.9420534	Orange County
329563	Ordering, Referring, Prescribing	N/A	1346588753	0	0	NEGRON, ERIK LCSW	3/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	89529	N/A	N/A	N/A	N/A	N/A	1001 S GRAND AVE	150	SANTA ANA	CA	92705	4121	00	06000	33.73586511	-117.8502452	Orange County
329585	Ordering, Referring, Prescribing	N/A	1346627478	0	0	NGUYEN, MINH N MD	11/21/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A144156	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
329602	Ordering, Referring, Prescribing	N/A	1346647989	0	0	NAVA, JENNIFER LMFT	8/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT120754	N/A	N/A	N/A	N/A	N/A	406 SUNRISE AVE	300	ROSEVILLE	CA	95661	4106	00	06000	38.73944898	-121.2720559	Placer County
329624	Ordering, Referring, Prescribing	N/A	1346686342	0	0	NYLUND, LARS C LMFT	6/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	119706	N/A	N/A	N/A	N/A	N/A	2227 CAPRICORN WAY	207	SANTA ROSA	CA	95407	5478	00	06000	38.425266	-122.749875	Sonoma County
329639	Ordering, Referring, Prescribing	N/A	1346708385	0	0	NGUYEN, MARILYN DDS	11/4/2020	Taxonomy not applicable	NA	n/a	000	Unknown	105395	N/A	N/A	N/A	N/A	N/A	2039 FOREST AVE	204B	SAN JOSE	CA	95128	4817	00	06000	37.32711929	-121.934266	Santa Clara County
329662	Ordering, Referring, Prescribing	N/A	1346735156	0	0	NGUYEN, LISA N DO	7/18/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A17767	N/A	N/A	N/A	N/A	N/A	7761 GARDEN GROVE BOULEV	None	GARDEN GROVE	CA	92841	4200	00	06000	33.77387145	-117.9966555	Orange County
329717	Ordering, Referring, Prescribing	N/A	1346838646	0	0	NETHERTON, KRISTINA LMFT	3/12/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145753	N/A	N/A	N/A	N/A	N/A	1264 HAWKS FLIGHT COURT	SUITE 200	EL DORADO HILLS	CA	95762	9349	00	06000	38.63773686	-121.0664492	El Dorado County
329726	Ordering, Referring, Prescribing	N/A	1346864840	0	0	NICOL, GEORGE	8/4/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	131610	N/A	N/A	N/A	N/A	N/A	680 WILSON AVE	None	NOVATO	CA	94947	3825	00	06000	38.1040296	-122.5964315	Marin County
329762	Ordering, Referring, Prescribing	N/A	1346962677	0	0	NGUYEN, DEANNA T PHARMD	9/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86772	N/A	N/A	N/A	N/A	N/A	6477 ALMADEN EXPY	None	SAN JOSE	CA	95120	2901	00	06000	37.22027139	-121.8606095	Santa Clara County
329841	Ordering, Referring, Prescribing	N/A	1356420855	0	0	NEWBOLD, JENNIFER LMFT	3/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT34983	N/A	N/A	N/A	N/A	N/A	315 W HALEY ST	102	SANTA BARBARA	CA	93101	3471	00	06000	34.41320534	-119.6993554	Santa Barbara County
329859	Ordering, Referring, Prescribing	N/A	1356468623	0	0	NAIR, VINAY MD	12/21/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C156445	N/A	N/A	N/A	N/A	N/A	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	00	06000	40.43814074	-120.6259249	Lassen County
329867	Ordering, Referring, Prescribing	N/A	1356488290	0	0	NGUYEN, THUY-HUYNH T MD	12/31/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A67394	N/A	N/A	N/A	N/A	N/A	303 E VANDERBILT WAY	None	SAN BERNARDINO	CA	92415	0026	00	06000	34.06872265	-117.2775832	San Bernardino County
329917	Ordering, Referring, Prescribing	N/A	1356595615	0	0	NGUYEN, ANTHONY Q	11/18/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	D57718	N/A	N/A	N/A	N/A	N/A	1206 E 17TH ST	STE 101	SANTA ANA	CA	92701	2641	00	06000	33.75983651	-117.8539425	Orange County
329977	Ordering, Referring, Prescribing	N/A	1356700587	0	0	NOBLECILLA, BERENISE LMFT	2/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT102309	N/A	N/A	N/A	N/A	N/A	17707 STUDEBAKER RD	None	CERRITOS	CA	90703	2640	00	06000	33.87008991	-118.0991298	Los Angeles County
329979	Ordering, Referring, Prescribing	N/A	1356702286	0	0	NGO, JUSTINE V MD	3/23/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A153783	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL STE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
330021	Ordering, Referring, Prescribing	N/A	1356764153	0	0	NAVARRO, BELINDA E LCSW	2/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	23026	N/A	N/A	N/A	N/A	N/A	1055 W HENDERSON AVE	None	PORTERVILLE	CA	93257	1490	00	06000	36.08036906	-119.0410926	Tulare County
330031	Ordering, Referring, Prescribing	N/A	1356770358	0	0	NGUYEN, MINH PHARMD	1/20/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH70164	N/A	N/A	N/A	N/A	N/A	8212 SANTA MONICA BLVD	None	WEST HOLLYWOOD	CA	90046	5913	00	06000	34.0907007	-118.3675202	Los Angeles County
330184	Ordering, Referring, Prescribing	N/A	1366063612	0	0	NGUYEN, AUGUSTINE DO	4/15/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A20917	N/A	N/A	N/A	N/A	N/A	650 POLK ST	None	SAN FRANCISCO	CA	94102	3328	00	06000	37.78279757	-122.4190966	San Francisco County
330197	Ordering, Referring, Prescribing	N/A	1366086993	0	0	NG, SHIRLEY	4/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH80823	N/A	N/A	N/A	N/A	N/A	275 HOSPITAL PKWY	625	SAN JOSE	CA	95119	1106	00	06000	37.23951066	-121.8013511	Santa Clara County
330231	Ordering, Referring, Prescribing	N/A	1366193138	0	0	NOCON-SPECK, JEANELLE NP	1/3/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95027427	N/A	N/A	N/A	N/A	N/A	850 E. FOOTHILL BLVD	None	RIALTO	CA	92376	5230	00	06000	34.10679449	-117.3542535	San Bernardino County
330243	Ordering, Referring, Prescribing	N/A	1366275729	0	0	NGUYEN, LILLIAN PHARMD	8/21/2024	Taxonomy not applicable	NA	n/a	000	Unknown	RPH89879	N/A	N/A	N/A	N/A	N/A	2143 FOOTHILL BLVD	None	LA VERNE	CA	91750	2942	00	06000	34.11289169	-117.7633964	Los Angeles County
330258	Ordering, Referring, Prescribing	N/A	1366496044	0	0	NGO, LINH A	9/9/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	12626	N/A	N/A	N/A	N/A	N/A	65 N HOCKETT ST	None	PORTERVILLE	CA	93257	0000	00	06000	36.0663928	-119.01714	Tulare County
330304	Ordering, Referring, Prescribing	N/A	1366605453	0	0	NELSON, SHANTRINIA M LCSW	3/21/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	88302	N/A	N/A	N/A	N/A	N/A	58383 29 PALMS HWY	101	YUCCA VALLEY	CA	92284	5890	00	06000	34.13159539	-116.3901072	San Bernardino County
330310	Ordering, Referring, Prescribing	N/A	1366624397	0	0	NIEDHAMER, COURTNEY LMFT	2/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	51533	N/A	N/A	N/A	N/A	N/A	6051 N FRESNO ST	201	FRESNO	CA	93710	5280	00	06000	36.823905	-119.781436	Fresno County
330391	Ordering, Referring, Prescribing	N/A	1366793440	0	0	NARUO, LISA PHARMD	4/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	48054	N/A	N/A	N/A	N/A	N/A	17900 NEWHOPE ST	None	FOUNTAIN VALLEY	CA	92708	5422	00	06000	33.70347	-117.9311985	Orange County
330404	Ordering, Referring, Prescribing	N/A	1366814360	0	0	NGUYEN, AN H PHARMD	7/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73798	N/A	N/A	N/A	N/A	N/A	15990 BROOKHURST ST	None	FOUNTAIN VALLEY	CA	92708	1014	00	06000	33.73092238	-117.9545522	Orange County
330405	Ordering, Referring, Prescribing	N/A	1366817983	0	0	NORMAN, JILL K MD	6/10/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A151142	N/A	N/A	N/A	N/A	N/A	315 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	00	06000	34.444881	-119.7793725	Santa Barbara County
330544	Ordering, Referring, Prescribing	N/A	1376036103	0	0	NUNEZ, IRENE LCSW	2/17/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100048	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	402	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
330595	Ordering, Referring, Prescribing	N/A	1376127761	0	0	NIELSEN, SUSAN P	4/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	LEP2608	N/A	N/A	N/A	N/A	N/A	3970 LA COLINA RD.	None	SANTA BARBARA	CA	93110	1563	00	06000	34.44426392	-119.7540661	Santa Barbara County
330611	Ordering, Referring, Prescribing	N/A	1376166801	0	0	NASSTROM, BLAIRE E DO	2/2/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A22503	N/A	N/A	N/A	N/A	N/A	7695 CARDINAL CT	240	SAN DIEGO	CA	92123	3357	00	06000	32.79146985	-117.1578472	San Diego County
330624	Ordering, Referring, Prescribing	N/A	1376191379	0	0	NHOR, KIM H	11/8/2019	Taxonomy not applicable	NA	n/a	000	Unknown	74419RPH	N/A	N/A	N/A	N/A	N/A	3400 WHITTIER BLVD	None	LOS ANGELES	CA	90023	1708	00	06000	34.02767826	-118.2008037	Los Angeles County
330644	Ordering, Referring, Prescribing	N/A	1376284281	0	0	NIVEN, CAMERON E MD	8/16/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL9011	N/A	N/A	N/A	N/A	N/A	455 OCONNOR DR	SUITE 200	SAN JOSE	CA	95128	1633	00	06000	37.326654	-121.939897	Santa Clara County
330709	Ordering, Referring, Prescribing	N/A	1376673731	0	0	NAGLE, LAURA M LCSW	6/11/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	22297	N/A	N/A	N/A	N/A	N/A	4333 E VINEYARD AVE	None	OXNARD	CA	93036	1013	00	06000	34.25498155	-119.1558342	Ventura County
330728	Ordering, Referring, Prescribing	N/A	1376703165	0	0	NASH, ZELDA PHD	6/22/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY16663	N/A	N/A	N/A	N/A	N/A	1605 EASTLAKE AVE	None	LOS ANGELES	CA	90033	1009	00	06000	34.06300636	-118.2054784	Los Angeles County
330761	Ordering, Referring, Prescribing	N/A	1376787895	0	0	NOBLE, VENUS D LMFT	2/22/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	131298	N/A	N/A	N/A	N/A	N/A	2727 MACDONALD AVE	None	RICHMOND	CA	94804	3006	00	06000	37.93503193	-122.3422799	Contra Costa County
330781	Ordering, Referring, Prescribing	N/A	1376826990	0	0	NGUYEN, KATRINA T PHARMD	7/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56708	N/A	N/A	N/A	N/A	N/A	5961 LA PALMA AVE	None	LA PALMA	CA	90623	2134	00	06000	33.84649747	-118.029168	Orange County
330850	Ordering, Referring, Prescribing	N/A	1376943258	0	0	NGUYEN, STEVEN V PHARMD	1/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	71186	N/A	N/A	N/A	N/A	N/A	4440 TASSAJARA RD	None	DUBLIN	CA	94568	4501	00	06000	37.7067598	-121.8722011	Alameda County
330905	Ordering, Referring, Prescribing	N/A	1386015923	0	0	NUNLEY, KIMBERLIE LCSW	4/13/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW100830	N/A	N/A	N/A	N/A	N/A	10113 ALTA SIERRA DR.	None	GRASS VALLEY	CA	95949	6896	00	06000	39.14030863	-121.0695823	Nevada County
330927	Ordering, Referring, Prescribing	N/A	1386049450	0	0	NEAL, MOLLY M NP	9/26/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011996	N/A	N/A	N/A	N/A	N/A	2185 PACHECO STREET	None	CONCORD	CA	94520	2309	00	06000	37.97878977	-122.0345486	Contra Costa County
330961	Ordering, Referring, Prescribing	N/A	1386092831	0	0	NGUYEN, VICTOR PHARMD	9/3/2020	Taxonomy not applicable	NA	n/a	000	Unknown	RPH72952	N/A	N/A	N/A	N/A	N/A	99 N LA CIENEGA BLVD	None	BEVERLY HILLS	CA	90211	2222	00	06000	34.06736471	-118.3763201	Los Angeles County
330982	Ordering, Referring, Prescribing	N/A	1386140549	0	0	NANKANJA, EVELYN LCSW	1/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	81326	N/A	N/A	N/A	N/A	N/A	20695 SOUTH WESTERN AVE.	None	TORRANCE	CA	90501	1809	00	06000	33.843258	-118.309386	Los Angeles County
330984	Ordering, Referring, Prescribing	N/A	1386145324	0	0	NAZIRI, FARHAD F PHARMD	1/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	43581	N/A	N/A	N/A	N/A	N/A	18350 ROSCOE BLVD.	102	NORTHRIDGE	CA	91325	0000	00	06000	34.22071855	-118.5341175	Los Angeles County
331018	Ordering, Referring, Prescribing	N/A	1386175248	0	0	NGUYEN, JASON DC	5/28/2019	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	24424	N/A	N/A	N/A	N/A	N/A	302 NORTHGATE DR	None	MANTECA	CA	95336	3139	00	06000	37.81902087	-121.2206405	San Joaquin County
331042	Ordering, Referring, Prescribing	N/A	1386220135	0	0	NARULA, TRISHNA H MD MPH	7/18/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A197826	N/A	N/A	N/A	N/A	N/A	2001 THE ALAMEDA	None	SAN JOSE	CA	95126	1136	00	06000	37.34293689	-121.9270392	Santa Clara County
331073	Ordering, Referring, Prescribing	N/A	1386283174	0	0	NGUYEN, HATU	8/22/2022	Taxonomy not applicable	NA	n/a	000	Unknown	80969	N/A	N/A	N/A	N/A	N/A	2400 W COMMONWEALTH AVE	None	ALHAMBRA	CA	91803	0000	00	06000	34.08778681	-118.149982	Los Angeles County
331077	Ordering, Referring, Prescribing	N/A	1386295442	0	0	NGUYEN, MAI-KHANH PHARMD	11/18/2024	Taxonomy not applicable	NA	n/a	000	Unknown	11427	N/A	N/A	N/A	N/A	N/A	3853 ROSECRANS ST	None	SAN DIEGO	CA	92110	1233	00	06000	32.75391982	-117.2024389	San Diego County
331108	Ordering, Referring, Prescribing	N/A	1386384097	0	0	NWABUONA, STEPHANIE CNP	11/14/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95032978	N/A	N/A	N/A	N/A	N/A	1707 EYE ST	100	BAKERSFIELD	CA	93301	5208	00	06000	35.37461686	-119.020062	Kern County
331118	Ordering, Referring, Prescribing	N/A	1386394336	0	0	NEGRETE MANRIQUEZ, JOSE A MD	9/3/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A189971	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
331122	Ordering, Referring, Prescribing	N/A	1386416394	0	0	NADELA, ELIZABETH NP	11/2/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95027937	N/A	N/A	N/A	N/A	N/A	522 S SAN PEDRO ST	None	LOS ANGELES	CA	90013	2102	00	06000	34.0436196	-118.2442541	Los Angeles County
331173	Ordering, Referring, Prescribing	N/A	1386764314	0	0	NORWITZ, LEONARD MSW LCSW	3/8/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCS9532	N/A	N/A	N/A	N/A	N/A	441 PARK AVE.	None	SAN JOSE	CA	95110	2615	00	06000	37.32813005	-121.897828	Santa Clara County
331205	Ordering, Referring, Prescribing	N/A	1386784338	0	0	NYLANDER, KRISTINA B MD	10/21/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A81158	N/A	N/A	N/A	N/A	N/A	1401 AVOCADO AVE	709	NEWPORT BEACH	CA	92660	7710	00	06000	33.61235015	-117.8704573	Orange County
331208	Ordering, Referring, Prescribing	N/A	1386791150	0	0	NERI-HUANG, EVANGELINE B PHARMD	4/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54084	N/A	N/A	N/A	N/A	N/A	1824 FAIRGROVE AVE	None	WEST COVINA	CA	91791	4302	00	06000	34.04307336	-117.9072046	Los Angeles County
331238	Ordering, Referring, Prescribing	N/A	1386854685	0	0	NIBBIO, JOANNE M LMFT	2/20/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	38416	N/A	N/A	N/A	N/A	N/A	1255 KENDALL RD	None	SAN LUIS OBISPO	CA	93401	8750	00	06000	35.2372881	-120.6292313	San Luis Obispo County
331275	Ordering, Referring, Prescribing	N/A	1386927937	0	0	NGUYEN-HO, TIFFANY B PHARMD	7/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51544	N/A	N/A	N/A	N/A	N/A	3000 S BRISTOL ST	None	SANTA ANA	CA	92704	6707	00	06000	33.70717088	-117.8855039	Orange County
331276	Ordering, Referring, Prescribing	N/A	1386947372	0	0	NUSRAT, FAARIA PHARMD	3/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64551	N/A	N/A	N/A	N/A	N/A	30118 EIGENBRODT WAY	None	UNION CITY	CA	94587	1225	00	06000	37.60846314	-122.0715536	Alameda County
331302	Ordering, Referring, Prescribing	N/A	1386998094	0	0	NAVARRO, JANNAE M PSYD	12/28/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY28969	N/A	N/A	N/A	N/A	N/A	3569 LEXINGTON AVE	None	EL MONTE	CA	91731	2607	00	06000	34.0744277	-118.039296	Los Angeles County
331341	Ordering, Referring, Prescribing	N/A	1396046819	0	0	NEHME, REMA LMFT	6/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	99743	N/A	N/A	N/A	N/A	N/A	9015 MURRAY AVE	100	GILROY	CA	95020	2500	00	06000	37.03080985	-121.5741639	Santa Clara County
331349	Ordering, Referring, Prescribing	N/A	1396081352	0	0	NGUYEN, LIEN PHARMD	6/18/2023	Taxonomy not applicable	NA	n/a	000	Unknown	68255	N/A	N/A	N/A	N/A	N/A	1325 N ANAHEIM BLVD	None	ANAHEIM	CA	92801	1202	00	06000	33.85331047	-117.9199617	Orange County
331359	Ordering, Referring, Prescribing	N/A	1396096541	0	0	NGUYEN-TAKEBA, HUONG C PHARMD	3/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65716	N/A	N/A	N/A	N/A	N/A	200 MUIR RD	None	MARTINEZ	CA	94553	4614	00	06000	37.99430233	-122.1107194	Contra Costa County
331384	Ordering, Referring, Prescribing	N/A	1396139861	0	0	NGUYEN, BICH NGOC PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH72377	N/A	N/A	N/A	N/A	N/A	6600 MAGNOLIA AVE	None	RIVERSIDE	CA	92506	2903	00	06000	33.95316868	-117.3966345	Riverside County
331415	Ordering, Referring, Prescribing	N/A	1396178778	0	0	NICE, KATHERINE LMFT	7/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	88011	N/A	N/A	N/A	N/A	N/A	2400 MOORPARK AVE.	SUITE 300	SAN JOSE	CA	95128	2680	00	06000	37.3160785	-121.937121	Santa Clara County
331454	Ordering, Referring, Prescribing	N/A	1396237533	0	0	NGUYEN, TUONG-VY C PHARMD	3/22/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH76451	N/A	N/A	N/A	N/A	N/A	8969 SANTA MONICA BLVD	None	LOS ANGELES	CA	90069	4911	00	06000	34.08326871	-118.386603	Los Angeles County
331459	Ordering, Referring, Prescribing	N/A	1396248191	0	0	NG, QUINN K MD	3/15/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A166059	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	0000	00	06000	38.555181	-121.4566785	Sacramento County
331461	Ordering, Referring, Prescribing	N/A	1396249702	0	0	NGUYEN, BAO SEAN H MD	3/17/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165846	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
331470	Ordering, Referring, Prescribing	N/A	1396259172	0	0	NADI, MASOUD NP	11/7/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95007635	N/A	N/A	N/A	N/A	N/A	4575 COLLEGE AVENUE	None	SAN DIEGO	CA	92115	4011	00	06000	32.76023438	-117.0667611	San Diego County
331477	Ordering, Referring, Prescribing	N/A	1396264958	0	0	NUNEZ, VERONICA N	12/2/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	127531	N/A	N/A	N/A	N/A	N/A	800 N STATE ST	None	UKIAH	CA	95482	3410	00	06000	39.15774044	-123.2085769	Mendocino County
331494	Ordering, Referring, Prescribing	N/A	1396297677	0	0	NAVAR, VIOLETA LMFT	10/18/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	128701	N/A	N/A	N/A	N/A	N/A	155 N. OCCIDENTAL BLVD	None	LOS ANGELES	CA	90026	4641	00	06000	34.07178779	-118.2787879	Los Angeles County
331500	Ordering, Referring, Prescribing	N/A	1396304176	0	0	NILSSON, KATIE RN	6/19/2018	Taxonomy not applicable	NA	n/a	000	Unknown	552170	N/A	N/A	N/A	N/A	N/A	2707 TRANSWORLD DR	None	STOCKTON	CA	95206	3948	00	06000	37.90830509	-121.2326659	San Joaquin County
331537	Ordering, Referring, Prescribing	N/A	1396371464	0	0	NEUMANN, NURIYA R OT	5/26/2021	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	OT22423	N/A	N/A	N/A	N/A	N/A	6160 MISSION GORGE RD	100	SAN DIEGO	CA	92120	3410	00	06000	32.7868143	-117.0977635	San Diego County
331753	Ordering, Referring, Prescribing	N/A	1407073018	0	0	NAYGAS, IRENE PHARMD	9/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH58720	N/A	N/A	N/A	N/A	N/A	6850 VAN NUYS BLVD	STE 115	VAN NUYS	CA	91405	4629	00	06000	34.195401	-118.4487235	Los Angeles County
331769	Ordering, Referring, Prescribing	N/A	1407115959	0	0	NEUMAN, GRACE R DO	8/1/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A12990	N/A	N/A	N/A	N/A	N/A	1028 E VERNON AVE	None	LOS ANGELES	CA	90011	3717	00	06000	34.00389853	-118.257615	Los Angeles County
331778	Ordering, Referring, Prescribing	N/A	1407131642	0	0	NGUYEN, PAUL PHARMD	5/4/2022	Taxonomy not applicable	NA	n/a	000	Unknown	62403	N/A	N/A	N/A	N/A	N/A	2345 FENTON PKWY	None	SAN DIEGO	CA	92108	4743	00	06000	32.782482	-117.1285875	San Diego County
331785	Ordering, Referring, Prescribing	N/A	1407138431	0	0	NGUYEN, DUNG H PHARMD	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	63319	N/A	N/A	N/A	N/A	N/A	1201 E YORBA LINDA BLVD	None	PLACENTIA	CA	92870	3830	00	06000	33.88844148	-117.841293	Orange County
331786	Ordering, Referring, Prescribing	N/A	1407156722	0	0	NOEL, PATRICK M LMFT	6/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT96007	N/A	N/A	N/A	N/A	N/A	1167 SOUTH STREET	None	ORLAND	CA	95963	0000	00	06000	39.7403199	-122.2036102	Glenn County
331801	Ordering, Referring, Prescribing	N/A	1407189624	0	0	NGUYEN, JULIA N PHARMD	2/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	62911	N/A	N/A	N/A	N/A	N/A	7601 STONERIDGE DR	None	PLEASANTON	CA	94588	4501	00	06000	37.69013379	-121.9265243	Alameda County
331811	Ordering, Referring, Prescribing	N/A	1407203193	0	0	NUNN, ASHLEY G LMFT	2/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT115088	N/A	N/A	N/A	N/A	N/A	6051 N FRESNO ST	201	FRESNO	CA	93710	5280	00	06000	36.823905	-119.781436	Fresno County
331821	Ordering, Referring, Prescribing	N/A	1407206261	0	0	NICHOLSON, MELISA LCSW	4/5/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	107541	N/A	N/A	N/A	N/A	N/A	27800 MEDICAL CENTER RD	None	MISSION VIEJO	CA	92691	6410	00	06000	33.55952733	-117.6645199	Orange County
331836	Ordering, Referring, Prescribing	N/A	1407237878	0	0	NOVEMBER, KATHERINE LCSW	3/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW28353	N/A	N/A	N/A	N/A	N/A	23461 S POINTE DR	None	LAGUNA HILLS	CA	92653	1523	00	06000	33.62535142	-117.7206568	Orange County
331854	Ordering, Referring, Prescribing	N/A	1407288517	0	0	NGUYEN, RYAN L PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH72476	N/A	N/A	N/A	N/A	N/A	1826 W ORANGETHORPE AVE	None	FULLERTON	CA	92833	4406	00	06000	33.85917352	-117.96057	Orange County
331892	Ordering, Referring, Prescribing	N/A	1407330962	0	0	NIETO-RODRIGUEZ, ANGELINA MD	9/8/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A166962	N/A	N/A	N/A	N/A	N/A	1005 E WASHINGTON BLVD	STE. A	LOS ANGELES	CA	90021	3082	00	06000	34.02578238	-118.2530622	Los Angeles County
331924	Ordering, Referring, Prescribing	N/A	1407370554	0	0	NANDA, ARJUN	1/10/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A170308	N/A	N/A	N/A	N/A	N/A	951 BLANCO CIR	B	SALINAS	CA	93901	4451	00	06000	36.65589725	-121.6366313	Monterey County
331947	Ordering, Referring, Prescribing	N/A	1407413172	0	0	NGUYEN, HOA MY LCSW	5/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW93424	N/A	N/A	N/A	N/A	N/A	3626 BALBOA STREET	None	SAN FRANCISCO	CA	94121	2604	00	06000	37.77571711	-122.4980286	San Francisco County
331956	Ordering, Referring, Prescribing	N/A	1407443740	0	0	NGUYEN, NATHAN A PHARMD	4/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82670	N/A	N/A	N/A	N/A	N/A	6650 ALTON PKWY	BUILDING 2, 4TH FLOOR	IRVINE	CA	92618	3734	00	06000	33.65911992	-117.7737909	Orange County
332011	Ordering, Referring, Prescribing	N/A	1407589930	0	0	NOH, HAILEY Y DMD	3/24/2024	Taxonomy not applicable	NA	n/a	000	Unknown	DDS109981	N/A	N/A	N/A	N/A	N/A	2100 W 3RD ST.	#301	LOS ANGELES	CA	90057	0000	00	06000	34.06308947	-118.2733326	Los Angeles County
332012	Ordering, Referring, Prescribing	N/A	1407689417	0	0	NURSE, MARLEAH DDS	8/16/2024	Taxonomy not applicable	NA	n/a	000	Unknown	110590	N/A	N/A	N/A	N/A	N/A	11670 ATWOOD ROAD	None	AUBURN	CA	95603	9522	00	06000	38.93485327	-121.0988193	Placer County
332065	Ordering, Referring, Prescribing	N/A	1407977531	0	0	NAFTULIN, BRIAN N MD	10/12/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G59349	N/A	N/A	N/A	N/A	N/A	10121 PINE AVE	None	TRUCKEE	CA	96161	4835	00	06000	39.3245308	-120.2013097	Nevada County
332094	Ordering, Referring, Prescribing	N/A	1417020850	0	0	NISHIKAWA, KATY PHARMD	3/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52461	N/A	N/A	N/A	N/A	N/A	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	00	06000	36.84133078	-119.7824983	Fresno County
332106	Ordering, Referring, Prescribing	N/A	1417070343	0	0	NGUYEN, TAM NGOC A	7/26/1994	Taxonomy not applicable	NA	n/a	099	DENTIST	D42584	N/A	N/A	N/A	N/A	N/A	7850 STOCKTON BLVD	SUITE 160	SACRAMENTO	CA	95823	4319	00	06000	38.473533	-121.419504	Sacramento County
332115	Ordering, Referring, Prescribing	N/A	1417076688	0	0	NOVIDA, DEREK B LMFT	10/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48443	N/A	N/A	N/A	N/A	N/A	3100 BRISTOL ST	150	COSTA MESA	CA	92626	3099	00	06000	33.6865398	-117.885491	Orange County
332121	Ordering, Referring, Prescribing	N/A	1417079807	0	0	NORRIS, REBECCA C LMFT	6/13/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT52677	N/A	N/A	N/A	N/A	N/A	768 PLEASANT VALLEY RD	STE 201	DIAMOND SPRINGS	CA	95619	0768	00	06000	38.69498433	-120.8070771	El Dorado County
332153	Ordering, Referring, Prescribing	N/A	1417126038	0	0	NARITOMI, LISA PHARMD	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	10897	N/A	N/A	N/A	N/A	N/A	8010 PARKWAY DR.	None	LA MESA	CA	91942	2104	00	06000	32.7749024	-117.0246371	San Diego County
332190	Ordering, Referring, Prescribing	N/A	1417211897	0	0	NGUYEN, KIM H	10/4/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH44348	N/A	N/A	N/A	N/A	N/A	1993 MCKEE RD	None	SAN JOSE	CA	95116	1406	00	06000	37.366029	-121.8533535	Santa Clara County
332206	Ordering, Referring, Prescribing	N/A	1417239211	0	0	NGUYEN, KAREN K PHARMD	4/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	62334	N/A	N/A	N/A	N/A	N/A	35875 WARM SPRINGS PKWY	None	MURRIETA	CA	92563	4538	00	06000	33.59836696	-117.1690502	Riverside County
332266	Ordering, Referring, Prescribing	N/A	1417338427	0	0	NAKAMURA, KARIN PHARMD	3/25/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH59411	N/A	N/A	N/A	N/A	N/A	804 AVENIDA PICO	None	SAN CLEMENTE	CA	92673	5625	00	06000	33.44345358	-117.6145931	Orange County
332304	Ordering, Referring, Prescribing	N/A	1417396235	0	0	NUNEZ-DAVIS, ROSEMARY DO	7/14/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A14780	N/A	N/A	N/A	N/A	N/A	1414 NORTH CALIFORNIA ST	SUITE# A	STOCKTON	CA	95202	1515	00	06000	37.96761084	-121.2883234	San Joaquin County
332312	Ordering, Referring, Prescribing	N/A	1417406984	0	0	NIETO, CIRSE A LMFT	10/27/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	128926	N/A	N/A	N/A	N/A	N/A	11731 TELEGRAPH ROAD	K	SANTA FE SPRINGS	CA	90670	3675	00	06000	33.94630253	-118.0832082	Los Angeles County
332315	Ordering, Referring, Prescribing	N/A	1417423401	0	0	NASIRISHARGH, AIDA MD	7/1/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A197297	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
332347	Ordering, Referring, Prescribing	N/A	1417474610	0	0	NAIMI, KIANA LCSW	4/10/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	114736	N/A	N/A	N/A	N/A	N/A	2050 N TUSTIN AVE	None	SANTA ANA	CA	92705	7827	00	06000	33.76337183	-117.835747	Orange County
332392	Ordering, Referring, Prescribing	N/A	1417554429	0	0	NGUYEN, NANCY H	8/11/2020	Taxonomy not applicable	NA	n/a	000	Unknown	82928	N/A	N/A	N/A	N/A	N/A	11255 MOUNTAIN VIEW AVE	2	LOMA LINDA	CA	92354	3809	00	06000	34.04936109	-117.243598	San Bernardino County
332393	Ordering, Referring, Prescribing	N/A	1417559196	0	0	NGO-GARNER, ALLISON N NP	9/1/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015340	N/A	N/A	N/A	N/A	N/A	4555 PRECISSI LANE	None	STOCKTON	CA	95207	6239	00	06000	37.98919284	-121.3152121	San Joaquin County
332410	Ordering, Referring, Prescribing	N/A	1417586942	0	0	NAHARDANI, TALA S PSYD	3/24/2022	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY33240	N/A	N/A	N/A	N/A	N/A	26600 CACTUS AVE	None	MORENO VALLEY	CA	92555	3901	00	06000	33.91013953	-117.193383	Riverside County
332443	Ordering, Referring, Prescribing	N/A	1417679242	0	0	NGUYEN, HOANG M	9/8/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH86759	N/A	N/A	N/A	N/A	N/A	24382 MUIRLANDS BLVD	None	LAKE FOREST	CA	92630	3679	00	06000	33.62847787	-117.7048119	Orange County
332444	Ordering, Referring, Prescribing	N/A	1417670415	0	0	NIKOOKAR, ARASH	11/14/2022	Taxonomy not applicable	NA	n/a	018	NURSE ANESTHETISTS	95001887	N/A	N/A	N/A	N/A	N/A	1873 COMMERCENTER W	None	SAN BERNARDINO	CA	92408	3303	00	06000	34.067781	-117.286122	San Bernardino County
332450	Ordering, Referring, Prescribing	N/A	1417715160	0	0	NOONAN, MALLORY DC	2/15/2024	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	DC35211	N/A	N/A	N/A	N/A	N/A	260 STATION WAY	None	ARROYO GRANDE	CA	93420	3359	00	06000	35.11996545	-120.5781386	San Luis Obispo County
332454	Ordering, Referring, Prescribing	N/A	1417720491	0	0	NGUYEN, ANH K PHARMD	9/15/2023	Taxonomy not applicable	NA	n/a	000	Unknown	88575	N/A	N/A	N/A	N/A	N/A	2840 W AVENUE L	None	LANCASTER	CA	93536	4006	00	06000	34.6602533	-118.1827153	Los Angeles County
332463	Ordering, Referring, Prescribing	N/A	1417900069	0	0	NOORANI, GHULAM R MD	12/10/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A69452	N/A	N/A	N/A	N/A	N/A	2101 COURAGE DR	None	FAIRFIELD	CA	94533	6717	00	06000	38.23737478	-122.0676832	Solano County
332507	Ordering, Referring, Prescribing	N/A	1427121896	0	0	NAVOLANIC, PETER MD	8/30/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G25971	N/A	N/A	N/A	N/A	N/A	2727 MACDONALD AVE	None	RICHMOND	CA	94804	3006	00	06000	37.93503193	-122.3422799	Contra Costa County
332514	Ordering, Referring, Prescribing	N/A	1427124304	0	0	NEWSUM, MARK DC	9/22/2022	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	18563	N/A	N/A	N/A	N/A	N/A	148 E KINGS ST	None	AVENAL	CA	93204	0001	00	06000	36.00249425	-120.1366109	Kings County
332561	Ordering, Referring, Prescribing	N/A	1427231794	0	0	NEWFIELD, JENNIFER LCSW	5/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW25696	N/A	N/A	N/A	N/A	N/A	391 TAYLOR BLVD	100	PLEASANT HILL	CA	94523	2294	00	06000	37.96119614	-122.070409	Contra Costa County
332588	Ordering, Referring, Prescribing	N/A	1427287143	0	0	NORRIS, OLENA L	2/24/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D57898	N/A	N/A	N/A	N/A	N/A	HOSPITAL	55 FRUIT ST	BOSTON	MA	02114	2621	00	06000	0	0	None
332594	Ordering, Referring, Prescribing	N/A	1427312644	0	0	NGUYEN, KHANH K PA	4/26/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA22239	N/A	N/A	N/A	N/A	N/A	10717 CAMINO RUIZ	258	SAN DIEGO	CA	92126	2360	00	06000	32.91373261	-117.1437822	San Diego County
332609	Ordering, Referring, Prescribing	N/A	1427337955	0	0	NEWMAN, ASHLIE LCSW	12/16/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW72969	N/A	N/A	N/A	N/A	N/A	12450 VAN NUYS BLVD	None	PACOIMA	CA	91331	1391	00	06000	34.27894489	-118.4044363	Los Angeles County
332663	Ordering, Referring, Prescribing	N/A	1427430263	0	0	NGUYEN, KATHLEEN H PHARMD	3/24/2018	Taxonomy not applicable	NA	n/a	000	Unknown	51233	N/A	N/A	N/A	N/A	N/A	1571 SAN ELIJO HILL RD.	None	SAN MARCOS	CA	92078	2044	00	06000	33.09729386	-117.2002867	San Diego County
332683	Ordering, Referring, Prescribing	N/A	1427466465	0	0	NAZARENO, NAPOLEON A NP	11/3/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95000985	N/A	N/A	N/A	N/A	N/A	837 ADDISON ST	None	BERKELEY	CA	94710	2047	00	06000	37.86680859	-122.2969443	Alameda County
332694	Ordering, Referring, Prescribing	N/A	1427483205	0	0	NOVAK, JARED P LCSW	12/11/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW80508	N/A	N/A	N/A	N/A	N/A	9901 ARTESIA BLVD	None	ARTESIA	CA	90706	6713	00	06000	33.87486551	-118.1228445	Los Angeles County
332713	Ordering, Referring, Prescribing	N/A	1427491901	0	0	NORRIS, TERRI LMFT	3/17/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124979	N/A	N/A	N/A	N/A	N/A	2828 FORD ST	None	OAKLAND	CA	94601	2114	00	06000	37.77357837	-122.2352589	Alameda County
332714	Ordering, Referring, Prescribing	N/A	1427507276	0	0	NGUYEN, TINA PHARMD	5/10/2022	Taxonomy not applicable	NA	n/a	000	Unknown	68548	N/A	N/A	N/A	N/A	N/A	895 E H ST	None	CHULA VISTA	CA	91910	7807	00	06000	32.63598747	-117.022005	San Diego County
332748	Ordering, Referring, Prescribing	N/A	1427567742	0	0	NGUYEN, NANCY M PHARMD	3/26/2018	Taxonomy not applicable	NA	n/a	000	Unknown	77455	N/A	N/A	N/A	N/A	N/A	26022 MARGUERITE PKWY	None	MISSION VIEJO	CA	92692	3262	00	06000	33.585984	-117.6576165	Orange County
332766	Ordering, Referring, Prescribing	N/A	1427586411	0	0	NGUYEN, MY-NGOC D LMFT	2/10/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124241	N/A	N/A	N/A	N/A	N/A	225 37TH AVE	FL 3	SAN MATEO	CA	94403	4324	00	06000	37.53211966	-122.2998871	San Mateo County
332776	Ordering, Referring, Prescribing	N/A	1427599166	0	0	NARANJO, VERONICA LCSW	10/24/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	111376	N/A	N/A	N/A	N/A	N/A	1621 GOLD ST	None	ALVISO	CA	95002	3530	00	06000	37.42478519	-121.9760557	Santa Clara County
332806	Ordering, Referring, Prescribing	N/A	1427660448	0	0	NGUYEN, MONIQUE H LCSW	4/7/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	107601	N/A	N/A	N/A	N/A	N/A	439 W 97TH ST	None	LOS ANGELES	CA	90003	3968	00	06000	33.94831439	-118.282325	Los Angeles County
332827	Ordering, Referring, Prescribing	N/A	1427753540	0	0	NGO, ISAAC HENRY K MD	11/7/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A199897	N/A	N/A	N/A	N/A	N/A	8627 ATLANTIC AVE	None	SOUTH GATE	CA	90280	3501	00	06000	33.95462085	-118.1838426	Los Angeles County
332921	Ordering, Referring, Prescribing	N/A	1437292703	0	0	NATHA, POONAM D LMFT	5/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50522	N/A	N/A	N/A	N/A	N/A	27261 LAS RAMBLAS	220	MISSION VIEJO	CA	92691	6468	00	06000	33.56536541	-117.670334	Orange County
332983	Ordering, Referring, Prescribing	N/A	1437412129	0	0	NARAMALA, SRIKANTH MD	4/19/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A145595	N/A	N/A	N/A	N/A	N/A	1025 N DOUTY ST	None	HANFORD	CA	93230	3722	00	06000	36.33611794	-119.6460191	Kings County
333003	Ordering, Referring, Prescribing	N/A	1437434404	0	0	NGHIEM, MAI P PHARMD	9/20/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH47332	N/A	N/A	N/A	N/A	N/A	10016 SCRIPPS RANCH BLVD	None	SAN DIEGO	CA	92131	1222	00	06000	32.90394335	-117.0999314	San Diego County
333009	Ordering, Referring, Prescribing	N/A	1437439171	0	0	NG, COK-LEONG PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	44801	N/A	N/A	N/A	N/A	N/A	2628 MOUNT VERNON AVE	None	BAKERSFIELD	CA	93306	2922	00	06000	35.39121722	-118.9676027	Kern County
333013	Ordering, Referring, Prescribing	N/A	1437436383	0	0	NASSRI, NESRINE PHARMD	8/11/2020	Taxonomy not applicable	NA	n/a	000	Unknown	82892	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD. M	None	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
333019	Ordering, Referring, Prescribing	N/A	1437459120	0	0	NGUYEN, KATHERINE A PHARMD	3/24/2018	Taxonomy not applicable	NA	n/a	000	Unknown	51698	N/A	N/A	N/A	N/A	N/A	2972 STALLION WAY	None	SAN JOSE	CA	95121	1782	00	06000	37.30862527	-121.8175184	Santa Clara County
333045	Ordering, Referring, Prescribing	N/A	1437502606	0	0	NOVOA, SHANNON R LMFT	3/28/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	138867	N/A	N/A	N/A	N/A	N/A	17800 HWY 18	None	APPLE VALLEY	CA	92307	1221	00	06000	34.54007429	-117.2744761	San Bernardino County
333113	Ordering, Referring, Prescribing	N/A	1437594603	0	0	NUA, ELIZABETH J LMFT	4/6/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	91301	N/A	N/A	N/A	N/A	N/A	1002 E GRAND AVE	None	ESCONDIDO	CA	92025	4605	00	06000	33.12639838	-117.0682191	San Diego County
333116	Ordering, Referring, Prescribing	N/A	1437595618	0	0	NGUYEN, KASSANDRA C LMFT	3/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	115748	N/A	N/A	N/A	N/A	N/A	1200 N MAIN ST	#200	SANTA ANA	CA	92701	3640	00	06000	33.755175	-117.8676195	Orange County
333120	Ordering, Referring, Prescribing	N/A	1437604972	0	0	NGUYEN, LYNDA LCSW	7/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95900	N/A	N/A	N/A	N/A	N/A	11080 W OLYMPIC BLVD	None	LOS ANGELES	CA	90064	1937	00	06000	34.04036814	-118.4376056	Los Angeles County
333174	Ordering, Referring, Prescribing	N/A	1437680568	0	0	NGUYEN, JENNIFER N MD	7/17/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157146	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
333207	Ordering, Referring, Prescribing	N/A	1437730777	0	0	NGUYEN, FRANK	3/13/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA59252	N/A	N/A	N/A	N/A	N/A	2813 S MAIN ST	None	CORONA	CA	92882	5942	00	06000	33.84741266	-117.570694	Riverside County
333230	Ordering, Referring, Prescribing	N/A	1437787595	0	0	NOORANI, SAHAR S MD	3/7/2025	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A201590	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
333288	Ordering, Referring, Prescribing	N/A	1437976487	0	0	NAINALA, SRILAKSHMI	9/24/2023	Taxonomy not applicable	NA	n/a	000	Unknown	68750	N/A	N/A	N/A	N/A	N/A	850 S ATLANTIC BLVD	100	MONTEREY PARK	CA	91754	4727	00	06000	34.05097684	-118.1379979	Los Angeles County
333376	Ordering, Referring, Prescribing	N/A	1447432703	0	0	NEVAREZ, JAVIER LCSW	11/6/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW29067	N/A	N/A	N/A	N/A	N/A	6330 RUGBY AVE.	STE 200	HUNTINGTON PARK	CA	90255	4195	00	06000	33.98277323	-118.2265373	Los Angeles County
333424	Ordering, Referring, Prescribing	N/A	1447538863	0	0	NIETO PADILLA, RUBY P LMFT	11/23/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT95017	N/A	N/A	N/A	N/A	N/A	4024 DURFEE AVE	None	EL MONTE	CA	91732	2510	00	06000	34.07338485	-118.0065566	Los Angeles County
333566	Ordering, Referring, Prescribing	N/A	1447778105	0	0	NAVARRO, CHAELENE R LMFT	4/23/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	132461	N/A	N/A	N/A	N/A	N/A	12810 HEACOCK ST	None	MORENO VALLEY	CA	92553	2854	00	06000	33.934851	-117.2437635	Riverside County
333572	Ordering, Referring, Prescribing	N/A	1447783543	0	0	NEWENS, KIM HUONG T PHARMD	10/20/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH47750	N/A	N/A	N/A	N/A	N/A	1919 FRUITRIDGE RD	None	SACRAMENTO	CA	95822	3114	00	06000	38.525283	-121.4959365	Sacramento County
333650	Ordering, Referring, Prescribing	N/A	1457024606	0	0	NEAL, DYLAN T PA-C	10/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60150	N/A	N/A	N/A	N/A	N/A	559 ABBOTT ST	SUITE A	SALINAS	CA	93901	4325	00	06000	36.66284132	-121.6420108	Monterey County
333660	Ordering, Referring, Prescribing	N/A	1457057028	0	0	NASH, LALAINE NP	1/19/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023943	N/A	N/A	N/A	N/A	N/A	1555 S GAREY AVE	None	POMONA	CA	91766	5222	00	06000	34.04317024	-117.7497127	Los Angeles County
333680	Ordering, Referring, Prescribing	N/A	1457172223	0	0	NEJATI, SARA NP	1/20/2025	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95033630	N/A	N/A	N/A	N/A	N/A	808 W. 58TH STREET	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
333705	Ordering, Referring, Prescribing	N/A	1457407637	0	0	NODERER, MARTHA L LMFT	8/4/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT51420	N/A	N/A	N/A	N/A	N/A	2865 LOGAN AVE	None	SAN DIEGO	CA	92113	2411	00	06000	32.69694991	-117.1324497	San Diego County
333776	Ordering, Referring, Prescribing	N/A	1457557472	0	0	NGUYEN, KIM ANH OD	8/29/2018	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	9324	N/A	N/A	N/A	N/A	N/A	15622 BROOKHURST ST	None	WESTMINSTER	CA	92683	7573	00	06000	33.73592833	-117.954678	Orange County
333824	Ordering, Referring, Prescribing	N/A	1457656258	0	0	NELSON, KRISTIE PHD	6/14/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY29568	N/A	N/A	N/A	N/A	N/A	500 N 9TH ST	A	MODESTO	CA	95350	5814	00	06000	37.65145793	-121.0156971	Stanislaus County
333853	Ordering, Referring, Prescribing	N/A	1457720500	0	0	NERSISIAN, SERINA LMFT	2/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	221327	N/A	N/A	N/A	N/A	N/A	2234 N KEYSTONE ST	None	BURBANK	CA	91504	2707	00	06000	34.198776	-118.3334925	Los Angeles County
333856	Ordering, Referring, Prescribing	N/A	1457725418	0	0	NICODEMUS, LENA P LMFT	11/13/2017	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	101557	N/A	N/A	N/A	N/A	N/A	1025 ATLANTIC AVE	STE 101	ALAMEDA	CA	94501	1189	00	06000	37.78071789	-122.2658953	Alameda County
333944	Ordering, Referring, Prescribing	N/A	1457835860	0	0	NGUYEN, THUY M PHARMD	4/3/2022	Taxonomy not applicable	NA	n/a	000	Unknown	79009	N/A	N/A	N/A	N/A	N/A	5401 KATELLA AVE	None	CYPRESS	CA	90720	2809	00	06000	33.8030835	-118.039581	Orange County
333973	Ordering, Referring, Prescribing	N/A	1457875650	0	0	NGUYEN, CHRISTINE MD	7/20/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180625	N/A	N/A	N/A	N/A	N/A	600 MAIN STREET	None	SOLEDAD	CA	93960	2533	00	06000	36.43281182	-121.3243597	Monterey County
334017	Ordering, Referring, Prescribing	N/A	1457955619	0	0	NGUYEN, DIEP H PHARMD	7/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH83464	N/A	N/A	N/A	N/A	N/A	3331 W CENTURY BLVD	None	INGLEWOOD	CA	90303	0001	00	06000	33.94550091	-118.3301957	Los Angeles County
334018	Ordering, Referring, Prescribing	N/A	1457962458	0	0	NWOKEJI, CHIKERE N PHARMD	3/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82934	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
334032	Ordering, Referring, Prescribing	N/A	1457985244	0	0	NEIDHARDT, NANCY L LMFT	1/4/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	129282	N/A	N/A	N/A	N/A	N/A	2480 ENGLAND ST	None	CHICO	CA	95928	0941	00	06000	39.7292034	-121.782688	Butte County
334053	Ordering, Referring, Prescribing	N/A	1467021535	0	0	NJOKU, EMMANUEL NP	12/11/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028343	N/A	N/A	N/A	N/A	N/A	801 S. CHEVY CHASE DR.	SUITE 250	GLENDALE	CA	91205	4433	00	06000	34.136757	-118.2396195	Los Angeles County
334063	Ordering, Referring, Prescribing	N/A	1467051334	0	0	NGO, BRIAN Z PHARMD	3/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	83314	N/A	N/A	N/A	N/A	N/A	99 N LA CIENGA BLVD	200	BEVERLY HILLS	CA	90211	2206	00	06000	34.06736471	-118.3763201	Los Angeles County
334077	Ordering, Referring, Prescribing	N/A	1467080887	0	0	NGO-TIENG, ALICE CNP	2/13/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024268	N/A	N/A	N/A	N/A	N/A	20151 NORDHOFF ST	None	CHATSWORTH	CA	91311	6215	00	06000	34.23182352	-118.572948	Los Angeles County
334107	Ordering, Referring, Prescribing	N/A	1467194845	0	0	NGUYEN, THAO H MD	2/6/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A188027	N/A	N/A	N/A	N/A	N/A	5454 EL CAJON BLVD	None	SAN DIEGO	CA	92115	3621	00	06000	32.75809043	-117.0778038	San Diego County
334111	Ordering, Referring, Prescribing	N/A	1467202283	0	0	NOLL, DEANNA NP	3/21/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95029547	N/A	N/A	N/A	N/A	N/A	11843 WHITTIER BLVD	None	WHITTIER	CA	90601	3941	00	06000	33.98063769	-118.0503687	Los Angeles County
334117	Ordering, Referring, Prescribing	N/A	1467222380	0	0	NOH, SEUNG J NP	1/11/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028672	N/A	N/A	N/A	N/A	N/A	1660 HOTEL CIR N	101	SAN DIEGO	CA	92108	2807	00	06000	32.75964178	-117.1791442	San Diego County
334188	Ordering, Referring, Prescribing	N/A	1467615211	0	0	NGUYEN, THUY N LCSW	6/8/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW94240	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	120	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
334199	Ordering, Referring, Prescribing	N/A	1467626739	0	0	NOYES, KATHERINE M	1/11/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D46913	N/A	N/A	N/A	N/A	N/A	12750 CARMEL COUNTRY RD	STE 114	SAN DIEGO	CA	92130	2159	00	06000	32.9541914	-117.2291793	San Diego County
334225	Ordering, Referring, Prescribing	N/A	1467677575	0	0	NAVARRO, BLANCA E PSYD	4/22/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY25584	N/A	N/A	N/A	N/A	N/A	770 53RD ST.	None	OAKLAND	CA	94609	1809	00	06000	37.8380933	-122.2688598	Alameda County
334259	Ordering, Referring, Prescribing	N/A	1467740498	0	0	NAGAPETYAN, PAYTSAR LMFT	11/29/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	102431	N/A	N/A	N/A	N/A	N/A	1540 E COLORADO ST	None	GLENDALE	CA	91205	1514	00	06000	34.1427285	-118.230039	Los Angeles County
334274	Ordering, Referring, Prescribing	N/A	1467775908	0	0	NISHII, EMI K NP	1/21/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	15882	N/A	N/A	N/A	N/A	N/A	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
334297	Ordering, Referring, Prescribing	N/A	1467811307	0	0	NGO, KHOA D PHARMD	3/29/2022	Taxonomy not applicable	NA	n/a	000	Unknown	74295	N/A	N/A	N/A	N/A	N/A	2700 PARK AVE	None	TUSTIN	CA	92782	2708	00	06000	33.69923603	-117.821646	Orange County
334363	Ordering, Referring, Prescribing	N/A	1467893792	0	0	NGUYEN, NINA BICH THY T PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	67250	N/A	N/A	N/A	N/A	N/A	9902 SINTRA WAY	None	ELK GROVE	CA	95757	6403	00	06000	38.398194	-121.386204	Sacramento County
334367	Ordering, Referring, Prescribing	N/A	1467898627	0	0	NARVAEZ, JENILLE M MD	7/18/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A132069	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL STE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
334388	Ordering, Referring, Prescribing	N/A	1467935734	0	0	NAVARRO, MELISSA LMFT	11/27/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	151639	N/A	N/A	N/A	N/A	N/A	2008 N GAREY AVE	None	POMONA	CA	91767	2722	00	06000	34.08295003	-117.7528173	Los Angeles County
334415	Ordering, Referring, Prescribing	N/A	1467968065	0	0	NGO, GEOFFREY	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	75957	N/A	N/A	N/A	N/A	N/A	670 N LAKE AVE	None	PASADENA	CA	91101	1220	00	06000	34.15746153	-118.1324264	Los Angeles County
334435	Ordering, Referring, Prescribing	N/A	1467996561	0	0	NWANA, ELENA K LMFT	10/26/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT150917	N/A	N/A	N/A	N/A	N/A	232 E GISH RD	None	SAN JOSE	CA	95112	4706	00	06000	37.36411044	-121.9052075	Santa Clara County
334440	Ordering, Referring, Prescribing	N/A	1477012474	0	0	NETTLES, CARRIE PA-C	3/4/2019	Taxonomy not applicable	NA	n/a	000	Unknown	PA56635	N/A	N/A	N/A	N/A	N/A	12100 VALLEY BLVD	SUITE 109A	EL MONTE	CA	91732	3161	00	06000	34.06130355	-118.0164048	Los Angeles County
334500	Ordering, Referring, Prescribing	N/A	1477102671	0	0	NOELTE, BRIE E PA	3/8/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA60334	N/A	N/A	N/A	N/A	N/A	1316 3RD STREET PROMENAD	None	SANTA MONICA	CA	90401	1328	00	06000	34.01670895	-118.497462	Los Angeles County
334502	Ordering, Referring, Prescribing	N/A	1477125292	0	0	NORD, GABRIELLE PA	6/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61252	N/A	N/A	N/A	N/A	N/A	605 CROUCH ST	BLDG C	OCEANSIDE	CA	92054	4415	00	06000	33.19619156	-117.3537219	San Diego County
334523	Ordering, Referring, Prescribing	N/A	1477171304	0	0	NELSON, KIRA	11/21/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT143027	N/A	N/A	N/A	N/A	N/A	1420 S MILLIKEN AVE	508	ONTARIO	CA	91761	2336	00	06000	34.047684	-117.55872	San Bernardino County
334540	Ordering, Referring, Prescribing	N/A	1477196632	0	0	NUBLA, RAYMOND OT	4/15/2024	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	20240	N/A	N/A	N/A	N/A	N/A	98 BOSWORTH ST	None	SAN FRANCISCO	CA	94112	1002	00	06000	37.73359632	-122.4275342	San Francisco County
334611	Ordering, Referring, Prescribing	N/A	1477613339	0	0	NGO, CHAU M MD	11/23/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G72718	N/A	N/A	N/A	N/A	N/A	362 THIRD STREET	None	LAGUNA BEACH	CA	92651	2307	00	06000	33.54392197	-117.780894	Orange County
334613	Ordering, Referring, Prescribing	N/A	1477615052	0	0	NGO, KIMMY PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54882	N/A	N/A	N/A	N/A	N/A	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	0000	00	06000	33.904782	-117.469323	Riverside County
334660	Ordering, Referring, Prescribing	N/A	1477700615	0	0	NORYKO, JESSICA LMFT	4/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	117416	N/A	N/A	N/A	N/A	N/A	2000 ALAMEDA DE LAS PULG	SUITE 200	SAN MATEO	CA	94403	9991	00	06000	37.54524373	-122.3205511	San Mateo County
334665	Ordering, Referring, Prescribing	N/A	1477720688	0	0	NGUYEN, CECILY T	5/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	23412	N/A	N/A	N/A	N/A	N/A	2203 TULLY RD	None	SAN JOSE	CA	95122	1348	00	06000	37.32710576	-121.819102	Santa Clara County
334714	Ordering, Referring, Prescribing	N/A	1477817161	0	0	NGUYEN, JENNI T PHARMD	10/23/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55984	N/A	N/A	N/A	N/A	N/A	70 W HEDDING ST	None	SAN JOSE	CA	95110	1705	00	06000	37.35249294	-121.9050815	Santa Clara County
334738	Ordering, Referring, Prescribing	N/A	1477847127	0	0	NAH, DAVID DO	4/23/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A20968	N/A	N/A	N/A	N/A	N/A	25431 CABOT RD	None	LAGUNA HILLS	CA	92653	5518	00	06000	33.59115448	-117.6744575	Orange County
334795	Ordering, Referring, Prescribing	N/A	1477949519	0	0	NGUYEN, XUAN-LOC V MD DO	5/5/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A18834	N/A	N/A	N/A	N/A	N/A	1035 PLACER STREET	None	REDDING	CA	96001	4245	00	06000	40.58349378	-122.3853903	Shasta County
334799	Ordering, Referring, Prescribing	N/A	1477955581	0	0	NAGLER, ASHLEY PT	6/30/2019	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT41505	N/A	N/A	N/A	N/A	N/A	1901 N RICE AVE	SUITE 170-180	OXNARD	CA	93030	7912	00	06000	34.21960355	-119.1421345	Ventura County
334871	Ordering, Referring, Prescribing	N/A	1487053591	0	0	NGATI, MARIA	8/11/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95006762	N/A	N/A	N/A	N/A	N/A	2286 S GAREY AVE	None	POMONA	CA	91766	5645	00	06000	34.03005163	-117.7490076	Los Angeles County
334873	Ordering, Referring, Prescribing	N/A	1487055398	0	0	NGUYEN, THERESA H LCSW	1/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW81665	N/A	N/A	N/A	N/A	N/A	10230 ARTESIA BLVD	#310	BELLFLOWER	CA	90706	6763	00	06000	33.8728276	-118.1160403	Los Angeles County
334937	Ordering, Referring, Prescribing	N/A	1487146023	0	0	NGUYEN, MY D LCSW	10/17/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	126803	N/A	N/A	N/A	N/A	N/A	7065 INDIANA AVE	SUITE 110	RIVERSIDE	CA	92506	4167	00	06000	33.94000037	-117.3961722	Riverside County
334954	Ordering, Referring, Prescribing	N/A	1487165114	0	0	NGO-MEZA, LISA LMFT	7/25/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT148348	N/A	N/A	N/A	N/A	N/A	9101 WHITTIER BLVD.	None	PICO RIVERA	CA	90660	2405	00	06000	34.00074139	-118.0822944	Los Angeles County
334957	Ordering, Referring, Prescribing	N/A	1487168456	0	0	NWOSU, ONYEBUCHI NP	3/13/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95006598	N/A	N/A	N/A	N/A	N/A	808 W 58TH ST	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
334964	Ordering, Referring, Prescribing	N/A	1487185583	0	0	NGUYEN, JOSEPHINE B MD	7/18/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157172	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
334971	Ordering, Referring, Prescribing	N/A	1487188959	0	0	NGUYEN, KAYLIN T MD	7/25/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A159768	N/A	N/A	N/A	N/A	N/A	14445 OLIVE VIEW DR	None	SYLMAR	CA	91342	1437	00	06000	34.32450186	-118.4456317	Los Angeles County
334996	Ordering, Referring, Prescribing	N/A	1487234803	0	0	NAIK, SHEENALI NP	4/6/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017098	N/A	N/A	N/A	N/A	N/A	4555 PRECISSI LN	None	STOCKTON	CA	95207	6239	00	06000	37.98919284	-121.3152121	San Joaquin County
335010	Ordering, Referring, Prescribing	N/A	1487264404	0	0	NAMIRANIAN, ARASH OD	9/13/2022	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	OPT35301	N/A	N/A	N/A	N/A	N/A	65 S HOCKETT ST	None	PORTERVILLE	CA	93257	4728	00	06000	36.06415362	-119.0171608	Tulare County
335021	Ordering, Referring, Prescribing	N/A	1487282455	0	0	NGUYEN, NIKKI MD	4/22/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A177336	N/A	N/A	N/A	N/A	N/A	3800 W CHAPMAN AVE	500	ORANGE	CA	92868	1638	00	06000	33.78885849	-117.8950802	Orange County
335046	Ordering, Referring, Prescribing	N/A	1487352803	0	0	NUNEZ, KATIE M NP	2/15/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024294	N/A	N/A	N/A	N/A	N/A	625 34TH ST	100 & 200	BAKERSFIELD	CA	93301	2305	00	06000	35.39046051	-119.0092725	Kern County
335048	Ordering, Referring, Prescribing	N/A	1487357885	0	0	NGUYEN, HELEN PA	2/27/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62422	N/A	N/A	N/A	N/A	N/A	1964 VIA CENTRE DRIVE	None	VISTA	CA	92081	6056	00	06000	33.18400138	-117.283827	San Diego County
335049	Ordering, Referring, Prescribing	N/A	1487355491	0	0	NGO, TALIA W PHARMD	4/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	77452	N/A	N/A	N/A	N/A	N/A	1625 SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
335062	Ordering, Referring, Prescribing	N/A	1487416913	0	0	NGUYEN, TUOC B	1/11/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95028673	N/A	N/A	N/A	N/A	N/A	2132 ART PL	None	WEST COVINA	CA	91792	2001	00	06000	34.0209411	-117.9015	Los Angeles County
335126	Ordering, Referring, Prescribing	N/A	1487774485	0	0	NOU, CHANLY P LCSW	9/9/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCS22230	N/A	N/A	N/A	N/A	N/A	1904 RICHLAND AVE	C-2	CERES	CA	95307	4562	00	06000	37.60031128	-120.9658226	Stanislaus County
335146	Ordering, Referring, Prescribing	N/A	1487794160	0	0	NOVIK, OLGA	2/11/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A131158	N/A	N/A	N/A	N/A	N/A	769 W BLAINE ST	None	RIVERSIDE	CA	92507	3970	00	06000	33.98300646	-117.327555	Riverside County
335158	Ordering, Referring, Prescribing	N/A	1487807814	0	0	NICHOLS, AMY J MD	11/30/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C152643	N/A	N/A	N/A	N/A	N/A	2145 5TH AVE.	None	OROVILLE	CA	95965	5870	00	06000	39.50368243	-121.5646958	Butte County
335180	Ordering, Referring, Prescribing	N/A	1487882742	0	0	NAWROCKI, KSENIA MD	7/1/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A123879	N/A	N/A	N/A	N/A	N/A	855 3RD AVENUE	SUITE 1110	CHULA VISTA	CA	91911	1350	00	06000	32.62197574	-117.0723222	San Diego County
335196	Ordering, Referring, Prescribing	N/A	1487923165	0	0	NGUYEN, GRACE PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH58404	N/A	N/A	N/A	N/A	N/A	111 W WASHINGTON AVE	None	ESCONDIDO	CA	92025	2629	00	06000	33.1266858	-117.0846994	San Diego County
335199	Ordering, Referring, Prescribing	N/A	1487921284	0	0	NGUYEN, MINH CHAU V PHARMD	5/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH57527	N/A	N/A	N/A	N/A	N/A	11741 VALLEY VIEW ST.	L	CYPRESS	CA	90630	5500	00	06000	33.79210447	-118.0287769	Orange County
335215	Ordering, Referring, Prescribing	N/A	1487947420	0	0	NATANYAN, TATEVIK LMFT	3/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	92234	N/A	N/A	N/A	N/A	N/A	679 S. NEW HAMPSHIRE AVE	400	LOS ANGELES	CA	90005	1355	00	06000	34.06107902	-118.2929191	Los Angeles County
335221	Ordering, Referring, Prescribing	N/A	1487960027	0	0	NGUYEN, NHI T LCSW	9/4/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	69401	N/A	N/A	N/A	N/A	N/A	160 E VIRGINIA ST	None	SAN JOSE	CA	95112	5857	00	06000	37.32582868	-121.8777868	Santa Clara County
335238	Ordering, Referring, Prescribing	N/A	1487991162	0	0	NJENGA, JENNIFER	6/15/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	21807	N/A	N/A	N/A	N/A	N/A	916 W BURBANK BLVD	M	BURBANK	CA	91506	1400	00	06000	34.18397121	-118.3225966	Los Angeles County
335242	Ordering, Referring, Prescribing	N/A	1497002042	0	0	NORDEEN, AMY M LCSW	2/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	78801	N/A	N/A	N/A	N/A	N/A	4283 EL CAJON BLVD	115	SAN DIEGO	CA	92105	1289	00	06000	32.7550405	-117.102186	San Diego County
335265	Ordering, Referring, Prescribing	N/A	1497031991	0	0	NGUYEN, THAO-DUYEN PHARMD	8/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH56414	N/A	N/A	N/A	N/A	N/A	342 W. CALAVERAS BLVD	None	MILPITAS	CA	95035	1389	00	06000	37.426839	-121.9117873	Santa Clara County
335279	Ordering, Referring, Prescribing	N/A	1497038038	0	0	NICOLAS, CATHERINE S PHARMD	10/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	47136	N/A	N/A	N/A	N/A	N/A	210 AMERICAN CANYON RD	None	AMERICAN CANYON	CA	94503	3004	00	06000	38.16545742	-122.2517389	Napa County
335322	Ordering, Referring, Prescribing	N/A	1497119028	0	0	NAJIARANI, HEDIYEH PHARMD	10/21/2022	Taxonomy not applicable	NA	n/a	000	Unknown	87151	N/A	N/A	N/A	N/A	N/A	2341 S WINCHESTER BLVD	None	SANTA CLARA	CA	95008	3940	00	06000	37.28042426	-121.9498672	Santa Clara
335329	Ordering, Referring, Prescribing	N/A	1497137285	0	0	NG, ELAYNA M MD	12/28/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A146714	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL STE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
335393	Ordering, Referring, Prescribing	N/A	1497233076	0	0	NOLL, ROBERT T DDS	5/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	102970	N/A	N/A	N/A	N/A	N/A	4815 WATT AVE	None	NORTH HIGHLANDS	CA	95660	5108	00	06000	38.653245	-121.3836075	Sacramento County
335421	Ordering, Referring, Prescribing	N/A	1497279129	0	0	NAVARRO, MADONNA M LMFT	3/2/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124660	N/A	N/A	N/A	N/A	N/A	1850 SAN BENITO ST	None	HOLLISTER	CA	95023	4899	00	06000	36.83239256	-121.4017251	San Benito County
335517	Ordering, Referring, Prescribing	N/A	1497497358	0	0	NOVOKMET, EMILY C LCSW	10/23/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW118767	N/A	N/A	N/A	N/A	N/A	323 N PRAIRIE AVE	None	INGLEWOOD	CA	90301	4501	00	06000	33.966333	-118.3439975	Los Angeles County
335539	Ordering, Referring, Prescribing	N/A	1497808208	0	0	NGUYEN, ANDRIAN L OD	3/8/2017	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	13115	N/A	N/A	N/A	N/A	N/A	9200 BOLSA AVE	STE 119A	WESTMINSTER	CA	92683	5577	00	06000	33.74474049	-117.9686809	Orange County
335572	Ordering, Referring, Prescribing	N/A	1497884860	0	0	NGO-AGARD, ALEXUS L LMFT	1/20/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	115625	N/A	N/A	N/A	N/A	N/A	2829 WATT AVE	200	SACRAMENTO	CA	95821	6200	00	06000	38.615247	-121.383558	Sacramento County
335588	Ordering, Referring, Prescribing	N/A	1497897698	0	0	NGUYEN, AN T DDS	12/5/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	D43645	N/A	N/A	N/A	N/A	N/A	7450 CLAIREMONT MESA BLV	201	SAN DIEGO	CA	92111	1556	00	06000	32.83273952	-117.1579185	San Diego County
335620	Ordering, Referring, Prescribing	N/A	1497984777	0	0	NGUYEN, UYEN M OD	1/4/2018	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	13747TLG	N/A	N/A	N/A	N/A	N/A	865 B ST	None	HAYWARD	CA	94541	5107	00	06000	37.67179004	-122.084486	Alameda County
335691	Ordering, Referring, Prescribing	N/A	1508148461	0	0	NGUYEN, PHUONG PHARMD	8/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58699	N/A	N/A	N/A	N/A	N/A	19501 BEACH BLVD	None	HUNTINGTON BEACH	CA	92648	2902	00	06000	33.6789	-117.988766	Orange County
335723	Ordering, Referring, Prescribing	N/A	1508188657	0	0	NAVARRO, MARIA PAZ N	1/31/2014	Taxonomy not applicable	NA	n/a	000	Unknown	PA20839	N/A	N/A	N/A	N/A	N/A	1866 B STREET	None	HAYWARD	CA	94541	3139	00	06000	37.68271803	-122.0657206	Alameda County
335736	Ordering, Referring, Prescribing	N/A	1508217852	0	0	NAGRA, DALVINDER K PHARMD	11/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74361	N/A	N/A	N/A	N/A	N/A	1444 SHATTUCK AVE	None	BERKELEY	CA	94709	1411	00	06000	37.88096281	-122.2695609	Alameda County
335787	Ordering, Referring, Prescribing	N/A	1508291998	0	0	NGUYEN, TRANG T PHARMD	7/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	69408	N/A	N/A	N/A	N/A	N/A	5609 PACIFIC ST	None	ROCKLIN	CA	95677	0000	00	06000	38.78428405	-121.2405548	Placer County
335794	Ordering, Referring, Prescribing	N/A	1508314535	0	0	NGUYEN, KHOA D PHARMD	5/2/2022	Taxonomy not applicable	NA	n/a	000	Unknown	74860	N/A	N/A	N/A	N/A	N/A	2345 FENTON PKWY	None	SAN DIEGO	CA	92108	4743	00	06000	32.782482	-117.1285875	San Diego County
335818	Ordering, Referring, Prescribing	N/A	1508347097	0	0	NGUYEN, HOANGOANH ANNA T PSYD	5/25/2022	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY33373	N/A	N/A	N/A	N/A	N/A	411 PARK AVE	None	SAN JOSE	CA	95110	2615	00	06000	37.32852256	-121.8970569	Santa Clara County
335832	Ordering, Referring, Prescribing	N/A	1508358359	0	0	NETROW, ASHLEY L NP	1/31/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95010831	N/A	N/A	N/A	N/A	N/A	200 S WELLS RD	100	VENTURA	CA	93004	1378	00	06000	34.29321532	-119.1597424	Ventura County
335861	Ordering, Referring, Prescribing	N/A	1508426529	0	0	NADIMI, FATIMAH S LCSW	4/13/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW122032	N/A	N/A	N/A	N/A	N/A	1750 5TH AVE	None	SAN DIEGO	CA	92101	2754	00	06000	32.72358991	-117.1602657	San Diego County
335900	Ordering, Referring, Prescribing	N/A	1508516444	0	0	NOONAN, CLARK LMFT	2/1/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT144749	N/A	N/A	N/A	N/A	N/A	1401 21ST ST #5801	STE A4	SACRAMENTO	CA	95811	5226	00	06000	38.571696	-121.480398	Sacramento County
335930	Ordering, Referring, Prescribing	N/A	1508553587	0	0	NWOKOCHAEBOKA, SMART N NP	4/19/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95024890	N/A	N/A	N/A	N/A	N/A	4211 S AVALON BL	None	LOS ANGELES	CA	90011	9001	00	06000	34.007238	-118.2653065	Los Angeles County
335970	Ordering, Referring, Prescribing	N/A	1508897158	0	0	NGUYEN, HOA MD	10/25/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A42598	N/A	N/A	N/A	N/A	N/A	15651 E IMPERIAL HWY	STE 102B	LA MIRADA	CA	90638	1600	00	06000	33.91736136	-117.9972197	Los Angeles County
336014	Ordering, Referring, Prescribing	N/A	1508999301	0	0	NOURIZADEH, MAHZADEH	9/15/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	16158	N/A	N/A	N/A	N/A	N/A	700 S TUSTIN ST	None	ORANGE	CA	92866	3425	00	06000	33.77685748	-117.8357804	Orange County
336138	Ordering, Referring, Prescribing	N/A	1518241314	0	0	NGUYEN, TAM M PHARMD	7/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55442	N/A	N/A	N/A	N/A	N/A	8975 N CHESTNUT AVE	None	FRESNO	CA	93720	5366	00	06000	36.86609164	-119.7388753	Fresno County
336210	Ordering, Referring, Prescribing	N/A	1518367580	0	0	NGUYEN, TUAN L	4/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	57868	N/A	N/A	N/A	N/A	N/A	27972 CABOT RD	None	LAGUNA NIGUEL	CA	92677	1211	00	06000	33.55499737	-117.6785648	Orange County
336221	Ordering, Referring, Prescribing	N/A	1518379171	0	0	NGUYEN, NANCY T MD	7/18/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A138197	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL STE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
336240	Ordering, Referring, Prescribing	N/A	1518408335	0	0	NGUYEN, JENNIFER N NP	1/7/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95006291	N/A	N/A	N/A	N/A	N/A	11277 GARDEN GROVE BLVD	100	GARDEN GROVE	CA	92843	1340	00	06000	33.77432916	-117.9360905	Orange County
336252	Ordering, Referring, Prescribing	N/A	1518426584	0	0	NARLA, AKHILA MD	5/4/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A178360	N/A	N/A	N/A	N/A	N/A	30257 SAN MARTINEZ RD	None	CASTAIC	CA	91384	2472	00	06000	34.44738769	-118.6644399	Los Angeles County
336256	Ordering, Referring, Prescribing	N/A	1518430628	0	0	NADALIN, SEAN M PA-C	4/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	PA58321	N/A	N/A	N/A	N/A	N/A	3002 RENNER DR	None	FORTUNA	CA	95540	0000	00	06000	40.58257979	-124.1335714	Humboldt County
336275	Ordering, Referring, Prescribing	N/A	1518464486	0	0	NNADOZIE, UGOCHI F NP	8/5/2023	Taxonomy not applicable	NA	n/a	000	Unknown	95008962	N/A	N/A	N/A	N/A	N/A	808 W 58TH ST	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
336296	Ordering, Referring, Prescribing	N/A	1518512995	0	0	NUESA, MELISSA PHARMD	3/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78908	N/A	N/A	N/A	N/A	N/A	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	00	06000	33.904782	-117.469323	Riverside County
336298	Ordering, Referring, Prescribing	N/A	1518518026	0	0	NTEKIM, ISABEL LCSW	8/19/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	125340	N/A	N/A	N/A	N/A	N/A	1105 E FLORIDA AVE	None	HEMET	CA	92543	4512	00	06000	33.74750951	-116.960463	Riverside County
336312	Ordering, Referring, Prescribing	N/A	1518555192	0	0	NEUBURG, LUCAS CNP	2/9/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014317	N/A	N/A	N/A	N/A	N/A	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	00	06000	36.88437894	-119.8003484	Madera County
336319	Ordering, Referring, Prescribing	N/A	1518572007	0	0	NGUYEN, THANH L NP	12/27/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014872	N/A	N/A	N/A	N/A	N/A	2835 W. VALLEY BLVD.	None	ALHAMBRA	CA	91803	1818	00	06000	34.07675279	-118.1547227	Los Angeles County
336340	Ordering, Referring, Prescribing	N/A	1518625995	0	0	NEGLEY, MARAH L	12/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60526	N/A	N/A	N/A	N/A	N/A	1062 S K ST	None	TULARE	CA	93274	6422	00	06000	36.19548226	-119.3433058	Tulare County
336410	Ordering, Referring, Prescribing	N/A	1528128881	0	0	NGUYEN, LE-THU D PHARMD	3/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55875	N/A	N/A	N/A	N/A	N/A	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	00	06000	38.38851772	-121.9382798	Solano County
336589	Ordering, Referring, Prescribing	N/A	1528463767	0	0	NAGY, ADRIANA S PHARMD	4/13/2022	Taxonomy not applicable	NA	n/a	000	Unknown	62216	N/A	N/A	N/A	N/A	N/A	801 TIOGA AVE	None	SEASIDE	CA	93955	3050	00	06000	36.61641241	-121.845767	Monterey County
336595	Ordering, Referring, Prescribing	N/A	1528465408	0	0	NUNES BRIONES, SHELLI A LCSW	1/18/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	20447	N/A	N/A	N/A	N/A	N/A	2760 3RD STREET	None	CERES	CA	95307	3220	00	06000	37.591929	-120.9545125	Stanislaus County
336632	Ordering, Referring, Prescribing	N/A	1528542834	0	0	NUNEZ-GONZALEZ, YESSENIA R LCSW	4/26/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW107803	N/A	N/A	N/A	N/A	N/A	2151 COLLEGE AVE	None	BAKERSFIELD	CA	93305	4113	00	06000	35.3830369	-118.9680991	Kern County
336697	Ordering, Referring, Prescribing	N/A	1528649480	0	0	NOWAKOWSKI, JILLIAN	3/11/2022	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	SP33201	N/A	N/A	N/A	N/A	N/A	215 W MISSION ST	None	SANTA BARBARA	CA	93101	2820	00	06000	34.42816282	-119.7173341	Santa Barbara County
336716	Ordering, Referring, Prescribing	N/A	1528692217	0	0	NJOKU, HELEN N	3/10/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95013264	N/A	N/A	N/A	N/A	N/A	3834 S WESTERN AVE	None	LOS ANGELES	CA	90062	1104	00	06000	34.016157	-118.3088825	Los Angeles County
336753	Ordering, Referring, Prescribing	N/A	1528846011	0	0	NAVARRO, JOSE PHARMD	9/15/2023	Taxonomy not applicable	NA	n/a	000	Unknown	88574	N/A	N/A	N/A	N/A	N/A	1099 E HOSPITALITY LN	None	SAN BERNARDINO	CA	92408	2813	00	06000	34.06887134	-117.2625206	San Bernardino County
336973	Ordering, Referring, Prescribing	N/A	1538544630	0	0	NGUYEN, ANDREW T	9/7/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D64879	N/A	N/A	N/A	N/A	N/A	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	00	06000	32.55831005	-117.0475102	San Diego County
336986	Ordering, Referring, Prescribing	N/A	1538558291	0	0	NISHIDA, DANIELLE M PHD	6/11/2021	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	32671	N/A	N/A	N/A	N/A	N/A	1750 S LEWIS RD	None	CAMARILLO	CA	93010	8520	00	06000	34.186607	-119.0369561	Ventura County
336994	Ordering, Referring, Prescribing	N/A	1538568035	0	0	NOHRA, LORENZO PHARMD	8/21/2022	Taxonomy not applicable	NA	n/a	000	Unknown	59360	N/A	N/A	N/A	N/A	N/A	78271 HIGHWAY 111	None	LA QUINTA	CA	92253	2063	00	06000	33.71605286	-116.2981434	Riverside County
337055	Ordering, Referring, Prescribing	N/A	1538671086	0	0	NGUYEN, NATHALIE T PHARMD	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77737	N/A	N/A	N/A	N/A	N/A	10992 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3045	00	06000	33.90464034	-117.4738995	Riverside County
337088	Ordering, Referring, Prescribing	N/A	1538731104	0	0	NG, SHIRLEY PHARMD	4/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82528	N/A	N/A	N/A	N/A	N/A	3701 BROADWAY	3RD FLOOR	OAKLAND	CA	94611	5613	00	06000	37.82533768	-122.258094	Alameda County
337095	Ordering, Referring, Prescribing	N/A	1538733373	0	0	NOWLEN, ALYSSA	5/31/2023	Taxonomy not applicable	NA	n/a	000	Unknown	108036	N/A	N/A	N/A	N/A	N/A	767 N HILL ST	315	LOS ANGELES	CA	90012	2343	00	06000	34.06255157	-118.2397077	Los Angeles County
337128	Ordering, Referring, Prescribing	N/A	1538864061	0	0	NARTE, GERALINE NP	11/15/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023340	N/A	N/A	N/A	N/A	N/A	1211 W LA PALMA AVE	410	ANAHEIM	CA	92801	2815	00	06000	33.84718298	-117.933758	Orange County
337161	Ordering, Referring, Prescribing	N/A	1548038417	0	0	NELSON, NICOLE J NP	2/5/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028974	N/A	N/A	N/A	N/A	N/A	2680 SATURN AVE	None	HUNTINGTON PARK	CA	90255	4377	00	06000	33.9768845	-118.222884	Los Angeles County
337166	Ordering, Referring, Prescribing	N/A	1548042823	0	0	NZEOGU, MOSES NP	6/13/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025594	N/A	N/A	N/A	N/A	N/A	730 N I ST	SUITE 104	MADERA	CA	93637	3077	00	06000	36.96528452	-120.0693616	Madera County
337173	Ordering, Referring, Prescribing	N/A	1548207343	0	0	NEOMAN, AYMAN I MD	10/10/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A69221	N/A	N/A	N/A	N/A	N/A	701 E. 28TH STREET	SUITE 301	LONG BEACH	CA	90806	2777	00	06000	33.80803441	-118.1847137	Los Angeles County
337208	Ordering, Referring, Prescribing	N/A	1548332513	0	0	NGUYEN, SON H MD	3/1/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G63695	N/A	N/A	N/A	N/A	N/A	1873 COMMERCENTER W	None	SAN BERNARDINO	CA	92408	3303	00	06000	34.067781	-117.286122	San Bernardino County
337211	Ordering, Referring, Prescribing	N/A	1548346083	0	0	NEWCOMBE, JENNIFER B CNP	12/26/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	15400	N/A	N/A	N/A	N/A	N/A	8112 MILLIKEN AVE	201	RANCHO CUCAMONGA	CA	91730	7471	00	06000	34.10480366	-117.5570863	San Bernardino County
337287	Ordering, Referring, Prescribing	N/A	1548523491	0	0	NGUYEN, ANGIE H PHARMD	10/2/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53428	N/A	N/A	N/A	N/A	N/A	2400 MOORPARK AVENUE	101	SAN JOSE	CA	95128	2631	00	06000	37.3160785	-121.937121	Santa Clara County
337295	Ordering, Referring, Prescribing	N/A	1548537442	0	0	NGUYEN, CHRISTOPHER T	7/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH56737	N/A	N/A	N/A	N/A	N/A	12001 EUCLID ST	None	GARDEN GROVE	CA	92840	3332	00	06000	33.78758768	-117.941271	Orange County
337304	Ordering, Referring, Prescribing	N/A	1548545577	0	0	NUNO, WENDY LMFT	11/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	117134	N/A	N/A	N/A	N/A	N/A	180 E 35TH ST	None	LOS ANGELES	CA	90011	2315	00	06000	34.01660341	-118.270417	Los Angeles County
337342	Ordering, Referring, Prescribing	N/A	1548629769	0	0	NAVARRO, JENNIFER LCSW	12/2/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW92003	N/A	N/A	N/A	N/A	N/A	1301 PINE AVE	None	LONG BEACH	CA	90813	3124	00	06000	33.782913	-118.192417	Los Angeles County
337343	Ordering, Referring, Prescribing	N/A	1548633258	0	0	NGUYEN, EMILY PHARMD	11/12/2020	Taxonomy not applicable	NA	n/a	000	Unknown	58315	N/A	N/A	N/A	N/A	N/A	1000 VALE TERRACE DRIVE	None	VISTA	CA	92084	5218	00	06000	33.20904502	-117.2286439	San Diego County
337351	Ordering, Referring, Prescribing	N/A	1548638208	0	0	NOVOA, MICHELLE	9/29/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	106564	N/A	N/A	N/A	N/A	N/A	400 W 30TH ST	None	LOS ANGELES	CA	90007	3320	00	06000	34.0239409	-118.2755606	Los Angeles County
337367	Ordering, Referring, Prescribing	N/A	1548663255	0	0	NGO, LONG T PHARMD	11/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	71723	N/A	N/A	N/A	N/A	N/A	117 MORRISEY BLVD	None	SANTA CRUZ	CA	95060	2352	00	06000	36.98190559	-122.0068046	Santa Cruz County
337395	Ordering, Referring, Prescribing	N/A	1548723844	0	0	NGUYEN, NGOC T PHARMD	3/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55050	N/A	N/A	N/A	N/A	N/A	5795 N FIRST STREET	None	FRESNO	CA	93710	6203	00	06000	36.82267128	-119.7724044	Fresno County
337418	Ordering, Referring, Prescribing	N/A	1548750532	0	0	NGUYEN, TU N MD	11/2/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164822	N/A	N/A	N/A	N/A	N/A	8405 BEVERLY BLVD, LOS A	None	LOS ANGELES	CA	90048	3401	00	06000	34.07607952	-118.373418	Los Angeles County
337450	Ordering, Referring, Prescribing	N/A	1548801251	0	0	NGUYEN, THEODORE P PHARMD	7/27/2020	Taxonomy not applicable	NA	n/a	000	Unknown	78679	N/A	N/A	N/A	N/A	N/A	510 S VERMONT AVE	None	LOS ANGELES	CA	90020	1992	00	06000	34.065	-118.291631	Los Angeles County
337458	Ordering, Referring, Prescribing	N/A	1548825102	0	0	NORIEGA, STEVEN	3/2/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A176666	N/A	N/A	N/A	N/A	N/A	2 W FERN AVE	None	REDLANDS	CA	92373	5916	00	06000	34.05016907	-117.1793443	San Bernardino County
337465	Ordering, Referring, Prescribing	N/A	1548844897	0	0	NWOKAFOR, UGOCHI MD	9/12/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A188708	N/A	N/A	N/A	N/A	N/A	3701 J STREET	SUITE 201	SACRAMENTO	CA	95816	5542	00	06000	38.571237	-121.4566245	Sacramento County
337479	Ordering, Referring, Prescribing	N/A	1548898430	0	0	NGO, GIANG NGOC N PHARMD	9/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81792	N/A	N/A	N/A	N/A	N/A	12110 INDUSTRY BLVD.	None	JACKSON	CA	95642	9373	00	06000	38.36981229	-120.8002806	Amador County
337485	Ordering, Referring, Prescribing	N/A	1548908791	0	0	NAJAC, COLEEN K LPCC	8/25/2024	Taxonomy not applicable	NA	n/a	000	Unknown	LPCC17252	N/A	N/A	N/A	N/A	N/A	17695 INDUSTRIAL FARM RD	None	BAKERSFIELD	CA	93308	9520	00	06000	35.510481	-119.1086895	Kern County
337534	Ordering, Referring, Prescribing	N/A	1558116376	0	0	NGUYEN, JULIE D PHARMD	7/30/2023	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53314	N/A	N/A	N/A	N/A	N/A	3020 SATURN ST	SUITE 100	BREA	CA	92821	6262	00	06000	33.9089406	-117.857311	Orange County
337536	Ordering, Referring, Prescribing	N/A	1558087569	0	0	NGUYEN, MINH Q PHARMD	10/7/2022	Taxonomy not applicable	NA	n/a	000	Unknown	87064	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	None	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
337541	Ordering, Referring, Prescribing	N/A	1558131235	0	0	NG, STEPHANIE A	8/24/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95026867	N/A	N/A	N/A	N/A	N/A	3131 ALUM ROCK AVE	None	SAN JOSE	CA	95127	2902	00	06000	37.36639819	-121.8272112	Santa Clara County
337570	Ordering, Referring, Prescribing	N/A	1558410068	0	0	NAN, SAPHAY LCSW	3/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	76840	N/A	N/A	N/A	N/A	N/A	4510 EAST PCH HWY #600	None	LONG BEACH	CA	90804	6914	00	06000	33.78815204	-118.1400821	Los Angeles County
337576	Ordering, Referring, Prescribing	N/A	1558412155	0	0	NESBITT, KEITH LMFT	9/14/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	45872	N/A	N/A	N/A	N/A	N/A	801 S GRAND AVENUE	STE 475	LOS ANGELES	CA	90017	4622	00	06000	34.04532806	-118.258462	Los Angeles County
337616	Ordering, Referring, Prescribing	N/A	1558524389	0	0	NGUYEN, THANH D PHARMD	4/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	63646	N/A	N/A	N/A	N/A	N/A	2021 SWANSEA CT	None	SAN JOSE	CA	95132	2060	00	06000	37.41601583	-121.8552282	Santa Clara County
337634	Ordering, Referring, Prescribing	N/A	1558577692	0	0	NEGRIN-RAPAPORT, CHERYL A NP	6/24/2015	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	365048	N/A	N/A	N/A	N/A	N/A	3317 CHANATE ROAD	SUITE 2C	SANTA ROSA	CA	95404	1737	00	06000	38.470896	-122.708889	Sonoma County
337636	Ordering, Referring, Prescribing	N/A	1558579755	0	0	NORMAN, ROBERT M MD	5/16/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C162599	N/A	N/A	N/A	N/A	N/A	11980 MOUNT VERNON AVE.	None	GRAND TERRACE	CA	92313	5172	00	06000	34.036353	-117.3136565	San Bernardino County
337650	Ordering, Referring, Prescribing	N/A	1558611855	0	0	NOSTROME, MICHAEL LMFT	3/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	49926	N/A	N/A	N/A	N/A	N/A	2801 BRISTOL ST	SUITE 200	COSTA MESA	CA	92626	5996	00	06000	33.67474907	-117.889122	Orange County
337668	Ordering, Referring, Prescribing	N/A	1558638577	0	0	NGUYEN, LINDA PHARD	7/12/2017	Taxonomy not applicable	NA	n/a	000	Unknown	63231	N/A	N/A	N/A	N/A	N/A	1625 SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
337675	Ordering, Referring, Prescribing	N/A	1558646679	0	0	NAANOS, LILY L PHARMD	10/16/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH64523	N/A	N/A	N/A	N/A	N/A	3550 FRUITVALE AVE	None	OAKLAND	CA	94602	2327	00	06000	37.80135941	-122.2157258	Alameda County
337702	Ordering, Referring, Prescribing	N/A	1558698399	0	0	NIEDENS, JULIE L	12/5/2013	Taxonomy not applicable	NA	n/a	000	Unknown	00PA20451	N/A	N/A	N/A	N/A	N/A	1685 E MISSION STREET	SUITE 301	EL CAJON	CA	92020	5292	00	06000	0	0	None
337716	Ordering, Referring, Prescribing	N/A	1558717124	0	0	NORRIS, CRISTINE PHARMD	3/25/2018	Taxonomy not applicable	NA	n/a	000	Unknown	71509	N/A	N/A	N/A	N/A	N/A	775 S TUCKER RD	None	TEHACHAPI	CA	93561	2502	00	06000	35.125704	-118.4678675	Kern County
337724	Ordering, Referring, Prescribing	N/A	1558726059	0	0	NASRY, RAMEZ PHARMD	3/22/2018	Taxonomy not applicable	NA	n/a	000	Unknown	72940	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	MS SEC2-B	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
337896	Ordering, Referring, Prescribing	N/A	1568071744	0	0	NGUYEN, ANALIA L PHARMD	3/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82669	N/A	N/A	N/A	N/A	N/A	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	00	06000	32.79293009	-117.0952438	San Diego County
337920	Ordering, Referring, Prescribing	N/A	1568139574	0	0	NGUYEN, CHRISTINA PHARMD	10/13/2022	Taxonomy not applicable	NA	n/a	000	Unknown	84896	N/A	N/A	N/A	N/A	N/A	1663 BRANHAM LN	None	SAN JOSE	CA	95118	2200	00	06000	37.25190008	-121.9076357	Santa Clara County
337930	Ordering, Referring, Prescribing	N/A	1568164366	0	0	NGUYEN, DEBBIE VY K NP	8/2/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95022107	N/A	N/A	N/A	N/A	N/A	200 PORTER DR	200	OAKLAND	CA	94583	1587	00	06000	37.77372204	-121.9911155	Contra Costa County
337933	Ordering, Referring, Prescribing	N/A	1568185015	0	0	NGUYEN, KAYLA	9/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86773	N/A	N/A	N/A	N/A	N/A	1200 DISCOVERY DR	None	BAKERSFIELD	CA	93309	7032	00	06000	35.36397746	-119.0589062	Kern County
338000	Ordering, Referring, Prescribing	N/A	1568542397	0	0	NGUYEN, PHU M PHARMD	3/31/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54269	N/A	N/A	N/A	N/A	N/A	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	00	06000	38.470392	-121.4223975	Sacramento County
338059	Ordering, Referring, Prescribing	N/A	1568701613	0	0	NGUYEN, TRAM PHARMD	11/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	68444	N/A	N/A	N/A	N/A	N/A	1280 W FOOTHILL BLVD	None	RIALTO	CA	92376	0100	00	06000	34.10675648	-117.3958515	San Bernardino County
338073	Ordering, Referring, Prescribing	N/A	1568718757	0	0	NELSON, BRYAN PSYD	7/18/2023	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	28848	N/A	N/A	N/A	N/A	N/A	1801 VICENTE ST	None	SAN FRANCISCO	CA	94116	2923	00	06000	37.7388459	-122.4861544	San Francisco County
338079	Ordering, Referring, Prescribing	N/A	1568730117	0	0	NGUYEN, DON H	7/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56960	N/A	N/A	N/A	N/A	N/A	12574 LIMONITE AVE	None	EASTVALE	CA	91752	3684	00	06000	33.97513715	-117.5575964	Riverside County
338081	Ordering, Referring, Prescribing	N/A	1568727105	0	0	NAVARRO, HILDA LCSW	2/2/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW107600	N/A	N/A	N/A	N/A	N/A	732 MOTT ST	150	SAN FERNANDO	CA	91340	4243	00	06000	34.27661761	-118.4442372	Los Angeles County
338094	Ordering, Referring, Prescribing	N/A	1568745990	0	0	NGUYEN, THUY M PHARMD	7/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	43683	N/A	N/A	N/A	N/A	N/A	216 WESTLAKE CENTER	None	DALY CITY	CA	94015	3527	00	06000	37.70123591	-122.4833751	San Mateo County
338096	Ordering, Referring, Prescribing	N/A	1568747434	0	0	NGUYEN, HUY PHARMD	7/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48599	N/A	N/A	N/A	N/A	N/A	3201 W 6TH ST	None	LOS ANGELES	CA	90020	5001	00	06000	34.0636545	-118.2922515	Los Angeles County
338179	Ordering, Referring, Prescribing	N/A	1568864361	0	0	NGUYEN, CHLOE H PHARMD	3/28/2022	Taxonomy not applicable	NA	n/a	000	Unknown	71265	N/A	N/A	N/A	N/A	N/A	2640 LOMITA BLVD	None	TORRANCE	CA	90505	5214	00	06000	33.80800785	-118.332844	Los Angeles County
338189	Ordering, Referring, Prescribing	N/A	1568870962	0	0	NOURI, SARA LMFT	12/15/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	113595	N/A	N/A	N/A	N/A	N/A	1433 S ROBERTSON BLVD	None	LOS ANGELES	CA	90035	3414	00	06000	34.05373818	-118.3839685	Los Angeles County
338259	Ordering, Referring, Prescribing	N/A	1568990463	0	0	NAJAND, HUSNA MD	5/23/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A159275	N/A	N/A	N/A	N/A	N/A	2600 REDONDO AVE	3RD FL	LONG BEACH	CA	90806	2325	00	06000	33.806097	-118.151378	Los Angeles County
338290	Ordering, Referring, Prescribing	N/A	1578041083	0	0	NEWBERRY, LISA LCSW	11/17/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	105615	N/A	N/A	N/A	N/A	N/A	2201 MISSION AVE	None	OCEANSIDE	CA	92058	2313	00	06000	33.20742226	-117.3612486	San Diego County
338291	Ordering, Referring, Prescribing	N/A	1578040135	0	0	NGO, TRACY M DMD	9/24/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	102710	N/A	N/A	N/A	N/A	N/A	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
338298	Ordering, Referring, Prescribing	N/A	1578049342	0	0	NAVARRO, ALEX J LMFT	4/28/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125785	N/A	N/A	N/A	N/A	N/A	12810 HEACOCK ST	B202	MORENO VALLEY	CA	92553	2873	00	06000	33.934851	-117.2437635	Riverside County
338314	Ordering, Referring, Prescribing	N/A	1578079349	0	0	NGUYEN, PHUONG T PHARMD	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH77583	N/A	N/A	N/A	N/A	N/A	16173 HARBOR BLVD	None	FOUNTAIN VALLEY	CA	92708	1305	00	06000	33.7284389	-117.9200265	Orange County
338318	Ordering, Referring, Prescribing	N/A	1578080156	0	0	NARSI, KATRINA LMFT	3/14/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT121640	N/A	N/A	N/A	N/A	N/A	2855 GEER RD	None	TURLOCK	CA	95382	1133	00	06000	37.518318	-120.8489985	Stanislaus County
338352	Ordering, Referring, Prescribing	N/A	1578130639	0	0	NUNEZ, JANETH R	11/28/2023	Taxonomy not applicable	NA	n/a	000	Unknown	143174	N/A	N/A	N/A	N/A	N/A	695 S VERMONT AVE	None	LOS ANGELES	CA	90005	1101	00	06000	34.06078495	-118.2916863	Los Angeles County
338395	Ordering, Referring, Prescribing	N/A	1578263760	0	0	NAVARRETE CELESTINO, MISHEL	1/23/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA62228	N/A	N/A	N/A	N/A	N/A	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	00	06000	33.14066871	-117.156095	San Diego County
338424	Ordering, Referring, Prescribing	N/A	1578515375	0	0	NGUYEN, DAU V MD	2/2/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A67773	N/A	N/A	N/A	N/A	N/A	2940 INLAND EMPIRE BLVD	None	ONTARIO	CA	91764	4898	00	06000	34.069788	-117.5884605	San Bernardino County
338491	Ordering, Referring, Prescribing	N/A	1578699385	0	0	NAVANI, ANNU H MD	5/4/2020	Taxonomy not applicable	NA	n/a	000	Unknown	A77246	N/A	N/A	N/A	N/A	N/A	3425 S. BASCOM AVE.	SUITE 200	CAMPBELL	CA	95008	7300	00	06000	37.26303856	-121.943919	Santa Clara County
338572	Ordering, Referring, Prescribing	N/A	1578841078	0	0	NAVARRO, GUADALUPE LCSW	12/31/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	86540	N/A	N/A	N/A	N/A	N/A	1301 PINE AVE	None	LONG BEACH	CA	90813	3124	00	06000	33.782913	-118.192417	Los Angeles County
338580	Ordering, Referring, Prescribing	N/A	1578847117	0	0	NGUYEN, ANNA T PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64725	N/A	N/A	N/A	N/A	N/A	2424 N BLACKSTONE AVE	None	FRESNO	CA	93703	1747	00	06000	36.77291128	-119.7903965	Fresno County
338609	Ordering, Referring, Prescribing	N/A	1578887220	0	0	NGUYEN, THIVAN T LMFT	6/11/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT77470	N/A	N/A	N/A	N/A	N/A	1889 LAWRENCE RD	None	SANTA CLARA	CA	95051	0397	00	06000	37.35761102	-121.9947195	Santa Clara County
338624	Ordering, Referring, Prescribing	N/A	1578909495	0	0	NGUYEN, MICHAEL J PHARMD	4/22/2022	Taxonomy not applicable	NA	n/a	000	Unknown	57947	N/A	N/A	N/A	N/A	N/A	1051 HUME WAY	None	VACAVILLE	CA	95687	5558	00	06000	38.35007337	-121.9807606	Solano County
338632	Ordering, Referring, Prescribing	N/A	1578917803	0	0	NGUYEN, THERESA T	6/19/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	100716	N/A	N/A	N/A	N/A	N/A	1101 N CHERRY ST	None	TULARE	CA	93274	2231	00	06000	36.22333808	-119.337575	Tulare County
338647	Ordering, Referring, Prescribing	N/A	1578926622	0	0	NGUYEN, TUYET MD	4/20/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A151316	N/A	N/A	N/A	N/A	N/A	1127 WILSHIRE BLVD STE 6	None	LOS ANGELES	CA	90017	3907	00	06000	34.05270508	-118.2641005	Los Angeles County
338652	Ordering, Referring, Prescribing	N/A	1578930863	0	0	NEWPORT, AMELIA LMFT	2/21/2025	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT153403	N/A	N/A	N/A	N/A	N/A	1950 ALAMEDA DE LAS PULG	None	SAN MATEO	CA	94403	1222	00	06000	37.545779	-122.3213093	San Mateo County
338733	Ordering, Referring, Prescribing	N/A	1588044390	0	0	NGUYEN, CHRISTY PHARMD	3/20/2021	Taxonomy not applicable	NA	n/a	000	Unknown	61123	N/A	N/A	N/A	N/A	N/A	12475 RANCHO BERNARDO RD	None	SAN DIEGO	CA	92128	2143	00	06000	33.0185611	-117.0619766	San Diego County
338765	Ordering, Referring, Prescribing	N/A	1588068944	0	0	NUNEZ, MONICA LCSW	8/5/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	96002	N/A	N/A	N/A	N/A	N/A	5256 MISSION BLVD	None	RIVERSIDE	CA	92509	4624	00	06000	33.99261717	-117.3987262	Riverside County
338779	Ordering, Referring, Prescribing	N/A	1588093538	0	0	NAGAMI, CINDY	12/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	70002	N/A	N/A	N/A	N/A	N/A	1051 W BURBANK BLVD	None	BURBANK	CA	91506	1421	00	06000	34.186032	-118.324359	Los Angeles County
338795	Ordering, Referring, Prescribing	N/A	1588104517	0	0	NGO, DUNG M PHARMD	7/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74350	N/A	N/A	N/A	N/A	N/A	22930 S WESTERN	None	TORRNACE	CA	90501	0000	00	06000	33.81746045	-118.3087871	Los Angeles County
338803	Ordering, Referring, Prescribing	N/A	1588118210	0	0	NGUYEN, LIN PHARMD	10/2/2022	Taxonomy not applicable	NA	n/a	000	Unknown	71133	N/A	N/A	N/A	N/A	N/A	33961 DOHENY PARK RD	None	SAN JUAN CAPISTRA	CA	92675	4835	00	06000	33.469758	-117.6781095	Orange County
338911	Ordering, Referring, Prescribing	N/A	1588415293	0	0	NELSON, KRISTIN	8/13/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101830	N/A	N/A	N/A	N/A	N/A	21400 BEDFORD DR.	None	HAYWARD	CA	94546	6802	00	06000	37.68760558	-122.0869478	Alameda County
339043	Ordering, Referring, Prescribing	N/A	1588926182	0	0	NGUYEN, TAMMY PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66401	N/A	N/A	N/A	N/A	N/A	17284 SLOVER AVE	203	FONTANA	CA	92337	7584	00	06000	34.065396	-117.4277475	San Bernardino County
339062	Ordering, Referring, Prescribing	N/A	1588946446	0	0	NGUYEN, THANH P PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55243	N/A	N/A	N/A	N/A	N/A	1760 STORY ROAD	None	SAN JOSE	CA	95122	0000	00	06000	37.34121313	-121.8410221	Santa Clara County
339071	Ordering, Referring, Prescribing	N/A	1588952931	0	0	NGUYEN, NGOC-DIEP PHARMD	4/3/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61557	N/A	N/A	N/A	N/A	N/A	1000 N RENGSTORFF AVE	None	MOUNTAIN VIEW	CA	94043	1716	00	06000	37.42125982	-122.0936833	Santa Clara County
339127	Ordering, Referring, Prescribing	N/A	1598031791	0	0	NG, KEVIN PHARMD	3/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66558	N/A	N/A	N/A	N/A	N/A	1650 LOS GAMOS DR	None	SAN RAFAEL	CA	94903	1850	00	06000	38.02105246	-122.5420674	Marin County
339183	Ordering, Referring, Prescribing	N/A	1598127227	0	0	NGUYEN, FLANG MD	7/25/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A150581	N/A	N/A	N/A	N/A	N/A	2425 GEARY BLVD	M160	SAN FRANCISCO	CA	94115	3358	00	06000	37.78272203	-122.4433297	San Francisco County
339191	Ordering, Referring, Prescribing	N/A	1598129249	0	0	NIELSEN, KATHERINE MD	8/9/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A150744	N/A	N/A	N/A	N/A	N/A	25965 S NORMANDIE AVE	None	HARBOR CITY	CA	90710	1111	00	06000	33.78690131	-118.2975558	Los Angeles County
339198	Ordering, Referring, Prescribing	N/A	1598134777	0	0	NGUYEN, DICK D PHARMD	3/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73568	N/A	N/A	N/A	N/A	N/A	5172 DEL SOL CIR	None	LA PALMA	CA	90623	2210	00	06000	33.84146607	-118.0428407	Orange County
339247	Ordering, Referring, Prescribing	N/A	1598206518	0	0	NGUYEN, PHUONGANH PHARMD	8/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH71431	N/A	N/A	N/A	N/A	N/A	1186 CALIMESA BLVD	CALIFORNIA	CALIMESA	CA	92320	1509	00	06000	33.99496056	-117.0579751	Riverside County
339248	Ordering, Referring, Prescribing	N/A	1598205809	0	0	NGUYEN, DEAN T PHARMD	8/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH73583	N/A	N/A	N/A	N/A	N/A	10990 WARNER AVE	STE. A	FOUNTAIN VALLEY	CA	92708	3849	00	06000	33.7162557	-117.9373439	Orange County
339285	Ordering, Referring, Prescribing	N/A	1598291148	0	0	NITCHMAN, JOANNE LMFT	3/27/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT111720	N/A	N/A	N/A	N/A	N/A	1074 EAST AVE	STE A4	CHICO	CA	95926	1005	00	06000	39.76099443	-121.8353929	Butte County
339296	Ordering, Referring, Prescribing	N/A	1598311961	0	0	NGUYEN, NGOC THACH L	10/14/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	104040	N/A	N/A	N/A	N/A	N/A	1920 MEMORIAL DR	None	CERES	CA	95307	1827	00	06000	37.600146	-120.961042	Stanislaus County
339344	Ordering, Referring, Prescribing	N/A	1598392680	0	0	NWABUO, ADAOBI MD MPH	8/17/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	188904	N/A	N/A	N/A	N/A	N/A	2130 STOCKTON BLVD	#300	SACRAMENTO	CA	95817	1337	00	06000	38.557593	-121.4616735	Sacramento County
339357	Ordering, Referring, Prescribing	N/A	1598446858	0	0	NOCERA, THOMAS NP	7/6/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025834	N/A	N/A	N/A	N/A	N/A	751 LOMBARDI CT	None	SANTA ROSA	CA	95407	6798	00	06000	38.427804	-122.7493035	Sonoma County
339389	Ordering, Referring, Prescribing	N/A	1598743049	0	0	NEUFELD, KATHERINE H CCC-SLP	8/5/2023	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	23121	N/A	N/A	N/A	N/A	N/A	511 S ORCHARD AVE	None	UKIAH	CA	95482	5022	00	06000	39.14729048	-123.1987868	Mendocino County
339463	Ordering, Referring, Prescribing	N/A	1598950735	0	0	NAKAMURA, JENNIFER M	3/31/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	79613	N/A	N/A	N/A	N/A	N/A	1290 COMMODORE DR	None	SAN BRUNO	CA	94066	2304	00	06000	37.63134914	-122.4260472	San Mateo County
339608	Ordering, Referring, Prescribing	N/A	1609229814	0	0	NGUYEN, HUONG NP	9/16/2016	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	762505	N/A	N/A	N/A	N/A	N/A	5068 WHITTIER BLVD	None	LOS ANGELES	CA	90022	3128	00	06000	34.02101146	-118.1603463	Los Angeles County
339644	Ordering, Referring, Prescribing	N/A	1609296177	0	0	NGUYEN, VY T	1/25/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A140578	N/A	N/A	N/A	N/A	N/A	14140 BEACH BLVD	STE 223	WESTMINSTER	CA	92683	4453	00	06000	33.756966	-117.9894915	Orange County
339649	Ordering, Referring, Prescribing	N/A	1609299510	0	0	NAGEL, SANDRA	6/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	CA53065	N/A	N/A	N/A	N/A	N/A	39140 WINCHESTER RD	None	MURRIETA	CA	92563	3500	00	06000	33.55141943	-117.1405548	Riverside County
339658	Ordering, Referring, Prescribing	N/A	1609304344	0	0	NUNEZ, GLORIA N LMFT	5/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	115885	N/A	N/A	N/A	N/A	N/A	4500 E PACIFIC COAST HWY	SUITE 100	LONG BEACH	CA	90804	3275	00	06000	33.78808863	-118.1399827	Los Angeles County
339708	Ordering, Referring, Prescribing	N/A	1609391804	0	0	NIAYESH, NEGIN Z PHARMD	8/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH80137	N/A	N/A	N/A	N/A	N/A	12001 EUCLID ST	None	GARDEN GROVE	CA	92840	3332	00	06000	33.78758768	-117.941271	Orange County
339711	Ordering, Referring, Prescribing	N/A	1609395649	0	0	NGUYEN, JENNIFER M-U NP	2/20/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	527127	N/A	N/A	N/A	N/A	N/A	5205 MELROSE AVE	None	LOS ANGELES	CA	90038	3144	00	06000	34.08354051	-118.314009	Los Angeles County
339712	Ordering, Referring, Prescribing	N/A	1609374958	0	0	NADJEM, LAILY Z LMFT	8/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121081	N/A	N/A	N/A	N/A	N/A	2828 FORD ST	None	OAKLAND	CA	94601	2114	00	06000	37.77357837	-122.2352589	Alameda County
339718	Ordering, Referring, Prescribing	N/A	1609404003	0	0	NAIDU, RADIKA R PHARMD	8/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79738	N/A	N/A	N/A	N/A	N/A	4520 BALFOUR RD	None	BRENTWOOD	CA	94513	1529	00	06000	37.92552452	-121.6954215	Contra Costa County
339723	Ordering, Referring, Prescribing	N/A	1609413707	0	0	NGUYEN, DEWEY A PHARMD	4/1/2022	Taxonomy not applicable	NA	n/a	000	Unknown	81504	N/A	N/A	N/A	N/A	N/A	11000 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92843	1206	00	06000	33.772446	-117.9407475	Orange County
339731	Ordering, Referring, Prescribing	N/A	1609425941	0	0	NARANJO, KARISA PHARMD	3/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80772	N/A	N/A	N/A	N/A	N/A	615 WEST AVENUE L	None	LANCASTER	CA	93534	0000	00	06000	34.6603515	-118.1419695	Los Angeles County
339813	Ordering, Referring, Prescribing	N/A	1609903400	0	0	NGUYEN, CUONG T MD DO	5/25/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C51209	N/A	N/A	N/A	N/A	N/A	2203 TULLY RD	None	SAN JOSE	CA	95122	1348	00	06000	37.32710576	-121.819102	Santa Clara County
339827	Ordering, Referring, Prescribing	N/A	1609921667	0	0	NIKSCH, JASON MD	1/18/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A74019	N/A	N/A	N/A	N/A	N/A	1950 ALAMEDA DE LAS PULG	None	SAN MATEO	CA	94403	1222	00	06000	37.545779	-122.3213093	San Mateo County
339830	Ordering, Referring, Prescribing	N/A	1609927722	0	0	NGUYEN, THUY-ANH DO	8/8/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A7243	N/A	N/A	N/A	N/A	N/A	9862 CHAPMAN AVE	B	GARDEN GROVE	CA	92841	2726	00	06000	33.78849558	-117.9607338	Orange County
339835	Ordering, Referring, Prescribing	N/A	1609938588	0	0	NG, CANDACE S PHARMD	3/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54070	N/A	N/A	N/A	N/A	N/A	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	00	06000	32.79293009	-117.0952438	San Diego County
339842	Ordering, Referring, Prescribing	N/A	1609936558	0	0	NASS, MITCHELL M OD	5/16/2023	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	35433	N/A	N/A	N/A	N/A	N/A	2280 E CARSON ST.	None	LONG BEACH	CA	90807	3044	00	06000	33.83241248	-118.164456	Los Angeles County
339909	Ordering, Referring, Prescribing	N/A	1619066735	0	0	NGUYEN, KIMLIEN T PHARMD	2/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57306	N/A	N/A	N/A	N/A	N/A	1600 EUREKA RD	BUILDING C, FLOOR 2	ROSEVILLE	CA	95661	3027	00	06000	38.746836	-121.250529	Placer County
339914	Ordering, Referring, Prescribing	N/A	1619091022	0	0	NGUYEN, MINHTUAN H	6/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	29472	N/A	N/A	N/A	N/A	N/A	1887 MONTEREY HWY	205	SAN JOSE	CA	95112	6192	00	06000	37.30869336	-121.8664126	Santa Clara County
339937	Ordering, Referring, Prescribing	N/A	1619137478	0	0	NAZAR, LINA	11/3/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	17154	N/A	N/A	N/A	N/A	N/A	8480 ENTERPRISE WAY	None	OAKLAND	CA	94621	1318	00	06000	37.74207882	-122.1925503	Alameda County
340005	Ordering, Referring, Prescribing	N/A	1619252327	0	0	NGUYEN, ANGIE N PHARMD	7/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH62161	N/A	N/A	N/A	N/A	N/A	4810 E KINGS CANYON RD	None	FRESNO	CA	93727	3809	00	06000	36.73584348	-119.735658	Fresno County
340014	Ordering, Referring, Prescribing	N/A	1619271012	0	0	NGUYEN, DIEP N PHARMD	3/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59483	N/A	N/A	N/A	N/A	N/A	1550 GATEWAY BLVD	None	FAIRFIELD	CA	94533	6901	00	06000	38.2629133	-122.0560176	Solano County
340022	Ordering, Referring, Prescribing	N/A	1619284502	0	0	NUNEZ MARISCAL, CRISTINA M LCSW	6/8/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	70208	N/A	N/A	N/A	N/A	N/A	333 S BEAUDRY AVE	None	LOS ANGELES	CA	90017	1466	00	06000	34.05611213	-118.2570905	Los Angeles County
340048	Ordering, Referring, Prescribing	N/A	1619343928	0	0	NGUYEN, CHAU PHARMD	3/27/2018	Taxonomy not applicable	NA	n/a	000	Unknown	72955	N/A	N/A	N/A	N/A	N/A	3901 PORTOLA PKWY	None	IRVINE	CA	92602	0833	00	06000	33.73347357	-117.7615894	Orange County
340055	Ordering, Referring, Prescribing	N/A	1619344868	0	0	NGUYEN, THUY D CNP	3/30/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95002869	N/A	N/A	N/A	N/A	N/A	2505 E DIVISADERO ST	None	FRESNO	CA	93721	1401	00	06000	36.74334929	-119.7809344	Fresno County
340056	Ordering, Referring, Prescribing	N/A	1619349669	0	0	NAKATA, GARRET PHARMD	3/25/2022	Taxonomy not applicable	NA	n/a	000	Unknown	72643	N/A	N/A	N/A	N/A	N/A	2400 MONUMENT BLVD	None	CONCORD	CA	94520	3105	00	06000	37.957662	-122.0323545	Contra Costa County
340077	Ordering, Referring, Prescribing	N/A	1619375243	0	0	NGUYEN, HOANG QUYNH D	3/22/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D63510	N/A	N/A	N/A	N/A	N/A	799 FRONT STREET	None	SOLEDAD	CA	93960	3017	00	06000	36.42508319	-121.3263137	Monterey County
340096	Ordering, Referring, Prescribing	N/A	1619392065	0	0	NGO, HAO T PHARMD	9/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH67813	N/A	N/A	N/A	N/A	N/A	2020 W CLEVELAND AVE	None	MADERA	CA	93637	8759	00	06000	36.97450854	-120.0811275	Madera County
340152	Ordering, Referring, Prescribing	N/A	1619503042	0	0	NGUYEN, ANNE MERIELLE E NP	2/20/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014018	N/A	N/A	N/A	N/A	N/A	1450 E HOLT AVENUE	None	POMONA	CA	91767	5822	00	06000	34.06299829	-117.7215562	Los Angeles County
340164	Ordering, Referring, Prescribing	N/A	1619517794	0	0	NANEZ, DIANE L LMFT	4/23/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	146523	N/A	N/A	N/A	N/A	N/A	520 E. TULARE AVENUE	None	VISALIA	CA	93292	3629	00	06000	36.320679	-119.2870845	Tulare County
340175	Ordering, Referring, Prescribing	N/A	1619532546	0	0	NELSON, SHAUNA A NP	3/14/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95011412	N/A	N/A	N/A	N/A	N/A	1704 W MANCHESTER AVE	109	LOS ANGELES	CA	90047	3056	00	06000	33.9599425	-118.307079	Los Angeles County
340225	Ordering, Referring, Prescribing	N/A	1619713302	0	0	NGUYEN, RICHARD	7/2/2024	Taxonomy not applicable	NA	n/a	000	Unknown	DDS110272	N/A	N/A	N/A	N/A	N/A	40910 FREMONT BLVD	None	FREMONT	CA	94538	4375	00	06000	37.53384106	-121.9607241	Alameda County
340227	Ordering, Referring, Prescribing	N/A	1619719515	0	0	NUNEZ, ANDREW CNP	6/11/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95030466	N/A	N/A	N/A	N/A	N/A	565 N. THOMPSON RD.	None	TIPTON	CA	93272	9756	00	06000	36.06373491	-119.3121874	Tulare County
340313	Ordering, Referring, Prescribing	N/A	1629146592	0	0	NAIK, DORIS LMFT	5/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	116021	N/A	N/A	N/A	N/A	N/A	1 SOUTH VA NESS AVE, 8TH	None	SAN FRANCISCO	CA	94103	0002	00	06000	37.77480332	-122.4191534	San Francisco County
340322	Ordering, Referring, Prescribing	N/A	1629204813	0	0	NITCHIE, JUDITH A LMFT	7/31/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	36770	N/A	N/A	N/A	N/A	N/A	1372 5TH AVENUE	APT. 3	SAN FRANCISCO	CA	94122	2681	00	06000	37.76291919	-122.4619204	San Francisco County
340409	Ordering, Referring, Prescribing	N/A	1629369806	0	0	NGO, JERRY	5/31/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A123823	N/A	N/A	N/A	N/A	N/A	7200 BANCROFT AVENUE	125A	OAKLAND	CA	94605	2407	00	06000	37.768221	-122.17608	Alameda County
340455	Ordering, Referring, Prescribing	N/A	1629455043	0	0	NGUYEN, TRAM PHARMD	2/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74069	N/A	N/A	N/A	N/A	N/A	3800 DALE RD	None	MODESTO	CA	95356	8627	00	06000	37.69395556	-121.0499498	Stanislaus County
340466	Ordering, Referring, Prescribing	N/A	1629467279	0	0	NEISWENDER, LOREN NP	4/1/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95003904	N/A	N/A	N/A	N/A	N/A	560 S ST LOUIS STREET	None	LOS ANGELES	CA	90033	4320	00	06000	34.03924138	-118.2172475	Los Angeles County
340497	Ordering, Referring, Prescribing	N/A	1629527023	0	0	NAZARENO, ARBERT A NP	3/28/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	706476	N/A	N/A	N/A	N/A	N/A	5524 ASSEMBLY CT	STE 200	SACRAMENTO	CA	95823	2625	00	06000	38.493306	-121.4392995	Sacramento County
340511	Ordering, Referring, Prescribing	N/A	1629556147	0	0	NEWMAN, JOSEPH D PHARMD	6/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	77959	N/A	N/A	N/A	N/A	N/A	6310 COLLEGE AVE	None	OAKLAND	CA	94618	1111	00	06000	37.85071196	-122.2523909	Alameda County
340512	Ordering, Referring, Prescribing	N/A	1629550454	0	0	NOGUE, SOPHIA NP	3/5/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007547	N/A	N/A	N/A	N/A	N/A	2970 HILLTOP MALL RD	307	RICHMOND	CA	94806	5274	00	06000	37.97819764	-122.329244	Contra Costa County
340540	Ordering, Referring, Prescribing	N/A	1629590021	0	0	NADEEM, SHAHZEB	7/27/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A169488	N/A	N/A	N/A	N/A	N/A	263 S WEST ST	None	TULARE	CA	93274	3411	00	06000	36.20460711	-119.3668926	Tulare County
340545	Ordering, Referring, Prescribing	N/A	1629594619	0	0	NGUY, LINDA M PHARMD	1/10/2020	Taxonomy not applicable	NA	n/a	000	Unknown	81892	N/A	N/A	N/A	N/A	N/A	2300 16TH ST	UNIT 203	SAN FRANCISCO	CA	94103	4805	00	06000	37.76569327	-122.4091306	San Francisco County
340550	Ordering, Referring, Prescribing	N/A	1629605506	0	0	NUNEZ, ANA Y	4/9/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95014256	N/A	N/A	N/A	N/A	N/A	1919 W 7TH STREET	SECOND FLOOR	LOS ANGELES	CA	90057	0001	00	06000	34.05575686	-118.2751751	Los Angeles County
340553	Ordering, Referring, Prescribing	N/A	1629604574	0	0	NWOSU, IKENNA N MD	3/24/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A182751	N/A	N/A	N/A	N/A	N/A	2740 S ELM AVE	None	FRESNO	CA	93706	5435	00	06000	36.70101129	-119.7908643	Fresno County
340554	Ordering, Referring, Prescribing	N/A	1629609433	0	0	NAUER, ANDREW LMFT	10/26/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	135510	N/A	N/A	N/A	N/A	N/A	2750 SUTTERVILLE RD	None	SACRAMENTO	CA	95820	1024	00	06000	38.540124	-121.4786745	Sacramento County
340616	Ordering, Referring, Prescribing	N/A	1629688940	0	0	NOLA, TRISHA M PHARMD	10/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH82412	N/A	N/A	N/A	N/A	N/A	101 THE CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
340621	Ordering, Referring, Prescribing	N/A	1629725403	0	0	NGUYEN, DANIEL PHARMD	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65841	N/A	N/A	N/A	N/A	N/A	15550 BROOKHURST ST	None	WESTMINSTER	CA	92683	7570	00	06000	33.73703794	-117.9547365	Orange County
340639	Ordering, Referring, Prescribing	N/A	1629893375	0	0	NGO, TORI V PHARMD	11/18/2024	Taxonomy not applicable	NA	n/a	000	Unknown	89367	N/A	N/A	N/A	N/A	N/A	431 N TUSTIN AVE STE C	None	SANTA ANA	CA	92705	3821	00	06000	33.74883544	-117.8340691	Orange County
340698	Ordering, Referring, Prescribing	N/A	1639292154	0	0	NGUYEN, RYAN T LCSW	5/27/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW19647	N/A	N/A	N/A	N/A	N/A	729 FILBERT ST	None	SAN FRANCISCO	CA	94133	2760	00	06000	37.80103613	-122.4119083	San Francisco County
340701	Ordering, Referring, Prescribing	N/A	1639306863	0	0	NAY, MICHAEL R MD	9/8/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C166591	N/A	N/A	N/A	N/A	N/A	2145 5TH AVE	None	OROVILLE	CA	95965	5870	00	06000	39.50368243	-121.5646958	Butte County
340704	Ordering, Referring, Prescribing	N/A	1639312614	0	0	NGUYEN, DOROTHY PSYD	8/11/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY26625	N/A	N/A	N/A	N/A	N/A	13193 CENTRAL AVE	SUITE 100	CHINO	CA	91710	4179	00	06000	34.01406506	-117.6891684	San Bernardino County
340712	Ordering, Referring, Prescribing	N/A	1639341837	0	0	NEJAD-DUONG, GOLNAZ PSYD	4/27/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY29673	N/A	N/A	N/A	N/A	N/A	3301 E. 12TH STREET	SUITE 259	OAKLAND	CA	94601	2940	00	06000	37.77617499	-122.2247899	Alameda County
340719	Ordering, Referring, Prescribing	N/A	1639353766	0	0	NGUYEN, DUC T MD	6/30/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A101981	N/A	N/A	N/A	N/A	N/A	6762 LEXINGTON AVE	SUITE A	PASADENA	CA	90038	1217	00	06000	34.09253848	-118.3378635	Los Angeles County
340773	Ordering, Referring, Prescribing	N/A	1639452030	0	0	NGUYEN, PHUONG-TRINH T PHARMD	8/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54189	N/A	N/A	N/A	N/A	N/A	3400 TELEGRAPH AVE	None	OAKLAND	CA	94609	3004	00	06000	37.82281397	-122.2661233	Alameda County
340776	Ordering, Referring, Prescribing	N/A	1639453392	0	0	NGUYEN, TRINI T PHARMD	6/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65494	N/A	N/A	N/A	N/A	N/A	10212 WESTMINSTER AVE	SUITE 109	GARDEN GROVE	CA	92843	4800	00	06000	33.75947657	-117.9513797	Orange County
340792	Ordering, Referring, Prescribing	N/A	1639485816	0	0	NGUYEN, KHOI M	4/12/2022	Taxonomy not applicable	NA	n/a	000	Unknown	47991	N/A	N/A	N/A	N/A	N/A	1755 HACIENDA DR	None	VISTA	CA	92081	4546	00	06000	33.18744941	-117.2759225	San Diego County
340798	Ordering, Referring, Prescribing	N/A	1639486533	0	0	NG, LIT	3/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	35349	N/A	N/A	N/A	N/A	N/A	1339 N DAVIS RD	None	SALINAS	CA	93907	1988	00	06000	36.70358481	-121.6669768	Monterey County
340811	Ordering, Referring, Prescribing	N/A	1639512049	0	0	NALL, SUNSHINE S LMFT	5/13/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	92767	N/A	N/A	N/A	N/A	N/A	2280 N VALENTINE AVE	None	FRESNO	CA	93722	5553	00	06000	36.76966023	-119.8532997	Fresno County
340831	Ordering, Referring, Prescribing	N/A	1639539166	0	0	NELSON, DAYNA A LMFT	10/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122444	N/A	N/A	N/A	N/A	N/A	1701 OCEAN AVE	None	SAN FRANCISCO	CA	94112	1737	00	06000	37.72476918	-122.4604495	San Francisco County
340845	Ordering, Referring, Prescribing	N/A	1639552250	0	0	NGUYEN, HUY D PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH72632	N/A	N/A	N/A	N/A	N/A	1333 CASTRO ST	None	SAN FRANCISCO	CA	94114	3620	00	06000	37.75083113	-122.4339936	San Francisco County
340897	Ordering, Referring, Prescribing	N/A	1639627359	0	0	NGUYEN, ANDREW M PHARMD	9/3/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH74986	N/A	N/A	N/A	N/A	N/A	11080 W OLYMPIC BLVD	None	LOS ANGELES	CA	90064	1937	00	06000	34.04036814	-118.4376056	Los Angeles County
340946	Ordering, Referring, Prescribing	N/A	1639697048	0	0	NORTHEY, NEIL E LCSW	5/28/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	106722	N/A	N/A	N/A	N/A	N/A	343 DELA VINA AVE	None	MONTEREY	CA	93940	3974	00	06000	36.59998026	-121.8628714	Monterey County
340975	Ordering, Referring, Prescribing	N/A	1639767361	0	0	NGUYEN, MICHELLE P PHARMD	8/20/2021	Taxonomy not applicable	NA	n/a	000	Unknown	83934	N/A	N/A	N/A	N/A	N/A	5961 LA PALMA AVE	None	LA PALMA	CA	90623	2134	00	06000	33.84649747	-118.029168	Orange County
340985	Ordering, Referring, Prescribing	N/A	1639796873	0	0	NIAKAMAL, EVAN PA-C	4/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58707	N/A	N/A	N/A	N/A	N/A	425 N DATE ST	None	ESCONDIDO	CA	92025	3413	00	06000	33.1292461	-117.0716509	San Diego County
340987	Ordering, Referring, Prescribing	N/A	1639799760	0	0	NASONGKLA, CHATRATHIP DO	4/23/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A22076	N/A	N/A	N/A	N/A	N/A	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	00	06000	32.55831005	-117.0475102	San Diego County
341006	Ordering, Referring, Prescribing	N/A	1639848211	0	0	NAVA, ROSANA LCSW	12/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	70127	N/A	N/A	N/A	N/A	N/A	661 W. FIRST ST.	STE. G	TUSTIN	CA	92780	2939	00	06000	33.74578153	-117.831231	Orange County
341036	Ordering, Referring, Prescribing	N/A	1649049750	0	0	NIPA, UMME K	12/28/2023	Taxonomy not applicable	NA	n/a	000	Unknown	109781	N/A	N/A	N/A	N/A	N/A	7215 55TH ST	B	SACRAMENTO	CA	95823	2659	00	06000	38.495196	-121.440681	Sacramento County
341145	Ordering, Referring, Prescribing	N/A	1649479809	0	0	NGUYEN, ELIZABETH MD	3/4/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A101212	N/A	N/A	N/A	N/A	N/A	3840 ROSIN CT	SUITE 100	SACRAMENTO	CA	95834	1639	00	06000	38.637567	-121.473306	Sacramento County
341154	Ordering, Referring, Prescribing	N/A	1649491036	0	0	NGUYEN, FRANCIENNE T PHARMD	7/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH51995	N/A	N/A	N/A	N/A	N/A	6012 WARNER AVE	None	HUNTINGTON BEACH	CA	92647	5568	00	06000	33.71536944	-118.023518	Orange County
341160	Ordering, Referring, Prescribing	N/A	1649506130	0	0	NOQUEZ, ALICE E	12/23/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	9115	N/A	N/A	N/A	N/A	N/A	11432 GRASSY TRAIL DR	None	SAN DIEGO	CA	92127	2339	00	06000	33.00191248	-117.0846571	San Diego County
341187	Ordering, Referring, Prescribing	N/A	1649555954	0	0	NGAI, MARY PHARMD	8/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	49563	N/A	N/A	N/A	N/A	N/A	200 W PORTAL AVE	None	SAN FRANCISCO	CA	94127	1423	00	06000	37.73876619	-122.4681748	San Francisco County
341246	Ordering, Referring, Prescribing	N/A	1649638925	0	0	NAKOSKI, CYNTHIA M PSYD	7/8/2018	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY29187	N/A	N/A	N/A	N/A	N/A	250 SOUTH G STREET	None	SAN BERNARDION	CA	92410	3320	00	06000	34.09693522	-117.2986838	San Bernardino
341256	Ordering, Referring, Prescribing	N/A	1649652017	0	0	NGUYEN, PHU PHARMD	3/23/2018	Taxonomy not applicable	NA	n/a	000	Unknown	61979	N/A	N/A	N/A	N/A	N/A	6755 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	3706	00	06000	33.761349	-118.00917	Orange County
341263	Ordering, Referring, Prescribing	N/A	1649670373	0	0	NEDDERSEN, PATRICK LMFT	3/4/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	112818	N/A	N/A	N/A	N/A	N/A	232 E GISH RD	None	SAN JOSE	CA	95112	4706	00	06000	37.36411044	-121.9052075	Santa Clara County
341411	Ordering, Referring, Prescribing	N/A	1649959420	0	0	NARAYAN, SHAYAL	6/12/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA64628	N/A	N/A	N/A	N/A	N/A	1694 TULLY RD STE A	STE A	SAN JOSE	CA	95122	2537	00	06000	37.32177408	-121.826526	Santa Clara County
341413	Ordering, Referring, Prescribing	N/A	1649977406	0	0	NGUYEN, AMANDA MD	7/1/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A197286	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
341415	Ordering, Referring, Prescribing	N/A	1649963877	0	0	NAGAM, HIMAKAR S MD	10/31/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL12456	N/A	N/A	N/A	N/A	N/A	1000 W CARSON STREET	498	TORRANCE	CA	90502	2004	00	06000	33.83155851	-118.2920625	Los Angeles County
341441	Ordering, Referring, Prescribing	N/A	1659075265	0	0	NORINDR, AINHOA	5/28/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A196518	N/A	N/A	N/A	N/A	N/A	2051 MARENGO ST	None	LOS ANGELES	CA	90033	1352	00	06000	34.05627579	-118.2064774	Los Angeles County
341442	Ordering, Referring, Prescribing	N/A	1659073112	0	0	NGUYEN, PAUL DO	8/22/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A23341	N/A	N/A	N/A	N/A	N/A	3569 ROUND BARN CIRCLE	None	SANTA ROSA	CA	95403	5781	00	06000	38.479743	-122.729625	Sonoma County
341527	Ordering, Referring, Prescribing	N/A	1659476331	0	0	NAWAZ, SHAJITHA MD	6/10/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C54583	N/A	N/A	N/A	N/A	N/A	40925 COUNTY CENTER DR	200	TEMECULA	CA	92591	6054	00	06000	33.52802214	-117.1605544	Riverside County
341560	Ordering, Referring, Prescribing	N/A	1659564052	0	0	NABIZADEH, BENNY DMD	3/31/2022	Taxonomy not applicable	NA	n/a	000	Unknown	56220	N/A	N/A	N/A	N/A	N/A	7022 OWENSMOUTH AVE	None	CANOGA PARK	CA	91303	2005	00	06000	34.19808957	-118.6015228	Los Angeles County
341563	Ordering, Referring, Prescribing	N/A	1659549343	0	0	NGUYEN, KHANH D PHARMD	2/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58837	N/A	N/A	N/A	N/A	N/A	10990 SAN DIEGO MISSION	3RD FLOOR	SAN DIEGO	CA	92108	2417	00	06000	32.7850186	-117.1023292	San Diego County
341628	Ordering, Referring, Prescribing	N/A	1659684124	0	0	NGUYEN, KHANH N PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64084	N/A	N/A	N/A	N/A	N/A	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	00	06000	33.9040752	-118.1328995	Los Angeles County
341646	Ordering, Referring, Prescribing	N/A	1659711539	0	0	NORRIS, ROBYN D LMFT	5/7/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	103252	N/A	N/A	N/A	N/A	N/A	265 SAN JACINTO RIVER RD	None	LAKE ELSINORE	CA	92530	4419	00	06000	33.66201142	-117.3001906	Riverside County
341663	Ordering, Referring, Prescribing	N/A	1659734051	0	0	NUNES, LAURA MD	8/9/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157871	N/A	N/A	N/A	N/A	N/A	106 E. MAIN ST.	None	FOWLER	CA	93625	2433	00	06000	36.62899034	-119.6785493	Fresno County
341672	Ordering, Referring, Prescribing	N/A	1659746204	0	0	NG, TRACY PHARMD	3/23/2018	Taxonomy not applicable	NA	n/a	000	Unknown	74197	N/A	N/A	N/A	N/A	N/A	1450 HOWARD AVE	None	BURLINGAME	CA	94010	4202	00	06000	37.57592477	-122.3475766	San Mateo County
341675	Ordering, Referring, Prescribing	N/A	1659748960	0	0	NGUYEN, LINDA T PHARMD	3/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72909	N/A	N/A	N/A	N/A	N/A	2345 FAIR OAKS BLVD	None	SACRAMENTO	CA	95825	4708	00	06000	38.57535	-121.407633	Sacramento County
341676	Ordering, Referring, Prescribing	N/A	1659744852	0	0	NGUYEN, LUUPHUONG PHARMD	2/21/2022	Taxonomy not applicable	NA	n/a	000	Unknown	58306	N/A	N/A	N/A	N/A	N/A	2559 S KING RD	SUITE B10	SAN JOSE	CA	95122	1894	00	06000	37.31992537	-121.8236152	Santa Clara County
341713	Ordering, Referring, Prescribing	N/A	1659809036	0	0	NOSOVA, KRISTIN MD	3/17/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A167481	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	0000	00	06000	38.555181	-121.4566785	Sacramento County
341815	Ordering, Referring, Prescribing	N/A	1669011946	0	0	NGUYEN, THU A PHARMD	12/5/2019	Taxonomy not applicable	NA	n/a	000	Unknown	81343	N/A	N/A	N/A	N/A	N/A	2110 TRUXTUN AVE	SUITE 400	BAKERSFIELD	CA	93301	3703	00	06000	35.37344851	-119.0261655	Kern County
341824	Ordering, Referring, Prescribing	N/A	1669026076	0	0	NGUYEN, ALAN G PHARMD	2/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79282	N/A	N/A	N/A	N/A	N/A	905 MAPLE ST	DEPT 320	REDWOOD CITY	CA	94061	0000	00	06000	37.48767797	-122.223049	San Mateo County
341865	Ordering, Referring, Prescribing	N/A	1669142865	0	0	NGUYEN, CATHERINE NP	10/27/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95018239	N/A	N/A	N/A	N/A	N/A	386 14TH ST	None	OAKLAND	CA	94612	3211	00	06000	37.80371572	-122.2696209	Alameda County
341869	Ordering, Referring, Prescribing	N/A	1669155065	0	0	NGUYEN, THUY T	8/14/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RDH20941	N/A	N/A	N/A	N/A	N/A	3030 EXPLORER DR	None	SACRAMENTO	CA	95827	2728	00	06000	38.563362	-121.332429	Sacramento County
341931	Ordering, Referring, Prescribing	N/A	1669533311	0	0	NGUYEN, KENNETH TUAN H	9/14/1995	Taxonomy not applicable	NA	n/a	099	DENTIST	D43829	N/A	N/A	N/A	N/A	N/A	1327 S MADISON ST	None	STOCKTON	CA	95206	1751	00	06000	37.93858931	-121.2901011	San Joaquin County
341963	Ordering, Referring, Prescribing	N/A	1669617478	0	0	NERELLI, KATHERINE LMFT	7/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT52962	N/A	N/A	N/A	N/A	N/A	345 CROWN POINT CIR	300	GRASS VALLEY	CA	95945	9526	00	06000	39.22037959	-121.0291961	Nevada County
341985	Ordering, Referring, Prescribing	N/A	1669681193	0	0	NGUYEN, MARIE DDS	6/18/2023	Taxonomy not applicable	NA	n/a	000	Unknown	48653	N/A	N/A	N/A	N/A	N/A	19969 GREENLEY RD	C AND D	SONORA	CA	95370	5908	00	06000	37.98497262	-120.3669198	Tuolumne County
342001	Ordering, Referring, Prescribing	N/A	1669728994	0	0	NGUYEN, TU C PHARMD	7/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	50935	N/A	N/A	N/A	N/A	N/A	2633 ATLANTIC AVE	None	LONG BEACH	CA	90806	2710	00	06000	33.805107	-118.185058	Los Angeles County
342016	Ordering, Referring, Prescribing	N/A	1669755617	0	0	NIKNAM, MARJAN PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64466	N/A	N/A	N/A	N/A	N/A	16100 VENTURA BLVD	None	ENCINO	CA	91436	2502	00	06000	34.1563861	-118.484096	Los Angeles County
342075	Ordering, Referring, Prescribing	N/A	1669859732	0	0	NIKU, DANIEL MD	3/5/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A161121	N/A	N/A	N/A	N/A	N/A	1919 W 7TH ST	None	LOS ANGELES	CA	90057	4103	00	06000	34.05575686	-118.2751751	Los Angeles County
342089	Ordering, Referring, Prescribing	N/A	1669896700	0	0	NGO, UYEN P	12/21/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95000319	N/A	N/A	N/A	N/A	N/A	920 N LONG BEACH BLVD	1	COMPTON	CA	90221	2260	00	06000	33.90236003	-118.2082841	Los Angeles County
342105	Ordering, Referring, Prescribing	N/A	1669916466	0	0	NABORS, THOMAS L LMFT	7/18/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	102858	N/A	N/A	N/A	N/A	N/A	531 MAIN ST	#676	EL SEGUNDO	CA	90245	3006	00	06000	33.92298642	-118.4160646	Los Angeles County
342136	Ordering, Referring, Prescribing	N/A	1669979399	0	0	NGUYEN, AUDREY PHARMD	7/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78265	N/A	N/A	N/A	N/A	N/A	5001 WEST AVENUE N	None	LANCASTER	CA	93536	2989	00	06000	34.63089147	-118.219455	Los Angeles County
342140	Ordering, Referring, Prescribing	N/A	1669988556	0	0	NARANJO, ALEJANDRA	3/16/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55225	N/A	N/A	N/A	N/A	N/A	518 GARDEN STREET	None	SANTA BARBARA	CA	93101	0000	00	06000	34.42054634	-119.6928135	Santa Barbara County
342155	Ordering, Referring, Prescribing	N/A	1679004717	0	0	NISHIKAWA, KELLY A MD	9/20/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A158655	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FLOOR STE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
342191	Ordering, Referring, Prescribing	N/A	1679061212	0	0	NARAYANAN, ANAND MD	2/1/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A119482	N/A	N/A	N/A	N/A	N/A	2425 GEARY BLVD	M160	SAN FRANCISCO	CA	94115	3358	00	06000	37.78272203	-122.4433297	San Francisco County
342258	Ordering, Referring, Prescribing	N/A	1679184386	0	0	NAJERA, ELAINA J LCSW	6/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	87160	N/A	N/A	N/A	N/A	N/A	2513 YOUNGSTOWN RD	None	TURLOCK	CA	95380	9707	00	06000	37.469493	-120.8239245	Stanislaus County
342287	Ordering, Referring, Prescribing	N/A	1679237598	0	0	NAVARRO, ALLEN KRIS	10/13/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95018826	N/A	N/A	N/A	N/A	N/A	661 W FIRST ST	G	TUSTIN	CA	92780	2939	00	06000	33.74578153	-117.831231	Orange County
342289	Ordering, Referring, Prescribing	N/A	1679288815	0	0	NEKBEEN, MITRA F LMFT	2/14/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT103837	N/A	N/A	N/A	N/A	N/A	2208 SAN LEANDRO BLVD.	None	SAN LEANDRO	CA	94577	5957	00	06000	37.71529734	-122.1528784	Alameda County
342296	Ordering, Referring, Prescribing	N/A	1679299465	0	0	NGUYEN, THANH VY L NP	7/21/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021955	N/A	N/A	N/A	N/A	N/A	229 7TH STREET	None	SAN FRANCISCO	CA	94103	4003	00	06000	37.77745513	-122.4086852	San Francisco County
342331	Ordering, Referring, Prescribing	N/A	1679618466	0	0	NAKAMURA, LINDA K PSYD	10/26/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY14803	N/A	N/A	N/A	N/A	N/A	108 W VICTORIA ST	None	GARDENA	CA	90248	3523	00	06000	33.86509452	-118.2762279	Los Angeles County
342337	Ordering, Referring, Prescribing	N/A	1679641674	0	0	NG, BETTY K PHARMD	4/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH42127	N/A	N/A	N/A	N/A	N/A	6650 ALTON PKWY	None	IRVINE	CA	92618	3734	00	06000	33.65911992	-117.7737909	Orange County
342373	Ordering, Referring, Prescribing	N/A	1679717045	0	0	NGUYEN, CHINH LCSW	9/16/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW91337	N/A	N/A	N/A	N/A	N/A	2292 FARADAY AVE STE 110	STE 110	CARLSBAD	CA	92008	7239	00	06000	33.13490794	-117.2765569	San Diego County
342383	Ordering, Referring, Prescribing	N/A	1679731616	0	0	NAMDARI, NATASHA MD	9/13/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A141247	N/A	N/A	N/A	N/A	N/A	2035 E BALL RD	None	ANAHEIM	CA	92806	5159	00	06000	33.81812448	-117.8880075	Orange County
342414	Ordering, Referring, Prescribing	N/A	1679805592	0	0	NEWMAN, SUSAN K RN	7/29/2023	Taxonomy not applicable	NA	n/a	000	Unknown	625461	N/A	N/A	N/A	N/A	N/A	4100 NORMAL ST	ROOM 2121	SAN DIEGO	CA	92103	2653	00	06000	32.75524466	-117.1465638	San Diego County
342444	Ordering, Referring, Prescribing	N/A	1679860464	0	0	NAZIAN NAJAFI, MARYAM MD	6/23/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A137059	N/A	N/A	N/A	N/A	N/A	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	00	06000	36.696987	-121.633164	Monterey County
342457	Ordering, Referring, Prescribing	N/A	1679884928	0	0	NGUYEN, THERESA T DO	4/29/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A12682	N/A	N/A	N/A	N/A	N/A	118 LIVINGSTON AVE	None	PLACENTIA	CA	92870	2546	00	06000	33.89281649	-117.8648036	Orange County
342549	Ordering, Referring, Prescribing	N/A	1689034100	0	0	NGUYEN, JOHN	7/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74453	N/A	N/A	N/A	N/A	N/A	12275 PERRIS BLVD	None	MORENO VALLEY	CA	92557	7432	00	06000	33.942231	-117.226418	Riverside County
342555	Ordering, Referring, Prescribing	N/A	1689050296	0	0	NGUYEN, ELAINE A	4/14/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D64653	N/A	N/A	N/A	N/A	N/A	725 W LA VETA AVE	STE 260	ORANGE	CA	92868	4439	00	06000	33.78063949	-117.8603285	Orange County
342556	Ordering, Referring, Prescribing	N/A	1689050346	0	0	NGUYEN, NANCY NAM T	10/15/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D64909	N/A	N/A	N/A	N/A	N/A	6015 WATT AVE	STE 2	NORTH HIGHLANDS	CA	95660	4294	00	06000	38.676627	-121.3842375	Sacramento County
342558	Ordering, Referring, Prescribing	N/A	1689055915	0	0	NGO, ROBERT PHARMD	3/29/2018	Taxonomy not applicable	NA	n/a	000	Unknown	59710	N/A	N/A	N/A	N/A	N/A	2975 VAN BUREN BLVD	None	RIVERSIDE	CA	92503	5672	00	06000	33.9093344	-117.437395	Riverside County
342602	Ordering, Referring, Prescribing	N/A	1689132771	0	0	NISHIOKA, ALICIA N NP	2/25/2024	Taxonomy not applicable	NA	n/a	000	Unknown	NP95009492	N/A	N/A	N/A	N/A	N/A	1550 SUPERIOR AVE	None	COSTA MESA	CA	92627	3653	00	06000	33.63305341	-117.9266303	Orange County
342626	Ordering, Referring, Prescribing	N/A	1689164204	0	0	NGO, CAROLINE BAO-TRAN L PHARMD	3/31/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53021	N/A	N/A	N/A	N/A	N/A	1601 COLEMAN AVE	None	SANTA CLARA	CA	95050	3122	00	06000	37.35814451	-121.93908	Santa Clara County
342645	Ordering, Referring, Prescribing	N/A	1689190068	0	0	NYECHE, MERCY NP	1/11/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007306	N/A	N/A	N/A	N/A	N/A	121 S LONG BEACH BLVD	None	COMPTON	CA	90221	3423	00	06000	33.89475493	-118.2080292	Los Angeles County
342692	Ordering, Referring, Prescribing	N/A	1689280042	0	0	NGUYEN, HUONG MD	4/13/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A190783	N/A	N/A	N/A	N/A	N/A	3800 W CHAPMAN AVE	SUITE 500	ORANGE	CA	92868	0000	00	06000	33.78885849	-117.8950802	Orange County
342697	Ordering, Referring, Prescribing	N/A	1689290637	0	0	NGUYEN, JULIE PA-C	10/6/2020	Taxonomy not applicable	NA	n/a	000	Unknown	58641	N/A	N/A	N/A	N/A	N/A	10300 COMPTON AVE	None	LOS ANGELES	CA	90002	3628	00	06000	33.94274917	-118.2461916	Los Angeles County
342707	Ordering, Referring, Prescribing	N/A	1689316028	0	0	NGUYEN, JULIE T LCSW	8/25/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	98713	N/A	N/A	N/A	N/A	N/A	7761 GARDEN GROVE BOULEV	None	GARDEN GROVE	CA	92841	4200	00	06000	33.77387145	-117.9966555	Orange County
342808	Ordering, Referring, Prescribing	N/A	1689832263	0	0	NEMISH, CARRIE LMFT	4/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	84789	N/A	N/A	N/A	N/A	N/A	3125 MYERS ST	None	RIVERSIDE	CA	92503	5527	00	06000	33.90932558	-117.4428095	Riverside County
342838	Ordering, Referring, Prescribing	N/A	1689891640	0	0	NGUYEN, ELIZABETH HOAI HUONG V DO	8/11/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A10810	N/A	N/A	N/A	N/A	N/A	210 HOSPITAL CIR	STE C	WESTMINSTER	CA	92683	3900	00	06000	33.76238217	-117.9945685	Orange County
342859	Ordering, Referring, Prescribing	N/A	1689932402	0	0	NAVARRO, DEISY LCSW	6/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	89965	N/A	N/A	N/A	N/A	N/A	5740 RALSTON ST	STE 201	VENTURA	CA	93003	6571	00	06000	34.26070802	-119.213699	Ventura County
342879	Ordering, Referring, Prescribing	N/A	1689955064	0	0	NOBLE, ROSLYNN J LCSW	8/6/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	89024	N/A	N/A	N/A	N/A	N/A	480 E 13TH ST	None	MERCED	CA	95341	6214	00	06000	37.29194565	-120.4717887	Merced County
342890	Ordering, Referring, Prescribing	N/A	1689960866	0	0	NARAYANAN, SEETHALAKSHMI PHARMD	11/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56584	N/A	N/A	N/A	N/A	N/A	850 WOODSIDE ROAD	None	REDWOOD CITY	CA	94061	3746	00	06000	37.46555664	-122.2244841	San Mateo County
342907	Ordering, Referring, Prescribing	N/A	1699020065	0	0	NGUYEN, TRACY PHARMD	8/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52588	N/A	N/A	N/A	N/A	N/A	2177 SUNSET BLVD	None	ROCKLIN	CA	95765	4743	00	06000	38.80527905	-121.2731306	Placer County
342960	Ordering, Referring, Prescribing	N/A	1699096800	0	0	NGUYEN, HELEN PHARMD	3/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	54265	N/A	N/A	N/A	N/A	N/A	12350 CARMEL MOUNTAIN RD	None	SAN DIEGO	CA	92128	4616	00	06000	32.987565	-117.078192	San Diego County
342974	Ordering, Referring, Prescribing	N/A	1699113829	0	0	NGUYEN, TAMMY T MD	4/8/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A14644	N/A	N/A	N/A	N/A	N/A	700 S TUSTIN ST	None	ORANGE	CA	92866	3425	00	06000	33.77685748	-117.8357804	Orange County
342975	Ordering, Referring, Prescribing	N/A	1699120782	0	0	NEEMAN, ELAD MD	7/26/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A158000	N/A	N/A	N/A	N/A	N/A	2425 GEARY BLVD	M160	SAN FRANCISCO	CA	94115	3358	00	06000	37.78272203	-122.4433297	San Francisco County
343003	Ordering, Referring, Prescribing	N/A	1699176735	0	0	NGUYEN, KRISTI PHARMD	8/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH74247	N/A	N/A	N/A	N/A	N/A	160 DIAMOND DR	None	LAKE ELSINORE	CA	92530	4401	00	06000	33.658974	-117.3003035	Riverside County
343025	Ordering, Referring, Prescribing	N/A	1699219501	0	0	NANDAN, JOYTISHNA N LPCC	4/20/2023	Taxonomy not applicable	NA	n/a	000	Unknown	13778	N/A	N/A	N/A	N/A	N/A	7001 EAST PKWY	300	SACRAMENTO	CA	95823	2501	00	06000	38.497293	-121.4504235	Sacramento County
343051	Ordering, Referring, Prescribing	N/A	1699260141	0	0	NICHOLS, LILY OT	3/1/2020	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	19762	N/A	N/A	N/A	N/A	N/A	905 E. 8TH STREET	None	LOS ANGELES	CA	90021	1848	00	06000	34.03639545	-118.2465917	Los Angeles County
343059	Ordering, Referring, Prescribing	N/A	1699273961	0	0	NAMVAR, SAHAR NP	10/24/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95007620	N/A	N/A	N/A	N/A	N/A	12900 FREDERICK STREET	SUITE C	MORENO VALLEY	CA	92553	5266	00	06000	33.932655	-117.261383	Riverside County
343066	Ordering, Referring, Prescribing	N/A	1699283465	0	0	NGUYEN, VINNIE Q PHARMD	7/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH77997	N/A	N/A	N/A	N/A	N/A	555 S SUNRISE WAY	None	PALM SPRINGS	CA	92264	7869	00	06000	33.814971	-116.528247	Riverside County
343084	Ordering, Referring, Prescribing	N/A	1699325878	0	0	NGUYEN, VINH	10/10/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55395	N/A	N/A	N/A	N/A	N/A	70 W HEDDING ST	None	SAN JOSE	CA	95110	1705	00	06000	37.35249294	-121.9050815	Santa Clara County
343132	Ordering, Referring, Prescribing	N/A	1699415620	0	0	NGUYEN, KATHLENE M NP	3/17/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95020377	N/A	N/A	N/A	N/A	N/A	1450 E HOLT AVE	None	POMONA	CA	91767	5822	00	06000	34.06299829	-117.7215562	Los Angeles County
343138	Ordering, Referring, Prescribing	N/A	1699428730	0	0	NAGI, ITAB	6/15/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62894	N/A	N/A	N/A	N/A	N/A	344 E 6TH ST	None	MADERA	CA	93638	3631	00	06000	36.96288964	-120.0556279	Madera County
343141	Ordering, Referring, Prescribing	N/A	1699440511	0	0	NGUYEN, NHI H	6/15/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017555	N/A	N/A	N/A	N/A	N/A	4555 PRECISSI LANE	None	SAN JOAQUIN	CA	95207	6239	00	06000	37.98919284	-121.3152121	San Joaquin
343154	Ordering, Referring, Prescribing	N/A	1699465930	0	0	NEWBERRY, HAILEY H PA-C	5/10/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62708	N/A	N/A	N/A	N/A	N/A	7115 N CHESTNUT AVE STE	None	FRESNO	CA	93720	0361	00	06000	36.83977368	-119.7366985	Fresno County
343220	Ordering, Referring, Prescribing	N/A	1699837716	0	0	NITTA-ISHIMARU, JOELLE M PHARMD	3/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	47446	N/A	N/A	N/A	N/A	N/A	200 MUIR RD	None	MARTINEZ	CA	94553	4614	00	06000	37.99430233	-122.1107194	Contra Costa County
343233	Ordering, Referring, Prescribing	N/A	1699865360	0	0	NGUYEN, ANNE PHARMD	3/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53766	N/A	N/A	N/A	N/A	N/A	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	00	06000	37.66312028	-122.4631592	San Mateo County
343304	Ordering, Referring, Prescribing	N/A	1700068319	0	0	NUNEZ TELLEZ, ABRAHAM LCSW	6/18/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	102046	N/A	N/A	N/A	N/A	N/A	1730 W CAMERON AVE	SUITE 200	WEST COVINA	CA	91790	2722	00	06000	34.07013365	-117.9443203	Los Angeles County
343355	Ordering, Referring, Prescribing	N/A	1700153905	0	0	NANDYALA, VINUTA PHARMD	1/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66310	N/A	N/A	N/A	N/A	N/A	81 WEST FOOTHILL BLVD	None	UPLAND	CA	91786	3846	00	06000	34.10708151	-117.6528285	San Bernardino County
343402	Ordering, Referring, Prescribing	N/A	1700210093	0	0	NAJRABI, NELAB NP	7/23/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95031261	N/A	N/A	N/A	N/A	N/A	555 W ONSTOTT RD	None	YUBA CITY	CA	95993	5654	00	06000	39.1298138	-121.6349029	Sutter County
343435	Ordering, Referring, Prescribing	N/A	1700255825	0	0	NAVARRA, LISA M LCSW	9/27/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	126336	N/A	N/A	N/A	N/A	N/A	1510 CAPITOLA RD	None	SANTA CRUZ	CA	95062	2912	00	06000	36.97627773	-121.9846375	Santa Cruz County
343461	Ordering, Referring, Prescribing	N/A	1700302189	0	0	NKRUMAH, REBECCA MD	11/22/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A179124	N/A	N/A	N/A	N/A	N/A	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
343474	Ordering, Referring, Prescribing	N/A	1700323839	0	0	NGUYEN, JACK DDS	10/17/2023	Taxonomy not applicable	NA	n/a	000	Unknown	100321	N/A	N/A	N/A	N/A	N/A	3055 S ARCHIBALD AVE	C1	ONTARIO	CA	91761	9007	00	06000	34.017912	-117.591273	San Bernardino County
343481	Ordering, Referring, Prescribing	N/A	1700331154	0	0	NGUYEN, TITANIA A LCSW	6/17/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW95081	N/A	N/A	N/A	N/A	N/A	14140 BEACH BLVD	SUITE 223	WESTMINSTER	CA	92683	4453	00	06000	33.756966	-117.9894915	Orange County
343487	Ordering, Referring, Prescribing	N/A	1700343332	0	0	NAKASATO, SONOKO S DMD	5/2/2023	Taxonomy not applicable	NA	n/a	000	Unknown	106225	N/A	N/A	N/A	N/A	N/A	3743 S. LA BREA AVE.	None	LOS ANGELES	CA	90016	5309	00	06000	34.01991	-118.355626	Los Angeles County
343507	Ordering, Referring, Prescribing	N/A	1700368438	0	0	NIELSEN, CALLIE M RN	9/24/2017	Taxonomy not applicable	NA	n/a	000	Unknown	95027161	N/A	N/A	N/A	N/A	N/A	3100 ACTIS RD	None	BAKERSFIELD	CA	93309	5911	00	06000	35.326998	-119.052223	Kern County
343533	Ordering, Referring, Prescribing	N/A	1700400447	0	0	NGUYEN, ANDREW L PHARMD	9/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH82182	N/A	N/A	N/A	N/A	N/A	495 E HOLT AVE	None	POMONA	CA	91767	5539	00	06000	34.06259846	-117.7425045	Los Angeles County
343567	Ordering, Referring, Prescribing	N/A	1700465937	0	0	NAM, JUNGEUN PHD	7/18/2023	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	AC18858	N/A	N/A	N/A	N/A	N/A	451 W LINCOLN AVE	100	ANAHEIM	CA	92805	2927	00	06000	33.83445082	-117.9189372	Orange County
343569	Ordering, Referring, Prescribing	N/A	1700459583	0	0	NGUYEN, KATHY CNP	7/17/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017788	N/A	N/A	N/A	N/A	N/A	10423 OLD PLACERVILLE RD	STE A	SACRAMENTO	CA	95827	2540	00	06000	38.570382	-121.3075395	Sacramento County
343596	Ordering, Referring, Prescribing	N/A	1700548963	0	0	NGUYEN, LAN T PHARMD	10/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	85361	N/A	N/A	N/A	N/A	N/A	3232 FOOTHILL BLVD	None	OAKLAND	CA	94601	3113	00	06000	37.78344416	-122.2218117	Alameda County
343627	Ordering, Referring, Prescribing	N/A	1700838315	0	0	NGUYEN, VAN PA	2/19/2023	Taxonomy not applicable	NA	n/a	000	Unknown	18060	N/A	N/A	N/A	N/A	N/A	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
343673	Ordering, Referring, Prescribing	N/A	1700959343	0	0	NGUYEN, KHANG M MD	3/12/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A44790	N/A	N/A	N/A	N/A	N/A	2035 E BALL RD	SUITE 200	ANAHEIM	CA	92806	5159	00	06000	33.81812448	-117.8880075	Orange County
343696	Ordering, Referring, Prescribing	N/A	1710015334	0	0	NASH, THOMAS M LCSW	1/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	66643	N/A	N/A	N/A	N/A	N/A	720 WOOD ST.	None	EUREKA	CA	95501	4413	00	06000	40.78118068	-124.1607622	Humboldt County
343705	Ordering, Referring, Prescribing	N/A	1710017942	0	0	NAJERA, DIANA K LCSW	4/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	29529	N/A	N/A	N/A	N/A	N/A	2300 S UNION AVE	None	BAKERSFIELD	CA	93307	4186	00	06000	35.318412	-119.002962	Kern County
343753	Ordering, Referring, Prescribing	N/A	1710171830	0	0	NIINO, LISA J LMFT	3/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	45405	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	SUITE 400	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
343763	Ordering, Referring, Prescribing	N/A	1710183652	0	0	NGUYEN, NGOC T MD	10/2/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A69594	N/A	N/A	N/A	N/A	N/A	10362 GARVEY AVE	None	EL MONTE	CA	91733	2186	00	06000	34.0626747	-118.0450487	Los Angeles County
343782	Ordering, Referring, Prescribing	N/A	1710230784	0	0	NGO, RAYMOND PHARMD	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	68017	N/A	N/A	N/A	N/A	N/A	4175 E. LA PALMA AVE	None	ANAHEIM	CA	92807	1842	00	06000	33.85947346	-117.8265479	Orange County
343783	Ordering, Referring, Prescribing	N/A	1710227814	0	0	NGUYEN, VI PHARMD	9/3/2019	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55269	N/A	N/A	N/A	N/A	N/A	13129 BROOKHURST ST	None	GARDEN GROVE	CA	92843	1079	00	06000	33.7721089	-117.9551894	Orange County
343803	Ordering, Referring, Prescribing	N/A	1710256557	0	0	NGUYEN, JASON Q PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64510	N/A	N/A	N/A	N/A	N/A	4949 GOSFORD RD	None	BAKERSFIELD	CA	93313	4992	00	06000	35.309754	-119.0922855	Kern County
343822	Ordering, Referring, Prescribing	N/A	1710278569	0	0	NISSINEN, JANNE K MD	6/9/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A123181	N/A	N/A	N/A	N/A	N/A	4510 EXECUTIVE DRIVE	STE 325	LA JOLLA	CA	92121	3069	00	06000	32.87570943	-117.2100834	San Diego County
343840	Ordering, Referring, Prescribing	N/A	1710311568	0	0	NGUYEN, JACQUELINE Q PHARMD	3/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	69527	N/A	N/A	N/A	N/A	N/A	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	00	06000	34.03781261	-118.3755101	Los Angeles County
343892	Ordering, Referring, Prescribing	N/A	1710382478	0	0	NGUYEN, VINH H PHARMD	3/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH70797	N/A	N/A	N/A	N/A	N/A	3701 BROADWAY	None	OAKLAND	CA	94611	5613	00	06000	37.82533768	-122.258094	Alameda County
343929	Ordering, Referring, Prescribing	N/A	1710445002	0	0	NISHIMURA, NICOLE	9/19/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122236	N/A	N/A	N/A	N/A	N/A	11800 CENTRAL AVE	225	CHINO	CA	91710	7200	00	06000	34.0388092	-117.689654	San Bernardino County
343962	Ordering, Referring, Prescribing	N/A	1710503370	0	0	NGUYEN, AUSTIN-PHONG N PHARMD	12/6/2019	Taxonomy not applicable	NA	n/a	000	Unknown	81612	N/A	N/A	N/A	N/A	N/A	3540 MT DIABLO BLVD	None	LAFAYETTE	CA	94549	3814	00	06000	37.89207305	-122.1192741	Contra Costa County
343985	Ordering, Referring, Prescribing	N/A	1710537741	0	0	NG, FIONA W NP	9/11/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95012770	N/A	N/A	N/A	N/A	N/A	2574 SAN BRUNO AVENUE	None	SAN FRANCISCO	CA	94134	1505	00	06000	37.72907852	-122.4042585	San Francisco County
343992	Ordering, Referring, Prescribing	N/A	1710590096	0	0	NGO, THI N PHARMD	8/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80468	N/A	N/A	N/A	N/A	N/A	903 E HUNTINGTON DR	None	MONROVIA	CA	91016	3715	00	06000	34.13964081	-117.9858194	Los Angeles County
344016	Ordering, Referring, Prescribing	N/A	1710646021	0	0	NGUYEN, ANDY A	6/15/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021327	N/A	N/A	N/A	N/A	N/A	2531 W WOODLAND DR	None	ANAHEIM	CA	92801	2637	00	06000	33.8492705	-117.973044	Orange County
344146	Ordering, Referring, Prescribing	N/A	1720236789	0	0	NOLEN, BRENDA S NP	1/5/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002621	N/A	N/A	N/A	N/A	N/A	27800 MEDICAL CENTER ROA	SUITE 110	MISSION VIEJO	CA	92691	6408	00	06000	33.55952733	-117.6645199	Orange County
344226	Ordering, Referring, Prescribing	N/A	1720380603	0	0	NGUYEN, ANGEL PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66114	N/A	N/A	N/A	N/A	N/A	3430 E LA PALMA AVE	6FL ROOM 6791	ANAHEIM	CA	92806	2020	00	06000	33.852105	-117.8444835	Orange County
344271	Ordering, Referring, Prescribing	N/A	1720440381	0	0	NGUYEN, MINH N DO	12/13/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A15914	N/A	N/A	N/A	N/A	N/A	200 E. ANAHEIM ST.	None	WILMINGTON	CA	90744	4516	00	06000	33.78003976	-118.2608958	Los Angeles County
344273	Ordering, Referring, Prescribing	N/A	1720437577	0	0	NGUYEN, TRIEU D PHARMD	7/31/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH68680	N/A	N/A	N/A	N/A	N/A	1634 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	4616	00	06000	34.13588549	-117.2518245	San Bernardino County
344301	Ordering, Referring, Prescribing	N/A	1720467475	0	0	NGO, KHOA PHARMD	11/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51740	N/A	N/A	N/A	N/A	N/A	2899 JAMACHA RD	None	EL CAJON	CA	92019	4397	00	06000	32.74085921	-116.9385361	San Diego County
344339	Ordering, Referring, Prescribing	N/A	1720523491	0	0	NGUYEN, QUYEN T PHARMD	3/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73280	N/A	N/A	N/A	N/A	N/A	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	00	06000	37.23948065	-121.8005798	Santa Clara County
344379	Ordering, Referring, Prescribing	N/A	1720575244	0	0	NAPIER, AURIANA LCSW	8/8/2023	Taxonomy not applicable	NA	n/a	000	Unknown	110722	N/A	N/A	N/A	N/A	N/A	425 E. SANTA CLARA ST.	None	SAN JOSE	CA	95125	2341	00	06000	37.34052905	-121.8814851	Santa Clara County
344388	Ordering, Referring, Prescribing	N/A	1720590458	0	0	NAMIRANIAN, SHOKOOFEH PHARMD	3/18/2018	Taxonomy not applicable	NA	n/a	000	Unknown	77804	N/A	N/A	N/A	N/A	N/A	5688 TELEPHONE RD	None	VENTURA	CA	93003	5326	00	06000	34.26489851	-119.2152357	Ventura County
344422	Ordering, Referring, Prescribing	N/A	1720646698	0	0	NOOKALA, DIVYA	2/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78873	N/A	N/A	N/A	N/A	N/A	828 DELBON AVE	None	TURLOCK	CA	95382	2005	00	06000	37.51046855	-120.838905	Stanislaus County
344442	Ordering, Referring, Prescribing	N/A	1720699952	0	0	NGUY, BEATRICE PHARMD	9/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82895	N/A	N/A	N/A	N/A	N/A	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	00	06000	34.03781261	-118.3755101	Los Angeles County
344446	Ordering, Referring, Prescribing	N/A	1720712326	0	0	NGUYEN, CHRISTINA M PA	10/30/2023	Taxonomy not applicable	NA	n/a	000	Unknown	61747	N/A	N/A	N/A	N/A	N/A	808 W 58TH ST	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
344452	Ordering, Referring, Prescribing	N/A	1720733942	0	0	NELSON, CHRISTINE A CNP	10/6/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95018675	N/A	N/A	N/A	N/A	N/A	1850 N RIVERSIDE AVE	230	RIALTO	CA	92376	8071	00	06000	34.132905	-117.3704675	San Bernardino County
344459	Ordering, Referring, Prescribing	N/A	1720750896	0	0	NEWMAN, AUBREE J AU	7/29/2021	Taxonomy not applicable	NA	n/a	003	AUDIOLOGISTS	AU3615	N/A	N/A	N/A	N/A	N/A	5360 HOLLISTER AVE.	STE.1	SANTA BARBARA	CA	93111	2334	00	06000	34.43512644	-119.8112999	Santa Barbara County
344494	Ordering, Referring, Prescribing	N/A	1720869647	0	0	NUNGARAY, JOHN A PA-C	5/17/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA64501	N/A	N/A	N/A	N/A	N/A	27800 1/2 MEDICAL CENTER	110	MISSION VIEJO	CA	92691	6413	00	06000	33.55952733	-117.6645199	Orange County
344514	Ordering, Referring, Prescribing	N/A	1730214511	0	0	NORWOOD, RICKY R NP	8/29/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	775305	N/A	N/A	N/A	N/A	N/A	4600 BROADWAY	STE 1100	SACRAMENTO	CA	95820	1527	00	06000	38.546127	-121.452669	Sacramento County
344556	Ordering, Referring, Prescribing	N/A	1730275272	0	0	NANDEESH, ANUPAMA N	5/20/2002	Taxonomy not applicable	NA	n/a	099	DENTIST	D49610	N/A	N/A	N/A	N/A	N/A	847 W CHILDS AVE	None	MERCED	CA	95341	6862	00	06000	37.28825369	-120.4963159	Merced County
344564	Ordering, Referring, Prescribing	N/A	1730299710	0	0	NGUYEN, TRI DDS PHD	10/31/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48755	N/A	N/A	N/A	N/A	N/A	4212 MISSOURI FLAT RD	None	PLACERVILLE	CA	95667	6269	00	06000	38.706228	-120.834891	El Dorado County
344629	Ordering, Referring, Prescribing	N/A	1730451329	0	0	NGUYEN, COLLEEN T PHARMD	8/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60655	N/A	N/A	N/A	N/A	N/A	43200 STATE HIGHWAY 74	None	HEMET	CA	92544	5219	00	06000	33.74788146	-116.905905	Riverside County
344634	Ordering, Referring, Prescribing	N/A	1730457862	0	0	NGUYEN, JUSTINE	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51841	N/A	N/A	N/A	N/A	N/A	128 S STATE COLLEGE BLVD	None	ANAHEIM	CA	92806	2921	00	06000	33.840252	-117.889103	Orange County
344639	Ordering, Referring, Prescribing	N/A	1730471087	0	0	NGUYEN, TIEN T PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64185	N/A	N/A	N/A	N/A	N/A	4175 E LA PALMA AVE	240	ANAHEIM	CA	92807	1842	00	06000	33.85947346	-117.8265479	Orange County
344662	Ordering, Referring, Prescribing	N/A	1730510587	0	0	NELSON, YVONNE LCSW	7/17/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95630	N/A	N/A	N/A	N/A	N/A	1236 CHAPALA ST	None	SANTA BARBARA	CA	93101	3116	00	06000	34.42310529	-119.7066629	Santa Barbara County
344698	Ordering, Referring, Prescribing	N/A	1730567876	0	0	NG, JENNIFER T LCSW	8/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW87761	N/A	N/A	N/A	N/A	N/A	1290 COMMODORE DR	None	SAN BRUNO	CA	94066	2304	00	06000	37.63134914	-122.4260472	San Mateo County
344727	Ordering, Referring, Prescribing	N/A	1730619818	0	0	NG, EMILY MD	7/1/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A156881	N/A	N/A	N/A	N/A	N/A	9808 VENICE BLVD	700	CULVER CITY	CA	90232	2732	00	06000	34.0236396	-118.3980847	Los Angeles County
344733	Ordering, Referring, Prescribing	N/A	1730636960	0	0	NNANA, VIVIAN LCSW	2/28/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	113908	N/A	N/A	N/A	N/A	N/A	9380 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	3749	00	06000	33.9215355	-117.4442978	Riverside County
344777	Ordering, Referring, Prescribing	N/A	1730701541	0	0	NAVEA, HARROLD MD	8/15/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A181278	N/A	N/A	N/A	N/A	N/A	7501 HOSPITAL DRIVE	203	SACRAMENTO	CA	95823	5405	00	06000	38.464776	-121.416912	Sacramento County
344791	Ordering, Referring, Prescribing	N/A	1730702630	0	0	NELSON, RYAN A MD MPH	6/29/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A187424	N/A	N/A	N/A	N/A	N/A	835 N. HIGHLAND SPRINGS	300	BEAUMONT	CA	92223	5770	00	06000	33.93245893	-116.9469871	Riverside County
344871	Ordering, Referring, Prescribing	N/A	1740067347	0	0	NAVARRO, MARIO R PA-C	11/17/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA63700	N/A	N/A	N/A	N/A	N/A	11499 BARTLETT AVE	None	ADELANTO	CA	92301	1902	00	06000	34.57915154	-117.414216	San Bernardino County
344903	Ordering, Referring, Prescribing	N/A	1740308584	0	0	NUNN, DIANE C LMFT	1/4/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50011	N/A	N/A	N/A	N/A	N/A	15305 RAYEN ST.	None	NORTH HILLS	CA	91343	5117	00	06000	34.23191048	-118.4657625	Los Angeles County
344917	Ordering, Referring, Prescribing	N/A	1740326602	0	0	NEGRETE, BEATRIZ LCSW	11/12/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	70438	N/A	N/A	N/A	N/A	N/A	10355 SLUSHER DR	None	SANTA FE SPRINGS	CA	90670	7353	00	06000	33.94228286	-118.0779517	Los Angeles County
344937	Ordering, Referring, Prescribing	N/A	1740379312	0	0	NGUYEN, HUNG Q MD	9/18/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G77936	N/A	N/A	N/A	N/A	N/A	245 S. FETTERLY AVE	RM 2280	LOS ANGELES	CA	90022	0000	00	06000	34.03404953	-118.1609476	Los Angeles County
344951	Ordering, Referring, Prescribing	N/A	1740423524	0	0	NOWAK, KIMBERLY M DO	1/1/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A13125	N/A	N/A	N/A	N/A	N/A	529 MAPLE AVE	None	LOS ANGELES	CA	90013	1511	00	06000	34.04465262	-118.2472846	Los Angeles County
344957	Ordering, Referring, Prescribing	N/A	1740445097	0	0	NOVOTNY, RAPHAELLE L LMFT	4/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	104908	N/A	N/A	N/A	N/A	N/A	3800 COOLIDGE AVE	None	OAKLAND	CA	94602	3311	00	06000	37.8007257	-122.2064578	Alameda County
344976	Ordering, Referring, Prescribing	N/A	1740497346	0	0	NGUYEN, PAUL A MD	11/9/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	12178	N/A	N/A	N/A	N/A	N/A	2341 RENAISSANCE DR	None	LAS VEGAS	NV	89119	6191	00	06000	36.10352102	-115.1202365	Clark County
344977	Ordering, Referring, Prescribing	N/A	1740503788	0	0	NGUYEN, ALBERT	4/30/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A17959	N/A	N/A	N/A	N/A	N/A	1400 EMELINE AVE	None	SANTA CRUZ	CA	95060	1976	00	06000	36.99276804	-122.0178271	Santa Cruz County
344992	Ordering, Referring, Prescribing	N/A	1740523414	0	0	NAVARRO, STEPHANIE M LCSW	1/29/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	120732	N/A	N/A	N/A	N/A	N/A	1206 E 17TH ST	STE 101	SANTA ANA	CA	92701	2641	00	06000	33.75983651	-117.8539425	Orange County
345017	Ordering, Referring, Prescribing	N/A	1740578392	0	0	NEWELL, ABIGAEL LMFT	9/25/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	105169	N/A	N/A	N/A	N/A	N/A	81557 DR CARREON	SUITE C-9	INDIO	CA	92201	5562	00	06000	33.70711696	-116.2417339	Riverside County
345139	Ordering, Referring, Prescribing	N/A	1740753409	0	0	NOVAK, NICHOLAS PHARMD	7/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79602	N/A	N/A	N/A	N/A	N/A	3222 UNIVERSITY AVE	None	SAN DIEGO	CA	92104	2010	00	06000	32.74852553	-117.124866	San Diego County
345162	Ordering, Referring, Prescribing	N/A	1740795939	0	0	NGUYEN, TIFFANY T PHARMD	7/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77962	N/A	N/A	N/A	N/A	N/A	12574 LIMONITE AVE	None	EASTVALE	CA	91752	3684	00	06000	33.97513715	-117.5575964	Riverside County
345176	Ordering, Referring, Prescribing	N/A	1740810894	0	0	NGUYEN, KEVIN C PHARMD	7/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81915	N/A	N/A	N/A	N/A	N/A	105 E EL CAMINO REAL	None	SUNNYVALE	CA	94087	1937	00	06000	37.3679948	-122.0325097	Santa Clara County
345228	Ordering, Referring, Prescribing	N/A	1740952787	0	0	NWEZE, MARGARET N NP	10/7/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95018692	N/A	N/A	N/A	N/A	N/A	9520 ROAD 238	None	TERRA BELLA	CA	93270	0000	00	06000	35.962758	-119.039961	Tulare County
345244	Ordering, Referring, Prescribing	N/A	1750014734	0	0	NANDANI, PRIYANKA A PA-C	9/27/2024	Taxonomy not applicable	NA	n/a	000	Unknown	65127	N/A	N/A	N/A	N/A	N/A	1141 PEAR TREE LANE	100	NAPA	CA	94558	6484	00	06000	38.32125908	-122.2921523	Napa County
345268	Ordering, Referring, Prescribing	N/A	1750127098	0	0	NGAI, STEVEN J	4/19/2024	Taxonomy not applicable	NA	n/a	000	Unknown	89449	N/A	N/A	N/A	N/A	N/A	730 TARAVAL ST	None	SAN FRANCISCO	CA	94116	2515	00	06000	37.74314935	-122.4742736	San Francisco County
345354	Ordering, Referring, Prescribing	N/A	1750507554	0	0	NABOR, MELINDA M LCSW	10/24/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	19499	N/A	N/A	N/A	N/A	N/A	1 CIVIC PLAZA DR	None	CARSON	CA	90745	2243	00	06000	33.8328256	-118.2592958	Los Angeles County
345395	Ordering, Referring, Prescribing	N/A	1750622650	0	0	NAWAZ, SIDDIQA MD	6/4/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A162872	N/A	N/A	N/A	N/A	N/A	540 N SAN JACINTO ST	P	HEMET	CA	92543	3154	00	06000	33.755229	-116.9586405	Riverside County
345410	Ordering, Referring, Prescribing	N/A	1750658951	0	0	NABHANI, JAMAL A MD	12/10/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A118765	N/A	N/A	N/A	N/A	N/A	105 E SYDNOR AVENUE	SUITE 100	RIDGECREST	CA	93555	5546	00	06000	35.64096373	-117.6688699	Kern County
345414	Ordering, Referring, Prescribing	N/A	1750659884	0	0	NGO, PHUONG-THUY PHARMD	7/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55440	N/A	N/A	N/A	N/A	N/A	6701 CARNELIAN ST	None	RANCHO CUCAMONGA	CA	91701	4556	00	06000	34.13214	-117.6161915	San Bernardino County
345440	Ordering, Referring, Prescribing	N/A	1750706255	0	0	NODALO, GIZELLE PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	61342	N/A	N/A	N/A	N/A	N/A	28460 HASKELL CANYON RD	None	SANTA CLARITA	CA	91390	5203	00	06000	34.46016626	-118.5117022	Los Angeles County
345454	Ordering, Referring, Prescribing	N/A	1750720967	0	0	NAVAS, CHRISTOPHER A LMFT	5/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	112060	N/A	N/A	N/A	N/A	N/A	3665 KEARNY VILLA RD	101	SAN DIEGO	CA	92123	1953	00	06000	32.80816826	-117.1510112	San Diego County
345458	Ordering, Referring, Prescribing	N/A	1750730750	0	0	NGUYEN, HUONG T PHARMD	3/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64041	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPARTMENT 362	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
345478	Ordering, Referring, Prescribing	N/A	1750756425	0	0	NERSISYAN, MARINE LMFT	12/21/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT99420	N/A	N/A	N/A	N/A	N/A	237 N CENTRAL AVE	SUITE C	GLENDALE	CA	91203	3526	00	06000	34.14943423	-118.2579487	Los Angeles County
345498	Ordering, Referring, Prescribing	N/A	1750780284	0	0	NOON, KAYLA M LCSW	6/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	92497	N/A	N/A	N/A	N/A	N/A	1000 S. MAIN ST.	SUITE 105	SALINAS	CA	93901	2353	00	06000	36.66226091	-121.6578913	Monterey County
345504	Ordering, Referring, Prescribing	N/A	1750783940	0	0	NGUYEN, STEPHANIE V LCSW	7/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95307	N/A	N/A	N/A	N/A	N/A	1200 N MAIN ST	SUITE 200	SANTA ANA	CA	92701	3640	00	06000	33.755175	-117.8676195	Orange County
345534	Ordering, Referring, Prescribing	N/A	1750831426	0	0	NG, JENNY PHARMD	3/13/2018	Taxonomy not applicable	NA	n/a	000	Unknown	75454	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	MS SEC2-B	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
345565	Ordering, Referring, Prescribing	N/A	1750895934	0	0	NGUYEN, CHLOE T DO	1/31/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A16906	N/A	N/A	N/A	N/A	N/A	13193 CENTRAL AVE	SUITE 100	CHINO	CA	91710	4179	00	06000	34.01406506	-117.6891684	San Bernardino County
345654	Ordering, Referring, Prescribing	N/A	1760083463	0	0	NELSON, JOHN A LMFT	3/15/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48231	N/A	N/A	N/A	N/A	N/A	1560 MARKET ST.	None	REDDING	CA	96001	0000	00	06000	40.58346871	-122.390608	Shasta County
345712	Ordering, Referring, Prescribing	N/A	1760491427	0	0	NGO, HUONG T MD	2/3/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G79637	N/A	N/A	N/A	N/A	N/A	1200 N MAIN ST	None	SANTA ANA	CA	92701	3640	00	06000	33.755175	-117.8676195	Orange County
345838	Ordering, Referring, Prescribing	N/A	1760764294	0	0	NGUYEN, BUU-CHAU N PHARMD	7/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65129	N/A	N/A	N/A	N/A	N/A	9750 WOODMAN AVE	None	ARLETA	CA	91331	6422	00	06000	34.24797121	-118.448713	Los Angeles County
345840	Ordering, Referring, Prescribing	N/A	1760764401	0	0	NATESIRI, APRIL PHARMD	7/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59208	N/A	N/A	N/A	N/A	N/A	18430 SHERMAN WAY	None	RESEDA	CA	91335	4305	00	06000	34.20105549	-118.534329	Los Angeles County
345908	Ordering, Referring, Prescribing	N/A	1760856330	0	0	NGUYEN, ANDREW PHARMD	4/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	61311	N/A	N/A	N/A	N/A	N/A	6240 FOOTHILL BLVD	None	TUJUNGA	CA	91042	3422	00	06000	34.24130378	-118.2676478	Los Angeles County
345948	Ordering, Referring, Prescribing	N/A	1760918734	0	0	NUZHNY, VALENTIN MD	8/5/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164107	N/A	N/A	N/A	N/A	N/A	91275 66TH AVE	500	MECCA	CA	92254	0000	00	06000	33.5692685	-116.0743905	Riverside County
345967	Ordering, Referring, Prescribing	N/A	1760936801	0	0	NWANDEI, NWANKAEGO PA	9/7/2022	Taxonomy not applicable	NA	n/a	000	Unknown	53760	N/A	N/A	N/A	N/A	N/A	801 S GRAND AVENUE	475	LOS ANGELES	CA	90017	0449	00	06000	34.04532806	-118.258462	Los Angeles County
345986	Ordering, Referring, Prescribing	N/A	1760971402	0	0	NGUYEN, VU	11/16/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	33914	N/A	N/A	N/A	N/A	N/A	6833 STOCKTON BLVD	440	SACRAMENTO	CA	95823	2374	00	06000	38.502684	-121.430124	Sacramento County
346004	Ordering, Referring, Prescribing	N/A	1760997472	0	0	NGUYEN, PHUOUNG U T NP	2/23/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	834154	N/A	N/A	N/A	N/A	N/A	6973 LINDA VISTA RD	None	SAN DIEGO	CA	92111	6342	00	06000	32.78725456	-117.1698028	San Diego County
346012	Ordering, Referring, Prescribing	N/A	1770017188	0	0	NGUYEN, MARI JANET M	2/14/2022	Taxonomy not applicable	NA	n/a	099	DENTIST	104613	N/A	N/A	N/A	N/A	N/A	1129 W 4TH ST	None	ONTARIO	CA	91762	1703	00	06000	34.077636	-117.6713055	San Bernardino County
346027	Ordering, Referring, Prescribing	N/A	1770050940	0	0	NGUYEN, BAO G PHARMD	3/25/2019	Taxonomy not applicable	NA	n/a	000	Unknown	79763	N/A	N/A	N/A	N/A	N/A	665 N D ST	STE. H	SAN BERNARDINO	CA	92401	1109	00	06000	34.111737	-117.2918735	San Bernardino County
346034	Ordering, Referring, Prescribing	N/A	1770056954	0	0	NGUYEN, EMMALINE LCSW	8/4/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW117087	N/A	N/A	N/A	N/A	N/A	455 1ST STREET	None	WOODLAND	CA	95669	4023	00	06000	38.675781	-121.773122	Yolo County
346043	Ordering, Referring, Prescribing	N/A	1770072290	0	0	NADI, FAHIMA MD	11/21/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A175325	N/A	N/A	N/A	N/A	N/A	4535 70TH ST.	None	LA MESA	CA	91941	3154	00	06000	32.76144168	-117.046842	San Diego County
346079	Ordering, Referring, Prescribing	N/A	1770145237	0	0	NGUYEN, TONY PHARMD	10/10/2018	Taxonomy not applicable	NA	n/a	000	Unknown	77202	N/A	N/A	N/A	N/A	N/A	70 W HEDDING ST	None	SAN JOSE	CA	95110	1705	00	06000	37.35249294	-121.9050815	Santa Clara County
346088	Ordering, Referring, Prescribing	N/A	1770169161	0	0	NGO, KELVIN DO	7/3/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A23063	N/A	N/A	N/A	N/A	N/A	2130 NATIONAL AVENUE	None	SAN DIEGO	CA	92113	2209	00	06000	32.69800063	-117.1411927	San Diego County
346149	Ordering, Referring, Prescribing	N/A	1770605156	0	0	NGUYEN, CATVY N NP	2/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95016651	N/A	N/A	N/A	N/A	N/A	22471 ASPAN ST	103	LAKE FOREST	CA	92630	1642	00	06000	33.63624985	-117.7119697	Orange County
346175	Ordering, Referring, Prescribing	N/A	1770648727	0	0	NEFF, PAMELA MD	12/17/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C183439	N/A	N/A	N/A	N/A	N/A	3834 S WESTERN AVE	None	LOS ANGELES	CA	90062	1104	00	06000	34.016157	-118.3088825	Los Angeles County
346176	Ordering, Referring, Prescribing	N/A	1770652778	0	0	NISHIMORI, JUDITH A LMFT	6/26/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	MFT25732	N/A	N/A	N/A	N/A	N/A	105 N LINCOLN ST	None	SANTA MARIA	CA	93458	4319	00	06000	34.9535882	-120.4374049	Santa Barbara County
346188	Ordering, Referring, Prescribing	N/A	1770686834	0	0	NATRAJAN, KALPANA MD	12/2/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A90413	N/A	N/A	N/A	N/A	N/A	325 W WASHINGTON ST	#2329	SAN DIEGO	CA	92103	1946	00	06000	32.74980069	-117.166788	San Diego County
346205	Ordering, Referring, Prescribing	N/A	1770733123	0	0	NIELSEN, TIFFANY LCSW	1/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW61291	N/A	N/A	N/A	N/A	N/A	3850 CRENSHAW BLVD	None	LOS ANGELES	CA	90008	1821	00	06000	34.01581788	-118.3348506	Los Angeles County
346262	Ordering, Referring, Prescribing	N/A	1770859027	0	0	NUCIM, JONATHAN E MD	10/31/2014	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A128112	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPRESSWAY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
346277	Ordering, Referring, Prescribing	N/A	1770879447	0	0	NGUYEN, TIFFANY H PHARMD	3/20/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH51742	N/A	N/A	N/A	N/A	N/A	751 SOUTH BASCOM AVENUE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
346452	Ordering, Referring, Prescribing	N/A	1780138404	0	0	NOBLETT, DYLAN A MD	3/13/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165426	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
346485	Ordering, Referring, Prescribing	N/A	1780218271	0	0	NAVA, BRENDA PA	7/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA58229	N/A	N/A	N/A	N/A	N/A	1028 E VERNON AVE	None	LOS ANGELES	CA	90011	3717	00	06000	34.00389853	-118.257615	Los Angeles County
346547	Ordering, Referring, Prescribing	N/A	1780386987	0	0	NAVARRO, LAUREN	5/30/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A196575	N/A	N/A	N/A	N/A	N/A	2051 MARENGO ST	None	LOS ANGELES	CA	90033	1352	00	06000	34.05627579	-118.2064774	Los Angeles County
346551	Ordering, Referring, Prescribing	N/A	1780447904	0	0	NOUR, FIRAS	1/31/2024	Taxonomy not applicable	NA	n/a	000	Unknown	109838	N/A	N/A	N/A	N/A	N/A	3030 EXPLORER DR	None	SACRAMENTO	CA	95827	2728	00	06000	38.563362	-121.332429	Sacramento County
346558	Ordering, Referring, Prescribing	N/A	1780460394	0	0	NGUYEN, JENNY PHARMD	9/5/2023	Taxonomy not applicable	NA	n/a	000	Unknown	88430	N/A	N/A	N/A	N/A	N/A	1100 EL CAMINO REAL	None	BELMONT	CA	94002	3904	00	06000	37.51941385	-122.2748458	San Mateo County
346611	Ordering, Referring, Prescribing	N/A	1780746453	0	0	NGUYEN, MAI T PHARMD	3/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55895	N/A	N/A	N/A	N/A	N/A	4900 RIVERGRADE RD	None	BALDWIN PARK	CA	91706	1401	00	06000	34.10201565	-117.9802967	Los Angeles County
346620	Ordering, Referring, Prescribing	N/A	1780776443	0	0	NGUYEN, DONG PHUONG H PHARMD	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	49816	N/A	N/A	N/A	N/A	N/A	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	00	06000	37.78324881	-122.4405738	San Francisco County
346653	Ordering, Referring, Prescribing	N/A	1780847293	0	0	NUNEZ, BELINDA C LCSW	12/3/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW74871	N/A	N/A	N/A	N/A	N/A	18780 AMAR RD	204	WALNUT	CA	91789	4560	00	06000	34.02807335	-117.8924765	Los Angeles County
346666	Ordering, Referring, Prescribing	N/A	1780892083	0	0	NIKKHAH, JILA DDS	6/30/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS45303	N/A	N/A	N/A	N/A	N/A	1550 SUPERIOR AVENUE	None	COSTA MESA	CA	92627	3653	00	06000	33.63305341	-117.9266303	Orange County
346673	Ordering, Referring, Prescribing	N/A	1780905661	0	0	NGUYEN, PHUONG THANH H LCSW	6/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW79405	N/A	N/A	N/A	N/A	N/A	14140 BEACH BLVD	223	WESTMINSTER	CA	92683	4453	00	06000	33.756966	-117.9894915	Orange County
346705	Ordering, Referring, Prescribing	N/A	1780960179	0	0	NGUYEN, CUONG H PHARMD	7/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	68567	N/A	N/A	N/A	N/A	N/A	18430 SHERMAN WAY	None	RESEDA	CA	91335	4305	00	06000	34.20105549	-118.534329	Los Angeles County
346713	Ordering, Referring, Prescribing	N/A	1780967570	0	0	NGUYEN, TRAN H PSYD	6/28/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY29548	N/A	N/A	N/A	N/A	N/A	3270 KERNER BLVD	B	SAN RAFAEL	CA	94901	4840	00	06000	37.96108677	-122.5017451	Marin County
346722	Ordering, Referring, Prescribing	N/A	1780966838	0	0	NGUYEN, CAITLYN PHARMD	7/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	61511	N/A	N/A	N/A	N/A	N/A	946 S BROOKHURST ST	None	ANAHEIM	CA	92804	4305	00	06000	33.818652	-117.958912	Orange County
346756	Ordering, Referring, Prescribing	N/A	1790054641	0	0	NGUYEN, THIEM T PHARMD	8/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66471	N/A	N/A	N/A	N/A	N/A	925 ORANGE AVE	None	SAN DIEGO	CA	92118	2609	00	06000	32.68677093	-117.1792108	San Diego County
346761	Ordering, Referring, Prescribing	N/A	1790055283	0	0	NAM, JOANNE Y	8/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	62263	N/A	N/A	N/A	N/A	N/A	18296 COLLIER AVE	None	LAKE ELSINORE	CA	92530	2754	00	06000	33.69042777	-117.3403538	Riverside County
346762	Ordering, Referring, Prescribing	N/A	1790054963	0	0	NGUYEN, THUY-TIEN T PHARMD	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48634	N/A	N/A	N/A	N/A	N/A	3446 W BALL RD	None	ANAHEIM	CA	92804	3709	00	06000	33.81723147	-118.009845	Orange County
346786	Ordering, Referring, Prescribing	N/A	1790081768	0	0	NGUYEN, THAO U	1/25/2022	Taxonomy not applicable	NA	n/a	000	Unknown	49576	N/A	N/A	N/A	N/A	N/A	1709 AUTOMATION PKWY	None	SAN JOSE	CA	95131	1866	00	06000	37.39119817	-121.8843339	Santa Clara County
346795	Ordering, Referring, Prescribing	N/A	1790086874	0	0	NGUYEN, TERESA LMFT	9/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT78978	N/A	N/A	N/A	N/A	N/A	2221 ENBORG LN	None	SAN JOSE	CA	95128	2608	00	06000	37.31105733	-121.937923	Santa Clara County
346807	Ordering, Referring, Prescribing	N/A	1790099224	0	0	NAVARRO, SHIRLEY H NP	6/2/2015	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	733386	N/A	N/A	N/A	N/A	N/A	18111 NORDHOFF ST	None	NORTHRIDGE	CA	91423	3320	00	06000	34.239213	-118.527768	Los Angeles County
346817	Ordering, Referring, Prescribing	N/A	1790123818	0	0	NEWLAND, CASEY B PSYD	3/22/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY30116	N/A	N/A	N/A	N/A	N/A	1950 ALAMEDA DE LAS PULG	None	SAN MATEO	CA	94403	1222	00	06000	37.545779	-122.3213093	San Mateo County
346868	Ordering, Referring, Prescribing	N/A	1790190064	0	0	NGUYEN, CHERRELLE L	1/8/2018	Taxonomy not applicable	NA	n/a	000	Unknown	5389	N/A	N/A	N/A	N/A	N/A	250 WEST 5TH ST	None	HANFORD	CA	93230	8823	00	06000	36.32439821	-119.6472235	Kings County
346919	Ordering, Referring, Prescribing	N/A	1790261758	0	0	NORRIS, EMMALEE J LMFT	12/27/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT130240	N/A	N/A	N/A	N/A	N/A	101 CIRBY HILLS DR	None	ROSEVILLE	CA	95678	4360	00	06000	38.7303989	-121.2872592	Placer County
346920	Ordering, Referring, Prescribing	N/A	1790266120	0	0	NGUYEN, NGOC PHUONG T PHARMD	7/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78034	N/A	N/A	N/A	N/A	N/A	12275 PERRIS BLVD	None	MORENO VALLEY	CA	92557	7432	00	06000	33.942231	-117.226418	Riverside County
346928	Ordering, Referring, Prescribing	N/A	1790281301	0	0	NATH, ANUSHA MD	9/22/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A175000	N/A	N/A	N/A	N/A	N/A	501 S IDAHO ST	SUITE 190	LA HABRA	CA	90631	6047	00	06000	33.927525	-117.959216	Orange County
346949	Ordering, Referring, Prescribing	N/A	1790317873	0	0	NGUYEN, DENNIS NP	2/9/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95013056	N/A	N/A	N/A	N/A	N/A	500 WEST HOSPITAL ROAD	SUITE# A, B AND C	FRENCH CAMP	CA	95231	9693	00	06000	37.88652418	-121.2820956	San Joaquin County
347013	Ordering, Referring, Prescribing	N/A	1790482206	0	0	NEWTON, DEREK PA	2/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62326	N/A	N/A	N/A	N/A	N/A	1701 STINE RD	None	BAKERSFIELD	CA	93309	4827	00	06000	35.33828383	-119.0513543	Kern County
347022	Ordering, Referring, Prescribing	N/A	1790536787	0	0	NIEHAUS, SARAH MD	8/13/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL15377	N/A	N/A	N/A	N/A	N/A	3569 ROUND BARN CIRCLE	None	SANTA ROSA	CA	95403	5781	00	06000	38.479743	-122.729625	Sonoma County
347028	Ordering, Referring, Prescribing	N/A	1790563294	0	0	NGUYEN, JULIE NP	6/8/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95025496	N/A	N/A	N/A	N/A	N/A	808 W 58TH ST	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
347055	Ordering, Referring, Prescribing	N/A	1790813871	0	0	NGUYEN, NATALIE N OD	9/11/2022	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	11375T	N/A	N/A	N/A	N/A	N/A	3600 W MCFADDEN AVE	None	SANTA ANA	CA	92704	1330	00	06000	33.73817702	-117.915255	Orange County
347065	Ordering, Referring, Prescribing	N/A	1790835767	0	0	NANSEL, CHARLENE L LMFT	3/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	47166	N/A	N/A	N/A	N/A	N/A	109 PARMAC RD	1, 2A	CHICO	CA	95926	2294	00	06000	39.75358764	-121.8505893	Butte County
347085	Ordering, Referring, Prescribing	N/A	1790864791	0	0	NGUYEN, BRIGITTE P PHARMD	5/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	49642	N/A	N/A	N/A	N/A	N/A	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3000	00	06000	33.904782	-117.469323	Riverside County
347222	Ordering, Referring, Prescribing	N/A	1801148846	0	0	NEELEY, ROBERT D PHARMD	8/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH73679	N/A	N/A	N/A	N/A	N/A	347 LAKEPORT BLVD	None	LAKEPORT	CA	95453	5412	00	06000	39.03461182	-122.918483	Lake County
347230	Ordering, Referring, Prescribing	N/A	1801155726	0	0	NGUYEN, CASIE CHI NP	8/16/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	20806	N/A	N/A	N/A	N/A	N/A	661 W FIRST ST	G	TUSTIN	CA	92780	2939	00	06000	33.74578153	-117.831231	Orange County
347245	Ordering, Referring, Prescribing	N/A	1801179932	0	0	NGUYEN, DUC T	10/13/2011	Taxonomy not applicable	NA	n/a	099	DENTIST	D60758	N/A	N/A	N/A	N/A	N/A	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	00	06000	32.55831005	-117.0475102	San Diego County
347258	Ordering, Referring, Prescribing	N/A	1801191424	0	0	NGUYEN, HANG T	1/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	46545	N/A	N/A	N/A	N/A	N/A	4226 WOODRUFF AVE	None	LAKEWOOD	CA	90713	3143	00	06000	33.835068	-118.116513	Los Angeles County
347262	Ordering, Referring, Prescribing	N/A	1801197116	0	0	NGUYEN, MARK TUAN D PHARMD	3/16/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53356	N/A	N/A	N/A	N/A	N/A	16450 BEACH BLVD	None	WESTMINSTER	CA	92683	7859	00	06000	33.72426	-117.9890615	Orange County
347334	Ordering, Referring, Prescribing	N/A	1801299219	0	0	NGUYEN, HIEU D PHARMD	12/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH72659	N/A	N/A	N/A	N/A	N/A	2200 E WILLOW ST	None	SIGNAL HILL	CA	90755	2132	00	06000	33.80433652	-118.1648745	Los Angeles County
347335	Ordering, Referring, Prescribing	N/A	1801290531	0	0	NG, LIH CHYUAN PHARMD	7/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH78123	N/A	N/A	N/A	N/A	N/A	1574 EAST VALLEY PARKWAY	None	ESCONDIDO	CA	92027	2316	00	06000	33.13377959	-117.0599309	San Diego County
347347	Ordering, Referring, Prescribing	N/A	1801325360	0	0	NAWURAH, B'LALA MD	1/24/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A175054	N/A	N/A	N/A	N/A	N/A	50249 CESAR CHAVEZ ST	STE K	COACHELLA	CA	92236	1530	00	06000	33.68245553	-116.1816607	Riverside County
347382	Ordering, Referring, Prescribing	N/A	1801378609	0	0	NICHOLS-MELTON, PENNY PHARMD	8/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	39895	N/A	N/A	N/A	N/A	N/A	2323 16TH STREET	None	BAKERSFIELD	CA	93301	7223	00	06000	35.37238027	-119.0288508	Kern County
347383	Ordering, Referring, Prescribing	N/A	1801390117	0	0	NGUYEN, JENNY M	11/15/2022	Taxonomy not applicable	NA	n/a	000	Unknown	77454	N/A	N/A	N/A	N/A	N/A	1663 BRANHAM LN	None	SAN JOSE	CA	95118	2200	00	06000	37.25190008	-121.9076357	Santa Clara County
347412	Ordering, Referring, Prescribing	N/A	1801439674	0	0	NATHANI, NIDHA-SUKHENA	10/23/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	34442	N/A	N/A	N/A	N/A	N/A	678 E SANTA CLARA ST	None	SAN JOSE	CA	95112	1931	00	06000	37.34268625	-121.8767695	Santa Clara County
347465	Ordering, Referring, Prescribing	N/A	1801575592	0	0	NUNEZ, OMAR M PA-C	5/9/2024	Taxonomy not applicable	NA	n/a	000	Unknown	64464	N/A	N/A	N/A	N/A	N/A	27800 MEDICAL CENTER RD	SUITE 110 AND 109	MISSION VIEJO	CA	92691	6410	00	06000	33.55952733	-117.6645199	Orange County
347470	Ordering, Referring, Prescribing	N/A	1801674957	0	0	NGUYEN, NATHAN H NP	7/10/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95025890	N/A	N/A	N/A	N/A	N/A	23700 CAMINO DEL SOL	None	TORRANCE	CA	90505	5017	00	06000	33.8102385	-118.3441185	Los Angeles County
347541	Ordering, Referring, Prescribing	N/A	1811018666	0	0	NELSON, BRITTANY L LMFT	12/19/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53290	N/A	N/A	N/A	N/A	N/A	2615 S MILLER ST	106	SANTA MARIA	CA	93455	1775	00	06000	34.91141828	-120.4320168	Santa Barbara County
347601	Ordering, Referring, Prescribing	N/A	1811086036	0	0	NAJEEB, RUBINA T MD	5/15/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A53937	N/A	N/A	N/A	N/A	N/A	8019 S. COMPTON AVE	None	LOS ANGELES	CA	90001	3401	00	06000	33.9664185	-118.2477481	Los Angeles County
347636	Ordering, Referring, Prescribing	N/A	1811226624	0	0	NNAKIGOZI, JOSEPHINE J LCSW	8/22/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	79714	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVENUE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
347673	Ordering, Referring, Prescribing	N/A	1811276892	0	0	NETTLES, LEANNE M LMFT	2/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	94575	N/A	N/A	N/A	N/A	N/A	2750 E. WASHINGTON BLVD	230	PASADENA	CA	91107	1448	00	06000	34.1680038	-118.0943955	Los Angeles County
347677	Ordering, Referring, Prescribing	N/A	1811278856	0	0	NGUYEN, ANGIE Y PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57774	N/A	N/A	N/A	N/A	N/A	3643 PECK RD	None	EL MONTE	CA	91731	3530	00	06000	34.07273235	-118.0242338	Los Angeles County
347680	Ordering, Referring, Prescribing	N/A	1811281785	0	0	NG, JAMIE Z MD	1/14/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A125438	N/A	N/A	N/A	N/A	N/A	811 GRAND AVE	D	SACRAMENTO	CA	95838	3466	00	06000	38.637621	-121.4470125	Sacramento County
347731	Ordering, Referring, Prescribing	N/A	1811364763	0	0	NUNEZ, CHRISTINA O LMFT	2/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT118213	N/A	N/A	N/A	N/A	N/A	540 S EREMLAND DR	None	COVINA	CA	91723	3186	00	06000	34.079904	-117.8863235	Los Angeles County
347744	Ordering, Referring, Prescribing	N/A	1811394059	0	0	NOBLE, HUGH LCSW	8/9/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW91974	N/A	N/A	N/A	N/A	N/A	1202 MORENA BLVD	None	SAN DIEGO	CA	92110	3841	00	06000	32.77025942	-117.2017196	San Diego County
347750	Ordering, Referring, Prescribing	N/A	1811401995	0	0	NGUYEN, DIANA LMFT	8/28/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	139278	N/A	N/A	N/A	N/A	N/A	1245 E. SANTA CLARA ST.	None	SAN JOSE	CA	95116	2337	00	06000	37.34780368	-121.8662009	Santa Clara County
347759	Ordering, Referring, Prescribing	N/A	1811412679	0	0	NGUYEN, JUSTIN PHARMD	3/15/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH76687	N/A	N/A	N/A	N/A	N/A	555 E CALAVERAS BLVD	None	MILPITAS	CA	95035	7704	00	06000	37.43317076	-121.8957393	Santa Clara County
347824	Ordering, Referring, Prescribing	N/A	1811508054	0	0	NGUYEN, TUYEN PHARMD	10/20/2021	Taxonomy not applicable	NA	n/a	000	Unknown	85476	N/A	N/A	N/A	N/A	N/A	330 E LIVE OAK AVE	None	ARCADIA	CA	91006	5617	00	06000	34.10850998	-118.0219204	Los Angeles County
347877	Ordering, Referring, Prescribing	N/A	1811656267	0	0	NEWHOUSE, MADELEINE N PA	4/19/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61015	N/A	N/A	N/A	N/A	N/A	71777 SAN JACINTO DR	202	RANCHO MIRAGE	CA	92270	3543	00	06000	33.74394755	-116.4124572	Riverside County
347900	Ordering, Referring, Prescribing	N/A	1811726276	0	0	NGUYEN, VIVIAN NP	8/8/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95031577	N/A	N/A	N/A	N/A	N/A	1621 GOLD ST	None	ALVISO	CA	95002	3530	00	06000	37.42478519	-121.9760557	Santa Clara County
347926	Ordering, Referring, Prescribing	N/A	1821032475	0	0	NGUYEN, BAO Q MD	9/21/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A92725	N/A	N/A	N/A	N/A	N/A	2333 W MARCH LANE	A2	STOCKTON	CA	95207	5272	00	06000	37.98543037	-121.3365306	San Joaquin County
347932	Ordering, Referring, Prescribing	N/A	1821049669	0	0	NGUYEN CHAWKINS, LAN L PHD	1/27/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	16422	N/A	N/A	N/A	N/A	N/A	1635 W MAIN ST	STE 100	ALHAMBRA	CA	91801	1951	00	06000	34.0915803	-118.1412977	Los Angeles County
347937	Ordering, Referring, Prescribing	N/A	1821072133	0	0	NAKANO, MARK E OD	7/26/2021	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	OPT8818	N/A	N/A	N/A	N/A	N/A	1182 N EUCLID ST	None	ANAHEIM	CA	92801	1900	00	06000	33.849909	-117.9416115	Orange County
347943	Ordering, Referring, Prescribing	N/A	1821107798	0	0	NURKSE, ELLEN	5/1/2013	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	RN0668848	N/A	N/A	N/A	N/A	N/A	2185 PACHECO ST	None	CONCORD	CA	94520	2309	00	06000	37.97878977	-122.0345486	Contra Costa County
347987	Ordering, Referring, Prescribing	N/A	1821160995	0	0	NORRINGTON-SANDS, KIMANI PHD	12/18/2018	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	19557	N/A	N/A	N/A	N/A	N/A	333 S. BEAUDRY AVE	None	LOS ANGELES	CA	90017	1466	00	06000	34.05611213	-118.2570905	Los Angeles County
348000	Ordering, Referring, Prescribing	N/A	1821184672	0	0	NG, PATRICIA M	2/1/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0521986	N/A	N/A	N/A	N/A	N/A	11722 S WILMINGTON AVE	None	LOS ANGELES	CA	90095	2543	00	06000	33.9267675	-118.2390104	Los Angeles
348026	Ordering, Referring, Prescribing	N/A	1821269499	0	0	NICHOLSON, JODIE A	2/27/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	92066	N/A	N/A	N/A	N/A	N/A	902 MONTEREY SALINAS HWY	None	SALINAS	CA	93908	8820	00	06000	36.56808493	-121.7754309	Monterey County
348050	Ordering, Referring, Prescribing	N/A	1821313552	0	0	NAVA, LIZBETH LMFT	12/9/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT115754	N/A	N/A	N/A	N/A	N/A	5150 E PACIFIC COAST HWY	None	LONG BEACH	CA	90804	3312	00	06000	33.7831762	-118.1333125	Los Angeles County
348054	Ordering, Referring, Prescribing	N/A	1821330069	0	0	NGUYEN, ALEXANDER T MD MPH	11/11/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A143656	N/A	N/A	N/A	N/A	N/A	6060 PARAMOUNT BLVD	None	LONG BEACH	CA	90805	3711	00	06000	33.865083	-118.157517	Los Angeles County
348061	Ordering, Referring, Prescribing	N/A	1821341777	0	0	NWOCHIE, ANGEL O NP	7/16/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	2019074749	N/A	N/A	N/A	N/A	N/A	6400 LAUREL CANYON BLVD	500	NORTH HOLLYWOOD	CA	91606	1571	00	06000	34.18698871	-118.3964897	Los Angeles County
348071	Ordering, Referring, Prescribing	N/A	1821362203	0	0	NGUYEN, LISA N PHARMD	5/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51035	N/A	N/A	N/A	N/A	N/A	14441 BROOKHURST ST	4	GARDEN GROVE	CA	92843	4646	00	06000	33.752871	-117.955026	Orange County
348073	Ordering, Referring, Prescribing	N/A	1821360975	0	0	NGUYEN, TANNER Q PHARMD	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57824	N/A	N/A	N/A	N/A	N/A	120 W PARKRIDGE AVE	None	CORONA	CA	92878	1450	00	06000	33.89324293	-117.5638517	Riverside County
348092	Ordering, Referring, Prescribing	N/A	1821385352	0	0	NAVASARTIAN, DANIEL LCSW	7/3/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW123829	N/A	N/A	N/A	N/A	N/A	301 E 13TH ST	D	MERCED	CA	95341	6214	00	06000	37.29248035	-120.4730619	Merced County
348101	Ordering, Referring, Prescribing	N/A	1821413204	0	0	NGUYEN, KELLY PHARMD	3/27/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH60499	N/A	N/A	N/A	N/A	N/A	804 AVENIDA PICO	None	SAN CLEMENTE	CA	92673	5625	00	06000	33.44345358	-117.6145931	Orange County
348117	Ordering, Referring, Prescribing	N/A	1821439027	0	0	NGO, NHAN L	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH68443	N/A	N/A	N/A	N/A	N/A	10787 CAMINO RUIZ	None	SAN DIEGO	CA	92126	2304	00	06000	32.91489	-117.1438035	San Diego County
348154	Ordering, Referring, Prescribing	N/A	1821489824	0	0	NEABORS, CHONSEYA LMFT	10/28/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT128937	N/A	N/A	N/A	N/A	N/A	20101 HAMILTON AVE	160	TORRANCE	CA	90502	1351	00	06000	33.84828383	-118.2860386	Los Angeles County
348211	Ordering, Referring, Prescribing	N/A	1821574518	0	0	NGUYEN, THIEN Q PHARMD	3/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	76839	N/A	N/A	N/A	N/A	N/A	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	00	06000	38.644479	-121.1349735	Sacramento County
348217	Ordering, Referring, Prescribing	N/A	1821583543	0	0	NG, CORY PHARMD	2/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77174	N/A	N/A	N/A	N/A	N/A	275 HOSPITAL PARKWAY	None	SAN JOSE	CA	95119	1106	00	06000	37.23951066	-121.8013511	Santa Clara County
348235	Ordering, Referring, Prescribing	N/A	1821611781	0	0	NAT, KAMALPREET LCSW	3/7/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	121430	N/A	N/A	N/A	N/A	N/A	1625 SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
348246	Ordering, Referring, Prescribing	N/A	1821642265	0	0	NELSON, COURTNEY LCSW	6/8/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	108401	N/A	N/A	N/A	N/A	N/A	9200 SWEET ACACIA WAY	None	SACRAMENTO	CA	95829	8735	00	06000	38.485656	-121.357539	Sacramento County
348276	Ordering, Referring, Prescribing	N/A	1821702770	0	0	NASR, MELIKA	2/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	87007	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD.	MS SEC2-B	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
348278	Ordering, Referring, Prescribing	N/A	1821726126	0	0	NGUYEN, THOMAS DDS	8/12/2022	Taxonomy not applicable	NA	n/a	000	Unknown	107781	N/A	N/A	N/A	N/A	N/A	6000 N FIGUEROA ST	None	LOS ANGELES	CA	90042	4232	00	06000	34.11150069	-118.1888319	Los Angeles County
348284	Ordering, Referring, Prescribing	N/A	1821686627	0	0	NAZERZADEH, ATTAH	1/8/2022	Taxonomy not applicable	NA	n/a	000	Unknown	81830	N/A	N/A	N/A	N/A	N/A	2400 N SEPULVEDA BLVD	None	LOS ANGELES	CA	90001	0000	00	06000	34.1137929	-118.4826815	Los Angeles County
348331	Ordering, Referring, Prescribing	N/A	1831217264	0	0	NARASIMHAN, ANANDHI MD	11/25/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A89101	N/A	N/A	N/A	N/A	N/A	108 WEST VICTORIA STREET	None	GARDENA	CA	90248	3523	00	06000	33.86509452	-118.2762279	Los Angeles County
348360	Ordering, Referring, Prescribing	N/A	1831257922	0	0	NGUYEN, TRANG T PHARMD	3/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	42918	N/A	N/A	N/A	N/A	N/A	411 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	00	06000	33.8531521	-117.8160824	Orange County
348428	Ordering, Referring, Prescribing	N/A	1831433028	0	0	NACORDA, JOELLE PA-C	8/2/2022	Taxonomy not applicable	NA	n/a	000	Unknown	22631	N/A	N/A	N/A	N/A	N/A	325 E 7TH ST	None	LOS ANGELES	CA	90014	2209	00	06000	34.04209386	-118.2486813	Los Angeles County
348435	Ordering, Referring, Prescribing	N/A	1831448703	0	0	NARD, JAMIE D LMFT	4/12/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	132266	N/A	N/A	N/A	N/A	N/A	480 EAST 13TH STREET	None	MERCED	CA	95341	6214	00	06000	37.29194565	-120.4717887	Merced County
348439	Ordering, Referring, Prescribing	N/A	1831466150	0	0	NGUYEN, HOANG YEN PHARMD	10/28/2018	Taxonomy not applicable	NA	n/a	000	Unknown	64729	N/A	N/A	N/A	N/A	N/A	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
348487	Ordering, Referring, Prescribing	N/A	1831547009	0	0	NGUYEN, MARGARET V OD	12/14/2017	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	15428	N/A	N/A	N/A	N/A	N/A	9001 APOLLO WAY	None	DOWNEY	CA	90242	4033	00	06000	33.92303224	-118.1286645	Los Angeles County
348492	Ordering, Referring, Prescribing	N/A	1831551373	0	0	NAMDARI, ROAYA MD	3/2/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A168031	N/A	N/A	N/A	N/A	N/A	23622 CALABASAS RD	320	CALABASAS	CA	91302	1574	00	06000	34.15634882	-118.6418781	Los Angeles County
348504	Ordering, Referring, Prescribing	N/A	1831565563	0	0	NOCHEZ, DIANA H LMFT	11/5/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	109541	N/A	N/A	N/A	N/A	N/A	3200 MOTOR AVENUE	None	LOS ANGELES	CA	90034	6100	00	06000	34.03321301	-118.4109122	Los Angeles County
348517	Ordering, Referring, Prescribing	N/A	1831582881	0	0	NGUYEN, KIM NHAT T LPCC	7/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	9943	N/A	N/A	N/A	N/A	N/A	21455 BIRCH ST STE 201	STE 201	HAYWARD	CA	94541	2165	00	06000	37.68159734	-122.0935159	Alameda County
348547	Ordering, Referring, Prescribing	N/A	1831627447	0	0	NEWMAN, VANESSA N DO	11/24/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A18518	N/A	N/A	N/A	N/A	N/A	2201 COURAGE DR.	None	FAIRFIELD	CA	94533	6733	00	06000	38.23727106	-122.0692856	Solano County
348563	Ordering, Referring, Prescribing	N/A	1831649946	0	0	NGUYEN, UYEN T PHARMD	2/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74889	N/A	N/A	N/A	N/A	N/A	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	00	06000	37.23948065	-121.8005798	Santa Clara County
348585	Ordering, Referring, Prescribing	N/A	1831674068	0	0	NGUYEN, LOC	6/29/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH78603	N/A	N/A	N/A	N/A	N/A	2975 VAN BUREN BLVD	None	RIVERSIDE	CA	92503	5672	00	06000	33.9093344	-117.437395	Riverside County
348592	Ordering, Referring, Prescribing	N/A	1831682137	0	0	NAVARRO, MARIANA B LCSW	11/30/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101808	N/A	N/A	N/A	N/A	N/A	6501 GARFIELD AVE	None	BELL GARDENS	CA	90201	1805	00	06000	33.97292523	-118.1475473	Los Angeles County
348601	Ordering, Referring, Prescribing	N/A	1831693506	0	0	NYBERG, CYNTHIA C LCSW	7/10/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	116386	N/A	N/A	N/A	N/A	N/A	1030 E FLORIDA AVE	None	HEMET	CA	92543	4511	00	06000	33.7476695	-116.9610885	Riverside County
348606	Ordering, Referring, Prescribing	N/A	1831689348	0	0	NIJHARA, KUSHAGRA MD	1/17/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A183866	N/A	N/A	N/A	N/A	N/A	3300 WEBSTER ST	SUITE 804	OAKLAND	CA	94609	3117	00	06000	37.82132826	-122.2621843	Alameda County
348659	Ordering, Referring, Prescribing	N/A	1831777432	0	0	NAGLE, AMELIA DDS	8/12/2022	Taxonomy not applicable	NA	n/a	000	Unknown	107764	N/A	N/A	N/A	N/A	N/A	4141 STATE ST	C2	SANTA BARBARA	CA	93110	1814	00	06000	34.4404695	-119.7612045	Santa Barbara County
348664	Ordering, Referring, Prescribing	N/A	1831818103	0	0	NORAKY, SOMPRASONG NP	6/17/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021376	N/A	N/A	N/A	N/A	N/A	10737 CAMINO RUIZ	235	SAN DIEGO	CA	92126	2375	00	06000	32.91416051	-117.1437943	San Diego County
348673	Ordering, Referring, Prescribing	N/A	1831848217	0	0	NEWTON, BRITTANY A PHARMD	3/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74845	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
348718	Ordering, Referring, Prescribing	N/A	1841214285	0	0	NGUYEN, LIEU S MD	12/26/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A43217	N/A	N/A	N/A	N/A	N/A	15032 S PRAIRIE AVE	None	HAWTHORNE	CA	90250	8564	00	06000	33.89526	-118.3437705	Los Angeles County
348834	Ordering, Referring, Prescribing	N/A	1841487915	0	0	NELSON, KIMBERLY K LCSW	4/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW71403	N/A	N/A	N/A	N/A	N/A	3200 CLAYTON RD	None	CONCORD	CA	94519	2819	00	06000	37.97283909	-122.0196497	Contra Costa County
348843	Ordering, Referring, Prescribing	N/A	1841503174	0	0	NAZARIAN, DORON DPM	6/24/2023	Taxonomy not applicable	NA	n/a	027	PODIATRISTS	4900	N/A	N/A	N/A	N/A	N/A	808 W. 58TH STREET	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
348867	Ordering, Referring, Prescribing	N/A	1841543600	0	0	NGUYEN, PETER T PHARMD	1/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	67846	N/A	N/A	N/A	N/A	N/A	525 EL CAMINO REAL	None	MILLBRAE	CA	94030	2030	00	06000	37.60370496	-122.393958	San Mateo County
348900	Ordering, Referring, Prescribing	N/A	1841575966	0	0	NGUYEN, HA B PHARMD	7/23/2019	Taxonomy not applicable	NA	n/a	000	Unknown	64065	N/A	N/A	N/A	N/A	N/A	751 S. BASCOM AVE	None	SAN JOSE	CA	95128	2437	00	06000	37.313433	-121.9318385	Santa Clara County
348902	Ordering, Referring, Prescribing	N/A	1841577749	0	0	NGUYEN, MINH B	12/5/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	D59060	N/A	N/A	N/A	N/A	N/A	1333 MERIDIAN AVE	None	SAN JOSE	CA	95125	5212	00	06000	37.30176	-121.9136465	Santa Clara County
348903	Ordering, Referring, Prescribing	N/A	1841576451	0	0	NGUYEN, KHANHLINH X PHARMD	1/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH58278	N/A	N/A	N/A	N/A	N/A	1745 EASTLAKE PKWY	104	CHULA VISTA	CA	91915	2033	00	06000	32.61933394	-116.9619239	San Diego County
348941	Ordering, Referring, Prescribing	N/A	1841652013	0	0	NALAMASU, ROHIT DO	3/17/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A18732	N/A	N/A	N/A	N/A	N/A	4860 Y ST	None	SACRAMENTO	CA	95817	2307	00	06000	38.552211	-121.449429	Sacramento County
348963	Ordering, Referring, Prescribing	N/A	1841685641	0	0	NGHIEM, NICOLE MD	9/30/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A174689	N/A	N/A	N/A	N/A	N/A	3150 WILSHIRE BLVD	SUITE 500	LOS ANGELES	CA	90010	1305	00	06000	34.06177778	-118.2910472	Los Angeles County
349034	Ordering, Referring, Prescribing	N/A	1841786399	0	0	NGUYEN, THI Q PHARMD	3/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	76661	N/A	N/A	N/A	N/A	N/A	770 E CALAVERAS BLVD	None	MILPITAS	CA	95035	5491	00	06000	37.43378232	-121.8920598	Santa Clara County
349117	Ordering, Referring, Prescribing	N/A	1851003966	0	0	NASH, MADISON	8/12/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62211	N/A	N/A	N/A	N/A	N/A	808 W 58 ST	None	LOS ANGELES	CA	90037	3262	00	06000	33.98965917	-118.287673	Los Angeles County
349143	Ordering, Referring, Prescribing	N/A	1851087639	0	0	NGUYEN, VIVICA NP	7/5/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024390	N/A	N/A	N/A	N/A	N/A	9727 ELK GROVE FLORIN RD	None	ELK GROVE	CA	95624	2264	00	06000	38.404503	-121.370994	Sacramento County
349171	Ordering, Referring, Prescribing	N/A	1851415483	0	0	NGUYEN, MIMI LCSW	3/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	29176	N/A	N/A	N/A	N/A	N/A	1968 W ADAMS BLVD	106	LOS ANGELES	CA	90018	3515	00	06000	34.03266053	-118.3081635	Los Angeles County
349192	Ordering, Referring, Prescribing	N/A	1851436810	0	0	NAMJOO, SHARAREH PSYD	9/30/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT79848	N/A	N/A	N/A	N/A	N/A	4231 LARWIN AVE	None	CYPRESS	CA	90630	4174	00	06000	33.8173113	-118.0593165	Orange County
349207	Ordering, Referring, Prescribing	N/A	1851462147	0	0	NGUYEN, HOANG M DDS	1/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	40867	N/A	N/A	N/A	N/A	N/A	19969 GREENLEY ROAD	SUITE C AND D	SONORA	CA	95370	5908	00	06000	37.98497262	-120.3669198	Tuolumne County
349222	Ordering, Referring, Prescribing	N/A	1851479448	0	0	NUSSBAUM, RHODA I MD FACOG	5/14/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G39695	N/A	N/A	N/A	N/A	N/A	51 WELLNESS WAY	None	VALLEY SPRINGS	CA	95252	9736	00	06000	38.168667	-120.840039	Calaveras County
349223	Ordering, Referring, Prescribing	N/A	1851488795	0	0	NICHOLS, MONICA C MD	12/12/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A62070	N/A	N/A	N/A	N/A	N/A	28078 BAXTER ROAD	SUITE 230	MURRIETA	CA	92563	1403	00	06000	33.615	-117.1670265	Riverside County
349234	Ordering, Referring, Prescribing	N/A	1851522064	0	0	NGUYEN, JULIE C DDS	4/19/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS60104	N/A	N/A	N/A	N/A	N/A	1325 N ANAHEIM BLVD	SUITE 200	ANAHEIM	CA	92801	1202	00	06000	33.85331047	-117.9199617	Orange County
349297	Ordering, Referring, Prescribing	N/A	1851647945	0	0	NIJJAR, PARDEEP K PHARMD	9/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55552	N/A	N/A	N/A	N/A	N/A	602 10TH STREET	None	MARYSVILLE	CA	95901	0000	00	06000	39.14550676	-121.5932806	Yuba County
349304	Ordering, Referring, Prescribing	N/A	1851651293	0	0	NASR, SAMEH M PT	12/7/2017	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	40211	N/A	N/A	N/A	N/A	N/A	432 S CHURCH ST	None	VISALIA	CA	93277	2703	00	06000	36.325926	-119.2909455	Tulare County
349310	Ordering, Referring, Prescribing	N/A	1851659767	0	0	NISENBAUM, DAVID L MD	3/15/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A129897	N/A	N/A	N/A	N/A	N/A	401 W CIVIC CENTER DR	SUITE 800	SANTA ANA	CA	92701	4515	00	06000	33.75157353	-117.870921	Orange County
349320	Ordering, Referring, Prescribing	N/A	1851678130	0	0	NGUYEN, HAO Q PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52639	N/A	N/A	N/A	N/A	N/A	4151 E COMMERCE WAY	101	SACRAMENTO	CA	95834	9679	00	06000	38.646405	-121.523265	Sacramento County
349350	Ordering, Referring, Prescribing	N/A	1851719132	0	0	NGUYEN, TUONG V D MD	9/1/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A141635	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
349356	Ordering, Referring, Prescribing	N/A	1851730071	0	0	NAJIMUDEEN, SUDHARMA C	9/25/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	D50792	N/A	N/A	N/A	N/A	N/A	16233 KING ST	None	DELHI	CA	95315	9460	00	06000	37.43319758	-120.7809931	Merced County
349359	Ordering, Referring, Prescribing	N/A	1851731889	0	0	NGUYEN, MINH MD	8/23/2022	Taxonomy not applicable	NA	n/a	000	Unknown	A125388	N/A	N/A	N/A	N/A	N/A	13585 SAN PABLO AVE	None	SAN PABLO	CA	94806	3863	00	06000	37.95651393	-122.3371491	Contra Costa County
349364	Ordering, Referring, Prescribing	N/A	1851739148	0	0	NOSAL, LISA M LMFT	9/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53043	N/A	N/A	N/A	N/A	N/A	2227 CAPRICORN WAY	210	SANTA ROSA	CA	95407	5478	00	06000	38.425266	-122.749875	Sonoma County
349373	Ordering, Referring, Prescribing	N/A	1851752349	0	0	NGUYEN, MINHDAI T PHARMD	3/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60564	N/A	N/A	N/A	N/A	N/A	19000 HOMESTEAD RD	TANTAU BUILDING 1	CUPERTINO	CA	95014	0000	00	06000	37.33773494	-122.0043395	Santa Clara County
349382	Ordering, Referring, Prescribing	N/A	1851766505	0	0	NIKMANESH, AFROUZ	4/11/2022	Taxonomy not applicable	NA	n/a	000	Unknown	48864	N/A	N/A	N/A	N/A	N/A	2655 EL CAMINO REAL	None	TUSTIN	CA	92782	0200	00	06000	33.728463	-117.795798	Orange County
349411	Ordering, Referring, Prescribing	N/A	1851811301	0	0	NGUYEN, PHUONG H NP	8/8/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95006153	N/A	N/A	N/A	N/A	N/A	9862 CHAPMAN AVE	B	GARDEN GROVE	CA	92841	2726	00	06000	33.78849558	-117.9607338	Orange County
349420	Ordering, Referring, Prescribing	N/A	1851820062	0	0	NAVID, ELNAZ PA-C	1/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54531	N/A	N/A	N/A	N/A	N/A	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
349468	Ordering, Referring, Prescribing	N/A	1851904031	0	0	NAVA MOCTEZUMA, STEPHANIE J LCSW	7/29/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	115568	N/A	N/A	N/A	N/A	N/A	1501 HOOD ST.	None	ARVIN	CA	93203	1416	00	06000	35.20355955	-118.839528	Kern County
349496	Ordering, Referring, Prescribing	N/A	1851944243	0	0	NELSON, LINDA A LMFT	9/2/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	127898	N/A	N/A	N/A	N/A	N/A	370 W. CRENSHAW BLVD,	E-100	TORRANCE	CA	90503	1727	00	06000	33.84549	-118.3287415	Los Angeles County
349500	Ordering, Referring, Prescribing	N/A	1851955280	0	0	NGUYEN, PHUONG LCSW	6/9/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW115726	N/A	N/A	N/A	N/A	N/A	9353 VALLEY BLVD	None	ROSEMEAD	CA	91770	1923	00	06000	34.08115618	-118.0651957	Los Angeles County
349513	Ordering, Referring, Prescribing	N/A	1851981864	0	0	NGUYEN, AMY HONG NHUNG T PHARMD	7/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82278	N/A	N/A	N/A	N/A	N/A	6199 SUNRISE BLVD	None	CITRUS HEIGHTS	CA	95610	6834	00	06000	38.67786	-121.2722235	Sacramento County
349523	Ordering, Referring, Prescribing	N/A	1861025694	0	0	NAJERA, ANA TERESA RN	2/20/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	517862	N/A	N/A	N/A	N/A	N/A	1256 BROADWAY AVE	None	EL CENTRO	CA	92243	2317	00	06000	32.79388767	-115.5662308	Imperial County
349588	Ordering, Referring, Prescribing	N/A	1861400954	0	0	NGO, CHI D PHARMD	3/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58154	N/A	N/A	N/A	N/A	N/A	9449 IMPERIAL HWY	226	DOWNEY	CA	90242	2814	00	06000	33.91714048	-118.1262915	Los Angeles County
349644	Ordering, Referring, Prescribing	N/A	1861565970	0	0	NGUYEN, THERESA T PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH57674	N/A	N/A	N/A	N/A	N/A	1432 CERRO VERDE	None	SAN JOSE	CA	95120	4909	00	06000	37.22340565	-121.8907114	Santa Clara County
349653	Ordering, Referring, Prescribing	N/A	1861587446	0	0	NGUYEN, TAO V MD	3/30/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	45407	N/A	N/A	N/A	N/A	N/A	1555 PARKMOOR AVENUE	None	SAN JOSE	CA	95128	2407	00	06000	37.31712017	-121.9185451	Santa Clara County
349702	Ordering, Referring, Prescribing	N/A	1861724031	0	0	NALLANI, KARUNA C	1/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72733	N/A	N/A	N/A	N/A	N/A	707 CONTRA COSTA BLVD	None	PLEASANT HILL	CA	94523	1516	00	06000	37.97098068	-122.0633635	Contra Costa County
349772	Ordering, Referring, Prescribing	N/A	1861820359	0	0	NGUYEN, TRANG PHARMD	3/17/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH44587	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	None	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
349824	Ordering, Referring, Prescribing	N/A	1861899585	0	0	NELSON, LEAH LPCC	3/20/2023	Taxonomy not applicable	NA	n/a	000	Unknown	13460	N/A	N/A	N/A	N/A	N/A	8945 GOLF LINKS ROAD	None	OAKLAND	CA	94605	4124	00	06000	37.76047483	-122.157608	Alameda County
349949	Ordering, Referring, Prescribing	N/A	1871088971	0	0	NAZARI, RAMAN E	9/6/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	102627	N/A	N/A	N/A	N/A	N/A	7970 LANDER AVE	STE A	HILMAR	CA	95324	8350	00	06000	37.403703	-120.850121	Merced County
350007	Ordering, Referring, Prescribing	N/A	1871201657	0	0	NGUYEN, BENJAMIN H MSW LCSW	11/7/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	111929	N/A	N/A	N/A	N/A	N/A	8655 BELFORD AVE	221	LOS ANGELES	CA	90045	4567	00	06000	33.9581816	-118.3840425	Los Angeles County
350020	Ordering, Referring, Prescribing	N/A	1871234948	0	0	NUCCIO, ANGELA R PA-C	9/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA61248	N/A	N/A	N/A	N/A	N/A	4725 MARKET ST	None	SAN DIEGO	CA	92102	4715	00	06000	32.71127386	-117.0929781	San Diego County
350051	Ordering, Referring, Prescribing	N/A	1871503649	0	0	NORWOOD, PAUL C MD	12/11/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A38798	N/A	N/A	N/A	N/A	N/A	550 E HERNDON AVE	101	FRESNO	CA	93720	2992	00	06000	36.83754529	-119.7783852	Fresno County
350107	Ordering, Referring, Prescribing	N/A	1871658492	0	0	NGO, HY CA	12/11/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A69736	N/A	N/A	N/A	N/A	N/A	625 E VALLEY BLVD	H,I AND G	SAN GABRIEL	CA	91776	3591	00	06000	34.0801262	-118.0919781	Los Angeles County
350179	Ordering, Referring, Prescribing	N/A	1871809756	0	0	NGUYEN, HOANG LCSW	11/22/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	112261	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	None	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
350182	Ordering, Referring, Prescribing	N/A	1871817189	0	0	NAWAZ, HAMAYUN M MD	12/9/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A108784	N/A	N/A	N/A	N/A	N/A	925 BEVINS CT	None	LAKEPORT	CA	95453	9754	00	06000	39.03772106	-122.9223338	Lake County
350213	Ordering, Referring, Prescribing	N/A	1871860858	0	0	NAM, PATRICIA PHARMD	7/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65843	N/A	N/A	N/A	N/A	N/A	14885 TELEGRAPH RD	None	LA MIRADA	CA	90638	1060	00	06000	33.91748456	-118.0134841	Los Angeles County
350222	Ordering, Referring, Prescribing	N/A	1871873489	0	0	NGO, PHUONG K	7/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54385	N/A	N/A	N/A	N/A	N/A	2141 CHESTNUT ST	None	SAN FRANCISCO	CA	94123	2708	00	06000	37.80049399	-122.4385695	San Francisco County
350244	Ordering, Referring, Prescribing	N/A	1871903609	0	0	NEVAREZ, ROSALINDA	2/12/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140434	N/A	N/A	N/A	N/A	N/A	970 EMBARCADERO DEL MAR	None	ISLA VISTA	CA	93117	4869	00	06000	34.411707	-119.857011	Santa Barbara County
350280	Ordering, Referring, Prescribing	N/A	1871956847	0	0	NGUYEN, TRANG D NP	7/10/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025868	N/A	N/A	N/A	N/A	N/A	700 ADELINE ST	None	OAKLAND	CA	94607	2608	00	06000	37.80430011	-122.2879962	Alameda County
350298	Ordering, Referring, Prescribing	N/A	1871960815	0	0	NUNEZ, DANIEL PSYD	12/8/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	30608	N/A	N/A	N/A	N/A	N/A	3580 WILSHIRE BLVD (7312	2000	LOS ANGELES	CA	90010	2151	00	06000	34.06170677	-118.302787	Los Angeles County
350345	Ordering, Referring, Prescribing	N/A	1881053593	0	0	NWEKE, IFEOMA S NP	4/29/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95003165	N/A	N/A	N/A	N/A	N/A	4137 VERDUGO RD	None	LOS ANGELES	CA	90065	3820	00	06000	34.1261475	-118.2319835	Los Angeles County
350381	Ordering, Referring, Prescribing	N/A	1881081966	0	0	NAIR, REMA NP	2/26/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002198	N/A	N/A	N/A	N/A	N/A	805 W LA VETA AVE	STE 110	ORANGE	CA	92868	3928	00	06000	33.78064152	-117.8606475	Orange County
350385	Ordering, Referring, Prescribing	N/A	1881093078	0	0	NEWSUM, CANDICE M LMFT	3/26/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT118542	N/A	N/A	N/A	N/A	N/A	5575 HOSPITAL DRIVE	None	ATASCADERO	CA	93422	0000	00	06000	35.49162766	-120.6627516	San Luis Obispo County
350478	Ordering, Referring, Prescribing	N/A	1881246882	0	0	NGUYEN, THANHVY T PHARMD	7/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH75877	N/A	N/A	N/A	N/A	N/A	1301 E 17TH ST	None	SANTA ANA	CA	92705	8503	00	06000	33.75995053	-117.851211	Orange County
350588	Ordering, Referring, Prescribing	N/A	1881763522	0	0	NARLA, DURGADAS MD	5/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	C54130	N/A	N/A	N/A	N/A	N/A	334 VIA VERA CRUZ	SUITE 257	SAN MARCOS	CA	92078	2643	00	06000	33.13698477	-117.1888034	San Diego County
350626	Ordering, Referring, Prescribing	N/A	1881844850	0	0	NGUYEN, DENISE N LMFT	2/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT108761	N/A	N/A	N/A	N/A	N/A	1161 N RAYMOND AVE	200	ANAHEIM	CA	92801	0000	00	06000	33.88099651	-117.9072051	Orange County
350650	Ordering, Referring, Prescribing	N/A	1881915015	0	0	NOEL, SABRINA DO	7/15/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A15940	N/A	N/A	N/A	N/A	N/A	1080 N. 7TH ST.	None	SAN JOSE	CA	95112	4425	00	06000	37.35947537	-121.8992732	Santa Clara County
350671	Ordering, Referring, Prescribing	N/A	1881953362	0	0	NOSRATI, NAVEED N MD	4/4/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A155185	N/A	N/A	N/A	N/A	N/A	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	00	06000	34.06373445	-118.443537	Los Angeles County
350724	Ordering, Referring, Prescribing	N/A	1891053351	0	0	NGUYEN, ANTHONY MD	12/9/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A114183	N/A	N/A	N/A	N/A	N/A	3800 KILROY AIRPORT WAY	SUITE 100	LONG BEACH	CA	90806	6818	00	06000	33.80725242	-118.14497	Los Angeles County
350736	Ordering, Referring, Prescribing	N/A	1891070843	0	0	NOTARIO, LINDA S PHARMD	7/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	30071	N/A	N/A	N/A	N/A	N/A	260 EL CAMINO REAL	None	BURLINGAME	CA	94010	5120	00	06000	37.5763288	-122.3496381	San Mateo County
350748	Ordering, Referring, Prescribing	N/A	1891087128	0	0	NASH, COREY G LCSW	5/15/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	88287	N/A	N/A	N/A	N/A	N/A	803 E ROSECRANS AVE	None	COMPTON	CA	90221	2145	00	06000	33.9035073	-118.2153406	Los Angeles County
350806	Ordering, Referring, Prescribing	N/A	1891168282	0	0	NGUYEN, TRANG	10/10/2018	Taxonomy not applicable	NA	n/a	000	Unknown	54602	N/A	N/A	N/A	N/A	N/A	750 S BASCOM AVE	120	SAN JOSE	CA	95128	2603	00	06000	37.314261	-121.931793	Santa Clara County
350813	Ordering, Referring, Prescribing	N/A	1891173357	0	0	NELSON, MICHELLE E LMFT	4/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	114300	N/A	N/A	N/A	N/A	N/A	1414 N. CALIFORNIA ST.	None	STOCKTON	CA	95202	1515	00	06000	37.96761084	-121.2883234	San Joaquin County
350853	Ordering, Referring, Prescribing	N/A	1891242491	0	0	NEEDHAM, MARK	2/23/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW22614	N/A	N/A	N/A	N/A	N/A	1009 N AVALON BLVD	None	WILMINGTON	CA	90744	4505	00	06000	33.78320457	-118.2627263	Los Angeles County
350882	Ordering, Referring, Prescribing	N/A	1891283206	0	0	NWOSU, CHIAMAKA MD	9/18/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL16452	N/A	N/A	N/A	N/A	N/A	1000 W CARSON ST	None	TORRANCE	CA	90502	2004	00	06000	33.83155851	-118.2920625	Los Angeles County
350937	Ordering, Referring, Prescribing	N/A	1891429098	0	0	NG, EUNICE PA	3/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA60916	N/A	N/A	N/A	N/A	N/A	425 N DATE ST	None	ESCONDIDO	CA	92025	3413	00	06000	33.1292461	-117.0716509	San Diego County
350961	Ordering, Referring, Prescribing	N/A	1891521233	0	0	NEPAL, POOJA DDS	8/21/2024	Taxonomy not applicable	NA	n/a	000	Unknown	110623	N/A	N/A	N/A	N/A	N/A	33255 9TH ST	None	UNION CITY	CA	94587	2137	00	06000	37.60286569	-122.0260874	Alameda County
351010	Ordering, Referring, Prescribing	N/A	1891841268	0	0	NGUYEN, QUYNH T DDS	6/13/2022	Taxonomy not applicable	NA	n/a	000	Unknown	36991	N/A	N/A	N/A	N/A	N/A	164 KINMAN AVE	None	GOLETA	CA	93117	3481	00	06000	34.436277	-119.8222815	Santa Barbara County
351014	Ordering, Referring, Prescribing	N/A	1891851416	0	0	NGUYEN, KIM T PHARMD	3/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57428	N/A	N/A	N/A	N/A	N/A	13651 WILLARD ST	None	PANORAMA CITY	CA	91402	0000	00	06000	34.2177693	-118.4298601	Los Angeles County
351023	Ordering, Referring, Prescribing	N/A	1891863262	0	0	NGUYEN, HANH T LCSW	6/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	75496	N/A	N/A	N/A	N/A	N/A	1650 LAS PLUMAS AVE	K	SAN JOSE	CA	95133	1657	00	06000	37.36163624	-121.8663794	Santa Clara County
351048	Ordering, Referring, Prescribing	N/A	1891941894	0	0	NAHAL, HARMINDER S PHARMD	3/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60230	N/A	N/A	N/A	N/A	N/A	3604 GLENCREST DR	None	MODESTO	CA	95355	8430	00	06000	37.67865	-120.9297504	Stanislaus County
351074	Ordering, Referring, Prescribing	N/A	1891987277	0	0	NAZARI, AZAR PHARMD	3/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55066	N/A	N/A	N/A	N/A	N/A	7795 E BRIDGEWOOD DR	None	ANAHEIM	CA	92808	1404	00	06000	33.85897689	-117.7449674	Orange County
351083	Ordering, Referring, Prescribing	N/A	1902007149	0	0	NEMENZO, ELVIRA C	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56669	N/A	N/A	N/A	N/A	N/A	1300 PINE & YOSEMITE	None	MADERA	CA	93637	6320	00	06000	36.952749	-120.0739995	Madera County
351145	Ordering, Referring, Prescribing	N/A	1902136245	0	0	NARAYANAN, DEVAKI LCSW	7/25/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	113402	N/A	N/A	N/A	N/A	N/A	200 S WELLS RD	100	VENTURA	CA	93004	1302	00	06000	34.29321532	-119.1597424	Ventura County
351170	Ordering, Referring, Prescribing	N/A	1902171846	0	0	NGUYEN, RICHARD T PHARMD	4/15/2022	Taxonomy not applicable	NA	n/a	000	Unknown	57367	N/A	N/A	N/A	N/A	N/A	27972 CABOT RD	None	LAGUNA NIGUEL	CA	92677	1211	00	06000	33.55499737	-117.6785648	Orange County
351173	Ordering, Referring, Prescribing	N/A	1902171739	0	0	NISHIMOTO, KRISTYN K LCSW	3/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW92499	N/A	N/A	N/A	N/A	N/A	9631 BUSINESS CENTER DR.	BLDG. 14, STE. D	RANCHO CUCAMONGA	CA	91730	4554	00	06000	34.09804952	-117.594963	San Bernardino County
351191	Ordering, Referring, Prescribing	N/A	1902192024	0	0	NGUYEN, ANNIE T	5/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	22887	N/A	N/A	N/A	N/A	N/A	2400 MOORPARK	SUITE 300	SAN JOSE	CA	95128	2631	00	06000	37.3160785	-121.937121	Santa Clara County
351199	Ordering, Referring, Prescribing	N/A	1902213481	0	0	NORTON, REDGE W LCSW	4/5/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	84358	N/A	N/A	N/A	N/A	N/A	365 FULTON ST	TENANT SERVICES	SAN FRANCISCO	CA	94102	4489	00	06000	37.77881467	-122.4224952	San Francisco County
351237	Ordering, Referring, Prescribing	N/A	1902281199	0	0	NGUYEN, VAN PHARMD	7/8/2023	Taxonomy not applicable	NA	n/a	000	Unknown	76327	N/A	N/A	N/A	N/A	N/A	5674 STONERIDGE DR	205	PLEASANTON	CA	94588	8585	00	06000	37.69154862	-121.8891352	Alameda County
351309	Ordering, Referring, Prescribing	N/A	1902420912	0	0	NGUYEN, KEVIN D PA-C	5/22/2020	Taxonomy not applicable	NA	n/a	000	Unknown	PA58123	N/A	N/A	N/A	N/A	N/A	1501 EAST HOLT AVENUE	STE. A	POMONA	CA	91767	5823	00	06000	34.06321709	-117.7205804	Los Angeles County
351315	Ordering, Referring, Prescribing	N/A	1902426950	0	0	NGUYEN, YEN HAI R	4/7/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	104804	N/A	N/A	N/A	N/A	N/A	8231 E STOCKTON BLVD	STE C	SACRAMENTO	CA	95828	8202	00	06000	38.459727	-121.410315	Sacramento County
351316	Ordering, Referring, Prescribing	N/A	1902436561	0	0	NGUYEN, ERECA	2/2/2022	Taxonomy not applicable	NA	n/a	000	Unknown	82593	N/A	N/A	N/A	N/A	N/A	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	00	06000	32.79293009	-117.0952438	San Diego County
351410	Ordering, Referring, Prescribing	N/A	1902934193	0	0	NOLAN, GARY DC	5/28/2023	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	30783	N/A	N/A	N/A	N/A	N/A	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	00	06000	38.570553	-121.481325	Sacramento County
351459	Ordering, Referring, Prescribing	N/A	1912035148	0	0	NOWAKOWSKI, TONYA R LCSW	9/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCS21048	N/A	N/A	N/A	N/A	N/A	24930 AVENUE STANFORD	None	VALENCIA	CA	91355	1272	00	06000	34.43930277	-118.5722288	Los Angeles County
351546	Ordering, Referring, Prescribing	N/A	1912214065	0	0	NGUYEN, THAO T LMFT	3/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT88176	N/A	N/A	N/A	N/A	N/A	1212 N CALIFORNIA ST	None	STOCKTON	CA	95202	1552	00	06000	37.96681769	-121.2881382	San Joaquin County
351566	Ordering, Referring, Prescribing	N/A	1912256835	0	0	NESBITT, LINDA P LCSW	6/18/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	18830	N/A	N/A	N/A	N/A	N/A	3800 JANES RD	STE 101	ARCATA	CA	95521	4742	00	06000	40.89645172	-124.0930637	Humboldt County
351575	Ordering, Referring, Prescribing	N/A	1912268657	0	0	NAVARRO, JUAN M PSYD	6/25/2018	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	29204	N/A	N/A	N/A	N/A	N/A	15206 PARTHENIA ST	None	NORTH HILLS	CA	91343	5305	00	06000	34.22817313	-118.4636497	Los Angeles County
351589	Ordering, Referring, Prescribing	N/A	1912286816	0	0	NAJERA, JASMINE LCSW	4/1/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW27564	N/A	N/A	N/A	N/A	N/A	411 E LAKE AVE	None	WATSONVILLE	CA	95076	4424	00	06000	36.91720138	-121.7507888	Santa Cruz County
351591	Ordering, Referring, Prescribing	N/A	1912288861	0	0	NGUYEN, VANANH C	8/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54746	N/A	N/A	N/A	N/A	N/A	16145 SIERRA LAKES PKWY	None	FONTANA	CA	92336	1243	00	06000	34.13894422	-117.452804	San Bernardino County
351657	Ordering, Referring, Prescribing	N/A	1912380783	0	0	NAYYAR, ANKUR MD	9/26/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A170775	N/A	N/A	N/A	N/A	N/A	14901 RINALDI ST	325	MISSION HILLS	CA	91345	1204	00	06000	34.27903452	-118.457433	Los Angeles County
351665	Ordering, Referring, Prescribing	N/A	1912386954	0	0	NGUYEN, BINH N PHARMD	3/17/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH51167	N/A	N/A	N/A	N/A	N/A	6755 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	3706	00	06000	33.761349	-118.00917	Orange County
351685	Ordering, Referring, Prescribing	N/A	1912411828	0	0	NAZARYAN, NATALIE LMFT	10/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT122266	N/A	N/A	N/A	N/A	N/A	1625 W OLYMPIC BLVD	600	LOS ANGELES	CA	90015	3809	00	06000	34.04957404	-118.2750068	Los Angeles County
351686	Ordering, Referring, Prescribing	N/A	1912404831	0	0	NABILI, PANAH DPM	6/24/2021	Taxonomy not applicable	NA	n/a	027	PODIATRISTS	E5782	N/A	N/A	N/A	N/A	N/A	2914 W MAIN ST	None	VISALIA	CA	93291	5731	00	06000	36.330075	-119.323458	Tulare County
351717	Ordering, Referring, Prescribing	N/A	1912464264	0	0	NELSON, HAILEY PA-C	9/27/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA63345	N/A	N/A	N/A	N/A	N/A	1850 WALNUT ST	None	RED BLUFF	CA	96080	9469	00	06000	40.16904822	-122.2542817	Tehama County
351750	Ordering, Referring, Prescribing	N/A	1912513375	0	0	NWACHIE, ONONUJU O NP	10/28/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015291	N/A	N/A	N/A	N/A	N/A	1020 S ARROYO PKWY	None	PASADENA	CA	91105	3911	00	06000	34.128351	-118.1471735	Los Angeles County
351776	Ordering, Referring, Prescribing	N/A	1912560954	0	0	NWOGWUGWU, SUSSAN	9/12/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021812	N/A	N/A	N/A	N/A	N/A	29101 HOSPITAL RD	None	LAKE ARROWHEAD	CA	92352	0070	00	06000	34.26577765	-117.1695461	San Bernardino County
351786	Ordering, Referring, Prescribing	N/A	1912581604	0	0	NGUYEN, VIVIAN B NP	8/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95016981	N/A	N/A	N/A	N/A	N/A	1295 BROADWAY	SUITE 201	CHULA VISTA	CA	91911	0000	00	06000	32.60364599	-117.0786521	San Diego County
351789	Ordering, Referring, Prescribing	N/A	1912587387	0	0	NAKAMURA, YUMIKO	11/22/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A192100	N/A	N/A	N/A	N/A	N/A	240 SHOTWELL ST	None	SAN FRANCISCO	CA	94110	1323	00	06000	37.76460716	-122.416335	San Francisco County
351806	Ordering, Referring, Prescribing	N/A	1912663063	0	0	NGUYEN, NHAT M PHARMD	10/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH85439	N/A	N/A	N/A	N/A	N/A	12110 INDUSTRY BLVD	None	JACKSON	CA	95642	9373	00	06000	38.36981229	-120.8002806	Amador County
351846	Ordering, Referring, Prescribing	N/A	1922029727	0	0	NGUYEN, PAULINE Y	8/27/2002	Taxonomy not applicable	NA	n/a	099	DENTIST	D49954	N/A	N/A	N/A	N/A	N/A	6039 BEACH BLVD	None	BUENA PARK	CA	90621	2304	00	06000	33.8725587	-117.9983895	Orange County
351861	Ordering, Referring, Prescribing	N/A	1922067297	0	0	NOLAN, PATRICK M MD	5/24/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A83942	N/A	N/A	N/A	N/A	N/A	2751 NAPA VALLEY CORPORA	None	NAPA	CA	94558	6216	00	06000	38.24829023	-122.2745626	Napa County
351879	Ordering, Referring, Prescribing	N/A	1922141324	0	0	NG, SIN WOON M LMFT	2/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT48682	N/A	N/A	N/A	N/A	N/A	9353 VALLEY BLVD	None	ROSEMEAD	CA	91770	1923	00	06000	34.08115618	-118.0651957	Los Angeles County
351978	Ordering, Referring, Prescribing	N/A	1922375468	0	0	NGUY, HUONG K PHARMD	10/9/2018	Taxonomy not applicable	NA	n/a	000	Unknown	66497	N/A	N/A	N/A	N/A	N/A	2400 MOORPARK AVE	None	SAN JOSE	CA	95128	2631	00	06000	37.3160785	-121.937121	Santa Clara County
351986	Ordering, Referring, Prescribing	N/A	1922383116	0	0	NGUYEN, TRAN PHARMD	10/8/2018	Taxonomy not applicable	NA	n/a	000	Unknown	52769	N/A	N/A	N/A	N/A	N/A	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2406	00	06000	37.313433	-121.9318385	Santa Clara County
352017	Ordering, Referring, Prescribing	N/A	1922426097	0	0	NGUYEN, THUY-TRANG OD	8/28/2015	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	14868	N/A	N/A	N/A	N/A	N/A	874C BLOSSOM HILL RD	None	SAN JOSE	CA	95123	2725	00	06000	37.2502227	-121.858389	Santa Clara County
352041	Ordering, Referring, Prescribing	N/A	1922470111	0	0	NGUYEN, JESSICA LMFT	4/2/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	108042	N/A	N/A	N/A	N/A	N/A	2540 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4327	00	06000	40.14893664	-122.2178101	Tehama County
352062	Ordering, Referring, Prescribing	N/A	1922491075	0	0	NEMINOV, POLINA PHARMD	8/28/2023	Taxonomy not applicable	NA	n/a	000	Unknown	50440	N/A	N/A	N/A	N/A	N/A	1325 N ANAHEIM BLVD	None	ANAHEIM	CA	92801	1202	00	06000	33.85331047	-117.9199617	Orange County
352107	Ordering, Referring, Prescribing	N/A	1922549138	0	0	NGUYEN, JONATHAN MD	10/15/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A158975	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FLO0R SUITE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
352140	Ordering, Referring, Prescribing	N/A	1922607878	0	0	NGO, MARY PHARMD	5/30/2023	Taxonomy not applicable	NA	n/a	000	Unknown	81493	N/A	N/A	N/A	N/A	N/A	245 S FETTERLY AVE	None	LOS ANGELES	CA	90022	1605	00	06000	34.03404953	-118.1609476	Los Angeles County
352160	Ordering, Referring, Prescribing	N/A	1922665645	0	0	NGO, CHRISTIAN PHARMD	7/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	69060	N/A	N/A	N/A	N/A	N/A	46848 MISSION BLVD	None	FREMONT	CA	94539	7943	00	06000	37.49001935	-121.9292205	Alameda County
352188	Ordering, Referring, Prescribing	N/A	1922761899	0	0	NELSON, SARAH J LMFT	8/6/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140772	N/A	N/A	N/A	N/A	N/A	27261 LAS RAMBLAS	220	MISSION VIEJO	CA	92691	6441	00	06000	33.56536541	-117.670334	Orange County
352225	Ordering, Referring, Prescribing	N/A	1932142999	0	0	NEWMAN, ALAN K	8/31/1986	Taxonomy not applicable	NA	n/a	099	DENTIST	D24489	N/A	N/A	N/A	N/A	N/A	4058 WILLOWS RD	2128	ALPINE	CA	91903	2128	00	06000	32.836428	-116.7257385	San Diego County
352249	Ordering, Referring, Prescribing	N/A	1932234630	0	0	NEMBHARD, ADIA A LMFT	3/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT53593	N/A	N/A	N/A	N/A	N/A	3002 ARMSTRONG ST	None	SAN DIEGO	CA	92111	5702	00	06000	32.80043242	-117.165431	San Diego County
352268	Ordering, Referring, Prescribing	N/A	1932269370	0	0	NOLF, CRISTINA E LCSW	10/29/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW23261	N/A	N/A	N/A	N/A	N/A	1910 MAGNOLIA AVE	None	LOS ANGELES	CA	90007	1220	00	06000	34.039638	-118.2864045	Los Angeles County
352278	Ordering, Referring, Prescribing	N/A	1932284775	0	0	NG, EMIL SIU H	8/16/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D46653	N/A	N/A	N/A	N/A	N/A	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	3354	00	06000	37.79989786	-122.4090369	San Francisco County
352283	Ordering, Referring, Prescribing	N/A	1932289345	0	0	NEEDHAM, HEATHER E MD	4/29/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A70240	N/A	N/A	N/A	N/A	N/A	1031 W 34TH ST	None	LOS ANGELES	CA	90089	3602	00	06000	34.024005	-118.2895875	Los Angeles County
352296	Ordering, Referring, Prescribing	N/A	1932355377	0	0	NGUYEN, HOAITHI T PHARMD	3/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH61312	N/A	N/A	N/A	N/A	N/A	3406 LAMA AVE	None	LONG BEACH	CA	90808	3114	00	06000	33.81843483	-118.0763554	Los Angeles County
352303	Ordering, Referring, Prescribing	N/A	1932359429	0	0	NEIMARK, LAURA L LCSW	7/27/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	68290	N/A	N/A	N/A	N/A	N/A	50 BRANSCOMB ROAD	None	LAYTONVILLE	CA	95454	0870	00	06000	39.68781544	-123.4842982	Mendocino County
352308	Ordering, Referring, Prescribing	N/A	1932390473	0	0	NGUYEN, CHAN L MD	7/2/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A100830	N/A	N/A	N/A	N/A	N/A	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	00	06000	33.715035	-117.936993	Orange County
352318	Ordering, Referring, Prescribing	N/A	1932409448	0	0	NGUYEN, VIET T PHARMD	3/24/2018	Taxonomy not applicable	NA	n/a	000	Unknown	58379	N/A	N/A	N/A	N/A	N/A	867 ISLAND DRIVE	None	ALAMEDA	CA	94502	4501	00	06000	37.73780627	-122.2387418	Alameda County
352322	Ordering, Referring, Prescribing	N/A	1932414596	0	0	NG, NANCY Y PHARMD	3/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	62816	N/A	N/A	N/A	N/A	N/A	200 MUIR RD	None	MARTINEZ	CA	94553	4614	00	06000	37.99430233	-122.1107194	Contra Costa County
352325	Ordering, Referring, Prescribing	N/A	1932420734	0	0	NGO, KY	5/2/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55808	N/A	N/A	N/A	N/A	N/A	28505 HESPERIAN BLVD	None	HAYWARD	CA	94545	5008	00	06000	37.61653109	-122.0880046	Alameda County
352338	Ordering, Referring, Prescribing	N/A	1932451150	0	0	NGUYEN, MATTHEW PHARMD	4/23/2020	Taxonomy not applicable	NA	n/a	000	Unknown	67603	N/A	N/A	N/A	N/A	N/A	315 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	00	06000	34.444881	-119.7793725	Santa Barbara County
352340	Ordering, Referring, Prescribing	N/A	1932454014	0	0	NG, JACOB PHARMD	2/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66428	N/A	N/A	N/A	N/A	N/A	3496 CAMINO TASSJARA	None	DANVILLE	CA	94506	1201	00	06000	37.79862032	-121.9175003	Contra Costa County
352402	Ordering, Referring, Prescribing	N/A	1932550365	0	0	NEFFSON, EMILEE	5/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101616	N/A	N/A	N/A	N/A	N/A	232 E GISH RD	None	SAN JOSE	CA	95112	4706	00	06000	37.36411044	-121.9052075	Santa Clara County
352405	Ordering, Referring, Prescribing	N/A	1932559853	0	0	NOVALES, TERESA B NP	1/3/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005760	N/A	N/A	N/A	N/A	N/A	2600 REDONDO AVE	None	LONG BEACH	CA	90806	2325	00	06000	33.806097	-118.151378	Los Angeles County
352412	Ordering, Referring, Prescribing	N/A	1932562659	0	0	NOONE, CHERI LMFT	11/30/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT105650	N/A	N/A	N/A	N/A	N/A	867 N FAIR OAKS AVE	None	PASADENA	CA	91103	3050	00	06000	34.160877	-118.1506375	Los Angeles County
352437	Ordering, Referring, Prescribing	N/A	1932588696	0	0	NEGASH, TSIGEREDA	8/9/2024	Taxonomy not applicable	NA	n/a	000	Unknown	17148	N/A	N/A	N/A	N/A	N/A	3055 MCKEE ROAD	None	SAN JOSE	CA	95127	1835	00	06000	37.37435097	-121.836765	Santa Clara County
352465	Ordering, Referring, Prescribing	N/A	1932632395	0	0	NGUY, PETER MD	5/12/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A178593	N/A	N/A	N/A	N/A	N/A	39000 BOB HOPE DRIVE	PROBST 202	RANCHO MIRAGE	CA	92270	3221	00	06000	33.763572	-116.4056895	Riverside County
352493	Ordering, Referring, Prescribing	N/A	1932674512	0	0	NGO, JENNY BAO NGAN X PHARMD	11/7/2018	Taxonomy not applicable	NA	n/a	000	Unknown	76996	N/A	N/A	N/A	N/A	N/A	1200 N STATE ST	None	LOS ANGELES	CA	90033	1029	00	06000	34.05855992	-118.209755	Los Angeles County
352596	Ordering, Referring, Prescribing	N/A	1942029681	0	0	NUNLEY, MEGAN E NP	9/25/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95032357	N/A	N/A	N/A	N/A	N/A	27555 YNEZ RD	105	TEMECULA	CA	92591	4679	00	06000	33.50370608	-117.1492569	Riverside County
352647	Ordering, Referring, Prescribing	N/A	1942356696	0	0	NORNES-LEBBY, PAULA B MD	2/2/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G68859	N/A	N/A	N/A	N/A	N/A	41820 GARSTIN DR	None	BIG BEAR LAKE	CA	92315	1649	00	06000	34.24651473	-116.8897879	San Bernardino County
352658	Ordering, Referring, Prescribing	N/A	1942368709	0	0	NADEL, EVE S LCSW	12/16/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	20098	N/A	N/A	N/A	N/A	N/A	11080 WEST OLYMPIC BLVD	None	LOS ANGELES	CA	90064	1937	00	06000	34.04036814	-118.4376056	Los Angeles County
352678	Ordering, Referring, Prescribing	N/A	1942431721	0	0	NILSEN, NICOLE L LMFT	11/16/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT99152	N/A	N/A	N/A	N/A	N/A	12450 VAN NUYS BLVD	100	PACOIMA	CA	91331	1391	00	06000	34.27894489	-118.4044363	Los Angeles County
352681	Ordering, Referring, Prescribing	N/A	1942436639	0	0	NAJERA, DUVAL LMFT	2/16/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	116586	N/A	N/A	N/A	N/A	N/A	8775 AERO DR	132	SAN DIEGO	CA	92123	1792	00	06000	32.80965551	-117.1391563	San Diego County
352707	Ordering, Referring, Prescribing	N/A	1942491287	0	0	NAGO, SARAH A MD	5/23/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A101623	N/A	N/A	N/A	N/A	N/A	5420 N FIGUEROA ST	None	LOS ANGELES	CA	90042	4118	00	06000	34.10779213	-118.196385	Los Angeles County
352740	Ordering, Referring, Prescribing	N/A	1942566765	0	0	NOBLE, ERIC MD	11/10/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A126954	N/A	N/A	N/A	N/A	N/A	1000 W. CARSON ST	#498	TORRANCE	CA	90509	2004	00	06000	33.83155851	-118.2920625	Los Angeles County
352747	Ordering, Referring, Prescribing	N/A	1942578364	0	0	NGUYEN, CHRISTINA T PHARMD	3/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66674	N/A	N/A	N/A	N/A	N/A	1600 OWENS ST	6TH FLOOR	SAN FRANCISCO	CA	94158	2261	00	06000	37.76850146	-122.3949365	San Francisco County
352758	Ordering, Referring, Prescribing	N/A	1942602305	0	0	NUNO, GLORIA M LMFT	1/7/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123924	N/A	N/A	N/A	N/A	N/A	401 E. OCEAN AVE.	None	LOMPOC	CA	93436	6828	00	06000	34.6389765	-120.4537095	Santa Barbara County
352764	Ordering, Referring, Prescribing	N/A	1942605720	0	0	NELSON, ANDREA PHARMD	3/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	71690	N/A	N/A	N/A	N/A	N/A	975 SERENO DR	None	VALLEJO	CA	94589	2441	00	06000	38.12828446	-122.24821	Solano County
352804	Ordering, Referring, Prescribing	N/A	1942656731	0	0	NGUYEN, DAT V MD	4/9/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A153527	N/A	N/A	N/A	N/A	N/A	2425 GEARY BLVD	M160	SAN FRANCISCO	CA	94115	3358	00	06000	37.78272203	-122.4433297	San Francisco County
352810	Ordering, Referring, Prescribing	N/A	1942662747	0	0	NGUYEN, CRYSTAL D MD	8/14/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157999	N/A	N/A	N/A	N/A	N/A	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	00	06000	33.912117	-117.195849	Riverside County
352813	Ordering, Referring, Prescribing	N/A	1942672753	0	0	NEWMAN, VALERIE A PHARMD	12/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH45526	N/A	N/A	N/A	N/A	N/A	801 TIOGA AVE	None	SEASIDE	CA	93955	3050	00	06000	36.61641241	-121.845767	Monterey County
352828	Ordering, Referring, Prescribing	N/A	1942692868	0	0	NAUFAHU, ANNA S NP	1/16/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002224	N/A	N/A	N/A	N/A	N/A	1140 MAIN STREET	None	LIVINGSTON	CA	95334	1257	00	06000	37.37992056	-120.7234222	Merced County
352861	Ordering, Referring, Prescribing	N/A	1942741509	0	0	NGO, HUONG	1/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	71891	N/A	N/A	N/A	N/A	N/A	5720 NAVE DR	None	NOVATO	CA	94945	1111	00	06000	38.06183912	-122.5329177	Marin County
352881	Ordering, Referring, Prescribing	N/A	1942778832	0	0	NGUYEN, LYNN PHARMD	6/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79056	N/A	N/A	N/A	N/A	N/A	9143 VALLEY BLVD	101 B	ROSEMEAD	CA	91770	3538	00	06000	34.08096534	-118.0700742	Los Angeles County
352885	Ordering, Referring, Prescribing	N/A	1942772355	0	0	NGUYEN, ANNIE PA	12/7/2019	Taxonomy not applicable	NA	n/a	000	Unknown	56357	N/A	N/A	N/A	N/A	N/A	1200 W HILLCREST	None	THOUSAND	CA	91320	0001	00	06000	34.18505362	-118.9068862	Ventura County
352930	Ordering, Referring, Prescribing	N/A	1942882428	0	0	NABATKHORIAN, NICOLE MD	2/22/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A191516	N/A	N/A	N/A	N/A	N/A	1000 W CARSON ST	None	TORRANCE	CA	90502	2004	00	06000	33.83155851	-118.2920625	Los Angeles County
352953	Ordering, Referring, Prescribing	N/A	1942944574	0	0	NGUYEN, LUONG T PHARMD	7/31/2021	Taxonomy not applicable	NA	n/a	000	Unknown	63889	N/A	N/A	N/A	N/A	N/A	3163 SAN GABRIEL BLVD	STE 103	ROSEMEAD	CA	91770	2586	00	06000	34.06597265	-118.0906335	Los Angeles County
352956	Ordering, Referring, Prescribing	N/A	1942952833	0	0	NGUYEN, JULIE	2/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	60792	N/A	N/A	N/A	N/A	N/A	2500 CALIFORNIA ST	A	MOUNTAIN VIEW	CA	94040	0000	00	06000	37.40337202	-122.1063817	Santa Clara County
352998	Ordering, Referring, Prescribing	N/A	1952132086	0	0	NORRLINGER, JESSICA Y DDS	8/9/2024	Taxonomy not applicable	NA	n/a	000	Unknown	110521	N/A	N/A	N/A	N/A	N/A	26045 NEWPORT RD STE B	STE B	MENIFEE	CA	92584	7317	00	06000	33.68501551	-117.204642	Riverside County
353051	Ordering, Referring, Prescribing	N/A	1952438053	0	0	NABIEVA, GUIOUZEL MD	11/16/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A92892	N/A	N/A	N/A	N/A	N/A	919 1 ST STREET	None	SAN FERANANDO CIT	CA	91340	3615	00	06000	34.28328995	-118.4389224	Los Angeles County
353089	Ordering, Referring, Prescribing	N/A	1952556557	0	0	NAREZ, LOURDES LCSW	7/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95518	N/A	N/A	N/A	N/A	N/A	730 LA GUARDIA ST	None	SALINAS	CA	93905	3354	00	06000	36.65807779	-121.6106308	Monterey County
353116	Ordering, Referring, Prescribing	N/A	1952607715	0	0	NAGHDECHI, PEJMAN MD	3/19/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A112981	N/A	N/A	N/A	N/A	N/A	16745 W. BERNARDO DRIVE	240	SAN DIEGO	CA	92127	1907	00	06000	33.01539521	-117.0824934	San Diego County
353117	Ordering, Referring, Prescribing	N/A	1952611121	0	0	NEVES, LISA U LCSW	3/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	19725	N/A	N/A	N/A	N/A	N/A	1801 VICENTE ST	None	SAN FRANCISCO	CA	94116	2923	00	06000	37.7388459	-122.4861544	San Francisco County
353144	Ordering, Referring, Prescribing	N/A	1952660433	0	0	NG, JOSEPHINE C	1/25/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D59857	N/A	N/A	N/A	N/A	N/A	160 CAPP ST	None	SAN FRANCISCO	CA	94110	1210	00	06000	37.76405528	-122.4186219	San Francisco County
353180	Ordering, Referring, Prescribing	N/A	1952735938	0	0	NAECKER, JESSICA E PHD	5/25/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY30367	N/A	N/A	N/A	N/A	N/A	650 CLARK WAY	None	PALO ALTO	CA	94304	2300	00	06000	37.43949537	-122.1784133	Santa Clara County
353181	Ordering, Referring, Prescribing	N/A	1952730020	0	0	NUNN, ABRAM W PA-C	2/12/2020	Taxonomy not applicable	NA	n/a	000	Unknown	PA51297	N/A	N/A	N/A	N/A	N/A	9333 TECH CENTER DRIVE	100	SACRAMENTO	CA	95826	2585	00	06000	38.563839	-121.3521435	Sacramento County
353197	Ordering, Referring, Prescribing	N/A	1952753683	0	0	NGO, NICOLE DMD MSD	5/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	DDS45417	N/A	N/A	N/A	N/A	N/A	340 COMMERCE	100	IRVINE	CA	92602	0200	00	06000	33.71648192	-117.7870158	Orange County
353251	Ordering, Referring, Prescribing	N/A	1952837098	0	0	NANEZ, ANDREA I MD	7/23/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157337	N/A	N/A	N/A	N/A	N/A	2425 GEARY BLVD	M160	SAN FRANCISCO	CA	94115	3358	00	06000	37.78272203	-122.4433297	San Francisco County
353256	Ordering, Referring, Prescribing	N/A	1952843609	0	0	NG, WANTING NP	8/20/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005447	N/A	N/A	N/A	N/A	N/A	210 N GARFIELD AVE	203	MONTEREY PARK	CA	91754	1746	00	06000	34.064181	-118.122834	Los Angeles County
353268	Ordering, Referring, Prescribing	N/A	1952858961	0	0	NNAJI, UCHENNA PSYD	3/17/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY30746	N/A	N/A	N/A	N/A	N/A	658 E BRIER DR	200	SAN BERNARDINO	CA	92408	2880	00	06000	34.07137738	-117.2702805	San Bernardino County
353296	Ordering, Referring, Prescribing	N/A	1952898769	0	0	NGUYEN, TUYET PHARMD	1/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	63605	N/A	N/A	N/A	N/A	N/A	1380 HOWARD STREET	#130	SAN FRANCISCO	CA	94103	2638	00	06000	37.77424669	-122.4141502	San Francisco County
353323	Ordering, Referring, Prescribing	N/A	1952953614	0	0	NIEBLA-BACA, LIZETH LMFT	10/4/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	135050	N/A	N/A	N/A	N/A	N/A	27851 BRADLEY RD	102	MENIFEE	CA	92586	2286	00	06000	33.71630969	-117.1904696	Riverside County
353332	Ordering, Referring, Prescribing	N/A	1952970568	0	0	NERI-GUERRERO, ALYSSA R LPCC	11/24/2024	Taxonomy not applicable	NA	n/a	000	Unknown	18054	N/A	N/A	N/A	N/A	N/A	2760 S. ELM AVENUE	None	FRESNO	CA	93706	5435	00	06000	36.700542	-119.790868	Fresno County
353392	Ordering, Referring, Prescribing	N/A	1962085795	0	0	NGUYEN, VIVIAN PA	9/28/2023	Taxonomy not applicable	NA	n/a	000	Unknown	63417	N/A	N/A	N/A	N/A	N/A	1550 N GAREY AVE	None	POMONA	CA	91767	3826	00	06000	34.07356342	-117.7522392	Los Angeles County
353427	Ordering, Referring, Prescribing	N/A	1962286237	0	0	NORRIS, AFSANEH NP	4/8/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025719	N/A	N/A	N/A	N/A	N/A	55 E JULIAN ST	None	SAN JOSE	CA	95112	4007	00	06000	37.34118198	-121.8925795	Santa Clara County
353466	Ordering, Referring, Prescribing	N/A	1962548800	0	0	NOVOTNY, DOUGLAS C PHD	12/10/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY23447	N/A	N/A	N/A	N/A	N/A	801 EMPIRE ST	None	FAIRFIELD	CA	94533	5702	00	06000	38.25031147	-122.0435415	Solano County
353479	Ordering, Referring, Prescribing	N/A	1962581900	0	0	NGUYEN PIERCE, KIM T PHD	1/7/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	17774	N/A	N/A	N/A	N/A	N/A	2600 REDONDO AVE	6TH FLOOR	LONG BEACH	CA	90806	2325	00	06000	33.806097	-118.151378	Los Angeles County
353480	Ordering, Referring, Prescribing	N/A	1962583096	0	0	NANDIPATI, RAMA L MD	4/18/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A46021	N/A	N/A	N/A	N/A	N/A	450 E YOSEMITE AVENUE	SUITE A	MERCED	CA	95340	8429	00	06000	37.33211352	-120.4620165	Merced County
353495	Ordering, Referring, Prescribing	N/A	1962611947	0	0	NIELSEN, WELBY DO	11/29/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A11177	N/A	N/A	N/A	N/A	N/A	1039 MURRAY AVENUE	220	SAN LUIS OBISPO	CA	93405	2058	00	06000	35.29091981	-120.665741	San Luis Obispo County
353497	Ordering, Referring, Prescribing	N/A	1962613299	0	0	NAKAYAMA, ALLYSON S LCSW	12/17/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	28518	N/A	N/A	N/A	N/A	N/A	1521 UNIVERSITY AVE	None	BERKELEY	CA	94703	1422	00	06000	37.87060038	-122.2812128	Alameda County
353498	Ordering, Referring, Prescribing	N/A	1962600296	0	0	NARAYANAN, VEENA S LCSW	3/1/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW12019	N/A	N/A	N/A	N/A	N/A	200 S WELLS ROAD	250	VENTURA	CA	93004	1302	00	06000	34.29321532	-119.1597424	Ventura County
353543	Ordering, Referring, Prescribing	N/A	1962699066	0	0	NAKAO, JUDITH C PHARMD	4/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH59995	N/A	N/A	N/A	N/A	N/A	18081 BEACH BLVD	None	HUNTINGTON BEACH	CA	92648	1304	00	06000	33.69987737	-117.9892394	Orange County
353571	Ordering, Referring, Prescribing	N/A	1962754689	0	0	NORMANDEAU, ANA MARIA CNP	11/21/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	17606	N/A	N/A	N/A	N/A	N/A	2211 W MAGNOLIA BLVD	210	BURBANK	CA	91506	1753	00	06000	34.1728873	-118.3320905	Los Angeles County
353589	Ordering, Referring, Prescribing	N/A	1962770511	0	0	NGUYEN, THANH C	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH47880	N/A	N/A	N/A	N/A	N/A	128 S STATE COLLEGE BLVD	None	ANAHEIM	CA	92806	2921	00	06000	33.840252	-117.889103	Orange County
353604	Ordering, Referring, Prescribing	N/A	1962785436	0	0	NGO, KRISTIE L PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54433	N/A	N/A	N/A	N/A	N/A	17522 BEACH BLVD	None	HUNTINGTON BEACH	CA	92647	0000	00	06000	33.707925	-117.989074	Orange County
353628	Ordering, Referring, Prescribing	N/A	1962814954	0	0	NELSON, CORY	12/15/2020	Taxonomy not applicable	NA	n/a	000	Unknown	75323	N/A	N/A	N/A	N/A	N/A	325 S WILLIS ST	None	VISALIA	CA	93291	6105	00	06000	36.327717	-119.2981005	Tulare County
353661	Ordering, Referring, Prescribing	N/A	1962863480	0	0	NEVAREZ, RAQUEL L LCSW	3/18/2025	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	129349	N/A	N/A	N/A	N/A	N/A	232 E GISH RD	None	SAN JOSE	CA	95112	4706	00	06000	37.36411044	-121.9052075	Santa Clara County
353688	Ordering, Referring, Prescribing	N/A	1962900316	0	0	NICKELS, ERIC M MD	1/11/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A146183	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BLVD	MS #54	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
353751	Ordering, Referring, Prescribing	N/A	1972011724	0	0	NIKITSINA, LIZAVETA NP	6/4/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	841418	N/A	N/A	N/A	N/A	N/A	1140 W MISSION RD	None	SAN MARCOS	CA	92069	1415	00	06000	33.151851	-117.178731	San Diego County
353764	Ordering, Referring, Prescribing	N/A	1972029288	0	0	NGUYEN, VIVIAN PHARMD	4/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74819	N/A	N/A	N/A	N/A	N/A	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	00	06000	37.23948065	-121.8005798	Santa Clara County
353788	Ordering, Referring, Prescribing	N/A	1972080877	0	0	NARAMORE, SUZANNA H	9/14/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95010039	N/A	N/A	N/A	N/A	N/A	4600 BROADWAY	1300	SACRAMENTO	CA	95820	1527	00	06000	38.546127	-121.452669	Sacramento County
353798	Ordering, Referring, Prescribing	N/A	1972087906	0	0	NUCE, ANGELIA PA-C	12/21/2019	Taxonomy not applicable	NA	n/a	000	Unknown	55717	N/A	N/A	N/A	N/A	N/A	3831 HUGHES AVE	SUITE 601	CULVER CITY	CA	90232	2715	00	06000	34.02243278	-118.3981492	Los Angeles County
353868	Ordering, Referring, Prescribing	N/A	1972268621	0	0	NAZARIAN, ARAZ R	2/15/2022	Taxonomy not applicable	NA	n/a	000	Unknown	84965	N/A	N/A	N/A	N/A	N/A	1051 W BURBANK BLVD	None	BURBANK	CA	91506	1421	00	06000	34.186032	-118.324359	Los Angeles County
353935	Ordering, Referring, Prescribing	N/A	1972655090	0	0	NYE, ANN M MD	11/28/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G82080	N/A	N/A	N/A	N/A	N/A	2727 MACDONALD AVE	None	RICHMOND	CA	94804	3006	00	06000	37.93503193	-122.3422799	Contra Costa County
353991	Ordering, Referring, Prescribing	N/A	1972768463	0	0	NODAL, EDWARD A LMFT	12/3/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	90970	N/A	N/A	N/A	N/A	N/A	1509 W. CAMERON AVE.	#230	WEST COVINA	CA	91790	2725	00	06000	34.06870559	-117.9422297	Los Angeles County
353999	Ordering, Referring, Prescribing	N/A	1972788529	0	0	NGUYEN, CINDY P	3/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	61054	N/A	N/A	N/A	N/A	N/A	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	00	06000	38.470392	-121.4223975	Sacramento County
354060	Ordering, Referring, Prescribing	N/A	1972885929	0	0	NGUYEN, TISHA H PHARMD	7/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48228	N/A	N/A	N/A	N/A	N/A	111 S MAIN ST	None	ORANGE	CA	92868	2842	00	06000	33.787512	-117.867272	Orange County
354115	Ordering, Referring, Prescribing	N/A	1972954329	0	0	NAOUM-KETTOOLA, ENAAM PHARMD	7/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65722	N/A	N/A	N/A	N/A	N/A	151 N SANTA FE AVE	None	VISTA	CA	92083	2001	00	06000	33.20205607	-117.2436319	San Diego County
354126	Ordering, Referring, Prescribing	N/A	1972965077	0	0	NWANKWO, OLIVIA MD	11/10/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A170776	N/A	N/A	N/A	N/A	N/A	1800 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	00	06000	40.43816059	-120.6279677	Lassen County
354152	Ordering, Referring, Prescribing	N/A	1972998094	0	0	NGUYEN, THANH T NP	9/17/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95001916	N/A	N/A	N/A	N/A	N/A	18225 BROOKHURST ST	STE 5	FOUNTAIN VALLEY	CA	92708	6728	00	06000	33.69890502	-117.9544165	Orange County
354177	Ordering, Referring, Prescribing	N/A	1982041992	0	0	NGUYEN, KENNETH T PHARMD	7/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	67880	N/A	N/A	N/A	N/A	N/A	2400 N SEPULVEDA BLVD	None	MANHATTAN BEACH	CA	90266	2914	00	06000	33.89386589	-118.3959255	Los Angeles County
354178	Ordering, Referring, Prescribing	N/A	1982047999	0	0	NGUYEN, TIFFANY T MD	7/3/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A145091	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL STE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
354229	Ordering, Referring, Prescribing	N/A	1982130514	0	0	NIPOMNICK, SUMMER PHD	6/17/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY24956	N/A	N/A	N/A	N/A	N/A	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	00	06000	37.9469952	-122.5373892	Marin County
354230	Ordering, Referring, Prescribing	N/A	1982133310	0	0	NGUYEN, HIEN T PHARMD	2/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH76915	N/A	N/A	N/A	N/A	N/A	3970 RIVERMARK PLZ	None	SANTA CLARA	CA	95054	4155	00	06000	37.39481183	-121.9460207	Santa Clara County
354247	Ordering, Referring, Prescribing	N/A	1982159349	0	0	NAM, JI YUN PSYD	11/26/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY31479	N/A	N/A	N/A	N/A	N/A	1500 HUGHES WAY	C100	LONG BEACH	CA	90810	1870	00	06000	33.82860528	-118.2124528	Los Angeles County
354264	Ordering, Referring, Prescribing	N/A	1982181772	0	0	NIKI, VAHID T	5/16/2022	Taxonomy not applicable	NA	n/a	099	DENTIST	102864	N/A	N/A	N/A	N/A	N/A	165 S 1ST ST	None	EL CAJON	CA	92019	4795	00	06000	32.794002	-116.944563	San Diego County
354265	Ordering, Referring, Prescribing	N/A	1982189346	0	0	NELIK, ASHLEY G LCSW	1/20/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	106571	N/A	N/A	N/A	N/A	N/A	1522 E. 102ND STREET	None	LOS ANGELES	CA	90002	3338	00	06000	33.94425852	-118.2474	Los Angeles County
354297	Ordering, Referring, Prescribing	N/A	1982241055	0	0	NGUYEN, HIEU T PHARMD	9/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH80252	N/A	N/A	N/A	N/A	N/A	15 MARINA BLVD	None	SAN FRANCISCO	CA	94123	1201	00	06000	37.80508602	-122.4330005	San Francisco County
354299	Ordering, Referring, Prescribing	N/A	1982246096	0	0	NG, KIMBERLYN CCC-SLP	1/21/2021	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	30270	N/A	N/A	N/A	N/A	N/A	10431 COMMERCE ST.	A	REDLANDS	CA	92374	0110	00	06000	34.06427678	-117.2416506	San Bernardino County
354318	Ordering, Referring, Prescribing	N/A	1982306320	0	0	NGO, MICHELLE MD	7/1/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A197293	N/A	N/A	N/A	N/A	N/A	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	00	06000	38.602089	-121.3925895	Sacramento County
354328	Ordering, Referring, Prescribing	N/A	1982344289	0	0	NEELY, JOSEPH MD MPH	9/24/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A191165	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
354336	Ordering, Referring, Prescribing	N/A	1982317624	0	0	NEAL, NATALIE NP	10/26/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023131	N/A	N/A	N/A	N/A	N/A	554-850 MEDICAL CENTER D	None	BIEBER	CA	96009	8000	00	06000	0	0	None
354352	Ordering, Referring, Prescribing	N/A	1982482089	0	0	NICOLAS, ELIZABETH DDS	12/16/2023	Taxonomy not applicable	NA	n/a	000	Unknown	109263	N/A	N/A	N/A	N/A	N/A	1328 S MISSION RD	None	FALLBROOK	CA	92028	4006	00	06000	33.36868654	-117.2507699	San Diego County
354369	Ordering, Referring, Prescribing	N/A	1982684031	0	0	NAMAZIE, GISELLE C MD	10/21/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A55710	N/A	N/A	N/A	N/A	N/A	16661 VENTURA BLVD	SUITE 226	ENCINO	CA	91436	1947	00	06000	34.15820737	-118.496492	Los Angeles County
354371	Ordering, Referring, Prescribing	N/A	1982669420	0	0	NAMVARI, FARAHNAZ S MD	5/4/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A72504	N/A	N/A	N/A	N/A	N/A	1031 W 34TH ST	None	LOS ANGELES	CA	90089	3602	00	06000	34.024005	-118.2895875	Los Angeles County
354443	Ordering, Referring, Prescribing	N/A	1982841342	0	0	NGUYEN, NHUHA T	10/3/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	D46657	N/A	N/A	N/A	N/A	N/A	650 S ZEDIKER AVE	BLDG 3	PARLIER	CA	93648	2667	00	06000	36.60500164	-119.5210273	Fresno County
354466	Ordering, Referring, Prescribing	N/A	1982893830	0	0	NG, STACEY S LMFT	3/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT81236	N/A	N/A	N/A	N/A	N/A	251 LLEWELLYN AVE	None	CAMPBELL	CA	95008	1940	00	06000	37.29173129	-121.9584335	Santa Clara County
354504	Ordering, Referring, Prescribing	N/A	1982969226	0	0	NICKERSON, RAYMOND J PSYD	5/5/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY31676	N/A	N/A	N/A	N/A	N/A	3095 RICHMOND PKWY.	SUITE 201	RICHMOND	CA	94806	5874	00	06000	37.99005821	-122.3290377	Contra Costa County
354505	Ordering, Referring, Prescribing	N/A	1982971859	0	0	NGUYEN, NICOLE PHARMD	7/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54690	N/A	N/A	N/A	N/A	N/A	14250 PRAIRIE AVE	None	HAWTHORNE	CA	90250	7908	00	06000	33.90229852	-118.3438368	Los Angeles County
354516	Ordering, Referring, Prescribing	N/A	1982981163	0	0	NGUYEN, DANA T PHARMD	12/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54085	N/A	N/A	N/A	N/A	N/A	3655 ALHAMBRA AVE	None	MARTINEZ	CA	94553	3912	00	06000	37.9984807	-122.1321299	Contra Costa County
354520	Ordering, Referring, Prescribing	N/A	1982980967	0	0	NGUYEN, PHUONGTAM PHARMD	5/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60162	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	MS SEC2-B	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
354545	Ordering, Referring, Prescribing	N/A	1992017073	0	0	NGUYEN, IVY T LCSW	3/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW74057	N/A	N/A	N/A	N/A	N/A	4060 WATSON PLAZA DRIVE	None	LAKEWOOD	CA	90712	4033	00	06000	33.831945	-118.1550105	Los Angeles County
354572	Ordering, Referring, Prescribing	N/A	1992064703	0	0	NGUYEN, HONG-NHI N PA-C	6/4/2019	Taxonomy not applicable	NA	n/a	000	Unknown	52474	N/A	N/A	N/A	N/A	N/A	700 S TUSTIN ST	None	ORANGE	CA	92866	3425	00	06000	33.77685748	-117.8357804	Orange County
354579	Ordering, Referring, Prescribing	N/A	1992076566	0	0	NGUYEN, PETER	8/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59571	N/A	N/A	N/A	N/A	N/A	42010 WASHINGTON ST	None	BERMUDA DUNES	CA	92203	9610	00	06000	33.743034	-116.303752	Riverside County
354580	Ordering, Referring, Prescribing	N/A	1992080683	0	0	NGUYEN, BICH T PHARMD	7/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54885	N/A	N/A	N/A	N/A	N/A	2105 MORRILL AVE	None	SAN JOSE	CA	95132	1130	00	06000	37.4139393	-121.8742316	Santa Clara County
354613	Ordering, Referring, Prescribing	N/A	1992116792	0	0	NGUYEN, JENNIFER DDS	2/4/2023	Taxonomy not applicable	NA	n/a	000	Unknown	64965	N/A	N/A	N/A	N/A	N/A	808 W 58TH ST	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
354616	Ordering, Referring, Prescribing	N/A	1992124986	0	0	NGUYEN, ALBERT H DO	12/15/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A16599	N/A	N/A	N/A	N/A	N/A	12625 HESPERIA ROAD	None	VICTORVILLE	CA	92395	7720	00	06000	34.48058899	-117.2907353	San Bernardino County
354635	Ordering, Referring, Prescribing	N/A	1992153050	0	0	NAJERA, BELINDA N PSYD	12/15/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY27853	N/A	N/A	N/A	N/A	N/A	17707 STUDEBAKER RD	None	CERRITOS	CA	90703	2640	00	06000	33.87008991	-118.0991298	Los Angeles County
354638	Ordering, Referring, Prescribing	N/A	1992157341	0	0	NOVOTNY, SCOTT S LCSW	10/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW97367	N/A	N/A	N/A	N/A	N/A	1500 FRANKLIN ST	None	SAN FRANCISCO	CA	94109	4523	00	06000	37.78847503	-122.4235955	San Francisco County
354642	Ordering, Referring, Prescribing	N/A	1992169049	0	0	NAKAJIMA, KASEY N OD	1/24/2021	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	34096	N/A	N/A	N/A	N/A	N/A	179 MAIN STREET	None	SOLEDAD	CA	93960	3023	00	06000	36.42773071	-121.3284195	Monterey County
354651	Ordering, Referring, Prescribing	N/A	1992169551	0	0	NELSON, KATIE N LMFT	10/6/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	135115	N/A	N/A	N/A	N/A	N/A	222 S. HABOR BLVD	650	ANAHEIM	CA	92805	9280	00	06000	33.83250163	-117.9188893	Orange County
354668	Ordering, Referring, Prescribing	N/A	1992219661	0	0	NTUNG, HELEN F NP	1/21/2019	Taxonomy not applicable	NA	n/a	000	Unknown	95008000	N/A	N/A	N/A	N/A	N/A	3631 CRENSHAW BLVD	STE. 109	LOS ANGELES	CA	90016	4869	00	06000	34.023177	-118.3351475	Los Angeles County
354675	Ordering, Referring, Prescribing	N/A	1992230585	0	0	NGO, CHI B PHARMD	1/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73981	N/A	N/A	N/A	N/A	N/A	6477 ALMADEN EXPY	None	SAN JOSE	CA	95120	2902	00	06000	37.22027139	-121.8606095	Santa Clara County
354679	Ordering, Referring, Prescribing	N/A	1992237143	0	0	NEMETALLA, MARINA A MD	1/4/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A161556	N/A	N/A	N/A	N/A	N/A	150 E HOLT BLVD	None	ONTARIO	CA	91761	1613	00	06000	34.063164	-117.6502275	San Bernardino County
354686	Ordering, Referring, Prescribing	N/A	1992247233	0	0	NICHOLS, PRISCILLA A LCSW	8/21/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	117605	N/A	N/A	N/A	N/A	N/A	2130 N VENTURA RD	None	OXNARD	CA	93036	2246	00	06000	34.22414993	-119.1944701	Ventura County
354733	Ordering, Referring, Prescribing	N/A	1992345714	0	0	NDUNGU, HERMAN NP	1/11/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028659	N/A	N/A	N/A	N/A	N/A	7171 BOWLING DRIVE	SUITE 300	SACRAMENTO	CA	95829	9634	00	06000	38.497527	-121.455297	Sacramento County
354734	Ordering, Referring, Prescribing	N/A	1992343008	0	0	NAM, VINNA PHARMD	7/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81092	N/A	N/A	N/A	N/A	N/A	301 E 18TH ST	None	OAKLAND	CA	94606	1813	00	06000	37.7996374	-122.2518906	Alameda County
354743	Ordering, Referring, Prescribing	N/A	1992358964	0	0	NIEBLAS, ROBLEN DDS	10/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	104058	N/A	N/A	N/A	N/A	N/A	3554 W MT WHITNEY	None	RIVERDALE	CA	93656	0000	00	06000	36.43083157	-119.8619557	Fresno County
354760	Ordering, Referring, Prescribing	N/A	1992386841	0	0	NEPALI, WERONIKA K DO	4/8/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A22771	N/A	N/A	N/A	N/A	N/A	2040 CAMFIELD AVE	None	LOS ANGELES	CA	90040	1501	00	06000	34.00861575	-118.1559052	Los Angeles County
354834	Ordering, Referring, Prescribing	N/A	1992828511	0	0	NGUYEN, THOM LAC	11/2/2022	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	4997	N/A	N/A	N/A	N/A	N/A	7761 GARDEN GROVE BLVD.	None	GARDEN GROVE	CA	92841	4220	00	06000	33.77387145	-117.9966555	Orange County
354835	Ordering, Referring, Prescribing	N/A	1992832430	0	0	NUCUM, DARYL H MD	11/24/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A54774	N/A	N/A	N/A	N/A	N/A	1301 PINE AVE	None	LONG BEACH	CA	90813	3124	00	06000	33.782913	-118.192417	Los Angeles County
354861	Ordering, Referring, Prescribing	N/A	1992863963	0	0	NGUYEN, ELLEN T PHARMD	4/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53948	N/A	N/A	N/A	N/A	N/A	2300 CAMINO RAMON	None	SAN RAMON	CA	94583	1354	00	06000	37.77580025	-121.9664884	Contra Costa County
354865	Ordering, Referring, Prescribing	N/A	1992873962	0	0	NGUYEN, NHU-UYEN PHARMD	4/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH56019	N/A	N/A	N/A	N/A	N/A	275 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1106	00	06000	37.23951066	-121.8013511	Santa Clara County
354886	Ordering, Referring, Prescribing	N/A	1992902910	0	0	NEIMAR, DONKA DDS	4/19/2022	Taxonomy not applicable	NA	n/a	000	Unknown	40285	N/A	N/A	N/A	N/A	N/A	689 N ST	None	FIREBAUGH	CA	93622	2156	00	06000	36.86210601	-120.4616211	Fresno County
354917	Ordering, Referring, Prescribing	N/A	1992977649	0	0	NGUYEN, NICK T DPM	12/7/2019	Taxonomy not applicable	NA	n/a	027	PODIATRISTS	E4540	N/A	N/A	N/A	N/A	N/A	11888 BARTLETT AVE	None	ADELANTO	CA	92301	1709	00	06000	34.57927736	-117.4068692	San Bernardino County