Table: enrolled_medi_cal_fee_for_service_ffs_providers , legal_name like O*

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
123	Fee-for-Service	1477584225	1477584225	1	1	OSORIO, CHERYL G MD	12/8/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74063	05	Anesthesiology	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
135	Fee-for-Service	1598832321	1598832321	1	1	OHAYON, ELI MD	12/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66231	05	Anesthesiology	0	In state provider	None	757 FIFTY SECOND ST	None	OAKLAND	CA	95609	0000	01	06001	37.83718491	-122.2683689	Alameda County
139	Fee-for-Service	1649375197	1649375197	1	1	OLEARY, JACQUELINE MD	1/1/1982	2080P0201X	NA	Neurology	026	PHYSICIANS	30090	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
223	Fee-for-Service	1427588615	1427588615	1	1	OLSON, BRENT D MD	6/30/2022	390200000X	NA	Other	026	PHYSICIANS	176122	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
254	Fee-for-Service	1396306338	1396306338	1	1	OCEAN PSYCHIATRY INC	8/30/2023	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	39180 LIBERTY ST	205	FREMONT	CA	94538	2586	01	06001	37.55089505	-121.982082	Alameda County
354	Fee-for-Service	1013948751	1013948751	1	1	OSTREM, JILL L MD	7/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	72155	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
374	Fee-for-Service	1023420866	1023420866	1	1	OGANESIAN, ARMEN DO	5/25/2020	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	17265	20	Orthopedic Surgery	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
428	Fee-for-Service	1245414960	1245414960	1	1	OPHTHALMOLOGY CORPORATION	6/17/2008	193200000X	NA	Other	026	PHYSICIANS	87753	None	None	0	In state provider	None	2888 LONG BEACH BLVD	SUITE 235	LONG BEACH	CA	90806	1562	19	06037	33.809706	-118.189343	Los Angeles County
435	Fee-for-Service	1215960968	1215960968	1	1	OREDUGBA, OLU M.D. A PROF M	6/7/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	39345	None	None	0	In state provider	EDICAL CORP.	8540 SEPULVEDA	1100	LOS ANGELES	CA	90045	3819	19	06037	33.96022076	-118.3961982	Los Angeles County
444	Fee-for-Service	1295894079	1295894079	1	1	OCHOA, CECILIA PHD	11/10/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
479	Fee-for-Service	1073750097	1073750097	1	1	OSTERLOH, MARK D MD	6/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	57210	18	Ophthalmology	0	In state provider	None	1420 OCOTILLO DR	STE D	EL CENTRO	CA	92243	4251	13	06025	32.77671804	-115.5683943	Imperial County
542	Fee-for-Service	1396306338	1396306338	1	1	OCEAN PSYCHIATRY INC	8/30/2023	101YM0800X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	39180 LIBERTY ST	205	FREMONT	CA	94538	2586	01	06001	37.55089505	-121.982082	Alameda County
573	Fee-for-Service	1558828459	1558828459	1	1	ONGJOCO, PERCIVAL TAMERLANE	12/16/2022	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	S RCP	2350 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3305	38	06075	37.78305866	-122.4421313	San Francisco County
634	Fee-for-Service	1366604969	1366604969	1	1	OBERMAN, ERICA D MD	6/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110666	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 MEDICAL PLAZA	STE 430	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
651	Fee-for-Service	1033275276	1033275276	1	1	OH, THOMAS MD	11/19/2024	207P00000X	NA	Other	026	PHYSICIANS	77134	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1000 TRANCAS ST	None	NAPA	CA	94558	2906	28	06055	38.32349768	-122.2963137	Napa County
732	Fee-for-Service	1922284322	1922284322	1	1	OVERLEY, JENNIFER A 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
767	Fee-for-Service	1952738700	1952738700	1	1	ON LOK SENIOR HEALTH	6/16/2014	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	SERVICES	130 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1907	43	06085	37.36141194	-121.846379	Santa Clara County
781	Fee-for-Service	1467560060	1467560060	1	1	O'NEIL, JOELLE C DO	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	6989	08	Family Practice	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
925	Fee-for-Service	1881945657	1881945657	1	1	OVERDEVEST, JONATHAN B MD	6/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	128034	17	Ophthalmology, Otolaryngology, Rhinology (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
1064	Fee-for-Service	1780750018	1780750018	1	1	ONG, STEPHEN G MD	1/30/2008	208M00000X	NA	Other	026	PHYSICIANS	93783	66	Emergency Medicine (Urgent Care)	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
1072	Fee-for-Service	1851963433	1851963433	1	1	ORABUEZE, MICHELLE MD	8/7/2024	207VM0101X	NA	Obstetrics & Gynecology	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
1099	Fee-for-Service	1487372124	1487372124	1	1	O'NEAL, JOHNATHON AU	11/7/2024	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	15725 E WHITTIER BLVD	None	WHITTIER	CA	90603	3102	19	06037	33.94435533	-117.9931159	Los Angeles County
1175	Fee-for-Service	1073956512	1073956512	1	1	OVERMAN, HEATHER A MD	8/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	148604	40	Pediatrics	0	In state provider	None	2020 SUTTER PL	STE 201	DAVIS	CA	95616	6201	57	06113	38.56287659	-121.7715536	Yolo County
1246	Fee-for-Service	1457828097	1457828097	1	1	OFOEGBU, ANGELA NP	4/2/2024	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
1312	Fee-for-Service	1811358138	1811358138	1	1	OPTIME CARE INC	7/11/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	4060 WEDGEWAY CT	None	EARTH CITY	MO	63045	1213	00	None	38.76718188	-90.46149377	St. Louis County
1551	Fee-for-Service	1659714400	1659714400	1	1	OGBEIDE, EVBUSOGIE MD	4/29/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	147686	None	None	0	In state provider	None	1600 ESPLANADE	SUITE C	CHICO	CA	95926	3369	04	06007	39.74352822	-121.8495394	Butte County
1623	Fee-for-Service	1316744899	1316744899	1	1	ORONOZ, CEREZA C	3/4/2025	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	19	06037	0	0	None
1643	Fee-for-Service	1467808402	1467808402	1	1	ORTEGA, ANDREW J MD	6/11/2020	207P00000X	NA	Other	026	PHYSICIANS	160873	66	Emergency Medicine (Urgent Care)	0	In state provider	None	23625 HOLMAN HIGHWAY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
1914	Fee-for-Service	1518390863	1518390863	1	1	OLSON, RICHARD LMFT	3/6/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41765 12TH STREET WEST	SUITE D	PALMDALE	CA	93551	1422	19	06037	34.641891	-118.1513675	Los Angeles County
1950	Fee-for-Service	1699841809	1699841809	1	1	OGAMI, DAVID N MD	10/1/2000	2084P0800X	NA	Psychiatry	026	PHYSICIANS	63399	36	Psychiatry	0	In state provider	None	3527 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1884	38	06075	37.78765457	-122.4508386	San Francisco County
1971	Fee-for-Service	1801663752	1801663752	1	1	OSBORNE, JACOB C NP	12/14/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9802 STOCKDALE HWY	SUITE 105	BAKERSFIELD	CA	93311	3653	15	06029	35.3544067	-119.1113372	Kern County
2053	Fee-for-Service	1891811592	1891811592	1	1	ORENDAIN, LAUSANNE P MD	9/9/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	3100 N TENAYA WAY	None	LAS VEGAS	NV	89128	0436	00	None	36.21499805	-115.2504953	Clark County
2073	Fee-for-Service	1003349135	1003349135	1	1	OLVEDA, REBECCA C MD	7/3/2023	2080P0216X	NA	Other	026	PHYSICIANS	161557	None	None	0	In state provider	None	4050 DUBLIN BLVD	None	DUBLIN	CA	94568	3112	01	06001	37.70554251	-121.873005	Alameda County
2088	Fee-for-Service	1295279081	1295279081	1	1	ORTEGA, CONSTANCE PSYD	8/2/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	940 S COAST DR STE 225	None	COSTA MESA	CA	92626	7757	30	06059	33.68993791	-117.8953504	Orange County
2241	Fee-for-Service	1568955474	1568955474	1	1	OKADA, CHERIE PSYD	11/26/2024	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
2242	Fee-for-Service	1639701790	1639701790	1	1	ON CALL HOME CARE INC	10/28/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14540 VICTORY BLVD	STE 226	VAN NUYS	CA	91411	1600	19	06037	34.1866315	-118.4501385	Los Angeles County
2291	Fee-for-Service	1083792717	1083792717	1	1	OIDE, JON S MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70548	41	Internal Medicine	0	In state provider	None	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	34	06067	38.556288	-121.458474	Sacramento County
2297	Fee-for-Service	1619901121	1619901121	1	1	OCHOA, MARIA T MD	1/31/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	90822	07	Dermatology	0	In state provider	None	200 UCLA MEDICAL PLZ	BLDG 465	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
2403	Fee-for-Service	1780829119	1780829119	1	1	OBATA, CHRISTINE A MD	6/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	99503	13	Neurology (M.D. only)	0	In state provider	None	2828 FRESNO STREET	SUITE 203	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
2458	Fee-for-Service	1730574021	1730574021	1	1	O'HARA, MICHAEL E MD	6/19/2020	207L00000X	NA	Other	026	PHYSICIANS	144664	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
2562	Fee-for-Service	1689084956	1689084956	1	1	OC TRANSIT INC	7/8/2014	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	27762 FORBES RD	STE 15	LAGUNA NIGUEL	CA	92677	1228	30	06059	33.55987374	-117.6768165	Orange County
2667	Fee-for-Service	1346523784	1346523784	1	1	OLIVE HOME HEALTH CENTER INC	12/12/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2222 W MANCHESTER BLVD	SUITE B	INGLEWOOD	CA	90305	2529	19	06037	33.95988951	-118.3186575	Los Angeles County
2691	Fee-for-Service	1780829119	1780829119	1	1	OBATA, CHRISTINE A MD	6/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	99503	36	Psychiatry	0	In state provider	None	2828 FRESNO STREET	SUITE 203	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
2730	Fee-for-Service	1871097949	1871097949	1	1	OLADINI, OLUFUNMILOLA MD	7/2/2022	390200000X	NA	Other	026	PHYSICIANS	164271	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
2746	Fee-for-Service	1467553651	1467553651	1	1	O'CONNELL, SHELMA 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 S UNION	None	TACOMA	WA	98405	0000	00	None	47.2412305	-122.4823303	Pierce County
2806	Fee-for-Service	1831155290	1831155290	1	1	O'CONNELL, TIMOTHY J MD	2/28/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	62957	None	None	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
2882	Fee-for-Service	1235102047	1235102047	1	1	OTT, CHRISTOPHER MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4231 W. 16TH AVE	None	DENVER	CO	80204	0000	00	None	39.74280302	-105.0412741	City and County of Denver
3045	Fee-for-Service	1679509798	1679509798	1	1	OGRADY, CHRISTOPHER J MD	3/28/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	73458	41	Internal Medicine	0	In state provider	None	65 NIELSON ST	STE 104	WATSONVILLE	CA	95076	2491	44	06087	36.9282117	-121.7933197	Santa Cruz County
3088	Fee-for-Service	1215073689	1215073689	1	1	OSTER, STEPHEN F MD	7/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	103897	18	Ophthalmology	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
3110	Fee-for-Service	1811515448	1811515448	1	1	ORTIZ, VICTORIA N RCP	9/10/2020	2279G1100X	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
3153	Fee-for-Service	1003377227	1003377227	1	1	OTOO, ENID N DO	8/1/2022	207P00000X	NA	Other	026	PHYSICIANS	19763	None	None	0	In state provider	None	500 WEST HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
3235	Fee-for-Service	1164774600	1164774600	1	1	ORTHOPEDIC INSTITUTE OF	9/4/2015	193400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	NEWPORT BEACH LIMITED PA	22 CORPORATE PLAZA DR	None	NEWPORT BEACH	CA	92660	7985	30	06059	33.607602	-117.876852	Orange County
3333	Fee-for-Service	1679509798	1679509798	1	1	OGRADY, CHRISTOPHER J MD	3/28/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	73458	08	Family Practice	0	In state provider	None	65 NIELSON ST	STE 104	WATSONVILLE	CA	95076	2491	44	06087	36.9282117	-121.7933197	Santa Cruz County
3412	Fee-for-Service	1558332999	1558332999	1	1	OSHTORY, ABHA M MD	4/4/1978	2084N0400X	NA	Neurology	026	PHYSICIANS	26198	13	Neurology (M.D. only)	0	In state provider	None	415 E HARDING WAY	STE C	STOCKTON	CA	95204	6118	39	06077	37.96819912	-121.2900761	San Joaquin County
3438	Fee-for-Service	1912251117	1912251117	1	1	ONETH, CHRISTOPHER M LMFT	3/28/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1213 COFFEE AVE	STE P	MODESTO	CA	95355	4229	50	06099	37.660401	-120.975669	Stanislaus County
3456	Fee-for-Service	1114586583	1114586583	1	1	O'BRIEN GUERRERO, VINCENT P	10/11/2022	103TF0000X	NA	Mental Health Outpatient Services	026	PHYSICIANS	182105	None	None	0	In state provider	MD	1201 ALHAMBRA BLVD	STE 210	SACRAMENTO	CA	95816	5241	34	06067	38.570076	-121.4657145	Sacramento County
3492	Fee-for-Service	1578884243	1578884243	1	1	OSIAS, ROSALIA MD INC	8/5/2010	207R00000X	NA	Other	026	PHYSICIANS	78239	41	Internal Medicine	0	In state provider	None	3340 W BALL ROAD	SUITE F	ANAHEIM	CA	92804	3729	30	06059	33.81726795	-118.0068541	Orange County
3518	Fee-for-Service	1730469669	1730469669	1	1	OLIVARES, MICHELLE P CRNA	11/21/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	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
3549	Fee-for-Service	1619017423	1619017423	1	1	ONWUALU, NGOZI V MSW LCSW	11/23/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	2550 E FOOTHILL BLVD	2ND FLOOR	PASADENA	CA	91107	3406	19	06037	34.14979153	-118.0979955	Los Angeles County
3617	Fee-for-Service	1891865770	1891865770	1	2	OCULAR PROSTHETICS, INC.	12/18/2023	332B00000X	NA	Other	012	DISPENSING OPTICIANS	-	-	NOT APPLICABLE	0	In state provider	None	321 NORTH LARCHMONT BOUL	SUITE 711	LOS ANGELES	CA	90004	3049	19	06037	34.0769016	-118.323663	Los Angeles County
3716	Fee-for-Service	1992779219	1992779219	1	1	OSBURN, KEVIN C MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	42005	01	General Practice	0	In state provider	None	2320 BATH ST	STE 317	SANTA BARBARA	CA	93105	4389	42	06083	34.43082689	-119.7223032	Santa Barbara County
3955	Fee-for-Service	1609288794	1609288794	1	1	OCONNELL, RYAN J MD	5/22/2019	207ZP0102X	NA	Other	026	PHYSICIANS	142262	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
4012	Fee-for-Service	1619531381	1619531381	1	1	OSIPCHUK, DARIA MD	12/17/2022	207P00000X	NA	Other	026	PHYSICIANS	178718	66	Emergency Medicine (Urgent Care)	0	In state provider	None	16237 VENTURA BLVD	None	ENCINO	CA	91436	2201	19	06037	34.15686987	-118.4871369	Los Angeles County
4135	Fee-for-Service	1972517175	1972517175	1	1	OSMAN, MOHAMEDNOOR A MD	11/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85472	66	Emergency Medicine (Urgent Care)	0	In state provider	None	525 W ACACIA ST	None	STOCKTON	CA	95203	2405	39	06077	37.9611947	-121.3009489	San Joaquin County
4185	Fee-for-Service	1558633503	1558633503	1	1	OBERG, CATHERINE L MD	6/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124439	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
4287	Fee-for-Service	1972849768	1972849768	1	1	OAT SINCHAI MD APC	9/27/2016	207W00000X	NA	Ophthalmology	026	PHYSICIANS	102404	18	Ophthalmology	0	In state provider	None	392 S GLASSELL ST	STE 101	ORANGE	CA	92866	1920	30	06059	33.782679	-117.853146	Orange County
4291	Fee-for-Service	1780870956	1780870956	1	1	OMURA, MICHELLE C MD	6/3/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	101365	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
4423	Fee-for-Service	1194167783	1194167783	1	1	OJEDA, DANIELA LMFT	6/19/2020	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
4499	Fee-for-Service	1770611279	1770611279	1	1	OURKHAN, ISABELLA S LMFT	10/1/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST 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
4596	Fee-for-Service	1023334547	1023334547	1	1	ORA, LYRA K MD	1/30/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113877	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
4625	Fee-for-Service	1962828962	1962828962	1	1	O'NEIL-HART, SHANE D LCSW	5/4/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	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
4678	Fee-for-Service	1497702575	1497702575	1	9	ORANGE COAST MEMORIAL	4/22/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	78222 HIGHWAY 111	None	LA QUINTA	CA	92253	0000	33	06065	33.71629065	-116.299525	Riverside County
4724	Fee-for-Service	1831300565	1831300565	1	1	OCHOA, VERONICA LCSW	10/12/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3900 BROADWAY	None	OAKLAND	CA	94611	5616	01	06001	37.82664697	-122.25721	Alameda County
4726	Fee-for-Service	1366886780	1366886780	1	1	OHEAR, KELLY E MD	7/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	132695	05	Anesthesiology	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
4850	Fee-for-Service	1013421833	1013421833	1	2	OSUNA, CAROLINA LPCC	3/18/2025	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
4881	Fee-for-Service	1205802428	1205802428	1	1	OKPARA, OKEMEFUNA I MD	10/29/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99029	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
5029	Fee-for-Service	1629191689	1629191689	1	1	OPYAN, JAMI T LMFT	12/18/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3808 RIVERSIDE DR	SUITE 500	BURBANK	CA	91505	9301	19	06037	34.15252315	-118.3412174	Los Angeles County
5033	Fee-for-Service	1184735136	1184735136	1	1	OWENS, CRAIG C MD	7/31/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	75730	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
5052	Fee-for-Service	1497702575	1497702575	1	3	ORANGE COAST MEMORIAL	4/6/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	MEDICAL CENTER	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
5056	Fee-for-Service	1114144631	1114144631	1	1	ORMONOVA, OXANA MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	55990	41	Internal Medicine	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
5252	Fee-for-Service	1437126042	1437126042	1	1	ORMSBY, ELEANOR L MD	3/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	93661	30	Radiology	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
5262	Fee-for-Service	1497702575	1497702575	1	5	ORANGE COAST MEMORIAL	11/9/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	INFUSION CENTER	18111 BROOKHURST	STE 4300-B	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
5290	Fee-for-Service	1063163608	1063163608	1	1	OKWOR, JUDE E NP	7/22/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
5291	Fee-for-Service	1548347651	1548347651	1	1	ORTEGA, HENRY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	CHILDREN'S HEALTH CARE	345 NORTH SMITH AVE	None	ST PAUL	MN	55102	0000	00	None	44.94251219	-93.1074995	Ramsey County
5354	Fee-for-Service	1154668218	1154668218	1	1	O'CONNELL, DANIEL J LCSW	12/24/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7293 DUMOSA AVE	STE 8	YUCCA VALLEY	CA	92284	3700	36	06071	34.12094334	-116.4177385	San Bernardino County
5472	Fee-for-Service	1689611501	1689611501	1	1	ORANGE PARK MEDICAL CENTER	3/19/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	2001 KINGSLEY AVE	None	ORANGE PARK	FL	32073	5148	00	None	30.16481412	-81.73765249	Clay County
5684	Fee-for-Service	1164121810	1164121810	1	1	OWENS, KIARA MD	8/27/2024	390200000X	NA	Other	026	PHYSICIANS	None	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
5743	Fee-for-Service	1811298516	1811298516	1	1	ORTIZ CASTILLO, MARIA O MD	3/12/2020	207R00000X	NA	Other	026	PHYSICIANS	121001	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
5759	Fee-for-Service	1689611501	1689611501	1	1	ORANGE PARK MEDICAL CENTER	3/19/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	2001 KINGSLEY AVE	None	ORANGE PARK	FL	32073	5148	00	None	30.16481412	-81.73765249	Clay County
5811	Fee-for-Service	1609811868	1609811868	1	2	ORELLANA, MANUEL A MD	12/28/2017	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	50044	77	Infectious Disease	0	In state provider	None	2626 N CALIFORNIA ST	#F	STOCKTON	CA	95204	5500	39	06077	37.97724966	-121.2917368	San Joaquin County
5922	Fee-for-Service	1669771382	1669771382	1	1	ORLANDO, CARLO A MD APC	8/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	69944	20	Orthopedic Surgery	0	In state provider	None	1509 WILSON TERRACE	None	GLENDALE	CA	91206	4125	19	06037	34.14950866	-118.2311155	Los Angeles County
5928	Fee-for-Service	1457527756	1457527756	1	1	OSTICK, BRIAN J MD	10/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113450	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4929 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91403	1702	19	06037	34.1602022	-118.4487313	Los Angeles County
5968	Fee-for-Service	1811968530	1811968530	1	1	ORMAN, RODGER S MD	8/4/1995	207L00000X	NA	Other	026	PHYSICIANS	52961	05	Anesthesiology	0	In state provider	None	400 E MAIN ST	STE 200	STOCKTON	CA	95202	3000	39	06077	37.95344497	-121.2852303	San Joaquin County
6036	Fee-for-Service	1336120278	1336120278	1	1	ORTHOPAEDIC INSTITUTE OF	7/28/2003	193400000X	NA	Other	026	PHYSICIANS	7163	20	Orthopedic Surgery	0	In state provider	CALIFORNIA A MED GRP INC	2430 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4356	52	06103	40.14832201	-122.2216203	Tehama County
6053	Fee-for-Service	1588681266	1588681266	1	1	OCHIAI, MASAKO	10/14/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	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
6103	Fee-for-Service	1396834636	1396834636	1	1	OMURTAG, MERAL MD	2/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85730	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
6183	Fee-for-Service	1609101955	1609101955	1	1	OPPENHEIMER, CAROL W LCSW	7/5/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	69502	-	NOT APPLICABLE	0	In state provider	None	5900 STATE FARM DRIVE	SUITE 200	ROHNERT PARK	CA	94928	2149	49	06097	38.35358835	-122.7073105	Sonoma County
6253	Fee-for-Service	1811968530	1811968530	1	1	ORMAN, RODGER S MD	8/4/1995	207L00000X	NA	Other	026	PHYSICIANS	52961	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 E MAIN ST	STE 200	STOCKTON	CA	95202	3000	39	06077	37.95344497	-121.2852303	San Joaquin County
6365	Fee-for-Service	1033553482	1033553482	1	1	ODOM, IRENE H MD	10/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132491	40	Pediatrics	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
6541	Fee-for-Service	1811968530	1811968530	1	1	ORMAN, RODGER S MD	8/4/1995	207L00000X	NA	Other	026	PHYSICIANS	52961	08	Family Practice	0	In state provider	None	400 E MAIN ST	STE 200	STOCKTON	CA	95202	3000	39	06077	37.95344497	-121.2852303	San Joaquin County
6545	Fee-for-Service	1326075672	1326075672	1	1	OSTRZEGA, NORA L MD	2/1/2001	207ZP0101X	NA	Other	026	PHYSICIANS	51067	22	Pathology (M.D. only)	0	In state provider	None	10833 LA CONTE AVE	None	LOS ANGELES	CA	90095	0001	19	06037	34.06373445	-118.443537	Los Angeles County
6739	Fee-for-Service	1649865080	1649865080	1	1	OBI, CHRISTOPHER OD	9/21/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	855 W FOOTHILL BLVD	None	MONROVIA	CA	91016	1938	19	06037	34.1511692	-118.0177106	Los Angeles County
6832	Fee-for-Service	1477149243	1477149243	1	2	OJO, TEMITAYO O NP	2/8/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	869 N CHERRY ST	None	TULARE	CA	93274	2207	54	06107	36.220932	-119.337698	Tulare County
6921	Fee-for-Service	1912168949	1912168949	1	1	OMALLEY, ROBERT M MD	12/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	151692	01	General Practice	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
6958	Fee-for-Service	1366794877	1366794877	1	1	OSCAR, CASSANDRE F NP	10/1/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	197 E CAROLINE ST	None	SAN BERNARDINO	CA	92408	3731	36	06071	34.06143353	-117.2822085	San Bernardino County
6980	Fee-for-Service	1922401025	1922401025	1	1	ORLOWSKI, MATTHEW D MD	7/28/2023	207L00000X	NA	Other	026	PHYSICIANS	166693	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
6993	Fee-for-Service	1003955279	1003955279	1	1	ONEIL, CATHY 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	3033 S PARKER RD	STE 800	AURORA	CO	80014	2938	00	None	39.6612	-104.8603095	Arapahoe County
7083	Fee-for-Service	1366549255	1366549255	1	1	OH, DAVID DOH-YOUNG MD	9/30/1989	207RR0500X	NA	Other	026	PHYSICIANS	44047	41	Internal Medicine	0	In state provider	None	21350 HAWTHORNE BLVD	STE 260	TORRANCE	CA	90503	5645	19	06037	33.8344453	-118.3529294	Los Angeles County
7107	Fee-for-Service	1780608489	1780608489	1	1	OSHIRO, BRYAN MD	3/31/1989	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	58207	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	780 E GILBERT ST	None	SAN BERNARDINO	CA	92415	1003	36	06071	34.1268333	-117.2705634	San Bernardino County
7132	Fee-for-Service	1477615003	1477615003	2	1	OLYMPIA PLAZA PHARMACY INC	3/6/2007	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5901 W OLYMPIC BLVD	STE #103	LOS ANGELES	CA	90036	4659	19	06037	34.05764121	-118.3603115	Los Angeles County
7189	Fee-for-Service	1942753728	1942753728	1	1	OMNI FAMILY HEALTH	4/30/2018	3336C0002X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	210 NORTH CHESTER AVE	None	BAKERSFIELD	CA	93308	4841	15	06029	35.407179	-119.0208925	Kern County
7247	Fee-for-Service	1821264250	1821264250	1	1	OLIVOT, JEAN-MARC MD	5/20/2009	2084V0102X	NA	Neurology	026	PHYSICIANS	None	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
7267	Fee-for-Service	1134119977	1134119977	1	1	OAKLAND PHARMACY INC	9/3/1993	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NEW TIBURCIO VASQUEZ HLT	33255 9TH ST	None	UNION CITY	CA	94587	2137	01	06001	37.60286569	-122.0260874	Alameda County
7312	Fee-for-Service	1609969450	1609969450	1	2	OVEIAN, MARGARITA DR INC	5/25/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	72511	36	Psychiatry	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
7356	Fee-for-Service	1710054226	1710054226	1	1	OWENS, SHARON P LMFT	10/15/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2910 CAMINO DIABLO	STE 200	WALNUT CREEK	CA	94597	3953	07	06013	37.8984265	-122.083701	Contra Costa County
7370	Fee-for-Service	1366549255	1366549255	1	1	OH, DAVID DOH-YOUNG MD	9/30/1989	207RR0500X	NA	Other	026	PHYSICIANS	44047	83	Rheumatology	0	In state provider	None	21350 HAWTHORNE BLVD	STE 260	TORRANCE	CA	90503	5645	19	06037	33.8344453	-118.3529294	Los Angeles County
7448	Fee-for-Service	1730610627	1730610627	1	1	OCHOCINSKI, DOMINIK S DO	5/3/2022	207L00000X	NA	Other	026	PHYSICIANS	18946	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
7485	Fee-for-Service	1396766580	1396766580	1	1	OBROCEA, GABRIELA V MD	11/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77000	36	Psychiatry	0	In state provider	None	1830 FLOWER ST	None	BAKERSFIELD	CA	93305	4144	15	06029	35.3818329	-118.9710228	Kern County
7534	Fee-for-Service	1821264250	1821264250	1	1	OLIVOT, JEAN-MARC MD	5/20/2009	2084V0102X	NA	Neurology	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
7596	Fee-for-Service	1609969450	1609969450	1	2	OVEIAN, MARGARITA DR INC	5/25/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	72511	13	Neurology (M.D. only)	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
7640	Fee-for-Service	1083667539	1083667539	1	1	OFFENSEND, TIMOTHY Q MD	7/13/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	53287	67	Endocrinology	0	In state provider	None	50 S SAN MATEO DR	STE 220	SAN MATEO	CA	94401	3857	41	06081	37.56634141	-122.3261145	San Mateo County
7818	Fee-for-Service	1992209589	1992209589	1	1	OBZEJTA, NATALIA Y MD	10/22/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173880	None	None	0	In state provider	None	2110 N BELLFLOWER BLVD	None	LONG BEACH	CA	90815	3126	19	06037	33.795261	-118.125222	Los Angeles County
7867	Fee-for-Service	1366720211	1366720211	1	1	OMRAN, JAD MD	11/10/2019	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	144651	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	5555 GROSSMONT CENTER	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
7895	Fee-for-Service	1598701658	1598701658	1	1	OLSEN, GREGORY P MD	11/17/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	56830	41	Internal Medicine	0	In state provider	None	PUEBLO AT BATH	None	SANTA BARBARA	CA	93105	0000	42	06083	34.430526	-119.72196	Santa Barbara County
7897	Fee-for-Service	1689615007	1689615007	1	1	OBANOR, EMMANUEL N DO	6/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	6988	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
7898	Fee-for-Service	1255423521	1255423521	1	1	ORR, JENNIFER A PT	10/19/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	31720 TEMECULA PKWY	STE 101	TEMECULA	CA	92592	5802	33	06065	33.4799323	-117.1033702	Riverside County
7929	Fee-for-Service	1083667539	1083667539	1	1	OFFENSEND, TIMOTHY Q MD	7/13/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	53287	41	Internal Medicine	0	In state provider	None	50 S SAN MATEO DR	STE 220	SAN MATEO	CA	94401	3857	41	06081	37.56634141	-122.3261145	San Mateo County
7946	Fee-for-Service	1629175336	1629175336	3	3	OBSTETRIX MEDICAL GROUP OF C	4/23/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	RT OF PEDIATRIX MEDICAL	2500 HOSPITAL DR	BLDG 10	MOUNTAIN VIEW	CA	94040	4106	43	06085	37.36908	-122.081819	Santa Clara County
7970	Fee-for-Service	1346624764	1346624764	1	1	OZES, DERYA LMFT	7/5/2020	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
8074	Fee-for-Service	1700232022	1700232022	1	1	OLSON, DANIEL MD DO	12/1/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	167655	None	None	0	In state provider	None	375 LAGUNA HONDA	None	SAN FRANCISCO	CA	94116	1411	38	06075	37.74791027	-122.4587116	San Francisco County
8119	Fee-for-Service	1710087515	1710087515	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	500B JEFFERSON BLVD	SUITE 180 AND 195	WEST SACRAMENTO	CA	95605	2349	57	06113	38.58811316	-121.5270471	Yolo County
8184	Fee-for-Service	1598701658	1598701658	1	1	OLSEN, GREGORY P MD	11/17/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	56830	66	Emergency Medicine (Urgent Care)	0	In state provider	None	PUEBLO AT BATH	None	SANTA BARBARA	CA	93105	0000	42	06083	34.430526	-119.72196	Santa Barbara County
8227	Fee-for-Service	1629175336	1629175336	3	3	OBSTETRIX MEDICAL GROUP OF C	4/23/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	RT OF PEDIATRIX MEDICAL	2500 HOSPITAL DR	BLDG 10	MOUNTAIN VIEW	CA	94040	4106	43	06085	37.36908	-122.081819	Santa Clara County
8303	Fee-for-Service	1871606269	1871606269	1	7	OROVILLE HOSPITAL	7/19/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2780 ORO DAM BLVD E	SUITE 2	OROVILLE	CA	95966	6103	04	06007	39.50929272	-121.5433589	Butte County
8318	Fee-for-Service	1871606269	1871606269	1	9	OROVILLE HOSPITAL	11/13/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2224 5TH AVE	None	OROVILLE	CA	95966	5816	04	06007	39.50224076	-121.5649012	Butte County
8409	Fee-for-Service	1710087515	1710087515	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	500B JEFFERSON BLVD	SUITE 180 AND 195	WEST SACRAMENTO	CA	95605	2349	57	06113	38.58811316	-121.5270471	Yolo County
8440	Fee-for-Service	1013365402	1013365402	1	1	OZA, ANUJA U MD	9/16/2019	390200000X	NA	Other	026	PHYSICIANS	161350	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
8456	Fee-for-Service	1992714406	1992714406	1	1	OWSLEY, KEVIN C MD	10/17/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	98739	20	Orthopedic Surgery	0	In state provider	None	15525 POMERADO RD	A-1	POWAY	CA	92064	2405	37	06073	32.99479918	-117.0579468	San Diego County
8478	Fee-for-Service	1811997588	1811997588	1	1	O'NEILL, MICHELE L MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	74294	08	Family Practice	0	In state provider	None	2020 SUTTER PL	STE 101	DAVIS	CA	95616	6201	57	06113	38.56287659	-121.7715536	Yolo County
8572	Fee-for-Service	1871606269	1871606269	1	1	OROVILLE HOSPITAL	4/28/2005	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	SUITE 130	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
8587	Fee-for-Service	1184811531	1184811531	1	1	OZOBIANI, ISAAC	8/6/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
8639	Fee-for-Service	1700432333	1700432333	1	1	ORANGE CAREHOME	9/25/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	804 W BRENTWOOD AVENUE	None	ORANGE	CA	92865	2125	30	06059	33.83170677	-117.860949	Orange County
8697	Fee-for-Service	1710087515	1710087515	2	1	OLE HEALTH	10/22/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	500B JEFFERSON BLVD	SUITE 180 AND 195	WEST SACRAMENTO	CA	95605	2349	57	06113	38.58811316	-121.5270471	Yolo County
8732	Fee-for-Service	1073150694	1073150694	1	1	OLSON, SONNEN R	10/12/2020	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
8850	Fee-for-Service	1861711673	1861711673	1	1	OSBORNE, JONATHAN D DO	9/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	11216	08	Family Practice	0	In state provider	None	2510 AIRPARK DR	STE 301	REDDING	CA	96001	2462	45	06089	40.57119566	-122.4016582	Shasta County
8862	Fee-for-Service	1871606269	1871606269	1	1	OROVILLE HOSPITAL	12/1/1979	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	SUITE 130	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
8912	Fee-for-Service	1831155381	1831155381	1	1	O'NEILL, JOHN G MD III	5/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	55278	30	Radiology	0	In state provider	None	372 WEST CYPRESS AVE	None	REEDLEY	CA	93654	2113	10	06019	36.60784193	-119.4520057	Fresno County
8928	Fee-for-Service	1013933167	1013933167	1	5	OROHEALTH CORPORATION	1/9/2008	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	GROUP	2721 OLIVE HWY	STE 10	OROVILLE	CA	95966	0000	04	06007	39.50452062	-121.5420592	Butte County
8942	Fee-for-Service	1003965153	1003965153	1	1	OBIEKWE, SAMUEL R MD	2/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51428	None	None	0	In state provider	None	3001 SILLECT AVE	None	BAKERSFIELD	CA	93308	6337	15	06029	35.38601911	-119.0400416	Kern County
8951	Fee-for-Service	1104250521	1104250521	1	1	OJWANG, RHODA CNP	6/7/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1792 GARNET AVE	None	SAN DIEGO	CA	92109	3350	37	06073	32.80054833	-117.2374979	San Diego County
8985	Fee-for-Service	1710087515	1710087515	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	500B JEFFERSON BLVD	SUITE 180 AND 195	WEST SACRAMENTO	CA	95605	2349	57	06113	38.58811316	-121.5270471	Yolo County
9033	Fee-for-Service	1104908771	1104908771	1	1	OAKLEY, WILLIAM C PT	10/12/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	511 BATH ST	None	SANTA BARBARA	CA	93101	3403	42	06083	34.41386476	-119.6993335	Santa Barbara County
9059	Fee-for-Service	1942253646	1942253646	1	1	ORTIZ-BARRON, LUCILA MD	3/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100014	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2601 E MAIN ST	STE 104	VENTURA	CA	93003	2801	56	06111	34.27443821	-119.2609368	Ventura County
9099	Fee-for-Service	1558432435	1558432435	1	1	ONG, ROSA L MD	6/1/1995	2085R0001X	NA	Other	026	PHYSICIANS	39519	30	Radiology	0	In state provider	None	4747 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
9216	Fee-for-Service	1013933167	1013933167	1	5	OROHEALTH CORPORATION	2/12/2019	207Q00000X	NA	Adult Primary Care	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	GROUP	2721 OLIVE HWY	STE 10	OROVILLE	CA	95966	0000	04	06007	39.50452062	-121.5420592	Butte County
9332	Fee-for-Service	1740583095	1740583095	1	1	OROVILLE HOSPITAL	3/21/2011	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	A CALIFORNIA CORP	2721 OLIVE HIGHWAY	STE 9	OROVILLE	CA	95966	6115	04	06007	39.50452062	-121.5420592	Butte County
9392	Fee-for-Service	1497112999	1497112999	1	1	OTERO, JOSE E MD INC	4/1/2016	193400000X	NA	Other	026	PHYSICIANS	30334	24	Plastic Surgery	0	In state provider	None	6367 ALVARADO CT	STE 104	SAN DIEGO	CA	92120	4914	37	06073	32.77665968	-117.0614306	San Diego County
9479	Fee-for-Service	1639550627	1639550627	1	1	OLSEN, EMMA K PSYD	3/12/2025	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
9494	Fee-for-Service	1437433497	1437433497	1	1	OFFILL, CHRISTINA I LCSW	5/13/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	681 LESLIE ST.	None	UKIAH	CA	95482	5500	23	06045	39.1446949	-123.2010262	Mendocino County
9498	Fee-for-Service	1548024821	1548024821	1	1	OMAE, ILANA L BIRTH DOULA	2/15/2024	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
9504	Fee-for-Service	1013933167	1013933167	1	5	OROHEALTH CORPORATION	3/16/2021	207Q00000X	NA	Adult Primary Care	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	GROUP	2721 OLIVE HWY	STE 10	OROVILLE	CA	95966	0000	04	06007	39.50452062	-121.5420592	Butte County
9618	Fee-for-Service	1740583095	1740583095	1	1	OROVILLE HOSPITAL	3/21/2011	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	A CALIFORNIA CORP	2721 OLIVE HIGHWAY	STE 9	OROVILLE	CA	95966	6115	04	06007	39.50452062	-121.5420592	Butte County
9647	Fee-for-Service	1902098858	1902098858	1	1	OROZCO, PEDRO MD	7/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	87795	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
9680	Fee-for-Service	1497112999	1497112999	1	1	OTERO, JOSE E MD INC	4/1/2016	193400000X	NA	Other	026	PHYSICIANS	30334	46	Hand Surgery	0	In state provider	None	6367 ALVARADO CT	STE 104	SAN DIEGO	CA	92120	4914	37	06073	32.77665968	-117.0614306	San Diego County
9789	Fee-for-Service	1013933167	1013933167	1	5	OROHEALTH CORPORATION	2/11/2019	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	GROUP	2721 OLIVE HWY	STE 10	OROVILLE	CA	95966	0000	04	06007	39.50452062	-121.5420592	Butte County
9797	Fee-for-Service	1306170709	1306170709	1	1	OPEN ACCESS MEDICAL CARE	11/16/2010	207RN0300X	NA	Nephrology	026	PHYSICIANS	88403	45	Nephrology (Renal-Kidney)	0	In state provider	INC	3760 ATLANTIC AVE	None	LONG BEACH	CA	90807	3409	19	06037	33.826347	-118.1850025	Los Angeles County
9836	Fee-for-Service	1154366946	1154366946	1	1	OBIOHA, UDOH O MD	4/10/2019	207R00000X	NA	Other	026	PHYSICIANS	42739	41	Internal Medicine	0	In state provider	None	3325 TYLER AVE	None	EL MONTE	CA	91731	3101	19	06037	34.069212	-118.0360275	Los Angeles County
10051	Fee-for-Service	1285837484	1285837484	1	1	OPTIMA OPTHALMIC MED	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES, INC	1237 B ST	None	HAYWARD	CA	94541	2915	01	06001	37.67566503	-122.0786821	Alameda County
10068	Fee-for-Service	1710606009	1710606009	1	1	O'CONNELL, CHRISTOPHER PT	2/11/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	215 S. HICKORY ST.	UNIT 112	ESCONDIDO	CA	92025	4359	37	06073	33.12335985	-117.0753842	San Diego County
10079	Fee-for-Service	1013933167	1013933167	1	5	OROHEALTH CORPORATION	1/30/2019	207Q00000X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	GROUP	2721 OLIVE HWY	STE 10	OROVILLE	CA	95966	0000	04	06007	39.50452062	-121.5420592	Butte County
10085	Fee-for-Service	1306170709	1306170709	1	1	OPEN ACCESS MEDICAL CARE	11/16/2010	207RN0300X	NA	Nephrology	026	PHYSICIANS	88403	41	Internal Medicine	0	In state provider	INC	3760 ATLANTIC AVE	None	LONG BEACH	CA	90807	3409	19	06037	33.826347	-118.1850025	Los Angeles County
10102	Fee-for-Service	1629006564	1629006564	1	1	OTIS-TOEHAY PRADO, LAVONNE L	10/17/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	43385 BUSINESS PARK DR	STE 100	TEMECULA	CA	92590	3692	33	06065	33.50176507	-117.1617353	Riverside County
10180	Fee-for-Service	1205924511	1205924511	1	1	ORANGE COUNTY EAR NOSE &	4/11/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	THROAT INC	24411 HEALTH CENTER DR	STE 600	LAGUNA HILLS	CA	92653	3687	30	06059	33.6087201	-117.7076948	Orange County
10251	Fee-for-Service	1487719928	1487719928	1	1	ONO, LORI J 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
10276	Fee-for-Service	1508138256	1508138256	1	2	ORANGE COAST ANESTHESIA INC	6/7/2018	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	15248 ELEVENTH ST	None	VICTORVILLE	CA	92395	3704	36	06071	34.52825401	-117.2925587	San Bernardino County
10289	Fee-for-Service	1881707925	1881707925	1	1	OSTER, HELEN MD	7/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	64291	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
10307	Fee-for-Service	1356824924	1356824924	1	1	ORLOWSKA, JOANNA D LCSW	2/7/2024	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
10411	Fee-for-Service	1265463608	1265463608	1	1	ORANGE CNTY HEART INST &	9/1/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	RESEARCH CENTER	1140 W LA VETA AVE	STE 640	ORANGE	CA	92868	4228	30	06059	33.7802984	-117.8651669	Orange County
10636	Fee-for-Service	1073706677	1073706677	1	1	OLESEVICH, MAX MD	9/1/2024	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	192189	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
10651	Fee-for-Service	1427634799	1427634799	1	1	O'BRYAN, HALEY LMFT	7/13/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5205 E OCEAN BLVD	APT 6	LONG BEACH	CA	90803	6919	19	06037	33.7559815	-118.1376116	Los Angeles County
10697	Fee-for-Service	1265463608	1265463608	1	1	ORANGE CNTY HEART INST &	9/1/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	RESEARCH CENTER	1140 W LA VETA AVE	STE 640	ORANGE	CA	92868	4228	30	06059	33.7802984	-117.8651669	Orange County
10704	Fee-for-Service	1669476651	1669476651	1	1	OBA, CHISATO MD	9/25/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	80057	41	Internal Medicine	0	In state provider	None	501 S IDAHO ST	#350	LA HABRA	CA	90631	6047	30	06059	33.927525	-117.959216	Orange County
10718	Fee-for-Service	1871606269	1871606269	1	6	OROVILLE HOSPITAL	7/19/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HWY	SUITE 250	OROVILLE	CA	95966	6103	04	06007	39.50386798	-121.5410203	Butte County
10750	Fee-for-Service	1194826354	1194826354	1	1	OHMOTO, HISAKO MD INC	3/2/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	73077	83	Rheumatology	0	In state provider	OHMOTO, HISAKO MD INC	4466 BLACK AVE	STE A	PLEASANTON	CA	94566	6130	01	06001	37.67215489	-121.8770294	Alameda County
10823	Fee-for-Service	1760149561	1760149561	1	1	OPULENT CARE HOME HEALTH INC	6/3/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	13907 VENTURA BLVD	STE 106	SHERMAN OAKS	CA	91423	3543	19	06037	34.14881671	-118.435905	Los Angeles County
10835	Fee-for-Service	1619171741	1619171741	1	1	ORTEGA, MADELEINE I MD	11/30/1987	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	44533	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	10875 SAN FERNANDO RD	None	PACOIMA	CA	91331	2629	19	06037	34.26768876	-118.4238378	Los Angeles County
10935	Fee-for-Service	1396443669	1396443669	1	1	OLSEN, MEGHAN MARIE	3/16/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1313 WARMLANDS AVE	None	VISTA	CA	92084	4207	37	06073	33.21745361	-117.2116071	San Diego County
11173	Fee-for-Service	1992077317	1992077317	1	1	OTTINO, JENNIFER L DO	5/23/2022	208600000X	NA	General Surgery	026	PHYSICIANS	None	None	None	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
11200	Fee-for-Service	1689621450	1689621450	1	1	OSCEOLA REGIONAL HOSPITAL	12/12/2010	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	700 WEST OAK STREET	None	KISSIMMEE	FL	34741	4669	00	None	28.30093248	-81.40928714	Osceola County
11224	Fee-for-Service	1396443669	1396443669	1	1	OLSEN, MEGHAN MARIE	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	1313 WARMLANDS AVE	None	VISTA	CA	92084	4207	37	06073	33.21745361	-117.2116071	San Diego County
11371	Fee-for-Service	1477188118	1477188118	1	1	ORANGE COUNTY SCHOOL	1/1/2021	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	OF THE ARTS	1010 N MAIN STREET	None	SANTA ANA	CA	92701	3602	30	06059	33.754131	-117.867627	Orange County
11389	Fee-for-Service	1063879906	1063879906	1	1	OBEN, BITUIN B 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
11395	Fee-for-Service	1013229871	1013229871	1	1	OGUNJIMI, ESTHER O MD	1/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113140	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
11436	Fee-for-Service	1780888040	1780888040	1	1	OSTERLIND, DUANE P LMFT	2/20/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6695 E PACIFIC COAST HWY	SUITE 135	LONG BEACH	CA	90803	4235	19	06037	33.75412596	-118.1075029	Los Angeles County
11498	Fee-for-Service	1689621450	1689621450	1	1	OSCEOLA REGIONAL HOSPITAL	12/12/2010	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	700 WEST OAK STREET	None	KISSIMMEE	FL	34741	4669	00	None	28.30093248	-81.40928714	Osceola County
11620	Fee-for-Service	1982697678	1982697678	1	1	ORANGE COUNTY GLOBAL MEDICAL	3/8/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	1001 N TUSTIN AVE	None	SANTA ANA	CA	92705	3502	30	06059	33.75363187	-117.8341886	Orange County
11638	Fee-for-Service	1346342342	1346342342	1	1	OMOBA, EMMANUEL A MD	6/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142124	30	Radiology	0	In state provider	None	1817 TRUXTON AVE	None	BAKERSFIELD	CA	93301	5008	15	06029	35.37326659	-119.0227581	Kern County
11677	Fee-for-Service	1821402322	1821402322	1	1	OBEID, RINDALA MD	8/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142101	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
11797	Fee-for-Service	1174636302	1174636302	1	1	OAKES, DANIEL A MD	12/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	68244	20	Orthopedic 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
11884	Fee-for-Service	1952388787	1952388787	1	1	OPENSHAW, LORI L MD	5/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	77940	40	Pediatrics	0	In state provider	None	23521 PASEO DE VALENCIA	STE 200	LAGUNA HILLS	CA	92653	3101	30	06059	33.61113028	-117.7126684	Orange County
11902	Fee-for-Service	1205877651	1205877651	1	1	OZGUR, BURAK MD	7/11/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	74635	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
11906	Fee-for-Service	1982697678	1982697678	1	1	ORANGE COUNTY GLOBAL MEDICAL	3/8/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	1001 N TUSTIN AVE	None	SANTA ANA	CA	92705	3502	30	06059	33.75363187	-117.8341886	Orange County
11998	Fee-for-Service	1437599602	1437599602	1	1	OLIVER, ANDREW T DO	8/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14874	41	Internal Medicine	0	In state provider	None	450 STANYAN STREET	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
12021	Fee-for-Service	1134162084	1134162084	1	1	OLIVETO, MARGARET R CRNA	5/26/2006	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1200 N STATE ST	STE 14-901	LOS ANGELES	CA	90089	0287	19	06037	34.05855992	-118.209755	Los Angeles County
12085	Fee-for-Service	1427609924	1427609924	1	2	ONGPIN, RACHEL I LCSW	7/17/2023	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	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
12090	Fee-for-Service	1023328796	1023328796	1	1	OBRIEN, NICOLE H LMFT	1/11/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6914 SEBASTOPOL AVE	STE A	SEBASTOPOL	CA	95472	3459	49	06097	38.40248016	-122.8232862	Sonoma County
12101	Fee-for-Service	1215461991	1215461991	1	1	OLALO, PRINCELLA G	4/4/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	158193	35	Pediatric Cardiology (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
12105	Fee-for-Service	1528648573	1528648573	1	1	OSEPANS, EDNA LCSW	4/23/2021	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
12205	Fee-for-Service	1164694212	1164694212	1	1	OULASHIAN, MIKE MD	2/17/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	112776	None	None	0	In state provider	None	215 PESETAS LN	None	SANTA BARBARA	CA	93110	1416	42	06083	34.44257521	-119.7584538	Santa Barbara County
12255	Fee-for-Service	1962088062	1962088062	1	1	OBRIEN, SHANNON LCSW	2/3/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	626 LANCASTER BLVD	UNIT 128	LANCASTER	CA	93534	3108	19	06037	34.69792171	-118.1404554	Los Angeles County
12621	Fee-for-Service	1700182680	1700182680	1	1	ORELLANA, LILI C LCSW	8/12/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2001 SANTA MONICA BLVD	STE 860W	SANTA MONICA	CA	90404	2189	19	06037	34.02891163	-118.4797466	Los Angeles County
12726	Fee-for-Service	1255331179	1255331179	1	1	OLIVA MEDICAL INC	12/17/2002	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	871 COTTING CT	STE D	VACAVILLE	CA	95688	9399	48	06095	38.39789403	-121.9555737	Solano County
12808	Fee-for-Service	1508138256	1508138256	1	1	ORANGE COAST ANESTHESIA INC	1/31/2012	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	2601 E CHAPMAN AVENUE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
12985	Fee-for-Service	1336530054	1336530054	1	1	OCHOA, GABRIELA J LMFT	10/18/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
13181	Fee-for-Service	1922125442	1922125442	1	1	OBEY, SHAWANDA R	5/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138882	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
13198	Fee-for-Service	1912265257	1912265257	1	1	OC PEDIATRICS MEDICAL GROUP	6/28/2012	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	94330	None	None	0	In state provider	INC	26700 TOWNE CENTRE DR	SUITE 150	FOOTHILL RANCH	CA	92610	2845	30	06059	33.67455886	-117.6639195	Orange County
13234	Fee-for-Service	1164626016	1164626016	1	1	O'HERN, JOSEPH P	9/16/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9353 IMPERIAL HIGHWAY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
13319	Fee-for-Service	1124220488	1124220488	1	1	OGELE, ANTHONIA C MD	1/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	89913	40	Pediatrics	0	In state provider	None	121 S LONG BEACH BLVD	None	COMPTON	CA	90221	3423	19	06037	33.89475493	-118.2080292	Los Angeles County
13353	Fee-for-Service	1619078532	1619078532	1	2	OGUNYEMI, DOTUN A MD	10/23/2018	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	43245	15	Obstetrics (D.O. only)	0	In state provider	None	400 N PEPPER AVENUE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
13483	Fee-for-Service	1124133566	1124133566	1	1	OFRENEO, MARIA V MD	9/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	54290	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
13494	Fee-for-Service	1861512378	1861512378	1	1	OURX PHARMACY,INC.	5/20/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2222 SANTA MONICA BLVD	103	SANTA MONICA	CA	90404	2305	19	06037	34.03052319	-118.4776873	Los Angeles County
13505	Fee-for-Service	1629175336	1629175336	3	4	OBSTETRIX MEDICAL GROUP OF C	8/21/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	ALIFORNIA, A PROFESSIONA	475 ALBERTO WAY	STE 200	LOS GATOS	CA	95032	5480	43	06085	37.22903453	-121.9710963	Santa Clara County
13641	Fee-for-Service	1619078532	1619078532	1	2	OGUNYEMI, DOTUN A MD	10/23/2018	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	43245	09	Gynecology (D.O. only)	0	In state provider	None	400 N PEPPER AVENUE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
13661	Fee-for-Service	1326036203	1326036203	1	1	OLANCHA CARTAGO FIRE	3/1/1997	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	RESCUE	C/O JOT-EM-DOWN	HWY 395	OLANCHA	CA	93549	0000	14	06027	0	0	None
13711	Fee-for-Service	1154766236	1154766236	1	1	OH, ANITA L MD	6/1/2017	207R00000X	NA	Other	026	PHYSICIANS	134867	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
13736	Fee-for-Service	1235328683	1235328683	1	1	OH, GENE K MD INC	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	26489	05	Anesthesiology	0	In state provider	None	12601 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92843	1908	30	06059	33.77450951	-117.913014	Orange County
13770	Fee-for-Service	1124133566	1124133566	1	1	OFRENEO, MARIA V MD	9/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	54290	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
13792	Fee-for-Service	1629175336	1629175336	3	4	OBSTETRIX MEDICAL GROUP OF C	8/21/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	ALIFORNIA, A PROFESSIONA	475 ALBERTO WAY	STE 200	LOS GATOS	CA	95032	5480	43	06085	37.22903453	-121.9710963	Santa Clara County
13823	Fee-for-Service	1003463100	1003463100	1	1	ONWENNA, RITA O NP	8/24/2022	363L00000X	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
13830	Fee-for-Service	1619176120	1619176120	1	1	OFMAN, DAVID MD	12/31/1984	207R00000X	NA	Other	026	PHYSICIANS	44776	41	Internal Medicine	0	In state provider	None	333 TURK ST	None	SAN FRANCISCO	CA	94102	3703	38	06075	37.78269889	-122.4145456	San Francisco County
13842	Fee-for-Service	1164520243	1164520243	1	1	OSCAR MENDEZ MD	9/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2951 NW 49TH AVE	STE 306	LAUD LAKES	FL	33313	1617	00	None	26.16187296	-80.21719333	Broward County
13978	Fee-for-Service	1497240642	1497240642	1	1	ORTEGA, DANIEL MATTHEW DELGA	7/15/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	17762	None	None	0	In state provider	DO DO	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
13986	Fee-for-Service	1841415585	1841415585	1	2	OPTIMA HEALTH CARE, INC.	7/1/2019	251E00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	4532 RINETTI LN	None	LA CANADA FLINTRI	CA	91011	3310	19	06037	34.20191093	-118.1919512	Los Angeles County
14111	Fee-for-Service	1376283614	1376283614	1	1	ONE HEALTH MEDICAL GROUP INC	8/24/2022	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	3621 MARTIN LUTHER KING	SUITE 6	LYNWOOD	CA	90262	3512	19	06037	33.93082719	-118.2024698	Los Angeles County
14119	Fee-for-Service	1619176120	1619176120	1	1	OFMAN, DAVID MD	10/12/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	44776	-	NOT APPLICABLE	0	In state provider	None	333 TURK ST	None	SAN FRANCISCO	CA	94102	3703	38	06075	37.78269889	-122.4145456	San Francisco County
14450	Fee-for-Service	1619407459	1619407459	1	1	O'BRIEN, SHANNON A PT	6/2/2022	2081P0010X	NA	Physical Medicine and Rehabilitation	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	22691 LAMBERT ST	502	LAKE FOREST	CA	92630	1614	30	06059	33.63321041	-117.7137117	Orange County
14514	Fee-for-Service	1245733005	1245733005	1	1	OXNARD HOME HEALTH CARE INC	1/23/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3539 OCEAN VIEW BLVD	SUITE 1	GLENDALE	CA	91208	3409	19	06037	34.20406795	-118.2281458	Los Angeles County
14536	Fee-for-Service	1871046854	1871046854	1	1	OLVERA, CARMEN M LMFT	1/8/2021	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9942 BROADWAY	None	ANAHEIM	CA	92804	2308	30	06059	33.82885329	-117.9595736	Orange County
14562	Fee-for-Service	1548526825	1548526825	1	1	OSHO, AYOKUNLE MD	2/8/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	133328	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
14612	Fee-for-Service	1952632929	1952632929	1	1	OBAID, AMAL K MD INC	3/2/2010	2086S0127X	NA	General Surgery	026	PHYSICIANS	75419	66	Emergency Medicine (Urgent Care)	0	In state provider	None	50 ALESSANDRO PL	STE 340	PASADENA	CA	91105	3184	19	06037	34.13101049	-118.151532	Los Angeles County
14770	Fee-for-Service	1134149289	1134149289	1	1	OLCESE, RICHARD P PSYD	12/13/2018	103G00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	124 WIKIUP DR	None	SANTA ROSA	CA	95403	7700	49	06097	38.50773004	-122.7589881	Sonoma County
14899	Fee-for-Service	1952632929	1952632929	1	1	OBAID, AMAL K MD INC	3/2/2010	2086S0127X	NA	General Surgery	026	PHYSICIANS	75419	89	Surgery-Traumatic	0	In state provider	None	50 ALESSANDRO PL	STE 340	PASADENA	CA	91105	3184	19	06037	34.13101049	-118.151532	Los Angeles County
14901	Fee-for-Service	1215017413	1215017413	2	1	OH, HONZEN MD	7/20/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	30984	02	General Surgery	0	In state provider	None	13768 ROSEWELL AVE	SUITE 218	CHINO	CA	91710	1407	36	06071	34.0038	-117.7218555	San Bernardino County
15072	Fee-for-Service	1871501783	1871501783	1	1	OELKER, GLENN F MD	1/31/1983	207W00000X	NA	Ophthalmology	026	PHYSICIANS	49598	18	Ophthalmology	0	In state provider	None	628 CALIFORNIA BLVD	STE C	SAN LUIS OBISPO	CA	93401	2547	40	06079	35.28917428	-120.6578269	San Luis Obispo County
15212	Fee-for-Service	1437345410	1437345410	1	1	OROVILLE CITY ELEMENTARY	9/13/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	SCHOOL DISTRICT	2795 YARD ST	None	OROVILLE	CA	95966	5113	04	06007	39.51318115	-121.5459648	Butte County
15259	Fee-for-Service	1891775565	1891775565	1	1	ONYEJEKWE, CHIKE MD	9/1/2022	208M00000X	NA	Other	026	PHYSICIANS	177629	None	None	0	In state provider	None	700 RIVER DRIVE	None	FORT BRAGG	CA	95437	5403	23	06045	39.43163763	-123.8007631	Mendocino County
15261	Fee-for-Service	1760642425	1760642425	1	1	OSASERI, UYIOGHOSA E MD	10/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111559	08	Family Practice	0	In state provider	None	25825 VERMONT AVENUE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
15410	Fee-for-Service	1861747552	1861747552	1	1	OUTLAW, JASEON PHD	4/11/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	406 COLUSA AVE	None	EL CERRITO	CA	94530	3327	07	06013	37.90460593	-122.2913127	Contra Costa County
15459	Fee-for-Service	1013940246	1013940246	1	1	ORLANDO, JOAN R MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	17142	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	101 E BEVERLY BLVD	STE 100	MONTEBELLO	CA	90640	4314	19	06037	34.01556395	-118.0983878	Los Angeles County
15475	Fee-for-Service	1386794469	1386794469	1	1	OTTEM, REGINA CNP	7/18/2023	363LA2200X	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
15508	Fee-for-Service	1144378209	1144378209	1	1	ORCHARD HOSPITAL	2/28/1994	261QR1300X	NA	Rural Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	284 SPRUCE ST	None	GRIDLEY	CA	95948	2216	04	06007	39.36699345	-121.6910745	Butte County
15572	Fee-for-Service	1194257741	1194257741	1	1	OKOBI, DANIEL E MD	5/3/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	162136	None	None	0	In state provider	None	300 MEDICAL PLAZA	B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
15633	Fee-for-Service	1992318315	1992318315	1	1	OTANEZ, PRISMA CNP	8/23/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8260 MIRA MESA BLVD	None	SAN DIEGO	CA	92126	2662	37	06073	32.91277002	-117.1459433	San Diego County
15696	Fee-for-Service	1982333084	1982333084	1	1	O'NEILL COUNSELING, MARRIAGE	3/31/2024	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	AND FAMILY THERAPY PROF	2081 BUSINESS CENTER DRI	270	IRVINE	CA	92612	1212	30	06059	33.67939212	-117.8561729	Orange County
15735	Fee-for-Service	1912963331	1912963331	1	1	OLSON, CHRISTOPHER R MD	11/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96435	08	Family Practice	0	In state provider	None	1700 PRAIRIE CITY RD	None	FOLSOM	CA	95630	0000	34	06067	38.652012	-121.166901	Sacramento County
15745	Fee-for-Service	1467543769	1467543769	1	1	OLANIYAN, OMOBOLA A MD	3/5/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	160272	40	Pediatrics	0	In state provider	None	4770 W HERNDON AVE	STE 108	FRESNO	CA	93722	8401	10	06019	36.83717984	-119.8778388	Fresno County
15792	Fee-for-Service	1144378209	1144378209	1	1	ORCHARD HOSPITAL	2/28/1994	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	284 SPRUCE ST	None	GRIDLEY	CA	95948	2216	04	06007	39.36699345	-121.6910745	Butte County
15849	Fee-for-Service	1144438003	1144438003	1	1	ORPHEUS, KOLOKY	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	UNIVERSITY OF WASHINGTON	1959 NE PACIFIC ST	None	SEATTLE	WA	98195	0001	00	None	47.65080692	-122.3081828	King County
15903	Fee-for-Service	1851303044	1851303044	1	1	OSTRANDER, DAVID R MD	8/11/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	36558	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1560 CAPALINA RD	None	SAN MARCOS	CA	92069	1288	37	06073	33.15089345	-117.1946501	San Diego County
15951	Fee-for-Service	1598487977	1598487977	1	1	ORNELAS, REBEKAH OT	12/14/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4211 B VALLEY VIEW AVE	None	NORCO	CA	92860	3502	33	06065	33.943446	-117.5498725	Riverside County
16010	Fee-for-Service	1669559522	1669559522	1	1	OSTROW, GREGORY I MD	5/29/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	99356	40	Pediatrics	0	In state provider	None	3811 VALLEY CENTRE DR	None	SAN DIEGO	CA	92130	3318	37	06073	32.93760492	-117.2320932	San Diego County
16027	Fee-for-Service	1821563073	1821563073	1	1	OZOR, AMAECHI G NP	12/23/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1524 MCHENRY AVE	STE 135	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
16033	Fee-for-Service	1245826403	1245826403	1	1	ORANGE COAST HOME HEALTH INC	9/14/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10221 SLATER AVE	STE 212	FOUNTAIN VALLEY	CA	92708	4751	30	06059	33.70910146	-117.950427	Orange County
16192	Fee-for-Service	1851303044	1851303044	1	1	OSTRANDER, DAVID R MD	8/11/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	36558	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1560 CAPALINA RD	None	SAN MARCOS	CA	92069	1288	37	06073	33.15089345	-117.1946501	San Diego County
16214	Fee-for-Service	1891242517	1891242517	1	1	OCONNOR, CATHERINE	9/12/2016	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	216 WILDWOOD WAY	None	SALINAS	CA	93908	9623	27	06053	36.58141796	-121.6340127	Monterey County
16233	Fee-for-Service	1871063321	1871063321	1	1	OROURKE, TARA M NP	1/11/2019	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
16236	Fee-for-Service	1710143821	1710143821	1	1	OWEN, SEAN M	9/28/2015	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	123587	20	Orthopedic Surgery	0	In state provider	None	3770 JANES RD	None	ARCATA	CA	95521	4744	12	06023	40.89583739	-124.0932916	Humboldt County
16259	Fee-for-Service	1568864064	1568864064	1	1	OJEDA, CLAUDIA LMFT	7/14/2022	106H00000X	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
16299	Fee-for-Service	1669559522	1669559522	1	1	OSTROW, GREGORY I MD	5/29/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	99356	18	Ophthalmology	0	In state provider	None	3811 VALLEY CENTRE DR	None	SAN DIEGO	CA	92130	3318	37	06073	32.93760492	-117.2320932	San Diego County
16313	Fee-for-Service	1669569109	1669569109	1	1	OPEN DOOR COMMUNITY HEALTH	1/1/1995	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2200 TYDD STREET	None	EUREKA	CA	95501	1284	12	06023	40.80241902	-124.1462268	Humboldt County
16501	Fee-for-Service	1891242517	1891242517	1	1	OCONNOR, CATHERINE	9/12/2016	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	216 WILDWOOD WAY	None	SALINAS	CA	93908	9623	27	06053	36.58141796	-121.6340127	Monterey County
16586	Fee-for-Service	1023472743	1023472743	1	1	OUMA, KEVIN MD	10/20/2023	207R00000X	NA	Other	026	PHYSICIANS	168338	None	None	0	In state provider	None	7300 N FRESNO	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
16600	Fee-for-Service	1669569109	1669569109	1	1	OPEN DOOR COMMUNITY HEALTH	1/1/1995	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2200 TYDD STREET	None	EUREKA	CA	95501	1284	12	06023	40.80241902	-124.1462268	Humboldt County
16641	Fee-for-Service	1578786380	1578786380	1	1	OLIVERA, SONIA LCSW	1/28/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3160 TELEGRAPH ROAD	STE 200	VENTURA	CA	93003	3250	56	06111	34.27228149	-119.2529119	Ventura County
16699	Fee-for-Service	1801809504	1801809504	1	1	ORMAZABAL, AMAYA MD	5/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139262	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
16751	Fee-for-Service	1972535128	1972535128	1	1	OJOGHO, OKECHUKWU N MD	10/1/1995	208600000X	NA	General Surgery	026	PHYSICIANS	79098	02	General Surgery	0	In state provider	None	225 DICKINSON ST	None	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
16815	Fee-for-Service	1780736769	1780736769	1	1	OROVILLE HOSPITAL	12/1/1979	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95955	6118	04	06007	39.506454	-121.5412785	Butte County
16888	Fee-for-Service	1669569109	1669569109	1	1	OPEN DOOR COMMUNITY HEALTH	1/1/1995	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2200 TYDD STREET	None	EUREKA	CA	95501	1284	12	06023	40.80241902	-124.1462268	Humboldt County
16981	Fee-for-Service	1871046854	1871046854	1	2	OLVERA, CARMEN LMFT	5/24/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	110214	-	NOT APPLICABLE	0	In state provider	None	3535 W COMMONWEALTH AVE	None	FULLERTON	CA	92833	2821	30	06059	33.8700505	-117.9749565	Orange County
17050	Fee-for-Service	1407432594	1407432594	1	1	OTUWA, DIANA MD	12/5/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	187499	None	None	0	In state provider	None	15725 E WHITTIER BLVD	None	WHITTIER	CA	90603	3102	19	06037	33.94435533	-117.9931159	Los Angeles County
17128	Fee-for-Service	1891728663	1891728663	1	1	ODUNUSI, EBENEZER O MD	2/20/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	82385	40	Pediatrics	0	In state provider	None	44469 10TH ST W	None	LANCASTER	CA	93534	3396	19	06037	34.691454	-118.148068	Los Angeles County
17177	Fee-for-Service	1669569109	1669569109	1	1	OPEN DOOR COMMUNITY HEALTH	3/1/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2200 TYDD STREET	None	EUREKA	CA	95501	1284	12	06023	40.80241902	-124.1462268	Humboldt County
17179	Fee-for-Service	1649596792	1649596792	1	1	OMNIRAD MEDICAL GROUP INC	1/28/2015	193400000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2410 SAMARITAN DRIVE	SUITE 102	SAN JOSE	CA	95124	3909	43	06085	37.25107654	-121.9451342	Santa Clara County
17247	Fee-for-Service	1558903898	1558903898	1	1	OMNI FAMILY HEALTH	6/8/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2811 H ST	None	BAKERSFIELD	CA	93301	1913	15	06029	35.38526604	-119.021172	Kern County
17338	Fee-for-Service	1063539567	1063539567	1	1	ORTIZ, TINA M LMFT	7/19/2022	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
17363	Fee-for-Service	1861503401	1861503401	1	1	OYKHMAN, VLADIMIR MD	4/30/1986	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	39980	01	General Practice	0	In state provider	None	45 S 17TH ST	None	SAN JOSE	CA	95112	2032	43	06085	37.34311801	-121.8738218	Santa Clara County
17380	Fee-for-Service	1730118886	1730118886	1	1	O'ROURKE, COURTNEY E DO	1/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11824	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
17502	Fee-for-Service	1043751886	1043751886	1	1	OLELEWE, OGBONNA I NP	6/22/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3535 WEST COMMONWEALTH A	None	FULLERTON	CA	92833	2821	30	06059	33.8700505	-117.9749565	Orange County
17512	Fee-for-Service	1487087615	1487087615	1	1	OCONNOR, BRIAN P MD	9/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131848	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
17536	Fee-for-Service	1558903898	1558903898	1	1	OMNI FAMILY HEALTH	6/8/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2811 H ST	None	BAKERSFIELD	CA	93301	1913	15	06029	35.38526604	-119.021172	Kern County
17550	Fee-for-Service	1669836193	1669836193	1	1	O'KEEFE, THOMAS J V MD	2/25/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	158812	02	General Surgery	0	In state provider	None	22419 KENT AVE	None	TORRANCE	CA	90505	2303	19	06037	33.824448	-118.3564765	Los Angeles County
17564	Fee-for-Service	1780138289	1780138289	1	1	ONG, ANDREW C MD	5/25/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	172470	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
17573	Fee-for-Service	1346467370	1346467370	1	1	OMALU, BENNET I. MD	2/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	52868	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
17591	Fee-for-Service	1356760771	1356760771	1	1	OSMANI, BIJAN MD	7/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	154279	05	Anesthesiology	0	In state provider	None	3315 WATT AVE	None	SACRAMENTO	CA	95821	3600	34	06067	38.626056	-121.3834455	Sacramento County
17615	Fee-for-Service	1215963434	1215963434	1	1	OLYMPUS ADHC INC	8/4/2008	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	5955 LINDLEY AVENUE	None	TARZANA	CA	91356	0000	19	06037	34.178697	-118.5273065	Los Angeles County
17700	Fee-for-Service	1598766495	1598766495	1	1	OUR LADY OF LOURDES REGIONAL	7/27/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER,INC	4801 AMBASSADOR CAFFERY	None	LAFAYETTE	LA	70508	6917	00	None	30.150774	-92.036232	Lafayette Parish
17724	Fee-for-Service	1326363409	1326363409	1	1	O'TOOLE, THOMAS R MD	4/13/2020	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	167161	84	Surgery-Head and Neck	0	In state provider	None	7300 WYNDHAM	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
17768	Fee-for-Service	1568636009	1568636009	1	1	OGANESSIAN, JANNA MD	12/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	79854	41	Internal Medicine	0	In state provider	None	13739 RIVERSIDE DRIVE	#B	SHERMAN OAKS	CA	91423	2417	19	06037	34.15762846	-118.4325525	Los Angeles County
17779	Fee-for-Service	1952458077	1952458077	1	1	OSWALT, BRIDGET M CRNA	3/30/2005	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
17812	Fee-for-Service	1972628477	1972628477	1	1	ORVIK, JEREMY S MD	1/14/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93784	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
17825	Fee-for-Service	1558903898	1558903898	1	1	OMNI FAMILY HEALTH	11/18/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2811 H ST	None	BAKERSFIELD	CA	93301	1913	15	06029	35.38526604	-119.021172	Kern County
17889	Fee-for-Service	1033514195	1033514195	1	1	ORAJIAKA, NKEIRUKA U MD	5/6/2021	2080P0204X	NA	Other	026	PHYSICIANS	-	None	None	2	Out of state provider	None	700 CHILDRENS DRIVE	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
17987	Fee-for-Service	1598766495	1598766495	1	1	OUR LADY OF LOURDES REGIONAL	7/27/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER,INC	4801 AMBASSADOR CAFFERY	None	LAFAYETTE	LA	70508	6917	00	None	30.150774	-92.036232	Lafayette Parish
18111	Fee-for-Service	1558903898	1558903898	1	1	OMNI FAMILY HEALTH	9/29/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2811 H ST	None	BAKERSFIELD	CA	93301	1913	15	06029	35.38526604	-119.021172	Kern County
18157	Fee-for-Service	1184975849	1184975849	1	1	O'NEILL, DIANA L NP	9/11/2013	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
18160	Fee-for-Service	1104986587	1104986587	1	1	OLSON, MICHELLE T PSYD	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
18229	Fee-for-Service	1720320872	1720320872	2	1	OAKEY, ZACKERY B MD	4/19/2021	207WX0107X	NA	Ophthalmology	026	PHYSICIANS	134573	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
18286	Fee-for-Service	1497199772	1497199772	1	1	OU, JONATHAN D MD INC	7/24/2013	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	113176	41	Internal Medicine	0	In state provider	None	2707 S DIAMOND BAR BLVD	STE 104	DIAMOND BAR	CA	91765	3500	19	06037	33.97581112	-117.8361659	Los Angeles County
18373	Fee-for-Service	1790767424	1790767424	1	1	OU, ALAN C MD	12/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	64292	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
18442	Fee-for-Service	1497702575	1497702575	1	4	ORANGE COAST MEMORIAL	11/9/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	CARDIOLOGY	18111 BROOKHURST	STE 2200	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
18517	Fee-for-Service	1427609924	1427609924	1	1	ONGPIN, RACHEL I LCSW	8/12/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	108126	-	NOT APPLICABLE	0	In state provider	None	1001 POTRERO AVE	WARD 93, WARD 95 3RD FL	SAN FRANCISCO	CA	94110	3185	38	06075	37.75548534	-122.4065362	San Francisco County
18540	Fee-for-Service	1437476439	1437476439	1	1	OTHMAN, SAMER S MD	5/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118624	41	Internal Medicine	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	15	06029	35.38333823	-119.0188872	Kern County
18577	Fee-for-Service	1497199772	1497199772	1	1	OU, JONATHAN D MD INC	7/24/2013	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	113176	40	Pediatrics	0	In state provider	None	2707 S DIAMOND BAR BLVD	STE 104	DIAMOND BAR	CA	91765	3500	19	06037	33.97581112	-117.8361659	Los Angeles County
18588	Fee-for-Service	1326195199	1326195199	1	1	OEBKER, DAVID W OD	5/8/2017	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
18800	Fee-for-Service	1851325419	1851325419	1	1	O'ROURKE, MARIA C MD	2/21/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	55779	None	None	0	In state provider	None	2215 TRUXTUN AVENUE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
18805	Fee-for-Service	1225337967	1225337967	1	1	OSIJO, GAIL O MD	7/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127809	41	Internal Medicine	0	In state provider	None	2828 FRESNO STREET	SUITE 203	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
18886	Fee-for-Service	1437416591	1437416591	1	1	OSORIO, JOSEPH A MD	8/9/2019	207T00000X	NA	General Surgery	026	PHYSICIANS	128616	14	Neurological 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
19050	Fee-for-Service	1972190890	1972190890	1	1	ONE GOOD HOSPICE INC	6/10/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	401 W OLIVE AVE	SUITE 5	MADERA	CA	93637	4664	20	06039	36.95295946	-120.0604455	Madera County
19066	Fee-for-Service	1356986285	1356986285	1	1	ONE UP HOSPICE CARE INC	2/9/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14621 TITUS ST	SUITE 211	VAN NUYS	CA	91402	4909	19	06037	34.21972652	-118.451799	Los Angeles County
19111	Fee-for-Service	1346469020	1346469020	1	1	OTT, RICHARD A MD INC	10/27/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1310 W STEWART DR	STE 502	ORANGE	CA	92868	3856	30	06059	33.78236048	-117.8664975	Orange County
19166	Fee-for-Service	1992996581	1992996581	1	1	OEST, MICHAEL S CPO	10/11/2023	174400000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	8201 SANTA FE SPRINGS RD	None	WHITTIER	CA	90606	2718	19	06037	33.96638696	-118.0432953	Los Angeles County
19238	Fee-for-Service	1386627966	1386627966	1	1	ORTHOPAEDIC HOSPITAL	10/28/2005	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	403 WEST ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	19	06037	34.02741539	-118.2743622	Los Angeles County
19246	Fee-for-Service	1790395721	1790395721	1	1	ORELLANA, ANTONIO CRNA	12/24/2020	367500000X	NA	Other	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
19255	Fee-for-Service	1174995450	1174995450	1	1	OROZCO, PAMELA M NP	5/30/2017	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
19288	Fee-for-Service	1265867683	1265867683	1	1	OZCAN, ALI K MD	8/1/2019	2080P0204X	NA	Other	026	PHYSICIANS	162669	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
19320	Fee-for-Service	1588695936	1588695936	1	1	OGDEN-HAMILTON, HEATHER	11/13/2024	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
19326	Fee-for-Service	1801047394	1801047394	1	2	OPTIMUM HOME HEALTH INC	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5800 A HANNUM AVE	SUITE 215	CULVER CITY	CA	90230	6557	19	06037	33.98724995	-118.3858338	Los Angeles County
19337	Fee-for-Service	1992978043	1992978043	1	1	OLEKSANDR SCHEVCHUCK, M.D.	7/18/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2211 LOMAS BLVD NE	None	ALBUQUERQUE	NM	87106	2719	00	None	35.08771808	-106.6192188	Bernalillo County
19338	Fee-for-Service	1972190890	1972190890	1	1	ONE GOOD HOSPICE INC	6/10/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	401 W OLIVE AVE	SUITE 5	MADERA	CA	93637	4664	20	06039	36.95295946	-120.0604455	Madera County
19355	Fee-for-Service	1356986285	1356986285	1	1	ONE UP HOSPICE CARE INC	2/9/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14621 TITUS ST	SUITE 211	VAN NUYS	CA	91402	4909	19	06037	34.21972652	-118.451799	Los Angeles County
19399	Fee-for-Service	1346469020	1346469020	1	1	OTT, RICHARD A MD INC	10/27/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	None	1310 W STEWART DR	STE 502	ORANGE	CA	92868	3856	30	06059	33.78236048	-117.8664975	Orange County
19409	Fee-for-Service	1518170562	1518170562	1	1	ON CALL, INC	8/22/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	4561 DICKEY DR	None	LA MESA	CA	91941	5735	37	06073	32.761873	-116.9695045	San Diego County
19416	Fee-for-Service	1689778813	1689778813	1	1	OPEN DOOR COMM HLTH CTRS	1/1/2000	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	NORTHCOUNTRY CLIN-ARCATA	785 18TH ST	None	ARCATA	CA	95521	5770	12	06023	40.8760592	-124.0837498	Humboldt County
19575	Fee-for-Service	1265867683	1265867683	1	1	OZCAN, ALI K MD	8/1/2019	2080P0204X	NA	Other	026	PHYSICIANS	162669	66	Emergency Medicine (Urgent Care)	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
19702	Fee-for-Service	1689778813	1689778813	1	1	OPEN DOOR COMM HLTH CTRS	10/13/2000	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	NORTHCOUNTRY CLIN-ARCATA	785 18TH ST	None	ARCATA	CA	95521	5770	12	06023	40.8760592	-124.0837498	Humboldt County
19804	Fee-for-Service	1174119150	1174119150	1	1	ONE FOR ALL HOSPICE INC	9/28/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	25 WHEELER AVE	STE I	ARCADIA	CA	91006	7034	19	06037	34.14120547	-118.0301953	Los Angeles County
19940	Fee-for-Service	1437223757	1437223757	1	1	O'BRIEN, REBECCA M MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76283	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
19978	Fee-for-Service	1619299989	1619299989	1	1	OJI, GEORGE S MD	10/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	99642	20	Orthopedic Surgery	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
19989	Fee-for-Service	1689778813	1689778813	1	1	OPEN DOOR COMM HLTH CTRS	1/1/2000	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	NORTHCOUNTRY CLIN-ARCATA	785 18TH ST	None	ARCATA	CA	95521	5770	12	06023	40.8760592	-124.0837498	Humboldt County
20092	Fee-for-Service	1174119150	1174119150	1	1	ONE FOR ALL HOSPICE INC	9/28/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	25 WHEELER AVE	STE I	ARCADIA	CA	91006	7034	19	06037	34.14120547	-118.0301953	Los Angeles County
20222	Fee-for-Service	1578677910	1578677910	1	1	OSHODI, GANIYU O MD	8/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	53256	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	11234 ANDERSON ST	STE 1617	LOMA LINDA	CA	95234	2807	36	06071	34.049547	-117.264078	San Bernardino County
20279	Fee-for-Service	1689778813	1689778813	1	1	OPEN DOOR COMM HLTH CTRS	1/1/2000	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	NORTHCOUNTRY CLIN-ARCATA	785 18TH ST	None	ARCATA	CA	95521	5770	12	06023	40.8760592	-124.0837498	Humboldt County
20468	Fee-for-Service	1033398615	1033398615	1	1	OKKERSE, JENELLE A MFT	3/18/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	84317	-	NOT APPLICABLE	0	In state provider	None	159 BRENTWOOD DRIVE	None	GRASS VALLEY	CA	95945	5768	29	06057	39.23230278	-121.0486552	Nevada County
20569	Fee-for-Service	1356457170	1356457170	1	1	OHLSEN, CASSANDRA MD	10/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	56448	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
20687	Fee-for-Service	1528678547	1528678547	1	1	OPARAOCHA, HILDA C	1/17/2023	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1721 BROADWAY	SUITE 201	OAKLAND	CA	94612	2363	01	06001	37.8070318	-122.269585	Alameda County
20758	Fee-for-Service	1316300619	1316300619	1	1	OLIVER, SARA LMFT	5/26/2022	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
20779	Fee-for-Service	1376134981	1376134981	1	1	OGADA HOSPICE CARE, INC	7/26/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1901 S ATLANTIC BLVD	STE D	MONTEREY PARK	CA	91754	6396	19	06037	34.04191255	-118.1416547	Los Angeles County
20815	Fee-for-Service	1013332451	1013332451	1	1	ORNELAS, JENNIFER N MD	8/27/2021	207N00000X	NA	Dermatology	026	PHYSICIANS	152376	None	None	0	In state provider	None	1495 RIVER PARK DR	200	SACRAMENTO	CA	95815	4500	34	06067	38.599524	-121.437738	Sacramento County
20869	Fee-for-Service	1992790042	1992790042	1	1	OTUNLA, MERCY T	4/7/2023	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
21004	Fee-for-Service	1023034022	1023034022	1	1	ONG, DELPHINE W MD	1/30/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	49552	68	Hematology	0	In state provider	None	2800 L ST	STE 300	SACRAMENTO	CA	95816	5616	34	06067	38.571237	-121.469958	Sacramento County
21067	Fee-for-Service	1376134981	1376134981	1	1	OGADA 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	1901 S ATLANTIC BLVD	STE D	MONTEREY PARK	CA	91754	6396	19	06037	34.04191255	-118.1416547	Los Angeles County
21178	Fee-for-Service	1114984382	1114984382	1	1	OPEN MRI INC	3/1/2003	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	SOUTH COAST MRI CENTER	2620 S BRISTOL ST	None	SANTA ANA	CA	92704	5727	30	06059	33.7119783	-117.8854709	Orange County
21261	Fee-for-Service	1003313453	1003313453	1	1	OLSGAARD, MICHAEL DO	10/1/2020	207P00000X	NA	Other	026	PHYSICIANS	17778	66	Emergency Medicine (Urgent Care)	0	In state provider	None	47111 MONROE ST	None	INDIO	CA	92201	6739	33	06065	33.70620698	-116.2339008	Riverside County
21314	Fee-for-Service	1801824206	1801824206	1	1	OAKHURST EMERGENCY	4/4/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	MEDICINE GROUP INC	48677 VICTORIA LN	None	OAKHURST	CA	93644	9216	20	06039	37.32772782	-119.6601883	Madera County
21344	Fee-for-Service	1386822245	1386822245	1	1	OCHOA, GREGORY T MD	1/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	50326	41	Internal Medicine	0	In state provider	None	818 W ALONDRA BLVD	None	COMPTON	CA	90220	3500	19	06037	33.88834265	-118.2377666	Los Angeles County
21460	Fee-for-Service	1265051213	1265051213	1	1	OLSON, HANNA PT	5/12/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1635 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
21501	Fee-for-Service	1205415353	1205415353	1	1	OLEKANMA, FAVOUR CNP	9/6/2024	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
21529	Fee-for-Service	1073749495	1073749495	1	1	OPTIMAL SPINE & HEALTH	3/6/2014	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	MEDICAL CENTER INC	2361 S AZUSA AVE	None	WEST COVINA	CA	91792	1537	19	06037	34.03315601	-117.9139286	Los Angeles County
21711	Fee-for-Service	1013334143	1013334143	1	1	OKORONKWO, TOBECHI MD	11/13/2018	207L00000X	NA	Other	026	PHYSICIANS	154569	05	Anesthesiology	0	In state provider	None	3828 DELMAS TERRACE	None	CULVER CITY	CA	90232	2713	19	06037	34.02308948	-118.3972101	Los Angeles County
21716	Fee-for-Service	1619049426	1619049426	1	1	OLIVERA, LEILA R MD	10/16/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	46610	01	General 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
21861	Fee-for-Service	1629037213	1629037213	1	1	OHRI, KUSUM M MD INC	1/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	44218	41	Internal Medicine	0	In state provider	None	1310 W STEWART DR	STE 602	ORANGE	CA	92868	3857	30	06059	33.78236048	-117.8664975	Orange County
21892	Fee-for-Service	1881221968	1881221968	1	1	OH, ANGELA J MD	2/9/2024	207WX0200X	NA	Ophthalmology	026	PHYSICIANS	190600	None	None	0	In state provider	None	18111 BROOKHURST ST	6400	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
21933	Fee-for-Service	1750419271	1750419271	1	2	O'DONNELL, HUGH R LCSW	3/1/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
21952	Fee-for-Service	1265488845	1265488845	1	1	OHANJANIAN, RAZMIK MD	11/1/1993	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	52219	41	Internal Medicine	0	In state provider	None	511 WESTERN AVE	None	GLENDALE	CA	91201	2870	19	06037	34.1638348	-118.2974872	Los Angeles County
21989	Fee-for-Service	1083833404	1083833404	1	1	OLAYELE, OLUSEGUN Z.	4/11/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	NEW IMAGE MEDICAL SUPPLY	435 ORANGE SHOW LANE	STE 102	SAN BERNARDINO	CA	92408	2015	36	06071	34.08100788	-117.2922379	San Bernardino County
22004	Fee-for-Service	1619049426	1619049426	1	1	OLIVERA, LEILA R MD	10/16/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	46610	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
22090	Fee-for-Service	1992740260	1992740260	1	1	ORIN TRENTHAM	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
22096	Fee-for-Service	1871535203	1871535203	1	1	OREGAN, MAEVE MD	4/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	55743	41	Internal Medicine	0	In state provider	None	2621 SHADELANDS DR	None	WALNUT CREEK	CA	94598	2512	07	06013	37.92734436	-122.0231145	Contra Costa County
22151	Fee-for-Service	1366777989	1366777989	1	1	OBRA, VIOLETA B RN	12/8/2009	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
22190	Fee-for-Service	1235326836	1235326836	1	1	OVERFIELD, PATRICK M DO	11/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11722	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
22191	Fee-for-Service	1962015701	1962015701	1	1	OMOREGIE, EGBEBALAKHAMEN I N	10/7/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	P	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
22204	Fee-for-Service	1497702575	1497702575	1	12	ORANGE COAST MEMORIAL	7/25/2022	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	MEDICAL CENTER	24411 HEALTH CENTER DR	STE 103	LAGUNA HILLS	CA	92653	3651	30	06059	33.6087201	-117.7076948	Orange County
22239	Fee-for-Service	1265488845	1265488845	1	1	OHANJANIAN, RAZMIK MD	11/1/1993	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	52219	34	Urology and Urological Surgery	0	In state provider	None	511 WESTERN AVE	None	GLENDALE	CA	91201	2870	19	06037	34.1638348	-118.2974872	Los Angeles County
22326	Fee-for-Service	1568446938	1568446938	2	1	OAKLAND MED SUPPLY, LLC	1/24/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	OAKLAND MED SUPPLY, LLC	823 HARRISON STREET	None	OAKLAND	CA	94607	4422	01	06001	37.79923116	-122.2699763	Alameda County
22561	Fee-for-Service	1821568395	1821568395	1	1	OMEGA HOSPICE CARE INC	4/20/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	12444 VICTORY BLVD	SUITE 305	NORTH HOLLYWOOD	CA	91606	3199	19	06037	34.18663951	-118.4043555	Los Angeles County
22569	Fee-for-Service	1780609644	1780609644	1	1	OPEN ADVANTAGE MRI III INC	8/17/2018	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	10 POINTE DR	STE 110	BREA	CA	92821	7620	30	06059	33.92675206	-117.8771089	Orange County
22742	Fee-for-Service	1720364532	1720364532	1	1	OPTUM FRONTIER THERAPIES II,	10/5/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	1	Border provider	LLC	6425 SANTA MARGARITA STR	#110	LAS VEGAS	NV	89118	1913	00	None	36.07219998	-115.2402856	Clark County
22772	Fee-for-Service	1639322605	1639322605	1	1	ONO, MAKOTO PHD	11/26/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	7300 WYNDHAM DRIVE	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
22826	Fee-for-Service	1134385800	1134385800	1	1	OLASKY, JAISA S MD	8/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102401	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
22850	Fee-for-Service	1821568395	1821568395	1	1	OMEGA HOSPICE CARE INC	4/20/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	12444 VICTORY BLVD	SUITE 305	NORTH HOLLYWOOD	CA	91606	3199	19	06037	34.18663951	-118.4043555	Los Angeles County
22851	Fee-for-Service	1942206990	1942206990	1	1	OSBURN, ANDREW W MD	12/1/1997	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	75889	30	Radiology	0	In state provider	None	6191 N THESTA ST	None	FRESNO	CA	93710	5266	10	06019	36.826362	-119.7831265	Fresno County
22957	Fee-for-Service	1790005494	1790005494	1	1	OLSON, EMILIA S MD	6/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	122828	30	Radiology	0	In state provider	None	2110 N BELLFLOWER BLVD	None	LONG BEACH	CA	90815	3126	19	06037	33.795261	-118.125222	Los Angeles County
23087	Fee-for-Service	1043384449	1043384449	1	1	OUCHI, TRICIA CRNA	6/3/2004	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
23094	Fee-for-Service	1235822347	1235822347	1	1	OCEANS FOR INDIVIDUAL, MARRI	2/5/2024	261QM0801X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	AGE AND FAMILY COUNSELIN	25283 CABOT RD	STE 107	LAGUNA HILLS	CA	92653	5509	30	06059	33.59495207	-117.6757167	Orange County
23127	Fee-for-Service	1255429700	1255429700	1	1	OASIS SURGERY CENTER LP	1/8/2009	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	815 AUTO CENTER DRIVE	None	PALMDALE	CA	93551	4486	19	06037	34.59142577	-118.1466519	Los Angeles County
23146	Fee-for-Service	1497089023	1497089023	1	1	OK MEDICAL EQUIPMENTS AND	2/15/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SUPPLY, LLC	1626 CENTINELA AVE.	#6	INGLEWOOD	CA	90302	6911	19	06037	33.97713807	-118.3681255	Los Angeles County
23238	Fee-for-Service	1083065825	1083065825	1	1	OKORO, AMARACHI MD	2/20/2018	390200000X	NA	Other	026	PHYSICIANS	151064	08	Family Practice	0	In state provider	None	4733 SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
23393	Fee-for-Service	1114973518	1114973518	1	1	OSINSKI, TODD K MD	4/25/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	78749	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
23535	Fee-for-Service	1972956373	1972956373	1	2	OLSEN, TREVOR J PHD	8/28/2018	No Taxonomy Provided	NA	None	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	835 5TH AVE	STE 407	SAN DIEGO	CA	92101	6136	37	06073	32.71418749	-117.1601296	San Diego County
23681	Fee-for-Service	1821408097	1821408097	1	1	OTMAR, MICHELLA M NP	3/13/2017	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
23743	Fee-for-Service	1215050653	1215050653	1	1	OZGEDIZ, DORUK E MD	11/16/2007	208600000X	NA	General Surgery	026	PHYSICIANS	78090	02	General Surgery	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
23822	Fee-for-Service	1972956373	1972956373	1	2	OLSEN, TREVOR J PHD	8/28/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	835 5TH AVE	STE 407	SAN DIEGO	CA	92101	6136	37	06073	32.71418749	-117.1601296	San Diego County
23892	Fee-for-Service	1497338271	1497338271	1	1	OWENS, TREVOR D DO	7/2/2024	207R00000X	NA	Other	026	PHYSICIANS	22556	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
23923	Fee-for-Service	1194427831	1194427831	1	1	OAKEY MEDICAL CORPORATION	2/16/2024	207WX0107X	NA	Ophthalmology	026	PHYSICIANS	None	None	None	0	In state provider	None	114 PACIFICA	390	IRVINE	CA	92618	3335	30	06059	33.66074638	-117.7539212	Orange County
24124	Fee-for-Service	1649824202	1649824202	1	1	OTA, MADELINE A CNP	8/23/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
24142	Fee-for-Service	1417272055	1417272055	1	1	ORTUNO, ARTURO JR MD	11/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111663	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
24160	Fee-for-Service	1154854917	1154854917	1	1	OROPEZA, NANCY	2/13/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	170740	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
24164	Fee-for-Service	1356559553	1356559553	1	2	OBENG, GLADYS K NP	7/20/2019	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
24279	Fee-for-Service	1013933167	1013933167	1	3	OROHEALTH CORPORATION	1/30/2019	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	GROUP	2809 OLIVE HWY	STE 260	OROVILLE	CA	95966	6134	04	06007	39.50386798	-121.5410203	Butte County
24376	Fee-for-Service	1437664927	1437664927	1	1	ORTON, MONA R LMFT	9/1/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1916 ORANGE TREE LANE	SUITE 450G	REDLANDS	CA	92374	4520	36	06071	34.06785848	-117.2189386	San Bernardino County
24433	Fee-for-Service	1871063420	1871063420	1	1	OTTO BOCK ORTHOPEDIC SERVICE	5/10/2022	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	S LLC	1661 N RAYMOND AVE	None	ANAHEIM	CA	92801	1120	30	06059	33.858234	-117.906788	Orange County
24449	Fee-for-Service	1154854917	1154854917	1	1	OROPEZA, NANCY	2/13/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	170740	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
24498	Fee-for-Service	1811358138	1811358138	1	2	OPTIME CARE INC	9/29/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	4060 WEDGEWAY CT	None	EARTH CITY	MO	63045	1213	00	None	38.76718188	-90.46149377	St. Louis County
24570	Fee-for-Service	1013933167	1013933167	1	3	OROHEALTH CORPORATION	3/16/2021	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	GROUP	2809 OLIVE HWY	STE 260	OROVILLE	CA	95966	6134	04	06007	39.50386798	-121.5410203	Butte County
24595	Fee-for-Service	1225170814	1225170814	1	1	OKERSON, THEODORE II MD	9/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	52959	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
24658	Fee-for-Service	1215975115	1215975115	1	1	OREDUGBA, OLU O MD	6/7/1982	193400000X	NA	Other	026	PHYSICIANS	39345	45	Nephrology (Renal-Kidney)	0	In state provider	None	575 E HARDY ST	STE 104	INGLEWOOD	CA	90301	4038	19	06037	33.94909392	-118.3477665	Los Angeles County
24694	Fee-for-Service	1215636709	1215636709	1	1	ODYSSEY HEALTHCARE	11/1/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2005 DE LA CRUZ BLVD	SUITE 271	SANTA CLARA	CA	95050	3031	43	06085	37.36107355	-121.941418	Santa Clara County
24748	Fee-for-Service	1427136209	1427136209	1	1	O'YOUNG, JUDY MD	4/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	49793	05	Anesthesiology	0	In state provider	None	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
24769	Fee-for-Service	1043535776	1043535776	1	1	OSLEY, KATIE L MD	9/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135588	07	Dermatology	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
24815	Fee-for-Service	1629107107	1629107107	1	1	OLA, AKINWUMI O MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116741	41	Internal Medicine	0	In state provider	None	115 MALL DR	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
24858	Fee-for-Service	1013933167	1013933167	1	3	OROHEALTH CORPORATION	5/11/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	GROUP	2809 OLIVE HWY	STE 260	OROVILLE	CA	95966	6134	04	06007	39.50386798	-121.5410203	Butte County
24882	Fee-for-Service	1699794453	1699794453	1	1	O'BRIEN, STEPHEN F MD	12/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	74654	41	Internal Medicine	0	In state provider	None	2850 TELEGRAPH AVE	STE 110	BERKELEY	CA	94705	1159	01	06001	37.85808554	-122.2594469	Alameda County
24898	Fee-for-Service	1407041759	1407041759	1	1	ORDONEZ, KELLY PSYD	11/18/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	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
24913	Fee-for-Service	1750324554	1750324554	1	1	ORANGE COUNTY PHYSICIANS	8/5/2008	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	HEARING SERVICES INC	26726 CROWN VALLEY PKWY	STE 210	MISSION VIEJO	CA	92691	8006	30	06059	33.56385623	-117.6639538	Orange County
24983	Fee-for-Service	1215636709	1215636709	1	1	ODYSSEY HEALTHCARE	11/1/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2005 DE LA CRUZ BLVD	SUITE 271	SANTA CLARA	CA	95050	3031	43	06085	37.36107355	-121.941418	Santa Clara County
25137	Fee-for-Service	1003564089	1003564089	1	1	OAK TREE DERMATOLOGY, INC	6/15/2022	207ND0900X	NA	Dermatology	026	PHYSICIANS	None	07	Dermatology	0	In state provider	None	160 E ARTESIA ST	SUITE 325	POMONA	CA	91767	2922	19	06037	34.07556833	-117.7507835	Los Angeles County
25146	Fee-for-Service	1013933167	1013933167	1	3	OROHEALTH CORPORATION	2/11/2019	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	GROUP	2809 OLIVE HWY	STE 260	OROVILLE	CA	95966	6134	04	06007	39.50386798	-121.5410203	Butte County
25154	Fee-for-Service	1790882231	1790882231	1	1	ORANGE COAST RAD MED GRP	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	SPLIT RADIOLOGY	1081 N CHINA LAKE BLVD	None	RIDGECREST	CA	93555	3130	15	06029	35.640783	-117.6698475	Kern County
25226	Fee-for-Service	1255387403	1255387403	1	1	OKANOGAN COUNTY PUBLIC	7/5/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL DISTRICT NO. 3	810 JASMINE ST	None	OMAK	WA	98841	9578	00	None	48.3963912	-119.5454377	Okanogan County
25368	Fee-for-Service	1982044921	1982044921	1	1	OCHOA-FRONGIA, LAURA M MD	11/8/2022	208600000X	NA	General Surgery	026	PHYSICIANS	180573	None	None	0	In state provider	None	6555 COYLE	SUITE 220	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
25416	Fee-for-Service	1912306788	1912306788	1	1	OLVERA, GUSTAVO S LMFT	3/25/2025	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5354 MONTANA DEL ORO DRI	None	MARIPOSA	CA	95338	3838	22	06043	37.50446148	-119.8440634	Mariposa County
25433	Fee-for-Service	1013933167	1013933167	1	3	OROHEALTH CORPORATION	2/12/2019	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	GROUP	2809 OLIVE HWY	STE 260	OROVILLE	CA	95966	6134	04	06007	39.50386798	-121.5410203	Butte County
25464	Fee-for-Service	1225006349	1225006349	1	1	ONG, STEVEN H MD	10/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90786	45	Nephrology (Renal-Kidney)	0	In state provider	None	650 EMPIRE ST	None	FAIRFIELD	CA	94533	5527	48	06095	38.25036047	-122.041323	Solano County
25514	Fee-for-Service	1255387403	1255387403	1	1	OKANOGAN COUNTY PUBLIC	5/1/1998	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL DISTRICT NO. 3	810 JASMINE ST	None	OMAK	WA	98841	9578	00	None	48.3963912	-119.5454377	Okanogan County
25556	Fee-for-Service	1629111018	1629111018	1	1	OKPARA, DOUGLAS MD	6/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	53444	01	General Practice	0	In state provider	None	19301 S SANTA FE AVE	None	COMPTON	CA	90221	5920	19	06037	33.85636196	-118.2149192	Los Angeles County
25631	Fee-for-Service	1134172448	1134172448	1	1	OIRA, VICTORIA R MD	8/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	51972	40	Pediatrics	0	In state provider	None	890 EASTLAKE PARKWAY	STE 203	CHULA VISTA	CA	91914	4521	37	06073	32.65223126	-116.9677279	San Diego County
25636	Fee-for-Service	1366844060	1366844060	1	1	OUR COMMON GROUND INC	10/7/2015	324500000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	2560 PULGAS AVENUE	None	EAST PALO ALTO	CA	94303	1323	41	06081	37.47530197	-122.1318685	San Mateo County
25720	Fee-for-Service	1922318047	1922318047	1	2	OPEN DOOR COMMUNITY HEALTH	3/19/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3770 JANES ROAD	None	ARCATA	CA	95521	4744	12	06023	40.89583739	-124.0932916	Humboldt County
25753	Fee-for-Service	1225006349	1225006349	1	1	ONG, STEVEN H MD	10/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90786	41	Internal Medicine	0	In state provider	None	650 EMPIRE ST	None	FAIRFIELD	CA	94533	5527	48	06095	38.25036047	-122.041323	Solano County
25835	Fee-for-Service	1740623552	1740623552	1	1	OBIT, LAURA L DO	10/30/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	13674	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
25884	Fee-for-Service	1902987522	1902987522	1	1	OPSAHL, ROY B MD	7/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	70640	05	Anesthesiology	0	In state provider	None	7500 HOSPITAL DR	None	SACRAMENTO	CA	95823	5403	34	06067	38.463381	-121.416183	Sacramento County
25908	Fee-for-Service	1659483436	1659483436	1	1	OMLID, MICHAEL J MD	5/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	72534	38	Geriatrics	0	In state provider	None	623 WEST JUNIPERO ST	None	SANTA BARBARA	CA	93105	4213	42	06083	34.42774896	-119.7271057	Santa Barbara County
25914	Fee-for-Service	1932669082	1932669082	1	1	OIYEMHONLAN HALBERT, ETUAJIE	9/30/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	22347	36	Psychiatry	0	In state provider	E DO	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
25967	Fee-for-Service	1154401354	1154401354	1	1	OH, ANTHONY S MD	3/19/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	85029	None	None	0	In state provider	None	9675 MONTE VISTA AVE	STE B2	MONTCLAIR	CA	91763	2213	36	06071	34.079004	-117.6982135	San Bernardino County
25999	Fee-for-Service	1922318047	1922318047	1	2	OPEN DOOR COMMUNITY HEALTH	3/19/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3770 JANES ROAD	None	ARCATA	CA	95521	4744	12	06023	40.89583739	-124.0932916	Humboldt County
26023	Fee-for-Service	1720441009	1720441009	1	1	OCHOA, ARACELI G DO	5/19/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15330 AMAR RD	SUITE A	LA PUENTE	CA	91744	2001	19	06037	34.03714077	-117.9509701	Los Angeles County
26031	Fee-for-Service	1508182239	1508182239	1	1	OESTERLE, ADAM C MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119964	None	None	0	In state provider	None	250 BON AIR ROAD	None	GREENBRAE	CA	94904	1418	21	06041	37.9469952	-122.5373892	Marin County
26051	Fee-for-Service	1508862525	1508862525	1	1	OGDEN, WILLIAM D MD	1/12/2009	208G00000X	NA	General Surgery	026	PHYSICIANS	53426	33	Thoracic Surgery	0	In state provider	None	300 PASTEUR DRIVE	MC:5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
26161	Fee-for-Service	1427046945	1427046945	1	1	OKERBLOM, JOHN P MD	1/31/2002	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	42409	08	Family Practice	0	In state provider	None	5075 S BRADLEY RD	STE 131	SANTA MARIA	CA	93455	5077	42	06083	34.864155	-120.4187955	Santa Barbara County
26247	Fee-for-Service	1730613183	1730613183	1	1	OGANESIAN, ARAKSI R MD	7/26/2021	207R00000X	NA	Other	026	PHYSICIANS	164800	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
26282	Fee-for-Service	1952411365	1952411365	1	1	OLINGER, TIMOTHY P OD	7/31/1991	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15725 HAWTHORNE BLVD	STE 100	LAWNDALE	CA	90260	2651	19	06037	33.887979	-118.3527555	Los Angeles County
26297	Fee-for-Service	1306163613	1306163613	1	1	ORTIZ, TERESA L	10/4/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	475 PIONEER AVE	STE 200	WOODLAND	CA	95776	4905	57	06113	38.67357823	-121.7456787	Yolo County
26460	Fee-for-Service	1508138256	1508138256	1	3	ORANGE COAST ANESTHESIA INC	3/21/2018	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	3828 DELMAS TERRACE	None	CULVER CITY	CA	90232	2713	19	06037	34.02308948	-118.3972101	Los Angeles County
26491	Fee-for-Service	1093915415	1093915415	1	1	OSBORNE, BROOKE N PSYD	2/24/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	6620 VIA DEL ORO	None	SAN JOSE	CA	95119	1451	43	06085	37.23418124	-121.7818366	Santa Clara County
26513	Fee-for-Service	1063523942	1063523942	1	1	OGORKIEWICZ, ALICJA MD	10/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	42404	05	Anesthesiology	0	In state provider	None	500 OLD RIVER RD	STE 170	BAKERSFIELD	CA	93311	9505	15	06029	35.35127492	-119.1142991	Kern County
26605	Fee-for-Service	1215277140	1215277140	1	1	OPREA, FLAVIA MD	9/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136948	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
26620	Fee-for-Service	1922318047	1922318047	1	1	OPEN DOOR COMMUNITY HEALTH	12/1/2010	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTERS	3800 JANES ROAD	STE 101	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
26681	Fee-for-Service	1952532525	1952532525	1	1	OKITA, KRISTIN Y	4/18/2011	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
26843	Fee-for-Service	1417090606	1417090606	1	1	OLYMPIC OPTOMETRIC CNTR	3/14/2007	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	INC APC	16444 PARAMOUNT BLVD	STE 206	PARAMOUNT	CA	90723	5454	19	06037	33.8848179	-118.1599671	Los Angeles County
26862	Fee-for-Service	1033678164	1033678164	1	1	OUNIS, HIBAA	4/19/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	176649	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
26905	Fee-for-Service	1922318047	1922318047	1	1	OPEN DOOR COMMUNITY HEALTH	12/1/2010	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTERS	3800 JANES ROAD	STE 101	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
26990	Fee-for-Service	1336766237	1336766237	1	1	OH, HYUNJU CRNA	4/23/2024	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
27196	Fee-for-Service	1922318047	1922318047	1	1	OPEN DOOR COMMUNITY HEALTH	12/1/2010	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTERS	3800 JANES ROAD	STE 101	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
27198	Fee-for-Service	1356352371	1356352371	1	1	ORLAND COMMUNITY AMBULANCE	1/1/1979	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATION INC	604 4TH ST	None	ORLAND	CA	95963	1345	11	06021	39.74824646	-122.1941646	Glenn County
27219	Fee-for-Service	1962423103	1962423103	1	1	OSMAN, FARID MD	11/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	85616	None	None	0	In state provider	None	715 S POINT BLVD	STE C	PETALUMA	CA	94954	6835	49	06097	38.25753127	-122.6461294	Sonoma County
27242	Fee-for-Service	1447216106	1447216106	1	1	OBSTETRICS & GYNECOLOGY	9/1/2002	193400000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	SURGICAL W COAST OB GYN	7695 CARDINAL CT	STE 240	SAN DIEGO	CA	92123	3357	37	06073	32.79146985	-117.1578472	San Diego County
27251	Fee-for-Service	1124563515	1124563515	1	1	ON CALL UROLOGY ASSOCIATES	9/15/2017	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	None	8851 CENTER DR	STE 208	LA MESA	CA	91942	3189	37	06073	32.78189749	-117.0075062	San Diego County
27270	Fee-for-Service	1811069560	1811069560	1	1	OKEEFFE, HELEN T MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	23278	05	Anesthesiology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
27371	Fee-for-Service	1164580700	1164580700	1	1	OKANOGAN COUNTY PUBLIC	8/29/2011	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL DIST #4	203 SOUTH WESTERN AVE	None	TONASKET	WA	98855	8803	00	None	48.70704298	-119.4392841	Okanogan County
27613	Fee-for-Service	1780249102	1780249102	1	1	ON TIME HOSPICE CARE INC	1/23/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	3316 W BURBANK BLVD	SUITE A	BURBANK	CA	91505	2230	19	06037	34.17573397	-118.3470279	Los Angeles County
27633	Fee-for-Service	1023512431	1023512431	1	1	O'BRIEN, DANIEL P MD	4/14/2021	207R00000X	NA	Other	026	PHYSICIANS	165839	None	None	0	In state provider	None	200 MEDICAL PLAZA	565	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
27658	Fee-for-Service	1164580700	1164580700	1	1	OKANOGAN COUNTY PUBLIC	8/29/2011	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL DIST #4	203 SOUTH WESTERN AVE	None	TONASKET	WA	98855	8803	00	None	48.70704298	-119.4392841	Okanogan County
27717	Fee-for-Service	1154413045	1154413045	1	1	OSBY, MELANIE A MD	8/31/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	76743	22	Pathology (M.D. only)	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06287152	-118.2029433	Los Angeles County
27829	Fee-for-Service	1871671594	1871671594	1	1	ONG, MICHELLE Y MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67566	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
27856	Fee-for-Service	1326219940	1326219940	1	1	OJN, INC	8/21/1992	193400000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1836 NORIEGA ST	None	SAN FRANCISCO	CA	94122	4324	38	06075	37.75396187	-122.4836181	San Francisco County
27902	Fee-for-Service	1780249102	1780249102	1	1	ON TIME HOSPICE CARE INC	1/23/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	3316 W BURBANK BLVD	SUITE A	BURBANK	CA	91505	2230	19	06037	34.17573397	-118.3470279	Los Angeles County
28056	Fee-for-Service	1194903450	1194903450	1	1	OSKIE, SETH M MD	5/25/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107477	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1401 GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
28169	Fee-for-Service	1952833535	1952833535	1	1	OH, HELEN	7/21/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	186102	None	None	0	In state provider	None	8731 W PICO BLVD	None	LOS ANGELES	CA	90035	2205	19	06037	34.05456946	-118.3824636	Los Angeles County
28184	Fee-for-Service	1902281272	1902281272	1	1	OJEANOR, FORTUNE DO	4/7/2021	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
28324	Fee-for-Service	1982965828	1982965828	1	1	OROZCO, ARLENE PHD	4/30/2021	103TC1900X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3800 DALE ROAD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
28328	Fee-for-Service	1154445476	1154445476	1	1	OSUOHA, CHIMA A MD	8/19/2009	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1707 W CHARLESTON BLVD	#230	LAS VEGAS	NV	89102	2325	00	None	36.15879353	-115.1643015	Clark County
28347	Fee-for-Service	1316163652	1316163652	1	1	OXMAN, JOEL A PHD	9/3/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	780 SHADOWRIDGE DR	None	VISTA	CA	92083	7986	37	06073	33.16632768	-117.2212175	San Diego County
28362	Fee-for-Service	1376595421	1376595421	1	1	OTAY LAKES SURGERY	10/26/2006	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER, LLC	955 LANE AVE	STE 100	CHULA VISTA	CA	91914	4525	37	06073	32.65121611	-116.9615942	San Diego County
28388	Fee-for-Service	1306140637	1306140637	1	1	OSENI, RIVY	2/22/2024	363L00000X	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
28417	Fee-for-Service	1134207772	1134207772	1	1	O'BRIEN, CHRISTINE S MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	78053	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
28524	Fee-for-Service	1356391544	1356391544	1	1	ORENS, MARTIN H MD	1/1/1988	193400000X	NA	Other	026	PHYSICIANS	40987	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
28593	Fee-for-Service	1548597479	1548597479	1	1	OPTIMAL HOME HEALTH	8/8/2011	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	19634 VENTURA BLVD	SUITE 218	TARZANA	CA	91356	2962	19	06037	34.17264197	-118.5613482	Los Angeles County
28597	Fee-for-Service	1639125081	1639125081	2	1	ORTHO ENGINEERING INC	7/1/1996	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	5759 UPLANDER WAY	None	CULVER CITY	CA	90230	6605	19	06037	33.98594115	-118.3849181	Los Angeles County
28661	Fee-for-Service	1740448448	1740448448	1	1	O'CONNOR, RACHEL L MD	8/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	106668	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
28680	Fee-for-Service	1184041857	1184041857	1	1	OBSTETRIC ANESTHESIA	4/1/2014	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
28764	Fee-for-Service	1952436289	1952436289	1	1	OVADIA, BOAZ MD	4/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1155 MILL ST	2ND FLOOR, BLDG 55	RENO	NV	89502	4929	00	None	39.52483792	-119.7968314	Washoe County
29053	Fee-for-Service	1952436289	1952436289	1	1	OVADIA, BOAZ MD	4/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	1155 MILL ST	2ND FLOOR, BLDG 55	RENO	NV	89502	4929	00	None	39.52483792	-119.7968314	Washoe County
29129	Fee-for-Service	1013421833	1013421833	1	1	OSUNA, CAROLINA LPCC	3/18/2025	101YP2500X	NA	Other	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
29189	Fee-for-Service	1417209438	1417209438	3	1	OPTUM INFUSION SERVICES 401,	7/20/2017	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	LLC	4610 NORTHGATE BLVD	STE 130	SACRAMENTO	CA	95834	1154	34	06067	38.652534	-121.476726	Sacramento County
29281	Fee-for-Service	1134290422	1134290422	1	1	OANDASAN, TERESITA A	3/30/2004	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
29283	Fee-for-Service	1316395569	1316395569	1	1	ORTEZA, OLIVIA M DO	9/1/2022	207RN0300X	NA	Nephrology	026	PHYSICIANS	18247	None	None	0	In state provider	None	333 UNIVERSITY AVE	SUITE 120	SACRAMENTO	CA	95825	0000	34	06067	38.570976	-121.416651	Sacramento County
29430	Fee-for-Service	1710257829	1710257829	1	1	OKONKWO, CHRISTINA N NP	2/5/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2350 W WHITENDALE AVE	None	VISALIA	CA	93277	6136	54	06107	36.307377	-119.316285	Tulare County
29524	Fee-for-Service	1417980939	1417980939	1	2	OTIS, JOHN L MD & STEWART,	8/8/2008	193400000X	NA	Other	026	PHYSICIANS	28506	36	Psychiatry	0	In state provider	None	1679 EAST MAIN ST	None	EL CAJON	CA	92021	5213	37	06073	32.81117533	-116.9193178	San Diego County
29687	Fee-for-Service	1659694578	1659694578	1	1	OH, JUDITH Y MD	8/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114255	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
29779	Fee-for-Service	1790938934	1790938934	1	1	OLIN, DENISE INC	11/9/2012	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	590 SEARLS AVE	SUITE 12	NEVADA CITY	CA	95959	3043	29	06057	39.25154223	-121.02399	Nevada County
29887	Fee-for-Service	1245388222	1245388222	1	1	OSAKOI, TILDEN N MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	76418	45	Nephrology (Renal-Kidney)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
29892	Fee-for-Service	1639643323	1639643323	1	1	OKIEME, PRINCESS O LCSW	3/10/2023	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2309 PACIFIC COAST	STE 202	HERMOSA BEACH	CA	90254	2751	19	06037	33.87101437	-118.3948248	Los Angeles County
29958	Fee-for-Service	1164876421	1164876421	1	1	OTT, JESSICA	1/19/2023	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1588 HOMESTEAD RD	M/B 10, SUITE B	SANTA CLARA	CA	95050	4721	43	06085	37.34637328	-121.9509049	Santa Clara County
30153	Fee-for-Service	1790864239	1790864239	1	1	ORTIZ, BERTA E PHD	4/24/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	9877	-	NOT APPLICABLE	0	In state provider	None	4211 S AVALON BLVD	None	LOS ANGELES	CA	90011	5622	19	06037	34.007238	-118.2653065	Los Angeles County
30175	Fee-for-Service	1245388222	1245388222	1	1	OSAKOI, TILDEN N MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	76418	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
30305	Fee-for-Service	1518206598	1518206598	1	1	ORANTES, VIRGINIA LCSW	1/3/2025	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
30398	Fee-for-Service	1548003015	1548003015	1	1	OC GEROPSYCHIATRIC MEDICAL G	11/19/2024	2084P0805X	NA	Psychiatry	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	ROUP	35410 DEL REY	None	DANA POINT	CA	92624	1814	30	06059	33.44949435	-117.6508774	Orange County
30483	Fee-for-Service	1851990113	1851990113	1	1	OAK TREE HOME HEALTH INC	5/19/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4119 W BURBANK BLVD	STE 124	BURBANK	CA	91505	2122	19	06037	34.1730175	-118.3553514	Los Angeles County
30595	Fee-for-Service	1104392810	1104392810	1	1	OLAJIDE, ESTHER	12/18/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
30638	Fee-for-Service	1659733558	1659733558	1	1	OPTIMA HOME HEALTH INC	6/8/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3695 ALAMO STREET	SUITE 200	SIMI VALLEY	CA	93063	2188	56	06111	34.28646149	-118.725102	Ventura County
30653	Fee-for-Service	1437601879	1437601879	1	1	OUR FAMILY MEDICAL GROUP, IN	8/4/2023	207RG0300X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	C.	9190 HAVEN AVE	102	RANCHO CUCAMONGA	CA	91730	5431	36	06071	34.086816	-117.5758865	San Bernardino County
30710	Fee-for-Service	1699979302	1699979302	1	1	ONEAL, DADHRI L LMFT	9/18/2018	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
30825	Fee-for-Service	1922056670	1922056670	1	2	OBRASKY, JAMES E MD	7/26/2010	207RP1001X	NA	Pulmonology	026	PHYSICIANS	20587	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	8824 ROBINHOOD LN	None	LA JOLLA	CA	92037	2137	37	06073	32.86681389	-117.2416325	San Diego County
30861	Fee-for-Service	1013957026	1013957026	1	1	ODELL, ROBERT H MD	2/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2450 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2179	00	None	36.15900951	-115.175853	Clark County
30983	Fee-for-Service	1821001819	1821001819	1	1	OWEKA, MICHELLE F LCSW	7/17/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM DR	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
30987	Fee-for-Service	1922179183	1922179183	1	1	OHM, HAN S CA	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	3036 EL CAMINO REAL	None	SANTA CLARA	CA	95051	2909	43	06085	37.35229352	-121.981194	Santa Clara County
31027	Fee-for-Service	1578706404	1578706404	1	1	OGLE, AYESHA NP	12/7/2024	363LA2200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2270 E PALMDALE BLVD	STE K	PALMDALE	CA	93550	4933	19	06037	34.58009827	-118.0881861	Los Angeles County
31060	Fee-for-Service	1871547554	1871547554	1	1	OWASHI, NORMAN D MD	8/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	45369	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
31063	Fee-for-Service	1942366190	1942366190	1	1	OSULLIVAN, GLENDA A LMFT	7/31/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9324 W STOCKTON BLVD	None	ELK GROVE	CA	95758	8012	34	06067	38.418309	-121.3939665	Sacramento County
31116	Fee-for-Service	1922056670	1922056670	1	2	OBRASKY, JAMES E MD	7/26/2010	207RP1001X	NA	Pulmonology	026	PHYSICIANS	20587	41	Internal Medicine	0	In state provider	None	8824 ROBINHOOD LN	None	LA JOLLA	CA	92037	2137	37	06073	32.86681389	-117.2416325	San Diego County
31281	Fee-for-Service	1396039822	1396039822	1	1	OMER, TALIB N MD	3/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135299	66	Emergency Medicine (Urgent Care)	0	In state provider	None	555 EAST HARDY ST	None	INGLEWOOD	CA	90301	4011	19	06037	33.94909549	-118.3481595	Los Angeles County
31357	Fee-for-Service	1518490028	1518490028	1	1	OEUR, SAMNANG S NP	3/11/2024	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
31437	Fee-for-Service	1689083057	1689083057	1	1	ONUAGU, VIVIAN E MD	4/29/2021	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	-	None	None	2	Out of state provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
31478	Fee-for-Service	1245255819	1245255819	1	1	OSAYAWE ODEH MD	8/22/2017	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
31523	Fee-for-Service	1568928471	1568928471	1	1	OBANDO CABREJO, NATALIA NP	1/27/2020	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2110 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3703	15	06029	35.37344851	-119.0261655	Kern County
31743	Fee-for-Service	1992878953	1992878953	1	1	OGAWA, JOSEPHINE J 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
31780	Fee-for-Service	1982732624	1982732624	1	1	ORTIZ, HIPOLITO R LMFT	6/11/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3130 W. MAIN ST.	SUITE C	VISALIA	CA	93291	5765	54	06107	36.328122	-119.325447	Tulare County
31923	Fee-for-Service	1366045932	1366045932	1	1	OMALI DIAGNOSTICS LLC	12/8/2022	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	14219 PROTON RD	None	DALLAS	TX	75244	3606	00	None	32.943618	-96.83676847	Dallas County
31954	Fee-for-Service	1245526326	1245526326	1	1	OMLIN, NINVEH B DPM	11/10/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
31963	Fee-for-Service	1659478865	1659478865	1	1	ONG, PECK Y MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	64334	43	Pediatric Allergy	0	In state provider	None	1701 E CESAR E CHAVEZ AV	STE 456	LOS ANGELES	CA	90033	2496	19	06037	34.05112725	-118.2173921	Los Angeles County
32117	Fee-for-Service	1881991339	1881991339	1	1	OMOSEWO, JIDE O CRNA	4/17/2018	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
32144	Fee-for-Service	1740909845	1740909845	1	1	ONYX HOME HEALTH CARE INC	11/13/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1607 N EL CENTRO AVE	SUITE 11	LOS ANGELES	CA	90028	6430	19	06037	34.10011093	-118.32378	Los Angeles County
32177	Fee-for-Service	1770902611	1770902611	1	1	OLIVAS, EDGAR MD	3/26/2018	390200000X	NA	Other	026	PHYSICIANS	141225	13	Neurology (M.D. only)	0	In state provider	None	4733 SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
32248	Fee-for-Service	1659478865	1659478865	1	1	ONG, PECK Y MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	64334	40	Pediatrics	0	In state provider	None	1701 E CESAR E CHAVEZ AV	STE 456	LOS ANGELES	CA	90033	2496	19	06037	34.05112725	-118.2173921	Los Angeles County
32249	Fee-for-Service	1245334416	1245334416	1	1	OSUNA, CHRISTA M LCSW	7/10/2019	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1902 ORANGE TREE LN	SUITE 200	REDLANDS	CA	92374	2888	36	06071	34.06785293	-117.2179967	San Bernardino County
32398	Fee-for-Service	1235531294	1235531294	1	1	O'CONNOR, SHANNON A PSYD	6/27/2019	103TC0700X	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
32435	Fee-for-Service	1497702575	1497702575	1	11	ORANGE COAST MEMORIAL	10/29/2020	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	7055 YORKTOWN AVE	STE 102	HUNTINGTON BEACH	CA	92648	6468	30	06059	33.67932048	-118.0051875	Orange County
32514	Fee-for-Service	1396831665	1396831665	1	1	OLSON, JOHANNA MD	3/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67352	40	Pediatrics	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
32619	Fee-for-Service	1598161309	1598161309	1	1	OLVERA, LUISA CNP	7/29/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 MEDICAL CENTER CT	None	CHULA VISTA	CA	91911	6617	37	06073	32.61822301	-117.0234938	San Diego County
32629	Fee-for-Service	1679875181	1679875181	1	1	OSTROW, LAURA M LMFT	11/30/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	83691	-	NOT APPLICABLE	0	In state provider	None	3711 SUNSET LANE	SUITES A, B	ANTIOCH	CA	94509	6101	07	06013	37.98434728	-121.8042006	Contra Costa County
32700	Fee-for-Service	1710506514	1710506514	1	1	ONALLAH, SABREEN OD	9/21/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	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
32933	Fee-for-Service	1134769011	1134769011	1	1	O'DONNELL, JENNA NP	9/19/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15260 VENTURA BLVD	1200	SHERMAN OAKS	CA	91403	5307	19	06037	34.15370926	-118.4656644	Los Angeles County
32973	Fee-for-Service	1073665998	1073665998	1	1	ORTIZ, TERESA S	8/30/2005	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	TSO HEALTH A NURSING	5015 WHITTIER BLVD	None	LOS ANGELES	CA	90022	3116	19	06037	34.02129255	-118.1613094	Los Angeles County
33110	Fee-for-Service	1619100310	1619100310	1	1	ORECHWA, JANE LPCC	7/30/2024	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6904 VILLAGE PARKWAY	None	DUBLIN	CA	94568	2406	01	06001	37.70726135	-121.9248393	Alameda County
33165	Fee-for-Service	1942300918	1942300918	1	1	ORTHOPAEDIC HOSPITAL	3/4/2020	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	403 W ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	19	06037	34.02741539	-118.2743622	Los Angeles County
33205	Fee-for-Service	1396098133	1396098133	1	1	OESER, NICHOLAS PSYD	7/10/2020	103T00000X	NA	Mental Health Outpatient Services	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
33236	Fee-for-Service	1306279500	1306279500	1	1	OSBORN, JENNIFER G NP	3/20/2017	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
33342	Fee-for-Service	1407566136	1407566136	1	1	OZIOKO, BLESSING C NP	12/9/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
33403	Fee-for-Service	1659523934	1659523934	1	1	ODUNUSI, OLUYEMI O MD	12/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	126138	41	Internal Medicine	0	In state provider	None	975 S FAIRMONT AVENUE	None	LODI	CA	95242	3635	39	06077	38.12188356	-121.285872	San Joaquin County
33452	Fee-for-Service	1942300918	1942300918	1	1	ORTHOPAEDIC HOSPITAL	12/1/1995	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	403 W ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	19	06037	34.02741539	-118.2743622	Los Angeles County
33454	Fee-for-Service	1225420920	1225420920	1	1	O'NEILL, LESLIE LMFT	6/22/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1660 E ROSEVILLE PARKWAY	None	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
33534	Fee-for-Service	1811371487	1811371487	1	1	OH, JUNGWON LAC	4/6/2021	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1619 S H ST	None	BAKERSFIELD	CA	93304	4931	15	06029	35.338986	-119.021336	Kern County
33700	Fee-for-Service	1891258380	1891258380	1	1	OSNOS, VICTOR MD	11/8/2023	390200000X	NA	Other	026	PHYSICIANS	182427	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
33740	Fee-for-Service	1942300918	1942300918	1	1	ORTHOPAEDIC HOSPITAL	1/21/2020	193200000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	403 W ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	19	06037	34.02741539	-118.2743622	Los Angeles County
33837	Fee-for-Service	1720675143	1720675143	1	1	ORIONDO, DERRICK C PT	1/8/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3760 CONVOY STREET	100	SAN DIEGO	CA	92111	3743	37	06073	32.81197521	-117.1531278	San Diego County
33948	Fee-for-Service	1790970416	1790970416	2	5	OBSTETRIX MEDICAL GROUP OF T	7/2/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	HE CENTRAL COAST, PROFES	23101 SHERMAN PL	STE 304	WEST HILLS	CA	91307	2022	19	06037	34.20099112	-118.6297991	Los Angeles County
34005	Fee-for-Service	1871606269	1871606269	1	2	OROVILLE HOSPITAL	8/18/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2721 OLIVE HIGHWAY	SUITE 4	OROVILLE	CA	95966	6115	04	06007	39.50452062	-121.5420592	Butte County
34058	Fee-for-Service	1700960655	1700960655	1	1	OTHON ALMANZA	5/20/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1150 E NORTH 10TH ST	STE 102	ABILENE	TX	79601	4635	00	None	32.45987006	-99.70372166	Taylor County
34078	Fee-for-Service	1508908500	1508908500	1	1	OLVERA, VERONICA I PSY	5/18/2018	No Taxonomy Provided	NA	None	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
34133	Fee-for-Service	1356061949	1356061949	1	1	OAK TREE ORTHOPEDICS INC	5/24/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	None	800 MAGNOLIA AVE	STE 102	CORONA	CA	92879	3123	33	06065	33.85979137	-117.5527252	Riverside County
34166	Fee-for-Service	1184916991	1184916991	1	1	OMRON, EDWARD MD INC	7/1/2011	193400000X	NA	Other	026	PHYSICIANS	105179	41	Internal Medicine	0	In state provider	None	18525 SUTTER BLVD	STE 180	MORGAN HILL	CA	95037	8100	43	06085	37.14847051	-121.6557207	Santa Clara County
34426	Fee-for-Service	1366643082	1366643082	1	1	ORANGE COAST ORTHOPEDICS	1/31/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	& SPORTS MEDICAL ASSOC	1220 HEMLOCK WAY	STE 200	SANTA ANA	CA	92707	3655	30	06059	33.70975375	-117.8842792	Orange County
34450	Fee-for-Service	1497174262	1497174262	1	1	O'NEILL, CAITLIN M MD	8/5/2020	207RH0000X	NA	Hematology	026	PHYSICIANS	141109	68	Hematology	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
34453	Fee-for-Service	1184916991	1184916991	1	1	OMRON, EDWARD MD INC	7/1/2011	193400000X	NA	Other	026	PHYSICIANS	105179	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	18525 SUTTER BLVD	STE 180	MORGAN HILL	CA	95037	8100	43	06085	37.14847051	-121.6557207	Santa Clara County
34525	Fee-for-Service	1194856914	1194856914	1	1	OSHTORY AND OSHTORY MDS	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	INC	2626 N CALIFORNIA ST	STE I	STOCKTON	CA	95204	5500	39	06077	37.97724966	-121.2917368	San Joaquin County
34766	Fee-for-Service	1245891928	1245891928	1	1	ORRICO, KRYSTIN A OT	3/23/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	16800 ASTON	STE 175	IRVINE	CA	92606	4820	30	06059	33.70035445	-117.8435881	Orange County
34820	Fee-for-Service	1285836536	1285836536	1	1	ONDRADE, MA CHRISTINA E MD	5/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	118768	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
34852	Fee-for-Service	1356322523	1356322523	1	1	OLVERA, ROBERT MD	7/1/1984	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	52960	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
34904	Fee-for-Service	1003103763	1003103763	1	1	OAKES, TYLER C	1/24/2014	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
34907	Fee-for-Service	1114068798	1114068798	1	1	OREL-BIXLER, DEBORAH A OD	2/2/2011	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
35162	Fee-for-Service	1871606269	1871606269	1	3	OROVILLE HOSPITAL	10/29/2015	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	DOVES LANDING MULTI SPEC	2450 ORO DAM BLVD	None	OROVILLE	CA	95966	6052	04	06007	39.50570174	-121.5470597	Butte County
35185	Fee-for-Service	1164934725	1164934725	1	1	OMNI FAMILY HEALTH	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	4646 N FIRST STREET	None	FRESNO	CA	93726	0973	10	06019	36.802161	-119.7722105	Fresno County
35244	Fee-for-Service	1013084961	1013084961	1	1	OLERICH, MICHAEL MD	9/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	67411	67	Endocrinology	0	In state provider	ATTN MGA OFFICE	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
35260	Fee-for-Service	1588825269	1588825269	1	1	OLSON, LUCIA T LMFT	1/2/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3825 HOPYARD	STE 140	PLEASANTON	CA	94588	8530	01	06001	37.683009	-121.9036935	Alameda County
35268	Fee-for-Service	1528110160	1528110160	1	1	ORONA, JOHN MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	62824	66	Emergency Medicine (Urgent Care)	0	In state provider	None	301 E 13TH ST	None	MERCED	CA	95340	6211	24	06047	37.29248035	-120.4730619	Merced County
35385	Fee-for-Service	1407994361	1407994361	1	1	ORANGEWOOD CHILDRENS	8/24/1988	313M00000X	NA	Intermediate Care Faciltiy	048	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	HOME	401 CITY DR S	None	ORANGE	CA	92868	3303	30	06059	33.78395385	-117.8887742	Orange County
35470	Fee-for-Service	1164934725	1164934725	1	1	OMNI FAMILY HEALTH	10/10/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	4646 N FIRST STREET	None	FRESNO	CA	93726	0973	10	06019	36.802161	-119.7722105	Fresno County
35530	Fee-for-Service	1013084961	1013084961	1	1	OLERICH, MICHAEL MD	9/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	67411	66	Emergency Medicine (Urgent Care)	0	In state provider	ATTN MGA OFFICE	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
35580	Fee-for-Service	1467722918	1467722918	1	1	OLYMPUS RADIOLOGY MEDICAL	3/23/2012	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	62395	30	Radiology	0	In state provider	GROUP INC	3828 DELMAS TERRACE	None	CULVER CITY	CA	90232	2713	19	06037	34.02308948	-118.3972101	Los Angeles County
35624	Fee-for-Service	1497702575	1497702575	1	13	ORANGE COAST MEMORIAL	7/3/2023	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	18111 BROOKHURST ST	0300	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
35649	Fee-for-Service	1790970416	1790970416	2	4	OBSTETRIX MEDICAL GROUP OF T	3/18/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	HE CENTRAL COAST, PROFES	6850 SEPULVEDA BLVD	STE 207	VAN NUYS	CA	91405	4449	19	06037	34.1955	-118.4661705	Los Angeles County
35665	Fee-for-Service	1093354581	1093354581	1	1	OSULLIVAN, ASHLEY PT	4/27/2020	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
35667	Fee-for-Service	1992704415	1992704415	1	1	OXY RESP & HOME MEDICAL	1/11/1999	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	EQUIP SPECIALIST INC	7324 SEPULVEDA BLVD	None	VAN NUYS	CA	91405	1751	19	06037	34.20365914	-118.4661806	Los Angeles County
35760	Fee-for-Service	1164934725	1164934725	1	1	OMNI FAMILY HEALTH	9/19/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	4646 N FIRST STREET	None	FRESNO	CA	93726	0973	10	06019	36.802161	-119.7722105	Fresno County
35789	Fee-for-Service	1962799882	1962799882	1	1	OU, HARRY W MD INC	8/3/2011	208600000X	NA	General Surgery	026	PHYSICIANS	97115	02	General Surgery	0	In state provider	None	13768 ROSWELL AVE	STE 218	CHINO	CA	91710	1407	36	06071	34.0038	-117.7218555	San Bernardino County
35817	Fee-for-Service	1013084961	1013084961	1	1	OLERICH, MICHAEL MD	9/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	67411	01	General Practice	0	In state provider	ATTN MGA OFFICE	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
35940	Fee-for-Service	1457937963	1457937963	1	1	ORTIZ, PAOLA MD	11/12/2024	207R00000X	NA	Other	026	PHYSICIANS	189823	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
36009	Fee-for-Service	1225383763	1225383763	1	2	ORANGE PSYCHIATRIC MEDICAL G	5/2/2024	101YM0800X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ROUP, INC	41670 IVY ST	SUITE C	MURRIETA	CA	92562	4392	33	06065	33.55420371	-117.207013	Riverside County
36045	Fee-for-Service	1851357917	1851357917	1	1	OBA, CAMERON I MD	1/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	68975	41	Internal Medicine	0	In state provider	None	2410 SAMARITAN DRIVE	SUITE 201	SAN JOSE	CA	95124	3909	43	06085	37.25107654	-121.9451342	Santa Clara County
36068	Fee-for-Service	1164538906	1164538906	1	1	OULIGIAN, GREGORY P MD	3/31/1983	207P00000X	NA	Other	026	PHYSICIANS	45329	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
36161	Fee-for-Service	1487065884	1487065884	1	1	OLSON, JENNIFER L MD	4/19/2024	208600000X	NA	General Surgery	026	PHYSICIANS	142781	01	General Practice	0	In state provider	None	1321 COTTONWOOD ST	STE 203	WOODLAND	CA	95695	5131	57	06113	38.66479566	-121.7933418	Yolo County
36171	Fee-for-Service	1083752729	1083752729	1	2	ORANGE UNIFIED SCHOOL	4/1/2021	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1401 N HANDY ST	None	ORANGE	CA	92867	4434	30	06059	33.81117446	-117.8270253	Orange County
36297	Fee-for-Service	1225383763	1225383763	1	2	ORANGE PSYCHIATRIC MEDICAL G	12/7/2019	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ROUP, INC	41670 IVY ST	SUITE C	MURRIETA	CA	92562	4392	33	06065	33.55420371	-117.207013	Riverside County
36318	Fee-for-Service	1336310333	1336310333	1	1	OBAFEMI, ADEBISE 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	1501 N CAMPBELL AVE	None	TUCSON	AZ	85724	0001	00	None	32.240493	-110.9460825	Pima County
36417	Fee-for-Service	1386874626	1386874626	1	1	OLIVEIRA, SHANNON J LMFT	3/17/2025	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	79 HARVARD LN	None	NAPA	CA	94558	4148	28	06055	38.31225893	-122.3453256	Napa County
36507	Fee-for-Service	1790970416	1790970416	2	3	OBSTETRIX MEDICAL GROUP OF T	3/18/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	HE CENTRAL COAST, PROFES	2100 LYNN RD	STE 125	THOUSAND OAKS	CA	91360	8032	56	06111	34.2074907	-118.8854443	Ventura County
36582	Fee-for-Service	1649764374	1649764374	1	1	ONG, CRISTINE PHILINA N CNP	12/7/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2233 HUNTINGTON DR	12	SAN MARINO	CA	91108	2655	19	06037	34.12214824	-118.1058479	Los Angeles County
36585	Fee-for-Service	1225383763	1225383763	1	2	ORANGE PSYCHIATRIC MEDICAL G	12/7/2019	101YM0800X	NA	Other	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	ROUP, INC	41670 IVY ST	SUITE C	MURRIETA	CA	92562	4392	33	06065	33.55420371	-117.207013	Riverside County
36600	Fee-for-Service	1639230923	1639230923	1	2	OSIAS, GARY A OD	10/1/1994	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2687 CASTRO VALLEY BLVD	None	CASTRO VALLEY	CA	94546	4405	01	06001	37.69413822	-122.0867719	Alameda County
36631	Fee-for-Service	1306369376	1306369376	1	1	OROZCO, KACIE L NP	10/13/2022	207RI0200X	NA	HIV/AIDS/Infectious Disease	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	18564 US HWY 18	104	APPLE VALLEY	CA	92307	2321	36	06071	34.53926652	-117.2592564	San Bernardino County
36764	Fee-for-Service	1952415838	1952415838	1	1	OKEZIE, ONYINYE E	3/18/2011	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	93885	None	None	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2298	15	06029	35.39052148	-119.0070765	Kern County
36795	Fee-for-Service	1790970416	1790970416	2	3	OBSTETRIX MEDICAL GROUP OF T	3/18/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	35	Pediatric Cardiology (M.D. only)	0	In state provider	HE CENTRAL COAST, PROFES	2100 LYNN RD	STE 125	THOUSAND OAKS	CA	91360	8032	56	06111	34.2074907	-118.8854443	Ventura County
36872	Fee-for-Service	1225383763	1225383763	1	2	ORANGE PSYCHIATRIC MEDICAL G	7/7/2020	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ROUP, INC	41670 IVY ST	SUITE C	MURRIETA	CA	92562	4392	33	06065	33.55420371	-117.207013	Riverside County
37033	Fee-for-Service	1720549728	1720549728	1	1	ONE RIDE CARE, LLC	11/11/2021	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1555 RIVER PARK DR	STE 206H	SACRAMENTO	CA	95815	4604	34	06067	38.600019	-121.434687	Sacramento County
37074	Fee-for-Service	1205914397	1205914397	1	1	OVERFIELD, MICHAEL F MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	25080	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1617 BROADWAY ST	None	VALLEJO	CA	94590	2406	48	06095	38.12454745	-122.2499877	Solano County
37100	Fee-for-Service	1487780714	1487780714	1	1	ORDAL, JOHN C MD	12/21/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	29	Pulmonary Diseases (M.D. only)	1	Border provider	None	555 BLACK OAK DR	STE 300	MEDFORD	OR	97504	8491	00	None	42.318873	-122.835653	Jackson County
37157	Fee-for-Service	1053382390	1053382390	1	1	OWNES, ALBERT Z MD APC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	88451	08	Family Practice	0	In state provider	None	5025 J ST	STE 206	SACRAMENTO	CA	95819	3839	34	06067	38.566773	-121.441851	Sacramento County
37214	Fee-for-Service	1376905414	1376905414	1	1	OZERY, ELIZABETH MD	6/24/2020	207L00000X	NA	Other	026	PHYSICIANS	151236	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
37232	Fee-for-Service	1598389892	1598389892	1	1	ONE GOOD HOMEHEALTH INC	6/2/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	401 W OLIVE AVE	SUITE 7	MADERA	CA	93637	4664	20	06039	36.95295946	-120.0604455	Madera County
37364	Fee-for-Service	1205914397	1205914397	1	1	OVERFIELD, MICHAEL F MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	25080	08	Family Practice	0	In state provider	None	1617 BROADWAY ST	None	VALLEJO	CA	94590	2406	48	06095	38.12454745	-122.2499877	Solano County
37445	Fee-for-Service	1336228832	1336228832	1	1	ORTHOPAEDIC SPECIALTY	1/15/2008	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INSTITUTE MEDICAL GROUP	280 SOUTH MAIN STREET	SUITE 200	ORANGE	CA	92868	3852	30	06059	33.784695	-117.867327	Orange County
37459	Fee-for-Service	1497794119	1497794119	1	1	O'NEAL, TIMOTHY R MD	10/31/1994	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	27224	08	Family Practice	0	In state provider	None	2 W FERN AVE	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
37496	Fee-for-Service	1760554414	1760554414	1	1	OHANJANIAN, MELINEH MD	2/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	67902	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
37555	Fee-for-Service	1225007032	1225007032	1	1	OLECH, EWA MD	10/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	83	Rheumatology	1	Border provider	None	3006 S MARYLAND - PKWY	STE 315	LAS VEGAS	NV	89109	6205	00	None	36.135288	-115.1368705	Clark County
37566	Fee-for-Service	1366674962	1366674962	1	1	OWENS, JUDY K MD	9/7/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	164619	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
37619	Fee-for-Service	1285380238	1285380238	1	1	OKAMOTO, JASMINE L OT	4/25/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	403 W ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	19	06037	34.02741539	-118.2743622	Los Angeles County
37754	Fee-for-Service	1881899250	1881899250	1	2	ODYSSEY HEALTHCARE OPERATING	8/3/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	4216 KIERNAN AVE	STE 102	MODESTO	CA	95356	8500	50	06099	37.71094679	-121.0728695	Stanislaus County
37889	Fee-for-Service	1649615311	1649615311	1	1	OGSAEN, MISTY D CSW	7/25/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2917 AQUAMARINE CIR	None	RESCUE	CA	95672	9338	09	06017	38.69884282	-121.0054425	El Dorado County
37953	Fee-for-Service	1669669339	1669669339	1	1	OHRI, SAMEER MD	2/2/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	105886	08	Family Practice	0	In state provider	None	3551 Q STREET	STE 100	BAKERSFIELD	CA	93301	1658	15	06029	35.392059	-119.010556	Kern County
37972	Fee-for-Service	1962654780	1962654780	1	1	OMID,JULIE L MD	6/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	96319	40	Pediatrics	0	In state provider	None	8522 S PAINTER AVE	None	WHITTIER	CA	90602	3335	19	06037	33.96065571	-118.0353275	Los Angeles County
38000	Fee-for-Service	1801238407	1801238407	1	1	OHRI, ANUJ L MD	4/5/2017	390200000X	NA	Other	026	PHYSICIANS	140778	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
38018	Fee-for-Service	1093882698	1093882698	1	1	O'BRYAN, KELLY PHD	3/5/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5820 OBERLIN DR	203	SAN DIEGO	CA	92121	3744	37	06073	32.89348634	-117.1937337	San Diego County
38041	Fee-for-Service	1992971022	1992971022	1	1	OSPINA-MALLARINO, PAULINA M	12/16/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	SW	74075 EL PASEO	A-14	PALM DESERT	CA	92260	4118	33	06065	33.71971253	-116.3724764	Riverside County
38042	Fee-for-Service	1881899250	1881899250	1	2	ODYSSEY HEALTHCARE OPERATING	8/3/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4216 KIERNAN AVE	STE 102	MODESTO	CA	95356	8500	50	06099	37.71094679	-121.0728695	Stanislaus County
38123	Fee-for-Service	1588009229	1588009229	1	1	OLIVIERI, PATRICK T MD	7/13/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	620 SHADOW LANE	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
38144	Fee-for-Service	1174905855	1174905855	1	1	ORTEGA, AMBER J MD	8/13/2018	390200000X	NA	Other	026	PHYSICIANS	147945	08	Family Practice	0	In state provider	None	8881 FLETCHER PKWY	STE 105	LA MESA	CA	91942	3132	37	06073	32.78442148	-117.0073814	San Diego County
38210	Fee-for-Service	1174607667	1174607667	1	1	OLSON, ROBERT A CRNA	8/5/2008	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	450 N ROXBURY DR	STE 600	BEVERLY HILLS	CA	90210	4220	19	06037	34.06820793	-118.4070317	Los Angeles County
38334	Fee-for-Service	1710374954	1710374954	1	1	OTTINIANO, EMILY L DO	1/10/2020	2084P0804X	NA	Psychiatry	026	PHYSICIANS	14764	26	Psychiatry (child)	0	In state provider	None	1120 W LA VETA AVE	SUITE 470	ORANGE	CA	92868	4233	30	06059	33.78029455	-117.864369	Orange County
38455	Fee-for-Service	1326240003	1326240003	1	1	OH, CHARLENE MD	11/11/2021	207R00000X	NA	Other	026	PHYSICIANS	109765	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
38484	Fee-for-Service	1184910044	1184910044	1	1	OBERLIN, DANIEL T MD	6/30/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149464	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
38550	Fee-for-Service	1790970416	1790970416	2	6	OBSTETRIX MEDICAL GROUP OF T	7/2/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	HE CENTRAL COAST, PROFES	29 N BRENT ST	None	VENTURA	CA	93003	2807	56	06111	34.27250156	-119.2568624	Ventura County
38575	Fee-for-Service	1851485908	1851485908	1	1	ORPAS CORP	5/9/2000	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CAMPINA HOME	25242 CAMPINA DR	None	MISSION VIEJO	CA	92691	5414	30	06059	33.59636794	-117.6624139	Orange County
38656	Fee-for-Service	1780943605	1780943605	1	1	OBADIA, ROBERTA W MD	3/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129647	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
38661	Fee-for-Service	1366547093	1366547093	1	1	OATU, DANIELA MD	11/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	95131	05	Anesthesiology	0	In state provider	None	2701 W ALAMEDA AVE	STE 230	BURBANK	CA	91505	4402	19	06037	34.15751343	-118.3303715	Los Angeles County
38728	Fee-for-Service	1669600250	1669600250	1	1	OU, TING-WEI MD	12/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	133010	01	General Practice	0	In state provider	None	1760 CHICAGO AVE	STE J3	RIVERSIDE	CA	92507	2300	33	06065	33.995538	-117.348333	Riverside County
38838	Fee-for-Service	1790970416	1790970416	2	6	OBSTETRIX MEDICAL GROUP OF T	7/2/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	HE CENTRAL COAST, PROFES	29 N BRENT ST	None	VENTURA	CA	93003	2807	56	06111	34.27250156	-119.2568624	Ventura County
38858	Fee-for-Service	1285656322	1285656322	1	1	OSGUTHORPE, RUSSELL 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	1034 N 500 W	None	PROVO	UT	84604	3380	00	None	40.248072	-111.6673905	Utah County
38927	Fee-for-Service	1790249506	1790249506	1	1	OBRERO, EARL D RCP	2/15/2019	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
39022	Fee-for-Service	1053891176	1053891176	1	1	ORISON HOSPICE INC	3/23/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5958 VINELAND AVE	STE I	NORTH HOLLYWOOD	CA	91601	4141	19	06037	34.179174	-118.370272	Los Angeles County
39043	Fee-for-Service	1225226590	1225226590	1	1	OTANEZ, OSCAR H MD	9/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	103245	22	Pathology (M.D. only)	0	In state provider	None	27700 MEDICAL CENTER RD	None	MISSION VIEJO	CA	92691	6426	30	06059	33.56008604	-117.6657795	Orange County
39051	Fee-for-Service	1104399385	1104399385	1	1	OIFOH, NICHOLAS PT	10/31/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	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
39101	Fee-for-Service	1427065762	1427065762	1	1	O'NEILL, THERESE M NMW	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
39249	Fee-for-Service	1336226265	1336226265	1	1	ONAGA, DANNA L MD	12/18/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	82441	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
39309	Fee-for-Service	1053891176	1053891176	1	1	ORISON HOSPICE INC	3/23/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5958 VINELAND AVE	STE I	NORTH HOLLYWOOD	CA	91601	4141	19	06037	34.179174	-118.370272	Los Angeles County
39423	Fee-for-Service	1689184004	1689184004	1	1	ORLANDO CAMACHO, OD, A PROFE	8/25/2020	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2051 GALLERIA AT TYLER	None	RIVERSIDE	CA	92503	4143	33	06065	33.9103199	-117.4583374	Riverside County
39615	Fee-for-Service	1396116703	1396116703	1	1	OSAWE, TAIYE NP	1/1/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	19725 SHERMAN WAY	STE 282C	WINNETKA	CA	91306	3660	19	06037	34.20117847	-118.563057	Los Angeles County
39672	Fee-for-Service	1619347002	1619347002	1	2	OTT, ISABEL LCSW	7/8/2022	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
39727	Fee-for-Service	1124290317	1124290317	1	1	OKUNOLA, AYODELE O MD	8/27/2012	207R00000X	NA	Other	026	PHYSICIANS	119344	41	Internal Medicine	0	In state provider	None	85 SIERRA PARKS RD	None	MAMMOTH LAKES	CA	93546	2073	26	06051	37.64575895	-118.9638914	Mono County
39764	Fee-for-Service	1154336949	1154336949	1	1	ORANGE COUNTY THORACIC &	1/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CARDIO SURGEONS MED CORP	1310 W STEWART DR	STE 503	ORANGE	CA	92868	3856	30	06059	33.78236048	-117.8664975	Orange County
39785	Fee-for-Service	1225186299	1225186299	1	1	OLOUGHLIN, BRIAN J MD	3/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	58105	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
39835	Fee-for-Service	1275524696	1275524696	1	1	OLSON, KENT MD	10/2/1979	207P00000X	NA	Other	026	PHYSICIANS	39696	41	Internal Medicine	0	In state provider	None	222 MC DOWELL ST	None	ALTURAS	CA	96101	0000	25	06049	41.48012355	-120.5395334	Modoc County
39846	Fee-for-Service	1700980828	1700980828	1	1	OAK TREE MEDICAL CORP	3/3/2009	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	751 CORDOVA ST	STE 1	PASADENA	CA	91101	2617	19	06037	34.1425735	-118.134927	Los Angeles County
39849	Fee-for-Service	1457850869	1457850869	1	1	OVERSTREET, MICHAEL PT	9/15/2022	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
39882	Fee-for-Service	1629422019	1629422019	1	1	OH, ANN S MD	12/4/2023	2084N0402X	NA	Neurology	026	PHYSICIANS	178692	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
39962	Fee-for-Service	1467191189	1467191189	1	1	OBRIEN, ROBERT J	7/5/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	100 N BRAND BLVD	STE 203	GLENDALE	CA	91203	2657	19	06037	34.14652066	-118.2549229	Los Angeles County
40015	Fee-for-Service	1740842806	1740842806	1	1	OURADA, DANIELLE AU	9/24/2021	231H00000X	NA	Other	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
40263	Fee-for-Service	1588639579	1588639579	1	1	OPANUBI, OLUFEMI T	11/4/2005	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	FEWA MEDICAL SUPPLIES	20628 E ARROW HWY	STE 7	COVINA	CA	91724	1309	19	06037	34.10658548	-117.851904	Los Angeles County
40442	Fee-for-Service	1821407933	1821407933	1	1	OSIBOWALE, ADEKEMI O NP	5/16/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	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
40456	Fee-for-Service	1124578851	1124578851	1	1	ORTEGA, HEATHER LCSW	2/15/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	231 N EUCLID AVE	None	UPLAND	CA	91786	4359	36	06071	34.096779	-117.6513275	San Bernardino County
40560	Fee-for-Service	1043288368	1043288368	1	1	OBSORN, JEFFREY 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	1501 HILAND AVE	None	BURLEY	ID	83318	2682	00	None	42.53489313	-113.7833899	Cassia County
40589	Fee-for-Service	1265990378	1265990378	1	1	O'NEILL, KATHERINE M PT	5/3/2019	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
40659	Fee-for-Service	1972956373	1972956373	1	1	OLSEN, TREVOR J PHD	8/28/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	835 5TH AVE	STE 407	SAN DIEGO	CA	92101	6137	37	06073	32.71418749	-117.1601296	San Diego County
40971	Fee-for-Service	1073547220	1073547220	1	1	OSIBAMIRO, ADE MD INC	4/22/2005	207L00000X	NA	Other	026	PHYSICIANS	64972	None	None	0	In state provider	None	2637 E CARSON STREET	None	CARSON	CA	90810	1508	19	06037	33.83176051	-118.2200805	Los Angeles County
41012	Fee-for-Service	1285629923	1285629923	1	1	OLSON, ELIS Y MD	12/5/2014	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
41041	Fee-for-Service	1497100085	1497100085	1	1	OWENS, ALEXIS D LMFT	2/13/2025	101Y00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST 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
41225	Fee-for-Service	1467595389	1467595389	1	1	ORANGEBURG MEDICAL GROUP	6/15/1985	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1448 FLORIDA AVE	None	MODESTO	CA	95350	4443	50	06099	37.66523613	-120.9962072	Stanislaus County
41271	Fee-for-Service	1376791152	1376791152	1	1	OPARIN, ALEXANDER N MD	10/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	111603	08	Family Practice	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
41302	Fee-for-Service	1285629923	1285629923	1	1	OLSON, ELIS Y MD	12/5/2014	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	2317	00	None	36.132948	-115.136874	Clark County
41347	Fee-for-Service	1538321732	1538321732	1	1	ONG, JEAN B MD	8/22/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	125347	41	Internal Medicine	0	In state provider	None	7117 BROCKTON AVENUE	None	RIVERSIDE	CA	92506	3912	33	06065	33.94354395	-117.394926	Riverside County
41428	Fee-for-Service	1366930893	1366930893	1	1	OLDACH, BENJAMIN R DO	1/31/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16668	None	None	0	In state provider	None	155 GLASSON WAY	SUITE L10	GRASS VALLEY	CA	95945	5723	29	06057	39.22820863	-121.0465856	Nevada County
41467	Fee-for-Service	1649980806	1649980806	1	1	OPTIMUM URGENT CARE	6/8/2023	261QU0200X	NA	Other	026	PHYSICIANS	None	70	Clinic (mixed specialty)	0	In state provider	None	1080 LA CIENEGA BLVD	109	LOS ANGELES	CA	90035	2591	19	06037	34.057206	-118.3761845	Los Angeles County
41558	Fee-for-Service	1376791152	1376791152	1	1	OPARIN, ALEXANDER N MD	10/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	111603	01	General Practice	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
41609	Fee-for-Service	1265000277	1265000277	1	1	OGHOGHORIE, EFE	2/1/2023	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ON	431 30TH ST	130B	OAKLAND	CA	94609	3307	01	06001	37.81910206	-122.2653479	Alameda County
41635	Fee-for-Service	1538321732	1538321732	1	1	ONG, JEAN B MD	8/22/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	125347	10	Gastroenterology (M.D. only)	0	In state provider	None	7117 BROCKTON AVENUE	None	RIVERSIDE	CA	92506	3912	33	06065	33.94354395	-117.394926	Riverside County
41671	Fee-for-Service	1295751451	1295751451	1	1	ORFUSS, CARL J MD	10/6/1975	2084N0400X	NA	Neurology	026	PHYSICIANS	30731	13	Neurology (M.D. only)	0	In state provider	None	323 N PRAIRIE AVE	STE 41	INGLEWOOD	CA	90301	4502	19	06037	33.966333	-118.3439975	Los Angeles County
41679	Fee-for-Service	1922236868	1922236868	1	1	OLARTE, LUCIA S MD	4/12/2022	207YX0007X	NA	ENT/Otolaryngology	026	PHYSICIANS	135891	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
41753	Fee-for-Service	1063944627	1063944627	1	1	OPTIMUM CARE NETWORK INC.	4/12/2017	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	None	9929 ORCHARD DR	None	WESTMINSTER	CA	92683	5853	30	06059	33.74832449	-117.9565335	Orange County
41772	Fee-for-Service	1952940306	1952940306	1	1	OTT, CORY D CRNA	1/28/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	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
41800	Fee-for-Service	1336104272	1336104272	1	1	OCHIKUBO, CLARK G MD	9/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	72252	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	250 S GRAND AVE	None	GLENDORA	CA	91741	4218	19	06037	34.132842	-117.872523	Los Angeles County
41846	Fee-for-Service	1710054531	1710054531	1	1	OLSEN, NAHEED MD	3/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	55571	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
41876	Fee-for-Service	1073076139	1073076139	1	1	ORITA, KEVIN MD	4/20/2023	193400000X	NA	Other	026	PHYSICIANS	178002	None	None	0	In state provider	None	568 E HERNDON AVE	SUITE 101	FRESNO	CA	93720	2989	10	06019	36.83752653	-119.7776433	Fresno County
41892	Fee-for-Service	1831480466	1831480466	1	1	OCAMPO, LUIS H JR MD	10/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	121409	10	Gastroenterology (M.D. only)	0	In state provider	None	270 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
41911	Fee-for-Service	1588867683	1588867683	1	1	ORR, JAMES A MD	4/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	56129	02	General Surgery	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
41937	Fee-for-Service	1447448444	1447448444	1	1	OLDHAM, JUSTIN M MD	6/26/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101717	41	Internal Medicine	0	In state provider	None	4860 Y STREET	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
41945	Fee-for-Service	1659365286	1659365286	1	1	ONG, GENE MD	6/3/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2425 N LAMB BLVD	STE 120	LAS VEGAS	NV	89115	5499	00	None	36.203436	-115.0801955	Clark County
41984	Fee-for-Service	1679763510	1679763510	1	1	OHATA, MITSUAKI K PHD	11/26/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1305 TOMMYDON STREET	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
42013	Fee-for-Service	1083973036	1083973036	1	1	ORJIAKOR, NNEKA T MD	2/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123760	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
42089	Fee-for-Service	1336104272	1336104272	1	1	OCHIKUBO, CLARK G MD	9/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	72252	40	Pediatrics	0	In state provider	None	250 S GRAND AVE	None	GLENDORA	CA	91741	4218	19	06037	34.132842	-117.872523	Los Angeles County
42228	Fee-for-Service	1659365286	1659365286	1	1	ONG, GENE MD	6/3/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	2425 N LAMB BLVD	STE 120	LAS VEGAS	NV	89115	5499	00	None	36.203436	-115.0801955	Clark County
42391	Fee-for-Service	1306211420	1306211420	1	1	ORGLIFE INC	9/20/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12038 VENTURA BLVD	STE A	STUDIO CITY	CA	91604	2608	19	06037	34.14365878	-118.393717	Los Angeles County
42429	Fee-for-Service	1346879376	1346879376	1	1	ORANUSI, CHINEDUM MD	3/13/2025	207L00000X	NA	Other	026	PHYSICIANS	176416	05	Anesthesiology	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
42528	Fee-for-Service	1750079356	1750079356	1	1	OLALERE, TINUKE S NP	1/23/2024	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
42555	Fee-for-Service	1669811055	1669811055	1	1	OLKIEWICZ, BARBARA E DO	9/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14674	01	General Practice	0	In state provider	None	3801 HOWE STREET	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
42566	Fee-for-Service	1700878055	1700878055	1	1	ONG, JENNIFER H OD	11/16/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
42586	Fee-for-Service	1215665146	1215665146	1	2	ORIGIN TRANSPORT LLC	8/29/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	6131 ORANGETHORPE AVE	STE 170R	BUENA PARK	CA	90620	1315	30	06059	33.8588521	-118.0243537	Orange County
42643	Fee-for-Service	1760681365	1760681365	1	1	OPTIMALAIRE INC	8/13/2012	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	110 N MACLAY AVE	SUITE 115	SAN FERNANDO	CA	91340	2987	19	06037	34.28449525	-118.4396137	Los Angeles County
42837	Fee-for-Service	1700600939	1700600939	1	1	ORKA HEALTH, LLC	11/15/2024	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	41	06081	0	0	None
42871	Fee-for-Service	1790918365	1790918365	1	1	OWEN, MEGAN K OT	2/18/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	101 ROWLAND WAY	220	NOVATO	CA	94945	5008	21	06041	38.09755172	-122.5591766	Marin County
42887	Fee-for-Service	1720743479	1720743479	1	1	OKONKWO, NIKKY NP	11/25/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	415 KNOLLCREST DR	STE 101	REDDING	CA	96002	0181	45	06089	40.57267376	-122.3643496	Shasta County
42918	Fee-for-Service	1134706005	1134706005	1	1	OVAL PHYSICAL THERAPY AND SP	8/3/2023	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ORTS MEDICINE, INC.	11650 RIVERSIDE DR	SUITE #1	NORTH HOLLYWOOD	CA	91602	2319	19	06037	34.15760548	-118.387413	Los Angeles County
43220	Fee-for-Service	1427078070	1427078070	1	1	OLSEN, GREGG A MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	57470	41	Internal Medicine	0	In state provider	None	2601 W ALA MEDA AVE	STE 210	BURBANK	CA	91505	0000	19	06037	34.15783817	-118.3293969	Los Angeles County
43295	Fee-for-Service	1043651243	1043651243	1	1	ORSETH, AMY J OD	5/14/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	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
43313	Fee-for-Service	1982099917	1982099917	1	1	OTTO, WILLIAM	2/20/2024	2080P0208X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	3333 BURNET AVENUE	None	CINCINNATI	OH	45229	3039	00	None	39.14105892	-84.50040782	Hamilton County
43354	Fee-for-Service	1245892066	1245892066	1	1	OPTIMA HEALTH CORP	3/23/2021	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
43490	Fee-for-Service	1205844800	1205844800	1	1	OHMOTO, CHIEKO MD	5/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	74616	08	Family Practice	0	In state provider	None	969 PLUMAS ST	None	YUBA CITY	CA	95991	4011	51	06101	39.14263634	-121.6176593	Sutter County
43510	Fee-for-Service	1427078070	1427078070	1	1	OLSEN, GREGG A MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	57470	78	Neoplastic Diseases/Oncology	0	In state provider	None	2601 W ALA MEDA AVE	STE 210	BURBANK	CA	91505	0000	19	06037	34.15783817	-118.3293969	Los Angeles County
43519	Fee-for-Service	1477992584	1477992584	1	1	OVIEDO-CAVAZOS, DIANA MD	12/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	138821	01	General Practice	0	In state provider	None	3605 HOSPITAL ROAD	None	ATWATER	CA	95301	5137	24	06047	37.36678073	-120.576731	Merced County
43547	Fee-for-Service	1386724383	1386724383	1	1	OLELEWE, SARAH S MD INC	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	56520	41	Internal Medicine	0	In state provider	None	11712 HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	2318	19	06037	33.92802	-118.352464	Los Angeles County
43621	Fee-for-Service	1790780013	1790780013	1	1	OLMSTED, ADAM K MD	1/15/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	PROSCAN RADIOLOGY	5400 KENNEDY AVE	None	CINCINNATI	OH	45213	0000	00	None	39.17088658	-84.41994184	Hamilton County
43642	Fee-for-Service	1245892066	1245892066	1	1	OPTIMA HEALTH CORP	3/23/2021	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
43645	Fee-for-Service	1831600477	1831600477	1	1	ONE ACCESS MEDICAL TRANSPORT	7/25/2019	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	7887 ENTERPRISE DR	SUITE C	NEWARK	CA	94560	3410	01	06001	37.52282185	-122.0415765	Alameda County
43710	Fee-for-Service	1912630344	1912630344	1	1	OBK LLC	7/27/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MACY	1141 W REDONDO BEACH BLV	100	GARDENA	CA	90247	3586	19	06037	33.89247036	-118.2941482	Los Angeles County
43712	Fee-for-Service	1174945554	1174945554	1	1	ORANGE COUNTY HEALTH PSYCHOL	8/10/2015	103TC0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	OGISTS	15635 ALTON PKWY	STE 350	IRVINE	CA	92618	7333	30	06059	33.65564953	-117.754591	Orange County
43744	Fee-for-Service	1891882239	1891882239	2	1	OLIVA, CARLOS G MD	5/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	40155	08	Family Practice	0	In state provider	None	1070 S SANTA FE AVE	STE 9	VISTA	CA	92084	7010	37	06073	33.19120588	-117.2283618	San Diego County
43797	Fee-for-Service	1427078070	1427078070	1	1	OLSEN, GREGG A MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	57470	77	Infectious Disease	0	In state provider	None	2601 W ALA MEDA AVE	STE 210	BURBANK	CA	91505	0000	19	06037	34.15783817	-118.3293969	Los Angeles County
43813	Fee-for-Service	1013633197	1013633197	1	1	OGUTU, KEVIN M CRNA	4/7/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	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
43835	Fee-for-Service	1386724383	1386724383	1	1	OLELEWE, SARAH S MD INC	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	56520	38	Geriatrics	0	In state provider	None	11712 HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	2318	19	06037	33.92802	-118.352464	Los Angeles County
43848	Fee-for-Service	1306018536	1306018536	1	1	OH, SARAH H LMFT	11/21/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1740 PLUM LN	STE B	REDLANDS	CA	92374	0109	36	06071	34.06899169	-117.2145582	San Bernardino County
43866	Fee-for-Service	1174145882	1174145882	1	1	OMNIA HOSPICE INC	12/10/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	8953 WOODMAN AVE	STE 209	ARLETA	CA	91331	6457	19	06037	34.23249056	-118.4383491	Los Angeles County
43998	Fee-for-Service	1174945554	1174945554	1	1	ORANGE COUNTY HEALTH PSYCHOL	8/10/2015	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	OGISTS	15635 ALTON PKWY	STE 350	IRVINE	CA	92618	7333	30	06059	33.65564953	-117.754591	Orange County
44029	Fee-for-Service	1891882239	1891882239	2	1	OLIVA, CARLOS G MD	5/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	40155	01	General Practice	0	In state provider	None	1070 S SANTA FE AVE	STE 9	VISTA	CA	92084	7010	37	06073	33.19120588	-117.2283618	San Diego County
44109	Fee-for-Service	1073871448	1073871448	1	1	ODERA, SAMPETER L MD	6/20/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	127360	None	None	0	In state provider	None	513 PARNASSUS AVE	S738	SAN FRANCISCO	CA	94143	0476	38	06075	37.76344756	-122.4581992	San Francisco County
44155	Fee-for-Service	1174145882	1174145882	1	1	OMNIA HOSPICE INC	12/10/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	8953 WOODMAN AVE	STE 209	ARLETA	CA	91331	6457	19	06037	34.23249056	-118.4383491	Los Angeles County
44171	Fee-for-Service	1821182817	1821182817	1	1	ORPAS CORPORATION	4/15/1994	320600000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	24152 ADONIS ST	None	MISSION VIEJO	CA	92691	3814	30	06059	33.61148346	-117.6853214	Orange County
44224	Fee-for-Service	1922150796	1922150796	1	1	ONG, STEVEN M OD	7/17/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
44332	Fee-for-Service	1407413008	1407413008	1	2	OC FOOT AND ANKLE ASSOCIATES	10/8/2020	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	, INC	9901 PARAMOUNT BLVD.	202	DOWNEY	CA	90240	3843	19	06037	33.95539219	-118.128812	Los Angeles County
44460	Fee-for-Service	1508997354	1508997354	1	1	OKURA, DARLENE T.	10/31/1991	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3505 SONOMA BLVD	STE 30	VALLEJO	CA	94590	2920	48	06095	38.12158398	-122.2552773	Solano County
44464	Fee-for-Service	1497214936	1497214936	1	1	OSUNA, MARIANA	11/4/2024	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
44490	Fee-for-Service	1639302664	1639302664	1	1	OBARA, ANDREW J MD	11/6/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	189685	None	None	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
44553	Fee-for-Service	1275021438	1275021438	1	1	O'DORAN, KAYLA CCC-SLP	10/18/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8550 BALBOA BLVD	SUITE 242	NORTHRIDGE	CA	91325	3593	19	06037	34.225713	-118.5026045	Los Angeles County
44592	Fee-for-Service	1649564295	1649564295	1	1	OGANDO, SHEENA M MD	9/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142743	83	Rheumatology	0	In state provider	None	1450 TREAT BLVD	STE 200	WALNUT CREEK	CA	94597	2168	07	06013	37.92643968	-122.0521822	Contra Costa County
44899	Fee-for-Service	1396780623	1396780623	1	1	OURIEFF, BRUCE A MD	8/31/1992	174400000X	NA	Other	026	PHYSICIANS	44779	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	821 E CHAPEL ST	STE 201	SANTA MARIA	CA	93454	4619	42	06083	34.95428347	-120.4236585	Santa Barbara County
45060	Fee-for-Service	1467847442	1467847442	1	1	OSIGWE, CHIDIMMA MD	9/20/2020	207LP3000X	NA	Other	026	PHYSICIANS	161859	05	Anesthesiology	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
45166	Fee-for-Service	1417992223	1417992223	1	1	OSTER, HENRY A MD	6/11/2018	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	33690	77	Infectious Disease	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
45174	Fee-for-Service	1598108482	1598108482	1	1	OSIPOV, ARSEN MD	7/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135404	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
45186	Fee-for-Service	1396780623	1396780623	1	1	OURIEFF, BRUCE A MD	8/31/1992	174400000X	NA	Other	026	PHYSICIANS	44779	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	821 E CHAPEL ST	STE 201	SANTA MARIA	CA	93454	4619	42	06083	34.95428347	-120.4236585	Santa Barbara County
45194	Fee-for-Service	1770265639	1770265639	1	1	ORTEGON, MICHAEL CRNA	12/1/2023	163W00000X	NA	Other	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
45391	Fee-for-Service	1417358045	1417358045	1	1	OYAMA, RACHEL PT	7/27/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3855 ALAMO ST	None	SIMI VALLEY	CA	93063	2104	56	06111	34.28644751	-118.721655	Ventura County
45393	Fee-for-Service	1619136181	1619136181	1	1	OMID KOHANI MD	5/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	300 COMMUNITY DR	None	MANHASSET	NY	11030	3816	00	None	40.777812	-73.701882	Nassau County
45421	Fee-for-Service	1124027040	1124027040	1	1	ORNELAS, ELIZABETH NP	6/10/2021	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
45426	Fee-for-Service	1164629697	1164629697	1	1	OGUNDIPE, GRACE I	7/31/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1731 STEARNS DR	None	LOS ANGELES	CA	90035	4627	19	06037	34.04557095	-118.3730391	Los Angeles County
45477	Fee-for-Service	1033121249	1033121249	1	1	OFFENBERGER, JACOB MD	3/31/1982	207K00000X	NA	Other	026	PHYSICIANS	38800	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1580 VALENCIA ST	None	SAN FRANCISCO	CA	94110	4423	38	06075	37.74746923	-122.4202583	San Francisco County
45624	Fee-for-Service	1730138918	1730138918	1	1	OLGIN, JEFFREY E MD	3/26/2003	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	70443	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
45664	Fee-for-Service	1477164051	1477164051	1	1	OLIQUINO, BENILDA CNP	7/25/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1855 GATEWAY BLVD	STE 100	CONCORD	CA	94520	3286	07	06013	37.97160163	-122.0432862	Contra Costa County
45681	Fee-for-Service	1386919330	1386919330	1	1	OPTIONS RECOVERY SERVICES	9/3/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	610 16TH STREET	312,314,315,318,319	OAKLAND	CA	94612	1284	01	06001	37.80722783	-122.2742936	Alameda County
45717	Fee-for-Service	1164629697	1164629697	1	1	OGUNDIPE, GRACE I	7/31/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1731 STEARNS DR	None	LOS ANGELES	CA	90035	4627	19	06037	34.04557095	-118.3730391	Los Angeles County
45751	Fee-for-Service	1841497989	1841497989	1	1	OWEN, CHRISTOPHER M MD	7/22/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	93373	14	Neurological Surgery	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
45778	Fee-for-Service	1245641539	1245641539	1	1	O'BRIEN, MEGHAN MD	8/9/2017	390200000X	NA	Other	026	PHYSICIANS	140014	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
45789	Fee-for-Service	1194581280	1194581280	1	1	OLEGINE, ANNA CECILIA	2/27/2024	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
45856	Fee-for-Service	1134405509	1134405509	1	1	OLSON, AMY R	2/6/2012	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
45882	Fee-for-Service	1518283225	1518283225	1	1	ORTIZ, CHRISTOPHER O MD	6/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118165	None	None	0	In state provider	None	200 MEDICAL PLAZA	STE 214	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
46241	Fee-for-Service	1487795282	1487795282	1	1	OM, TU S MD	3/2/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	96486	08	Family Practice	0	In state provider	None	21501 S AVALON BLVD	SUITE 100	CARSON	CA	90745	2201	19	06037	33.833421	-118.2637985	Los Angeles County
46252	Fee-for-Service	1417012402	1417012402	1	1	OPTIMAL SERVICES INC	4/1/2003	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	CARING CORNER	942 WIBLE RD	None	BAKERSFIELD	CA	93304	4125	15	06029	35.34537739	-119.0388897	Kern County
46267	Fee-for-Service	1295040772	1295040772	1	1	OBINNA OKOYE	6/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	911C MEDICAL CENTER DR	None	ARLINGTON	TX	76012	4758	00	None	32.74700833	-97.11990156	Tarrant County
46281	Fee-for-Service	1922070937	1922070937	1	1	OJHA, MANISHA N MD	1/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78089	41	Internal Medicine	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
46444	Fee-for-Service	1699818054	1699818054	1	1	OSHIRO, RESA L MD	1/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	81953	25	Physical Medicine and Rehabilitation	0	In state provider	None	250 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1788	19	06037	34.0696407	-118.3836988	Los Angeles County
46491	Fee-for-Service	1073614723	1073614723	1	1	OPERE, CAXTON MD	2/12/2024	207R00000X	NA	Other	026	PHYSICIANS	166102	None	None	0	In state provider	None	975 S FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
46549	Fee-for-Service	1598729501	1598729501	1	1	OHANESIAN, ROGER MD INC	3/22/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	31964	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
46569	Fee-for-Service	1922070937	1922070937	1	1	OJHA, MANISHA N MD	1/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78089	40	Pediatrics	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
46711	Fee-for-Service	1750434783	1750434783	1	1	OJI, OJI A MD	7/21/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94340	05	Anesthesiology	0	In state provider	None	FRESNO & R ST	None	FRESNO	CA	93721	1365	10	06019	36.741663	-119.7841005	Fresno County
46800	Fee-for-Service	1093848160	1093848160	1	2	OXNARD UNION HIGH SCHOOL	1/1/2021	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	309 SOUTH K ST	None	OXNARD	CA	93030	5212	56	06111	34.20015558	-119.1916586	Ventura County
46893	Fee-for-Service	1780928986	1780928986	1	1	OMNI FAMILY HEALTH	3/6/2013	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4600 PANAMA LANE	SUITE 102B	BAKERSFIELD	CA	93313	3509	15	06029	35.29596129	-119.0543102	Kern County
46977	Fee-for-Service	1417369075	1417369075	1	1	OTIS, DAVID G DO	12/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	16374	41	Internal Medicine	0	In state provider	None	1100 LAS TABLAS RD	None	TEMPLETON	CA	93465	9704	40	06079	35.55442648	-120.719754	San Luis Obispo County
46980	Fee-for-Service	1205810611	1205810611	1	1	OPFELL, AMY P MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	43303	05	Anesthesiology	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
47006	Fee-for-Service	1003879479	1003879479	1	1	ORANGE DIALYSIS LLC	6/16/2003	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	10055 WHITTWOOD DR	STE A	WHITTIER	CA	90603	2313	19	06037	33.94516598	-117.999144	Los Angeles County
47097	Fee-for-Service	1124629084	1124629084	1	1	OROZCO-VERA, ANGELA M	9/5/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2155 E GARVEY AVE N	B2	WEST COVINA	CA	91791	1544	19	06037	34.07280989	-117.8995249	Los Angeles County
47181	Fee-for-Service	1780928986	1780928986	1	1	OMNI FAMILY HEALTH	2/23/2013	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	4600 PANAMA LANE	SUITE 102B	BAKERSFIELD	CA	93313	3509	15	06029	35.29596129	-119.0543102	Kern County
47288	Fee-for-Service	1144389883	1144389883	1	1	OSMANIAN, CYNTHIA MD	2/28/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	85150	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
47305	Fee-for-Service	1720051485	1720051485	1	1	OLSEN, WALTER L MD	5/31/1987	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	55091	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
47361	Fee-for-Service	1013448711	1013448711	1	1	OBLER, LAURA M MD	7/13/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	159434	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
47468	Fee-for-Service	1780928986	1780928986	1	1	OMNI FAMILY HEALTH	6/24/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	4600 PANAMA LANE	SUITE 102B	BAKERSFIELD	CA	93313	3509	15	06029	35.29596129	-119.0543102	Kern County
47630	Fee-for-Service	1518374156	1518374156	1	1	OPTIMAL HEALTHCARE SOLUTIONS	12/9/2014	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC	4200 TRABUCO RD	STE 190	IRVINE	CA	92620	3659	30	06059	33.70820164	-117.779084	Orange County
47762	Fee-for-Service	1780928986	1780928986	1	1	OMNI FAMILY HEALTH	3/6/2013	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4600 PANAMA LANE	SUITE 102B	BAKERSFIELD	CA	93313	3509	15	06029	35.29596129	-119.0543102	Kern County
47802	Fee-for-Service	1871804856	1871804856	1	1	ORTIZ-BAKER, MARIA PHD	1/30/2013	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
47943	Fee-for-Service	1871606269	1871606269	1	5	OROVILLE HOSPITAL	7/19/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2971 OLIVE HWY	None	OROVILLE	CA	95966	6103	04	06007	39.50299062	-121.5396004	Butte County
47972	Fee-for-Service	1699033282	1699033282	1	1	OBASUYI, ADESUWA L MD	10/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149952	36	Psychiatry	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
48057	Fee-for-Service	1447821699	1447821699	1	1	ODYSSEY HOME HEALTH CARE INC	11/8/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	21032 DEVONSHIRE STREET	STE 205	CHATSWORTH	CA	91311	2368	19	06037	34.25722053	-118.591857	Los Angeles County
48141	Fee-for-Service	1447237896	1447237896	2	1	ORRELL, JAMES G LCSW	1/7/2025	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1600 E FLORIDA AVE	SUITE 209	HEMET	CA	92544	8648	33	06065	33.74768747	-116.9557425	Riverside County
48192	Fee-for-Service	1083842199	1083842199	1	1	OKEREKE, CHETACHI A MD	4/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	109220	83	Rheumatology	0	In state provider	None	1515 NEWELL AVE	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
48240	Fee-for-Service	1366455933	1366455933	1	1	ORTEGA, EVELYN A MD	10/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	33311	30	Radiology	0	In state provider	None	910 S SUNSET AVE	STE 5	WEST COVINA	CA	91790	3409	19	06037	34.064247	-117.9429166	Los Angeles County
48329	Fee-for-Service	1285182485	1285182485	1	1	OKAMOTO, ANNIKA PHD	8/18/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1819 CLIFF DR	F	SANTA BARBARA	CA	93109	1650	42	06083	34.40137954	-119.7214154	Santa Barbara County
48404	Fee-for-Service	1164033411	1164033411	1	1	OGBEBOR, AMADIN	10/2/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	101 CREEKSIDE RIDGE	210-15	ROSEVILLE	CA	95678	3595	31	06061	38.77158164	-121.2609014	Placer County
48495	Fee-for-Service	1962081984	1962081984	1	1	OBERHAUSER-LIM, NATALIE A MD	9/3/2024	207P00000X	NA	Other	026	PHYSICIANS	183486	66	Emergency Medicine (Urgent Care)	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
48497	Fee-for-Service	1538209572	1538209572	1	1	OLEARY, PATRICK LMFT	2/19/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
48514	Fee-for-Service	1881765782	1881765782	1	1	OBEDENCIO, GWENDOLYN P	10/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80707	08	Family Practice	0	In state provider	MD	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
48524	Fee-for-Service	1215031554	1215031554	1	1	OROVILLE HOSPITAL	8/7/2002	282N00000X	NA	Hospitals	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	PRACTICE	2809 OLIVE HWY	STE 270	OROVILLE	CA	95966	6135	04	06007	39.50386798	-121.5410203	Butte County
48525	Fee-for-Service	1265649909	1265649909	1	1	OYOUNG, MICHAEL T DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	1530 WEBSTER ST	STE E	FAIRFIELD	CA	94533	4933	48	06095	38.25640506	-122.0470932	Solano County
48578	Fee-for-Service	1295205557	1295205557	1	1	OLA, JULIE NP	10/29/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	23181 VERDUGO DR	STE 103A	LAGUNA HILLS	CA	92653	1313	30	06059	33.62609529	-117.7293191	Orange County
48690	Fee-for-Service	1801180369	1801180369	1	1	OTTE, JOSHUA U CRNA	7/27/2011	No Taxonomy Provided	NA	None	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
48772	Fee-for-Service	1790970416	1790970416	2	2	OBSTETRIX MEDICAL GROUP OF T	4/29/2021	207VM0101X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	HE CENTRAL COAST, PROFES	427 W PUEBLO ST	STE. A.	SANTA BARBARA	CA	93105	6206	42	06083	34.42852558	-119.7240739	Santa Barbara County
48810	Fee-for-Service	1215031554	1215031554	1	1	OROVILLE HOSPITAL	8/7/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	PRACTICE	2809 OLIVE HWY	STE 270	OROVILLE	CA	95966	6135	04	06007	39.50386798	-121.5410203	Butte County
48881	Fee-for-Service	1356446827	1356446827	1	1	OSBACK, TERRY MD	12/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	56046	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
49103	Fee-for-Service	1235469685	1235469685	1	1	OC PATH MEDICAL GROUP	3/2/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	3350 W BALL ROAD	None	ANAHEIM	CA	92804	3710	30	06059	33.8172623	-118.0071207	Orange County
49156	Fee-for-Service	1871606269	1871606269	1	4	OROVILLE HOSPITAL	6/9/2015	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	924 CHESTNUT STREET	None	YUBA CITY	CA	95991	4020	51	06101	39.14186666	-121.6199196	Sutter County
49168	Fee-for-Service	1629175336	1629175336	3	1	OBSTETRIX MEDICAL GROUP OF C	4/14/2020	207VM0101X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ALIFORNIA, A PROFESSIONA	900 EAST HAMILTON AVE	220	CAMPBELL	CA	95008	0665	43	06085	37.29428651	-121.934403	Santa Clara County
49169	Fee-for-Service	1922409879	1922409879	1	1	OLSON, KENIA LMFT	1/8/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
49199	Fee-for-Service	1295068617	1295068617	1	1	OLIVER-HUDSON, KENDRIA M	12/5/2022	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
49296	Fee-for-Service	1700444270	1700444270	1	1	ORTEGA, ANGELICA LCSW	11/14/2024	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
49401	Fee-for-Service	1558758185	1558758185	1	1	OLUYEDE, OLUWADAMILOLA O MD	5/23/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	171072	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
49437	Fee-for-Service	1407233596	1407233596	1	1	ONLEY, JARED J	7/15/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	176817	None	None	0	In state provider	None	770 MASON ST	None	VACAVILLE	CA	95688	4646	48	06095	38.35504697	-121.983852	Solano County
49471	Fee-for-Service	1760596001	1760596001	1	1	OTT, KENNETH H MD	8/27/1981	207T00000X	NA	General Surgery	026	PHYSICIANS	25239	14	Neurological Surgery	0	In state provider	None	4060 4TH AVE	STE 610	SAN DIEGO	CA	92103	2144	37	06073	32.75053673	-117.1616539	San Diego County
49754	Fee-for-Service	1154639896	1154639896	1	1	ONEIL, THOMAS COOPER MD INC	12/28/2017	207W00000X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	None	303 W EATON AVE	None	TRACY	CA	95376	3418	39	06077	37.74338649	-121.430106	San Joaquin County
49930	Fee-for-Service	1972589265	1972589265	1	1	OWENS, ROBERT L MD	10/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131174	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
50088	Fee-for-Service	1063891190	1063891190	1	1	OPARE-ADDO, PAUL M MD	11/14/2017	390200000X	NA	Other	026	PHYSICIANS	150984	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
50184	Fee-for-Service	1275328981	1275328981	1	1	OKADA, JENNIFER BIRTH DOULA	4/25/2025	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
50232	Fee-for-Service	1215151725	1215151725	1	1	OLUFEMI KOLAWOLE	4/10/2009	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	CENTIGRADE MED SUP & EQ	2201 E. ANAHEIM STREET	SUITE 101	LONG BEACH	CA	90804	4311	19	06037	33.78262551	-118.1653065	Los Angeles County
50273	Fee-for-Service	1568622884	1568622884	1	1	ORANGE COUNTY PEDIATRICS	8/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	66270	55	Unknown	0	In state provider	INC APMC	714 S HARBOR BLVD	None	SANTA ANA	CA	92704	2337	30	06059	33.73777075	-117.9201704	Orange County
50300	Fee-for-Service	1184250466	1184250466	1	1	OVERSTREET, KAITLIN C	3/30/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
50331	Fee-for-Service	1851027700	1851027700	1	1	ONG, BRITTNEY R NP	8/11/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1374 E ALLUVIAL AVE	None	FRESNO	CA	93720	2608	10	06019	36.84475352	-119.758806	Fresno County
50334	Fee-for-Service	1255719001	1255719001	1	1	OLIVAREZ, GERARDO A MD	11/9/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	145004	08	Family Practice	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
50353	Fee-for-Service	1730344151	1730344151	1	1	OWEN, ERIK L MD	9/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137022	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5974 PENTZ RD	None	PARADISE	CA	95969	5509	04	06007	39.75705992	-121.572292	Butte County
50440	Fee-for-Service	1912992264	1912992264	1	1	OXNARD MANOR, LP	1/1/2004	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1400 W GONZALES RD	None	OXNARD	CA	93036	3362	56	06111	34.21915334	-119.1933539	Ventura County
50466	Fee-for-Service	1700845294	1700845294	1	1	ODOU, MARK W MD	12/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	49923	02	General Surgery	0	In state provider	None	4867 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5969	19	06037	34.0981755	-118.295055	Los Angeles County
50467	Fee-for-Service	1639489875	1639489875	1	1	OGDIE, ALYSHIA A NP	11/18/2022	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	820 LAS GALLINAS	None	SAN RAFAEL	CA	94903	3410	21	06041	38.00702954	-122.5471567	Marin County
50562	Fee-for-Service	1568622884	1568622884	1	1	ORANGE COUNTY PEDIATRICS	8/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	66270	40	Pediatrics	0	In state provider	INC APMC	714 S HARBOR BLVD	None	SANTA ANA	CA	92704	2337	30	06059	33.73777075	-117.9201704	Orange County
50702	Fee-for-Service	1174963458	1174963458	1	1	ONA, SIENA E MD	11/10/2021	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	172213	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
50718	Fee-for-Service	1245473511	1245473511	1	1	ONEILL, BRENT R MD	7/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	14	Neurological Surgery	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
50856	Fee-for-Service	1497395131	1497395131	1	1	OSORNO, RAQUEL A	2/4/2020	103T00000X	NA	Mental Health Outpatient Services	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
50954	Fee-for-Service	1225265325	1225265325	1	1	OBRADOVIC, PETRA M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	106488	40	Pediatrics	0	In state provider	None	191 S BUENA VISTA	STE 240	BURBANK	CA	91505	4559	19	06037	34.15872557	-118.3283863	Los Angeles County
50976	Fee-for-Service	1003358599	1003358599	1	1	OTT, CAITLIN	12/19/2018	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
51008	Fee-for-Service	1245473511	1245473511	1	1	ONEILL, BRENT R MD	7/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
51073	Fee-for-Service	1497702575	1497702575	1	7	ORANGE COAST MEMORIAL	11/9/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	IMAGING SERVICES	18111 BROOKHURST	STE 1400	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
51178	Fee-for-Service	1962773325	1962773325	1	1	OWEN, ANNE L S NP	12/21/2018	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
51240	Fee-for-Service	1225265325	1225265325	1	1	OBRADOVIC, PETRA M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	106488	66	Emergency Medicine (Urgent Care)	0	In state provider	None	191 S BUENA VISTA	STE 240	BURBANK	CA	91505	4559	19	06037	34.15872557	-118.3283863	Los Angeles County
51262	Fee-for-Service	1548331002	1548331002	1	1	ONG, WEN LMFT	5/19/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	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
51296	Fee-for-Service	1215548292	1215548292	1	1	OASIS HOSPICE CARE INC	12/20/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	3806 W MAGNOLIA BLVD	SUITE C	BURBANK	CA	91505	2819	19	06037	34.16738744	-118.3483752	Los Angeles County
51334	Fee-for-Service	1891051215	1891051215	1	1	OCHOA ARENAS, CRISTHIAAN D M	12/10/2024	207RC0200X	NA	Other	026	PHYSICIANS	180882	29	Pulmonary Diseases (M.D. only)	0	In state provider	D	2825 J ST	None	SACRAMENTO	CA	95816	4300	34	06067	38.573757	-121.468248	Sacramento County
51479	Fee-for-Service	1326255852	1326255852	1	1	OLAYA, JOFFRE E MD	6/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	104640	14	Neurological Surgery	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
51501	Fee-for-Service	1932178423	1932178423	1	1	OLGA KALINKIN MD	2/2/2017	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	3742	00	None	33.480864	-112.0795155	Maricopa County
51559	Fee-for-Service	1518905843	1518905843	1	1	OROZCO, ABRAHAM MD	7/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	77844	08	Family Practice	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
51584	Fee-for-Service	1215548292	1215548292	1	1	OASIS HOSPICE CARE INC	12/20/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	3806 W MAGNOLIA BLVD	SUITE C	BURBANK	CA	91505	2819	19	06037	34.16738744	-118.3483752	Los Angeles County
51596	Fee-for-Service	1811986862	1811986862	1	1	OKAFOR, ANTHONY	9/20/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	TONOMA MEDICAL SUPPLIES	8611 CRENSHAW BLVD	STE 100	INGLEWOOD	CA	90305	3309	19	06037	33.959376	-118.326517	Los Angeles County
51694	Fee-for-Service	1497982276	1497982276	1	1	OWEN, GARRETT T MD	7/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128650	05	Anesthesiology	0	In state provider	None	616 E CHAPEL STREET	None	SANTA MARIA	CA	93456	6406	42	06083	34.95426953	-120.427596	Santa Barbara County
51736	Fee-for-Service	1699356550	1699356550	1	1	ORTIZ, BRITTANY L	12/20/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	35325 DATE PALM DR	STE 151C	CATHEDRAL CITY	CA	92234	7002	33	06065	33.79144444	-116.4581341	Riverside County
51785	Fee-for-Service	1437559606	1437559606	1	1	ONTARIO GROVE HEALTHCARE	10/11/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	& WELLNESS CENTRE LP	933 E DEODAR ST	None	ONTARIO	CA	91764	1309	36	06071	34.086456	-117.635175	San Bernardino County
51871	Fee-for-Service	1396726493	1396726493	1	1	OPTIMAL HOSPICE INC	11/12/1998	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4900 CALIFORNIA AVE	STE 110A	BAKERSFIELD	CA	93309	7024	15	06029	35.36440586	-119.0562732	Kern County
51957	Fee-for-Service	1417277393	1417277393	1	1	OZIMEK, JOHN A MD	9/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	13219	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
51996	Fee-for-Service	1437555836	1437555836	1	1	OMID JAVADI PC	1/30/2019	208G00000X	NA	General Surgery	026	PHYSICIANS	None	33	Thoracic Surgery	0	In state provider	None	2505 SAMARITAN DR	STE 503	SAN JOSE	CA	95124	4006	43	06085	37.25111447	-121.9483395	Santa Clara County
52051	Fee-for-Service	1609946656	1609946656	1	1	OSIFO, OSAHON MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	76458	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
52114	Fee-for-Service	1588661367	1588661367	1	1	OLSON, ROBERT C MD	6/3/2011	207R00000X	NA	Other	026	PHYSICIANS	30839	01	General Practice	0	In state provider	None	720 E ROMIE LANE	None	SALINAS	CA	93901	4208	27	06053	36.65902767	-121.6422856	Monterey County
52156	Fee-for-Service	1639836919	1639836919	1	1	O.I.R HEARING AID CENTER	6/8/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	388 E YOSEMITE AVE STE 2	None	MERCED	CA	95340	8219	24	06047	37.33211447	-120.4641765	Merced County
52160	Fee-for-Service	1396726493	1396726493	1	1	OPTIMAL HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	4900 CALIFORNIA AVE	STE 110A	BAKERSFIELD	CA	93309	7024	15	06029	35.36440586	-119.0562732	Kern County
52209	Fee-for-Service	1891160446	1891160446	1	1	OSTRANDER, AMY B NP	6/19/2017	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
52269	Fee-for-Service	1497825913	1497825913	1	1	ONODA, LAWRENCE PHD	5/22/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	15545 DEVONSHIRE ST	SUITE 111	MISSION HILLS	CA	91345	0000	19	06037	34.25734153	-118.4710734	Los Angeles County
52291	Fee-for-Service	1336901230	1336901230	1	1	OWENS, JULIA	4/21/2024	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	12	06023	0	0	None
52310	Fee-for-Service	1154647014	1154647014	1	1	OLIVO, RICARDO L MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120888	13	Neurology (M.D. only)	0	In state provider	None	11370 ANDERSON STREET	STE B100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
52403	Fee-for-Service	1588661367	1588661367	1	1	OLSON, ROBERT C MD	6/3/2011	207R00000X	NA	Other	026	PHYSICIANS	30839	41	Internal Medicine	0	In state provider	None	720 E ROMIE LANE	None	SALINAS	CA	93901	4208	27	06053	36.65902767	-121.6422856	Monterey County
52461	Fee-for-Service	1871912451	1871912451	1	1	OMINO, RONALD H MD	8/21/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	166989	41	Internal Medicine	0	In state provider	None	2655 1ST STREET	360, 380	SIMI VALLEY	CA	93065	1581	56	06111	34.28400453	-118.778978	Ventura County
52466	Fee-for-Service	1285835835	1285835835	1	1	OROZCO-BARAJAS, JESSICA A LM	10/28/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FT	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
52489	Fee-for-Service	1265813653	1265813653	1	1	OROZCO-CASTRO, PABLO LCSW	4/25/2023	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1212 SOUTH OGDEN DRIVE	6	LOS ANGELES	CA	90019	0000	19	06037	34.05428876	-118.3631667	Los Angeles County
52577	Fee-for-Service	1477149243	1477149243	1	1	OJO, TEMITAYO O NP	1/14/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	40171 PASADENA DR	None	TEMECULA	CA	92591	7501	33	06065	33.53791438	-117.1594092	Riverside County
52701	Fee-for-Service	1275508525	1275508525	1	1	OH, MICHAEL MD	9/27/2019	207T00000X	NA	General Surgery	026	PHYSICIANS	156484	14	Neurological Surgery	0	In state provider	None	101 CITY DR S	STE 313	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
52753	Fee-for-Service	1871912451	1871912451	1	1	OMINO, RONALD H MD	8/21/2020	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	166989	10	Gastroenterology (M.D. only)	0	In state provider	None	2655 1ST STREET	360, 380	SIMI VALLEY	CA	93065	1581	56	06111	34.28400453	-118.778978	Ventura County
52772	Fee-for-Service	1467819078	1467819078	1	1	ORTIZ, JOVELYN M LMFT	3/15/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
52855	Fee-for-Service	1023282142	1023282142	1	1	OYOLA TORRES, EDUARDO MD	8/7/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	182634	None	None	0	In state provider	None	465 N ROXBURY DR	STE 101&715	BEVERLY HILLS	CA	90210	4206	19	06037	34.06832918	-118.4072114	Los Angeles County
52866	Fee-for-Service	1477149243	1477149243	1	1	OJO, TEMITAYO O NP	1/14/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	40171 PASADENA DR	None	TEMECULA	CA	92591	7501	33	06065	33.53791438	-117.1594092	Riverside County
52889	Fee-for-Service	1174983860	1174983860	1	1	OLAJIDE, WINIFRED	2/22/2016	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	6473 HARROW ST	None	MIRA LOMA	CA	91752	4349	33	06065	33.970329	-117.5499675	Riverside County
52896	Fee-for-Service	1093847980	1093847980	1	1	ORANGE COUNTY CCS	1/2/2007	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	ANAHEIM MTU	600 W LA PALMA AVE	None	ANAHEIM	CA	92801	2361	30	06059	33.8471617	-117.9259968	Orange County
52926	Fee-for-Service	1225206881	1225206881	1	1	OH, HAERYONG MD	10/24/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100397	13	Neurology (M.D. only)	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
52941	Fee-for-Service	1225523087	1225523087	1	1	OFODIRE, CHISOM MD	12/16/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173586	None	None	0	In state provider	None	3000 Q STREET	2ND FLOOR	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
53015	Fee-for-Service	1063495778	1063495778	1	1	O'CONNOR, NEAL 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	3033 S PARKER RD	STE 800	AURORA	CO	80014	2938	00	None	39.6612	-104.8603095	Arapahoe County
53025	Fee-for-Service	1710440409	1710440409	1	1	O'NEAL, BRITTNEY CPO	11/21/2024	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	10481 GRANT LINE RD	SUITE 175	ELK GROVE	CA	95624	9702	34	06067	38.376495	-121.358943	Sacramento County
53113	Fee-for-Service	1912104720	1912104720	1	1	O'HEARN, THOMAS M MD	1/14/2009	207W00000X	NA	Ophthalmology	026	PHYSICIANS	89716	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
53115	Fee-for-Service	1427169762	1427169762	1	1	OKABAYASHI-WILLIAMS, SARA F	8/24/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	NP	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
53181	Fee-for-Service	1174983860	1174983860	1	1	OLAJIDE, WINIFRED	2/22/2016	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	6473 HARROW ST	None	MIRA LOMA	CA	91752	4349	33	06065	33.970329	-117.5499675	Riverside County
53186	Fee-for-Service	1235698713	1235698713	1	1	ORR, LYNNE E NP	2/27/2024	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
53201	Fee-for-Service	1699751644	1699751644	2	1	OAKLAND PHARMACY INC	6/5/1990	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5220 CLAREMONT AVE	None	OAKLAND	CA	94618	1033	01	06001	37.83868281	-122.2612035	Alameda County
53303	Fee-for-Service	1013933167	1013933167	1	2	OROHEALTH CORPORATION	3/16/2021	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	GROUP	2809 OLIVE HWY	STE 220	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
53326	Fee-for-Service	1235401530	1235401530	1	1	ONLYSERVE INC	10/22/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3423 INVESTMENT BLVD	STE 1	HAYWARD	CA	94545	3821	01	06001	37.62589372	-122.118481	Alameda County
53329	Fee-for-Service	1932270964	1932270964	1	1	ONYEAGOCHA, ADA C MD	11/30/1995	207R00000X	NA	Other	026	PHYSICIANS	56028	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
53361	Fee-for-Service	1740362631	1740362631	1	1	ORANGE COUNTY OPHTHALMOL	11/6/1980	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP INC	12665 GARDEN GROVE BLVD	STE 401	GARDEN GROVE	CA	92843	1918	30	06059	33.77450141	-117.9123364	Orange County
53375	Fee-for-Service	1790970416	1790970416	2	1	OBSTETRIX MEDICAL GROUP OF T	3/8/2020	193400000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	HE CENTRAL COAST, PROFES	35 CASA ST	STE 270	SAN LUIS OBISPO	CA	93405	1899	40	06079	35.29359615	-120.6654304	San Luis Obispo County
53389	Fee-for-Service	1780861500	1780861500	1	1	OASIS BEHAVIORAL HEALTH INC	11/14/2016	251S00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	81-557 DR CARREON BLVD	SUITE C-9	INDIO	CA	92201	5517	33	06065	33.70743317	-116.2302643	Riverside County
53407	Fee-for-Service	1184967838	1184967838	1	1	OKAFOR, KENOSA K MD	8/11/2023	207R00000X	NA	Other	026	PHYSICIANS	184811	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
53595	Fee-for-Service	1013933167	1013933167	1	2	OROHEALTH CORPORATION	2/12/2019	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	GROUP	2809 OLIVE HWY	STE 220	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
53797	Fee-for-Service	1467726638	1467726638	1	1	OSO HOME CARE INC	4/5/2012	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2811 N LIMA ST	None	BURBANK	CA	91504	2511	19	06037	34.199829	-118.3466765	Los Angeles County
53881	Fee-for-Service	1013933167	1013933167	1	2	OROHEALTH CORPORATION	3/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	GROUP	2809 OLIVE HWY	STE 220	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
53945	Fee-for-Service	1427390855	1427390855	1	1	ODHAV, ASHIKA MD	8/6/2018	207K00000X	NA	Other	026	PHYSICIANS	155302	03	Allergy	0	In state provider	None	10670 WEXFORD ST	None	SAN DIEGO	CA	92131	3940	37	06073	32.93893186	-117.0982186	San Diego County
54007	Fee-for-Service	1306072640	1306072640	1	1	ODABAEI, GOLAUN MD	1/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116440	None	None	0	In state provider	None	2905 TELEGRAPH AVENUE	None	BERKELEY	CA	94705	2017	01	06001	37.85736641	-122.2594952	Alameda County
54025	Fee-for-Service	1013050541	1013050541	1	1	OLONAN, CHRISTOPHER D MD	8/26/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	88005	41	Internal Medicine	0	In state provider	None	1415 ROSS AVE	None	EL CENTRO	CA	92243	4306	13	06025	32.78144947	-115.568541	Imperial County
54103	Fee-for-Service	1972565471	1972565471	1	1	OWENS, LANCE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2055 N MAIN ST	None	TOOELE	UT	84074	9819	00	None	40.56668579	-112.2959013	Tooele County
54105	Fee-for-Service	1497702575	1497702575	1	10	ORANGE COAST MEMORIAL	4/22/2020	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	MEDICAL CENTER	2001 WESTCLIFF DRIVE	STE 103	NEWPORT BEACH	CA	92660	5552	30	06059	33.62741724	-117.9073738	Orange County
54166	Fee-for-Service	1013933167	1013933167	1	2	OROHEALTH CORPORATION	2/11/2019	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	GROUP	2809 OLIVE HWY	STE 220	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
54245	Fee-for-Service	1700865813	1700865813	1	1	O'NEILL, NICOLLE A CRNA	4/5/2012	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	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
54364	Fee-for-Service	1679875926	1679875926	1	1	ODOCHA, OKAY HAROLD MD PC	3/11/2018	261QM2500X	NA	Other	026	PHYSICIANS	-	02	General Surgery	2	Out of state provider	None	1302 E 32ND ST	STE A	SILVER CITY	NM	88061	7215	00	None	32.79555648	-108.2615085	Grant County
54368	Fee-for-Service	1821479023	1821479023	1	1	OZAKI, BRENT C MD	10/22/2018	207R00000X	NA	Other	026	PHYSICIANS	155448	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
54453	Fee-for-Service	1013933167	1013933167	1	2	OROHEALTH CORPORATION	1/30/2019	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	GROUP	2809 OLIVE HWY	STE 220	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
54544	Fee-for-Service	1366402943	1366402943	1	1	OFFHAUS, KEVIN J LCSW	11/17/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
54549	Fee-for-Service	1992940969	1992940969	1	1	ORR, JEREMY E MD	4/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111366	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
54598	Fee-for-Service	1437328465	1437328465	1	1	ODERMAN, LAETITIA M MD	12/7/2010	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	102824	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1661 A SOQUEL DR	None	SANTA CRUZ	CA	95065	1709	44	06087	36.98895429	-121.9821088	Santa Cruz County
54660	Fee-for-Service	1700883196	1700883196	1	1	OAKBEND MED CTR 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	1705 JACKSON ST	None	RICHMOND	TX	77469	3246	00	None	29.575845	-95.7698685	Fort Bend County
54774	Fee-for-Service	1992180681	1992180681	1	1	OLDHAM, STEPHANIE 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
54836	Fee-for-Service	1831414770	1831414770	2	1	ONI-ORISAN, AKINWUNMI MD	10/1/2021	207T00000X	NA	General Surgery	026	PHYSICIANS	162144	14	Neurological Surgery	0	In state provider	None	1700 N ROSE AVE	STE 470	OXNARD	CA	93030	7659	56	06111	34.21746	-119.155545	Ventura County
54839	Fee-for-Service	1992940969	1992940969	1	1	ORR, JEREMY E MD	4/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111366	29	Pulmonary Diseases (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
54944	Fee-for-Service	1114681509	1114681509	1	1	ONE STOP HOME HEALTH LLC	3/15/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17619 CHATSWORTH ST	UNIT A	GRANADA HILLS	CA	91344	5602	19	06037	34.26489452	-118.5181965	Los Angeles County
55016	Fee-for-Service	1437684248	1437684248	1	1	ONYEAMA, SARA-JANE MD	8/9/2024	2080P0207X	NA	Hematology	026	PHYSICIANS	157126	68	Hematology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
55029	Fee-for-Service	1699156331	1699156331	1	1	OAKRIDGE INN RCFE LLC	2/12/2016	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1281 OAKRIDGE DR.	None	GLENDALE	CA	91205	3412	19	06037	34.13036124	-118.2474575	Los Angeles County
55078	Fee-for-Service	1063858587	1063858587	1	1	OROVILLE EYE ASSOCIATES INC	8/14/2013	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	2809 OLIVE HWY	SUITE 250	OROVILLE	CA	95966	6131	04	06007	39.50386798	-121.5410203	Butte County
55162	Fee-for-Service	1598969636	1598969636	1	1	ORTIZ, ROBERT J OD	9/2/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	732 N BROADWAY	None	ESCONDIDO	CA	92025	1870	37	06073	33.13001532	-117.0851623	San Diego County
55510	Fee-for-Service	1417060245	1417060245	1	1	OXNARD EYE ASSOC MEDICAL	1/4/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	GROUP INC	355 S A ST	STE 102A	OXNARD	CA	93030	5863	56	06111	34.19927631	-119.1786025	Ventura County
55540	Fee-for-Service	1851713929	1851713929	1	1	OMNI FAMILY HEALTH	3/12/2015	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	4131 MING AVE	None	BAKERSFIELD	CA	93309	4994	15	06029	35.33945463	-119.0506798	Kern County
55553	Fee-for-Service	1306053590	1306053590	1	1	OLADOKUN, IRENE I MD	8/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101618	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	SUITE 225	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
55630	Fee-for-Service	1023298049	1023298049	1	1	OCOTILLO PHARMACY	2/22/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	OCOTILLO HOME MEDICAL EQ	1501 B OCOTILLO DR	None	EL CENTRO	CA	92243	4217	13	06025	32.7771555	-115.570368	Imperial County
55645	Fee-for-Service	1912165143	1912165143	1	1	OZAO-CHOY, JUNKO J MD	3/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111749	02	General 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
55648	Fee-for-Service	1467103440	1467103440	1	1	ORFINO, DEBBIE C LMFT	6/15/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
55720	Fee-for-Service	1215072434	1215072434	1	1	OBLON, DAVID J MD	9/1/1999	207RH0003X	NA	Oncology	026	PHYSICIANS	85016	68	Hematology	0	In state provider	None	200 W ARBOR DR	DEPT 8201	SAN DIEGO	CA	92103	8201	37	06073	32.7537975	-117.1658298	San Diego County
55748	Fee-for-Service	1083688402	1083688402	1	1	OREGON ADVANCED IMAGING	3/1/2003	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	1	Border provider	LLC	12 MYRTLE ST	None	MEDFORD	OR	97504	7338	00	None	42.32758391	-122.8630177	Jackson County
55755	Fee-for-Service	1245727684	1245727684	1	1	OLADIPO, SEGUN E MD	11/22/2022	207R00000X	NA	Other	026	PHYSICIANS	181472	None	None	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
55756	Fee-for-Service	1649630351	1649630351	1	1	O'KANE, SARA V 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
55771	Fee-for-Service	1619400678	1619400678	1	1	OBEID, SARA T MD	11/13/2020	390200000X	NA	Other	026	PHYSICIANS	164548	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
55799	Fee-for-Service	1356370423	1356370423	1	1	OPENSHAW, ROBERT A	9/10/2001	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	738 S WATERMAN AVE	STE A4	SAN BERNARDINO	CA	92408	2355	36	06071	34.08696953	-117.2788348	San Bernardino County
55828	Fee-for-Service	1851713929	1851713929	1	1	OMNI FAMILY HEALTH	3/12/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4131 MING AVE	None	BAKERSFIELD	CA	93309	4994	15	06029	35.33945463	-119.0506798	Kern County
55858	Fee-for-Service	1134671118	1134671118	1	1	OCEAN VIEW HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	12362 BEACH BLVD	STE 22	STANTON	CA	90680	3935	30	06059	33.78298855	-117.9927453	Orange County
55970	Fee-for-Service	1932771391	1932771391	1	1	OSAZUWA, NOSAYABA CNP	4/15/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	29610 RANCHO CALIFORNIA	None	TEMECULA	CA	92591	5283	33	06065	33.50455159	-117.1462052	Riverside County
55972	Fee-for-Service	1497199772	1497199772	1	2	OU, JONATHAN D MD INC	8/24/2018	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	5562 PHILADELPHIA ST	STE 311	CHINO	CA	91710	2499	36	06071	34.03370384	-117.6837291	San Bernardino County
56008	Fee-for-Service	1215072434	1215072434	1	1	OBLON, DAVID J MD	9/1/1999	207RH0003X	NA	Oncology	026	PHYSICIANS	85016	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 W ARBOR DR	DEPT 8201	SAN DIEGO	CA	92103	8201	37	06073	32.7537975	-117.1658298	San Diego County
56030	Fee-for-Service	1336330745	1336330745	1	1	OBLATH, ROBERT W MD APC	2/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	39082	01	General Practice	0	In state provider	None	18370 BURBANK BLVD	#607	TARZANA	CA	91356	2833	19	06037	34.17173059	-118.5331881	Los Angeles County
56052	Fee-for-Service	1891085148	1891085148	1	1	OLSON, KRISTOFF A MD	8/31/2018	390200000X	NA	Other	026	PHYSICIANS	124154	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
56117	Fee-for-Service	1851713929	1851713929	1	1	OMNI FAMILY HEALTH	3/12/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4131 MING AVE	None	BAKERSFIELD	CA	93309	4994	15	06029	35.33945463	-119.0506798	Kern County
56146	Fee-for-Service	1134671118	1134671118	1	1	OCEAN VIEW HOSPICE INC	3/2/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	12362 BEACH BLVD	STE 22	STANTON	CA	90680	3935	30	06059	33.78298855	-117.9927453	Orange County
56178	Fee-for-Service	1750564290	1750564290	1	1	OLIVE INTERNATIONAL INC	6/22/2010	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	OLIVE INTERNATIONAL INC	1804 W. OLIVE AVENUE	None	BURBANK	CA	91506	2436	19	06037	34.16633973	-118.3240586	Los Angeles County
56233	Fee-for-Service	1982920831	1982920831	1	1	OKORIE, CAROLINE U A MD	6/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	129777	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
56262	Fee-for-Service	1497199772	1497199772	1	2	OU, JONATHAN D MD INC	8/24/2018	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	5562 PHILADELPHIA ST	STE 311	CHINO	CA	91710	2499	36	06071	34.03370384	-117.6837291	San Bernardino County
56269	Fee-for-Service	1306886916	1306886916	1	1	O'LAUGHLIN, THOMAS J MD	12/30/2005	2081P2900X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	71958	None	None	0	In state provider	None	1187 E HERNDON AVE	STE 101	FRESNO	CA	93720	3166	10	06019	36.83640179	-119.7674647	Fresno County
56302	Fee-for-Service	1346252525	1346252525	1	1	OLSON, DAVID A MD	8/31/1993	207R00000X	NA	Other	026	PHYSICIANS	40340	41	Internal Medicine	0	In state provider	None	232 W F ST	None	OAKDALE	CA	95361	3844	50	06099	37.76493274	-120.8512261	Stanislaus County
56314	Fee-for-Service	1851787550	1851787550	1	1	OJAI HEALTHIDENCE OPCO, LLC	10/19/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	NURSING FACILITY LLC	601 N MONTGOMERY ST	None	OJAI	CA	93023	2751	56	06111	34.45294349	-119.2429385	Ventura County
56320	Fee-for-Service	1336330745	1336330745	1	1	OBLATH, ROBERT W MD APC	2/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	39082	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	18370 BURBANK BLVD	#607	TARZANA	CA	91356	2833	19	06037	34.17173059	-118.5331881	Los Angeles County
56326	Fee-for-Service	1477896074	1477896074	1	1	OBERFOELL, STEPHANIE H MD	9/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149036	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	3956	01	06001	37.85646136	-122.2573894	Alameda County
56403	Fee-for-Service	1851713929	1851713929	1	1	OMNI FAMILY HEALTH	12/14/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	4131 MING AVE	None	BAKERSFIELD	CA	93309	4994	15	06029	35.33945463	-119.0506798	Kern County
56517	Fee-for-Service	1083633796	1083633796	1	1	OPPENHEIMER,RANDY W MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	MARICOPA MEDICAL CTR	2601 E ROOSEVELT ST	None	PHOENIX	AZ	85008	0000	00	None	33.457203	-112.0262625	Maricopa County
56522	Fee-for-Service	1982920831	1982920831	1	1	OKORIE, CAROLINE U A MD	6/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	129777	01	General Practice	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
56530	Fee-for-Service	1932469954	1932469954	1	1	OURIAN, ARIEL MD	7/8/2020	208600000X	NA	General Surgery	026	PHYSICIANS	152731	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
56536	Fee-for-Service	1043626807	1043626807	1	1	ONE ACCESS MEDICAL TRANSPORT	7/22/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	7887 ENTERPRISE DR	UNIT A	NEWARK	CA	94560	3890	01	06001	37.52282185	-122.0415765	Alameda County
56584	Fee-for-Service	1609335975	1609335975	1	1	ONWUZURIKE, JAMES O MD	9/6/2022	207R00000X	NA	Other	026	PHYSICIANS	177473	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
56590	Fee-for-Service	1346252525	1346252525	1	1	OLSON, DAVID A MD	8/31/1993	207R00000X	NA	Other	026	PHYSICIANS	40340	77	Infectious Disease	0	In state provider	None	232 W F ST	None	OAKDALE	CA	95361	3844	50	06099	37.76493274	-120.8512261	Stanislaus County
56743	Fee-for-Service	1336244813	1336244813	1	1	OZAWA, CAROL L MD	9/30/1989	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	67413	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
56800	Fee-for-Service	1639127632	1639127632	1	1	OCONNOR, WILLIAM T JR MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	48496	08	Family Practice	0	In state provider	None	300 MASON ST	None	VACAVILLE	CA	95688	4506	48	06095	38.35488154	-121.9895685	Solano County
56890	Fee-for-Service	1770837825	1770837825	2	1	OLIANSKY, INGRID R LMFT	12/19/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14724 VENTURA BOULEVARD	SUITE 1100	SHERMAN OAKS	CA	91403	3511	19	06037	34.15179235	-118.4541787	Los Angeles County
57019	Fee-for-Service	1356334098	1356334098	1	1	OAKES, KENNETH J CRNA	7/26/2021	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
57097	Fee-for-Service	1225003072	1225003072	1	1	OLIVEVIEW MRI MEDICAL	4/30/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	14445 OLIVE VIEW DR	None	SYLMAR	CA	91342	1437	19	06037	34.32450186	-118.4456317	Los Angeles County
57221	Fee-for-Service	1871664771	1871664771	1	1	OWEN, STEPHEN T MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	66718	46	Hand Surgery	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
57252	Fee-for-Service	1710085162	1710085162	1	1	OTUZBIRYAN, GRANT M	11/18/1998	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SUNLAND MEDICAL SUPPLY	8530 FOOTHILL BLVD	STE E	SUNLAND	CA	91040	1900	19	06037	34.25967649	-118.318923	Los Angeles County
57313	Fee-for-Service	1316540594	1316540594	1	1	OCHOA, NATALY	1/4/2021	2251N0400X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	957 FAULKNERROAD	105	SANTA PAULA	CA	93060	9129	56	06111	34.33481551	-119.0867489	Ventura County
57378	Fee-for-Service	1669058558	1669058558	1	1	OMATOCHI CORP	8/2/2023	No Taxonomy Provided	NA	None	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	6500 DUBLIN BLVD	SUITE 200G	DUBLIN	CA	94568	3152	01	06001	37.70310591	-121.9100702	Alameda County
57381	Fee-for-Service	1194367326	1194367326	1	1	OMNI FAMILY HEALTH	9/23/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	912 FREMONT STREET	None	DELANO	CA	93215	2203	15	06029	35.76763031	-119.2498143	Kern County
57477	Fee-for-Service	1407475122	1407475122	1	1	OLVERA, VANESSA D MD	8/10/2023	207R00000X	NA	Other	026	PHYSICIANS	188425	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
57480	Fee-for-Service	1356373310	1356373310	1	1	ONG, SAMUEL MD	4/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	77749	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3700 SOUTH ST	None	LAKEWOOD	CA	90712	1419	19	06037	33.86019848	-118.148166	Los Angeles County
57507	Fee-for-Service	1811923147	1811923147	1	1	OREGON LUNG SPECIALISTS, LLC	1/6/2017	174400000X	NA	Other	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	2	Out of state provider	None	3355 RIVERBEND DR	STE 240	SPRINGFIELD	OR	97477	8800	00	None	44.08239413	-123.0281717	Lane County
57565	Fee-for-Service	1346309937	1346309937	1	1	OH, KYU J MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	85920	02	General 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
57577	Fee-for-Service	1326585431	1326585431	1	1	OMNI FAMILY HEALTH	2/5/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1530 E MANNING AVENUE	None	REEDLEY	CA	93654	2626	10	06019	36.60413846	-119.4316515	Fresno County
57683	Fee-for-Service	1770517286	1770517286	1	1	OWENS, JENNIFER R NP	9/23/2019	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
57688	Fee-for-Service	1497702575	1497702575	1	6	ORANGE COAST MEMORIAL	11/9/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	NUCLEAR MEDICINE	18111 BROOKHURST	STE 2200	FOUNTAIN VALLEY	CA	92708	6728	30	06059	33.70027259	-117.9544055	Orange County
57693	Fee-for-Service	1497702575	1497702575	1	1	ORANGE COAST MEMORIAL	4/22/2010	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	MEDICAL CENTER	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
57866	Fee-for-Service	1326585431	1326585431	1	1	OMNI FAMILY HEALTH	2/5/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1530 E MANNING AVENUE	None	REEDLEY	CA	93654	2626	10	06019	36.60413846	-119.4316515	Fresno County
57927	Fee-for-Service	1104512953	1104512953	1	1	OUMA INC	8/9/2024	207VM0101X	NA	Obstetrics & Gynecology	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	14500 ROSCOE BLVD	FLOOR 4 OFFICE 58	PANORAMA CITY	CA	91402	4194	19	06037	34.2215055	-118.44918	Los Angeles County
58003	Fee-for-Service	1417962457	1417962457	1	1	OMNI FAMILY HEALTH	9/1/1996	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1001 MAIN ST	None	DELANO	CA	93215	1731	15	06029	35.76932624	-119.245737	Kern County
58052	Fee-for-Service	1588081038	1588081038	1	1	ONG, LEE-LING DO	9/24/2018	207RH0002X	NA	Adult Primary Care	026	PHYSICIANS	16397	38	Geriatrics	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
58138	Fee-for-Service	1295813004	1295813004	1	1	O'DELL, KEVIN S	5/4/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	88666	13	Neurology (M.D. only)	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
58153	Fee-for-Service	1326585431	1326585431	1	1	OMNI FAMILY HEALTH	7/16/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1530 E MANNING AVENUE	None	REEDLEY	CA	93654	2626	10	06019	36.60413846	-119.4316515	Fresno County
58216	Fee-for-Service	1104512953	1104512953	1	1	OUMA INC	10/26/2023	207VM0101X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	None	14500 ROSCOE BLVD	FLOOR 4 OFFICE 58	PANORAMA CITY	CA	91402	4194	19	06037	34.2215055	-118.44918	Los Angeles County
58227	Fee-for-Service	1316343304	1316343304	1	1	ORION MEDICAL GROUP INC	12/18/2018	332BC3200X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1330 N BLUE GUM ST	None	ANAHEIM	CA	92806	1766	30	06059	33.85598974	-117.872645	Orange County
58288	Fee-for-Service	1417962457	1417962457	1	1	OMNI FAMILY HEALTH	4/1/1998	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1001 MAIN ST	None	DELANO	CA	93215	1731	15	06029	35.76932624	-119.245737	Kern County
58377	Fee-for-Service	1871606269	1871606269	1	8	OROVILLE HOSPITAL	7/3/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HWY	SUITE 140	OROVILLE	CA	95966	6103	04	06007	39.50386798	-121.5410203	Butte County
58387	Fee-for-Service	1902847841	1902847841	1	1	OWYANG, DOUGLAS H MD	1/30/1997	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	26061	08	Family Practice	0	In state provider	None	1187 E HERNDON AVE	STE 104	FRESNO	CA	93720	3166	10	06019	36.83640179	-119.7674647	Fresno County
58440	Fee-for-Service	1326585431	1326585431	1	1	OMNI FAMILY HEALTH	2/5/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1530 E MANNING AVENUE	None	REEDLEY	CA	93654	2626	10	06019	36.60413846	-119.4316515	Fresno County
58473	Fee-for-Service	1700264116	1700264116	1	1	OGBU-NWOBODO, LUCY T MD	7/18/2023	2084P0800X	NA	Psychiatry	086	MEDICAL DIRECTORS	181859	-	NOT APPLICABLE	0	In state provider	None	1930 MARKET STREET	None	SAN FRANCISCO	CA	94102	6228	38	06075	37.77037155	-122.4255051	San Francisco County
58503	Fee-for-Service	1104512953	1104512953	1	1	OUMA INC	10/26/2023	207VM0101X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	14500 ROSCOE BLVD	FLOOR 4 OFFICE 58	PANORAMA CITY	CA	91402	4194	19	06037	34.2215055	-118.44918	Los Angeles County
58568	Fee-for-Service	1457599235	1457599235	1	1	OGOAJA CORPORATION	10/14/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	6109 S WESTERN AVE	SUITE 104	LOS ANGELES	CA	90047	1458	19	06037	33.984198	-118.3089895	Los Angeles County
58577	Fee-for-Service	1417962457	1417962457	1	1	OMNI FAMILY HEALTH	9/1/1996	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1001 MAIN ST	None	DELANO	CA	93215	1731	15	06029	35.76932624	-119.245737	Kern County
58580	Fee-for-Service	1558366823	1558366823	2	1	OLE HEALTH	10/22/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2051 JOHN JONES ROAD	None	DAVIS	CA	95616	9701	57	06113	38.56371578	-121.7691963	Yolo County
58585	Fee-for-Service	1902984792	1902984792	1	1	OLSON, ROBERT P MD	8/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	65050	05	Anesthesiology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
58671	Fee-for-Service	1700891660	1700891660	1	1	OMNI FAMILY HEALTH	6/28/2000	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	277 E FRONT ST	None	BUTTONWILLOW	CA	93206	9725	15	06029	35.39969257	-119.4650218	Kern County
58743	Fee-for-Service	1669576682	1669576682	1	1	OSTERGARD, DONALD R MD	5/1/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	21175	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	701 E 28TH ST	STE 212	LONG BEACH	CA	90806	2774	19	06037	33.80803441	-118.1847137	Los Angeles County
58788	Fee-for-Service	1285088187	1285088187	1	1	OH, MICHAEL S MD	2/12/2025	208M00000X	NA	Other	026	PHYSICIANS	168522	68	Hematology	0	In state provider	None	2020 SANTA MONICA BLVD	600	SANTA MONICA	CA	90404	2000	19	06037	34.02901811	-118.4795396	Los Angeles County
58792	Fee-for-Service	1750079356	1750079356	1	2	OLALERE, TINUKE NP	12/12/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	95024777	-	NOT APPLICABLE	0	In state provider	None	7225 E SOUTHGATE DR	STE D	SACRAMENTO	CA	95823	2620	34	06067	38.49489	-121.435704	Sacramento County
58871	Fee-for-Service	1558366823	1558366823	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2051 JOHN JONES ROAD	None	DAVIS	CA	95616	9701	57	06113	38.56371578	-121.7691963	Yolo County
58958	Fee-for-Service	1700891660	1700891660	1	1	OMNI FAMILY HEALTH	4/1/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	277 E FRONT ST	None	BUTTONWILLOW	CA	93206	9725	15	06029	35.39969257	-119.4650218	Kern County
59074	Fee-for-Service	1285088187	1285088187	1	1	OH, MICHAEL S MD	2/12/2025	208M00000X	NA	Other	026	PHYSICIANS	168522	41	Internal Medicine	0	In state provider	None	2020 SANTA MONICA BLVD	600	SANTA MONICA	CA	90404	2000	19	06037	34.02901811	-118.4795396	Los Angeles County
59078	Fee-for-Service	1497909931	1497909931	1	1	OBNIAL, GONZALO P MD	9/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112342	02	General Surgery	0	In state provider	None	365 HAWTHORNE AVE	#103	OAKLAND	CA	94609	3115	01	06001	37.82079728	-122.2633226	Alameda County
59079	Fee-for-Service	1598784613	1598784613	1	1	ODETOYINBO, ADEDAPO O MD	7/29/2022	208M00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
59159	Fee-for-Service	1558366823	1558366823	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2051 JOHN JONES ROAD	None	DAVIS	CA	95616	9701	57	06113	38.56371578	-121.7691963	Yolo County
59180	Fee-for-Service	1710660881	1710660881	1	1	ORR, CIARA	9/10/2023	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	36	06071	0	0	None
59198	Fee-for-Service	1467992503	1467992503	1	1	OLIVE BRANCH HOSPICE INC	9/14/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11428 ARTESIA BLVD	SUITE 27	ARTESIA	CA	90701	6630	19	06037	33.87289466	-118.0900458	Los Angeles County
59221	Fee-for-Service	1346392578	1346392578	1	1	OWEN, KYLE P MD	9/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8791	None	None	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
59228	Fee-for-Service	1790171791	1790171791	1	1	OSUJI, PAT NP	5/18/2023	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1060 N. 13TH AVE	None	UPLAND	CA	91786	3402	36	06071	34.10782111	-117.6335087	San Bernardino County
59244	Fee-for-Service	1285313833	1285313833	1	1	OSAKA, RIE PT	2/19/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3551 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.6057383	-122.0834562	Alameda County
59248	Fee-for-Service	1700891660	1700891660	1	1	OMNI FAMILY HEALTH	4/1/1991	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	277 E FRONT ST	None	BUTTONWILLOW	CA	93206	9725	15	06029	35.39969257	-119.4650218	Kern County
59256	Fee-for-Service	1063858793	1063858793	1	1	OLER, PAUL R	4/21/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	174855	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
59327	Fee-for-Service	1790796480	1790796480	1	1	ORTHOPAEDIC SURGERY MED	2/28/1986	193400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	GRP OF VICTOR VALLEY	15990 TUSCOLA RD	None	APPLE VALLEY	CA	92307	2111	36	06071	34.54174747	-117.2693075	San Bernardino County
59354	Fee-for-Service	1386727725	1386727725	1	1	OAKHURST PHYSICAL THERAPY IN	7/11/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	C	39930 SIERRA WAY	SUITE A	OAKHURST	CA	93644	8304	20	06039	37.32917044	-119.6483127	Madera County
59435	Fee-for-Service	1730404864	1730404864	1	1	OREM, CONNIE G MD	4/18/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111129	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
59447	Fee-for-Service	1558366823	1558366823	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2051 JOHN JONES ROAD	None	DAVIS	CA	95616	9701	57	06113	38.56371578	-121.7691963	Yolo County
59455	Fee-for-Service	1699707174	1699707174	1	1	OASIS RADIOLOGY	11/14/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
59481	Fee-for-Service	1245994722	1245994722	1	1	OH, JASPER AU	3/3/2022	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
59486	Fee-for-Service	1467992503	1467992503	1	1	OLIVE BRANCH HOSPICE INC	9/14/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11428 ARTESIA BLVD	SUITE 27	ARTESIA	CA	90701	6630	19	06037	33.87289466	-118.0900458	Los Angeles County
59550	Fee-for-Service	1548309123	1548309123	1	1	OLIVELLA VIVES, ENRIQUE A LM	4/9/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FT	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
59554	Fee-for-Service	1225383763	1225383763	1	1	ORANGE PSYCHIATRIC MEDICAL G	1/14/2016	2084P0800X	NA	Psychiatry	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	GROUP INC	770 MAGNOLIA AVENUE	SUITE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
59596	Fee-for-Service	1629263421	1629263421	1	1	O'BRIEN JR.,CHRISTOPHER P MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116707	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
59609	Fee-for-Service	1417441346	1417441346	1	1	ORI SCHNITZER MD INC A CALIF	10/18/2019	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	None	25	Physical Medicine and Rehabilitation	0	In state provider	ORNIA PROFESSIONAL MEDIC	7901 FROST ST.	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
59841	Fee-for-Service	1225383763	1225383763	1	1	ORANGE PSYCHIATRIC MEDICAL G	9/14/2018	2084P0800X	NA	Psychiatry	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	GROUP INC	770 MAGNOLIA AVENUE	SUITE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
59888	Fee-for-Service	1366482762	1366482762	1	1	OVCHINNIKOV, YURI M CA	6/1/2001	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	CLINIC OF TRAD CHINESE	8205 SANTA MONICA BLVD	STE 12B	WEST HOLLYWOOD	CA	90046	5963	19	06037	34.09078751	-118.3676932	Los Angeles County
59898	Fee-for-Service	1649297573	1649297573	1	1	OYEMADE, OLUSOLA A MD	2/28/1986	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	25950	40	Pediatrics	0	In state provider	FAAP INC	7777 MILLIKEN AVE	STE 360	RANCHO CUCAMONGA	CA	91730	6782	36	06071	34.10843256	-117.5570865	San Bernardino County
59928	Fee-for-Service	1629606553	1629606553	1	1	OKURA, MARCEL MD	12/11/2024	207R00000X	NA	Other	026	PHYSICIANS	184782	41	Internal Medicine	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
59943	Fee-for-Service	1578281861	1578281861	1	1	ORMSBY, KIRSTYN PT	8/24/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1301 E BIDWELL ST	#101	FOLSOM	CA	95630	3452	34	06067	38.66841	-121.151025	Sacramento County
60000	Fee-for-Service	1205340486	1205340486	1	1	ORTIZ, PRISCILLA M CNM	3/26/2018	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
60131	Fee-for-Service	1225383763	1225383763	1	1	ORANGE PSYCHIATRIC MEDICAL G	9/11/2018	2084P0800X	NA	Psychiatry	031	PSYCHOLOGISTS	-	None	None	0	In state provider	GROUP INC	770 MAGNOLIA AVENUE	SUITE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
60138	Fee-for-Service	1154342244	1154342244	1	1	OLSON, RONALD P MD	4/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	150239	01	General Practice	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06269295	-118.2030006	Los Angeles County
60173	Fee-for-Service	1215929310	1215929310	1	1	OCONNELL, ELIZABETH C MD	6/24/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	61259	None	None	0	In state provider	None	1401 AVOCADO AVE	709	NEWPORT BEACH	CA	92660	8714	30	06059	33.61235015	-117.8704573	Orange County
60185	Fee-for-Service	1487219242	1487219242	1	1	OLSON, NICOLE DO	11/30/2022	207R00000X	NA	Other	026	PHYSICIANS	20131	None	None	0	In state provider	None	1221 E SPRUCE AVE	None	FRESNO	CA	93720	3374	10	06019	36.84197867	-119.761714	Fresno County
60203	Fee-for-Service	1194937151	1194937151	1	1	OAKS, CAROLYN H	7/30/2010	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	145 HODENCAMP ROAD	None	THOUSAND OAKS	CA	91360	5810	56	06111	34.1802034	-118.868502	Ventura County
60224	Fee-for-Service	1073291993	1073291993	1	1	OMAR, PUSHTANA	9/4/2024	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
60264	Fee-for-Service	1861881278	1861881278	1	1	OTERO, LISA M LCSW	9/1/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2008 MORSE AVE	None	SACRAMENTO	CA	95825	2135	34	06067	38.601801	-121.391613	Sacramento County
60298	Fee-for-Service	1730665100	1730665100	1	1	O'MEARA, KYLE T MD	2/20/2025	207RP1001X	NA	Pulmonology	026	PHYSICIANS	183961	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
60374	Fee-for-Service	1144238734	1144238734	1	1	OHLFS, BRETT R MD	9/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	54783	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2175 ROSALINE AVENUE	None	REDDING	CA	96001	2509	45	06089	40.57278686	-122.3958519	Shasta County
60419	Fee-for-Service	1225383763	1225383763	1	1	ORANGE PSYCHIATRIC MEDICAL G	1/31/2020	2084P0800X	NA	Psychiatry	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	GROUP INC	770 MAGNOLIA AVENUE	SUITE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
60661	Fee-for-Service	1407413008	1407413008	1	1	OC FOOT AND ANKLE ASSOCIATES	6/16/2019	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	, INC	14642 NEWPORT AVE	450	TUSTIN	CA	92780	6092	30	06059	33.73082212	-117.8293987	Orange County
60707	Fee-for-Service	1225383763	1225383763	1	1	ORANGE PSYCHIATRIC MEDICAL G	5/2/2024	2084P0800X	NA	Psychiatry	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	GROUP INC	770 MAGNOLIA AVENUE	SUITE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
60722	Fee-for-Service	1023363959	1023363959	1	1	OAKLEY UNION ELEMENTARY	7/1/2012	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	SCHOOL DISTRICT	91 MERCEDES LANE	None	OAKLEY	CA	94561	4617	07	06013	37.98171	-121.716316	Contra Costa County
60860	Fee-for-Service	1689943474	1689943474	1	1	OJEDA, ABEL PT	2/16/2021	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1150 MORTON	B	PORTERVILLE	CA	93257	1940	54	06107	36.07332205	-119.0428201	Tulare County
60874	Fee-for-Service	1225383763	1225383763	1	4	ORANGE PSYCHIATRIC MEDICAL G	7/6/2020	101YM0800X	NA	Other	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	ROUP, INC	25114 JEFFERSON AVE	STE A	MURRIETA	CA	92562	1701	33	06065	33.55467323	-117.2033598	Riverside County
60881	Fee-for-Service	1629361688	1629361688	1	1	ONEIL, MICHELLE DO	8/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11683	None	None	0	In state provider	None	400 N PEPPER AVENUE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
60890	Fee-for-Service	1982789947	1982789947	1	2	OBETSANOV, DAISY PSYD	8/27/2024	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
60906	Fee-for-Service	1518220615	1518220615	1	1	OPHC LLC	8/1/2012	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	9166 TUJUNGA CANYON BLVD	None	TUJUNGA	CA	91042	3462	19	06037	34.23591	-118.2704605	Los Angeles County
60924	Fee-for-Service	1114090693	1114090693	1	1	ODEGA, GEOFFERY	12/21/2007	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	JOY MEDICAL SUPPLIES	1905 E 17TH ST.	SUITE 124	SANTA ANA	CA	92705	8696	30	06059	33.76000749	-117.8405775	Orange County
60927	Fee-for-Service	1154365310	1154365310	1	1	OGLEVIE, STEVEN B MD	5/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	43861	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
60980	Fee-for-Service	1326335985	1326335985	1	1	OZER, BYRAM H MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123257	78	Neoplastic Diseases/Oncology	0	In state provider	None	300 MEDICAL PLAZA	SUITE B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
61004	Fee-for-Service	1174760516	1174760516	1	1	OLIVER, KATHLEEN M LCSW	12/14/2010	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	24 CYPRESS GLEN COURT	None	CAYUCOS	CA	93430	1158	40	06079	35.45105877	-120.9011806	San Luis Obispo County
61023	Fee-for-Service	1235186206	1235186206	1	1	OECHSEL, MICHAEL J MD	11/16/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	58898	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
61154	Fee-for-Service	1881135069	1881135069	1	1	ORTEGA, BRANDON A MD	6/24/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	157836	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
61195	Fee-for-Service	1770794331	1770794331	1	1	OSCAR J. BRISENO, JR., MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	307 S 13TH ST	STE 300	MOUNT VERNON	WA	98274	4100	00	None	48.41882422	-122.3252842	Skagit County
61202	Fee-for-Service	1669497723	1669497723	1	1	OLEN, THOMAS DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4005 ORCHARD DR	None	MIDLAND	MI	48670	0001	00	None	43.63513639	-84.25692941	Midland County
61282	Fee-for-Service	1326335985	1326335985	1	1	OZER, BYRAM H MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123257	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA	SUITE B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
61303	Fee-for-Service	1407072192	1407072192	1	1	ORTIZ, ELIZABETH C MD	4/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	95637	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
61332	Fee-for-Service	1154710010	1154710010	1	1	OKWANDU, CHIBUZO IJEOMA J MD	2/24/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	146591	15	Obstetrics (D.O. only)	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
61364	Fee-for-Service	1881929925	1881929925	1	1	OMRAN, HULYA J	11/14/2022	207N00000X	NA	Dermatology	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
61399	Fee-for-Service	1417980939	1417980939	1	1	OTIS, JOHN L MD & STEWART,	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	28506	36	Psychiatry	0	In state provider	MICHELE A MD INC	8950 VILLA LA JOLLA DR	SUITE A215	LA JOLLA	CA	92037	1714	37	06073	32.870934	-117.2338765	San Diego County
61548	Fee-for-Service	1992811640	1992811640	1	1	OSMAN, HASSAN E MD	11/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	6970 W PATRICK LANE	STE 140	LAS VEGAS	NV	89113	0270	00	None	36.07786716	-115.2442656	Clark County
61605	Fee-for-Service	1689036808	1689036808	1	1	ORTIZ, ANABEL MD	3/25/2020	207R00000X	NA	Other	026	PHYSICIANS	151444	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
61674	Fee-for-Service	1184186629	1184186629	1	1	ONEIL ENTERPRISES INC	11/4/2024	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4139 BALL RD	None	CYPRESS	CA	90630	3465	30	06059	33.81766548	-118.060362	Orange County
61678	Fee-for-Service	1861102386	1861102386	1	1	OSBORNE, LESLEY A NP	5/3/2024	363LC0200X	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
61685	Fee-for-Service	1073650727	1073650727	1	1	ORANGE COUNTY CCS	6/14/1994	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	R H DANA MTU	24242 LA CRESTA DR	None	DANA POINT	CA	92629	2561	30	06059	33.46913959	-117.7077218	Orange County
61687	Fee-for-Service	1417980939	1417980939	1	1	OTIS, JOHN L MD & STEWART,	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	28506	66	Emergency Medicine (Urgent Care)	0	In state provider	MICHELE A MD INC	8950 VILLA LA JOLLA DR	SUITE A215	LA JOLLA	CA	92037	1714	37	06073	32.870934	-117.2338765	San Diego County
61702	Fee-for-Service	1528255759	1528255759	1	1	OSTACHER, LAURIE K LCSW	12/23/2021	104100000X	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
61728	Fee-for-Service	1710987631	1710987631	1	1	OSTERKAMP, JOSEPH P MD	11/30/1990	207L00000X	NA	Other	026	PHYSICIANS	65162	05	Anesthesiology	0	In state provider	None	1820 TRIBUTE RD	STE J	SACRAMENTO	CA	95815	4307	34	06067	38.599578	-121.444326	Sacramento County
61802	Fee-for-Service	1043499437	1043499437	1	1	O'SHEA, JEREMY DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2700 NW STEWART PKWY	None	ROSEBURG	OR	97471	1281	00	None	43.2399838	-123.3665048	Douglas County
61823	Fee-for-Service	1528314440	1528314440	1	1	OLMOS, ANDREA V MD	6/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129070	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
61828	Fee-for-Service	1346420783	1346420783	1	2	ORANGE COUNTY VASCULAR ACCES	2/19/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	S CENTER	12827 HARBOR BLVD	SUITE G	GARDEN GROVE	CA	92840	5837	30	06059	33.77737896	-117.9151828	Orange County
61867	Fee-for-Service	1396469003	1396469003	1	1	OROZCO, ELIZABETH NP	6/4/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
61979	Fee-for-Service	1053892414	1053892414	1	1	OKONKWOPOPE, IJEOMA N NP	9/28/2018	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
62056	Fee-for-Service	1093198384	1093198384	1	1	OZDIL, NEVRA MD	12/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	156186	01	General Practice	0	In state provider	None	6368 HOLLYWOOD BLVD	None	LOS ANGELES	CA	90028	6320	19	06037	34.1015865	-118.328976	Los Angeles County
62076	Fee-for-Service	1629060678	1629060678	1	1	OLUTOYE, OLUWATOYIN A MD	8/18/2021	207L00000X	NA	Other	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
62311	Fee-for-Service	1841378619	1841378619	1	1	ORLOFF, SHELDON MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	28214	40	Pediatrics	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
62407	Fee-for-Service	1447268826	1447268826	1	1	OLSON, RANDY V LCSW	9/21/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1910 S COURT ST	None	VISALIA	CA	93277	5426	54	06107	36.313605	-119.2914765	Tulare County
62495	Fee-for-Service	1063591915	1063591915	1	1	OLIVERIO, MICHAEL	8/7/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	45042	None	None	0	In state provider	None	11332 MOUNTAIN VIEW AVE	STE D	LOMA LINDA	CA	92354	3854	36	06071	34.04709935	-117.2436936	San Bernardino County
62606	Fee-for-Service	1730493693	1730493693	1	1	ORNDORFF, JOYCE P MD	10/14/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117836	41	Internal Medicine	0	In state provider	None	220 EAST HACIENDA AVE	None	CAMPBELL	CA	95008	6617	43	06085	37.26914953	-121.9566285	Santa Clara County
62911	Fee-for-Service	1497103105	1497103105	1	1	OKHOVAT, JEAN-PHILLIP	4/6/2022	207R00000X	NA	Other	026	PHYSICIANS	150395	None	None	0	In state provider	None	3400 DOUGLAS BLVD	STE 225	ROSEVILLE	CA	95661	4283	31	06061	38.74390969	-121.2319271	Placer County
62977	Fee-for-Service	1346281946	1346281946	1	1	OLSON, KELLIE M MD	9/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100120	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1805 MEDICAL CENTER DR	None	SAN BERNARDINO	CA	92411	1217	36	06071	34.131303	-117.3225325	San Bernardino County
63047	Fee-for-Service	1447518196	1447518196	1	1	OWYANG, DANIEL R DO	6/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13126	41	Internal Medicine	0	In state provider	None	26520 CACTUS AVENUE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
63259	Fee-for-Service	1841415742	1841415742	2	1	OH, RICHARD J MD	7/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	12605 E 16TH AVE	None	AURORA	CO	80045	2545	00	None	39.742182	-104.8408515	Adams County
63316	Fee-for-Service	1700215316	1700215316	1	1	OPTIMUM CARE PHYSICAL THERAP	4/21/2020	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	17906 PIONEER BLVD	SUITE 101 - 102	ARTESIA	CA	90701	5440	19	06037	33.86826	-118.082154	Los Angeles County
63351	Fee-for-Service	1629024120	1629024120	1	1	OPBROEK, ADAM J MD	2/15/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	102516	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
63371	Fee-for-Service	1184854127	1184854127	1	1	O'CONNELL, SARAH E	1/13/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
63384	Fee-for-Service	1740250851	1740250851	1	1	OSEI-TUTU, ERNEST P MD	7/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	85302	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
63392	Fee-for-Service	1700233376	1700233376	1	1	OMIDVAR, SABA G LMFT	2/27/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
63418	Fee-for-Service	1922834860	1922834860	1	1	ORTIZ, CARLOS	11/26/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	100 N BRAND BLVD	STE 203	GLENDALE	CA	91203	2657	19	06037	34.14652066	-118.2549229	Los Angeles County
63487	Fee-for-Service	1437185196	1437185196	1	1	OISHI, PETER E MD	5/11/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77578	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
63566	Fee-for-Service	1295752244	1295752244	1	1	ORANGE COUNTY NEUROLOGIC	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MEDICAL GROUP INC	1211 W LA PALMA AVE	STE 608	ANAHEIM	CA	92801	2813	30	06059	33.84718298	-117.933758	Orange County
63623	Fee-for-Service	1730494741	1730494741	1	1	O'CONNELL, BRIAN MD	11/29/2023	2086S0127X	NA	General Surgery	026	PHYSICIANS	-	None	None	1	Border provider	None	1707 W CHARLESTON BLVD	SUITE 160	LAS VEGAS	NV	89102	2354	00	None	36.15879353	-115.1643015	Clark County
63632	Fee-for-Service	1851628846	1851628846	1	2	OPTIMA CARE HOME HEALTH	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	4686 ONTARIO MILLS PKWY	SUITE 201	ONTARIO	CA	91764	5104	36	06071	34.068672	-117.549018	San Bernardino County
63668	Fee-for-Service	1841524675	1841524675	1	1	OHIKHUARE, CHRISTINE E MD	10/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	105838	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
63709	Fee-for-Service	1093705915	1093705915	1	1	ONSTOT, DANIELLE R MD	8/7/2009	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	81280	40	Pediatrics	0	In state provider	None	451 W GONZALES RD	STE 260	OXNARD	CA	93036	0729	56	06111	34.21921445	-119.1816945	Ventura County
63724	Fee-for-Service	1578516977	1578516977	1	1	OU, SANDIA J OD	4/3/2007	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1850 S AZUSA AVE	STE 107	HACIENDA HEIGHTS	CA	91745	6827	19	06037	33.98895597	-117.9322797	Los Angeles County
63980	Fee-for-Service	1912581455	1912581455	1	1	OSUA, STACY J MD	10/7/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184543	08	Family Practice	0	In state provider	None	501 J ST	None	SACRAMENTO	CA	95814	2325	34	06067	38.582118	-121.499325	Sacramento County
63995	Fee-for-Service	1871109330	1871109330	1	1	ORELLANA-NOIA, JAZMYNN NP	6/28/2023	363LA2100X	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
64057	Fee-for-Service	1346367893	1346367893	1	1	OCEANLIGHT, BARBARA LPCC	7/30/2020	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	721 COLORADO	None	PALO ALTO	CA	94303	3972	43	06085	37.43340431	-122.1279087	Santa Clara County
64067	Fee-for-Service	1205035029	1205035029	1	1	OSHITA, MASARU H MD	5/7/2008	207P00000X	NA	Other	026	PHYSICIANS	98701	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
64110	Fee-for-Service	1386753317	1386753317	1	1	O'CONNOR, MICHAEL D MD	4/25/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	44653	67	Endocrinology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
64117	Fee-for-Service	1720343734	1720343734	1	2	O'MALLEY, THOMAS F LMFT	1/26/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9171 WILSHIRE BLVD	615	BEVERLY HILLS	CA	90210	5530	19	06037	34.06708753	-118.391751	Los Angeles County
64132	Fee-for-Service	1710418942	1710418942	1	1	OUTHAY, MALENA MD	7/22/2020	207P00000X	NA	Other	026	PHYSICIANS	162504	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
64202	Fee-for-Service	1891018024	1891018024	1	1	OWENS, DEREK L CRNA	11/14/2011	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
64261	Fee-for-Service	1245265792	1245265792	1	1	O'CONNOR, MARY PHD	5/22/1998	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
64316	Fee-for-Service	1043418312	1043418312	1	1	OLVERA, MARGARET LCSW	10/21/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
64390	Fee-for-Service	1568580785	1568580785	1	1	ODELL, YIVETTE L PHD	2/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	711 S NEW HAMPSHIRE AVE	None	LOS ANGELES	CA	90005	1831	19	06037	34.05922074	-118.2929202	Los Angeles County
64392	Fee-for-Service	1346441227	1346441227	1	1	OSTROVSKY, EUGENE MD	12/1/2003	208600000X	NA	General Surgery	026	PHYSICIANS	40988	01	General Practice	0	In state provider	None	7188 W SUNSET BLVD	STE 200	LOS ANGELES	CA	90046	4446	19	06037	34.09795855	-118.346778	Los Angeles County
64416	Fee-for-Service	1710418942	1710418942	1	1	OUTHAY, MALENA MD	7/22/2020	207P00000X	NA	Other	026	PHYSICIANS	162504	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
64642	Fee-for-Service	1356617369	1356617369	1	1	OBI, CHRYSTAL N MD	11/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	127335	30	Radiology	0	In state provider	None	12677 HESPERIA ROAD	SUITE 190	VICTORVILLE	CA	92395	7735	36	06071	34.48148078	-117.2906175	San Bernardino County
64682	Fee-for-Service	1346441227	1346441227	1	1	OSTROVSKY, EUGENE MD	12/1/2003	208600000X	NA	General Surgery	026	PHYSICIANS	40988	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7188 W SUNSET BLVD	STE 200	LOS ANGELES	CA	90046	4446	19	06037	34.09795855	-118.346778	Los Angeles County
64772	Fee-for-Service	1972579910	1972579910	1	1	ONG, DONALD L MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80697	01	General Practice	0	In state provider	None	17190 BERNARDO CENTER DR	None	SAN DIEGO	CA	92128	7030	37	06073	33.02473938	-117.0778645	San Diego County
64856	Fee-for-Service	1376621433	1376621433	1	1	ORTIZ, RAMON M MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	57817	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
64869	Fee-for-Service	1982763561	1982763561	1	1	OKADA, JACQUELINE MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	77135	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
64877	Fee-for-Service	1508333477	1508333477	1	1	ORANGE COUNTY REVIVE SERVICE	5/13/2020	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	24432 MUIRLANDS BLVD	STE 221	LAKE FOREST	CA	92630	3951	30	06059	33.62755212	-117.7028876	Orange County
64922	Fee-for-Service	1437797768	1437797768	1	1	ORELLANA, DAVID L	5/14/2020	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
64946	Fee-for-Service	1588047849	1588047849	1	1	OBSTETRICS & GYNECOLOGY LI F	7/10/2017	174400000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	AN MD INC	15725 POMERADO ROAD	STE 207	POWAY	CA	92064	2059	37	06073	33.00037882	-117.0580735	San Diego County
64948	Fee-for-Service	1417193996	1417193996	1	1	ORTIZ, BLANCA E MD	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	62440	01	General Practice	0	In state provider	None	455 S MAIN STREET	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
64955	Fee-for-Service	1972194132	1972194132	1	1	OSBORNE, BRIANNA LMFT	12/29/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1100 MELODY LN	#113	ROSEVILLE	CA	95678	5167	31	06061	38.72518759	-121.2912717	Placer County
64968	Fee-for-Service	1134265200	1134265200	1	1	OKUMURA, NANCY M	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1635 DIVISADERO STREET	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
64983	Fee-for-Service	1427006485	1427006485	3	1	OROVILLE HOSPITAL	4/29/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1000 EXECUTIVE PKWY	None	OROVILLE	CA	95966	5100	04	06007	39.50635078	-121.5398298	Butte County
65010	Fee-for-Service	1114424983	1114424983	1	1	ODETTE, MICHELLE MD	8/19/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	165075	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
65072	Fee-for-Service	1477294379	1477294379	1	1	OSIBOWALE, OLAYEMI O MD	8/17/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	187630	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
65098	Fee-for-Service	1609137892	1609137892	1	1	OSGOOD, JONATHAN H MD	1/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13032	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
65144	Fee-for-Service	1972868347	1972868347	1	1	OZUZUN, PAUL B MD	4/27/2021	207RN0300X	NA	Nephrology	026	PHYSICIANS	131835	None	None	0	In state provider	None	1501 SUPERIOR AVE	205	NEWPORT BEACH	CA	92663	3640	30	06059	33.62918676	-117.9305675	Orange County
65176	Fee-for-Service	1740708700	1740708700	1	1	ORTEGA, ARLENE H NP	12/19/2018	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
65213	Fee-for-Service	1558559542	1558559542	1	1	OLSON, LISA D MFT	3/30/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	52298	-	NOT APPLICABLE	0	In state provider	None	301 SMITH RANCH ROAD	None	SAN RAFAEL	CA	94903	5551	21	06041	38.02402187	-122.5225841	Marin County
65227	Fee-for-Service	1841659174	1841659174	1	1	OBI, FRANCIS C DO	4/20/2023	207R00000X	NA	Other	026	PHYSICIANS	20617	None	None	0	In state provider	None	1061 E VERNON AVE	#F	LOS ANGELES	CA	90011	3772	19	06037	34.0039535	-118.256877	Los Angeles County
65237	Fee-for-Service	1568101574	1568101574	1	1	ONESTOP AESTHETIC TRAVEL AND	7/5/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	11	Aviation (M.D. only)	0	In state provider	WELLNESS CENTER INC	5924 STONERIDGE DR	STE 110	PLEASANTON	CA	94588	5400	01	06001	37.69132593	-121.8988844	Alameda County
65245	Fee-for-Service	1386064616	1386064616	1	1	OH, IN E NP	10/24/2018	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
65257	Fee-for-Service	1932313442	1932313442	1	1	OLESIJUK, ANDREW MD INC	4/1/1995	207L00000X	NA	Other	026	PHYSICIANS	24593	05	Anesthesiology	0	In state provider	None	12373 LEWIS ST	STE 102	GARDEN GROVE	CA	92840	4676	30	06059	33.78307435	-117.8981519	Orange County
65292	Fee-for-Service	1467898239	1467898239	1	1	OZAKI, YOSHIHIRO DO	5/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14638	40	Pediatrics	0	In state provider	None	1524 MCHENRY AVE	SUITE 570	MODESTO	CA	95350	4574	50	06099	37.666233	-120.993933	Stanislaus County
65297	Fee-for-Service	1043627060	1043627060	1	1	OWENS, INC.	11/23/2015	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1697 SIERRA AVE	None	YUBA CITY	CA	95993	8982	51	06101	39.14042526	-121.6510277	Sutter County
65333	Fee-for-Service	1245526144	1245526144	1	1	OCAMPO, JOSE L MD	10/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	130986	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
65351	Fee-for-Service	1316977846	1316977846	1	1	O HANRAHAN, TIGHE R MD	4/30/1987	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	23997	08	Family Practice	0	In state provider	None	120 LA CASA VIA	STE 106	WALNUT CREEK	CA	94598	3094	07	06013	37.91202407	-122.0419227	Contra Costa County
65540	Fee-for-Service	1225383763	1225383763	1	3	ORANGE PSYCHIATRIC MEDICAL G	12/10/2019	101YM0800X	NA	Other	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	ROUP, INC	31493 RANCHO PUEBLO RD	STE 203	TEMECULA	CA	92592	4833	33	06065	33.47938964	-117.1100864	Riverside County
65578	Fee-for-Service	1699088807	1699088807	1	1	OLAVIDES, MICHAEL	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
65618	Fee-for-Service	1366469058	1366469058	1	1	OAKES, DARYL A MD	8/9/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	92028	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
65658	Fee-for-Service	1336502616	1336502616	1	1	OKWEREKWU, JENNIFER MD	1/10/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	175414	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
65665	Fee-for-Service	1639355472	1639355472	1	2	OH, BRYAN C MD	11/1/2017	207T00000X	NA	General Surgery	026	PHYSICIANS	80845	14	Neurological Surgery	0	In state provider	None	202 W WILLOW AVE	SUITE 107	VISALIA	CA	93291	6238	54	06107	36.328536	-119.293569	Tulare County
65733	Fee-for-Service	1295893303	1295893303	1	1	OBERMEYER, SARAH A	10/1/2007	No Taxonomy Provided	NA	None	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
65805	Fee-for-Service	1497702575	1497702575	1	8	ORANGE COAST MEMORIAL	4/22/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	67-780 E PALM CANYON DR	None	CATHEDRAL CITY	CA	92234	5441	33	06065	33.8013933	-116.5399655	Riverside County
65828	Fee-for-Service	1225383763	1225383763	1	3	ORANGE PSYCHIATRIC MEDICAL G	12/10/2019	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ROUP, INC	31493 RANCHO PUEBLO RD	STE 203	TEMECULA	CA	92592	4833	33	06065	33.47938964	-117.1100864	Riverside County
65867	Fee-for-Service	1952489767	1952489767	1	1	ORDEN, MAGELINE B MD	10/6/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81835	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
65939	Fee-for-Service	1225378789	1225378789	1	1	OSBURN, AUDREY OT	10/21/2021	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1764 MARCO POLO WAY	None	BURLINGAME	CA	94010	4503	41	06081	37.59103278	-122.3859664	San Mateo County
66002	Fee-for-Service	1831275353	1831275353	1	1	OU-YANG, KAREN MD	12/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	52848	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
66016	Fee-for-Service	1063892396	1063892396	1	1	OTOGENETICS CORPORATION	7/9/2020	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	4553 WINTERS CHAPEL RD	STE 100	ATLANTA	GA	30360	2703	00	None	33.9279336	-84.2673609	DeKalb County
66157	Fee-for-Service	1194340638	1194340638	1	1	OTIUM HOSPICE CARE INC	4/11/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4312 WOODMAN AVE	SUITE 207	SHERMAN OAKS	CA	91423	5546	19	06037	34.148637	-118.4312035	Los Angeles County
66357	Fee-for-Service	1497980775	1497980775	1	1	ORTIZ, MARIA E PHD	7/25/2019	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	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
66446	Fee-for-Service	1194340638	1194340638	1	1	OTIUM HOSPICE CARE INC	4/11/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	4312 WOODMAN AVE	SUITE 207	SHERMAN OAKS	CA	91423	5546	19	06037	34.148637	-118.4312035	Los Angeles County
66461	Fee-for-Service	1659332781	1659332781	1	1	OLANDA, JAMES G CRNA	5/25/2020	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
66560	Fee-for-Service	1700972973	1700972973	1	1	OSUALA, FRIDY U. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	400 BURDICK EXPY E	None	MINOT	ND	58701	4768	00	None	48.23257948	-101.286117	Ward County
66634	Fee-for-Service	1699795476	1699795476	1	1	OSEA, EDGARDO A MD	6/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	44654	41	Internal Medicine	0	In state provider	None	1310 SEPULVEDA BLVD	None	HARBOR CITY	CA	90710	1156	19	06037	33.81318058	-118.2986904	Los Angeles County
66643	Fee-for-Service	1982789947	1982789947	1	1	OBETSANOV, DAISY PSYD	5/15/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	505 S PACIFIC AVE	203 AND 204	SAN PEDRO	CA	90731	2656	19	06037	33.739479	-118.2879355	Los Angeles County
66685	Fee-for-Service	1447459185	1447459185	1	1	O'MALLEY, ANNA K MD	7/21/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	100464	08	Family Practice	0	In state provider	None	350 PARNASSUS AVE	None	SAN FRANCISCO	CA	94117	3608	38	06075	37.76403932	-122.4561371	San Francisco County
66761	Fee-for-Service	1932594082	1932594082	1	1	OZAKI, MASAYO MD	11/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	2865 DAGGETT AVE	None	KLAMATH FALLS	OR	97601	1106	00	None	42.25240042	-121.7859055	Klamath County
66883	Fee-for-Service	1760849285	1760849285	1	2	O'SHEA, SHANNON LMFT	7/20/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	RV	208 PROVIDENCE MINE RD.	SUITE 122E	NEVADA CITY	CA	95959	2955	29	06057	39.25021269	-121.0300958	Nevada County
66922	Fee-for-Service	1699795476	1699795476	1	1	OSEA, EDGARDO A MD	6/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	44654	02	General Surgery	0	In state provider	None	1310 SEPULVEDA BLVD	None	HARBOR CITY	CA	90710	1156	19	06037	33.81318058	-118.2986904	Los Angeles County
66984	Fee-for-Service	1952346801	1952346801	1	1	OH, YONG Y	2/27/2003	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	YOUNG PROSTHETICS & ORTH	516 S BEACH BLVD	None	ANAHEIM	CA	92804	1811	30	06059	33.825051	-117.9932205	Orange County
67038	Fee-for-Service	1003916321	1003916321	1	1	OHOLLERAN, MICHAEL S MD	8/1/1982	208600000X	NA	General Surgery	026	PHYSICIANS	39488	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1303 SAN CARLOS AVE	None	SAN CARLOS	CA	94070	2317	41	06081	37.50572931	-122.2621879	San Mateo County
67192	Fee-for-Service	1053966531	1053966531	1	1	ORTEGA COMPEAN, JUAN N LCSW	10/12/2023	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
67200	Fee-for-Service	1396545729	1396545729	1	1	ORNELAZ, ANGELINA A	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	44	06087	0	0	None
67205	Fee-for-Service	1588899389	1588899389	1	1	OROPEZA, MELINDA R	5/29/2009	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	11105 KNOTT AVE	STE B	CYPRESS	CA	90630	5137	30	06059	33.80083909	-118.0111199	Orange County
67326	Fee-for-Service	1265925200	1265925200	1	1	OHN, KHIN M MD	8/31/2023	207R00000X	NA	Other	026	PHYSICIANS	173613	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
67373	Fee-for-Service	1821235623	1821235623	1	1	OSTERMANN, PHILIP MD	4/20/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107004	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
67514	Fee-for-Service	1508813874	1508813874	1	1	O'DONNELL, RICHARD J MD	9/30/1995	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	83264	20	Orthopedic Surgery	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
67528	Fee-for-Service	1871685172	1871685172	1	2	OSTROVSKY, TAMARA LAC	7/31/2018	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	2211 POST STREET	STE 204	SAN FRANCISCO	CA	94115	3467	38	06075	37.78446663	-122.4382772	San Francisco County
67575	Fee-for-Service	1497737480	1497737480	1	1	ORLANDO, CARLO A MD	6/18/1998	207XS0114X	NA	Orthopedic Surgery	026	PHYSICIANS	69944	08	Family Practice	0	In state provider	None	1505 WILSON TER	STE 300	GLENDALE	CA	91206	4073	19	06037	34.14960934	-118.2313491	Los Angeles County
67606	Fee-for-Service	1255856159	1255856159	1	1	OVERTON, LISA A LMFT	8/26/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	155 HOSPITALITY LN	245	SAN BERNARDINO	CA	92408	3305	36	06071	34.06580948	-117.2856915	San Bernardino County
67636	Fee-for-Service	1902006588	1902006588	1	1	OH, KAREN E DO	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	5905	41	Internal Medicine	0	In state provider	None	2382 CRENSHAW BLVD	STE 5	TORRANCE	CA	90501	3333	19	06037	33.82267285	-118.3284556	Los Angeles County
67660	Fee-for-Service	1518028240	1518028240	1	1	O'DONNELL, WILLIAM CRNA	3/18/2005	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
67670	Fee-for-Service	1255082673	1255082673	1	1	OWEN, KELLY NP	5/20/2022	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4500 BROCKTON AVE	SUITE 316	RIVERSIDE	CA	92501	4090	33	06065	33.97785263	-117.3836152	Riverside County
67681	Fee-for-Service	1053078253	1053078253	1	1	OFODILE, OKECHUKWU NP	1/6/2025	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
67683	Fee-for-Service	1689017246	1689017246	1	1	ORNEKIAN, VAHRAM MD	2/21/2024	208G00000X	NA	General Surgery	026	PHYSICIANS	169106	None	None	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
67691	Fee-for-Service	1902302318	1902302318	1	1	ONG, CHARLTON D MD	7/25/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	165489	None	None	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
68036	Fee-for-Service	1710988647	1710988647	1	1	OTTO, RONALD J MD	1/1/1995	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	51511	None	None	0	In state provider	None	6941 BROCKTON AVE	None	RIVERSIDE	CA	92506	3803	33	06065	33.947748	-117.3967785	Riverside County
68084	Fee-for-Service	1396740213	1396740213	1	1	OLIVER, LINDA A	2/8/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	OLIVER AUDIOLOGY & HEAR	3636 4TH AVE	STE 220	SAN DIEGO	CA	92103	4237	37	06073	32.74395987	-117.1616056	San Diego County
68266	Fee-for-Service	1992047138	1992047138	1	1	ORIJA, ADEBISI M NP	8/26/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
68448	Fee-for-Service	1346325859	1346325859	1	1	OURMAZDI, BEHZAD MD INC	11/24/2009	204D00000X	NA	Other	026	PHYSICIANS	68976	13	Neurology (M.D. only)	0	In state provider	None	4000 CALLE TECATE	STE 112	CAMARILLO	CA	93012	5284	56	06111	34.22147843	-119.0178246	Ventura County
68461	Fee-for-Service	1801804398	1801804398	1	1	OMNI FAMILY HEALTH	2/25/1999	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	320 JAMES ST	None	SHAFTER	CA	93263	2033	15	06029	35.50330762	-119.2772354	Kern County
68520	Fee-for-Service	1154340248	1154340248	1	1	OSHITA, TAKASHI MD	5/31/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	45328	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4060 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2526	19	06037	34.02390148	-118.184319	Los Angeles County
68613	Fee-for-Service	1285976787	1285976787	1	1	OUTREACH CARE MEDICAL GROUP,	5/7/2021	207QG0300X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	5520 SANTA MONICA	110	LOS ANGELES	CA	90038	4089	19	06037	34.09074149	-118.310229	Los Angeles County
68634	Fee-for-Service	1952924599	1952924599	1	1	ORACLE IMAGING INC.	2/7/2023	261QR0200X	NA	Mammography/MRI Provider	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	6941 BROCKTON AVE	None	RIVERSIDE	CA	92506	3803	33	06065	33.947748	-117.3967785	Riverside County
68712	Fee-for-Service	1285160903	1285160903	1	1	OGATA, MICHAEL MD	8/14/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	157356	None	None	0	In state provider	None	14860 ROSCOE BLVD	#200	PANORAMA CITY	CA	91402	4683	19	06037	34.2214515	-118.4573205	Los Angeles County
68718	Fee-for-Service	1518972215	1518972215	2	1	ONEILL, BRIAN F DPM	12/27/1983	193400000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	POMONA VALLEY PODIATRY	1900 ROYALTY DR	SUITE 230	POMONA	CA	91767	3039	19	06037	34.07754346	-117.7463466	Los Angeles County
68750	Fee-for-Service	1801804398	1801804398	1	1	OMNI FAMILY HEALTH	2/25/1999	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	320 JAMES ST	None	SHAFTER	CA	93263	2033	15	06029	35.50330762	-119.2772354	Kern County
68751	Fee-for-Service	1285758664	1285758664	1	1	ORDONEZ, GLENDA E LMFT	7/23/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	39159 PASEO PADRE PKWY	STE 121	FREMONT	CA	94538	1600	01	06001	37.5531875	-121.9805141	Alameda County
68809	Fee-for-Service	1154340248	1154340248	1	1	OSHITA, TAKASHI MD	5/31/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	45328	08	Family Practice	0	In state provider	None	4060 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2526	19	06037	34.02390148	-118.184319	Los Angeles County
68814	Fee-for-Service	1861592982	1861592982	2	1	OLAES, LAMBERT S MD	11/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	39580	08	Family Practice	0	In state provider	None	1267 N VIRGIL AVE	None	LOS ANGELES	CA	90029	2017	19	06037	34.09544056	-118.2866442	Los Angeles County
68826	Fee-for-Service	1265790760	1265790760	1	1	OK, ALFREDO A MD	9/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127124	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
68863	Fee-for-Service	1801899232	1801899232	1	1	OBERTO, MICHAEL R MD	5/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	48166	20	Orthopedic Surgery	0	In state provider	None	7235 N FIRST ST	STE 103	FRESNO	CA	93720	2964	10	06019	36.84157633	-119.7748355	Fresno County
68886	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	10/29/2018	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
68946	Fee-for-Service	1629414990	1629414990	1	1	O'BRYAN, COURTNEY N DO	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14769	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
68991	Fee-for-Service	1891515318	1891515318	1	1	OROPEZA, KATELYN CCC-SLP	10/14/2024	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
69019	Fee-for-Service	1184905572	1184905572	1	1	OFOSU, ANDREW MD	6/17/2020	207R00000X	NA	Other	026	PHYSICIANS	165942	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
69029	Fee-for-Service	1740999887	1740999887	1	1	OGBUNWOBODO, AFAM EMMANUEL	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	8825 M.D. BUSH DRIVE	None	ELK GROVE	CA	95758	1338	34	06067	38.436948	-121.4129745	Sacramento County
69065	Fee-for-Service	1508944604	1508944604	1	1	ONG, WILLIAM G MD	9/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	82738	40	Pediatrics	0	In state provider	None	3000 LAS POSITAS RD	None	LIVERMORE	CA	94551	9627	01	06001	37.69960369	-121.7628917	Alameda County
69101	Fee-for-Service	1861592982	1861592982	2	1	OLAES, LAMBERT S MD	11/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	39580	41	Internal Medicine	0	In state provider	None	1267 N VIRGIL AVE	None	LOS ANGELES	CA	90029	2017	19	06037	34.09544056	-118.2866442	Los Angeles County
69150	Fee-for-Service	1497140750	1497140750	1	1	OKORO, EBIMOBOERE J MD	10/19/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151897	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
69171	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	3/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
69197	Fee-for-Service	1053933002	1053933002	1	1	ON-SITE MD'S INC	5/8/2024	207R00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	7600 HOSPITAL DR	J1	SACRAMENTO	CA	95823	5406	34	06067	38.463876	-121.414698	Sacramento County
69286	Fee-for-Service	1790944528	1790944528	1	1	OESTREICHER-KEDEM, YAEL	7/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	04	Otology, Laryngology, Rhinology	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
69316	Fee-for-Service	1740999887	1740999887	1	1	OGBUNWOBODO, AFAM EMMANUEL	1/12/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	8825 M.D. BUSH DRIVE	None	ELK GROVE	CA	95758	1338	34	06067	38.436948	-121.4129745	Sacramento County
69370	Fee-for-Service	1740236728	1740236728	1	2	ORTHOPEDIC PAIN MANAGEMENT	4/17/2014	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	76100	25	Physical Medicine and Rehabilitation	0	In state provider	CENTER A MEDICAL CORP	5757 WILSHIRE BLVD	SUITE 490	LOS ANGELES	CA	90036	5810	19	06037	34.0624504	-118.3534253	Los Angeles County
69386	Fee-for-Service	1235281759	1235281759	1	1	OROVILLE HOSPITAL	12/1/1979	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95955	6118	04	06007	39.506454	-121.5412785	Butte County
69458	Fee-for-Service	1184186629	1184186629	1	2	ONEIL ENTERPRISES INC	2/19/2025	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3220 YORBA LINDA BLVD	None	FULLERTON	CA	92831	1707	30	06059	33.8885987	-117.8689829	Orange County
69461	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	3/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
69487	Fee-for-Service	1053933002	1053933002	1	1	ON-SITE MD'S INC	5/8/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	7600 HOSPITAL DR	J1	SACRAMENTO	CA	95823	5406	34	06067	38.463876	-121.414698	Sacramento County
69515	Fee-for-Service	1295301323	1295301323	1	1	OKUNDAYE, AMENAWON O MD	4/23/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	300 MEDICAL PLAZA	B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
69588	Fee-for-Service	1720212020	1720212020	1	1	ORANGE COUNTY CCS	2/18/2009	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	4771 CAMPUS DR	None	IRVINE	CA	92612	3201	30	06059	33.65235	-117.823698	Orange County
69682	Fee-for-Service	1780220020	1780220020	1	1	OKEEFE, MELISSA R LMFT	9/21/2022	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
69748	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	1/30/2019	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
69768	Fee-for-Service	1295751642	1295751642	1	1	ODISH, AMAAL OD	12/27/2011	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	844 EAST WASHINGTON AVE	None	EL CAJON	CA	92020	5328	37	06073	32.78766945	-116.95176	San Diego County
69816	Fee-for-Service	1508944000	1508944000	1	1	ONYEJE, OGONNA I MD	2/21/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94398	01	General Practice	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
69867	Fee-for-Service	1245343458	1245343458	1	1	OWENS, STEPHEN G MD	9/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	55876	20	Orthopedic Surgery	0	In state provider	None	1818 VERDUGO BLVD	STE 402	GLENDALE	CA	91208	1422	19	06037	34.20560177	-118.216054	Los Angeles County
69970	Fee-for-Service	1851512255	1851512255	1	1	OPTIONS RECOVERY SERVICES	6/21/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1931 CENTER STREET	None	BERKELEY	CA	94704	1105	01	06001	37.86983853	-122.2717273	Alameda County
69975	Fee-for-Service	1538292131	1538292131	1	1	OLIVAREZ, ERIKA J LMFT	8/1/2024	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1267 S MAIN ST	None	SALINAS	CA	93901	2293	27	06053	36.65617771	-121.6599411	Monterey County
69990	Fee-for-Service	1851890131	1851890131	1	1	ONWULI, CHINYERE J NP	2/27/2019	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1500 21ST STREET	None	SACRAMENTO	CA	95811	5216	34	06067	38.570553	-121.481325	Sacramento County
70035	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	3/2/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
70068	Fee-for-Service	1568483964	1568483964	1	1	OU, JUDY I MD	6/12/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	84096	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
70184	Fee-for-Service	1063439875	1063439875	1	1	O'MEARA, PATRICK M MD	2/17/2009	174400000X	NA	Other	026	PHYSICIANS	66518	20	Orthopedic Surgery	0	In state provider	PALOMAR ORTHOPAEDIC SPEC	255 N ELM ST	STE 105	ESCONDIDO	CA	92025	3431	37	06073	33.12666024	-117.0719931	San Diego County
70207	Fee-for-Service	1952378283	1952378283	1	1	ODULATE, AYODALE S MD	10/27/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	104364	30	Radiology	0	In state provider	None	2020 IOWA AVE	STE 103	RIVERSIDE	CA	92507	2417	33	06065	33.992973	-117.3398145	Riverside County
70296	Fee-for-Service	1366472938	1366472938	1	1	OBLAD, MATTHEW W OD	8/17/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	112 N AKERS ST	STE A	VISALIA	CA	93291	5121	54	06107	36.330156	-119.3483475	Tulare County
70325	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	4/13/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
70327	Fee-for-Service	1366923138	1366923138	1	1	OLIVERO, JESSICA E NP	8/7/2019	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
70378	Fee-for-Service	1366472045	1366472045	1	1	OGANYAN, HAKOP K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	83140	08	Family Practice	0	In state provider	None	633 N CENTRAL AVE	STE 207	GLENDALE	CA	91203	1816	19	06037	34.155054	-118.2579675	Los Angeles County
70608	Fee-for-Service	1750548632	1750548632	1	1	ORGEL, ETAN MD	9/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107641	01	General Practice	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
70613	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	4/5/2019	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
70616	Fee-for-Service	1467545913	1467545913	1	1	ONISHI,RICHARD ALAN MD	3/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	63775	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
70664	Fee-for-Service	1023336963	1023336963	1	1	OLAES, KAREN L MD	5/14/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	112279	66	Emergency Medicine (Urgent Care)	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
70674	Fee-for-Service	1679968077	1679968077	1	1	OKUNDAYE, IVIE O MD	2/12/2024	207R00000X	NA	Other	026	PHYSICIANS	156582	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
70693	Fee-for-Service	1184772139	1184772139	1	1	ONG, JON D MD	1/1/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	40342	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
70804	Fee-for-Service	1609930866	1609930866	1	1	OEY, CHEUW M DO APC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	8478	None	None	0	In state provider	None	1111 W LA PALMA AVE	None	ANAHEIM	CA	92801	2804	30	06059	33.84718298	-117.933758	Orange County
70871	Fee-for-Service	1346909561	1346909561	1	1	ORTIZ MACHUCA, GUILLERMO A P	3/22/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	T	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
70897	Fee-for-Service	1750548632	1750548632	1	1	ORGEL, ETAN MD	9/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107641	68	Hematology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
70899	Fee-for-Service	1013933167	1013933167	1	1	OROHEALTH CORPORATION	2/12/2019	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	A NON PROFIT HEALTHCARE	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
70910	Fee-for-Service	1780184606	1780184606	1	1	OMEGA MENTAL HEALTH	8/2/2024	103T00000X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	None	2549 W SHAW AVE	None	FRESNO	CA	93711	3308	10	06019	36.80803919	-119.838887	Fresno County
70911	Fee-for-Service	1992082937	1992082937	1	1	ORCHARD ELEMENTARY SCHOOL	11/4/2011	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	921 FOX LANE	None	SAN JOSE	CA	95131	1602	43	06085	37.38802465	-121.9011654	Santa Clara County
70919	Fee-for-Service	1003441346	1003441346	1	1	OPTION HOSPICE INC	9/30/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	7301 TOPANGA CANYON BLVD	STE 358	CANOGA PARK	CA	91303	3395	19	06037	34.203222	-118.605988	Los Angeles County
71089	Fee-for-Service	1508932369	1508932369	1	1	OSBORNE, JAMES G	12/31/1991	207P00000X	NA	Other	026	PHYSICIANS	62004	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
71183	Fee-for-Service	1750548632	1750548632	1	1	ORGEL, ETAN MD	9/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107641	78	Neoplastic Diseases/Oncology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
71198	Fee-for-Service	1780184606	1780184606	1	1	OMEGA MENTAL HEALTH	7/20/2018	103T00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	2549 W SHAW AVE	None	FRESNO	CA	93711	3308	10	06019	36.80803919	-119.838887	Fresno County
71207	Fee-for-Service	1003441346	1003441346	1	1	OPTION HOSPICE INC	9/30/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	7301 TOPANGA CANYON BLVD	STE 358	CANOGA PARK	CA	91303	3395	19	06037	34.203222	-118.605988	Los Angeles County
71353	Fee-for-Service	1336505924	1336505924	1	1	OH, LUCY S LCSW	5/26/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
71434	Fee-for-Service	1700875788	1700875788	1	2	OLSEN, RANDALL V MD	9/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	1	Border provider	None	2020 PALOMINO LANE	100	LAS VEGAS	NV	89106	4894	00	None	36.16257648	-115.170696	Clark County
71487	Fee-for-Service	1780184606	1780184606	1	1	OMEGA MENTAL HEALTH	7/20/2018	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2549 W SHAW AVE	None	FRESNO	CA	93711	3308	10	06019	36.80803919	-119.838887	Fresno County
71595	Fee-for-Service	1649248717	1649248717	1	1	OSMAN, SHUKRI A. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	19300 SW 65TH AVE	None	TUALATIN	OR	97062	7706	00	None	45.378774	-122.740551	Clackamas County
71692	Fee-for-Service	1851397905	1851397905	1	1	OJO, ADERONKE O MD	2/1/2021	2080P0204X	NA	Other	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
71752	Fee-for-Service	1295718831	1295718831	1	1	OLSON, DONALD R	4/4/2005	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	CREEKSIDE PHYSICAL THRPY	1545 HIGUERA ST	None	SAN LUIS OBISPO	CA	93401	2917	40	06079	35.28600339	-120.6530238	San Luis Obispo County
71829	Fee-for-Service	1568487999	1568487999	1	1	O'BOYLE, MARY K MD	12/31/1991	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	73501	30	Radiology	0	In state provider	None	225 DICKINSON ST	None	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
71846	Fee-for-Service	1548523137	1548523137	1	1	OXNARD SLEEP DISORDERS	4/28/2014	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	905 SOUTH A STREET	STE 2	OXNARD	CA	93030	9254	56	06111	34.19225229	-119.178671	Ventura County
71914	Fee-for-Service	1841378692	1841378692	1	1	OLSEN, TODD MD	9/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	78259	02	General Surgery	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
71936	Fee-for-Service	1396746749	1396746749	1	1	OXFORD, KAREN WOLFE	4/30/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	78840	18	Ophthalmology	0	In state provider	None	2100 WEBSTER ST	STE 214	SAN FRANCISCO	CA	94115	2375	38	06075	37.7904826	-122.4324477	San Francisco County
71938	Fee-for-Service	1811942253	1811942253	1	2	OUNANIAN, LEROY MD	5/9/2017	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	34816	-	NOT APPLICABLE	0	In state provider	None	1330 EAST COOLEY DRIVE	None	COLTON	CA	92324	3905	36	06071	34.0544745	-117.305721	San Bernardino County
72100	Fee-for-Service	1568487064	1568487064	1	1	ORENSTEIN, JULIAN B MD	9/2/2014	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
72301	Fee-for-Service	1881271898	1881271898	1	1	OC PARATRANSIT, INC.	5/9/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ON	24012 CALLE DE LA PLATA	SUITE 400	LAGUNA HILLS	CA	92653	7623	30	06059	33.61012113	-117.7115908	Orange County
72319	Fee-for-Service	1639472079	1639472079	1	1	O'CONNELL, ADRIENNE N DO	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13394	01	General Practice	0	In state provider	None	1117 E DEVONSHIRE AVENUE	None	HEMET	CA	92543	3083	33	06065	33.75116909	-116.9601666	Riverside County
72475	Fee-for-Service	1417559907	1417559907	1	1	OSUALA, EUDORA	10/15/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15260 VENTURA BLVD	1200	SHERMAN OAKS	CA	91403	5307	19	06037	34.15370926	-118.4656644	Los Angeles County
72547	Fee-for-Service	1043672835	1043672835	1	1	O'HALLERAN, MICHAEL MD	12/23/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	161617	40	Pediatrics	0	In state provider	None	2 UPPER RAGSDALE DR	STE B-210	MONTEREY	CA	93940	7851	27	06053	36.57940327	-121.8142876	Monterey County
72548	Fee-for-Service	1457734675	1457734675	1	1	OTANEZ CERVANTES, JORGE A MD	6/16/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	153220	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
72564	Fee-for-Service	1629047527	1629047527	1	1	OKAMOTO, DOROTHY OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3714 MACARTHUR BLVD	None	OAKLAND	CA	94619	1330	01	06001	37.7922194	-122.199181	Alameda County
72585	Fee-for-Service	1033280961	1033280961	1	1	OLSHANSKIY, VLADIMIR MD	1/2/2008	2084P0800X	NA	Psychiatry	026	PHYSICIANS	88796	36	Psychiatry	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
72668	Fee-for-Service	1063456952	1063456952	1	1	ONG, BERNARD L MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	81036	05	Anesthesiology	0	In state provider	None	1798 N GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
72702	Fee-for-Service	1184272510	1184272510	1	1	OWEN, LEENA S DO	8/15/2024	207P00000X	NA	Other	026	PHYSICIANS	22885	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
72780	Fee-for-Service	1144399197	1144399197	1	1	OPPERMAN, DAVID A MD	11/15/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92772	04	Otology, Laryngology, Rhinology	0	In state provider	None	200 MEDICAL PLAZA	STE 550	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
72878	Fee-for-Service	1124309414	1124309414	1	1	OLSON, MARGUERITE C LMFT	10/20/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	236 VILLA POINT DRIVE	None	NEWPORT BEACH	CA	92660	6235	30	06059	33.61302794	-117.8872003	Orange County
72939	Fee-for-Service	1326203738	1326203738	1	1	OUYE, KAI LIN MD	11/24/2009	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	102051	40	Pediatrics	0	In state provider	None	5400 TELEGRAPH AVENUE	None	OAKLAND	CA	94609	1965	01	06001	37.83925524	-122.2620144	Alameda County
72991	Fee-for-Service	1467430587	1467430587	1	1	OSBORNE, DOUGLAS M OD	2/8/2015	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2910 JEFFERSON ST	STE 101	CARLSBAD	CA	92008	2357	37	06073	33.16226261	-117.3463592	San Diego County
73060	Fee-for-Service	1467541938	1467541938	1	1	OYAKAWA, RAY T MD	11/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	44155	18	Ophthalmology	0	In state provider	None	4201 TORRANCE BLVD	SUITE 220	TORRANCE	CA	90503	4504	19	06037	33.8375955	-118.358748	Los Angeles County
73125	Fee-for-Service	1174783831	1174783831	1	1	O'BRYAN, MEGAN MD	7/27/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108376	08	Family Practice	0	In state provider	None	502 TORRANCE BLVD	None	REDONDO BEACH	CA	90277	3413	19	06037	33.83783749	-118.3832414	Los Angeles County
73135	Fee-for-Service	1861570533	1861570533	1	1	OKIMURA, MICHAEL C MD	1/31/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	42439	67	Endocrinology	0	In state provider	None	2601 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2210	34	06067	38.551311	-121.454433	Sacramento County
73157	Fee-for-Service	1376635615	1376635615	1	1	OLCOTT, ERIC W MD	1/31/1988	2085B0100X	NA	MRI Provider	026	PHYSICIANS	52806	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
73218	Fee-for-Service	1740281633	1740281633	1	2	ODYSSEY HEALTHCARE OPERATING	1/7/2011	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1116 LELAND AVENUE	None	TULARE	CA	93274	7811	54	06107	36.22950651	-119.3338101	Tulare County
73292	Fee-for-Service	1649245986	1649245986	1	1	OLIVER, DAVID M MD	4/21/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	74435	None	None	0	In state provider	None	16260 VENTURA BLVD	630	ENCINO	CA	91436	2255	19	06037	34.15687678	-118.4876342	Los Angeles County
73466	Fee-for-Service	1194706846	1194706846	1	1	OSTOVAR, FARSHAD S MD	2/2/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	167627	None	None	0	In state provider	None	520 W I ST	None	LOS BANOS	CA	93635	4211	20	06039	37.06346603	-120.8593647	Merced County
73498	Fee-for-Service	1548005267	1548005267	1	1	OKONKO, AMAECHI NP	11/3/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
73502	Fee-for-Service	1740281633	1740281633	1	2	ODYSSEY HEALTHCARE OPERATING	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1116 LELAND AVENUE	None	TULARE	CA	93274	7811	54	06107	36.22950651	-119.3338101	Tulare County
73514	Fee-for-Service	1396345245	1396345245	1	1	OLADIMEJI, OLUWATOYIN NP	4/16/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	12658 DUTCH COURT	None	EASTVALE	CA	92880	9279	33	06065	33.96510761	-117.5591719	Riverside County
73588	Fee-for-Service	1639264278	1639264278	1	1	ORANGE COUNTY FIRST	3/17/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	MEDICAL GROUP INC	1771 W ROMNEYA DR	STE C	ANAHEIM	CA	92801	1817	30	06059	33.85067649	-117.9445635	Orange County
73635	Fee-for-Service	1043489529	1043489529	1	1	OROZCO-POUST, PETRA LCSW	7/26/2020	101YP2500X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1320 STANDIFORD AVE	STE 5	MODESTO	CA	95350	0726	50	06099	37.68934252	-121.0140405	Stanislaus County
73696	Fee-for-Service	1760718274	1760718274	1	1	ORTEGA, BESSY J LCSW	3/6/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
73729	Fee-for-Service	1194722090	1194722090	1	1	OJAI AMBULANCE INC	3/15/1996	3416L0300X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	LIFELINE MEDICAL TRANS.	632 E THOMPSON BLVD	None	VENTURA	CA	93001	2829	56	06111	34.27824422	-119.2910404	Ventura County
73790	Fee-for-Service	1306974001	1306974001	1	1	OSNAYA, FANY P NP	11/4/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	5119 POMONA BLVD	None	LOS ANGELES	CA	90022	1711	19	06037	34.03350406	-118.154384	Los Angeles County
73876	Fee-for-Service	1639264278	1639264278	1	1	ORANGE COUNTY FIRST	3/17/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	38	Geriatrics	0	In state provider	MEDICAL GROUP INC	1771 W ROMNEYA DR	STE C	ANAHEIM	CA	92801	1817	30	06059	33.85067649	-117.9445635	Orange County
73889	Fee-for-Service	1265257802	1265257802	1	1	OBER, LAURYN PT	12/31/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	137 E THOUSAND OAKS BLVD	None	THOUSAND OAKS	CA	91360	1985	56	06111	34.17919939	-118.8745721	Ventura County
73946	Fee-for-Service	1700344280	1700344280	1	1	ORANGE COUNTY CARE HOSPICE	9/18/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11021 WINNERS CIRCLE	SUITE 204	LOS ALAMITOS	CA	90720	2876	30	06059	33.80205362	-118.0407447	Orange County
74037	Fee-for-Service	1063446102	1063446102	1	1	OKAMURA, TESSIE A MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	69738	40	Pediatrics	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
74125	Fee-for-Service	1164266235	1164266235	1	1	OPPENHEIMER, NEAL A NP	8/28/2024	363LP0222X	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
74144	Fee-for-Service	1881842011	1881842011	1	1	OSTERMAN, JESSICA L MD	11/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111280	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
74206	Fee-for-Service	1881629251	1881629251	1	1	ONG, RICHARD Y MD	1/1/1999	174400000X	NA	Other	026	PHYSICIANS	33718	08	Family Practice	0	In state provider	None	1626 S BROADWAY	None	SANTA ANA	CA	92707	2214	30	06059	33.72536415	-117.8699515	Orange County
74208	Fee-for-Service	1902283443	1902283443	1	1	ONYIA, THOMAS MD	2/18/2020	207L00000X	NA	Other	026	PHYSICIANS	149440	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
74235	Fee-for-Service	1700344280	1700344280	1	1	ORANGE COUNTY CARE HOSPICE	9/18/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11021 WINNERS CIRCLE	SUITE 204	LOS ALAMITOS	CA	90720	2876	30	06059	33.80205362	-118.0407447	Orange County
74242	Fee-for-Service	1790259364	1790259364	1	1	ON CALL MEDICAL TRANSPORTATI	4/16/2019	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	4721 W JENNIFER AVE	21	FRESNO	CA	93722	6441	10	06019	36.81159095	-119.8786506	Fresno County
74269	Fee-for-Service	1881770279	1881770279	1	1	OH, SAMUEL Y MD	2/28/1980	207L00000X	NA	Other	026	PHYSICIANS	35010	05	Anesthesiology	0	In state provider	None	1420 N TRACY BLVD	None	TRACY	CA	95376	3451	39	06077	37.744011	-121.4349725	San Joaquin County
74280	Fee-for-Service	1003835653	1003835653	1	1	OLIVEIRA, MICHELLE M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76511	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5575 W LAS POSITAS BLVD	STE 330	PLEASANTON	CA	94588	5804	01	06001	37.69214859	-121.8796532	Alameda County
74296	Fee-for-Service	1669565057	1669565057	1	1	OLSON, LINDA K MD	11/30/1982	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	35398	30	Radiology	0	In state provider	None	225 DICKINSON ST	None	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
74432	Fee-for-Service	1053379172	1053379172	1	1	ORBIT MEDICAL, INC.	10/5/2009	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	ORBIT MEDICAL, INC.	716 E 4500 S	STE 260S	SALT LAKE CITY	UT	84107	3611	00	None	40.6742817	-111.8704208	Salt Lake County
74574	Fee-for-Service	1760918718	1760918718	1	1	O'MARA, NATALIE B LMFT	8/29/2020	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
74580	Fee-for-Service	1871661488	1871661488	2	1	ONORATO, THOMAS D PHD	2/27/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4560 ADMIRALTY WAY	STE 353	MARINA DEL REY	CA	90292	5423	19	06037	33.98364904	-118.4449069	Los Angeles County
74684	Fee-for-Service	1346525128	1346525128	1	1	OZERAN, ALLEN F DO	4/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	12467	01	General Practice	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
74711	Fee-for-Service	1235517087	1235517087	1	1	OGBONNA, IFEOMA T MD	6/21/2024	207Q00000X	NA	Adult Primary Care	086	MEDICAL DIRECTORS	168548	-	NOT APPLICABLE	0	In state provider	None	4200 LATHAM ST STE A	None	RIVERSIDE	CA	92501	1766	33	06065	34.00148305	-117.3721328	Riverside County
74901	Fee-for-Service	1164087912	1164087912	1	1	OGBATUE, AGNES C	8/17/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	16302 SKYRIDGE DRIVE	None	RIVERSIDE	CA	92503	0564	33	06065	33.87849729	-117.4832112	Riverside County
75092	Fee-for-Service	1023105194	1023105194	1	1	OUTREACH HOME HEALTH	4/27/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	1170 N DURFEE AVE	SUITE J	S EL MONTE	CA	91733	4400	19	06037	34.03578327	-118.0409887	Los Angeles County
75108	Fee-for-Service	1063493161	1063493161	1	1	OPTIMAL HOME HEALTH CARE INC	6/9/1993	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1227 CHESTER AVE	None	BAKERSFIELD	CA	93301	5445	15	06029	35.36923771	-119.0189264	Kern County
75189	Fee-for-Service	1164087912	1164087912	1	1	OGBATUE, AGNES C	8/17/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	16302 SKYRIDGE DRIVE	None	RIVERSIDE	CA	92503	0564	33	06065	33.87849729	-117.4832112	Riverside County
75229	Fee-for-Service	1366133761	1366133761	1	1	OLIVEIRA, JASON M PT	12/20/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1700 KEYSTONE PACIFIC PK	STE C2	PATTERSON	CA	95363	8874	50	06099	37.47600952	-121.160718	Stanislaus County
75246	Fee-for-Service	1447324751	1447324751	1	1	OH, RICHARD J MD	12/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	56026	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
75306	Fee-for-Service	1407352453	1407352453	1	1	ONLINE URGENT CARE INC	10/18/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	01	General Practice	0	In state provider	None	14921 PRAIRIE AVE	STE 1	LAWNDALE	CA	90260	1849	19	06037	33.895881	-118.3438665	Los Angeles County
75449	Fee-for-Service	1760849285	1760849285	1	1	O'SHEA, SHANNON LMFT	5/7/2019	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	673 S AUBURN ST	STE B	GRASS VALLEY	CA	95945	7576	29	06057	39.2060146	-121.0613316	Nevada County
75530	Fee-for-Service	1285284760	1285284760	1	1	ONG, DIANA J CNP	1/16/2020	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
75594	Fee-for-Service	1366733990	1366733990	1	1	OFFENBACK-WONG, THERESA-MARY	7/3/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	6203 SAN IGNACIO AVENUE	SUITE 110	SAN JOSE	CA	95119	1325	43	06085	37.23598537	-121.7783065	Santa Clara County
75830	Fee-for-Service	1659556165	1659556165	1	1	ORTIZ, ARISA E MD	7/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	101163	07	Dermatology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
75871	Fee-for-Service	1154904142	1154904142	1	1	ONLY CARE HOME HEALTH	6/12/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	86 ORANGE PL	None	PASADENA	CA	91105	2000	19	06037	34.14164102	-118.152038	Los Angeles County
75896	Fee-for-Service	1194911800	1194911800	1	1	OWEN, JOSHUA	12/10/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	30	Radiology	0	In state provider	None	3161 L ST	None	SACRAMENTO	CA	95816	5234	34	06067	38.570958	-121.4642295	Sacramento County
75918	Fee-for-Service	1487896239	1487896239	1	1	O'MALLEY, KATHARINE N MD	7/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125125	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
75938	Fee-for-Service	1548603608	1548603608	1	1	OSIPOV, LILYA PHD	11/19/2015	No Taxonomy Provided	NA	None	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
75962	Fee-for-Service	1982894606	1982894606	1	1	OHANIAN, ARBI G MD	8/13/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	89407	None	None	0	In state provider	None	55 E CALIFORNIA BLVD	STE 204	PASADENA	CA	91105	3936	19	06037	34.13582278	-118.1491634	Los Angeles County
76049	Fee-for-Service	1619681251	1619681251	1	1	OTIS, EDMOND L LMFT	10/31/2023	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
76069	Fee-for-Service	1255643995	1255643995	1	1	OLIVE BRANCH PHARMACY	12/9/2010	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2070 S CENTRAL AVE	None	LOS ANGELES	CA	90011	1886	19	06037	34.0227101	-118.2521314	Los Angeles County
76106	Fee-for-Service	1902242548	1902242548	1	1	OLIVA, JULIE K MD	6/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	134235	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
76132	Fee-for-Service	1841961364	1841961364	1	1	OLIVEGLEN HOSPICE CARE, INC	3/7/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	333 E GLENOAKS BLVD	SUITE 203	GLENDALE	CA	91207	2074	19	06037	34.15828639	-118.2511592	Los Angeles County
76135	Fee-for-Service	1073690277	1073690277	1	1	OZAETA, LEE F B MD	1/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	95864	01	General Practice	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
76163	Fee-for-Service	1346305893	1346305893	2	1	OUR HOUSE RESIDENTIAL	7/13/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CARE INC	501 WILLIAMS	None	MADERA	CA	93637	4359	20	06039	36.95842616	-120.0788321	Madera County
76292	Fee-for-Service	1184110538	1184110538	1	1	OO, KAY THI	1/21/2025	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
76367	Fee-for-Service	1427168624	1427168624	1	2	OWADA, CARL Y MD	6/15/2021	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	71892	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	116 PALISADE DR	STE 103	SANTA MARIA	CA	93454	8904	42	06083	34.9523869	-120.4120717	Santa Barbara County
76404	Fee-for-Service	1811911431	1811911431	1	1	OFFERMANN, ELLEN G MD	6/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93660	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
76562	Fee-for-Service	1497825467	1497825467	1	1	OMOIGUI, OSEMWOTA MD	5/23/2012	207LP2900X	NA	Other	026	PHYSICIANS	48906	05	Anesthesiology	0	In state provider	None	4019 W ROSECRANS AVE	None	HAWTHORNE	CA	90250	7913	19	06037	33.9019683	-118.3446272	Los Angeles County
76820	Fee-for-Service	1225630767	1225630767	1	1	ONYEJIJI, IJEOMA CNP	10/11/2021	261Q00000X	NA	Other	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
76841	Fee-for-Service	1194497131	1194497131	1	1	OGUNGBE, OLUFEMI O CRNA	2/28/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	438 W LAS TUNAS DR	None	SAN GABRIEL	CA	91776	1216	19	06037	34.10243051	-118.105902	Los Angeles County
76855	Fee-for-Service	1659334209	1659334209	1	1	OLATIDOYE, ABIODUN G. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	DR. ABIODUN OLATIDOYE	6507 PROFESSIONAL PL	None	RIVERDALE	GA	30274	4941	00	None	33.57726874	-84.396186	Clayton County
76923	Fee-for-Service	1366675480	1366675480	1	1	OFORI-GYEBI, FELIX MD	7/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2735 SILVER CREEK RD	None	BULLHEAD CITY	AZ	86442	7924	00	None	35.110926	-114.5552445	Mohave County
77103	Fee-for-Service	1366472045	1366472045	1	2	OGANYAN, HAKOP K MD	11/16/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	83140	-	NOT APPLICABLE	0	In state provider	None	111 GLENDALE BLVD	SUITE B	LOS ANGELES	CA	90026	7458	19	06037	34.06269932	-118.2597909	Los Angeles County
77137	Fee-for-Service	1235159773	1235159773	1	1	ORDORICA, RAUL C MD	12/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	62037	34	Urology and Urological Surgery	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
77193	Fee-for-Service	1982891982	1982891982	1	1	OWEN, KELLY P MD	7/9/2008	207P00000X	NA	Other	026	PHYSICIANS	101718	66	Emergency Medicine (Urgent Care)	0	In state provider	None	500 HOSPITAL RD	None	STOCKTON	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
77217	Fee-for-Service	1659540847	1659540847	1	1	OBREGON, IRMA MFT	11/27/2017	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
77324	Fee-for-Service	1346371374	1346371374	1	1	OVANESSIAN, MARINA LCSW	6/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	66539	-	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
77556	Fee-for-Service	1487087490	1487087490	1	1	ORLANDCARE PHARMACY &	9/20/2013	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MEDICAL SUPPLY INC	61 E WALKER ST	None	ORLAND	CA	95963	1581	11	06021	39.74737296	-122.1850883	Glenn County
77585	Fee-for-Service	1780260984	1780260984	1	2	ORION TRANSIT INC.	4/20/2021	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1301 W 2ND ST	STE 115	LOS ANGELES	CA	90026	5859	19	06037	34.06071325	-118.2584177	Los Angeles County
77617	Fee-for-Service	1679628085	1679628085	1	2	ONTARIO PHARMACY, INC.	12/7/2023	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	666 EAST E ST	None	ONTARIO	CA	91764	4228	36	06071	34.068087	-117.6416415	San Bernardino County
77793	Fee-for-Service	1689094450	1689094450	1	1	ONG, DOMINIC E LMFT	9/24/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1050 LAKES DR	STE 2252548	WEST COVINA	CA	91790	2924	19	06037	34.07127962	-117.9226429	Los Angeles County
77857	Fee-for-Service	1871680397	1871680397	1	1	OPERATION SAMAHAN INC	12/28/2006	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	10737 CAMINO RUIZ	STE 235	SAN DIEGO	CA	92126	2375	37	06073	32.91416051	-117.1437943	San Diego County
77867	Fee-for-Service	1669412029	1669412029	1	1	OSHITA, ALLEN K MD	4/30/1987	2085U0001X	NA	Other	026	PHYSICIANS	39698	None	None	0	In state provider	None	2333 BUCHANAN ST	None	SAN FRANCISCO	CA	94115	1925	38	06075	37.79071145	-122.4308506	San Francisco County
77883	Fee-for-Service	1851761969	1851761969	1	1	O'KEEFE, MACKAY	2/9/2021	235Z00000X	NA	Other	037	SPEECH 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
77978	Fee-for-Service	1790535698	1790535698	1	1	OGANNESSYAN, LIANA LMFT	4/5/2024	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
78012	Fee-for-Service	1528003472	1528003472	1	1	OSTROW, STACY S MD	12/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99357	07	Dermatology	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92307	1092	37	06073	32.89687721	-117.2418677	San Diego County
78031	Fee-for-Service	1710158498	1710158498	1	1	ON-LINE RADIOLOGY MEDICAL	3/10/2010	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	555 SOUTH 7TH AVE	None	BARSTOW	CA	92311	3043	36	06071	34.894062	-117.0196215	San Bernardino County
78059	Fee-for-Service	1720163942	1720163942	1	1	OLSON, CAROLE C PSYD	5/3/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	8631 WEST THIRD ST	STE 1100E	LOS ANGELES	CA	90048	5914	19	06037	34.07361928	-118.3803143	Los Angeles County
78061	Fee-for-Service	1932651098	1932651098	1	1	OPPENHEIMER, ERICA LCSW	1/26/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	311 CALIFORNIA STREET	#750	SAN FRANCISCO	CA	94104	2602	38	06075	37.79316768	-122.4002529	San Francisco County
78145	Fee-for-Service	1871680397	1871680397	1	1	OPERATION SAMAHAN INC	8/25/2006	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	10737 CAMINO RUIZ	STE 235	SAN DIEGO	CA	92126	2375	37	06073	32.91416051	-117.1437943	San Diego County
78211	Fee-for-Service	1073000196	1073000196	1	1	ODHIAMBO, SARAH F	7/12/2018	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	13360 SILVER STIRRUP DR	None	CORONA	CA	92883	7932	33	06065	33.7167041	-117.427505	Riverside County
78402	Fee-for-Service	1316904790	1316904790	1	1	OBERFELDER, CYNTHIA C MD	4/29/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	88709	30	Radiology	0	In state provider	None	1000 GREENLEY RD	None	SONORA	CA	95370	5200	55	06109	37.97749352	-120.3700335	Tuolumne County
78432	Fee-for-Service	1871680397	1871680397	1	1	OPERATION SAMAHAN INC	8/25/2006	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	10737 CAMINO RUIZ	STE 235	SAN DIEGO	CA	92126	2375	37	06073	32.91416051	-117.1437943	San Diego County
78487	Fee-for-Service	1962486662	1962486662	1	1	O'MARA, MICHAEL S MD	2/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84140	02	General Surgery	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
78500	Fee-for-Service	1073000196	1073000196	1	1	ODHIAMBO, SARAH F	7/12/2018	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	13360 SILVER STIRRUP DR	None	CORONA	CA	92883	7932	33	06065	33.7167041	-117.427505	Riverside County
78552	Fee-for-Service	1609510130	1609510130	1	1	OO, CHOMYA NP	7/16/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1461 COOLEY DR	STE 250	COLTON	CA	92324	3921	36	06071	34.05562007	-117.3036377	San Bernardino County
78599	Fee-for-Service	1215049986	1215049986	1	1	ORDONEZ, SONIA L MD	11/23/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	54670	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
78632	Fee-for-Service	1033435292	1033435292	1	1	ONCOLOGY SPECIALISTS OF COH	9/14/2010	261QH0100X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	P C	1500 DUARTE RD	BLDG 149	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
78710	Fee-for-Service	1053626705	1053626705	1	1	OSHOGWEMOH, ISMAIL O DO	7/7/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	15257	15	Obstetrics (D.O. only)	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	1689	19	06037	34.15729818	-118.3277073	Los Angeles County
78720	Fee-for-Service	1871680397	1871680397	1	1	OPERATION SAMAHAN INC	3/1/2010	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	10737 CAMINO RUIZ	STE 235	SAN DIEGO	CA	92126	2375	37	06073	32.91416051	-117.1437943	San Diego County
78775	Fee-for-Service	1962486662	1962486662	1	1	O'MARA, MICHAEL S MD	2/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84140	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
78921	Fee-for-Service	1033435292	1033435292	1	1	ONCOLOGY SPECIALISTS OF COH	9/14/2010	261QH0100X	NA	Other	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	P C	1500 DUARTE RD	BLDG 149	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
78986	Fee-for-Service	1194017426	1194017426	1	1	OUTPATIENT WOUND SOLUTIONS	11/2/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	10786	02	General Surgery	0	In state provider	INC	521 LOREL WAY	None	YUBA CITY	CA	95991	1913	51	06101	39.15512984	-121.6206491	Sutter County
79000	Fee-for-Service	1053626705	1053626705	1	1	OSHOGWEMOH, ISMAIL O DO	7/7/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	15257	09	Gynecology (D.O. only)	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	1689	19	06037	34.15729818	-118.3277073	Los Angeles County
79010	Fee-for-Service	1134267826	1134267826	1	1	OLSEN, LINDA S MD	4/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	137853	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
79068	Fee-for-Service	1326674102	1326674102	1	1	OSIPCHUK, NATALIA C MD	4/10/2025	207P00000X	NA	Other	026	PHYSICIANS	None	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
79185	Fee-for-Service	1760993596	1760993596	1	1	OMNI FAMILY HEALTH	7/6/2020	261QF0400X	NA	Federally Qualified Health Center	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4600 PANAMA LN	SUITE 102B	BAKERSFIELD	CA	93313	3509	15	06029	35.29596129	-119.0543102	Kern County
79213	Fee-for-Service	1033435292	1033435292	1	1	ONCOLOGY SPECIALISTS OF COH	9/14/2010	261QH0100X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	P C	1500 DUARTE RD	BLDG 149	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
79274	Fee-for-Service	1376982827	1376982827	1	1	ORTEGA, ARIANA LCSW	4/14/2025	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9260 ALCOSTA BLVD	BUILDING A, SUITE A5	SAN RAMON	CA	94583	4134	07	06013	37.73166348	-121.9267174	Contra Costa County
79287	Fee-for-Service	1881741254	1881741254	1	1	OSHEROFF, KIMBERLY L PT	4/15/2020	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
79496	Fee-for-Service	1326194689	1326194689	1	1	ORTEGA, ELIZABETH J NP	4/20/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10990 SAN DIEGO MISSION	None	SAN DIEGO	CA	92108	2417	37	06073	32.7850186	-117.1023292	San Diego County
79581	Fee-for-Service	1558563163	1558563163	1	1	OLIVIA ERIN BAILEY MD	8/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	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
79742	Fee-for-Service	1699374173	1699374173	1	1	OPTIMUM NEMT INC.	4/7/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	44349 LOWTREE AVE	111	LANCASTER	CA	93534	4100	19	06037	34.68904178	-118.153931	Los Angeles County
79759	Fee-for-Service	1104080175	1104080175	1	1	ONEIL, RYAN P DO	2/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	5400 SOUTH RAINBOW DR	None	LAS VEGAS	NV	89118	1859	00	None	36.090072	-115.2405585	Clark County
79786	Fee-for-Service	1083073100	1083073100	1	1	O'GRADY, ELIZABETH A LCSW	5/28/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	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
79790	Fee-for-Service	1356429047	1356429047	1	1	OTANI, YVONNE S MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	77330	40	Pediatrics	0	In state provider	None	3700 VACA VALLEY PKWY	None	VACAVILLE	CA	95688	9430	48	06095	38.39008977	-121.9378499	Solano County
79818	Fee-for-Service	1588227581	1588227581	1	1	ORTIZ, RAFAEL LMFT	10/16/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
79846	Fee-for-Service	1205937620	1205937620	1	1	ORTH, ROBERT L MD	6/29/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87274	None	None	0	In state provider	None	1062 N CHERRY ST	None	TULARE	CA	93274	2251	54	06107	36.22322475	-119.3375086	Tulare County
79927	Fee-for-Service	1710648928	1710648928	1	1	OMEGA HEALTH CLINICS	2/13/2023	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2909 COFFEE RD	12B	MODESTO	CA	95355	1751	50	06099	37.68138495	-120.9760076	Stanislaus County
80061	Fee-for-Service	1700864261	1700864261	1	1	OVERBECK, JOHN R MD	12/8/2023	207U00000X	NA	Other	026	PHYSICIANS	51035	None	None	0	In state provider	None	2865 ATLANTIC AVE	SUITE 202	LONG BEACH	CA	90806	1742	19	06037	33.809418	-118.185058	Los Angeles County
80089	Fee-for-Service	1184878142	1184878142	1	1	OCHOA, VICTOR M MD	7/29/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	96314	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
80096	Fee-for-Service	1275617169	1275617169	1	1	OPERATION SAMAHAN INC	2/1/2009	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2835 HIGHLAND AVE	SUITE A	NATIONAL CITY	CA	91950	7406	37	06073	32.66005945	-117.0916421	San Diego County
80106	Fee-for-Service	1609687912	1609687912	1	1	OAKS PHARMACY LLC	2/20/2025	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2220 LYNN RD	STE 101	THOUSAND OAKS	CA	91360	8044	56	06111	34.20863046	-118.8852156	Ventura County
80108	Fee-for-Service	1093897092	1093897092	1	1	O'NEILL, DANIEL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	SOUTHLAKE CLINIC INC.	4011 TALBOT ROAD S #500	None	RETON	WA	98055	0000	00	None	47.44331246	-122.2117632	King County
80206	Fee-for-Service	1255869939	1255869939	1	1	ORTIZ-GALLOZA, EDDIE X MD	6/2/2021	2279E0002X	NA	Other	026	PHYSICIANS	160253	None	None	0	In state provider	None	275 HOSPITAL DR	None	UKIAH	CA	95482	4531	23	06045	39.15305697	-123.2037774	Mendocino County
80212	Fee-for-Service	1710648928	1710648928	1	1	OMEGA HEALTH CLINICS	2/13/2023	207Q00000X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	2909 COFFEE RD	12B	MODESTO	CA	95355	1751	50	06099	37.68138495	-120.9760076	Stanislaus County
80269	Fee-for-Service	1467956276	1467956276	1	1	ODISHO, ROUMTA MD	2/26/2025	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	179837	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
80381	Fee-for-Service	1982748109	1982748109	1	1	O'ROURKE, DARYUEN T	11/7/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	39388	-	NOT APPLICABLE	0	In state provider	None	100 EAST WARDLOW ROAD	None	LONG BEACH	CA	90503	1727	19	06037	33.8188341	-118.1923297	Los Angeles County
80384	Fee-for-Service	1275617169	1275617169	1	1	OPERATION SAMAHAN INC	2/1/2009	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2835 HIGHLAND AVE	SUITE A	NATIONAL CITY	CA	91950	7406	37	06073	32.66005945	-117.0916421	San Diego County
80454	Fee-for-Service	1427236975	1427236975	1	1	OBRIEN, KATHLEEN M MD	4/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134513	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
80481	Fee-for-Service	1831125434	1831125434	1	1	OBEROI, MEENA MD	3/29/2023	207R00000X	NA	Other	026	PHYSICIANS	75860	None	None	0	In state provider	None	23639 HAWTHORNE BLVD	SUITE 102	TORRANCE	CA	90505	5930	19	06037	33.810543	-118.351257	Los Angeles County
80529	Fee-for-Service	1962098855	1962098855	1	1	O'BRIEN, SARAH E OT	6/10/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	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
80530	Fee-for-Service	1285044495	1285044495	1	1	OBI, OKWUCHUKWU G MD	9/30/2020	207LP2900X	NA	Other	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2450 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2179	00	None	36.15900951	-115.175853	Clark County
80540	Fee-for-Service	1467238279	1467238279	1	1	O'DELL, CHELSEA NP	12/13/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2801 K STREET	SUITE 200	SACRAMENTO	CA	95816	9582	34	06067	38.572947	-121.46904	Sacramento County
80583	Fee-for-Service	1760631063	1760631063	1	1	OLTMANN, STEPHANIE MD	2/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117453	None	None	0	In state provider	None	2250 HAYES ST	STE 504	SAN FRANCISCO	CA	94117	1078	38	06075	37.77302042	-122.45342	San Francisco County
80640	Fee-for-Service	1386625283	1386625283	1	1	OPPEGAARD, MATTHEW S	12/1/1994	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	A & L OPTOMETRY	1551 FOURTH ST	STE 1	SAN RAFAEL	CA	94901	2899	21	06041	37.97385871	-122.5356195	Marin County
80671	Fee-for-Service	1275617169	1275617169	1	1	OPERATION SAMAHAN INC	8/28/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2835 HIGHLAND AVE	SUITE A	NATIONAL CITY	CA	91950	7406	37	06073	32.66005945	-117.0916421	San Diego County
80689	Fee-for-Service	1770986994	1770986994	1	1	ORANGECOAST PARTNERS	2/5/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	121 N STATE COLLEGE BLVD	SUITE 1A	ANAHEIM	CA	92806	2926	30	06059	33.841854	-117.889326	Orange County
80698	Fee-for-Service	1154088359	1154088359	1	1	O'DONNELL, ELIZABETH LCSW	2/20/2024	101YM0800X	NA	Other	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
80706	Fee-for-Service	1881790616	1881790616	2	1	OBESO, ZAIDA O MD	12/1/1997	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	54745	08	Family Practice	0	In state provider	None	1433 W MERCED AVE	STE 115	WEST COVINA	CA	91790	3402	19	06037	34.06252177	-117.9477117	Los Angeles County
80823	Fee-for-Service	1629361514	1629361514	1	1	OSTERMAYER, DANIEL G MD	11/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122175	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
80846	Fee-for-Service	1891139762	1891139762	1	1	ORON-BENHAMOU, MALY N MD	9/5/2019	2080P0214X	NA	Pulmonology	026	PHYSICIANS	161446	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
80941	Fee-for-Service	1962815118	1962815118	1	1	OWEN, JONAS K MD	8/1/2020	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	6222 STATE STREET	None	LOS ANGELES	CA	90255	4403	19	06037	33.98247632	-118.2125545	Los Angeles
80961	Fee-for-Service	1275617169	1275617169	1	1	OPERATION SAMAHAN INC	11/21/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2835 HIGHLAND AVE	SUITE A	NATIONAL CITY	CA	91950	7406	37	06073	32.66005945	-117.0916421	San Diego County
80981	Fee-for-Service	1770986994	1770986994	1	1	ORANGECOAST PARTNERS	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	121 N STATE COLLEGE BLVD	SUITE 1A	ANAHEIM	CA	92806	2926	30	06059	33.841854	-117.889326	Orange County
81087	Fee-for-Service	1306423348	1306423348	1	1	OSWALD, HAILEY LMFT	9/8/2023	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
81133	Fee-for-Service	1891139762	1891139762	1	1	ORON-BENHAMOU, MALY N MD	9/5/2019	2080P0214X	NA	Pulmonology	026	PHYSICIANS	161446	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
81154	Fee-for-Service	1407190465	1407190465	1	1	OSHER, KATHRYN LCSW	9/24/2019	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	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
81201	Fee-for-Service	1699330043	1699330043	1	1	OBIAKOR, KRISTEN E MD	9/19/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	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
81232	Fee-for-Service	1962815118	1962815118	1	1	OWEN, JONAS K MD	8/19/2019	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	162128	20	Orthopedic Surgery	0	In state provider	None	6222 STATE STREET	None	LOS ANGELES	CA	90255	4403	19	06037	33.98247632	-118.2125545	Los Angeles
81253	Fee-for-Service	1003132127	1003132127	1	1	OHEB, JONATHAN I MD	8/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	128003	20	Orthopedic Surgery	0	In state provider	None	15031 RINALDI STREET	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
81259	Fee-for-Service	1447694872	1447694872	1	1	OROOMCHI, NEEMA MD	3/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138941	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
81290	Fee-for-Service	1518401827	1518401827	1	1	OCHOA, RAUL DC	9/22/2020	111N00000X	NA	Other	006	CHIROPRACTORS	-	-	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
81329	Fee-for-Service	1942342001	1942342001	1	1	OLENICK, STANLEY S MD	1/31/1994	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	37717	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	790 E WILLOW ST	STE 100	LONG BEACH	CA	90806	2703	19	06037	33.80426489	-118.1825796	Los Angeles County
81337	Fee-for-Service	1588638043	1588638043	1	1	OO, KHIN K MD	7/1/1998	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	56521	41	Internal Medicine	0	In state provider	None	65 N MADISON AVE	STE 200	PASADENA	CA	91101	2051	19	06037	34.14705803	-118.1384317	Los Angeles County
81395	Fee-for-Service	1205048881	1205048881	1	1	OMNIPATH DIAGNOSTICS INC	2/15/2013	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	8211 REMMET AVE	None	CANOGA PARK	CA	91304	4133	19	06037	34.218126	-118.6003295	Los Angeles County
81438	Fee-for-Service	1477836856	1477836856	1	1	ORTIZ, JONATHAN D A LCSW	6/12/2017	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
81488	Fee-for-Service	1649212572	1649212572	1	1	O'REILLY, KEVIN D DPM	7/16/1987	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1556 N D ST	None	SAN BERNARDINO	CA	92405	4710	36	06071	34.12795022	-117.2919415	San Bernardino County
81563	Fee-for-Service	1245266097	1245266097	1	1	ORBUCH, MURRAY MD	9/25/2024	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	169528	10	Gastroenterology (M.D. only)	0	In state provider	None	14860 ROSCOE BLVD	#200	PANORAMA CITY	CA	91402	4683	19	06037	34.2214515	-118.4573205	Los Angeles County
81638	Fee-for-Service	1922026723	1922026723	1	1	OSORIO, ROBERT W MD	4/27/2006	204F00000X	NA	General Surgery	026	PHYSICIANS	68860	02	General Surgery	0	In state provider	None	2340 CLAY ST	STE 251	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
81651	Fee-for-Service	1306980982	1306980982	1	1	ORTIZ, JOSEPH R PHD	8/9/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1573 GOLD CUP CT	None	REDLANDS	CA	92374	2767	36	06071	34.07290853	-117.147645	San Bernardino County
81791	Fee-for-Service	1245423342	1245423342	1	1	OSBURN, TIFFANY S MD	1/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	118695	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDREN'S	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
81899	Fee-for-Service	1235349564	1235349564	1	1	OAKES, MIRIAM G LMFT	9/27/2023	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
81911	Fee-for-Service	1427325513	1427325513	1	1	OROVILLE UNION HIGH SCHOOL	11/14/2011	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	2211 WASHINGTON AVE	None	OROVILLE	CA	95966	5440	04	06007	39.50933098	-121.5471232	Butte County
81927	Fee-for-Service	1922026723	1922026723	1	1	OSORIO, ROBERT W MD	4/27/2006	204F00000X	NA	General Surgery	026	PHYSICIANS	68860	45	Nephrology (Renal-Kidney)	0	In state provider	None	2340 CLAY ST	STE 251	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
81985	Fee-for-Service	1255941654	1255941654	1	2	ORTH, TERESA LMFT	1/25/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4401 SEPULVEDA BLVD	210	SHERMAN OAKS	CA	91403	3934	19	06037	34.150356	-118.467397	Los Angeles County
82122	Fee-for-Service	1043895220	1043895220	1	1	OWL HOME HEALTH INC	4/14/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	7012 RESEDA BLVD	STE 201A	RESEDA	CA	91335	4219	19	06037	34.197975	-118.5360215	Los Angeles County
82135	Fee-for-Service	1346555984	1346555984	1	1	OBBEHAT, AMIR MD	2/4/2020	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	152922	38	Geriatrics	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
82176	Fee-for-Service	1346420783	1346420783	1	1	ORANGE COUNTY VASCULAR ACCES	11/30/2007	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	S CENTER	12827 HARBOR BLVD	G1	GARDEN GROVE	CA	92840	5837	30	06059	33.77737896	-117.9151828	Orange County
82195	Fee-for-Service	1912294505	1912294505	1	1	OLSON, SARA ANN M	6/10/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	18700 BEACH BLVD	STE 120	HUNTINGTON BEACH	CA	92648	2089	30	06059	33.69070037	-117.9886896	Orange County
82227	Fee-for-Service	1538421565	1538421565	1	1	OCARROLL, DARRAGH C MD	5/5/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127223	None	None	0	In state provider	None	1401 SOUTH GRAND AVENUE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
82318	Fee-for-Service	1851084537	1851084537	1	1	O'TOOLE, ASHLEY OT	1/3/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8282 WHITE OAK AVE	107, 108, AND 111	RANCHO CUCAMONGA	CA	91730	7680	36	06071	34.10361339	-117.5644472	San Bernardino County
82425	Fee-for-Service	1346555984	1346555984	1	1	OBBEHAT, AMIR MD	2/4/2020	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	152922	41	Internal Medicine	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
82465	Fee-for-Service	1346420783	1346420783	1	1	ORANGE COUNTY VASCULAR ACCES	11/30/2007	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	S CENTER	12827 HARBOR BLVD	G1	GARDEN GROVE	CA	92840	5837	30	06059	33.77737896	-117.9151828	Orange County
82588	Fee-for-Service	1083917769	1083917769	1	1	OBHG TEXAS HOLDINGS, P.A.	4/12/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	2	Out of state provider	None	7930 FLOYD CURL DR	None	SAN ANTONIO	TX	78229	3925	00	None	29.51157346	-98.57548112	Bexar County
82850	Fee-for-Service	1710529177	1710529177	1	1	OLSON, LOREE PT	11/14/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1222 W COLONY RD	STE 130	RIPON	CA	95366	9480	39	06077	37.75395862	-121.136171	San Joaquin County
82877	Fee-for-Service	1083917769	1083917769	1	1	OBHG TEXAS HOLDINGS, P.A.	4/12/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	2	Out of state provider	None	7930 FLOYD CURL DR	None	SAN ANTONIO	TX	78229	3925	00	None	29.51157346	-98.57548112	Bexar County
82982	Fee-for-Service	1386068922	1386068922	1	1	O'LOUGHLIN, KARA A LAC	8/22/2023	176B00000X	NA	Licensed Midwife	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	515 ALAMEDA AVE	STE C	SALINAS	CA	93901	4024	27	06053	36.65997494	-121.6486999	Monterey County
83024	Fee-for-Service	1013656883	1013656883	1	1	OLUDEMI, OLUWATUMININU DO	3/9/2024	390200000X	NA	Other	026	PHYSICIANS	21624	None	None	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
83167	Fee-for-Service	1366654394	1366654394	1	1	ORTIZ, LEROY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	9225 N 3RD ST	STE 304	PHOENIX	AZ	85020	2466	00	None	33.57054	-112.0692465	Maricopa County
83268	Fee-for-Service	1386006419	1386006419	1	1	OLSEN, ERIK MD	8/4/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	179929	None	None	0	In state provider	None	1524 MCHENRY AVE	STE 100	MODESTO	CA	95350	4566	50	06099	37.666233	-120.993933	Stanislaus County
83361	Fee-for-Service	1871155168	1871155168	1	1	OH, STEPHANIE OD	12/12/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	628 CALIFORNIA BLVD	STE B	SAN LUIS OBISPO	CA	93401	2554	40	06079	35.28917428	-120.6578269	San Luis Obispo County
83688	Fee-for-Service	1205932951	1205932951	1	1	ORPILLA, JESSELY S MD	1/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	92476	40	Pediatrics	0	In state provider	None	7325 MEDICAL CENTER DR	SUITE 300	WEST HILLS	CA	91307	4117	19	06037	34.20369349	-118.629837	Los Angeles County
83699	Fee-for-Service	1316983406	1316983406	1	1	ORRANGE, SHARON E MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70054	41	Internal Medicine	0	In state provider	None	1355 SAN PABLO ST	None	LOS ANGELES	CA	90033	1035	19	06037	34.06080447	-118.203734	Los Angeles County
83730	Fee-for-Service	1679500920	1679500920	1	1	OYAMA,JENEFER 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	1301 PUNCHBOWL STREET	None	HONOLULU	HI	96813	0000	00	None	21.30800017	-157.8550765	Honolulu County
83840	Fee-for-Service	1548535784	1548535784	1	1	OSBUN, NATHAN MD	5/6/2019	390200000X	NA	Other	026	PHYSICIANS	159722	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
83866	Fee-for-Service	1689775306	1689775306	2	1	OLYMPIC GERHART PHARMACY INC	2/8/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5724 E. OLYMPIC BLVD	None	COMMERCE	CA	90022	5120	19	06037	34.01385054	-118.1468487	Los Angeles County
83951	Fee-for-Service	1821558545	1821558545	1	1	O'DONNELL, CHRISTIAN T MD	4/7/2024	390200000X	NA	Other	026	PHYSICIANS	178640	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
83979	Fee-for-Service	1205932951	1205932951	1	1	ORPILLA, JESSELY S MD	1/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	92476	41	Internal Medicine	0	In state provider	None	7325 MEDICAL CENTER DR	SUITE 300	WEST HILLS	CA	91307	4117	19	06037	34.20369349	-118.629837	Los Angeles County
84321	Fee-for-Service	1518347434	1518347434	1	1	OLSON, MOSES G MD	9/2/2019	207L00000X	NA	Other	026	PHYSICIANS	147587	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
84456	Fee-for-Service	1215953476	1215953476	1	2	OKHOVAT, MAHYAR MD	9/21/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	85646	-	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
84508	Fee-for-Service	1598775421	1598775421	1	1	OOI, KUO S MD	8/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	96680	40	Pediatrics	0	In state provider	None	3104 SUNSET BLVD	SUITE 2B	ROCKLIN	CA	95677	3039	31	06061	38.78632648	-121.2517479	Placer County
84721	Fee-for-Service	1386271096	1386271096	1	1	ONG, NICOLAS N MD	7/21/2023	207P00000X	NA	Other	026	PHYSICIANS	184366	None	None	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
84796	Fee-for-Service	1598775421	1598775421	1	1	OOI, KUO S MD	8/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	96680	41	Internal Medicine	0	In state provider	None	3104 SUNSET BLVD	SUITE 2B	ROCKLIN	CA	95677	3039	31	06061	38.78632648	-121.2517479	Placer County
84839	Fee-for-Service	1427211564	1427211564	1	1	OLSON, KINGA P NP	6/14/2011	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6120 N VINELAND	None	NORTH HOLLYWOOD	CA	91606	0000	19	06037	34.1819583	-118.3702737	Los Angeles County
84874	Fee-for-Service	1023516929	1023516929	1	1	OMANSKY, HELENE M LCSW	3/18/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	901 CAMPUS DR.	None	DALY CITY	CA	94015	4900	41	06081	37.66535778	-122.4763793	San Mateo County
84949	Fee-for-Service	1891790614	1891790614	1	1	OH, DANIEL S MD	8/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	86585	02	General Surgery	0	In state provider	None	521 E ELDER ST	STE 205	FALLBROOK	CA	92028	3083	37	06073	33.38015149	-117.246267	San Diego County
84957	Fee-for-Service	1376558221	1376558221	1	1	OMNI FAMILY HEALTH	10/1/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	21138 PASO ROBLES HWY	None	LOST HILLS	CA	93249	0306	15	06029	35.6161173	-119.695251	Kern County
84966	Fee-for-Service	1518281450	1518281450	1	1	OCAMPO, CONSUELO TERESA M MD	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	52309	08	Family Practice	0	In state provider	INC	29645 RANCHO CALIFORNIA	STE 138	TEMECULA	CA	92591	5211	33	06065	33.50627123	-117.1431728	Riverside County
84983	Fee-for-Service	1568456119	1568456119	1	1	OCH PATHOLOGY MEDICAL	2/28/1988	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	GROUP	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
85021	Fee-for-Service	1144593310	1144593310	2	2	OBSTETRIX MEDICAL GROUP OF S	4/23/2020	207VM0101X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	RAMENTO	5 MEDICAL PLAZA	STE 160	ROSEVILLE	CA	95661	2865	31	06061	38.76604411	-121.2466761	Placer County
85033	Fee-for-Service	1427255033	1427255033	1	1	O'BOSKY, KAREN R MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	106556	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	SUITE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
85060	Fee-for-Service	1134626112	1134626112	1	1	O'NEAL, CHRISTINA MD	6/17/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	165321	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
85094	Fee-for-Service	1083692412	1083692412	1	1	OZ, ABDULLAH MD	11/17/2023	207R00000X	NA	Other	026	PHYSICIANS	173235	None	None	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
85125	Fee-for-Service	1376558221	1376558221	1	2	OMNI FAMILY HEALTH	3/8/2022	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	0306	15	06029	35.6161173	-119.695251	Kern County
85202	Fee-for-Service	1952463796	1952463796	1	1	ORANGE COUNTY CARDIO CTR	1/22/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	17150 EUCLID ST	STE 306	FOUNTAIN VALLEY	CA	92708	4092	30	06059	33.714171	-117.9369905	Orange County
85236	Fee-for-Service	1376558221	1376558221	1	1	OMNI FAMILY HEALTH	10/1/1991	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	21138 PASO ROBLES HWY	None	LOST HILLS	CA	93249	0306	15	06029	35.6161173	-119.695251	Kern County
85239	Fee-for-Service	1073768727	1073768727	1	1	OLIVA, LAILEY N MD	12/29/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	95289	41	Internal Medicine	0	In state provider	None	370 DISTEL CIR	None	LOS ALTOS	CA	94022	1404	43	06085	37.39572142	-122.1051204	Santa Clara County
85517	Fee-for-Service	1255929444	1255929444	1	1	ORANGE GROVE PHYSICAL THERAP	4/17/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	Y	415 E PALM AVE	None	REDLANDS	CA	92373	6135	36	06071	34.04669257	-117.1698778	San Bernardino County
85523	Fee-for-Service	1376558221	1376558221	1	1	OMNI FAMILY HEALTH	4/1/1998	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	21138 PASO ROBLES HWY	None	LOST HILLS	CA	93249	0306	15	06029	35.6161173	-119.695251	Kern County
85682	Fee-for-Service	1023512100	1023512100	1	1	OTHMAN, THAER MD	4/11/2024	207RE0101X	NA	Endocrinology	026	PHYSICIANS	165494	67	Endocrinology	0	In state provider	None	700 W 7TH ST	S-270-D	LOS ANGELES	CA	90017	3977	19	06037	34.04833759	-118.2582588	Los Angeles County
85745	Fee-for-Service	1396925103	1396925103	1	2	OPTIMA HOME HEALTH SERVICES	3/10/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1935 CHICAGO AVENUE	STE C1	RIVERSIDE	CA	92507	2368	33	06065	33.99378362	-117.3485389	Riverside County
85805	Fee-for-Service	1386718690	1386718690	1	1	OBAID, SHAZIA MD	4/18/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89912	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
85930	Fee-for-Service	1235616350	1235616350	1	1	OCHOA, KAROLINA BIRTH DOULA	9/11/2024	174N00000X	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
85968	Fee-for-Service	1023512100	1023512100	1	1	OTHMAN, THAER MD	4/11/2024	207RE0101X	NA	Endocrinology	026	PHYSICIANS	165494	41	Internal Medicine	0	In state provider	None	700 W 7TH ST	S-270-D	LOS ANGELES	CA	90017	3977	19	06037	34.04833759	-118.2582588	Los Angeles County
85974	Fee-for-Service	1548285307	1548285307	1	2	OXNARD CAMARILLO ANES	11/1/1997	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	THESIOLOGY MEDICAL GROUP	2309 ANTONIO AVE	None	CAMARILLO	CA	93010	1414	56	06111	34.24435917	-119.0191975	Ventura County
86003	Fee-for-Service	1972736775	1972736775	1	1	OLIVERA, CHRISTINA D MFT	7/27/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1317 W FOOTHILL BLVD	STE 140	UPLAND	CA	91786	3686	36	06071	34.10715453	-117.6734115	San Bernardino County
86007	Fee-for-Service	1932284833	1932284833	1	1	OWENS, DAVID S MD	12/29/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	129310	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
86017	Fee-for-Service	1689812356	1689812356	1	1	ONYEACHOLEM, IFEANYICHUKWU	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111436	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
86193	Fee-for-Service	1548862378	1548862378	1	1	O'BRIEN, GEORGETTE CMF	4/28/2021	224900000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1220 OAKLAND BLVD	SUITE 100	WALNUT CREEK	CA	94596	8494	07	06013	37.89723905	-122.0701621	Contra Costa County
86299	Fee-for-Service	1285812123	1285812123	1	1	OREGON RETINA SPECIALISTS LL	9/12/2008	193400000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	C	1518 E BARNETT RD	None	MEDFORD	OR	97504	8281	00	None	42.31563096	-122.8470715	Jackson County
86445	Fee-for-Service	1477529758	1477529758	1	1	OLSEN, CRAIG L MD	5/31/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	67512	67	Endocrinology	0	In state provider	None	3501 S HARBOR BLVD	None	SANTA ANA	CA	92704	6919	30	06059	33.69981147	-117.9194272	Orange County
86469	Fee-for-Service	1801403506	1801403506	1	1	OPO HEALTH, LLC	3/11/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1528 S EL CAMINO REAL	SUITE 108	SAN MATEO	CA	94402	3022	41	06081	37.55368912	-122.3158305	San Mateo County
86511	Fee-for-Service	1114922465	1114922465	1	1	ORLOVA-ZITZER, MARILYN G	8/8/2003	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	RN	14 PRESIDIO CT	None	CORTE MADERA	CA	94925	2066	21	06041	37.91272022	-122.5103942	Marin County
86526	Fee-for-Service	1215974563	1215974563	1	1	ODA, JON E MD	9/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87272	20	Orthopedic Surgery	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
86557	Fee-for-Service	1851785505	1851785505	1	1	OMURO, ARTHUR K DO	6/22/2020	2084N0400X	NA	Neurology	026	PHYSICIANS	15164	13	Neurology (M.D. only)	0	In state provider	None	6010 HIDDEN VALLEY RD	SUITE 200	CARLSBAD	CA	92011	4219	37	06073	33.12288368	-117.3058276	San Diego County
86582	Fee-for-Service	1083786883	1083786883	1	1	OGURA, JANELLE M MD	11/26/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	82300	15	Obstetrics (D.O. only)	0	In state provider	None	770 E CALAVERAS BLVD	None	MILPITAS	CA	95035	5491	43	06085	37.43378232	-121.8920598	Santa Clara County
86634	Fee-for-Service	1427139732	1427139732	1	1	OREGON SURGICAL	5/9/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	1	Border provider	SPECIALISTS, PC	520 MEDICAL CENTER DR	STE 300	MEDFORD	OR	97504	4316	00	None	42.318801	-122.831728	Jackson County
86640	Fee-for-Service	1205078557	1205078557	1	1	OTT, ROMY C MD	3/10/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	115460	None	None	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
86845	Fee-for-Service	1144548876	1144548876	1	1	OCHOA, JOSE MD	2/28/2025	207RP1001X	NA	Pulmonology	026	PHYSICIANS	None	29	Pulmonary Diseases (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
86939	Fee-for-Service	1710158498	1710158498	1	2	ON-LINE RADIOLOGY MEDICAL	5/25/2011	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	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
86975	Fee-for-Service	1104838614	1104838614	1	1	ORTIZ-TWEED, MARIA S	5/17/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	172731	None	None	0	In state provider	None	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	29	06057	39.33573744	-120.180872	Nevada County
87132	Fee-for-Service	1144548876	1144548876	1	1	OCHOA, JOSE MD	2/28/2025	207RP1001X	NA	Pulmonology	026	PHYSICIANS	None	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
87165	Fee-for-Service	1427032812	1427032812	1	1	OLSON, LESLIE J MD	12/13/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76986	20	Orthopedic Surgery	0	In state provider	None	729 N MEDICAL CENTER DR	SUITE 111	CLOVIS	CA	93611	6880	10	06019	36.84152435	-119.6624818	Fresno County
87242	Fee-for-Service	1922452747	1922452747	1	1	OHLONE COMMUNITY COLLEGE DIS	7/17/2023	251300000X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	None	43600 MISSION BLVD	BUILDING 7	FREMONT	CA	94539	5847	01	06001	37.52727628	-121.9182972	Alameda County
87321	Fee-for-Service	1235597170	1235597170	1	1	ORRI, JANINE LMFT	3/3/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17766 POMO TRL	None	CLEARLAKE OAKS	CA	95423	9650	17	06033	39.04998859	-122.5809065	Lake County
87366	Fee-for-Service	1497189658	1497189658	1	1	OGAWA, MIMI MD	2/27/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	127023	-	NOT APPLICABLE	0	In state provider	None	2960 CAMINO DIABLO	105	WALNUT CREEK	CA	94597	3988	07	06013	37.89859467	-122.0843018	Contra Costa County
87422	Fee-for-Service	1548285307	1548285307	1	1	OXNARD CAMARILLO ANES	11/1/1997	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	THESIOLOGY MEDICAL GROUP	1600 N ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
87446	Fee-for-Service	1912255985	1912255985	1	1	ORECHKIN, AMANDA L	6/6/2016	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	6 WILLARD	None	IRVINE	CA	92604	4694	30	06059	33.67534801	-117.7900415	Orange County
87494	Fee-for-Service	1063065506	1063065506	1	1	ORTA, PEDRO A MD	8/12/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	180355	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
87530	Fee-for-Service	1740513837	1740513837	1	1	ORECHWA, DREW LMFT	3/19/2025	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
87654	Fee-for-Service	1497189658	1497189658	1	1	OGAWA, MIMI MD	2/28/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	127023	08	Family Practice	0	In state provider	None	2960 CAMINO DIABLO	105	WALNUT CREEK	CA	94597	3988	07	06013	37.89859467	-122.0843018	Contra Costa County
87661	Fee-for-Service	1659689743	1659689743	1	1	OBINWANNE, IJEOMA	3/17/2011	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10808 RAMONA BLVD	None	EL MONTE	CA	91731	2628	19	06037	34.0719537	-118.03906	Los Angeles County
87769	Fee-for-Service	1366571929	1366571929	1	1	OAK GROVE SCHOOL DIST	12/1/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	6578 SANTA TERESA BLVD	None	SAN JOSE	CA	95119	1297	43	06085	37.23369777	-121.7881115	Santa Clara County
87775	Fee-for-Service	1245637263	1245637263	1	1	OLIO, DEVIN PSYD	9/30/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	415 KNOLLCREST DR	STE 101	REDDING	CA	96002	0181	45	06089	40.57267376	-122.3643496	Shasta County
87798	Fee-for-Service	1124250188	1124250188	1	1	OLUWADARA, BOLANLE MD	8/7/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	146902	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	255 N D ST	STE 400	SAN BERNARDINO	CA	92401	1715	36	06071	34.1036709	-117.291874	San Bernardino County
87842	Fee-for-Service	1629498258	1629498258	1	1	OLCH, BENJAMIN J	7/3/2018	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3111 TUSTIN ST	STE 100	ORANGE	CA	92865	1751	30	06059	33.84194315	-117.8331501	Orange County
87854	Fee-for-Service	1124481254	1124481254	1	1	ORNER, CAITLIN A MD	7/27/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	172799	None	None	0	In state provider	None	3030 CHILDREN'S WAY	None	SAN DIEGO	CA	92123	4232	37	06073	32.798889	-117.150826	San Diego County
87916	Fee-for-Service	1497363899	1497363899	1	1	ORDAZ, JESSICA LCSW	2/1/2024	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
88007	Fee-for-Service	1689674632	1689674632	1	1	ORME, NICHOLAS J MD	10/18/2005	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	63574	78	Neoplastic Diseases/Oncology	0	In state provider	None	3030 N FRESNO ST	STE 101	FRESNO	CA	93703	1124	10	06019	36.77828036	-119.7815087	Fresno County
88009	Fee-for-Service	1346737905	1346737905	1	1	OC CARDIOVASCULAR CARE, INC.	6/25/2018	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	None	None	0	In state provider	None	11180 WARNER AVE	STE 457	FOUNTAIN VALLEY	CA	92708	7505	30	06059	33.71632048	-117.9334575	Orange County
88052	Fee-for-Service	1942682117	1942682117	1	1	OTA, KYLE MD	8/6/2021	208C00000X	NA	General Surgery	026	PHYSICIANS	144748	None	None	0	In state provider	None	5400 W HILLSDALE AVE	None	VISALIA	CA	93291	6238	54	06107	36.330327	-119.351943	Tulare County
88127	Fee-for-Service	1245318070	1245318070	1	1	ONG, MELCHOR L MD	12/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51542	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
88158	Fee-for-Service	1508919200	1508919200	1	2	O.C. OPTOMETRIC GROUP INC.	9/10/2021	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	UP	4255 CAMPUS DR.	SUITE A110	IRVINE	CA	92612	8627	30	06059	33.64910596	-117.8394276	Orange County
88280	Fee-for-Service	1255464871	1255464871	2	1	OLIVEHURST DRUG STORE INC	9/11/2008	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4897 OLIVEHURST AVE	None	OLIVEHURST	CA	95961	4225	58	06115	39.09595078	-121.5515515	Yuba County
88294	Fee-for-Service	1689674632	1689674632	1	1	ORME, NICHOLAS J MD	10/18/2005	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	63574	30	Radiology	0	In state provider	None	3030 N FRESNO ST	STE 101	FRESNO	CA	93703	1124	10	06019	36.77828036	-119.7815087	Fresno County
88431	Fee-for-Service	1225236177	1225236177	1	1	OSAKI, DEBORAH A LCSW	5/19/2017	No Taxonomy Provided	NA	None	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
88570	Fee-for-Service	1356048797	1356048797	1	1	OMNI FAMILY HEALTH	4/22/2024	261QF0400X	NA	Federally Qualified Health Center	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1507 PANAMA LN	STE G101	BAKERSFIELD	CA	93307	5682	15	06029	35.2958565	-119.01861	Kern County
88591	Fee-for-Service	1710208988	1710208988	1	1	OPPENHEIMER, JASON D MD	5/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	117528	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
88655	Fee-for-Service	1811091978	1811091978	1	1	OFFENSTEIN, RONALD E PHD	6/18/2021	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5887 BROCKTON AVE	STE A	RIVERSIDE	CA	92506	1858	33	06065	33.96266399	-117.3956871	Riverside County
88685	Fee-for-Service	1811559560	1811559560	1	1	OB HOSPITALISTS OF ORANGE CO	3/1/2020	207VX0000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	UNTY INC	12601 GARDEN GROVE BOULE	None	GARDEN GROVE	CA	92843	1908	30	06059	33.77450951	-117.913014	Orange County
88755	Fee-for-Service	1306852603	1306852603	1	1	OGUNTALA, ADEKEMI O MD	5/13/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79284	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
88827	Fee-for-Service	1740236728	1740236728	1	1	ORTHOPEDIC PAIN MANAGEMENT	11/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	76100	25	Physical Medicine and Rehabilitation	0	In state provider	CENTER A MEDICAL CORP	16952 VENTURA BLVD	None	ENCINO	CA	91316	4124	19	06037	34.1596646	-118.5030016	Los Angeles County
88900	Fee-for-Service	1003063207	1003063207	1	1	OFIR, SARIT PSYD	12/9/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
88903	Fee-for-Service	1093098600	1093098600	1	1	ONCLINX, TANIA M MD	3/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125011	18	Ophthalmology	0	In state provider	None	100 STEIN PLAZA	RM 1-340	LOS ANGELES	CA	90095	7001	19	06037	34.06489065	-118.4443287	Los Angeles County
88921	Fee-for-Service	1174025910	1174025910	1	1	O'ROURKE, DANA MD	7/3/2023	2084N0402X	NA	Neurology	026	PHYSICIANS	160079	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
88980	Fee-for-Service	1811559560	1811559560	1	1	OB HOSPITALISTS OF ORANGE CO	3/1/2020	207VX0000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	UNTY INC	12601 GARDEN GROVE BOULE	None	GARDEN GROVE	CA	92843	1908	30	06059	33.77450951	-117.913014	Orange County
89261	Fee-for-Service	1124438924	1124438924	1	1	O'LOUGHLIN, JAMES DO	7/15/2024	208600000X	NA	General Surgery	026	PHYSICIANS	22062	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
89263	Fee-for-Service	1811559560	1811559560	1	1	OB HOSPITALISTS OF ORANGE CO	3/1/2020	207VX0000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	UNTY INC	12601 GARDEN GROVE BOULE	None	GARDEN GROVE	CA	92843	1908	30	06059	33.77450951	-117.913014	Orange County
89426	Fee-for-Service	1679070833	1679070833	1	1	OLIVE CREST	2/14/2024	251S00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	2130 E 4TH ST	200	SANTA ANA	CA	92705	3818	30	06059	33.74808392	-117.836143	Orange County
89547	Fee-for-Service	1124438924	1124438924	1	1	O'LOUGHLIN, JAMES DO	7/15/2024	208600000X	NA	General Surgery	026	PHYSICIANS	22062	89	Surgery-Traumatic	0	In state provider	None	101 CITY DR S	# B10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
89575	Fee-for-Service	1053376418	1053376418	1	1	OSBORNE, THOMAS F MD	8/28/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102495	30	Radiology	0	In state provider	None	522 EAST PLAZA DRIVE	None	SANTA MARIA	CA	93454	6908	42	06083	34.93727355	-120.4288678	Santa Barbara County
89714	Fee-for-Service	1124496245	1124496245	1	1	OAKES, JESSICA LMFT	5/8/2019	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
89953	Fee-for-Service	1023734704	1023734704	1	1	OEXMANN, BRIANNA R NP	11/15/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	501 N CENTRAL AVE	None	GLENDALE	CA	91203	1901	19	06037	34.15290711	-118.257946	Los Angeles County
90075	Fee-for-Service	1316027360	1316027360	1	1	OGUNDIPE, ANTHONY O MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	64561	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	20422 BEACH BLVD	STE 325	HUNTINGTON BEACH	CA	92648	8300	30	06059	33.66589047	-117.9883555	Orange County
90119	Fee-for-Service	1497873129	1497873129	1	1	OLSON, BRUCE A DPM INC	1/1/1979	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2035 SAVIERS RD	STE 9	OXNARD	CA	93033	3650	56	06111	34.179678	-119.1775955	Ventura County
90142	Fee-for-Service	1851987010	1851987010	1	1	OPTIMAL COMFORT HOSPICE INC	8/20/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2140 WEST CHAPMAN AVE	STE 265	ORANGE	CA	92868	2338	30	06059	33.78787403	-117.8757819	Orange County
90284	Fee-for-Service	1326561994	1326561994	1	1	OLUKANNI, FUNMILAYO F	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	35456 SNEAD STREET	None	BEAUMONT	CA	92223	6215	33	06065	33.96199648	-117.04194	Riverside County
90348	Fee-for-Service	1770624553	1770624553	1	1	OAK VALLEY HOSPITAL DIST	12/9/2004	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HEALTH CLINIC	2080 MCHENRY AVE	SUITE 200	ESCALON	CA	95320	9484	39	06077	37.78774413	-120.9964101	San Joaquin County
90355	Fee-for-Service	1285684449	1285684449	1	1	OHANIAN, KIRK L MD	12/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	79344	30	Radiology	0	In state provider	None	12665 GARDEN GROVE BLVD	STE 103	GARDEN GROVE	CA	92843	1915	30	06059	33.77450141	-117.9123364	Orange County
90358	Fee-for-Service	1952599938	1952599938	1	1	OLIVA, RICHARD A MD	12/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109221	36	Psychiatry	0	In state provider	None	1070 S SANTA FE AVE	STE 9	VISTA	CA	92084	7010	37	06073	33.19120588	-117.2283618	San Diego County
90374	Fee-for-Service	1669549515	1669549515	1	1	OUZOUNIAN, NOUBAR MD	2/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	37398	04	Otology, Laryngology, Rhinology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
90376	Fee-for-Service	1255334769	1255334769	1	1	ON, ROGER C MD	1/23/2009	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	40341	41	Internal Medicine	0	In state provider	None	4835 VAN NUYS BLVD	STE 114	SHERMAN OAKS	CA	91403	2137	19	06037	34.1587068	-118.4487394	Los Angeles County
90394	Fee-for-Service	1306170717	1306170717	1	1	OPEN MIND MODALITIES	6/8/2018	193400000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	ACUPUNTURE INC	24541 PACIFIC PARK	STE 205	ALISO VIEJO	CA	92656	3050	30	06059	33.57211592	-117.7018027	Orange County
90430	Fee-for-Service	1851987010	1851987010	1	1	OPTIMAL COMFORT HOSPICE INC	8/20/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2140 WEST CHAPMAN AVE	STE 265	ORANGE	CA	92868	2338	30	06059	33.78787403	-117.8757819	Orange County
90450	Fee-for-Service	1518912344	1518912344	3	1	OPTION CARE HOME CARE, INC.	10/9/2019	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9401 CHIVERS AVE	None	SUN VALLEY	CA	91352	2655	19	06037	34.23991237	-118.3683569	Los Angeles County
90456	Fee-for-Service	1467404897	1467404897	1	1	OO, THEIN MD	12/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92864	41	Internal Medicine	0	In state provider	None	16850 BEAR VALLEY RD	None	VICTORVILLE	CA	92395	5794	36	06071	34.47092468	-117.2977236	San Bernardino County
90488	Fee-for-Service	1598100323	1598100323	1	1	OH, WILLIAM MD	10/9/2019	208C00000X	NA	General Surgery	026	PHYSICIANS	136780	28	Proctology (colon and rectal)	0	In state provider	None	6121 N THESTA ST	202	FRESNO	CA	93710	8603	10	06019	36.82493955	-119.783139	Fresno County
90494	Fee-for-Service	1275920142	1275920142	1	1	OTIS, LAURA N MD	12/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135589	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
90564	Fee-for-Service	1215424254	1215424254	1	1	OCHOA, JONATHAN MD	9/15/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	164705	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
90569	Fee-for-Service	1023133527	1023133527	1	1	OLIVA, JUAN M MD	5/2/2008	207R00000X	NA	Other	026	PHYSICIANS	91940	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
90570	Fee-for-Service	1326561994	1326561994	1	1	OLUKANNI, FUNMILAYO F	12/11/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	35456 SNEAD STREET	None	BEAUMONT	CA	92223	6215	33	06065	33.96199648	-117.04194	Riverside County
90635	Fee-for-Service	1770624553	1770624553	1	1	OAK VALLEY HOSPITAL DIST	7/11/2005	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	HEALTH CLINIC	2080 MCHENRY AVE	SUITE 200	ESCALON	CA	95320	9484	39	06077	37.78774413	-120.9964101	San Joaquin County
90663	Fee-for-Service	1669549515	1669549515	1	1	OUZOUNIAN, NOUBAR MD	2/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	37398	84	Surgery-Head and Neck	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
90776	Fee-for-Service	1902192438	1902192438	1	1	OMODON, MELVIN E MD	12/20/2022	2085R0204X	NA	Other	026	PHYSICIANS	174937	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
90924	Fee-for-Service	1770624553	1770624553	1	1	OAK VALLEY HOSPITAL DIST	8/21/2007	261QR1300X	NA	Rural Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HEALTH CLINIC	2080 MCHENRY AVE	SUITE 200	ESCALON	CA	95320	9484	39	06077	37.78774413	-120.9964101	San Joaquin County
90999	Fee-for-Service	1659783678	1659783678	1	1	OXFORD 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	4650 ARROW HWY	SUITE F3	MONTCLAIR	CA	91763	1223	36	06071	34.09259534	-117.7037171	San Bernardino County
91076	Fee-for-Service	1164863494	1164863494	1	1	OJUKWU, KENECHUKWU C MD	12/5/2019	208600000X	NA	General Surgery	026	PHYSICIANS	135269	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
91201	Fee-for-Service	1689023954	1689023954	1	1	OXHORN, LUBIA CNP	2/21/2020	363LG0600X	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
91213	Fee-for-Service	1770624553	1770624553	1	1	OAK VALLEY HOSPITAL DIST	12/9/2004	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	HEALTH CLINIC	2080 MCHENRY AVE	SUITE 200	ESCALON	CA	95320	9484	39	06077	37.78774413	-120.9964101	San Joaquin County
91285	Fee-for-Service	1659783678	1659783678	1	1	OXFORD HOSPICE CARE INC	4/27/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4650 ARROW HWY	SUITE F3	MONTCLAIR	CA	91763	1223	36	06071	34.09259534	-117.7037171	San Bernardino County
91286	Fee-for-Service	1871875344	1871875344	1	1	OMOTOSO, OMONIYI O MD	6/29/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	94033	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
91357	Fee-for-Service	1134434020	1134434020	1	1	OASIS MEDICAL GROUP	9/27/2013	208VP0014X	NA	Other	026	PHYSICIANS	9285	41	Internal Medicine	0	In state provider	None	212 GOODMAN STREET	None	BAKERSFIELD	CA	93305	2904	15	06029	35.39191839	-118.9955093	Kern County
91484	Fee-for-Service	1013297944	1013297944	1	1	OTSUJI, KENZO S OD	2/6/2014	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13313 TELEGRAPH ROAD	None	WHITTIER	CA	90605	3228	19	06037	33.94164604	-118.0483083	Los Angeles County
91536	Fee-for-Service	1316341910	1316341910	1	1	ORELLANA-GOODELL, IDALIA LM	8/19/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FT	12021 WILMINGTON AVE	BUILDING 11, SUITE 1000	LOS ANGELES	CA	90059	3019	19	06037	33.922863	-118.2431655	Los Angeles County
91539	Fee-for-Service	1932330768	1932330768	1	1	ONYEACHONAM, EZIJE E RN	12/2/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1539 W GARVEY AVE	None	WEST COVINA	CA	91790	2138	19	06037	34.07276147	-117.9396	Los Angeles County
91674	Fee-for-Service	1962853788	1962853788	1	1	OVAKIMYAN, VASILIY MD	8/29/2022	208600000X	NA	General Surgery	026	PHYSICIANS	172732	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
91739	Fee-for-Service	1427168624	1427168624	1	1	OWADA, CARL Y MD	9/28/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	71892	None	None	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93638	8761	20	06039	36.88437894	-119.8003484	Madera County
91741	Fee-for-Service	1710158498	1710158498	1	4	ON-LINE RADIOLOGY MEDICAL	6/3/2011	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	3350 WEST BALL RD	None	ANAHEIM	CA	92804	3799	30	06059	33.8172623	-118.0071207	Orange County
91773	Fee-for-Service	1821166745	1821166745	1	1	OPTIMAL HOSPICE INC	9/6/2006	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2800 W MARCH LANE	SUITE 110	STOCKTON	CA	95219	8220	39	06077	37.98431529	-121.3455569	San Joaquin County
91844	Fee-for-Service	1265479745	1265479745	1	1	O-LEE, TSUNGJU MD	6/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	77684	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
91953	Fee-for-Service	1902840796	1902840796	1	1	OGATA, WAYNE K OD	7/17/1993	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4300 SONOMA BLVD	STE 508	VALLEJO	CA	94589	2210	48	06095	38.13191182	-122.2558441	Solano County
92011	Fee-for-Service	1538690946	1538690946	1	1	ORTOLANO, DANIEL MD	3/11/2025	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	6900 NORTH DURANGO DRIVE	None	LAS VEGAS	NV	89149	4409	00	None	36.28701289	-115.2877045	Clark County
92061	Fee-for-Service	1821166745	1821166745	1	1	OPTIMAL HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2800 W MARCH LANE	SUITE 110	STOCKTON	CA	95219	8220	39	06077	37.98431529	-121.3455569	San Joaquin County
92104	Fee-for-Service	1063810349	1063810349	1	1	ONTARIOIDENCE OPCO, LLC	1/1/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	800 EAST 5TH STREET	None	ONTARIO	CA	91764	3423	36	06071	34.080831	-117.6384195	San Bernardino County
92132	Fee-for-Service	1265479745	1265479745	1	1	O-LEE, TSUNGJU MD	6/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	77684	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
92149	Fee-for-Service	1083886576	1083886576	1	1	ORTEGA, OLIVIA J NP	8/15/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1301 CALIFORNIA ST	None	REDLANDS	CA	92374	2910	36	06071	34.07159807	-117.2263378	San Bernardino County
92189	Fee-for-Service	1760648505	1760648505	1	1	OBERTO, DANIEL A MD	8/6/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	109471	05	Anesthesiology	0	In state provider	None	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	42	06083	34.42887662	-119.7237878	Santa Barbara County
92211	Fee-for-Service	1760450522	1760450522	1	1	O'DEA, TERESA M MD	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	65049	40	Pediatrics	0	In state provider	None	9850 GENESEE AVE	STE 340	LA JOLLA	CA	92037	1208	37	06073	32.882913	-117.226341	San Diego County
92297	Fee-for-Service	1902816903	1902816903	1	1	OLFUS, TAURA M MD	1/25/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9281	08	Family Practice	0	In state provider	None	30257 SAN MARTINEZ RD	None	VALVERDE	CA	91384	2472	19	06037	34.44738769	-118.6644399	Los Angeles County
92336	Fee-for-Service	1205848454	1205848454	1	1	O'CONNOR, RICHARD D MD	1/1/1993	207K00000X	NA	Other	026	PHYSICIANS	28068	03	Allergy	0	In state provider	None	225 DICKINSON ST	# H212	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
92354	Fee-for-Service	1386787984	1386787984	1	1	O'MARA, TIMOTHY J MD	6/10/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	20	Orthopedic Surgery	1	Border provider	None	555 N ARLINGTON AVENUE	None	RENO	NV	89503	4724	00	None	39.53124039	-119.8188498	Washoe County
92476	Fee-for-Service	1902142664	1902142664	3	1	OCTAGON HEALTHCARE INC	1/13/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2707 E VALLEY BLVD	100	WEST COVINA	CA	91792	3196	19	06037	34.00296323	-117.8868537	Los Angeles County
92493	Fee-for-Service	1740420074	1740420074	1	1	OTEYZA, ELAINA M MD	11/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106751	40	Pediatrics	0	In state provider	None	1550 GATEWAY BLVD	None	FAIRFIELD	CA	94533	6901	48	06095	38.2629133	-122.0560176	Solano County
92535	Fee-for-Service	1649701608	1649701608	1	1	ONG, DIANA K MD	9/20/2020	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	159154	40	Pediatrics	0	In state provider	None	275 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5641	01	06001	37.82397231	-122.2578822	Alameda County
92567	Fee-for-Service	1619648870	1619648870	1	1	O'DONNELL, EMILY MD	6/24/2024	390200000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1420 N TRACY BLVD	None	TRACY	CA	95376	3451	39	06077	37.744011	-121.4349725	San Joaquin County
92570	Fee-for-Service	1427526664	1427526664	1	1	OKOLIE, UCHE LCSW	8/20/2024	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
92640	Fee-for-Service	1720325178	1720325178	1	1	ORME, LEE A LMFT	8/3/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	242 W MAIN ST	STE 200I	TUSTIN	CA	92780	7742	30	06059	33.74204521	-117.8257741	Orange County
92729	Fee-for-Service	1568533453	1568533453	1	1	OKUBO, LELAND MD	6/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	53257	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
92773	Fee-for-Service	1255941654	1255941654	1	1	ORTH, TERESA LMFT	7/7/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	121863	-	NOT APPLICABLE	0	In state provider	None	411 E. LAKE AVENUE	None	WATSONVILLE	CA	95076	4424	44	06087	36.91720138	-121.7507888	Santa Cruz County
92774	Fee-for-Service	1740281633	1740281633	1	1	ODYSSEY HEALTHCARE OPERATING	6/1/2002	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	A,LP	5001 E COMMERCECENTER DR	STE 200	BAKERSFIELD	CA	93309	1687	15	06029	35.36190719	-119.0577352	Kern County
92776	Fee-for-Service	1134207970	1134207970	1	1	OMLIN, KENNY J MD	8/30/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	74634	07	Dermatology	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
92790	Fee-for-Service	1992712699	1992712699	1	1	ORANGE COUNTY RADIATION	9/30/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ONCOLOGY MEDICAL GP	1100 N TUSTIN AVE	STE A	SANTA ANA	CA	92705	3509	30	06059	33.754707	-117.8342455	Orange County
92880	Fee-for-Service	1437755477	1437755477	1	1	OSIAS, MARILYN G NP	12/30/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1777 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735946	-121.2461325	San Joaquin County
92890	Fee-for-Service	1073578514	1073578514	1	1	OYETIBO, OLAWALE A	5/9/2003	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	MEDTECH MEDICAL SUPPLY	9607 EDELWEISS ST	None	RANCHO CUCAMONGA	CA	91730	5637	36	06071	34.08783354	-117.595323	San Bernardino County
92902	Fee-for-Service	1457582439	1457582439	1	1	OLMOS, KAREN E MD	11/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114027	08	Family Practice	0	In state provider	None	2360 PACIFIC AVE	None	LONG BEACH	CA	90806	3051	19	06037	33.800049	-118.1936435	Los Angeles County
92915	Fee-for-Service	1841224193	1841224193	1	1	O'BRIEN, AIDAN MD INC	2/8/2011	207L00000X	NA	Other	026	PHYSICIANS	39688	05	Anesthesiology	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
93016	Fee-for-Service	1568533453	1568533453	1	1	OKUBO, LELAND MD	6/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	53257	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
93062	Fee-for-Service	1740281633	1740281633	1	1	ODYSSEY HEALTHCARE OPERATING	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	A,LP	5001 E COMMERCECENTER DR	STE 200	BAKERSFIELD	CA	93309	1687	15	06029	35.36190719	-119.0577352	Kern County
93174	Fee-for-Service	1174674972	1174674972	1	1	OISHI, HENRY T OD	2/28/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	31843 RANCHO CALIFORNIA	SUITE 100	TEMECULA	CA	92591	5120	33	06065	33.51458011	-117.1034303	Riverside County
93185	Fee-for-Service	1992309819	1992309819	1	1	OAK HOSPICE AND PALLIATIVE	2/4/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CARE, INC	19634 VENTURA BLVD	STE 208	TARZANA	CA	91356	2993	19	06037	34.17264197	-118.5613482	Los Angeles County
93263	Fee-for-Service	1629450994	1629450994	1	1	OWOYELE, ADEYINKA MD	9/22/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	187879	None	None	0	In state provider	None	1100 MARSHALL WAY	None	PLACERVILLE	CA	95667	6533	09	06017	38.72453536	-120.7921649	El Dorado County
93292	Fee-for-Service	1124073267	1124073267	1	1	O'BRIEN, JOAN M MD	3/31/1992	207W00000X	NA	Ophthalmology	026	PHYSICIANS	73613	18	Ophthalmology	0	In state provider	None	400 PARNASSUS AVE	# 750A	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
93414	Fee-for-Service	1326866658	1326866658	1	1	ORDONEZ, LIANA M BIRTH DOULA	11/28/2024	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	44	06087	0	0	None
93418	Fee-for-Service	1669982831	1669982831	1	1	O'LEARY, JENNIFER LCSW	3/10/2025	No Taxonomy Provided	NA	None	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
93474	Fee-for-Service	1992309819	1992309819	1	1	OAK HOSPICE AND PALLIATIVE	2/4/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CARE, INC	19634 VENTURA BLVD	STE 208	TARZANA	CA	91356	2993	19	06037	34.17264197	-118.5613482	Los Angeles County
93533	Fee-for-Service	1447902812	1447902812	1	2	OPTIMAL CARE SERVICE	5/18/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	10714 1/2 RIVERSIDE DR.	None	NORTH HOLLYWOOD	CA	91602	1000	19	06037	34.15221696	-118.3641497	Los Angeles County
93625	Fee-for-Service	1538521018	1538521018	1	1	OH, WESLEY MD	5/18/2021	390200000X	NA	Other	026	PHYSICIANS	154112	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
93634	Fee-for-Service	1124455464	1124455464	1	1	OLIVE HILL PHARMACY INC	11/15/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	255 S HILL ST	# 217	LOS ANGELES	CA	90012	3500	19	06037	34.05163442	-118.2491693	Los Angeles County
93637	Fee-for-Service	1710706924	1710706924	1	1	OUR ROOTS	12/20/2024	172V00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	851 FREMONT AVE	STE 102	LOS ALTOS	CA	94024	5602	43	06085	37.35551243	-122.0908419	Santa Clara County
93653	Fee-for-Service	1598178915	1598178915	1	1	OPEN DOOR COMMUNITY HEALTH	10/15/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTERS	638 MAIN STREET	None	FERNDALE	CA	95536	9521	12	06023	40.57848417	-124.2617335	Humboldt County
93655	Fee-for-Service	1255836656	1255836656	1	1	OPENE, CAROLINE N MD	5/23/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	165185	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
93672	Fee-for-Service	1881761799	1881761799	1	1	ONG, ROGER L MD	12/4/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	80076	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
93691	Fee-for-Service	1902836893	1902836893	1	1	OVERTON, KATHERINE A MD	8/12/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	54757	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	INC	31180 ROAD 72	None	GOSHEN	CA	93227	9997	54	06107	36.35594779	-119.4124242	Tulare County
93838	Fee-for-Service	1194023259	1194023259	1	1	OBANION, LEIGH ANN D MD	10/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	118964	02	General Surgery	0	In state provider	None	290 N WAYTE LN	None	FRESNO	CA	93701	2124	10	06019	36.74643429	-119.7837416	Fresno County
93942	Fee-for-Service	1598178915	1598178915	1	1	OPEN DOOR COMMUNITY HEALTH	3/14/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	CENTERS	638 MAIN STREET	None	FERNDALE	CA	95536	9521	12	06023	40.57848417	-124.2617335	Humboldt County
94035	Fee-for-Service	1558449108	1558449108	1	1	ONG, YVONNE K MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66535	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
94099	Fee-for-Service	1134148224	1134148224	2	1	OJAI VALLEY EMERGENCY	9/6/2001	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	PHYSICIANS MED GRP, INC	1306 MARICOPA HWY	None	OJAI	CA	93023	3131	56	06111	34.44229705	-119.2645703	Ventura County
94158	Fee-for-Service	1548461155	1548461155	1	1	OMAN, MATTHEW J MD	10/14/2013	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	111364	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
94221	Fee-for-Service	1699812099	1699812099	1	1	ORANGE CNTY HLTH DEPT	12/1/1977	No Taxonomy Provided	NA	None	048	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1725 W 17TH ST	None	SANTA ANA	CA	92706	2316	30	06059	33.75999552	-117.892593	Orange County
94229	Fee-for-Service	1598178915	1598178915	1	1	OPEN DOOR COMMUNITY HEALTH	11/9/2015	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTERS	638 MAIN STREET	None	FERNDALE	CA	95536	9521	12	06023	40.57848417	-124.2617335	Humboldt County
94280	Fee-for-Service	1265625081	1265625081	1	1	OSHUNLUYI, OLATUNBOSUN A	7/17/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SEBOL MEDICAL SUPPLY	318 E HILLCREST BLVD	#2	INGLEWOOD	CA	90301	2441	19	06037	33.95975404	-118.3509335	Los Angeles County
94323	Fee-for-Service	1104904200	1104904200	1	1	OLOWIN, MARY D MD	2/28/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	61967	36	Psychiatry	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
94373	Fee-for-Service	1336142009	1336142009	1	1	OW, RANDALL A MD	1/1/2003	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	86601	04	Otology, Laryngology, Rhinology	0	In state provider	None	3810 J ST	None	SACRAMENTO	CA	95816	5521	34	06067	38.569743	-121.455378	Sacramento County
94384	Fee-for-Service	1093389223	1093389223	1	1	OH, JULIE MD	7/26/2024	207R00000X	NA	Other	026	PHYSICIANS	182579	41	Internal Medicine	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
94395	Fee-for-Service	1285812123	1285812123	1	2	OREGON RETINA SPECIALISTS LL	5/25/2022	207WX0107X	NA	Ophthalmology	026	PHYSICIANS	-	None	None	1	Border provider	None	1867 WILLIAMS HWY	STE 107	GRANTS PASS	OR	97527	5854	00	None	42.41747435	-123.3387141	Josephine County
94432	Fee-for-Service	1962999243	1962999243	1	1	OHANIAN, ANI DO	3/21/2024	207RR0500X	NA	Other	026	PHYSICIANS	20725	None	None	0	In state provider	None	615 WEST AVE L	None	LANCASTER	CA	93545	7211	19	06037	34.6603515	-118.1419695	Los Angeles County
94451	Fee-for-Service	1548461155	1548461155	1	1	OMAN, MATTHEW J MD	10/14/2013	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	111364	10	Gastroenterology (M.D. only)	0	In state provider	None	11370 ANDERSON	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
94466	Fee-for-Service	1306252051	1306252051	1	1	OPEN DOOR COMMUNITY HEALTH	7/26/2016	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTERS	3750 ROHNERVILLE ROAD	None	FORTUNA	CA	95540	3118	12	06023	40.58219346	-124.1308513	Humboldt County
94481	Fee-for-Service	1699785162	1699785162	1	1	ORLANDO, MARC D MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	02	General Surgery	1	Border provider	None	2850 DAGGETT AVE	None	KLAMATH FALLS	OR	97601	1107	00	None	42.25220645	-121.7858742	Klamath County
94483	Fee-for-Service	1841820990	1841820990	1	1	ONIZUKA, NICOLE M CCC-SLP	5/8/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
94518	Fee-for-Service	1598178915	1598178915	1	1	OPEN DOOR COMMUNITY HEALTH	10/15/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTERS	638 MAIN STREET	None	FERNDALE	CA	95536	9521	12	06023	40.57848417	-124.2617335	Humboldt County
94600	Fee-for-Service	1568726677	1568726677	1	1	OIYEMHONLAN, BRENDA O MD	9/10/2017	207P00000X	NA	Other	026	PHYSICIANS	148121	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
94740	Fee-for-Service	1518020593	1518020593	1	1	ORTHOPEDIC PHYSICAL THERAPY	10/14/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	AND WELLNESS INC	20 SYCAMORE STREET	None	SAN FRANCISCO	CA	94110	1222	38	06075	37.76272002	-122.4199087	San Francisco County
94747	Fee-for-Service	1659364594	1659364594	1	1	O'CONNOR, MARC K MD	5/10/2001	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
94754	Fee-for-Service	1366801193	1366801193	1	1	ONGJOCO, ASHLEY M NP	3/12/2018	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
94757	Fee-for-Service	1306252051	1306252051	1	1	OPEN DOOR COMMUNITY HEALTH	11/6/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	CENTERS	3750 ROHNERVILLE ROAD	None	FORTUNA	CA	95540	3118	12	06023	40.58219346	-124.1308513	Humboldt County
94911	Fee-for-Service	1669192472	1669192472	1	2	OMAR OSMAN MD PC	8/24/2023	208100000X	NA	Physical Medicine and Rehabilitation	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	NTS PC	3780 MASSACHUSETTS AVE	None	LA MESA	CA	91941	7638	37	06073	32.745816	-117.042827	San Diego County
94966	Fee-for-Service	1427077684	1427077684	1	1	OPAI-TETTEH, DAVID MD	1/1/1999	207N00000X	NA	Dermatology	026	PHYSICIANS	53194	07	Dermatology	0	In state provider	None	11370 ANDERSON ST	# 2600	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
95035	Fee-for-Service	1659364594	1659364594	1	1	O'CONNOR, MARC K MD	5/10/2001	208000000X	NA	Pediatric Primary Care	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
95043	Fee-for-Service	1306252051	1306252051	1	1	OPEN DOOR COMMUNITY HEALTH	10/27/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTERS	3750 ROHNERVILLE ROAD	None	FORTUNA	CA	95540	3118	12	06023	40.58219346	-124.1308513	Humboldt County
95131	Fee-for-Service	1417235532	1417235532	1	1	ON DEMAND PRIMARY CARE	9/23/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	AND NURSING INC	2989 FULTON AVE	SUITE A	SACRAMENTO	CA	95821	4927	34	06067	38.618991	-121.402692	Sacramento County
95161	Fee-for-Service	1760987390	1760987390	1	1	OLIVER, ASHLEY P MD	7/13/2023	207L00000X	NA	Other	026	PHYSICIANS	167182	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
95199	Fee-for-Service	1669192472	1669192472	1	2	OMAR OSMAN MD PC	12/10/2024	208100000X	NA	Physical Medicine and Rehabilitation	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	NTS PC	3780 MASSACHUSETTS AVE	None	LA MESA	CA	91941	7638	37	06073	32.745816	-117.042827	San Diego County
95332	Fee-for-Service	1306252051	1306252051	1	1	OPEN DOOR COMMUNITY HEALTH	10/27/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTERS	3750 ROHNERVILLE ROAD	None	FORTUNA	CA	95540	3118	12	06023	40.58219346	-124.1308513	Humboldt County
95478	Fee-for-Service	1437451499	1437451499	1	1	OLSON, LEANN A MD	1/18/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	114783	None	None	0	In state provider	None	333 CORPORATE DRIVE	200	LADERA RANCH	CA	92694	2113	30	06059	33.55836094	-117.6292574	Orange County
95525	Fee-for-Service	1962175836	1962175836	1	1	ON CALL SPECIALISTS MEDICAL	11/10/2021	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	GROUP OF SAN DIEGO, INC.	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
95604	Fee-for-Service	1437870060	1437870060	1	1	OPENWORLD PSYCHOLOGY INC	2/9/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3080 OLCOTT ST	STE D235	SANTA CLARA	CA	95054	3285	43	06085	37.37823288	-121.9675667	Santa Clara County
95739	Fee-for-Service	1194362525	1194362525	1	1	OSBORNE, JUSTINE LMFT	4/1/2025	101YM0800X	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
95811	Fee-for-Service	1962175836	1962175836	1	1	ON CALL SPECIALISTS MEDICAL	9/7/2021	193200000X	NA	Other	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	GROUP OF SAN DIEGO, INC.	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
95836	Fee-for-Service	1114189800	1114189800	1	1	ODEGARD, MARK E LCSW	2/14/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	25954	-	NOT APPLICABLE	0	In state provider	None	1760 FREMONT BLVD	STE E1	SEASIDE	CA	93955	3615	27	06053	36.61394192	-121.8430206	Monterey County
96012	Fee-for-Service	1417920679	1417920679	1	1	ORLANDO, DANA M	10/5/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2950 RESEARCH PARK DR	None	SOQUEL	CA	95073	2000	44	06087	36.98692657	-121.9685264	Santa Cruz County
96074	Fee-for-Service	1033176763	1033176763	2	1	OTERO, JOSE E MD	8/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	30334	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6367 ALVARADO CT	STE 104	SAN DIEGO	CA	92120	4919	37	06073	32.77665968	-117.0614306	San Diego County
96098	Fee-for-Service	1962175836	1962175836	1	1	ON CALL SPECIALISTS MEDICAL	11/11/2021	163WX0800X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	GROUP OF SAN DIEGO, INC.	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
96249	Fee-for-Service	1053377093	1053377093	1	1	OJHA, SUSHIL K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	45982	01	General Practice	0	In state provider	None	2865 ATLANTIC AVE	STE 226	LONG BEACH	CA	90806	1723	19	06037	33.809418	-118.185058	Los Angeles County
96338	Fee-for-Service	1467517912	1467517912	2	1	OUR HOUSE RESIDENTIAL CARE	7/13/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	525 SHANNON	None	MADERA	CA	93638	4214	20	06039	36.95878568	-120.0858506	Madera County
96362	Fee-for-Service	1033176763	1033176763	2	1	OTERO, JOSE E MD	8/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	30334	24	Plastic Surgery	0	In state provider	None	6367 ALVARADO CT	STE 104	SAN DIEGO	CA	92120	4919	37	06073	32.77665968	-117.0614306	San Diego County
96374	Fee-for-Service	1003063207	1003063207	1	2	OFIR, SARIT PSYD	10/19/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	25270	-	NOT APPLICABLE	0	In state provider	None	614 W MANCHESTER BLVD	SUITE 104	INGLEWOOD	CA	90301	1683	19	06037	33.96153647	-118.3672845	Los Angeles County
96388	Fee-for-Service	1962175836	1962175836	1	1	ON CALL SPECIALISTS MEDICAL	9/7/2021	193200000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	GROUP OF SAN DIEGO, INC.	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
96391	Fee-for-Service	1730405770	1730405770	1	1	OGBONNA, CHINYERE I MD	10/20/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	133953	36	Psychiatry	0	In state provider	None	275 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1106	43	06085	37.23951066	-121.8013511	Santa Clara County
96508	Fee-for-Service	1306089008	1306089008	1	1	OH, IRENE J MD	7/6/2009	2084N0400X	NA	Neurology	026	PHYSICIANS	106450	13	Neurology (M.D. only)	0	In state provider	None	320 SANTA FE DRIVE	SUITE 108	ENCINITAS	CA	92024	5141	37	06073	33.038847	-117.285579	San Diego County
96537	Fee-for-Service	1053377093	1053377093	1	1	OJHA, SUSHIL K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	45982	10	Gastroenterology (M.D. only)	0	In state provider	None	2865 ATLANTIC AVE	STE 226	LONG BEACH	CA	90806	1723	19	06037	33.809418	-118.185058	Los Angeles County
96581	Fee-for-Service	1225695463	1225695463	1	1	OSHINUGA, OLUWADAMILOLA F MD	7/11/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	179376	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
96598	Fee-for-Service	1609401124	1609401124	1	1	OLENECK, ANN E NP	8/7/2020	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
96649	Fee-for-Service	1033176763	1033176763	2	1	OTERO, JOSE E MD	8/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	30334	46	Hand Surgery	0	In state provider	None	6367 ALVARADO CT	STE 104	SAN DIEGO	CA	92120	4919	37	06073	32.77665968	-117.0614306	San Diego County
96913	Fee-for-Service	1336553437	1336553437	1	1	OSBORN, HELEN NP	6/3/2020	363LP0808X	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
96917	Fee-for-Service	1184882342	1184882342	1	1	OYANGUREN, JULIE A	11/16/2015	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
96984	Fee-for-Service	1720118557	1720118557	1	1	OLIVARES, ESMERALDA LMFT	3/13/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
97065	Fee-for-Service	1023204815	1023204815	1	1	OSHTORY, RAYSHAD MD	2/23/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	89195	20	Orthopedic Surgery	0	In state provider	None	300 PASTEUR DRIVE	MC:5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
97214	Fee-for-Service	1639364938	1639364938	1	1	OVASAPYAN, ARMINE PSYD	9/18/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	245 E OLIVE AVENUE	SUITE 400	BURBANK	CA	91502	1214	19	06037	34.18145335	-118.3081834	Los Angeles County
97572	Fee-for-Service	1467957951	1467957951	1	1	OHMART, CONNOR H MD	7/5/2022	207P00000X	NA	Other	026	PHYSICIANS	165691	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
97790	Fee-for-Service	1235619966	1235619966	1	1	OROZCO, MARIBEL LMFT	12/19/2023	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
97809	Fee-for-Service	1538295423	1538295423	1	1	OLIVER CERQUEIRA, D.O.	6/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1120 S UTICA AVE	None	TULSA	OK	74104	4012	00	None	36.14680804	-95.96713336	Tulsa County
97869	Fee-for-Service	1215980925	1215980925	1	2	OB-GYN ASSOCIATES OF THE	5/10/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	CENTRAL COAST	335 KATHERINE AVE	STE 1	SALINAS	CA	93901	3176	27	06053	36.65981144	-121.6491192	Monterey County
97919	Fee-for-Service	1508919200	1508919200	1	1	O.C. OPTOMETRIC GROUP INC.	6/14/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	UP	10502 KATELLA AVE	None	ANAHEIM	CA	92804	6528	30	06059	33.80291728	-117.9500175	Orange County
97926	Fee-for-Service	1740488303	1740488303	1	1	OFFSITE CARE, INC	10/24/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	OFFSITE CARE, INC	1046 WINDING RIDGE ROAD	None	SANTA ROSA	CA	95404	2562	49	06097	38.460501	-122.700627	Sonoma County
98031	Fee-for-Service	1710158498	1710158498	1	5	ON-LINE RADIOLOGY MEDICAL	5/25/2011	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	9542 E ARTESIA BLVD	None	BELLFLOWER	CA	90706	6511	19	06037	33.87472553	-118.1294775	Los Angeles County
98205	Fee-for-Service	1700230844	1700230844	1	1	OKUSANYA, AYODEJI G MD	9/22/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	159981	36	Psychiatry	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
98208	Fee-for-Service	1508919200	1508919200	1	1	O.C. OPTOMETRIC GROUP INC.	9/10/2021	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	UP	10502 KATELLA AVE	None	ANAHEIM	CA	92804	6528	30	06059	33.80291728	-117.9500175	Orange County
98431	Fee-for-Service	1710107644	1710107644	1	1	OCHOA, RICKY MD	1/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	2400 SOUTH AVE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
98441	Fee-for-Service	1588005474	1588005474	1	2	OSMANI, FARAAZ A MD	8/12/2020	207R00000X	NA	Other	026	PHYSICIANS	142675	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
98545	Fee-for-Service	1336423524	1336423524	1	1	O'CONNELL, KATHERINE PHD	6/19/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	801 CRESCENT WAY	STE 3	ARCATA	CA	95521	6781	12	06023	40.85906241	-124.0735719	Humboldt County
98651	Fee-for-Service	1912587726	1912587726	1	1	OSTRER, ISABEL MD	8/26/2024	207R00000X	NA	Other	026	PHYSICIANS	192326	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
98769	Fee-for-Service	1487704789	1487704789	1	1	OXMAN, RICHARD I MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	34028	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1720 TERMINO AVE	None	LONG BEACH	CA	90804	2104	19	06037	33.78889871	-118.1458784	Los Angeles County
98790	Fee-for-Service	1780751685	1780751685	1	1	OCHOA, EDGAR MD	12/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	64606	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
98807	Fee-for-Service	1265403976	1265403976	1	1	OAKDALE KIDNEY CENTER	10/8/1999	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1405 W F ST	STE B	OAKDALE	CA	95361	3573	50	06099	37.76002378	-120.8626139	Stanislaus County
98860	Fee-for-Service	1306573811	1306573811	1	1	ORPILLA, JOHN GABRIEL CRNA	3/21/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
98880	Fee-for-Service	1710019781	1710019781	1	1	OZAKI, WAYNE DDS	2/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	84481	24	Plastic Surgery	0	In state provider	None	200 MEDICAL PLAZA	SUITE 465	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
99057	Fee-for-Service	1487704789	1487704789	1	1	OXMAN, RICHARD I MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	34028	30	Radiology	0	In state provider	None	1720 TERMINO AVE	None	LONG BEACH	CA	90804	2104	19	06037	33.78889871	-118.1458784	Los Angeles County
99081	Fee-for-Service	1700066883	1700066883	1	1	OMETEOTL M. ACOSTA 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	4502 MEDICAL DR	None	SAN ANTONIO	TX	78229	4493	00	None	29.508012	-98.578683	Bexar County
99158	Fee-for-Service	1750426201	1750426201	1	1	OGAWA, SANDRA T AU	9/23/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	8915 TOWNE CENTRE	None	SAN DIEGO	CA	92122	5650	37	06073	32.86767898	-117.2071838	San Diego County
99168	Fee-for-Service	1154366987	1154366987	1	1	OKWUJE, EMEKA B MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	81449	05	Anesthesiology	0	In state provider	None	6655 ALVARADO RD	None	SAN DIEGO	CA	92120	5208	37	06073	32.77718098	-117.0571332	San Diego County
99211	Fee-for-Service	1972967081	1972967081	1	1	ONU, CHINWE C MD	4/29/2020	207P00000X	NA	Other	026	PHYSICIANS	151289	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
99244	Fee-for-Service	1841209475	1841209475	1	1	OCHI, JAMES W MD A MEDICAL	4/12/2011	193400000X	NA	Other	026	PHYSICIANS	55273	40	Pediatrics	0	In state provider	CORPORATION	477 NORTH EL CAMINO REAL	STE C303	ENCINITAS	CA	92024	1332	37	06073	33.05700866	-117.262449	San Diego County
99250	Fee-for-Service	1730250879	1730250879	1	1	OLSON,PAUL D MD	4/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1301 15TH AVE WEST	None	WILLISTON	ND	58801	0000	00	None	48.155418	-103.645466	Williams County
99297	Fee-for-Service	1982747325	1982747325	1	1	OCONNOR, BARBARA L LMFT	9/15/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2810 E DEL MAR BLVD	None	PASADENA	CA	91107	4320	19	06037	34.14212984	-118.092328	Los Angeles County
99369	Fee-for-Service	1558526624	1558526624	1	1	ORTEGA, MICHELLE	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
99485	Fee-for-Service	1700414398	1700414398	1	1	ONYINYE OKEZIE MD INC	4/24/2024	2080A0000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	500 OLD RIVER RD	110	BAKERSFIELD	CA	93311	9504	15	06029	35.35127492	-119.1142991	Kern County
99530	Fee-for-Service	1841209475	1841209475	1	1	OCHI, JAMES W MD A MEDICAL	4/12/2011	193400000X	NA	Other	026	PHYSICIANS	55273	04	Otology, Laryngology, Rhinology	0	In state provider	CORPORATION	477 NORTH EL CAMINO REAL	STE C303	ENCINITAS	CA	92024	1332	37	06073	33.05700866	-117.262449	San Diego County
99644	Fee-for-Service	1922084359	1922084359	1	1	ORANGE COUNTY GLAUCOMA	5/3/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INC	1200 N TUSTIN AVENUE	SUITE 240	SANTA ANA	CA	92705	3534	30	06059	33.75564579	-117.8342574	Orange County
99744	Fee-for-Service	1932414406	1932414406	1	1	ONEAL, MICHAEL J MD	9/1/2017	207P00000X	NA	Other	026	PHYSICIANS	150172	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
99774	Fee-for-Service	1700414398	1700414398	1	1	ONYINYE OKEZIE MD INC	12/2/2024	2080A0000X	NA	Pediatric Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	500 OLD RIVER RD	110	BAKERSFIELD	CA	93311	9504	15	06029	35.35127492	-119.1142991	Kern County
99940	Fee-for-Service	1780858829	1780858829	1	1	OGBU, AKUNNA U MD	9/27/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	112010	None	None	0	In state provider	None	2500 MERCED ST	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
99947	Fee-for-Service	1275732372	1275732372	1	1	OSEI, KWABENA G MD	1/19/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	152209	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
99964	Fee-for-Service	1336246750	1336246750	1	1	O'BRIEN, J G PT	2/28/2023	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
100038	Fee-for-Service	1376644500	1376644500	1	1	ORLOFF, GEORGE MD	5/1/1995	208200000X	NA	General Surgery	026	PHYSICIANS	62823	24	Plastic Surgery	0	In state provider	None	2300 S FLOWER ST	STE 300	LOS ANGELES	CA	90007	2677	19	06037	34.0294397	-118.2734132	Los Angeles County
100069	Fee-for-Service	1811942253	1811942253	1	1	OUNANIAN, LEROY MD	1/1/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	34816	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
100088	Fee-for-Service	1457814071	1457814071	1	1	OSTERBERG, STEPHEN MD	12/10/2024	208600000X	NA	General Surgery	026	PHYSICIANS	None	02	General Surgery	0	In state provider	None	2175 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	7024	09	06017	38.91234551	-119.9972565	El Dorado County
100131	Fee-for-Service	1871671602	1871671602	1	1	OBLER, MARTA B MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	52318	36	Psychiatry	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
100244	Fee-for-Service	1083665467	1083665467	1	1	OWENS, JOHN R MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	31345	02	General Surgery	0	In state provider	None	3941 SAN DIMAS ST	BLDG 1	BAKERSFIELD	CA	93301	5734	15	06029	35.39552345	-119.0082184	Kern County
100404	Fee-for-Service	1659073575	1659073575	1	1	OSCYLLATE MEDICINE	4/23/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	None	210 GRAND AVE	SUITE 320	GLENDORA	CA	91741	4205	19	06037	34.133859	-117.872523	Los Angeles County
100513	Fee-for-Service	1568838720	1568838720	1	1	OWENS, AMIRTHA V DO	2/5/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	22489	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
100535	Fee-for-Service	1083665467	1083665467	1	1	OWENS, JOHN R MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	31345	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3941 SAN DIMAS ST	BLDG 1	BAKERSFIELD	CA	93301	5734	15	06029	35.39552345	-119.0082184	Kern County
100555	Fee-for-Service	1578217451	1578217451	1	1	OPTIMUM WOUND CARE INC	2/12/2024	193400000X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	22151 VENTURA BLVD	STE 101	WOODLAND HILLS	CA	91364	1666	19	06037	34.16870042	-118.6099445	Los Angeles County
100568	Fee-for-Service	1063925717	1063925717	1	1	OMNI FAMILY HEALTH	12/29/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	912 FREMONT ST	None	DELANO	CA	93215	2713	15	06029	35.76763031	-119.2498143	Kern County
100621	Fee-for-Service	1760724231	1760724231	1	1	OMNICARE HOME HEALTH, INC	9/7/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2430 AMSLER ST	STE A	TORRANCE	CA	90505	5302	19	06037	33.8014705	-118.3271715	Los Angeles County
100690	Fee-for-Service	1497149512	1497149512	1	1	OO, KIMBERLY MD	8/8/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	154597	08	Family Practice	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
100712	Fee-for-Service	1609812965	1609812965	1	1	OLIVER, PETER F MD	2/28/1996	208600000X	NA	General Surgery	026	PHYSICIANS	65894	02	General Surgery	0	In state provider	PO BOX 636	556 MOUNTAIN RANCH RD	None	SAN ANDREAS	CA	95249	9705	05	06009	38.18909885	-120.6740156	Calaveras County
100751	Fee-for-Service	1063614592	1063614592	1	1	OLMSTED, DAWN B LMFT	4/13/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	111469	-	NOT APPLICABLE	0	In state provider	None	1200 NORTH MAIN ST	STE 100B, 301, 500	SANTA ANA	CA	92701	3640	30	06059	33.755175	-117.8676195	Orange County
100772	Fee-for-Service	1912996356	1912996356	1	1	OBRYAN, CAREY L IV MD	4/24/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	89153	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	415 OLD NEWPORT BLVD	SUITE 200	NEWPORT BEACH	CA	92663	4252	30	06059	33.62621345	-117.9266745	Orange County
100821	Fee-for-Service	1083665467	1083665467	1	1	OWENS, JOHN R MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	31345	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3941 SAN DIMAS ST	BLDG 1	BAKERSFIELD	CA	93301	5734	15	06029	35.39552345	-119.0082184	Kern County
100852	Fee-for-Service	1063925717	1063925717	1	1	OMNI FAMILY HEALTH	1/4/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	912 FREMONT ST	None	DELANO	CA	93215	2713	15	06029	35.76763031	-119.2498143	Kern County
100945	Fee-for-Service	1548571656	1548571656	1	1	OAKLEY, LUKE MD	2/18/2020	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	153838	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
101054	Fee-for-Service	1184313587	1184313587	1	1	OCEAN SURGICAL INC	9/1/2023	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1325 N ROSE DR STE	210	PLACENTIA	CA	92870	3800	30	06059	33.8868003	-117.8420447	Orange County
101060	Fee-for-Service	1720591555	1720591555	1	1	OBEROI, ROHAN MD	8/29/2022	2081H0002X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	176026	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
101143	Fee-for-Service	1063925717	1063925717	1	1	OMNI FAMILY HEALTH	3/14/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	912 FREMONT ST	None	DELANO	CA	93215	2713	15	06029	35.76763031	-119.2498143	Kern County
101205	Fee-for-Service	1518453653	1518453653	1	1	OBEROI, ANUBHA DPM	8/23/2024	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	3536 MENDOCINO AVE STE 3	None	SANTA ROSA	CA	95403	3634	49	06097	38.473326	-122.725935	Sonoma County
101383	Fee-for-Service	1740506344	1740506344	1	1	OSBORNE, MARY K MD	4/4/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	161832	None	None	0	In state provider	None	1660 E ROSEVILLE PARKWAY	None	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
101429	Fee-for-Service	1063925717	1063925717	1	1	OMNI FAMILY HEALTH	3/14/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	912 FREMONT ST	None	DELANO	CA	93215	2713	15	06029	35.76763031	-119.2498143	Kern County
101442	Fee-for-Service	1437341005	1437341005	1	1	OUGH, FAITH M MD	2/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	91717	22	Pathology (M.D. only)	0	In state provider	None	1520 SAN PABLO ST	STE 1000A	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
101503	Fee-for-Service	1013233766	1013233766	1	1	OATES, ARIS H MD	11/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	120363	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
101636	Fee-for-Service	1891187225	1891187225	1	1	OMBOGO, EMILY PT	6/25/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5533 W HILLSDALE AVE	SUITE 'A'	VISALIA	CA	93291	5138	54	06107	36.329238	-119.35251	Tulare County
101669	Fee-for-Service	1063788727	1063788727	1	1	OBRIEN, CONNOR G MD	9/9/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	126717	06	Cardiovascular Disease (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
101670	Fee-for-Service	1528831849	1528831849	1	1	ON DEMAND MOBILITY LLC	1/23/2024	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1321 S WASHINGTON ST	None	LODI	CA	95240	5947	39	06077	38.11660256	-121.267338	San Joaquin County
101693	Fee-for-Service	1700358926	1700358926	1	1	ONYX HOSPICE, INC	9/21/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	13701 RIVERSIDE DR	STE 607	SHERMAN OAKS	CA	91423	2449	19	06037	34.15762986	-118.4316325	Los Angeles County
101859	Fee-for-Service	1568421832	1568421832	1	1	OKADA, NORICHIKA A MD	9/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100398	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
101923	Fee-for-Service	1225181209	1225181209	1	1	OSTOW, ABIGAIL R MD	9/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	88751	36	Psychiatry	0	In state provider	None	3441 MARYSVILLE BLVD	None	SACRAMENTO	CA	95838	4512	34	06067	38.631231	-121.431402	Sacramento County
101950	Fee-for-Service	1780970392	1780970392	1	1	OKAMURA, ANTHONY R MD	8/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	130407	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
101959	Fee-for-Service	1063788727	1063788727	1	1	OBRIEN, CONNOR G MD	9/9/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	126717	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
101960	Fee-for-Service	1609954361	1609954361	1	1	OIDE, CHRISTOPHER T MD	11/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	76338	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
101980	Fee-for-Service	1700358926	1700358926	1	1	ONYX HOSPICE, INC	9/21/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	13701 RIVERSIDE DR	STE 607	SHERMAN OAKS	CA	91423	2449	19	06037	34.15762986	-118.4316325	Los Angeles County
102004	Fee-for-Service	1518223981	1518223981	1	1	ORTLIP, TIMOTHY E MD	12/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155301	24	Plastic Surgery	0	In state provider	None	2557 MOWRY AVE	STE 30	FREMONT	CA	94538	1614	01	06001	37.55561575	-121.9826617	Alameda County
102039	Fee-for-Service	1427250448	1427250448	2	1	OPTUM PHARMACY 701, LLC	6/24/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	4100 S SAGINAW ST	SUITE D	FLINT	MI	48507	2683	00	None	42.98635564	-83.67550387	Genesee County
102103	Fee-for-Service	1083948830	1083948830	1	1	OYEWOLE, AYOADE M	11/20/2012	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1031 EL DORADO	SUITE C	STOCKTON	CA	95202	1303	39	06077	37.96318713	-121.2927363	San Joaquin County
102200	Fee-for-Service	1922098284	1922098284	1	1	ONG,KENNETH	6/3/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	234 E 149TH STREET	None	BRONX	NY	10451	5504	00	None	40.817538	-73.9240965	Bronx County
102206	Fee-for-Service	1881032282	1881032282	1	1	OC GASTROCARE	9/24/2014	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	408 S BEACH BLVD	STE 211	ANAHEIM	CA	92804	1853	30	06059	33.82709101	-117.9932293	Orange County
102240	Fee-for-Service	1780970392	1780970392	1	1	OKAMURA, ANTHONY R MD	8/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	130407	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
102327	Fee-for-Service	1952542177	1952542177	1	1	ODYSSEY HEALTHCARE OPERATING	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	HOME LLC	4820 BUSINESS CENTER DR	SUITE 105	FAIRFIELD	CA	94534	1901	48	06095	38.22055392	-122.1386622	Solano County
102403	Fee-for-Service	1073777637	1073777637	1	1	OSHEA, KELLY A OD	10/25/2013	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
102449	Fee-for-Service	1518276310	1518276310	1	1	ONG, ANTONIO K MD AMC	1/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	36630	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3505 HART AVENUE	SUITE 202	ROSEMEAD	CA	91770	2061	19	06037	34.07294437	-118.0687952	Los Angeles County
102473	Fee-for-Service	1366519373	1366519373	1	1	OWEN, CINDY L MD	12/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	43809	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
102491	Fee-for-Service	1508896275	1508896275	1	2	OTUECHERE, VALENTINE U MD	4/25/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	93662	-	NOT APPLICABLE	0	In state provider	None	1122 E LINCOLN AVENUE	B100	ORANGE	CA	92865	1913	30	06059	33.83616558	-117.8412916	Orange County
102514	Fee-for-Service	1720284573	1720284573	1	2	ORDOVAS, KAREN G MD	2/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110436	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
102613	Fee-for-Service	1952542177	1952542177	1	1	ODYSSEY HEALTHCARE OPERATING	12/16/2010	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	HOME LLC	4820 BUSINESS CENTER DR	SUITE 105	FAIRFIELD	CA	94534	1901	48	06095	38.22055392	-122.1386622	Solano County
102643	Fee-for-Service	1154748465	1154748465	1	1	OMNIA HEALTHCARE LLC	10/31/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	105 BULLARD AVE	None	CLOVIS	CA	93612	0902	10	06019	36.82310547	-119.708163	Fresno County
102737	Fee-for-Service	1518276310	1518276310	1	1	ONG, ANTONIO K MD AMC	1/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	36630	02	General Surgery	0	In state provider	None	3505 HART AVENUE	SUITE 202	ROSEMEAD	CA	91770	2061	19	06037	34.07294437	-118.0687952	Los Angeles County
102762	Fee-for-Service	1366519373	1366519373	1	1	OWEN, CINDY L MD	12/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	43809	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
102893	Fee-for-Service	1669462347	1669462347	1	1	O'NEIL. JAMES 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	1400 S DOBSON RD	None	MESA	AZ	85202	4707	00	None	33.38982	-111.8760885	Maricopa County
102971	Fee-for-Service	1740342807	1740342807	1	1	OWENS, INC.	6/10/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	2690 MAIN STREET	None	SUSANVILLE	CA	96130	4712	18	06035	40.41158162	-120.6376301	Lassen County
103091	Fee-for-Service	1255838652	1255838652	1	1	ORYNICH, ROBERT W MD	8/19/2022	207P00000X	NA	Other	026	PHYSICIANS	177869	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
103110	Fee-for-Service	1154718773	1154718773	1	1	ORINDA CARE CENTER LLC	2/24/2016	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	11 ALTARINDA ROAD	None	ORINDA	CA	94563	2602	07	06013	37.8829129	-122.1839574	Contra Costa County
103173	Fee-for-Service	1679621585	1679621585	1	1	OH, YOUNG S MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	65702	04	Otology, Laryngology, Rhinology	0	In state provider	None	1001 POTRERO AVE	RM 4M	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
103185	Fee-for-Service	1609982776	1609982776	1	1	OPI MEDICAL SUPPLIES	2/1/1989	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	17971 EUCLID ST	None	FOUNTAIN VALLEY	CA	92808	5409	30	06059	33.702462	-117.937057	Orange County
103377	Fee-for-Service	1134348022	1134348022	1	1	OGASAWARA, SHINOBU S PHD	4/21/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3825 HOPYARD ROAD	STE 140	PLEASANTON	CA	94566	8528	01	06001	37.683009	-121.9036935	Alameda County
103384	Fee-for-Service	1508967167	1508967167	1	1	OKHOVAT, MEHRAN A MD	7/1/1993	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	76549	08	Family Practice	0	In state provider	None	18350 ROSCOE BLVD	STE 600	NORTHRIDGE	CA	91325	4187	19	06037	34.22071855	-118.5341175	Los Angeles County
103459	Fee-for-Service	1053406397	1053406397	1	1	O'CALLAGHAN, JAMES J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	CHILDRENS UNID MED GRP	4500 SAND POINT WAY NE,	#100	SEATTLE	WA	98105	0000	00	None	47.66165594	-122.2864502	King County
103500	Fee-for-Service	1972659761	1972659761	1	1	ONDRUSEK, MICHAEL G PHD	2/7/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4550 KEARNY VILLA RD	STE 109	SAN DIEGO	CA	92123	1574	37	06073	32.82271596	-117.1441359	San Diego County
103504	Fee-for-Service	1235497157	1235497157	1	1	OZA, PREETI D	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5720 STONERIDGE MALL RD	SUITE 390	PLEASANTON	CA	94588	2831	01	06001	37.69247085	-121.9301884	Alameda County
103728	Fee-for-Service	1598207698	1598207698	1	1	ONOR, CEYLAN V LPCC	10/25/2023	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
103742	Fee-for-Service	1811377195	1811377195	1	1	OAKES, MEGAN C MD	6/21/2022	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	148417	None	None	0	In state provider	None	2888 LONG BEACH BLVD	SUITE 400	LONG BEACH	CA	90806	1553	19	06037	33.809706	-118.189343	Los Angeles County
103776	Fee-for-Service	1558467225	1558467225	1	1	OPTOMETRIC CTR OF LA-SO	12/1/1977	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	COLLEGE OF OPTOMETRY	3916 S BROADWAY	None	LOS ANGELES	CA	90037	1307	19	06037	34.0120423	-118.2782584	Los Angeles County
103799	Fee-for-Service	1457724627	1457724627	1	1	ONE STOP PHARMACARE INC	7/25/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4950 SAN BERNARDINO ST	SUITE 101A	MONTCLAIR	CA	91763	2328	36	06071	34.07768363	-117.6968874	San Bernardino County
103820	Fee-for-Service	1578704938	1578704938	1	1	OKLAHOMA STATE UNIVERSITY	6/20/2009	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER TRUST	744 W 9TH STREET	None	TULSA	OK	74127	9028	00	None	36.146646	-95.9994495	Tulsa County
103841	Fee-for-Service	1780161703	1780161703	1	1	ORANTES, GLORIA CCC-SLP	10/29/2019	235Z00000X	NA	Other	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
103919	Fee-for-Service	1861746885	1861746885	1	1	ORDONEZ, PERBEY P LMFT	9/8/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 PULLMAN ST	None	LIVERMORE	CA	94551	9756	01	06001	37.70755227	-121.7149933	Alameda County
103932	Fee-for-Service	1578966792	1578966792	1	1	OLVERA, PATRICIA LMFT	7/30/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2225 BUCHANNAN RD	C	ANTIOCH	CA	94509	4209	07	06013	37.99862519	-121.8375728	Contra Costa County
103980	Fee-for-Service	1366992489	1366992489	1	1	OMALLEY, SHAWN M NP	5/16/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4733 SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
104108	Fee-for-Service	1578704938	1578704938	1	1	OKLAHOMA STATE UNIVERSITY	6/20/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER TRUST	744 W 9TH STREET	None	TULSA	OK	74127	9028	00	None	36.146646	-95.9994495	Tulsa County
104178	Fee-for-Service	1518004910	1518004910	1	1	ORANGE COUNTY CCS	7/1/2002	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	PLACENTIA MTU	710 EAST GOLDEN AVE	None	PLACENTIA	CA	92870	1635	30	06059	33.90382597	-117.8539322	Orange County
104185	Fee-for-Service	1487823902	1487823902	1	1	ORDUNO, RAMON R CRNA	3/21/2008	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
104208	Fee-for-Service	1568405538	1568405538	1	1	OPORTOT, MIGUEL A PHD	7/15/2010	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1245 WILSHIRE BLVD	STE 403	LOS ANGELES	CA	90017	4804	19	06037	34.05362775	-118.2661889	Los Angeles County
104260	Fee-for-Service	1457363889	1457363889	1	1	OLIARO, JERRY P MD	11/30/1991	207P00000X	NA	Other	026	PHYSICIANS	6041	01	General Practice	0	In state provider	None	4747 ENGLE RD	None	CARMICHAEL	CA	95608	2223	34	06067	38.6320173	-121.3545928	Sacramento County
104297	Fee-for-Service	1265011639	1265011639	1	1	OMGANESH CORPORATION	5/19/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	355 DOVER PKWY	STE C	DELANO	CA	93215	3441	15	06029	35.7610493	-119.2523273	Kern County
104338	Fee-for-Service	1568930360	1568930360	1	1	OUTHIER, CHELSEA CNP	2/16/2024	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
104348	Fee-for-Service	1184678583	1184678583	1	1	OMIDVAR, OMID MD	5/10/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	55552	13	Neurology (M.D. only)	0	In state provider	None	3791 KATELLA AVE	STE 106	LOS ALAMITOS	CA	90720	2000	30	06059	33.80318449	-118.0672965	Orange County
104496	Fee-for-Service	1659487288	1659487288	1	1	O DONNELL, VINCENT A MD	1/1/1979	208600000X	NA	General Surgery	026	PHYSICIANS	24882	02	General Surgery	0	In state provider	None	1245 WILSHIRE BLVD	STE 905	LOS ANGELES	CA	90017	4809	19	06037	34.05362775	-118.2661889	Los Angeles County
104510	Fee-for-Service	1982901294	1982901294	1	1	OPARDIJA, ALMIRA MD	9/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	157661	77	Infectious Disease	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
104544	Fee-for-Service	1457363889	1457363889	1	1	OLIARO, JERRY P MD	11/30/1991	207P00000X	NA	Other	026	PHYSICIANS	6041	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4747 ENGLE RD	None	CARMICHAEL	CA	95608	2223	34	06067	38.6320173	-121.3545928	Sacramento County
104653	Fee-for-Service	1114928744	1114928744	1	1	ONEILL, MAUREEN A MD	5/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	74915	40	Pediatrics	0	In state provider	None	11539 HAWTHORNE BLVD	FL 6	HAWTHORNE	CA	90250	2325	19	06037	33.929352	-118.352747	Los Angeles County
104685	Fee-for-Service	1134349533	1134349533	1	1	ORANGE COUNTY EMERGENCY	4/14/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	SURGICAL SPECIALIST INC	999 N TUSTIN AVE	STE 116	SANTA ANA	CA	92705	6505	30	06059	33.754167	-117.834191	Orange County
104713	Fee-for-Service	1780865444	1780865444	1	1	O'LOUGHLIN, SARAH J MD	8/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	92397	40	Pediatrics	0	In state provider	None	2501 E CHAPMAN AVENUE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
104791	Fee-for-Service	1558068759	1558068759	1	1	OUR FAMILY MEDICAL GROUP, IN	8/9/2023	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	C.	1131 W. 6TH ST	STE 150	ONTARIO	CA	91762	1116	36	06071	34.084404	-117.6717015	San Bernardino County
104835	Fee-for-Service	1467153130	1467153130	1	1	OMNI FAMILY HEALTH	5/6/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1507 PANAMA LANE	SUITE G100	BAKERSFIELD	CA	93307	5682	15	06029	35.2958565	-119.01861	Kern County
104912	Fee-for-Service	1093753030	1093753030	1	1	ORKIN, HEDDA J MD	11/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	56636	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3555 CESAR CHAVEZ	None	SAN FRANCISCO	CA	94110	4403	38	06075	37.74802705	-122.4207367	San Francisco County
105002	Fee-for-Service	1093182792	1093182792	1	1	OLSEN, LINDSEY A	4/23/2018	No Taxonomy Provided	NA	None	037	SPEECH 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
105124	Fee-for-Service	1467153130	1467153130	1	1	OMNI FAMILY HEALTH	5/6/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1507 PANAMA LANE	SUITE G100	BAKERSFIELD	CA	93307	5682	15	06029	35.2958565	-119.01861	Kern County
105182	Fee-for-Service	1922046994	1922046994	1	1	OZAWA, GLEN Y OD	3/28/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
105434	Fee-for-Service	1902109564	1902109564	1	1	OHGAMI, ROBERT S MD	7/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	109472	22	Pathology (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
105509	Fee-for-Service	1023196722	1023196722	1	1	O'KELLY, BRIAN F MD	2/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	48202	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
105578	Fee-for-Service	1043817935	1043817935	1	1	OGATA, JILLIAN M LCSW	5/10/2021	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
105639	Fee-for-Service	1598829574	1598829574	1	1	ORANGE COAST ONCOLOGY HEMATO	5/19/2010	193400000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	LOGY MEDICAL ASSOCIATES	4000 W COAST HIGHWAY	#3A	NEWPORT BEACH	CA	92663	4162	30	06059	33.62175304	-117.9331818	Orange County
105695	Fee-for-Service	1518617166	1518617166	1	1	ONE DAY HOME HEALTH CARE INC	9/16/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10117 SEPULVEDA BLVD	SUITE 203D	MISSION HILLS	CA	91345	2600	19	06037	34.254252	-118.467507	Los Angeles County
105723	Fee-for-Service	1902109564	1902109564	1	1	OHGAMI, ROBERT S MD	7/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	109472	68	Hematology	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
105776	Fee-for-Service	1952954794	1952954794	1	1	OBASI, LISA MD	8/2/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	181373	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
105777	Fee-for-Service	1497157820	1497157820	1	1	ORDUST DIALYSIS LLC	3/7/2016	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	6655 N MILBURN AVE	None	FRESNO	CA	93722	2162	10	06019	36.83438336	-119.8790101	Fresno County
105794	Fee-for-Service	1104875582	1104875582	1	1	OJEDA, FRANCISCO MD	2/19/2025	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	657 TOWN CENTER	None	LAS VEGAS	NV	89144	6367	00	None	36.180999	-115.3174815	Clark County
105852	Fee-for-Service	1487734182	1487734182	1	1	OREJUDOS, BENJAMIN MD	6/1/1998	2085B0100X	NA	MRI Provider	026	PHYSICIANS	31814	30	Radiology	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
105870	Fee-for-Service	1568540300	1568540300	1	1	OLIVER, DANIEL C MD	8/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	71501	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3284 JEFFERSON ST	None	NAPA	CA	94558	3436	28	06055	38.32147532	-122.2994954	Napa County
105906	Fee-for-Service	1568637239	1568637239	1	1	ORNELAS, CHRISTOPHER C MD	5/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	112082	20	Orthopedic 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
105927	Fee-for-Service	1598829574	1598829574	1	1	ORANGE COAST ONCOLOGY HEMATO	5/19/2010	193400000X	NA	Other	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	LOGY MEDICAL ASSOCIATES	4000 W COAST HIGHWAY	#3A	NEWPORT BEACH	CA	92663	4162	30	06059	33.62175304	-117.9331818	Orange County
105947	Fee-for-Service	1265516256	1265516256	1	1	OH, LUCY J MD	11/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	55875	41	Internal Medicine	0	In state provider	None	2280 HARRISON AVE	STE B	EUREKA	CA	95501	3200	12	06023	40.78745765	-124.1396643	Humboldt County
105993	Fee-for-Service	1275728388	1275728388	1	1	OWENS, MICHAEL H MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	52962	41	Internal Medicine	0	In state provider	None	3177 OCEAN VIEW BLVD	None	SAN DIEGO	CA	92113	1432	37	06073	32.7011883	-117.1261025	San Diego County
106112	Fee-for-Service	1790328797	1790328797	1	1	OCHOA ARMAS, STACEY AU	10/15/2024	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2160 WEST ADAMS BLVD.	None	LOS ANGELES	CA	90018	2039	19	06037	34.03262662	-118.3138579	Los Angeles County
106143	Fee-for-Service	1114051919	1114051919	1	1	OAK, MINA PHD	12/1/2002	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
106179	Fee-for-Service	1841867538	1841867538	1	1	OZAKI, AIMEE	1/11/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	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
106279	Fee-for-Service	1679761092	1679761092	1	1	OHAERI, FRANCES A LCSW	1/19/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	22365 BARTON RD	STE 302	GRAND TERRACE	CA	92313	5078	36	06071	34.03387854	-117.316818	San Bernardino County
106281	Fee-for-Service	1275728388	1275728388	1	1	OWENS, MICHAEL H MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	52962	01	General Practice	0	In state provider	None	3177 OCEAN VIEW BLVD	None	SAN DIEGO	CA	92113	1432	37	06073	32.7011883	-117.1261025	San Diego County
106308	Fee-for-Service	1982127338	1982127338	1	1	OAKLANDIDENCE OPCO, LLC	9/1/2017	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	475 29TH ST	None	OAKLAND	CA	94609	3510	01	06001	37.81797518	-122.2663391	Alameda County
106463	Fee-for-Service	1386754273	1386754273	1	1	OAK HILLS MEDICAL CORPORATIO	11/6/2022	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ER	5020 COMMERCE DR	None	BAKERSFIELD	CA	93309	0631	15	06029	35.36787086	-119.0579597	Kern County
106548	Fee-for-Service	1558610451	1558610451	1	1	ORION HOME HEALTH CARE, INC.	5/26/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10137 RIVERSIDE DRIVE	SUITE B	TOLUCA LAKE	CA	91602	2509	19	06037	34.15223348	-118.351962	Los Angeles County
106751	Fee-for-Service	1386754273	1386754273	1	1	OAK HILLS MEDICAL CORPORATIO	2/15/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ER	5020 COMMERCE DR	None	BAKERSFIELD	CA	93309	0631	15	06029	35.36787086	-119.0579597	Kern County
106811	Fee-for-Service	1174679047	1174679047	1	1	OLAYA CLEARY, YANIRA M MD	11/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	94208	None	None	0	In state provider	None	4077 FIFTH AVENUE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
106815	Fee-for-Service	1225251127	1225251127	1	1	OCHOA, MARIO A MD	9/13/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76417	08	Family Practice	0	In state provider	BELMONT MEDICAL CTR INC	4881 E BELMONT AVE	None	FRESNO	CA	93727	2324	10	06019	36.75052067	-119.732727	Fresno County
106958	Fee-for-Service	1932558103	1932558103	1	1	ON TIME HEALTH CARE, INC	9/4/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	126 S JACKSON ST	SUITE 206	GLENDALE	CA	91205	4922	19	06037	34.14533965	-118.2500741	Los Angeles County
107038	Fee-for-Service	1386754273	1386754273	1	1	OAK HILLS MEDICAL CORPORATIO	1/30/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	ER	5020 COMMERCE DR	None	BAKERSFIELD	CA	93309	0631	15	06029	35.36787086	-119.0579597	Kern County
107080	Fee-for-Service	1376128322	1376128322	1	1	OCEAN PARK HEALTHCARE LLC	3/1/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2828 PICO BLVD	None	SANTA MONICA	CA	90405	1920	19	06037	34.02460276	-118.4598039	Los Angeles County
107089	Fee-for-Service	1972008043	1972008043	1	1	OSMAN, SOLEIMAN DO	7/25/2022	208M00000X	NA	Other	026	PHYSICIANS	19118	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
107101	Fee-for-Service	1225251127	1225251127	1	1	OCHOA, MARIO A MD	9/13/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76417	01	General Practice	0	In state provider	BELMONT MEDICAL CTR INC	4881 E BELMONT AVE	None	FRESNO	CA	93727	2324	10	06019	36.75052067	-119.732727	Fresno County
107175	Fee-for-Service	1316384555	1316384555	1	1	OSTEDGAARD, KATHARINE L MD	6/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	154794	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
107335	Fee-for-Service	1699844837	1699844837	1	1	OWENS, TWYMAN R MD	5/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	68762	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	403 S LONG BEACH BLVD	STE A	COMPTON	CA	90221	3490	19	06037	33.89318091	-118.2078742	Los Angeles County
107396	Fee-for-Service	1205409091	1205409091	1	1	OMEGA CARE HOME HEALTH	7/23/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	842 N FAIR OAKS AVE	UNIT 150	PASADENA	CA	91103	3052	19	06037	34.16025846	-118.1505725	Los Angeles County
107441	Fee-for-Service	1821140286	1821140286	1	1	OKAHARA, TOMOKO MD	12/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74633	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
107446	Fee-for-Service	1962414722	1962414722	1	1	O'NEAL, ERICA L MD	9/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129571	36	Psychiatry	0	In state provider	None	3554 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	0929	49	06097	38.47599	-122.725557	Sonoma County
107570	Fee-for-Service	1831669357	1831669357	1	1	OPTIKA OPTOMETRICS	12/30/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	17134 COLIMA RD	SUITE B&C	HACIENDA HEIGHTS	CA	91745	6737	19	06037	33.99066696	-117.9330037	Los Angeles County
107863	Fee-for-Service	1881056349	1881056349	1	1	OGUELI, VIVIAN C MD	2/4/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	152063	40	Pediatrics	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
108002	Fee-for-Service	1770928384	1770928384	1	1	OMADA HEALTH INC	3/20/2019	174H00000X	NA	Other	102	DIABETES PREVENTION PROGRAM SUPPLIER	-	-	NOT APPLICABLE	0	In state provider	None	500 SANSOME ST	STE 200	SAN FRANCISCO	CA	94111	3215	38	06075	37.79511287	-122.4015002	San Francisco County
108012	Fee-for-Service	1699786293	1699786293	1	1	OB-GYN PLACE AMC	2/28/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	82019	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	51 N 5TH AVENUE	SUITE 204	ARCADIA	CA	91006	3711	19	06037	34.1412293	-118.0205477	Los Angeles County
108074	Fee-for-Service	1609396514	1609396514	1	1	O'BRIEN, COURTNEY A DO	3/15/2022	207RR0500X	NA	Other	026	PHYSICIANS	18469	None	None	0	In state provider	None	2655 1ST STREET	360, 380	SIMI VALLEY	CA	93065	1581	56	06111	34.28400453	-118.778978	Ventura County
108107	Fee-for-Service	1831351162	1831351162	1	1	OLVERA, JOSEPH LMFT	12/14/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	132 S THOMPSON ST	None	HEMET	CA	92543	4351	33	06065	33.74675899	-116.9651207	Riverside County
108140	Fee-for-Service	1306839287	1306839287	2	1	OKUN, DAVID B MD	1/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	29859	41	Internal Medicine	0	In state provider	None	24953 PASEO DE VALENCIA	None	LAGUNA HILLS	CA	92653	4342	30	06059	33.60028568	-117.7010887	Orange County
108153	Fee-for-Service	1467492074	1467492074	1	1	OSTERKAMP, JOHN A MD	11/30/1992	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	42232	20	Orthopedic Surgery	0	In state provider	None	1818 VERDUGO BLVD	STE 201	GLENDALE	CA	91208	1433	19	06037	34.20560177	-118.216054	Los Angeles County
108269	Fee-for-Service	1396198404	1396198404	1	1	OCHOA, ARACELI LCSW	7/8/2023	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
108416	Fee-for-Service	1356402655	1356402655	1	1	ORMONDE, LINDA M	10/3/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1515 NEWELL AVENUE	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
108417	Fee-for-Service	1649383399	1649383399	2	1	ORONA, RENE A MD	10/19/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	49833	01	General Practice	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
108489	Fee-for-Service	1578873782	1578873782	3	1	OKEEFE, PHILIP J MD INC	9/1/1978	207R00000X	NA	Other	026	PHYSICIANS	26028	41	Internal Medicine	0	In state provider	None	45 CASTRO STREET	SUITE 138	SAN FRANCISCO	CA	94114	1029	38	06075	37.76829732	-122.4357056	San Francisco County
108499	Fee-for-Service	1265099584	1265099584	1	2	OHANA URGENT CARE GROUP, INC	3/1/2020	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6260 EL CAMINO REAL	SUITE 101	CARLSBAD	CA	92009	1609	37	06073	33.12215813	-117.266659	San Diego County
108546	Fee-for-Service	1104039197	1104039197	1	1	O'CONNELL, CASEY L MD	5/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80627	78	Neoplastic Diseases/Oncology	0	In state provider	None	1520 SAN PABLO ST	STE 1000	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
108665	Fee-for-Service	1356362438	1356362438	1	1	ORTHOPAEDIC GROUP OF	1/1/1979	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	SAN FRANCISCO INC	1700 CALIFORNIA ST	STE 300	SAN FRANCISCO	CA	94109	4584	38	06075	37.79030099	-122.4230289	San Francisco County
108693	Fee-for-Service	1770956096	1770956096	1	1	OPTIMUM MED EQUIPMENT SUPPLY	4/24/2020	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	LLC	10 LUDLAM AVE	None	BAYVILLE	NY	11709	3202	00	None	40.906863	-73.549836	Nassau County
108747	Fee-for-Service	1780432427	1780432427	1	1	OGEE-NWANKWO, ONYINYE C NP	10/18/2024	363LA2100X	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
108830	Fee-for-Service	1598873184	1598873184	1	1	OEFELEIN, MICHAEL G MD	8/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	88466	34	Urology and Urological Surgery	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
108833	Fee-for-Service	1104039197	1104039197	1	1	O'CONNELL, CASEY L MD	5/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80627	41	Internal Medicine	0	In state provider	None	1520 SAN PABLO ST	STE 1000	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
108917	Fee-for-Service	1770651945	1770651945	1	1	ONTINGCO, MICHAEL S OD	1/27/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	250 TRAVELODGE DR	None	EL CAJON	CA	92020	4126	37	06073	32.79312432	-116.980275	San Diego County
109087	Fee-for-Service	1952923385	1952923385	1	1	OHAERI, CHARLES S LCSW	1/19/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	22365 BARTON RD	STE 302	GRAND TERRACE	CA	92313	5078	36	06071	34.03387854	-117.316818	San Bernardino County
109120	Fee-for-Service	1104039197	1104039197	1	1	O'CONNELL, CASEY L MD	5/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	80627	68	Hematology	0	In state provider	None	1520 SAN PABLO ST	STE 1000	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
109147	Fee-for-Service	1568415727	1568415727	1	1	ORSINI, THOMAS C MD	1/31/1995	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	65463	30	Radiology	0	In state provider	None	26991 CROWN VALLEY PKWY	None	MISSION VIEJO	CA	92691	6528	30	06059	33.56210341	-117.6694207	Orange County
109324	Fee-for-Service	1871977132	1871977132	1	1	ONG, FAUSTINE MD	8/29/2019	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	155344	38	Geriatrics	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
109451	Fee-for-Service	1326272188	1326272188	1	1	OBIE, OGADINMA I	6/5/2018	207P00000X	NA	Other	026	PHYSICIANS	148250	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
109598	Fee-for-Service	1194917856	1194917856	1	1	ONGTENGCO, RICHARD MD	10/23/2019	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	5400 S RAINBOW BLVD	None	LAS VEGAS	NV	89118	1859	00	None	36.090072	-115.2405585	Clark County
109835	Fee-for-Service	1679788749	1679788749	1	1	OKA, TOMOMI MD	9/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	101162	33	Thoracic Surgery	0	In state provider	None	2340 CLAY ST	None	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
109847	Fee-for-Service	1659989283	1659989283	1	1	OAKWOOD HEALTHCARE SERVICES	2/16/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	2600 FOOTHILL BLVD	STE 101	LA CRESCENTA	CA	91214	4578	19	06037	34.22121465	-118.2352382	Los Angeles County
109904	Fee-for-Service	1366436123	1366436123	1	1	OUR LADY OF THE LAKE HOSPITA	7/25/2006	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	L MEDICAL CENTER	5000 HENNESSY BLVD	None	BATON ROUGE	LA	70808	4398	00	None	30.403485	-91.1069055	East Baton Rouge Parish
110017	Fee-for-Service	1245429653	1245429653	1	1	OU, YVONNE MD	9/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	94691	18	Ophthalmology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94122	2721	38	06075	37.76386986	-122.4568084	San Francisco County
110135	Fee-for-Service	1659989283	1659989283	1	1	OAKWOOD HEALTHCARE SERVICES	2/16/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	2600 FOOTHILL BLVD	STE 101	LA CRESCENTA	CA	91214	4578	19	06037	34.22121465	-118.2352382	Los Angeles County
110188	Fee-for-Service	1609498120	1609498120	1	1	OCFEMIA, ROMMEL CNP	2/22/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	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
110192	Fee-for-Service	1366436123	1366436123	1	1	OUR LADY OF THE LAKE HOSPITA	7/25/2006	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	L MEDICAL CENTER	5000 HENNESSY BLVD	None	BATON ROUGE	LA	70808	4398	00	None	30.403485	-91.1069055	East Baton Rouge Parish
110194	Fee-for-Service	1760400865	1760400865	1	1	OLIVER, MARK MD	1/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5630 WATERBURY WAY	STE B102	SALT LAKE CTY	UT	84121	6209	00	None	40.648941	-111.850641	Salt Lake County
110230	Fee-for-Service	1679736300	1679736300	1	1	OKUMU, KRIS MD	3/17/2017	207XS0117X	NA	Orthopedic Surgery	026	PHYSICIANS	92195	20	Orthopedic Surgery	0	In state provider	None	1800 SULLIVAN AVE	STE 602	DALY CITY	CA	94015	2203	41	06081	37.68077723	-122.4728941	San Mateo County
110263	Fee-for-Service	1487218988	1487218988	1	1	OBERLING, VIVIAN	10/15/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4153 24TH STREET	4	SAN FRANCISCO	CA	94114	3614	38	06075	37.75120501	-122.4352246	San Francisco County
110388	Fee-for-Service	1669995494	1669995494	1	1	OKOLO, NGOZI E NP	8/29/2019	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
110393	Fee-for-Service	1578731105	1578731105	1	1	OFLAHERTY, KAREN A	12/27/2016	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3505 BROADWAY	None	OAKLAND	CA	94611	5714	01	06001	37.82263926	-122.2597946	Alameda County
110398	Fee-for-Service	1447734025	1447734025	1	1	OAKLEY ASSISTED LIVING, LLC	2/14/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	531 O'HARA AVENUE	None	OAKLEY	CA	94561	5741	07	06013	37.99407256	-121.7140133	Contra Costa County
110506	Fee-for-Service	1942256979	1942256979	1	1	OSCISLAWSKI, DANIEL	12/13/2024	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
110534	Fee-for-Service	1760626972	1760626972	1	1	OAKEY, ROBIN L LMFT	1/10/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
110538	Fee-for-Service	1053406025	1053406025	1	1	OFFENHEISER, MARY A CNS	12/8/2011	No Taxonomy Provided	NA	None	085	CLINICAL NURSE SPECIALIST X-OVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	33971 SELVA ROAD	SUITE 125	DANA POINT	CA	92629	3734	30	06059	33.46956258	-117.7143536	Orange County
110587	Fee-for-Service	1881668341	1881668341	1	1	OLAH, RONALD P MD	8/9/1996	207R00000X	NA	Other	026	PHYSICIANS	58723	41	Internal Medicine	0	In state provider	None	10 CONGRESS ST	STE 208	PASADENA	CA	91105	3023	19	06037	34.13396893	-118.1528162	Los Angeles County
110613	Fee-for-Service	1639804404	1639804404	1	1	ORNELAS, ALEXANDRA NP	4/4/2024	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
110776	Fee-for-Service	1669518064	1669518064	1	1	ORTIZ, PAULA J LCSW	7/3/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2155 IRON POINT ROAD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
110831	Fee-for-Service	1326001058	1326001058	1	1	ORHAN KEMAL OZ MD	5/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINESBLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
110844	Fee-for-Service	1962753806	1962753806	1	1	ODONNELL, AMY P	10/23/2018	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1179 N MCDOWELL BLVD	None	PETALUMA	CA	94954	6559	49	06097	38.26876442	-122.6598332	Sonoma County
110889	Fee-for-Service	1689919607	1689919607	1	1	OH, SHARON	4/18/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1149 190TH ST	2300	GARDENA	CA	90248	4321	19	06037	33.85834052	-118.2958065	Los Angeles County
111167	Fee-for-Service	1942722236	1942722236	1	1	OM, VICTOR OT	4/3/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2200 E. MAPLE AVE	None	EL SEGUNDO	CA	90245	6507	19	06037	33.92690475	-118.3857342	Los Angeles County
111182	Fee-for-Service	1417977901	1417977901	1	1	OTANI, ERIC M MD	1/11/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	75841	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
111239	Fee-for-Service	1750738902	1750738902	1	1	ORNELLAS, CAROLINE	1/8/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151291	None	None	0	In state provider	None	501 J STREET	None	SACRAMENTO	CA	95814	2325	34	06067	38.582118	-121.499325	Sacramento County
111335	Fee-for-Service	1689181323	1689181323	1	1	OPTIMAL HOSPICE, INC	4/18/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	44151 15TH ST WEST	STE 201	LANCASTER	CA	93534	4088	19	06037	34.68551775	-118.1568686	Los Angeles County
111378	Fee-for-Service	1750668893	1750668893	1	1	ODDOU, MELANIE H NP	9/2/2017	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3998 VISTA WAY	SUITE C	OCEANSIDE	CA	92056	4514	37	06073	33.18370179	-117.292963	San Diego County
111379	Fee-for-Service	1942572409	1942572409	1	1	OLDFATHER, JODI M CRNA	2/16/2012	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
111398	Fee-for-Service	1730330739	1730330739	1	1	OPEN DOOR COMMUNITY HEALTH	4/1/2009	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	38883 HWY 299	None	WILLOW CREEK	CA	95573	0000	12	06023	40.93997425	-123.6336606	Humboldt County
111519	Fee-for-Service	1821199464	1821199464	1	1	OLUFEMI,ABIODUN 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	2116 CRAIG ROAD	None	EAU CLAIRE	WI	54701	0000	00	None	44.79642	-91.5191165	Eau Claire County
111582	Fee-for-Service	1750487898	1750487898	1	1	OTWELL, LARRY E OD	9/30/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	72840 HIGHWAY 111	F201	PALM DESERT	CA	92260	3393	33	06065	33.723729	-116.394678	Riverside County
111616	Fee-for-Service	1306187158	1306187158	1	1	OSBORNE, TRACY D NP	6/9/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	1	Border provider	None	5330 SOUTH HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
111621	Fee-for-Service	1689181323	1689181323	1	1	OPTIMAL HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	44151 15TH ST WEST	STE 201	LANCASTER	CA	93534	4088	19	06037	34.68551775	-118.1568686	Los Angeles County
111636	Fee-for-Service	1609918846	1609918846	1	1	OLID, GRACIELA LMFT	10/5/2018	No Taxonomy Provided	NA	None	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
111687	Fee-for-Service	1730330739	1730330739	1	1	OPEN DOOR COMMUNITY HEALTH	12/8/2008	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	38883 HWY 299	None	WILLOW CREEK	CA	95573	0000	12	06023	40.93997425	-123.6336606	Humboldt County
111835	Fee-for-Service	1104385582	1104385582	1	1	OAK VIEW HHA LLC	5/19/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1100 E BROADWAY	SUITE 305	GLENDALE	CA	91205	4641	19	06037	34.14622171	-118.2415193	Los Angeles County
111872	Fee-for-Service	1659489599	1659489599	1	1	ONTARIO-MONTCLAIR SD	8/9/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	950 WEST D ST	None	ONTARIO	CA	91762	3026	36	06071	34.067304	-117.667098	San Bernardino County
111883	Fee-for-Service	1982138434	1982138434	1	1	OLUSUNMADE, MAYOWA MD	7/12/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	176339	36	Psychiatry	0	In state provider	None	4700 ENTERPRISE WAY	None	MODESTO	CA	95356	0000	50	06099	37.705761	-121.072012	Stanislaus County
111909	Fee-for-Service	1851325021	1851325021	1	1	OMNI FAMILY HEALTH	3/28/2006	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	161 N MILL ST	None	TEHACHAPI	CA	93561	1347	15	06029	35.13410412	-118.4520157	Kern County
111923	Fee-for-Service	1588991855	1588991855	1	1	OKUMAGBA, ENANORE MD	5/22/2024	207R00000X	NA	Other	026	PHYSICIANS	173725	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
111974	Fee-for-Service	1730330739	1730330739	1	1	OPEN DOOR COMMUNITY HEALTH	12/8/2008	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	38883 HWY 299	None	WILLOW CREEK	CA	95573	0000	12	06023	40.93997425	-123.6336606	Humboldt County
112037	Fee-for-Service	1225395502	1225395502	1	1	OH, TIMOTHY K MD	11/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	126718	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
112092	Fee-for-Service	1144416876	1144416876	1	1	ORANGE COUNTY CARE	3/29/2007	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	PROVIDERS, INC	20110 PIONEER BLVD	STE E & F	CERRITOS	CA	90703	7402	19	06037	33.84736413	-118.0819213	Los Angeles County
112117	Fee-for-Service	1821243874	1821243874	1	1	OWENS, KIM M LMFT	8/22/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	134159	-	NOT APPLICABLE	0	In state provider	None	44447 N 10TH STREET WEST	BUILDING A	LANCASTER	CA	93534	3324	19	06037	34.69104127	-118.1480655	Los Angeles County
112139	Fee-for-Service	1427253335	1427253335	1	1	OMANA-ROLDAN, EVELYN T MD	7/26/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111365	08	Family Practice	0	In state provider	None	450 E HUNTINGTON DRIVE	None	ARCADIA	CA	91006	3748	19	06037	34.14015053	-118.0208745	Los Angeles County
112199	Fee-for-Service	1851325021	1851325021	1	1	OMNI FAMILY HEALTH	2/14/2025	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	161 N MILL ST	None	TEHACHAPI	CA	93561	1347	15	06029	35.13410412	-118.4520157	Kern County
112240	Fee-for-Service	1558317255	1558317255	1	1	OBREGON, RICHARD M.D	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	RADIOLOGY IMAGING ASSOCI	7700 BROADWAY	None	LITTLETON	CO	80122	0000	00	None	39.576573	-104.9859	Arapahoe County
112260	Fee-for-Service	1730330739	1730330739	1	1	OPEN DOOR COMMUNITY HEALTH	4/8/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	38883 HWY 299	None	WILLOW CREEK	CA	95573	0000	12	06023	40.93997425	-123.6336606	Humboldt County
112338	Fee-for-Service	1275269441	1275269441	1	1	OCEANSIDE HARBOR HOLDINGS	10/1/2022	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	LLC	645 S BEACH BLVD	None	ANAHEIM	CA	92804	3102	30	06059	33.82334709	-117.9934489	Orange County
112352	Fee-for-Service	1033442942	1033442942	1	1	OAKVIEW MEDICAL GROUP	11/12/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	5417 W HILLSDALE AVENUE	None	VISALIA	CA	93291	5756	54	06107	36.329247	-119.351034	Tulare County
112367	Fee-for-Service	1215108709	1215108709	1	1	OLSON, KIRSTINA M MD	8/25/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109222	84	Surgery-Head and Neck	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94122	2721	38	06075	37.76386986	-122.4568084	San Francisco County
112392	Fee-for-Service	1508896275	1508896275	1	1	OTUECHERE, VALENTINE U	8/4/2009	207R00000X	NA	Other	026	PHYSICIANS	93662	None	None	0	In state provider	None	8990 GARFIELD ST	SUITE 6	RIVERSIDE	CA	92503	3922	33	06065	33.92882844	-117.4396777	Riverside County
112487	Fee-for-Service	1851325021	1851325021	1	1	OMNI FAMILY HEALTH	12/20/2005	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	161 N MILL ST	None	TEHACHAPI	CA	93561	1347	15	06029	35.13410412	-118.4520157	Kern County
112525	Fee-for-Service	1104116250	1104116250	1	1	OROZCO LOZA, SANDRA LCSW	8/16/2023	104100000X	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
112577	Fee-for-Service	1760685192	1760685192	1	1	OSTRZEGA, ADRIAN G MD	2/23/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	83141	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
112590	Fee-for-Service	1801612973	1801612973	1	1	OROZCO, REBECCA J CNP	2/11/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4950 BARRANCA PKWY	STE 104	IRVINE	CA	92604	8644	30	06059	33.67620851	-117.7948348	Orange County
112630	Fee-for-Service	1881032282	1881032282	1	2	OC GASTROCARE	12/17/2024	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	None	100 S. ANAHEIM BLVD	SUITE 250	ANAHEIM	CA	92805	9280	30	06059	33.83528856	-117.913627	Orange County
112719	Fee-for-Service	1043231277	1043231277	1	1	OREIZY, PARIVASH F	11/30/2004	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	215 N STATE COLLEGE BLVD	SUITE G	ANAHEIM	CA	92806	2932	30	06059	33.84270255	-117.8893257	Orange County
112722	Fee-for-Service	1588278170	1588278170	1	1	OKENDO, ESMERALDA A LCSW	10/23/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	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
112776	Fee-for-Service	1851325021	1851325021	1	1	OMNI FAMILY HEALTH	12/20/2005	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	161 N MILL ST	None	TEHACHAPI	CA	93561	1347	15	06029	35.13410412	-118.4520157	Kern County
112825	Fee-for-Service	1043806201	1043806201	1	1	OPTIMAL CARE HOSPICE INC	11/6/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	18340 VENTURA BLVD	STE 225	TARZANA	CA	91356	4278	19	06037	34.16710415	-118.5320031	Los Angeles County
112842	Fee-for-Service	1568563690	1568563690	1	1	OGAI, JOHN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	75024	01	General Practice	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
112917	Fee-for-Service	1881032282	1881032282	1	2	OC GASTROCARE	12/17/2024	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	100 S. ANAHEIM BLVD	SUITE 250	ANAHEIM	CA	92805	9280	30	06059	33.83528856	-117.913627	Orange County
112975	Fee-for-Service	1740368372	1740368372	1	1	OGIHARA, IKUKO	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	64043	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
113026	Fee-for-Service	1205077039	1205077039	1	1	OLIVE HEALTH MEDICAL GROUP	8/25/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	84127	01	General Practice	0	In state provider	INC	500 E OLIVE AVE	STE 315	BURBANK	CA	91501	3316	19	06037	34.1845331	-118.3048131	Los Angeles County
113113	Fee-for-Service	1043806201	1043806201	1	1	OPTIMAL CARE HOSPICE INC	11/6/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	18340 VENTURA BLVD	STE 225	TARZANA	CA	91356	4278	19	06037	34.16710415	-118.5320031	Los Angeles County
113129	Fee-for-Service	1568563690	1568563690	1	1	OGAI, JOHN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	75024	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
113289	Fee-for-Service	1831282433	1831282433	1	1	OKHADE, NEELAKSHI N MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	72425	41	Internal Medicine	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	0000	39	06077	37.88652418	-121.2820956	San Joaquin County
113326	Fee-for-Service	1376134569	1376134569	1	1	ONYX COUNSELING AND TRAUMA F	3/20/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	AMILY THERAPY PROFESSION	619 N IRWIN ST	None	HANFORD	CA	93230	3825	16	06031	36.33189434	-119.6476432	Kings County
113394	Fee-for-Service	1407201049	1407201049	1	1	OGEZ, DANIELLE MD	8/27/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	168065	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
113488	Fee-for-Service	1326402884	1326402884	1	1	ORTHOPAEDIC INSTITUTE	10/17/2017	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	FOR CHILDREN AMBULATORY	403 WEST ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	19	06037	34.02741539	-118.2743622	Los Angeles County
113618	Fee-for-Service	1073696845	1073696845	1	1	OSORIO, RUBEN MD	8/30/2009	208600000X	NA	General Surgery	026	PHYSICIANS	81620	02	General Surgery	0	In state provider	None	399 E HIGHLAND AVE	STE 319	SAN BERNARDINO	CA	92404	3858	36	06071	34.1358627	-117.2757898	San Bernardino County
113663	Fee-for-Service	1831302009	1831302009	1	1	OVAR JONSSON MD	9/30/2015	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
113786	Fee-for-Service	1851718407	1851718407	1	1	ORTEGA, JOSEPH D CRNA	3/25/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1500 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5310	19	06037	34.06238259	-118.2030986	Los Angeles County
113790	Fee-for-Service	1427197813	1427197813	1	1	ORLINO, ELMO N MD INC	10/17/1979	207P00000X	NA	Other	026	PHYSICIANS	30681	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1310 HANNA AVE	STE 3	CORCORAN	CA	93212	2314	16	06031	36.09975818	-119.5641426	Kings County
113986	Fee-for-Service	1346398054	1346398054	1	1	ORLAND UNIFIED SCHOOL	4/17/1999	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	903 SOUTH ST	None	ORLAND	CA	95963	1636	11	06021	39.74032824	-122.2011975	Glenn County
114079	Fee-for-Service	1427197813	1427197813	1	1	ORLINO, ELMO N MD INC	10/17/1979	207P00000X	NA	Other	026	PHYSICIANS	30681	41	Internal Medicine	0	In state provider	None	1310 HANNA AVE	STE 3	CORCORAN	CA	93212	2314	16	06031	36.09975818	-119.5641426	Kings County
114103	Fee-for-Service	1477907822	1477907822	1	1	OSBORN, MELISSA P MD	2/22/2022	2081P2900X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	175477	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
114107	Fee-for-Service	1043883820	1043883820	1	1	ORO, GABRIELA NP	7/29/2021	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
114192	Fee-for-Service	1912467135	1912467135	1	1	OHMAN, RACHEL E MD	4/28/2022	207R00000X	NA	Other	026	PHYSICIANS	177623	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
114213	Fee-for-Service	1831625508	1831625508	1	1	O'SULLIVAN, MATTHEW MD	12/12/2023	207W00000X	NA	Ophthalmology	026	PHYSICIANS	185184	None	None	0	In state provider	None	1680 E ROSEVILLE PKWY	STE 140	ROSEVILLE	CA	95661	3988	31	06061	38.74724349	-121.2374438	Placer County
114296	Fee-for-Service	1013232792	1013232792	1	1	OU, JAO JIH MD	7/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134944	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
114339	Fee-for-Service	1508103201	1508103201	1	1	OSTREM, FRANCINE M MFT	8/15/2017	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
114348	Fee-for-Service	1881630051	1881630051	1	1	OKERLUND, LARRY 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	301 BECKER AVE SW	None	WILLMAR	MN	56201	3302	00	None	45.1205233	-95.04619753	Kandiyohi County
114455	Fee-for-Service	1881239382	1881239382	1	1	OGADA HOME HEALTH CARE INC	7/22/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1901 S ATLANTIC BLVD	SUITE F	MONTEREY PARK	CA	91754	6300	19	06037	34.04191255	-118.1416547	Los Angeles County
114470	Fee-for-Service	1932159225	1932159225	1	1	OSORIO, SYLVIA MD	8/11/1987	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	56557	08	Family Practice	0	In state provider	None	2219 S HACIENDA BLVD	STE 101	HACIENDA HEIGHTS	CA	91745	4610	19	06037	33.99411596	-117.9688231	Los Angeles County
114535	Fee-for-Service	1306699814	1306699814	1	1	OCEAN PEDIATRICS	9/3/2024	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	24422 AVENIDA DE LA CARL	130	LAGUNA HILLS	CA	92653	3636	30	06059	33.56726005	-117.705397	Orange County
114800	Fee-for-Service	1841270865	1841270865	1	1	OCHOA, RICARDO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2101 PEASE ST	None	HARLINGEN	TX	78550	8307	00	None	26.17434909	-97.67149907	Cameron County
114845	Fee-for-Service	1659417343	1659417343	1	1	ON, DEANNA T	5/1/2002	183500000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	6665 STOCKTON BLVD	#6	SACRAMENTO	CA	95823	1634	34	06067	38.506329	-121.4333145	Sacramento County
114964	Fee-for-Service	1477977593	1477977593	1	1	ORANGE COUNTY URGENT CARE #3	3/10/2020	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1040 W IMPERIAL HWY	SUITE D	LA HABRA	CA	90631	0608	30	06059	33.91730656	-117.9584099	Orange County
114995	Fee-for-Service	1700957784	1700957784	1	1	OKEY, CALVIN J MD	2/28/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	6430	08	Family Practice	0	In state provider	None	17821 PIONEER BLVD	None	ARTESIA	CA	90701	3901	19	06037	33.8691791	-118.0823685	Los Angeles County
115011	Fee-for-Service	1336861632	1336861632	1	1	OBIALOR, KOSI U	11/11/2022	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
115029	Fee-for-Service	1053463570	1053463570	1	1	OROVILLE HOSPITAL	12/1/1979	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95955	6118	04	06007	39.506454	-121.5412785	Butte County
115126	Fee-for-Service	1700976503	1700976503	1	3	OLE HEALTH	9/10/2004	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1141 PEAR TREE LN	None	NAPA	CA	94558	6484	28	06055	38.32125908	-122.2921523	Napa County
115232	Fee-for-Service	1720187487	1720187487	1	1	OCARROLL, CHRISTOPHER P	8/3/1987	2084N0400X	NA	Neurology	026	PHYSICIANS	38693	13	Neurology (M.D. only)	0	In state provider	MD	7677 CENTER AVE	STE 401	HUNTINGTON BEACH	CA	92647	3098	30	06059	33.736257	-117.995535	Orange County
115253	Fee-for-Service	1477977593	1477977593	1	1	ORANGE COUNTY URGENT CARE #3	3/10/2020	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1040 W IMPERIAL HWY	SUITE D	LA HABRA	CA	90631	0608	30	06059	33.91730656	-117.9584099	Orange County
115317	Fee-for-Service	1437156346	1437156346	1	1	OUR LADY OF BELLEFONTE	8/29/2006	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	ST CHRISTOPHER DR	None	ASHLAND	KY	41101	7013	00	None	38.5092664	-82.69360778	Greenup County
115421	Fee-for-Service	1841558509	1841558509	1	1	OROZCO, ALFREDO A LMFT	5/2/2019	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
115499	Fee-for-Service	1376809376	1376809376	1	1	ORTEGA, ELIZABETH A MD	2/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123256	01	General Practice	0	In state provider	None	1301 PINOLE VALLEY ROAD	None	PINOLE	CA	94564	1384	07	06013	37.9991883	-122.2867117	Contra Costa County
115538	Fee-for-Service	1477977593	1477977593	1	1	ORANGE COUNTY URGENT CARE #3	3/10/2020	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1040 W IMPERIAL HWY	SUITE D	LA HABRA	CA	90631	0608	30	06059	33.91730656	-117.9584099	Orange County
115544	Fee-for-Service	1497941306	1497941306	1	1	OLANIPEKUN, OLUFUNMILAYO DPM	11/20/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	9400 E ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
115566	Fee-for-Service	1982951414	1982951414	1	1	OC FAMILY CAM INC.	8/13/2020	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	4600 BEACH BLVD	O	BUENA PARK	CA	90621	1168	30	06059	33.89472749	-117.9882808	Orange County
115599	Fee-for-Service	1437156346	1437156346	1	1	OUR LADY OF BELLEFONTE	8/29/2006	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	ST CHRISTOPHER DR	None	ASHLAND	KY	41101	7013	00	None	38.5092664	-82.69360778	Greenup County
115652	Fee-for-Service	1770631756	1770631756	1	1	ONG, ANTONIO O MD	5/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	66310	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
115682	Fee-for-Service	1730771759	1730771759	1	1	ORTHOCARE, INC.	11/14/2024	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	3110 CHINO AVE	STE 230	CHINO HILLS	CA	91709	1282	36	06071	34.01077341	-117.738406	San Bernardino County
115718	Fee-for-Service	1184933996	1184933996	1	1	ORTIZ FLORES, EDGARDO R MD	8/22/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144166	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
115728	Fee-for-Service	1225371420	1225371420	1	1	OGURA, KENJI MD	10/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	136001	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
115778	Fee-for-Service	1184100364	1184100364	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6107 N 1ST STREET	None	FRESNO	CA	93710	5460	10	06019	36.8252391	-119.7723926	Fresno County
115828	Fee-for-Service	1003468513	1003468513	1	1	OH, YOUNG CCC-SLP	1/27/2025	235Z00000X	NA	Other	037	SPEECH 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
115939	Fee-for-Service	1770631756	1770631756	1	1	ONG, ANTONIO O MD	5/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	66310	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
115964	Fee-for-Service	1629068143	1629068143	1	1	OLSHAKER, ROBERT A MD	6/16/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	59444	30	Radiology	0	In state provider	None	18436 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.22078873	-118.5351265	Los Angeles County
115991	Fee-for-Service	1760704035	1760704035	1	1	ORANUSI, VICTOR A. MD INC	1/4/2010	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	63000	None	None	0	In state provider	None	3737 MARTIN LUTHER KING	STE 105	LYNWOOD	CA	90262	4633	19	06037	33.92872742	-118.2006921	Los Angeles County
116004	Fee-for-Service	1184933996	1184933996	1	1	ORTIZ FLORES, EDGARDO R MD	8/22/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144166	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
116066	Fee-for-Service	1184100364	1184100364	1	1	OMNI FAMILY HEALTH	10/10/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6107 N 1ST STREET	None	FRESNO	CA	93710	5460	10	06019	36.8252391	-119.7723926	Fresno County
116160	Fee-for-Service	1235367020	1235367020	1	1	OLSON, ROGER S NP	11/2/2016	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
116315	Fee-for-Service	1578823217	1578823217	1	1	OROSCO, JENNIFER M MD	12/22/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129316	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
116356	Fee-for-Service	1184100364	1184100364	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6107 N 1ST STREET	None	FRESNO	CA	93710	5460	10	06019	36.8252391	-119.7723926	Fresno County
116536	Fee-for-Service	1508028481	1508028481	1	1	OCHOA, RUTH I MD	8/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97438	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
116639	Fee-for-Service	1619539665	1619539665	1	1	OLYMPUS HOME HEALTH INC	6/9/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2222 W BURBANK BLVD	UNIT 202	BURBANK	CA	91506	1280	19	06037	34.1795859	-118.3353987	Los Angeles County
116911	Fee-for-Service	1518602275	1518602275	1	1	OPEN ARMS COMMUNITY HEALTH &	1/14/2024	364SC1501X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	SERVICE CENTER	6317 S FIGUEROA ST	None	LOS ANGELES	CA	90003	1025	19	06037	33.981786	-118.282696	Los Angeles County
117002	Fee-for-Service	1306337035	1306337035	1	1	ORAKPO, WILLIE A MD	11/8/2023	364SP0809X	NA	Other	026	PHYSICIANS	179998	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
117007	Fee-for-Service	1831583806	1831583806	1	1	O'BRIEN, LINDSAY L DO	1/17/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	17224	36	Psychiatry	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
117021	Fee-for-Service	1982735262	1982735262	1	1	OSTER, PAMELA R MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	37818	01	General Practice	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
117061	Fee-for-Service	1437551561	1437551561	1	1	OTUBUAH, PRISCILLA NP	9/17/2024	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
117172	Fee-for-Service	1437231487	1437231487	1	1	OSEKH-ED CORPORATION	1/30/2007	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	DEVINE ANGEL MEDCIAL SUP	17727 VANOWEN ST	None	RESEDA	CA	91335	5602	19	06037	34.19389851	-118.519182	Los Angeles County
117309	Fee-for-Service	1982735262	1982735262	1	1	OSTER, PAMELA R MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	37818	78	Neoplastic Diseases/Oncology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
117454	Fee-for-Service	1871912477	1871912477	1	1	ORTIZ, DANIEL E MD	7/5/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	140697	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
117471	Fee-for-Service	1003044652	1003044652	1	1	OWENS, GREGORY	1/2/2025	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	520 MEDICAL CENTER DRIVE	SUITE 201	MEDFORD	OR	97504	4334	00	None	42.318801	-122.831728	Jackson County
117579	Fee-for-Service	1841403110	1841403110	1	1	ONDERSMA, ROSS MD	1/13/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	172358	30	Radiology	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
117602	Fee-for-Service	1710158498	1710158498	1	6	ON-LINE RADIOLOGY MEDICAL	5/25/2011	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	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
117700	Fee-for-Service	1740247428	1740247428	1	1	OAKES, JENNIFER A MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142729	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
117734	Fee-for-Service	1376886234	1376886234	1	1	ORDONEZ, NAYELI LCSW	9/7/2022	101YM0800X	NA	Other	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
117737	Fee-for-Service	1346207396	1346207396	1	1	OYA TYLOR MD	5/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	250 E DUNLAP AVE	None	PHOENIX	AZ	85020	2825	00	None	33.568947	-112.0712985	Maricopa County
117835	Fee-for-Service	1235413436	1235413436	1	1	O'RILEY, TAMMY L NP	11/12/2020	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
117853	Fee-for-Service	1831284280	1831284280	1	1	OUR LADY OF LOURDES	10/19/2006	282NC0060X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL AT PASCO	520 N 4TH AVE	None	PASCO	WA	99301	5257	00	None	46.23532579	-119.0946579	Franklin County
117940	Fee-for-Service	1073543641	1073543641	1	2	OWYOUNG, NELSON J MD	11/9/2017	2084N0400X	NA	Neurology	026	PHYSICIANS	40475	13	Neurology (M.D. only)	0	In state provider	None	1048 S GARFIELD AVE	STE 202	ALHAMBRA	CA	91801	4768	19	06037	34.083009	-118.123041	Los Angeles County
118029	Fee-for-Service	1619907250	1619907250	1	1	OWENS, MARK P MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	13410	02	General Surgery	0	In state provider	None	6555 COYLE AVE	STE 341	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
118062	Fee-for-Service	1982851499	1982851499	1	1	OZDALGA, ERROL O MD	7/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	108902	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
118141	Fee-for-Service	1831284280	1831284280	1	1	OUR LADY OF LOURDES	10/19/2006	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL AT PASCO	520 N 4TH AVE	None	PASCO	WA	99301	5257	00	None	46.23532579	-119.0946579	Franklin County
118192	Fee-for-Service	1720136617	1720136617	1	1	OVAL, JOHN H MD	1/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	51332	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
118196	Fee-for-Service	1629500301	1629500301	1	1	OMORODION, AISHA A MD	10/6/2022	2084P0804X	NA	Psychiatry	026	PHYSICIANS	169651	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
118318	Fee-for-Service	1619907250	1619907250	1	1	OWENS, MARK P MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	13410	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6555 COYLE AVE	STE 341	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
118379	Fee-for-Service	1710298435	1710298435	1	1	OTTENO, HELEN MD	4/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	146483	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
118424	Fee-for-Service	1043397995	1043397995	1	1	OSTROW, KENNETH S MD	10/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	72893	30	Radiology	0	In state provider	None	2680 HANOVER ST	None	PALO ALTO	CA	94304	1117	43	06085	37.41744418	-122.1474815	Santa Clara County
118453	Fee-for-Service	1063630747	1063630747	1	1	OWENS, CHARLES G	4/27/2005	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	1	Border provider	MOBILITY SALES	101 HOT SPRINGS RD	STE 5E	CARSON CITY	NV	89706	1601	00	None	39.181374	-119.7661635	Consolidated Municipality of Carson City
118512	Fee-for-Service	1174159164	1174159164	1	1	OSEI-BONSU, KATHRYN MD	4/12/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	189973	09	Gynecology (D.O. only)	0	In state provider	None	34 MARK WEST SPRINGS RD	2ND FLOOR	SANTA ROSA	CA	95403	1436	49	06097	38.49639719	-122.7501553	Sonoma County
118513	Fee-for-Service	1881867695	1881867695	1	1	OH, STEPHEN D DO	7/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	9711	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
118563	Fee-for-Service	1356901078	1356901078	1	1	O'CONNELL, LAURA ASHLEY DPM	2/24/2022	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	299 W FOOTHILL BLVD	124	UPLAND	CA	91786	3854	36	06071	34.10706753	-117.6550335	San Bernardino County
118630	Fee-for-Service	1689608556	1689608556	1	1	OBRIEN, LAUREN I MD	11/29/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	46005	22	Pathology (M.D. only)	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
118739	Fee-for-Service	1598739336	1598739336	1	1	OKI, EARLE Y MD	12/2/2005	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	1	Border provider	PERINATAL ASSOC N NV	1500 E 2ND ST	STE 108	RENO	NV	89502	1189	00	None	39.52743427	-119.7932613	Washoe County
118756	Fee-for-Service	1811951734	1811951734	1	1	ONG, OLIVER L MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	76526	41	Internal Medicine	0	In state provider	None	3133 GLENDALE BLVD	None	LOS ANGELES	CA	90039	1805	19	06037	34.11685283	-118.2621862	Los Angeles County
118803	Fee-for-Service	1174159164	1174159164	1	1	OSEI-BONSU, KATHRYN MD	4/12/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	189973	15	Obstetrics (D.O. only)	0	In state provider	None	34 MARK WEST SPRINGS RD	2ND FLOOR	SANTA ROSA	CA	95403	1436	49	06097	38.49639719	-122.7501553	Sonoma County
118820	Fee-for-Service	1740847979	1740847979	1	1	OSBORN, CRYSTAL D LMFT	5/29/2019	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST 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
118970	Fee-for-Service	1629229745	1629229745	1	1	OKEANI, ANTHONIA E CNP	9/24/2021	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
119005	Fee-for-Service	1851433486	1851433486	1	1	OFFOR, CHRISTOPHER I LMFT	5/6/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
119012	Fee-for-Service	1528060969	1528060969	1	1	ORTEGA ANTONIO M. MD	3/19/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1400 N EL PASO ST	STE D	EL PASO	TX	79902	3438	00	None	31.76676619	-106.4967463	El Paso County
119046	Fee-for-Service	1811951734	1811951734	1	1	ONG, OLIVER L MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	76526	67	Endocrinology	0	In state provider	None	3133 GLENDALE BLVD	None	LOS ANGELES	CA	90039	1805	19	06037	34.11685283	-118.2621862	Los Angeles County
119086	Fee-for-Service	1538587340	1538587340	1	1	OROSKAR, ANAND A MD	3/20/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	143256	41	Internal Medicine	0	In state provider	None	450 STANYON STREET	6TH FLOOR	SAN FRANCISCO	CA	94117	1079	38	06075	37.7738933	-122.4544685	San Francisco County
119114	Fee-for-Service	1689155962	1689155962	1	1	OBAD, NASHWAN MD	9/2/2021	207R00000X	NA	Other	026	PHYSICIANS	173374	None	None	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
119256	Fee-for-Service	1841551694	1841551694	1	1	OTIN, ANDRIANA P MD	7/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	136106	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
119330	Fee-for-Service	1548659980	1548659980	1	1	O'BRIEN, DANIEL C MD	7/22/2021	204F00000X	NA	General Surgery	026	PHYSICIANS	173264	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
119364	Fee-for-Service	1770833899	1770833899	1	1	O'CONNOR, SUSAN M 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
119443	Fee-for-Service	1124519509	1124519509	1	1	ONE DOOR COMMUNITY RESOURCE	3/30/2020	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1326 30TH ST	UNIT B	BAKERSFIELD	CA	93301	2412	15	06029	35.38694648	-119.0181722	Kern County
119545	Fee-for-Service	1841551694	1841551694	1	1	OTIN, ANDRIANA P MD	7/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	136106	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
119771	Fee-for-Service	1689674632	1689674632	1	2	ORME, NICHOLAS J MD	11/23/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	63574	-	NOT APPLICABLE	0	In state provider	None	4705 N SANORA AVENUE	SUITE 113A	FRESNO	CA	93722	3966	10	06019	36.806112	-119.8659475	Fresno County
119842	Fee-for-Service	1053743302	1053743302	1	1	OLDROYD, SEAN H DO	8/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13598	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
119869	Fee-for-Service	1366077083	1366077083	1	1	ODYSSEY SPEECH THERAPY, INC	8/10/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	301 9TH STREET	219	REDLANDS	CA	92374	4412	36	06071	34.05825	-117.177229	San Bernardino County
119979	Fee-for-Service	1609307016	1609307016	1	1	OW, CAROL T NP	12/7/2022	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
120014	Fee-for-Service	1306280789	1306280789	1	1	OO, SHWE Y MD	10/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139110	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
120017	Fee-for-Service	1174683643	1174683643	1	2	ORTHOPAEDIC MEDICAL GRP	5/19/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	AND ATHLETIC REHAB CTR	14375 PIPELINE AVE	None	CHINO	CA	91710	5642	36	06071	33.99149997	-117.7151024	San Bernardino County
120027	Fee-for-Service	1417423138	1417423138	1	1	OGBETUO, ESE CNP	8/29/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	699 W RIALTO AVE	UNIT B	SAN BERNARDINO	CA	92410	3327	36	06071	34.10083253	-117.298431	San Bernardino County
120056	Fee-for-Service	1184100364	1184100364	1	2	OMNI FAMILY HEALTH	2/16/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	6107 N 1ST STREET	None	FRESNO	CA	93710	5460	10	06019	36.8252391	-119.7723926	Fresno County
120109	Fee-for-Service	1598830630	1598830630	1	1	OUIMET, CATHLEEN N LCSW	2/1/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2371 WASHINGTON AVE	SUITE F	OROVILLE	CA	95966	5466	04	06007	39.50796367	-121.5470324	Butte County
120350	Fee-for-Service	1558408294	1558408294	1	1	ORANGE COUNTY CCS	6/14/1994	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	CARL HARVEY MTU	1635 S CENTER ST	None	SANTA ANA	CA	92704	4111	30	06059	33.72481342	-117.8981012	Orange County
120393	Fee-for-Service	1720201189	1720201189	1	2	OPEN ARMS HOME HEALTH CARE	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	10117 SEPULVEDA BLVD	SUITE 103	MISSION HILLS	CA	91345	2788	19	06037	34.254252	-118.467507	Los Angeles County
120416	Fee-for-Service	1427143817	1427143817	1	1	OHANIAN-GONCUIAN, BIANA	9/8/1992	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7301 MEDICAL CENTER DR	STE 410	WEST HILLS	CA	91307	1994	19	06037	34.20285756	-118.6294575	Los Angeles County
120520	Fee-for-Service	1619237427	1619237427	1	1	OSAGIE BELLO MD INC	6/7/2019	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	205 W LEGION RD	STE 1	BRAWLEY	CA	92227	7780	13	06025	32.96000025	-115.5530125	Imperial County
120554	Fee-for-Service	1922128933	1922128933	1	1	OM, SUNG HWAN CA	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	HANA WELLNESS CENTER	13305 ARTESIA BLVD	None	CERRITOS	CA	90703	1316	19	06037	33.87334049	-118.048203	Los Angeles County
120606	Fee-for-Service	1235351388	1235351388	1	1	OB GYN MEDICAL GROUP INC	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	15243 VANOWEN ST	STE 501	VAN NUYS	CA	91405	3600	19	06037	34.19394848	-118.4654115	Los Angeles County
120690	Fee-for-Service	1487913976	1487913976	1	1	OJI, GREG M MD	4/5/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	169211	None	None	0	In state provider	None	931 BUENA VISTA ST	302	DUARTE	CA	91010	1714	19	06037	34.141635	-117.9775755	Los Angeles County
120705	Fee-for-Service	1891779559	1891779559	1	1	O'HARA, MARY A MD	8/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87185	04	Otology, Laryngology, Rhinology	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
120727	Fee-for-Service	1508628975	1508628975	1	1	OROZCO, GABRIELLA M	4/10/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1613 SECOND ST	None	LIVERMORE	CA	94550	4327	01	06001	37.67876632	-121.7754568	Alameda County
120760	Fee-for-Service	1598725186	1598725186	1	1	OTA, FLOYD 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	801 SEVENTH AVE	None	FORT WORTH	TX	76104	0000	00	None	32.73710364	-97.3419336	Tarrant County
120803	Fee-for-Service	1295901270	1295901270	1	1	ORAKZAI, SARWAR H MD	7/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	116441	01	General Practice	0	In state provider	None	3941 J STREET	SUITE 260	SACRAMENTO	CA	95819	3633	34	06067	38.570652	-121.4535465	Sacramento County
120809	Fee-for-Service	1619237427	1619237427	1	1	OSAGIE BELLO MD INC	6/7/2019	207R00000X	NA	Other	026	PHYSICIANS	None	68	Hematology	0	In state provider	None	205 W LEGION RD	STE 1	BRAWLEY	CA	92227	7780	13	06025	32.96000025	-115.5530125	Imperial County
120820	Fee-for-Service	1659473171	1659473171	1	2	ORTHOPAEDIC ASSOCIATES	5/6/2008	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	MEDICAL CLINIC INC	820 S AKERS	STE 220	VISALIA	CA	93277	8309	54	06107	36.323757	-119.3491755	Tulare County
120846	Fee-for-Service	1831198894	1831198894	1	1	OGLE, CHARLES DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	600 S MONROE ST	ER DEPT	ENID	OK	73701	0000	00	None	36.390231	-97.88651947	Garfield County
120912	Fee-for-Service	1164741443	1164741443	1	1	OAKLEY, ELEANOR R MD	8/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	124575	66	Emergency Medicine (Urgent Care)	0	In state provider	None	700 RIVER DRIVE	None	FORT BRAGG	CA	95437	5403	23	06045	39.43163763	-123.8007631	Mendocino County
120990	Fee-for-Service	1437492386	1437492386	1	1	O'ROURKE, EMILY A MD	7/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111362	22	Pathology (M.D. only)	0	In state provider	None	1900 SULLIVAN AVE	None	DALY CITY	CA	94015	2200	41	06081	37.67984327	-122.4730264	San Mateo County
121020	Fee-for-Service	1881740454	1881740454	1	1	OTANI, MICHELLE J OT	9/10/2020	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8247 E STOCKTON BLVD	None	SACRAMENTO	CA	95828	8200	34	06067	38.459187	-121.4080245	Sacramento County
121109	Fee-for-Service	1659473171	1659473171	1	2	ORTHOPAEDIC ASSOCIATES	9/9/2016	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	MEDICAL CLINIC INC	820 S AKERS	STE 220	VISALIA	CA	93277	8309	54	06107	36.323757	-119.3491755	Tulare County
121219	Fee-for-Service	1619589512	1619589512	1	1	OAK CREEK ANESTHESIA SERVICE	10/1/2020	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	S INC	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
121243	Fee-for-Service	1700976503	1700976503	1	1	OLE HEALTH	9/10/2004	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1141 PEAR TREE LN	SUITE 100	NAPA	CA	94558	6485	28	06055	38.32125908	-122.2921523	Napa County
121394	Fee-for-Service	1659473171	1659473171	1	2	ORTHOPAEDIC ASSOCIATES	5/6/2008	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	MEDICAL CLINIC INC	820 S AKERS	STE 220	VISALIA	CA	93277	8309	54	06107	36.323757	-119.3491755	Tulare County
121402	Fee-for-Service	1033329792	1033329792	1	2	OPREA, LUCIAN MD	6/23/2023	207R00000X	NA	Other	026	PHYSICIANS	92196	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
121419	Fee-for-Service	1922172162	1922172162	1	1	OSMENA, MARIA LUISA MD	1/31/1994	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	78328	40	Pediatrics	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
121494	Fee-for-Service	1578763025	1578763025	1	1	OZA, VIKASH S.	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
121507	Fee-for-Service	1619589512	1619589512	1	1	OAK CREEK ANESTHESIA SERVICE	10/1/2020	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	S INC	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
121516	Fee-for-Service	1316679558	1316679558	1	1	OMEED AHADIAT, M.D.	5/31/2024	207N00000X	NA	Dermatology	026	PHYSICIANS	None	07	Dermatology	0	In state provider	None	26700 TOWNE CENTER DR	STE 170	FOOTHILL RANCH	CA	92610	2850	30	06059	33.67455886	-117.6639195	Orange County
121529	Fee-for-Service	1700976503	1700976503	1	1	OLE HEALTH	9/10/2004	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1141 PEAR TREE LN	SUITE 100	NAPA	CA	94558	6485	28	06055	38.32125908	-122.2921523	Napa County
121535	Fee-for-Service	1982191995	1982191995	1	1	OLLILA, ERIC P MD	5/28/2024	207ZP0101X	NA	Other	026	PHYSICIANS	176217	22	Pathology (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
121634	Fee-for-Service	1770592321	1770592321	1	1	OWEN, MARY C NP	6/5/2017	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
121818	Fee-for-Service	1700976503	1700976503	1	1	OLE HEALTH	11/18/2004	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1141 PEAR TREE LN	SUITE 100	NAPA	CA	94558	6485	28	06055	38.32125908	-122.2921523	Napa County
121820	Fee-for-Service	1265574826	1265574826	1	1	OKONSKI, GISELA C MD INC	4/4/2006	193400000X	NA	Other	026	PHYSICIANS	46125	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2626 EDITH AVE	STE C	REDDING	CA	96001	3056	45	06089	40.57103976	-122.3974622	Shasta County
121882	Fee-for-Service	1942381421	1942381421	1	1	OLIVER-COMER, ANGELA LMFT	2/14/2024	106H00000X	NA	Mental Health Outpatient Services	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
121971	Fee-for-Service	1336133768	1336133768	1	1	O'CARROLL, BRIAN D DPM	3/21/2008	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	145 S HALYCON RD	STE A	ARROYO GRANDE	CA	93420	3151	40	06079	35.117064	-120.591554	San Luis Obispo County
121985	Fee-for-Service	1215953476	1215953476	1	1	OKHOVAT, MAHYAR MD	7/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85646	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA #B200	None	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
122028	Fee-for-Service	1760638878	1760638878	1	1	OKOCHI, CHIMEZIE U MD	10/26/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	112935	26	Psychiatry (child)	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
122047	Fee-for-Service	1356638373	1356638373	1	1	OROZCO, ANA C MD	5/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132834	01	General Practice	0	In state provider	None	1485 RIVER PARK DRIVE	SUITE 200	SACRAMENTO	CA	95815	4530	34	06067	38.599614	-121.438728	Sacramento County
122109	Fee-for-Service	1265574826	1265574826	1	1	OKONSKI, GISELA C MD INC	4/4/2006	193400000X	NA	Other	026	PHYSICIANS	46125	41	Internal Medicine	0	In state provider	None	2626 EDITH AVE	STE C	REDDING	CA	96001	3056	45	06089	40.57103976	-122.3974622	Shasta County
122132	Fee-for-Service	1194926469	1194926469	1	1	OBIDI, OLUBUKOLA A NP	1/26/2018	No Taxonomy Provided	NA	None	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
122164	Fee-for-Service	1538199328	1538199328	1	1	OCHS, MELVIN A MD	11/1/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL CORPORATION	435 H ST	None	CHULA VISTA	CA	91910	4307	37	06073	32.63282707	-117.0829101	San Diego County
122246	Fee-for-Service	1013089762	1013089762	2	1	O'KEEFE, PHILIP J MD	11/24/2011	207R00000X	NA	Other	026	PHYSICIANS	26028	41	Internal Medicine	0	In state provider	None	45 CASTRO STREET	SUITE 138	SAN FRANCISCO	CA	94114	1029	38	06075	37.76829732	-122.4357056	San Francisco County
122377	Fee-for-Service	1316256266	1316256266	1	2	OTHMAN, NANCY MFT	9/26/2018	No Taxonomy Provided	NA	None	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
122395	Fee-for-Service	1841233921	1841233921	1	1	OAKLEY, JOHN L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	51283	05	Anesthesiology	0	In state provider	None	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	19	06037	34.062852	-117.9446658	Los Angeles County
122396	Fee-for-Service	1265574826	1265574826	1	1	OKONSKI, GISELA C MD INC	4/4/2006	193400000X	NA	Other	026	PHYSICIANS	46125	36	Psychiatry	0	In state provider	None	2626 EDITH AVE	STE C	REDDING	CA	96001	3056	45	06089	40.57103976	-122.3974622	Shasta County
122534	Fee-for-Service	1366448821	1366448821	1	1	OCKNER, JAMES L MD	5/31/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	842 E MAIN ST	None	MEDFORD	OR	97504	7134	00	None	42.32787853	-122.863311	Jackson County
122617	Fee-for-Service	1649585001	1649585001	1	1	ORION ANESTHESIA CONSULTANTS	5/20/2011	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	28062 BAXTER ROAD	None	MURRIETA	CA	92563	1400	33	06065	33.61350847	-117.1691225	Riverside County
122620	Fee-for-Service	1225026883	1225026883	1	2	ORTHOPEDICS INTERNATIONAL IN	4/26/2021	335E00000X	NA	Other	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	C.	1108 SARTORI AVE	#120	TORRANCE	CA	90501	2286	19	06037	33.83657492	-118.3171314	Los Angeles County
122629	Fee-for-Service	1760874309	1760874309	1	1	OSKOUIE, SUZANNE MD	7/24/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	165173	41	Internal Medicine	0	In state provider	None	5800 HOLLIS ST	None	EMERYVILLE	CA	94608	2016	01	06001	37.84043576	-122.2894291	Alameda County
122693	Fee-for-Service	1336240704	1336240704	1	1	ORANGE COUNTY EMERGENCY	10/1/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL ASSOC	7901 WALKER ST	None	LA PALMA	CA	90623	1722	30	06059	33.84755382	-118.0373024	Orange County
122705	Fee-for-Service	1891854485	1891854485	1	1	OROPILLA, DIVINA G MD	5/1/1999	2084N0400X	NA	Neurology	026	PHYSICIANS	54531	13	Neurology (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
122795	Fee-for-Service	1851300560	1851300560	1	1	OPTICAL EYES	4/25/1984	No Taxonomy Provided	NA	None	012	DISPENSING OPTICIANS	-	-	NOT APPLICABLE	0	In state provider	None	1030 S GLENDALE AVE	STE 103	GLENDALE	CA	91205	2866	19	06037	34.13381535	-118.2519184	Los Angeles County
122888	Fee-for-Service	1356362438	1356362438	1	2	ORTHOPAEDIC GROUP OF	1/1/1979	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	SAN FRANCISCO INC	1800 SULLIVAN AVE	RM 402	DALY CITY	CA	94015	2224	41	06081	37.68077723	-122.4728941	San Mateo County
122917	Fee-for-Service	1760874309	1760874309	1	1	OSKOUIE, SUZANNE MD	7/24/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	165173	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	5800 HOLLIS ST	None	EMERYVILLE	CA	94608	2016	01	06001	37.84043576	-122.2894291	Alameda County
122974	Fee-for-Service	1730108374	1730108374	1	1	OZAKI ROBERT M MD INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	47909	66	Emergency Medicine (Urgent Care)	0	In state provider	None	420 E 3RD ST	STE 809	LOS ANGELES	CA	90013	1647	19	06037	34.04702011	-118.241912	Los Angeles County
123013	Fee-for-Service	1285892513	1285892513	1	1	OLADUNJOYE, AZEEM O MD	5/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	105579	14	Neurological Surgery	0	In state provider	None	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
123026	Fee-for-Service	1346390200	1346390200	1	1	OUR COMMON GROUND INC	1/30/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	26 CENTRAL AVENUE	None	REDWOOD CITY	CA	94061	3823	41	06081	37.46901343	-122.2229191	San Mateo County
123082	Fee-for-Service	1952748212	1952748212	1	1	ONG, TWILA M 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
123086	Fee-for-Service	1659422533	1659422533	1	1	OLIVA, ARCELI NP	8/22/2019	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
123117	Fee-for-Service	1114009768	1114009768	1	1	OH, SUN YOUNG	1/24/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	AROMA MEDICAL SUPPLY	18183 S PIONEER BLVD	None	ARTESIA	CA	90701	3906	19	06037	33.86592749	-118.0823315	Los Angeles County
123134	Fee-for-Service	1265883276	1265883276	1	1	OKECHUKWU, ENYIOMA C MD	2/27/2023	207P00000X	NA	Other	026	PHYSICIANS	183807	None	None	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
123262	Fee-for-Service	1730108374	1730108374	1	1	OZAKI ROBERT M MD INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	47909	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	420 E 3RD ST	STE 809	LOS ANGELES	CA	90013	1647	19	06037	34.04702011	-118.241912	Los Angeles County
123369	Fee-for-Service	1023279312	1023279312	1	1	OGOKE, JENNIFER N LCSW	6/12/2017	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	5969	19	06037	34.09817553	-118.293237	Los Angeles County
123389	Fee-for-Service	1083728729	1083728729	1	1	OPSAHL, MICHELLE T MD	6/1/1999	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	63908	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
123421	Fee-for-Service	1033329792	1033329792	1	1	OPREA, LUCIAN MD	3/5/2019	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	92196	-	NOT APPLICABLE	0	In state provider	None	200 S 5TH STREET	None	EL CENTRO	CA	92243	3013	13	06025	32.791482	-115.554748	Imperial County
123468	Fee-for-Service	1336123561	1336123561	1	1	ORISEK, BRIAN S MD	10/10/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	42126	04	Otology, Laryngology, Rhinology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
123537	Fee-for-Service	1669563417	1669563417	1	1	O'CONNELL, RION S MD	2/1/2000	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	590 EUREKA AVE	None	RENO	NV	89512	3425	00	None	39.53407902	-119.8048858	Washoe County
123651	Fee-for-Service	1235245291	1235245291	1	1	OMNIPATHOLOGY SOLUTIONS MEDI	1/29/2008	291U00000X	NA	Other	026	PHYSICIANS	71874	22	Pathology (M.D. only)	0	In state provider	MEDICAL CORPORATION	1356 VIA DEL REY	None	SOUTH PASADENA	CA	91030	3631	19	06037	34.10774005	-118.1612776	Los Angeles County
123655	Fee-for-Service	1922323575	1922323575	1	1	ORTIZ, DARIANA LMFT	4/25/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11870 PIERCE ST	SUITE 150	RIVERSIDE	CA	92505	4402	33	06065	33.90095662	-117.4936969	Riverside County
123707	Fee-for-Service	1033329792	1033329792	1	1	OPREA, LUCIAN MD	12/3/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	92196	-	NOT APPLICABLE	0	In state provider	None	200 S 5TH STREET	None	EL CENTRO	CA	92243	3013	13	06025	32.791482	-115.554748	Imperial County
123756	Fee-for-Service	1336123561	1336123561	1	1	ORISEK, BRIAN S MD	10/10/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	42126	24	Plastic Surgery	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
123768	Fee-for-Service	1194732032	1194732032	1	1	ORLOFF, NATHALIE F MD	1/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	19173	22	Pathology (M.D. only)	0	In state provider	None	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
123815	Fee-for-Service	1174753826	1174753826	1	1	OUYANG, DEBRA M MD	7/21/2014	207RE0101X	NA	Endocrinology	026	PHYSICIANS	113595	67	Endocrinology	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
123859	Fee-for-Service	1659908606	1659908606	1	1	O'MEARA, TIMOTHY A	5/10/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	3144 EL CAMINO REAL	SUITE 105	CARLSBAD	CA	92008	2194	37	06073	33.17287617	-117.323264	San Diego County
123902	Fee-for-Service	1568049591	1568049591	1	1	OGANESIAN, BUZAND C DO	3/25/2025	207R00000X	NA	Other	026	PHYSICIANS	22614	41	Internal Medicine	0	In state provider	None	400 PEPPER	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
123915	Fee-for-Service	1386006369	1386006369	1	1	OVEISI, DAVID R MD	7/14/2022	207RH0003X	NA	Oncology	026	PHYSICIANS	154795	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
123958	Fee-for-Service	1922666445	1922666445	1	1	OSUJI, BENEDICTA NP	12/1/2023	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
123976	Fee-for-Service	1598156945	1598156945	1	1	OLIVER, NATASHA M NP	6/12/2017	No Taxonomy Provided	NA	None	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
124086	Fee-for-Service	1174659627	1174659627	1	1	O'CONNOR, ARLENE PSYD	6/15/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1600 DOVE ST	335	NEWPORT BEACH	CA	92660	1433	30	06059	33.66447676	-117.8660248	Orange County
124141	Fee-for-Service	1215115704	1215115704	1	1	OKONKWO, CHARLES MD INC	6/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	31084	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	231 W VERNON AVE	STE 105	LOS ANGELES	CA	90037	2778	19	06037	34.0038305	-118.2774195	Los Angeles County
124186	Fee-for-Service	1164059747	1164059747	1	1	OKAZAKI, MICHAEL A DO	4/26/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19850	None	None	0	In state provider	None	1601 N MONTE VISTA AVE	#100	CLAREMONT	CA	91711	6601	19	06037	34.112259	-117.698539	Los Angeles County
124200	Fee-for-Service	1023367273	1023367273	1	1	OCHOA, IRMA LCSW	9/24/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	92511	-	NOT APPLICABLE	0	In state provider	None	2000 W BRIGGSMORE AVE	STE I	MODESTO	CA	95350	3839	50	06099	37.67139252	-121.0281273	Stanislaus County
124254	Fee-for-Service	1396109781	1396109781	1	1	OISHI, JONATHAN DO	8/22/2019	207R00000X	NA	Other	026	PHYSICIANS	17106	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
124255	Fee-for-Service	1467435164	1467435164	1	1	OTA, WESLEY T 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
124322	Fee-for-Service	1821013707	1821013707	1	1	OMON, STACY R OD	6/1/2002	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1360 E HERNDON AVE	STE 301	FRESNO	CA	93720	3326	10	06019	36.83744648	-119.7646425	Fresno County
124344	Fee-for-Service	1033348263	1033348263	1	1	ORENGO-MCFARLANE, MICHELLE A	7/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	108738	08	Family Practice	0	In state provider	MD	33077 ALVARADO NILES RD	None	UNION CITY	CA	94587	3109	01	06001	37.59324793	-122.0436351	Alameda County
124390	Fee-for-Service	1104908573	1104908573	1	1	OROSCO, JAVIER MD	4/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	50461	40	Pediatrics	0	In state provider	None	977 W 7TH ST	None	OXNARD	CA	93030	6757	56	06111	34.19516476	-119.1890959	Ventura County
124419	Fee-for-Service	1023009586	1023009586	1	1	OFFENBERGER, TERENCE MD	6/9/1999	207R00000X	NA	Other	026	PHYSICIANS	64290	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
124430	Fee-for-Service	1205033073	1205033073	1	1	OSTROM, MATTHEW P MD	5/31/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	94925	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4201 TORRANCE BLVD	STE 560	TORRANCE	CA	90503	4583	19	06037	33.8375955	-118.358748	Los Angeles County
124436	Fee-for-Service	1346207883	1346207883	1	1	OSSOWSKI, MACIEJ G MD	4/30/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	38380	01	General Practice	0	In state provider	None	378 W OLIVE AVE	STE D	MERCED	CA	95348	3137	24	06047	37.31916808	-120.4752646	Merced County
124800	Fee-for-Service	1881793818	1881793818	1	1	OVERBEEKE, CORNELL MD	9/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	135408	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
124876	Fee-for-Service	1659384212	1659384212	1	1	OCEGUERA, JORGE A MD	12/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75542	08	Family Practice	0	In state provider	None	387 CIVIC DR	None	GALT	CA	95632	2059	34	06067	38.252268	-121.2966855	Sacramento County
124878	Fee-for-Service	1053495028	1053495028	1	1	OLSON, STEVEN H MD	5/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	55389	08	Family Practice	0	In state provider	None	500 DOYLE PARK DR	STE 200	SANTA ROSA	CA	95405	4559	49	06097	38.44332	-122.6985255	Sonoma County
124947	Fee-for-Service	1821084054	1821084054	1	1	OYEYIPO, BOLANLE T MD	3/4/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	92030	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
125126	Fee-for-Service	1578747168	1578747168	1	1	OSBORN, CRAIG A	5/23/2011	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
125145	Fee-for-Service	1629531843	1629531843	1	1	OLALEYE, DARIS C MD	11/8/2022	208M00000X	NA	Other	026	PHYSICIANS	179976	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
125365	Fee-for-Service	1750697017	1750697017	1	1	OLIVER, JAMES C NP	5/1/2019	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
125389	Fee-for-Service	1821166745	1821166745	1	2	OPTIMAL HOSPICE INC	11/9/2012	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1101 SYLVAN AVENUE	SUITE B10	MODESTO	CA	95350	1679	50	06099	37.68894846	-120.97791	Stanislaus County
125402	Fee-for-Service	1588155295	1588155295	1	1	O'CONNOR, MICHELLE Y	4/1/2022	390200000X	NA	Other	026	PHYSICIANS	164739	None	None	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
125427	Fee-for-Service	1730894148	1730894148	1	1	OC URGENTCARE MEDICAL GROUP,	10/30/2023	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	23653 EL TORO RD,	STE B	LAKE FOREST	CA	92630	8614	30	06059	33.617891	-117.7039747	Orange County
125500	Fee-for-Service	1205000460	1205000460	1	1	ONDER, BARAN M MD	12/8/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	118075	08	Family Practice	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
125511	Fee-for-Service	1811244312	1811244312	1	1	OLEARY, MICHAEL P MD	6/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128624	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
125651	Fee-for-Service	1578528139	1578528139	1	1	O'SHAUGHNESSY, WILLIAM P	4/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	MD	1600 MEDICAL PARKWAY	None	CARSON CITY	NV	89703	4625	00	None	39.202263	-119.7841095	Consolidated Municipality of Carson City
125679	Fee-for-Service	1821166745	1821166745	1	2	OPTIMAL HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1101 SYLVAN AVENUE	SUITE B10	MODESTO	CA	95350	1679	50	06099	37.68894846	-120.97791	Stanislaus County
125757	Fee-for-Service	1174724678	1174724678	1	1	ONIWOR, ESEOGHENE G LMFT	11/25/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9220 HAVEN AVE	STE 100	RANCHO CUCAMONGA	CA	91730	8551	36	06071	34.08525	-117.5758875	San Bernardino County
125834	Fee-for-Service	1639102833	1639102833	1	1	ORANGE COUNTY FOOT AND ANKLE	8/1/2001	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	GROUP INC	300 N EUCLID ST	STE A	FULLERTON	CA	92832	1623	30	06059	33.87250373	-117.9419615	Orange County
125971	Fee-for-Service	1801236633	1801236633	1	1	OLSON, CHARITY A LMFT	11/1/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1737 YUBA ST.	B	REDDING	CA	96001	1621	45	06089	40.5822672	-122.3947562	Shasta County
126129	Fee-for-Service	1063551059	1063551059	1	1	OLSON, KRISTIN MD	7/18/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111748	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
126178	Fee-for-Service	1598912735	1598912735	1	1	OLSEN, JEFFREY R MD	11/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	32	Radiation Therapy (D.O. only)	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
126211	Fee-for-Service	1538236351	1538236351	1	1	ONG, JANE C MD	3/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	62617	02	General Surgery	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
126329	Fee-for-Service	1285974279	1285974279	1	1	ONOGUL, BILGEHAN DO	8/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15457	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
126387	Fee-for-Service	1306104757	1306104757	1	1	ORCHARD, KELLY	8/12/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	32605 TEMECULA PKWY STE	None	TEMECULA	CA	92592	6839	33	06065	33.48367403	-117.088031	Riverside County
126409	Fee-for-Service	1740685593	1740685593	1	1	OKEKPE, CHIOMA C DO	10/3/2018	363LX0001X	NA	Nurse Practitioner	026	PHYSICIANS	16442	15	Obstetrics (D.O. only)	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
126457	Fee-for-Service	1174997605	1174997605	1	1	OLIVE BRANCH PHARMACY INC	11/29/2016	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2811 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	19	06037	34.01966657	-118.2625434	Los Angeles County
126461	Fee-for-Service	1285197905	1285197905	1	1	OKAFOR, CHUKWUEMEKA J MD	4/26/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	182267	30	Radiology	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
126477	Fee-for-Service	1669192472	1669192472	1	1	OMAR OSMAN MD PC	3/22/2024	208100000X	NA	Physical Medicine and Rehabilitation	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	NTS PC	5602 UNIVERSITY AVE	None	SAN DIEGO	CA	92105	2308	37	06073	32.7481088	-117.0743149	San Diego County
126546	Fee-for-Service	1033359914	1033359914	1	2	OLANGO, GARTH J MD	4/27/2018	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	113046	-	NOT APPLICABLE	0	In state provider	None	300 E TRUXTUN AVE	None	BAKERSFIELD	CA	93305	5658	15	06029	35.37335549	-118.9994895	Kern County
126551	Fee-for-Service	1811039787	1811039787	1	1	OPPENHEIMER, STEVEN C LMFT	8/30/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1276 NORTH PALM CANYON	SUITE 205 A	PALM SPRINGS	CA	92262	4411	33	06065	33.84050023	-116.5467455	Riverside County
126629	Fee-for-Service	1962976456	1962976456	1	1	ONWUKA, FAITH A NP	9/15/2022	363L00000X	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
126698	Fee-for-Service	1740685593	1740685593	1	1	OKEKPE, CHIOMA C DO	10/3/2018	363LX0001X	NA	Nurse Practitioner	026	PHYSICIANS	16442	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
126730	Fee-for-Service	1528274727	1528274727	1	1	OCEANVIEW ADULT DAY HLTH	6/24/2011	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	CARE CENTER	1500 MAIN ST	None	VENICE	CA	90291	3622	19	06037	33.98859062	-118.4714559	Los Angeles County
126741	Fee-for-Service	1144677113	1144677113	1	1	ORTIZ JACOBO, EUDELINA LCSW	2/8/2023	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	771 DAILY DR	310	CAMARILLO	CA	93010	0780	56	06111	34.21844191	-119.0570006	Ventura County
126763	Fee-for-Service	1669192472	1669192472	1	1	OMAR OSMAN MD PC	8/24/2023	208100000X	NA	Physical Medicine and Rehabilitation	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	NTS PC	5602 UNIVERSITY AVE	None	SAN DIEGO	CA	92105	2308	37	06073	32.7481088	-117.0743149	San Diego County
126773	Fee-for-Service	1639850423	1639850423	1	1	OGLESBY, LAURA R NP	12/16/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	752 MEDICAL CENTER CT	SUITE 302	CHULA VISTA	CA	91911	6661	37	06073	32.61800405	-117.0232585	San Diego County
126786	Fee-for-Service	1215980925	1215980925	1	1	OB-GYN ASSOCIATES OF THE	2/26/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	CENTRAL COAST	102 SAN MIGUEL AVE	None	SALINAS	CA	93901	3057	27	06053	36.65895947	-121.6556795	Monterey County
126945	Fee-for-Service	1265416739	1265416739	1	1	ONG, IWAN S MD	11/30/1991	207R00000X	NA	Other	026	PHYSICIANS	69360	01	General Practice	0	In state provider	None	3660 ARLINGTON AVE	None	RIVERSIDE	CA	92506	3912	33	06065	33.94621853	-117.3953655	Riverside County
126959	Fee-for-Service	1780788018	1780788018	1	1	OROVILLE HOSPITAL	8/2/2002	282N00000X	NA	Hospitals	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	900 ORO DAM BLVD	None	OROVILLE	CA	95965	0000	04	06007	39.50000924	-121.5645154	Butte County
126985	Fee-for-Service	1740685593	1740685593	1	1	OKEKPE, CHIOMA C DO	10/3/2018	363LX0001X	NA	Nurse Practitioner	026	PHYSICIANS	16442	09	Gynecology (D.O. only)	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
127079	Fee-for-Service	1649358490	1649358490	1	1	OLLIVIERRE, ARTHUR A MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	37630	18	Ophthalmology	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
127222	Fee-for-Service	1932147824	1932147824	1	1	OSTROW, ARNOLD MD INC	2/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	16243	41	Internal Medicine	0	In state provider	None	3771 KATELLA AVE	STE 300	LOS ALAMITOS	CA	90720	3115	30	06059	33.80319153	-118.067274	Orange County
127233	Fee-for-Service	1205898269	1205898269	1	1	OLSON, RONALD L CRNA	9/22/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1015 WEST YOSEMITE	None	MADERA	CA	93737	4581	20	06039	36.95442695	-120.0708623	Madera County
127250	Fee-for-Service	1780788018	1780788018	1	1	OROVILLE HOSPITAL	8/2/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	900 ORO DAM BLVD	None	OROVILLE	CA	95965	0000	04	06007	39.50000924	-121.5645154	Butte County
127253	Fee-for-Service	1487618740	1487618740	1	1	OVEN, SARAH J MD	1/12/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	84884	None	None	0	In state provider	None	3160 FOLSOM BLVD.	STE 1400	SACRAMENTO	CA	91816	5219	34	06067	38.568393	-121.4658585	Sacramento County
127430	Fee-for-Service	1598862054	1598862054	1	1	OAKDALE MEDICAL GROUP INC	5/1/2002	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	350 S OAK AVE	None	OAKDALE	CA	95361	3519	50	06099	37.75764557	-120.8600743	Stanislaus County
127510	Fee-for-Service	1932147824	1932147824	1	1	OSTROW, ARNOLD MD INC	2/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	16243	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	3771 KATELLA AVE	STE 300	LOS ALAMITOS	CA	90720	3115	30	06059	33.80319153	-118.067274	Orange County
127523	Fee-for-Service	1538616651	1538616651	1	1	ORTIZ, JENNIFER A PHD	10/5/2016	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
127563	Fee-for-Service	1992132112	1992132112	1	1	OASIS HOSPICE	2/4/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	43845 10TH STREET W	SUITE 2C	LANCASTER	CA	93534	4800	19	06037	34.68012017	-118.1479449	Los Angeles County
127604	Fee-for-Service	1801279047	1801279047	1	1	ONG, JENNIFER MD	12/10/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	15086	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
127703	Fee-for-Service	1114483492	1114483492	1	1	ORANGE COUNTY DIGESTIVE CENT	12/5/2019	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	ER, INC	1400 REYNOLDS AVE	125	IRVINE	CA	92614	5563	30	06059	33.6957272	-117.8542013	Orange County
127813	Fee-for-Service	1851410104	1851410104	1	2	ORANGE COUNTY GLOBAL	8/1/2019	No Taxonomy Provided	NA	None	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	0	In state provider	MEDICAL CENTER INC	1001 NORTH TUSTIN AVE	None	SANTA ANA	CA	92705	3502	30	06059	33.75363187	-117.8341886	Orange County
127846	Fee-for-Service	1457855074	1457855074	1	1	OU, RYAN MD	12/23/2019	363AS0400X	NA	Physician Assistant	026	PHYSICIANS	163824	02	General 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
127849	Fee-for-Service	1992132112	1992132112	1	1	OASIS HOSPICE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	43845 10TH STREET W	SUITE 2C	LANCASTER	CA	93534	4800	19	06037	34.68012017	-118.1479449	Los Angeles County
127904	Fee-for-Service	1720378748	1720378748	1	1	OLSON, KAITLYN M MD	7/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124864	None	None	0	In state provider	None	725 WELCH ROAD	MC 5548	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
127963	Fee-for-Service	1144423526	1144423526	1	1	OLSEN, MICHAEL S MD	3/9/2018	207P00000X	NA	Other	026	PHYSICIANS	152817	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3630 E IMPERIAL HWY	None	LYNWOOD	CA	90262	2609	19	06037	33.93112671	-118.2035532	Los Angeles County
127980	Fee-for-Service	1265742274	1265742274	1	1	OKI, YASUHIRO	6/3/2020	207RH0003X	NA	Oncology	026	PHYSICIANS	152935	41	Internal Medicine	0	In state provider	None	20055 LAKE CHABOT RD	STE 130	CASTRO VALLEY	CA	94546	5332	01	06001	37.69836512	-122.0873587	Alameda County
128083	Fee-for-Service	1619419181	1619419181	1	1	ORCUTT, MALGORZATA I	8/30/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2102 BUSINESS CENTER DR	SUITE 208	IRVINE	CA	92612	1001	30	06059	33.68027087	-117.855546	Orange County
128119	Fee-for-Service	1467814582	1467814582	1	1	OMORUYI, OSAYAMEN O MD	9/23/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	163248	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
128156	Fee-for-Service	1417440728	1417440728	1	1	ORTEGA, EDGAR MD PC	1/31/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	164828	36	Psychiatry	0	In state provider	None	6180 BROCKTON AVE	103	RIVERSIDE	CA	92506	2228	33	06065	33.958692	-117.3967415	Riverside County
128253	Fee-for-Service	1922027960	1922027960	1	1	ORSAK, KARA M MD	11/1/2002	207R00000X	NA	Other	026	PHYSICIANS	60924	41	Internal Medicine	0	In state provider	None	87 E OLIVE AVE	STE 100	FRESNO	CA	93728	3059	10	06019	36.75763476	-119.8110295	Fresno County
128255	Fee-for-Service	1164427928	1164427928	1	1	OLDS, GARTH A MD	2/8/2015	208600000X	NA	General Surgery	026	PHYSICIANS	-	02	General Surgery	2	Out of state provider	SURGI ASSOC OF BOZEMAN	925 HIGHLAND BOULEVARD	SUITE 1200	BOZEMAN	MT	59715	6900	00	None	45.669618	-111.020184	Gallatin County
128446	Fee-for-Service	1982756425	1982756425	1	1	OROVILLE HOSPITAL	12/1/1977	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
128460	Fee-for-Service	1336115328	1336115328	1	1	OUYANG, CHUN MD	2/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101302	10	Gastroenterology (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
128529	Fee-for-Service	1477533198	1477533198	1	1	OGUNSEITAN, ADEBOYE B MD	3/14/2024	207RH0002X	NA	Adult Primary Care	026	PHYSICIANS	191792	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
128820	Fee-for-Service	1982768412	1982768412	1	1	OKEREKE, ODIRA N MD	10/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	88906	01	General Practice	0	In state provider	None	275 W HERNDON AVE	None	CLOVIS	CA	93612	0204	10	06019	36.83766747	-119.715174	Fresno County
128884	Fee-for-Service	1447816079	1447816079	1	1	OLIVE LEAF FAMILY THERAPY, I	1/20/2025	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	NC	6276 N 1ST ST	103	FRESNO	CA	93710	5400	10	06019	36.82794977	-119.7721574	Fresno County
128995	Fee-for-Service	1700080744	1700080744	1	1	OWUOR, LYDIA NP	1/5/2024	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
128998	Fee-for-Service	1043321649	1043321649	1	1	OMOJOLA, MATTHEW 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	987400 NEBRASKA MED CTR	None	OMAHA	NE	68198	0001	00	None	0	0	None
129012	Fee-for-Service	1528146263	1528146263	1	1	OFTEDAHL, PETER R MD	8/26/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	55869	41	Internal Medicine	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
129096	Fee-for-Service	1558385369	1558385369	1	1	OPPENHEIM, GENE L MD	5/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	35981	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
129148	Fee-for-Service	1326271438	1326271438	1	1	OLANDER, BLYTHE S	12/15/2009	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
129156	Fee-for-Service	MSS00041F	None	1	1	ORANGE COUNTY HEALTH	3/1/2001	No Taxonomy Provided	NA	None	074	MULTIPURPOSE SENIOR SERVICES PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AUTHORITY	505 CITY PARKWAY WEST	None	ORANGE	CA	92868	4231	30	06059	33.78294054	-117.895599	Orange County
129158	Fee-for-Service	1932296738	1932296738	1	1	ORTUNO, VICTOR MD	6/29/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	87035	40	Pediatrics	0	In state provider	None	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	33	06065	33.92721419	-117.561448	Riverside County
129166	Fee-for-Service	1235504952	1235504952	1	1	OBIKE, SARAH N NP	1/6/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	95013520	-	NOT APPLICABLE	0	In state provider	None	9890 COUNTY FARM ROAD	BLDG 2	RIVERSIDE	CA	92503	3598	33	06065	33.92009951	-117.4574475	Riverside County
129168	Fee-for-Service	1447816079	1447816079	1	1	OLIVE LEAF FAMILY THERAPY, I	6/13/2023	106H00000X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	NC	6276 N 1ST ST	103	FRESNO	CA	93710	5400	10	06019	36.82794977	-119.7721574	Fresno County
129200	Fee-for-Service	1346816758	1346816758	1	1	ODONNELL, DANIEL P	8/16/2021	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	2908 WESTMINSTER	None	SEAL BEACH	CA	90740	5305	30	06059	33.7594287	-118.0804604	Orange County
129229	Fee-for-Service	1356400972	1356400972	1	1	OMALEV, THOMAS B MD	6/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	57816	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
129297	Fee-for-Service	1932805900	1932805900	1	1	ORDUNO, MONALISA M BIRTH DOU	3/15/2023	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	54	06107	0	0	None
129301	Fee-for-Service	1528146263	1528146263	1	1	OFTEDAHL, PETER R MD	8/26/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	55869	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
129412	Fee-for-Service	1942496096	1942496096	1	1	OLUBI, OLUYEMISI A MD MPH	11/13/2018	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	144689	None	None	0	In state provider	None	850 E WASHINGTON ST	None	COLTON	CA	92324	8101	36	06071	34.04819847	-117.3132225	San Bernardino County
129459	Fee-for-Service	1447816079	1447816079	1	1	OLIVE LEAF FAMILY THERAPY, I	8/12/2019	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	NC	6276 N 1ST ST	103	FRESNO	CA	93710	5400	10	06019	36.82794977	-119.7721574	Fresno County
129518	Fee-for-Service	1356400972	1356400972	1	1	OMALEV, THOMAS B MD	6/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	57816	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
129588	Fee-for-Service	1528146263	1528146263	1	1	OFTEDAHL, PETER R MD	8/26/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	55869	08	Family Practice	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
129677	Fee-for-Service	1598860884	1598860884	1	1	OGINSKY, MARCUS A. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1835 FRANKLIN ST	None	DENVER	CO	80218	1126	00	None	39.745557	-104.968447	Denver County
129730	Fee-for-Service	1427482405	1427482405	1	1	OU, SARAH J LCSW	12/22/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2615 ASHBY AVE	None	BERKELEY	CA	94705	2200	01	06001	37.85685511	-122.2547897	Alameda County
129742	Fee-for-Service	1710351622	1710351622	1	1	ONISHI, ALEX MD	8/9/2024	207W00000X	NA	Ophthalmology	026	PHYSICIANS	181374	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
129775	Fee-for-Service	1114286523	1114286523	1	1	OXFORD IMMUNOTEC INC	9/15/2014	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	5846 DISTRIBUTION DR	None	MEMPHIS	TN	38141	8203	00	None	35.01852546	-89.868303	Shelby County
129783	Fee-for-Service	1659411650	1659411650	1	1	OCEAN VIEW SCHOOL DIST	5/16/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	17200 PINEHURST LN	None	HUNTINGTON BEACH	CA	92647	5569	30	06059	33.71147558	-118.0215746	Orange County
129787	Fee-for-Service	1215174511	1215174511	1	1	OELBERGER, RICHARD F PHD	7/2/2024	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
129790	Fee-for-Service	1366947244	1366947244	1	1	OGINO, JAYME DO	7/16/2024	2080P0207X	NA	Hematology	026	PHYSICIANS	17760	68	Hematology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
129816	Fee-for-Service	1952830077	1952830077	1	1	O'HARA, AMANDA DO	8/4/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18406	08	Family Practice	0	In state provider	None	3100 TELEGRAPH AVE	STE 2102	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
129822	Fee-for-Service	1609221852	1609221852	1	1	ORME, EMILY I LMFT	2/20/2021	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
129830	Fee-for-Service	1841325081	1841325081	1	1	ORLANDO, MIRIAM C LCSW	2/10/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
129831	Fee-for-Service	1205134517	1205134517	1	1	OPERATION SAMAHAN INC	3/25/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2101 GRANGER AVE	SUITE 101A	NATIONAL CITY	CA	91950	6208	37	06073	32.67265644	-117.0738553	San Diego County
129873	Fee-for-Service	1053579334	1053579334	1	1	OTERO, ANTONIO J MD	9/30/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117082	34	Urology and Urological Surgery	0	In state provider	None	450 6TH AVE	None	SAN FRANCISCO	CA	94118	3010	38	06075	37.7802547	-122.4642049	San Francisco County
129876	Fee-for-Service	1982158424	1982158424	1	1	OPDYCKE, KATIE A OT	11/13/2018	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	247 SAN JUAN AVE	None	SANTA CRUZ	CA	95062	1421	44	06087	36.98467451	-122.0028567	Santa Cruz County
130028	Fee-for-Service	1366170136	1366170136	1	1	OMNI FAMILY HEALTH	9/21/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	6700 NILES STREET	SUITE 155	BAKERSFIELD	CA	93306	4800	15	06029	35.37616449	-118.9303406	Kern County
130047	Fee-for-Service	1952408999	1952408999	1	1	ODUMAKINDE, ELIZABETH MD	3/1/1984	207RH0003X	NA	Oncology	026	PHYSICIANS	50456	01	General Practice	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
130120	Fee-for-Service	1205134517	1205134517	1	1	OPERATION SAMAHAN INC	10/9/2019	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2101 GRANGER AVE	SUITE 101A	NATIONAL CITY	CA	91950	6208	37	06073	32.67265644	-117.0738553	San Diego County
130144	Fee-for-Service	1962847459	1962847459	1	1	OGLE, ERICA K DO	8/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15702	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1000 GREENLEY RD	None	SONORA	CA	95370	5200	55	06109	37.97749352	-120.3700335	Tuolumne County
130162	Fee-for-Service	1154755296	1154755296	1	1	OLIVER, KENDRA A LCSW	5/4/2021	1041C0700X	NA	Mental Health Outpatient Services	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
130165	Fee-for-Service	1780637256	1780637256	1	1	ODA, JOANNA J MD	11/23/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	82352	18	Ophthalmology	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
130206	Fee-for-Service	1154435428	1154435428	1	1	OW YONG, HENRY MD	7/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	88630	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
130225	Fee-for-Service	1538488754	1538488754	1	2	OWUSU, YASMIN N MD	10/7/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	113351	-	NOT APPLICABLE	0	In state provider	None	2560 PULGAS AVE	None	EAST PALO ALTO	CA	94303	1323	41	06081	37.47530197	-122.1318685	San Mateo County
130259	Fee-for-Service	1467667535	1467667535	1	1	OBEDIAN, FRED	4/11/1996	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	EZ LIFE	18036 VENTURA BLVD	None	ENCINO	CA	91316	3516	19	06037	34.16487422	-118.5256019	Los Angeles County
130285	Fee-for-Service	1023149168	1023149168	1	1	O'CONNOR, WENDY LMFT	1/18/2023	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
130287	Fee-for-Service	1871859553	1871859553	1	1	ORR, NORMAN K DO	1/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	12912	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
130330	Fee-for-Service	1144593310	1144593310	2	3	OBSTETRIX MEDICAL GROUP OF S	3/15/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	ACRAMENTO, P.C.	1625 STOCKTON BLVD	STE 205	SACRAMENTO	CA	95816	7092	34	06067	38.56554	-121.4664615	Sacramento County
130357	Fee-for-Service	1114009677	1114009677	1	1	ONG, ERNESTO G MD	8/7/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	52272	40	Pediatrics	0	In state provider	None	17821 PIONEER BLVD	None	ARTESIA	CA	90701	3901	19	06037	33.8691791	-118.0823685	Los Angeles County
130407	Fee-for-Service	1205134517	1205134517	1	1	OPERATION SAMAHAN INC	3/25/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2101 GRANGER AVE	SUITE 101A	NATIONAL CITY	CA	91950	6208	37	06073	32.67265644	-117.0738553	San Diego County
130450	Fee-for-Service	1942208889	1942208889	1	1	OH, CHRISTOPHER C MD	6/20/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	61131	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	210 CANAL STREET	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
130579	Fee-for-Service	1073967071	1073967071	1	1	OLSEN, BRIAN A LMFT	9/4/2018	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
130596	Fee-for-Service	1558406462	1558406462	1	1	OGAWA, JANE W MD	3/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	54942	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
130618	Fee-for-Service	1144593310	1144593310	2	3	OBSTETRIX MEDICAL GROUP OF S	3/15/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ACRAMENTO, P.C.	1625 STOCKTON BLVD	STE 205	SACRAMENTO	CA	95816	7092	34	06067	38.56554	-121.4664615	Sacramento County
130680	Fee-for-Service	1982814596	1982814596	1	1	OLSEN, MATTHEW D DO	6/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	12383	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
130736	Fee-for-Service	1942208889	1942208889	1	1	OH, CHRISTOPHER C MD	6/20/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	61131	42	Nuclear Medicine	0	In state provider	None	210 CANAL STREET	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
130774	Fee-for-Service	1992767321	1992767321	1	1	OWENS, MILTON L MD	2/8/2015	208600000X	NA	General Surgery	026	PHYSICIANS	27997	01	General Practice	0	In state provider	MILTON L OWENS, MD INC	1094 W 7TH ST	None	SAN PEDRO	CA	90731	2928	19	06037	33.73794676	-118.3010807	Los Angeles County
130804	Fee-for-Service	1356361901	1356361901	1	1	ORTIZ, RALPH O MD	1/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	60729	22	Pathology (M.D. only)	0	In state provider	None	1555 SOQUEL DR	None	SANTA CRUZ	CA	95065	1705	44	06087	36.98863619	-121.9830754	Santa Cruz County
130906	Fee-for-Service	1144593310	1144593310	2	3	OBSTETRIX MEDICAL GROUP OF S	3/15/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	ACRAMENTO, P.C.	1625 STOCKTON BLVD	STE 205	SACRAMENTO	CA	95816	7092	34	06067	38.56554	-121.4664615	Sacramento County
130974	Fee-for-Service	1871983353	1871983353	1	1	OBISPO, NANCY M NP	9/11/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	1	Border provider	None	555 BLACK OAK DR	STE 300	MEDFORD	OR	97504	8491	00	None	42.318873	-122.835653	Jackson County
131008	Fee-for-Service	1063550929	1063550929	1	1	ORANGE CNTY HLTH DEPT	3/1/1980	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	1729 W 17TH ST	None	SANTA ANA	CA	92706	2316	30	06059	33.7600293	-117.8928509	Orange County
131020	Fee-for-Service	1134782725	1134782725	1	1	O'CONNOR, ERICA MD	10/25/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	182391	None	None	0	In state provider	None	3257 CAMINO DE LOS COCHE	STE 301	CARLSBAD	CA	92009	8974	37	06073	33.0762053	-117.2390235	San Diego County
131040	Fee-for-Service	1295000818	1295000818	1	1	ORANGE COUNTY SPEECH SERVICE	11/29/2022	225X00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	S	7812 EDINGER AVE STE	400	HUNTINGTON BEACH	CA	92647	3727	30	06059	33.73009047	-117.992493	Orange County
131042	Fee-for-Service	1518926559	1518926559	1	1	OKONSKI, GISELA C MD IN	4/2/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	46125	41	Internal Medicine	0	In state provider	None	2644 EDITH AVENUE	None	REDDING	CA	96001	3043	45	06089	40.570911	-122.3997975	Shasta County
131104	Fee-for-Service	1720463318	1720463318	1	1	OGOT, RUTH A NP	3/10/2023	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
131329	Fee-for-Service	1295000818	1295000818	1	1	ORANGE COUNTY SPEECH SERVICE	11/29/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	S	7812 EDINGER AVE STE	400	HUNTINGTON BEACH	CA	92647	3727	30	06059	33.73009047	-117.992493	Orange County
131330	Fee-for-Service	1518926559	1518926559	1	1	OKONSKI, GISELA C MD IN	4/2/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	46125	36	Psychiatry	0	In state provider	None	2644 EDITH AVENUE	None	REDDING	CA	96001	3043	45	06089	40.570911	-122.3997975	Shasta County
131376	Fee-for-Service	1326196270	1326196270	1	1	OUZOUNIAN, TRACY L CRNA	6/9/2010	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	441 N LAKEVIEW AVENUE	None	ANAHEIM	CA	90034	1702	30	06059	33.85429563	-117.8166478	Orange County
131418	Fee-for-Service	1992906234	1992906234	1	1	OSTROM, KATHLEEN M MD	6/8/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96077	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
131447	Fee-for-Service	1922191550	1922191550	1	1	OSBORNE, TIMOTHY S MD	10/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	235 WEST 6TH STREET	None	RENO	NV	89503	4548	00	None	39.53165987	-119.8181899	Washoe County
131453	Fee-for-Service	1346467800	1346467800	1	1	OH, DEBORAH K MD	8/28/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	83445	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
131538	Fee-for-Service	1538546528	1538546528	1	1	OHALLORAN, KATRINA C MD	5/10/2022	2080P0207X	NA	Hematology	026	PHYSICIANS	153615	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
131601	Fee-for-Service	1255714671	1255714671	1	1	OB 24 MEDICAL GROUP INC	10/19/2015	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1600 N ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
131619	Fee-for-Service	1518926559	1518926559	1	1	OKONSKI, GISELA C MD IN	4/2/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	46125	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2644 EDITH AVENUE	None	REDDING	CA	96001	3043	45	06089	40.570911	-122.3997975	Shasta County
131741	Fee-for-Service	1982709440	1982709440	1	1	ORMISTON, THOMAS M MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	66776	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
131743	Fee-for-Service	1477957579	1477957579	1	1	OCONNOR, NORA A LCSW	12/24/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	27049	-	NOT APPLICABLE	0	In state provider	None	303 E 52ND STREET	None	LOS ANGELES	CA	90011	4513	19	06037	33.99526806	-118.2699516	Los Angeles County
131895	Fee-for-Service	1518367788	1518367788	1	1	OVERLAND TERRACE HEALTHCARE	10/11/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	& WELLNESS CENTRE LP	3515 OVERLAND AVE	None	LOS ANGELES	CA	90034	5521	19	06037	34.02424289	-118.4112872	Los Angeles County
132110	Fee-for-Service	1154574853	1154574853	1	1	ORTIZ URDA, MARIA S MD	4/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	105136	07	Dermatology	0	In state provider	None	1701 DIVISADERO STREET	None	SAN FRANCISCO	CA	94115	3011	38	06075	37.78553106	-122.4399475	San Francisco County
132125	Fee-for-Service	1215356118	1215356118	1	1	ORECK, SARAH MD	8/14/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	154287	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
132148	Fee-for-Service	1912007220	1912007220	1	1	OHOLLERAN, JOHN D MD	3/10/1992	208600000X	NA	General Surgery	026	PHYSICIANS	73614	02	General Surgery	0	In state provider	None	1303 SAN CARLOS AVE	None	SAN CARLOS	CA	94070	2317	41	06081	37.50572931	-122.2621879	San Mateo County
132211	Fee-for-Service	1134123755	1134123755	1	1	OMRON, EDWARD M MD	12/22/2009	207RC0200X	NA	Other	026	PHYSICIANS	105179	66	Emergency Medicine (Urgent Care)	0	In state provider	None	350 30TH ST	STE 520	OAKLAND	CA	94609	3426	01	06001	37.81892183	-122.2640154	Alameda County
132257	Fee-for-Service	1689753147	1689753147	1	1	OLNEY, MICHAEL	4/12/2011	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
132344	Fee-for-Service	1609543495	1609543495	1	1	OLMSTED HAMLIN, HEATHER I CN	1/17/2022	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	M	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
132358	Fee-for-Service	1245614437	1245614437	1	1	ONE ON ONE MEDICAL	10/30/2017	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	TRANSPORTATION SERVICES	2010 N FINE AVE	STE 104	FRESNO	CA	93727	1558	10	06019	36.76864765	-119.7288057	Fresno County
132364	Fee-for-Service	1407067119	1407067119	1	1	OWEN, RULON D DO	3/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	5531	01	General Practice	0	In state provider	None	244 N KAWEAH AVE	None	EXETER	CA	93221	1271	54	06107	36.30048767	-119.1359279	Tulare County
132379	Fee-for-Service	1083066286	1083066286	1	1	OPPONG-ADDAE, SHARONDA A CCC	2/6/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	-SLP	633 WEST FIFTH STREET	OFFICE #2876B	LOS ANGELES	CA	90071	2005	19	06037	34.05071143	-118.25466	Los Angeles County
132397	Fee-for-Service	1699751321	1699751321	1	1	O'CALLAGHAN, THOMAS MD	11/30/1988	208600000X	NA	General Surgery	026	PHYSICIANS	42550	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	# 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
132440	Fee-for-Service	1144491895	1144491895	1	1	ORTHOPAEDIC MEDICAL GRP	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	OF RIVERSIDE INC	6800 BROCKTON AVE	None	RIVERSIDE	CA	92506	3810	33	06065	33.9496766	-117.3967147	Riverside County
132469	Fee-for-Service	1780284851	1780284851	1	1	OLTROGGE, HANNAH M CPO	11/16/2020	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1011 CASS STREET	112	MONTEREY	CA	93940	4518	27	06053	36.59201772	-121.8966282	Monterey County
132478	Fee-for-Service	1285685925	1285685925	1	1	OSHAUGHNESSY, LOUISE S	1/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	48800	30	Radiology	0	In state provider	None	25405 HANCOCK AVE	STE 107	MURRIETA	CA	92562	5978	33	06065	33.5580833	-117.1850127	Riverside County
132500	Fee-for-Service	1134123755	1134123755	1	1	OMRON, EDWARD M MD	12/22/2009	207RC0200X	NA	Other	026	PHYSICIANS	105179	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	350 30TH ST	STE 520	OAKLAND	CA	94609	3426	01	06001	37.81892183	-122.2640154	Alameda County
132529	Fee-for-Service	1740367085	1740367085	1	1	ONLY GRACE INC	8/9/2022	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	5535 CANCHA DE GOLF	SUITE 101	RANCHO SANTA FE	CA	92091	9504	37	06073	32.99256327	-117.2129987	San Diego County
132552	Fee-for-Service	1447924253	1447924253	1	1	OHARA, RACHEL PT	3/7/2023	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
132567	Fee-for-Service	1598885014	1598885014	1	1	OLMEDO, ROJELIO LMFT	9/11/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST 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
132621	Fee-for-Service	1174677827	1174677827	2	1	ODEDRA ENTERPRISES INC	2/8/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HIGHWAY	SUITE 160	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
132651	Fee-for-Service	1407067119	1407067119	1	1	OWEN, RULON D DO	3/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	5531	08	Family Practice	0	In state provider	None	244 N KAWEAH AVE	None	EXETER	CA	93221	1271	54	06107	36.30048767	-119.1359279	Tulare County
132919	Fee-for-Service	1760444731	1760444731	1	1	OBRIEN, KEVIN C MD	1/18/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	82855	40	Pediatrics	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
133055	Fee-for-Service	1689206047	1689206047	3	1	OLYMPIC COMMUNITY PHARMACY I	12/27/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NC	9117 W OLYMPIC BLVD	None	BEVERLY HILLS	CA	90212	3507	19	06037	34.0594143	-118.3902082	Los Angeles County
133056	Fee-for-Service	1740338631	1740338631	1	1	ORONAN, PHILAME S MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	42714	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
133073	Fee-for-Service	1417301482	1417301482	1	1	OSSOWSKI, STEPHANIE MD	1/11/2023	207RH0003X	NA	Oncology	026	PHYSICIANS	150580	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
133077	Fee-for-Service	1487809554	1487809554	1	1	OGUNLEYE, SAMMY S	9/23/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	XTREMECARE MEDICAL SUP	688 N ARROWHEAD AVE	STE 100	SAN BERNARDINO	CA	92401	1144	36	06071	34.111863	-117.2896755	San Bernardino County
133224	Fee-for-Service	1396390985	1396390985	1	1	OBERST, CARSON	6/14/2022	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
133227	Fee-for-Service	1235209495	1235209495	1	1	OSORIO, ANDREA D NP	11/15/2017	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
133344	Fee-for-Service	1740338631	1740338631	1	1	ORONAN, PHILAME S MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	42714	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
133362	Fee-for-Service	1023075298	1023075298	1	1	OPEN MRI INC	3/1/2003	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	None	3521 INVESTMENT BLVD	STE 5	HAYWARD	CA	94545	3704	01	06001	37.62504864	-122.1201474	Alameda County
133454	Fee-for-Service	1790342251	1790342251	1	1	OLE HEALTH	7/16/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	300 HARTLE CT.	SUITE 140	NAPA	CA	94559	4078	28	06055	38.28326249	-122.2801759	Napa County
133486	Fee-for-Service	1194352401	1194352401	1	1	OMARY, LINA MD	11/4/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	189735	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
133637	Fee-for-Service	1750345203	1750345203	1	1	OLSON, PETER J. MD	3/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	980 RICE ST	None	ST PAUL	MN	55117	0000	00	None	44.97076202	-93.10595578	Ramsey County
133743	Fee-for-Service	1003304866	1003304866	1	1	OHABUGHIRO, MICHAEL U MD	7/19/2021	207R00000X	NA	Other	026	PHYSICIANS	165734	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
133812	Fee-for-Service	1699756197	1699756197	1	1	ONG, JUNE C DO	6/11/2008	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	9420	25	Physical Medicine and Rehabilitation	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
133852	Fee-for-Service	1780815886	1780815886	1	1	OZER, HARUN MD	11/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129243	30	Radiology	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
133864	Fee-for-Service	1801887104	1801887104	1	1	OAKCARE MEDICAL GRP INC	10/31/1995	193400000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
133941	Fee-for-Service	1114314069	1114314069	1	1	O'HANLON, MONICA MD	2/12/2021	208800000X	NA	Other	026	PHYSICIANS	169191	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
134001	Fee-for-Service	1609826270	1609826270	1	1	ONEIDA COUNTY HOPSPITAL	7/10/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	150 N 200 W	None	MALAD CITY	ID	83252	1239	00	None	42.18936424	-112.2506637	Oneida County
134097	Fee-for-Service	1699756197	1699756197	1	1	ONG, JUNE C DO	6/11/2008	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	9420	36	Psychiatry	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
134159	Fee-for-Service	1316213515	1316213515	1	1	OROZCO, EVELINA NP	2/5/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	137 ASPEN ST	STE A	VISALIA	CA	93291	5381	54	06107	36.328815	-119.3534415	Tulare County
134203	Fee-for-Service	1225141377	1225141377	1	1	OZAKI, RIKIO A MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70003	08	Family Practice	0	In state provider	None	200 MEDICAL PLAZA STE 22	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
134225	Fee-for-Service	1386911246	1386911246	1	1	OVERNIGHT DIAGNOSTICS LLC	11/19/2011	293D00000X	NA	Other	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	10700 SANTA MONICA BLVD	STE 203	LOS ANGELES	CA	90025	6588	19	06037	34.05173265	-118.4321113	Los Angeles County
134266	Fee-for-Service	1295046407	1295046407	1	1	OZOWARA, LARRY U MD	8/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144182	36	Psychiatry	0	In state provider	None	300 UCLA MEDICAL PLAZA	2200	LOS ANGELES	CA	90095	6968	19	06037	34.06465655	-118.4461	Los Angeles County
134412	Fee-for-Service	1164462883	1164462883	1	1	O'BRIEN, SUZANNE M PHD	2/8/2015	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2125 EL CAMINO REAL	STE 104	OCEANSIDE	CA	92054	6260	37	06073	33.18895278	-117.3283467	San Diego County
134821	Fee-for-Service	1144613951	1144613951	1	1	OSTROVE, LAURA A LMFT	8/18/2023	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
134884	Fee-for-Service	1649743345	1649743345	1	1	OSITA HEALTH CLINIC	2/19/2020	261Q00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2521 SEMINARY AVE	SUITE 1	OAKLAND	CA	94605	1307	01	06001	37.77104396	-122.1912093	Alameda County
135030	Fee-for-Service	1669635876	1669635876	1	1	OVSEPYAN, TEVAN DO	9/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11148	41	Internal Medicine	0	In state provider	None	11211 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1115	19	06037	34.27497644	-118.4679634	Los Angeles County
135054	Fee-for-Service	1982697322	1982697322	1	1	OKAMOTO,DEEMS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	14731 AURORA AVE	None	SHORELINE	WA	98133	6547	00	None	47.735712	-122.3451385	King County
135156	Fee-for-Service	1477677557	1477677557	1	1	OTIS, STAVROULA A MD	3/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	100358	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
135219	Fee-for-Service	1851502314	1851502314	1	1	OWENS, JOHN E MD	7/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94080	25	Physical Medicine and Rehabilitation	0	In state provider	None	11406 LOMA LINDA DR	STE 300	LOMA LINDA	CA	92354	3711	36	06071	34.04642588	-117.2480303	San Bernardino County
135255	Fee-for-Service	1194351031	1194351031	1	1	OPSAHL, RAECHEL MD	2/21/2025	207L00000X	NA	Other	026	PHYSICIANS	178638	05	Anesthesiology	0	In state provider	None	1000 GREENLEY ROAD	None	SONORA	CA	95370	5200	55	06109	37.97749352	-120.3700335	Tuolumne County
135296	Fee-for-Service	1144969346	1144969346	1	1	OVERTURF, EMILY PT	4/5/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2200 E. MAPLE AVE	None	EL SEGUNDO	CA	90245	6507	19	06037	33.92690475	-118.3857342	Los Angeles County
135383	Fee-for-Service	1467417907	1467417907	1	1	ORANGE COUNTY REG PET CT	2/7/2008	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	16300 SAND CANYON AVE	STE 103	IRVINE	CA	92618	3711	30	06059	33.66115075	-117.7742405	Orange County
135415	Fee-for-Service	1063861441	1063861441	1	1	OKATCHA, EVA	6/13/2016	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	4371 EDENWILD LANE	None	CORONA	CA	92883	0719	33	06065	33.81297516	-117.5400946	Riverside County
135423	Fee-for-Service	1033286844	1033286844	1	1	OEI, TOMMY T MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66717	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
135446	Fee-for-Service	1477677557	1477677557	1	1	OTIS, STAVROULA A MD	3/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	100358	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
135448	Fee-for-Service	1841376621	1841376621	1	1	O'ONNOR, KIM MARIE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4245 ROOSEVELT WAY NE	MS 359110 C/O UWP	SEATTLE	WA	98105	6008	00	None	47.65883901	-122.3177928	King County
135454	Fee-for-Service	1962550756	1962550756	1	1	OLMEDO, ANGELO MD	12/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	65287	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
135534	Fee-for-Service	1578064002	1578064002	1	3	OPTIMUMEDICINE LLC	6/6/2022	3416L0300X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	1	Border provider	None	5010 S DECATUR BLVD	G&H	LAS VEGAS	NV	89118	4934	00	None	36.098577	-115.2079635	Clark County
135587	Fee-for-Service	1427700640	1427700640	1	1	OTI, OLIVIA CNP	2/29/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	27200 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
135623	Fee-for-Service	1154323483	1154323483	1	1	OWEN, WILLIAM F JR	5/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	31385	41	Internal Medicine	0	In state provider	None	45 CASTRO ST	STE 402	SAN FRANCISCO	CA	94114	1027	38	06075	37.76829732	-122.4357056	San Francisco County
135695	Fee-for-Service	1114164415	1114164415	1	1	OKIHARA, MICHAELLA Y MD	5/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	102143	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
135703	Fee-for-Service	1063861441	1063861441	1	1	OKATCHA, EVA	6/13/2016	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	4371 EDENWILD LANE	None	CORONA	CA	92883	0719	33	06065	33.81297516	-117.5400946	Riverside County
135711	Fee-for-Service	1033286844	1033286844	1	1	OEI, TOMMY T MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66717	10	Gastroenterology (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
135734	Fee-for-Service	1477677557	1477677557	1	1	OTIS, STAVROULA A MD	3/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	100358	68	Hematology	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
135826	Fee-for-Service	1578064002	1578064002	1	3	OPTIMUMEDICINE LLC	6/6/2022	3416L0300X	NA	Other	038	AIR AMBULANCE TRANSPORTATION SERVICES	-	-	NOT APPLICABLE	1	Border provider	None	5010 S DECATUR BLVD	G&H	LAS VEGAS	NV	89118	4934	00	None	36.098577	-115.2079635	Clark County
136344	Fee-for-Service	1407452634	1407452634	1	1	OHANA HOSPICE AND PALLIATIVE	2/28/2024	315D00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	CARE INC.	5775 E LOS ANGELES AVE	SUITE 212	SIMI VALLEY	CA	93063	5215	56	06111	34.27177348	-118.679859	Ventura County
136353	Fee-for-Service	1639365687	1639365687	1	1	OKINO, BLAINE 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	79-1019 HAUKAPILA ST	None	KEALAKEKUA	HI	96750	7920	00	None	19.519965	-155.918154	Hawaii County
136374	Fee-for-Service	1669482303	1669482303	1	1	OSTRIKER, JEFFREY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	48181	08	Family Practice	0	In state provider	None	2406 TORRANCE BLVD	None	TORRANCE	CA	90501	2401	19	06037	33.83633544	-118.3265163	Los Angeles County
136399	Fee-for-Service	1558707851	1558707851	1	1	OATTS, JULIUS T MD	5/10/2018	207W00000X	NA	Ophthalmology	026	PHYSICIANS	135590	18	Ophthalmology	0	In state provider	None	1001 POTRERO AVE	RM 4M31	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
136421	Fee-for-Service	1750035127	1750035127	1	1	OEI PROSTHETICS AND ORTHOTIC	4/8/2024	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	S	9320 DEERING AVE	None	CHATSWORTH	CA	91311	5857	19	06037	34.24049383	-118.5960581	Los Angeles County
136469	Fee-for-Service	1578853636	1578853636	1	1	ORVILLE RAY BIGNALL II MD	4/18/2021	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
136494	Fee-for-Service	1467140442	1467140442	1	1	OVI LLC	3/13/2024	No Taxonomy Provided	NA	None	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	605 STANDIFORD AVE	SUITE A	MODESTO	CA	95350	1000	50	06099	37.68922609	-121.00038	Stanislaus County
136590	Fee-for-Service	1124247077	1124247077	1	1	OBSENARES, JOHN PT	3/21/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4900 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5814	19	06037	34.0981225	-118.2965085	Los Angeles County
136618	Fee-for-Service	1225486988	1225486988	1	1	OSTREM, JONATHAN M MD	9/8/2022	207RH0003X	NA	Oncology	026	PHYSICIANS	180366	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
136664	Fee-for-Service	1669482303	1669482303	1	1	OSTRIKER, JEFFREY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	48181	01	General Practice	0	In state provider	None	2406 TORRANCE BLVD	None	TORRANCE	CA	90501	2401	19	06037	33.83633544	-118.3265163	Los Angeles County
136693	Fee-for-Service	1306041116	1306041116	1	1	ORTIZ, CARLOS A II 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	86404	1748	00	None	35.220006	-114.0380145	Mohave County
136748	Fee-for-Service	1407154636	1407154636	1	1	OLEANDER HOLDINGS LLC	6/7/2011	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	5255 HEMLOCK STREET	None	SACRAMENTO	CA	95841	3017	34	06067	38.662884	-121.341969	Sacramento County
136822	Fee-for-Service	1063431203	1063431203	1	1	OOMMEN, SUMA MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	75861	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
136850	Fee-for-Service	1437429966	1437429966	1	1	OSOFSKY, WHITNEY G CCC-SLP	10/5/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	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
137064	Fee-for-Service	1457368565	1457368565	1	1	OSGARD, ERIC M MD	3/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	10	Gastroenterology (M.D. only)	1	Border provider	None	880 RYLAND STREET	None	RENO	NV	89502	5152	00	None	39.52378631	-119.8009873	Washoe County
137121	Fee-for-Service	1255005286	1255005286	1	1	OFARINOVA, DILBAR LMFT	2/6/2025	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
137277	Fee-for-Service	1821176645	1821176645	1	1	ONG, EUGENE MD	6/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	48279	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
137386	Fee-for-Service	1285925990	1285925990	1	1	OTANI, IRIS M MD	3/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	122680	03	Allergy	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
137389	Fee-for-Service	1255519849	1255519849	1	1	OSORIO, CAROLINA MD	9/4/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110358	36	Psychiatry	0	In state provider	None	1454 EAST 2ND STREET	None	SAN BERNARDINO	CA	92408	0118	36	06071	34.1035953	-117.2563723	San Bernardino County
137468	Fee-for-Service	1497810501	1497810501	1	1	O'MALLEY, PATRICK J MD	1/31/1988	208600000X	NA	General Surgery	026	PHYSICIANS	44998	02	General Surgery	0	In state provider	None	1600 CREEKSIDE DR	STE 2600	FOLSOM	CA	95630	3447	34	06067	38.669994	-121.147488	Sacramento County
137531	Fee-for-Service	1487679734	1487679734	1	1	OTI, ARTURO J MD	6/15/2009	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
137579	Fee-for-Service	1265442800	1265442800	1	1	OUTPATIENT PATHOLOGY	9/9/1987	207ZC0500X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	ASSOCIATES A MEDICAL GRP	7750 COLLEGE TOWN DRIVE	#102	SACRAMENTO	CA	95826	2344	34	06067	38.553732	-121.4136405	Sacramento County
137650	Fee-for-Service	1114237997	1114237997	1	2	OLSON, KAREN L LCSW	4/10/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	73950 ZIRCON CIRCLE WES	None	PALM DESERT	CA	92260	2274	33	06065	33.73992425	-116.37256	Riverside County
137663	Fee-for-Service	1659831758	1659831758	1	1	OHASHI, MINORI MD	3/24/2023	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	179208	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
137674	Fee-for-Service	1285925990	1285925990	1	1	OTANI, IRIS M MD	3/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	122680	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
137900	Fee-for-Service	1942388848	1942388848	1	1	ORDONA, THERESA Q MD	9/5/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	76457	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
137920	Fee-for-Service	1992332571	1992332571	1	1	OREDEIN, IGBAGBOSANMI O MD	6/9/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	187595	40	Pediatrics	0	In state provider	None	1101 VAN NESS AVE	None	SAN FRANCISCO	CA	94109	6919	38	06075	37.78610439	-122.421569	San Francisco County
137955	Fee-for-Service	1053741017	1053741017	1	1	OPTIMAL HEALTH CARE, INC	6/27/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	22151 VENTURA BLVD	STE 207	WOODLAND HILLS	CA	91364	1666	19	06037	34.16870042	-118.6099445	Los Angeles County
137961	Fee-for-Service	1285925990	1285925990	1	1	OTANI, IRIS M MD	3/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	122680	29	Pulmonary Diseases (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
138038	Fee-for-Service	1447320817	1447320817	1	1	OHIKHUARE, MAXWELL MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	39164	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	931 BUENA VISTA ST	STE 200	DUARTE	CA	91010	1713	19	06037	34.141635	-117.9775755	Los Angeles County
138143	Fee-for-Service	1659405785	1659405785	1	1	OTTEN, REBECCA LMFT	8/6/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	55 SHAW	STE 120	CLOVIS	CA	93612	3819	10	06019	36.80859553	-119.708505	Fresno County
138233	Fee-for-Service	1972030732	1972030732	1	1	OPTIMAL HEALTH PHARMACY INC	8/29/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	700 AIRPORT DR	UNIT C	BAKERSFIELD	CA	93308	4113	15	06029	35.412696	-119.038902	Kern County
138312	Fee-for-Service	1891086088	1891086088	1	1	OVUNC, BUGSU MD	8/27/2019	2080P0214X	NA	Pulmonology	026	PHYSICIANS	160694	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
138343	Fee-for-Service	1679647234	1679647234	1	1	OBISPO, MARIA	2/14/2006	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1524 MCHENRY AVE	STE 150	MODESTO	CA	95350	4569	50	06099	37.666233	-120.993933	Stanislaus County
138390	Fee-for-Service	1922025972	1922025972	1	1	OKORONKWO, UCHENNA A MD	6/30/1992	207R00000X	NA	Other	026	PHYSICIANS	55275	41	Internal Medicine	0	In state provider	None	10520 MACARTHUR BLVD	None	OAKLAND	CA	94605	5248	01	06001	37.74310419	-122.152591	Alameda County
138526	Fee-for-Service	1831680719	1831680719	1	1	OR, LOK OD	10/28/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5385 WALNUT AVE	SUITE 2	CHINO	CA	91710	2605	36	06071	34.02627451	-117.6872175	San Bernardino County
138561	Fee-for-Service	1104287283	1104287283	1	1	OGUN-SEMORE, OLAWUNMI NP	2/6/2025	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
138636	Fee-for-Service	1730195694	1730195694	1	1	ORR, C ERIC MD	8/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	58899	02	General Surgery	0	In state provider	None	10201 MISSION GORGE RD	None	SANTEE	CA	92071	3027	37	06073	32.83844552	-116.9759925	San Diego County
138696	Fee-for-Service	1356739429	1356739429	1	1	ORANGE COAST HOSPICE INC	5/23/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	10568 MAGNOLIA AVENUE	SUITE 116	ANAHEIM	CA	92804	2172	30	06059	33.80913207	-117.9756705	Orange County
138803	Fee-for-Service	1003022609	1003022609	1	1	ORTIZ, JAIME L MD	1/10/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	85811	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	2215 TRUXTUN AVE	STE 100	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
138881	Fee-for-Service	1447308317	1447308317	1	1	OZAWA, YOKO MD	7/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	81475	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
138914	Fee-for-Service	1023549441	1023549441	1	1	ONEDO, AKPEVWOGHENE MD	12/18/2024	208M00000X	NA	Other	026	PHYSICIANS	None	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
138915	Fee-for-Service	1114903408	1114903408	1	1	O'HORO, SUSAN K MD	1/5/2023	2085R0204X	NA	Other	026	PHYSICIANS	183005	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
138982	Fee-for-Service	1932384450	1932384450	1	1	OMER, BILAL A MD	12/1/2020	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
138984	Fee-for-Service	1396705810	1396705810	1	1	OLEK, MICHAEL J DO	1/15/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	8098	13	Neurology (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
138994	Fee-for-Service	1174683643	1174683643	1	1	ORTHOPAEDIC MEDICAL GRP	7/30/1990	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	1050 LAKES DR	STE 100	WEST COVINA	CA	91790	2929	19	06037	34.07127962	-117.9226429	Los Angeles County
138995	Fee-for-Service	1356739429	1356739429	1	1	ORANGE COAST HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	10568 MAGNOLIA AVENUE	SUITE 116	ANAHEIM	CA	92804	2172	30	06059	33.80913207	-117.9756705	Orange County
139015	Fee-for-Service	1851839476	1851839476	1	1	ORANGE COUNTY DEPRESSION & A	2/21/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	NXIETY FAMILY THERAPY, P	2030 EAST 4TH STREET	138F	SANTA ANA	CA	92705	3920	30	06059	33.74808045	-117.8378273	Orange County
139059	Fee-for-Service	1598785776	1598785776	1	1	ONG, MICHAEL K MD	8/30/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79364	41	Internal Medicine	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
139073	Fee-for-Service	1780734111	1780734111	1	1	ORSULAK, KAREN M LCSW	4/27/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3505 BROADWAY	None	OAKLAND	CA	94611	5714	01	06001	37.82263926	-122.2597946	Alameda County
139183	Fee-for-Service	1346309945	1346309945	1	1	OHARA, JOHN A MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	72055	22	Pathology (M.D. only)	0	In state provider	None	19951 MARINER AVE	STE 150	TORRANCE	CA	90503	1738	19	06037	33.85129396	-118.3504889	Los Angeles County
139240	Fee-for-Service	1922164433	1922164433	1	2	OCULAR INSTITUTE OF CA	1/1/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	AMC	17833 COLIMA RD	None	ROWLAND HEIGHTS	CA	91748	1729	19	06037	33.99017251	-117.9153748	Los Angeles County
139523	Fee-for-Service	1679339436	1679339436	1	1	OSUJI, AMALA NP	2/28/2024	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4190 CHICAGO AVE	None	RIVERSIDE	CA	92507	5348	33	06065	33.97217008	-117.3484877	Riverside County
139565	Fee-for-Service	1225167521	1225167521	1	1	OFFENHEISER, SHANETTE	9/11/2012	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
139582	Fee-for-Service	1245609668	1245609668	1	1	OLSON, BRIDGET CCC-SLP	9/26/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7550 ALTURA PL	None	OAKLAND	CA	94605	3108	01	06001	37.77604948	-122.1575596	Alameda County
139620	Fee-for-Service	1538255724	1538255724	1	1	ORTIZ, STEVEN MD	7/20/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	95541	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
139696	Fee-for-Service	1942479688	1942479688	1	1	ONEIL, SHARON H PHD	2/29/2008	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	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
139698	Fee-for-Service	1093210973	1093210973	1	1	OTTERSON, DANIEL J MD	8/25/2022	207R00000X	NA	Other	026	PHYSICIANS	178820	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
139790	Fee-for-Service	1861767097	1861767097	1	1	ORME, CHARISSE M MD	6/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141036	07	Dermatology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
139906	Fee-for-Service	1538255724	1538255724	1	1	ORTIZ, STEVEN MD	7/20/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	95541	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
139914	Fee-for-Service	1861009797	1861009797	1	1	OSORIO, NATALIYA	3/24/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2895 N TOWNE AVE	None	POMONA	CA	91767	2009	19	06037	34.098525	-117.7368955	Los Angeles County
139942	Fee-for-Service	1417450271	1417450271	1	1	ODLE, BRITTON K DO	6/30/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	20860	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
140127	Fee-for-Service	1669524021	1669524021	1	1	OH, BISMARK Y	10/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84057	10	Gastroenterology (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
140130	Fee-for-Service	1568826956	1568826956	1	1	OCHOA, FABIOLA MD	9/28/2021	207R00000X	NA	Other	026	PHYSICIANS	156856	None	None	0	In state provider	None	1680 E 120 ST	None	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
140182	Fee-for-Service	1437754124	1437754124	1	1	ORTEGA ROQUE, AMERICA N OT	2/26/2021	225X00000X	NA	Other	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
140199	Fee-for-Service	1750700142	1750700142	1	1	OBATOLU, EMMANUEL A	12/9/2021	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	5705 MARCONI AVE	B	CARMICHAEL	CA	95608	4470	34	06067	38.617533	-121.3315335	Sacramento County
140319	Fee-for-Service	1346531647	1346531647	1	2	ONGLEY, BRENDA I CCC-SLP	8/30/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	300 HAWTHORNE STREET	None	MONTEREY	CA	93940	1003	27	06053	36.61034517	-121.900191	Monterey County
140476	Fee-for-Service	1063772085	1063772085	1	1	OUM, SE W MD	2/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	130847	None	None	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
140541	Fee-for-Service	1013910140	1013910140	1	1	O'SHEA, GERALDINE T DO	8/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	7363	41	Internal Medicine	0	In state provider	None	235 NEW YORK RANCH RD	# B	JACKSON	CA	95642	2147	03	06005	38.35435951	-120.7677827	Amador County
140550	Fee-for-Service	1225118540	1225118540	1	1	OTTO, CHARLES 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	1501 N CAMPBELL AVE	None	TUCSON	AZ	85724	0001	00	None	32.240493	-110.9460825	Pima County
140647	Fee-for-Service	1982177697	1982177697	1	1	ORANGE COUNTY HOSPICE	6/8/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	1100 E ORANGETHORPE AVE	STE 200Z2	ANAHEIM	CA	92801	1181	30	06059	33.85953934	-117.9075761	Orange County
140840	Fee-for-Service	1962111690	1962111690	1	1	OMNIA RECOVERY INC	9/3/2024	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1459 E THOUSAND OAKS BLV	STE D	THOUSAND OAKS	CA	91362	6221	56	06111	34.17803055	-118.8544931	Ventura County
140888	Fee-for-Service	1780865402	1780865402	1	1	OWENS, NANCY L MD	7/31/1990	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	70881	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
140938	Fee-for-Service	1982177697	1982177697	1	1	ORANGE COUNTY HOSPICE	6/8/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	1100 E ORANGETHORPE AVE	STE 200Z2	ANAHEIM	CA	92801	1181	30	06059	33.85953934	-117.9075761	Orange County
141047	Fee-for-Service	1841877628	1841877628	1	1	ODIASE, OTASOWIE M MD	12/27/2022	390200000X	NA	Other	026	PHYSICIANS	181885	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
141298	Fee-for-Service	1336173020	1336173020	1	2	OPEN DOOR COMMUNITY HEALTH	10/1/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	622 H ST	None	EUREKA	CA	95501	1026	12	06023	40.80080061	-124.1634879	Humboldt County
141441	Fee-for-Service	1124693635	1124693635	1	1	OKENKPU, UCHENNA C PT	9/17/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	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
141533	Fee-for-Service	1912063611	1912063611	1	1	OWENS, KEVIN A MD	11/30/1989	207P00000X	NA	Other	026	PHYSICIANS	51109	08	Family Practice	0	In state provider	None	2150 GRACE DR	None	SANTA ROSA	CA	95404	3050	49	06097	38.454876	-122.6974005	Sonoma County
141584	Fee-for-Service	1336173020	1336173020	1	2	OPEN DOOR COMMUNITY HEALTH	10/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	622 H ST	None	EUREKA	CA	95501	1026	12	06023	40.80080061	-124.1634879	Humboldt County
141590	Fee-for-Service	1578875654	1578875654	1	1	ORESKOVICH, DANIEL R MD	1/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	2640 E BARNETT RD	E333	MEDFORD	OR	97504	4301	00	None	42.31645852	-122.834421	Jackson County
141749	Fee-for-Service	1073598439	1073598439	1	1	OHIO VALLEY GENERAL HOSPITAL	2/1/2007	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	25 HECKEL RD	None	MC KEES ROCKS	PA	15136	1651	00	None	40.47243059	-80.09084759	Allegheny County
141804	Fee-for-Service	1043631617	1043631617	1	1	OTA, LAWRENCE E MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	119302	05	Anesthesiology	0	In state provider	None	3315 WATT AVE	None	SACRAMENTO	CA	95821	3600	34	06067	38.626056	-121.3834455	Sacramento County
141876	Fee-for-Service	1184132367	1184132367	1	1	OBERFIELD, REBECCA A NP	1/1/2019	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
141890	Fee-for-Service	1265680748	1265680748	1	1	OLSON, VANESSA N MD	10/26/2010	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	103727	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
141985	Fee-for-Service	1730780313	1730780313	1	1	ORCHID COURT INC	8/17/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	307 S ARROWHEAD AVE	None	SAN BERNARDINO	CA	92408	1325	36	06071	34.095708	-117.2896825	San Bernardino County
142038	Fee-for-Service	1649318312	1649318312	1	1	OTTENBERG, JOELLEN LCSW	12/30/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	401 BICENTENNIAL WY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
142130	Fee-for-Service	1821131046	1821131046	1	1	ORO, AMY S MD	6/13/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	69012	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
142154	Fee-for-Service	1013442524	1013442524	1	1	OBENG, ENOCH A MD	8/2/2021	207P00000X	NA	Other	026	PHYSICIANS	173336	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
142250	Fee-for-Service	1629026182	1629026182	1	1	OLEFSKY, JERROLD M MD	1/23/2008	207R00000X	NA	Other	026	PHYSICIANS	18567	67	Endocrinology	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
142284	Fee-for-Service	1720480874	1720480874	1	1	OHERON, LINDA M LMFT	9/10/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6765 GREEN VALLEY RD	None	PLACERVILLE	CA	95667	0543	09	06017	38.72039732	-120.8664353	El Dorado County
142487	Fee-for-Service	1588680755	1588680755	1	1	ORLINO, AGELA MAE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	52323 HARRY HINES BLVD	None	DALLAS	TX	75390	0001	00	None	32.81299632	-96.8389264	Dallas County
142545	Fee-for-Service	1780965749	1780965749	1	1	ORCHARD, DEREK A OD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	11939	None	None	0	In state provider	None	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
142551	Fee-for-Service	1780102806	1780102806	1	1	ORELLANA, LIGIA LMFT	8/23/2022	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
142582	Fee-for-Service	1386214732	1386214732	1	1	ORANGE COAST CARDIOLOGY MEDI	3/8/2022	2471C1101X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	CAL CORPORATION	520 SUPERIOR AVE	SUITE 220	NEWPORT BEACH	CA	92663	3671	30	06059	33.628914	-117.9276525	Orange County
142594	Fee-for-Service	1306029418	1306029418	1	1	OPTION ONE HOME CARE INC	10/23/2009	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10120 CANOGA AVE	SUITE 200	CHATSWORTH	CA	91311	3118	19	06037	34.254144	-118.5972925	Los Angeles County
142686	Fee-for-Service	1588911879	1588911879	1	1	O'NEILL, ANDREW LCSW	9/9/2021	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
142820	Fee-for-Service	1821062316	1821062316	1	1	ODIO, ALBERTO J MD	7/3/1997	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	41862	08	Family Practice	0	In state provider	None	1687 ERRINGER RD	STE 102	SIMI VALLEY	CA	93065	6509	56	06111	34.268886	-118.761426	Ventura County
142865	Fee-for-Service	1407661598	1407661598	1	1	ONLY HOPE INC.	2/15/2025	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5655 LINDERO CANYON RD	SUITE 326	WESTLAKE VILLAGE	CA	91362	4051	19	06037	34.15322429	-118.7996645	Los Angeles County
142885	Fee-for-Service	1477084382	1477084382	1	1	OU, JOSEPH S DO	12/11/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18203	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
142984	Fee-for-Service	1831771906	1831771906	1	1	OUDAH, BASHAR MD	9/6/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	6655 ALVARADO RD	None	SAN DIEGO	CA	92120	5208	37	06073	32.77718098	-117.0571332	San Diego County
142992	Fee-for-Service	1053401240	1053401240	1	1	O'NEAL, KELLY R. MD	2/8/2015	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	0000	00	None	40.659588	-111.891798	Salt Lake County
143049	Fee-for-Service	1114189917	1114189917	1	1	ORPHANIDIS, STEPHANOS P MD	8/1/2011	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
143075	Fee-for-Service	1720166507	1720166507	1	1	ORDONEZ, JUAN D MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	35334	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
143281	Fee-for-Service	1821342775	1821342775	1	1	ONYSHCHENKO, MYKOLA MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	136383	41	Internal Medicine	0	In state provider	None	1303 EAST HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
143492	Fee-for-Service	1386084309	1386084309	1	1	OSREDKAR, IVAN M MD	11/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141693	01	General Practice	0	In state provider	None	401 BICENTENNIAL WY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
143645	Fee-for-Service	1073684007	1073684007	1	1	OCONNELL, THEODORE X MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	24057	02	General 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
143660	Fee-for-Service	1881693174	1881693174	2	1	OPENSHAW, KURT L MD	3/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	63924	30	Radiology	0	In state provider	None	1140 W LA VETA AVE	STE 850	ORANGE	CA	92868	4210	30	06059	33.7802984	-117.8651669	Orange County
143676	Fee-for-Service	1972894772	1972894772	3	1	OPTION CARE ENTERPRISES, INC	10/4/2019	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5800 DISTRICT BLVD	SUITE 200	BAKERSFIELD	CA	93313	2196	15	06029	35.31310398	-119.0667606	Kern County
143695	Fee-for-Service	1033138110	1033138110	1	1	OWENS, OTHELLA T MD	1/1/2001	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	42573	04	Otology, Laryngology, Rhinology	0	In state provider	None	1127 WILSHIRE BLVD	STE 1604	LOS ANGELES	CA	90017	4007	19	06037	34.05270508	-118.2641005	Los Angeles County
143728	Fee-for-Service	1235760992	1235760992	1	1	ORTIZ-TRUONG, DESIREE D	3/27/2020	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
143826	Fee-for-Service	1326625906	1326625906	1	1	ONWUZULIKE, CHIAMAKA MD	12/1/2023	390200000X	NA	Other	026	PHYSICIANS	186746	None	None	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
143981	Fee-for-Service	1033138110	1033138110	1	1	OWENS, OTHELLA T MD	1/1/2001	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	42573	84	Surgery-Head and Neck	0	In state provider	None	1127 WILSHIRE BLVD	STE 1604	LOS ANGELES	CA	90017	4007	19	06037	34.05270508	-118.2641005	Los Angeles County
144059	Fee-for-Service	1790396547	1790396547	1	1	OAK VALLEY HOSPITAL DISTRICT	11/17/2020	261QX0100X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	None	250 S OAK AVE	STE A4	OAKDALE	CA	95361	3572	50	06099	37.75888818	-120.8609099	Stanislaus County
144115	Fee-for-Service	1831720697	1831720697	1	1	OPTIMA CARE HOSPICE	8/5/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1259 S GLENDALE AVE	SUITE F	GLENDALE	CA	91205	3298	19	06037	34.13003451	-118.2525595	Los Angeles County
144165	Fee-for-Service	1790072585	1790072585	1	1	OMIDGHAEMI, SAMANEH OD	2/2/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4403 S VERMONT AVE	None	LOS ANGELES	CA	90037	2413	19	06037	34.00342736	-118.2915892	Los Angeles County
144178	Fee-for-Service	1619960077	1619960077	1	1	OSBORN, CHARLES E MD	2/8/2015	174400000X	NA	Other	026	PHYSICIANS	33281	05	Anesthesiology	0	In state provider	None	245 FISCHER AVE	STE A8A	COSTA MESA	CA	92626	4554	30	06059	33.67592275	-117.8799558	Orange County
144239	Fee-for-Service	1619266590	1619266590	1	1	ORTEGA-CHEN, CHRISTINA S MD	2/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	124155	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
144343	Fee-for-Service	1083390074	1083390074	1	1	OATES, CARMEN BIRTH DOULA	7/6/2023	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	34	06067	0	0	None
144376	Fee-for-Service	1376535070	1376535070	1	1	ORYN, DANIELLE E DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	8962	08	Family Practice	0	In state provider	None	1301 SOUTHPOINT BLVD	STE A	PETALUMA	CA	94954	6858	49	06097	38.26109022	-122.6476782	Sonoma County
144408	Fee-for-Service	1831720697	1831720697	1	1	OPTIMA CARE HOSPICE	5/5/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1259 S GLENDALE AVE	SUITE F	GLENDALE	CA	91205	3298	19	06037	34.13003451	-118.2525595	Los Angeles County
144564	Fee-for-Service	1346381415	1346381415	1	1	OAK VALLEY DIST HOSPITAL	12/1/1977	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	350 S OAK AVE	None	OAKDALE	CA	95361	3519	50	06099	37.75764557	-120.8600743	Stanislaus County
144673	Fee-for-Service	1982090502	1982090502	1	1	OSENIOLALEMI, OLUBUKUNOLA M	8/23/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	7407 N CEDAR AVE	STE 103	FRESNO	CA	93720	3839	10	06019	36.84303529	-119.7568435	Fresno County
144720	Fee-for-Service	1811363138	1811363138	1	1	OLSEN, TRINNIN F PSYD	2/8/2021	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	39755 MURRIETA HOT SPRIN	STE D-160	MURRIETA	CA	92563	9113	33	06065	33.55575954	-117.1627899	Riverside County
144803	Fee-for-Service	1285983601	1285983601	1	1	OO, AUNG N MD	8/28/2018	207R00000X	NA	Other	026	PHYSICIANS	143686	41	Internal Medicine	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
144805	Fee-for-Service	1962538199	1962538199	1	1	OWYOUNG, SANDRA OD	2/1/1997	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1930 HOWARD RD	STE 122	MADERA	CA	93637	5155	20	06039	36.95270539	-120.0820009	Madera County
144831	Fee-for-Service	1861644460	1861644460	1	1	OKONKWO-HOLMES, SHARON K MD	9/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102969	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
144849	Fee-for-Service	1346381415	1346381415	1	1	OAK VALLEY DIST HOSPITAL	12/1/1977	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	350 S OAK AVE	None	OAKDALE	CA	95361	3519	50	06099	37.75764557	-120.8600743	Stanislaus County
144868	Fee-for-Service	1235287947	1235287947	1	1	O'HALLORAN,HENRY S MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	73282	40	Pediatrics	0	In state provider	None	3030 CHILDRENS WAY	STE 109	SAN DIEGO	CA	92123	4226	37	06073	32.798889	-117.150826	San Diego County
144936	Fee-for-Service	1235418575	1235418575	1	1	OO, KHIN K MD INC	2/6/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	56521	None	None	0	In state provider	None	238 S ARROYO PKWY	UNIT 150	PASADENA	CA	91105	4190	19	06037	34.14174865	-118.1473617	Los Angeles County
144970	Fee-for-Service	1962985705	1962985705	1	1	O'BRIEN, JILIAN V LMFT	5/25/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	115 LOCUST ST	None	SANTA CRUZ	CA	95060	3907	44	06087	36.97519309	-122.027024	Santa Cruz County
144986	Fee-for-Service	1215992748	1215992748	1	1	ORANGE COUNTY UROLOGY ASSOCI	3/11/2022	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	ATES, INC A MEDICAL GROU	23961 CALLE DE LA MAGDAL	500	LAGUNA HILLS	CA	92653	7622	30	06059	33.60999658	-117.7126577	Orange County
144990	Fee-for-Service	1154475614	1154475614	1	1	OROPEZ, CRISTINE MD	2/26/2025	207RP1001X	NA	Pulmonology	026	PHYSICIANS	None	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	7677 CENTER AVE	SUITE 214	HUNTINGTON BEACH	CA	92647	3074	30	06059	33.736257	-117.995535	Orange County
144995	Fee-for-Service	1881463024	1881463024	1	1	ORTIZ-MARQUEZ, AUGUSTINA	12/29/2023	176B00000X	NA	Licensed Midwife	082	LICENSED MIDWIVES	-	-	NOT APPLICABLE	0	In state provider	None	4380 APRICOT RD	None	SIMI VALLEY	CA	93063	2317	56	06111	34.28074854	-118.709793	Ventura County
145113	Fee-for-Service	1205028404	1205028404	1	1	OH, ANNIE L MD	5/30/2018	207RH0003X	NA	Oncology	026	PHYSICIANS	101541	68	Hematology	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
145124	Fee-for-Service	1336643345	1336643345	1	1	OCEGUEDA, JOSHUA A MD	10/22/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	165184	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
145138	Fee-for-Service	1346381415	1346381415	1	1	OAK VALLEY DIST HOSPITAL	3/15/1984	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	350 S OAK AVE	None	OAKDALE	CA	95361	3519	50	06099	37.75764557	-120.8600743	Stanislaus County
145155	Fee-for-Service	1235287947	1235287947	1	1	O'HALLORAN,HENRY S MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	73282	18	Ophthalmology	0	In state provider	None	3030 CHILDRENS WAY	STE 109	SAN DIEGO	CA	92123	4226	37	06073	32.798889	-117.150826	San Diego County
145194	Fee-for-Service	1669060653	1669060653	1	1	OC SENIOR, LLC	1/18/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	22772 CENTRE DRIVE	220	LAKE FOREST	CA	92630	6303	30	06059	33.63155928	-117.7169152	Orange County
145205	Fee-for-Service	1396867586	1396867586	1	1	ORDMAN, STANLEY A MD	6/18/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	134385	None	None	0	In state provider	None	1025 N DOUTY ST	None	HANFORD	CA	93230	3722	16	06031	36.33611794	-119.6460191	Kings County
145227	Fee-for-Service	1952863987	1952863987	1	1	OREMOS HOME HEALTH CARE	9/6/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	8949 RESEDA BLVD	SUITE 106	NORTHRIDGE	CA	91324	3966	19	06037	34.233255	-118.536109	Los Angeles County
145279	Fee-for-Service	1154475614	1154475614	1	1	OROPEZ, CRISTINE MD	2/26/2025	207RP1001X	NA	Pulmonology	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	7677 CENTER AVE	SUITE 214	HUNTINGTON BEACH	CA	92647	3074	30	06059	33.736257	-117.995535	Orange County
145284	Fee-for-Service	1366737231	1366737231	1	1	OLIAI, CASPIAN MD	4/30/2019	207RX0202X	NA	Oncology	026	PHYSICIANS	123182	68	Hematology	0	In state provider	None	100 MEDICAL PLAZA STE 51	None	LOS ANGELES	CA	90095	0001	19	06037	34.06544724	-118.4459249	Los Angeles County
145508	Fee-for-Service	1053773721	1053773721	1	1	OBERMAN, ANNAMARIA L PT	3/26/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3883 AIRWAY DR	135	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
145555	Fee-for-Service	1477546299	1477546299	1	1	OWYANG, CHARLES C MD	5/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	68755	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
145575	Fee-for-Service	1366737231	1366737231	1	1	OLIAI, CASPIAN MD	4/30/2019	207RX0202X	NA	Oncology	026	PHYSICIANS	123182	41	Internal Medicine	0	In state provider	None	100 MEDICAL PLAZA STE 51	None	LOS ANGELES	CA	90095	0001	19	06037	34.06544724	-118.4459249	Los Angeles County
145624	Fee-for-Service	1730269184	1730269184	1	1	O'CONNOR WOODS HOUSING CORP	10/4/2010	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3110 WAGNER HEIGHTS RD	None	STOCKTON	CA	95209	4848	39	06077	38.03201267	-121.356616	San Joaquin County
145638	Fee-for-Service	1629115381	1629115381	1	1	ORANGE COUNTY CCS	10/19/2006	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	COSTA MESA MTU	425 E 18TH ST	None	COSTA MESA	CA	92627	3161	30	06059	33.63290189	-117.9084006	Orange County
145721	Fee-for-Service	1558875203	1558875203	1	1	OMNI FAMILY HEALTH	7/6/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1701 STINE ROAD	None	BAKERSFIELD	CA	93309	4827	15	06029	35.33828383	-119.0513543	Kern County
145760	Fee-for-Service	1639735665	1639735665	1	1	OKWUONU, ERNEST MD	1/4/2024	390200000X	NA	Other	026	PHYSICIANS	185688	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
145856	Fee-for-Service	1063453918	1063453918	1	1	OSMAN, ASHRAF I MD	8/4/2009	208G00000X	NA	General Surgery	026	PHYSICIANS	96487	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1865	19	06037	34.07671715	-118.3799413	Los Angeles County
145912	Fee-for-Service	1841306743	1841306743	1	1	OLEVSKY, OLGA M MD	8/1/2008	207RH0003X	NA	Oncology	026	PHYSICIANS	67979	68	Hematology	0	In state provider	None	200 MEDICAL PLAZA	#365	LOS ANGELES	CA	90024	7002	19	06037	34.06527974	-118.4462792	Los Angeles County
145998	Fee-for-Service	1063987253	1063987253	1	1	OPTION ONE CONGREGATE LIVING	9/23/2021	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	20251 LAKEMORE DR	None	CANYON COUNTRY	CA	91351	1058	19	06037	34.42660443	-118.4893909	Los Angeles County
146009	Fee-for-Service	1558875203	1558875203	1	1	OMNI FAMILY HEALTH	6/4/2019	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1701 STINE ROAD	None	BAKERSFIELD	CA	93309	4827	15	06029	35.33828383	-119.0513543	Kern County
146022	Fee-for-Service	1437755410	1437755410	1	1	O PHARMACY, INC	12/29/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7677 CENTER AVE	101	HUNTINGTON BEACH	CA	92647	3030	30	06059	33.736257	-117.995535	Orange County
146082	Fee-for-Service	1689667701	1689667701	1	1	OYA, HIROYUKI MD	7/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	14	Neurological Surgery	2	Out of state provider	None	200 HAWKINS DRIVE	None	IOWA CITY	IA	52242	1009	00	None	41.659929	-91.548099	Johnson County
146145	Fee-for-Service	1063453918	1063453918	1	1	OSMAN, ASHRAF I MD	8/4/2009	208G00000X	NA	General Surgery	026	PHYSICIANS	96487	33	Thoracic Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1865	19	06037	34.07671715	-118.3799413	Los Angeles County
146203	Fee-for-Service	1841306743	1841306743	1	1	OLEVSKY, OLGA M MD	8/1/2008	207RH0003X	NA	Oncology	026	PHYSICIANS	67979	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 MEDICAL PLAZA	#365	LOS ANGELES	CA	90024	7002	19	06037	34.06527974	-118.4462792	Los Angeles County
146241	Fee-for-Service	1447657358	1447657358	1	1	OLIVE TREE PHARMACY INC	3/2/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14124 FOOTHILL BLVD	STE 102	SYLMAR	CA	91342	8049	19	06037	34.31598785	-118.4413895	Los Angeles County
146296	Fee-for-Service	1558875203	1558875203	1	1	OMNI FAMILY HEALTH	3/4/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1701 STINE ROAD	None	BAKERSFIELD	CA	93309	4827	15	06029	35.33828383	-119.0513543	Kern County
146326	Fee-for-Service	1184765984	1184765984	1	1	OWENS, HOLLY A MD	2/12/2018	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
146349	Fee-for-Service	1699256743	1699256743	1	1	OLDHAM, KARISSA A CRNA	12/4/2018	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
146389	Fee-for-Service	1932433778	1932433778	1	1	ORDONE, LETTIE W LCSW	2/26/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2160 W GRANT LINE ROAD	SUITE 215	TRACY	CA	95377	7333	39	06077	37.75399922	-121.455877	San Joaquin County
146492	Fee-for-Service	1841306743	1841306743	1	1	OLEVSKY, OLGA M MD	8/1/2008	207RH0003X	NA	Oncology	026	PHYSICIANS	67979	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	#365	LOS ANGELES	CA	90024	7002	19	06037	34.06527974	-118.4462792	Los Angeles County
146571	Fee-for-Service	1093748105	1093748105	1	1	OKONSKI, FERNANDO F MD	12/11/2002	207L00000X	NA	Other	026	PHYSICIANS	72341	05	Anesthesiology	0	In state provider	GROUP ANESTHESIA	16795 LARK AVE	STE 230	LOS GATOS	CA	95032	7650	43	06085	37.25302151	-121.966891	Santa Clara County
146587	Fee-for-Service	1558875203	1558875203	1	1	OMNI FAMILY HEALTH	3/4/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1701 STINE ROAD	None	BAKERSFIELD	CA	93309	4827	15	06029	35.33828383	-119.0513543	Kern County
146612	Fee-for-Service	1134245921	1134245921	1	1	OKADA, DARREN H MD	7/31/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	55141	22	Pathology (M.D. only)	0	In state provider	None	4445 MAGNOLIA AVENUE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
146829	Fee-for-Service	1801907449	1801907449	1	2	OPERATION SAMAHAN, INC.	1/8/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	10737 CAMINO RUIZ	SUITE 138-140	SAN DIEGO	CA	92126	2375	37	06073	32.91416051	-117.1437943	San Diego County
146837	Fee-for-Service	1952094328	1952094328	1	1	ODA, LINDSAY DOULA	4/3/2025	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	38	06075	0	0	None
146860	Fee-for-Service	1437530029	1437530029	1	1	OLAOSEBIKAN, TOKUNBOHJAMES	6/4/2021	208M00000X	NA	Other	026	PHYSICIANS	163737	None	None	0	In state provider	MD	3800 DALE ROAD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
147032	Fee-for-Service	1073151916	1073151916	1	1	OFOEZE, NNAMDI F	5/15/2023	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
147069	Fee-for-Service	1649880089	1649880089	1	1	OPTUMA CARE SERVICES INC	2/22/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	9909 CANOGA AVE	UNIT H	CHATSWORTH	CA	91311	0907	19	06037	34.25037203	-118.5973652	Los Angeles County
147117	Fee-for-Service	1801907449	1801907449	1	2	OPERATION SAMAHAN, INC.	1/8/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	10737 CAMINO RUIZ	SUITE 138-140	SAN DIEGO	CA	92126	2375	37	06073	32.91416051	-117.1437943	San Diego County
147123	Fee-for-Service	1184677486	1184677486	1	1	OROFINO, CHARLES LOUIS	10/12/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3106 PONTE MORINO DR	STE A	CAMERON PARK	CA	95682	8281	09	06017	38.66372604	-120.9664345	El Dorado County
147315	Fee-for-Service	1033896444	1033896444	1	1	ORANGE COUNTY ASIAN AND PACI	2/13/2025	No Taxonomy Provided	NA	None	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	FIC ISLANDER COMMUNITY	12912 BROOKHURST STREET	410	GARDEN GROVE	CA	92840	4871	30	06059	33.77487003	-117.9552276	Orange County
147355	Fee-for-Service	1649880089	1649880089	1	1	OPTUMA CARE SERVICES INC	2/22/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	9909 CANOGA AVE	UNIT H	CHATSWORTH	CA	91311	0907	19	06037	34.25037203	-118.5973652	Los Angeles County
147513	Fee-for-Service	1841310638	1841310638	1	1	ONAITIS, MARK W MD	10/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144886	02	General Surgery	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
147549	Fee-for-Service	1306561584	1306561584	1	1	ODOM, AMANI G LCSW	1/2/2024	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
147574	Fee-for-Service	1316189723	1316189723	1	1	O'CONNELL CHARLES W MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	114973	66	Emergency Medicine (Urgent Care)	0	In state provider	None	200 WEST ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
147631	Fee-for-Service	1235366584	1235366584	1	1	OMIDVAR, YASAMAN MD	3/19/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114462	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
147799	Fee-for-Service	1841310638	1841310638	1	1	ONAITIS, MARK W MD	10/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144886	33	Thoracic Surgery	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
147810	Fee-for-Service	1306389069	1306389069	1	1	ONO, JASMINE W PT	12/18/2018	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
147970	Fee-for-Service	1851749618	1851749618	1	1	OBRINSKY, KRISTEN W	8/23/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5720 STONERIDGE MALL RD	STE 390	PLEASANTON	CA	94588	2831	01	06001	37.69247085	-121.9301884	Alameda County
148083	Fee-for-Service	1033319439	1033319439	1	1	O'KELLY PRIDDY, COLLEEN M MD	6/28/2021	208600000X	NA	General Surgery	026	PHYSICIANS	135991	None	None	0	In state provider	Y MD	1325 E CHURCH ST	STE 202	SANTA MARIA	CA	93454	5909	42	06083	34.95209265	-120.4147348	Santa Barbara County
148085	Fee-for-Service	1871852004	1871852004	1	1	ORZYLOWSKA, ELIZA M MD	7/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126836	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
148094	Fee-for-Service	1992202329	1992202329	1	1	OKORO, CHUKWUEMEKA K MD	7/13/2021	390200000X	NA	Other	026	PHYSICIANS	165232	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
148172	Fee-for-Service	1235338005	1235338005	1	1	ORLINO-OLIVA, EDITHA C	7/15/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	32395	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	A MEDICAL CORP	2135 AIRPARK DR	None	REDDING	CA	96001	2433	45	06089	40.57450425	-122.4048819	Shasta County
148186	Fee-for-Service	1760007330	1760007330	1	7	ORTHOWEST	3/2/2021	193200000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	8700 WARNER	SUITE 140	FOUNTAIN VALLEY	CA	92708	3207	30	06059	33.71568247	-117.977193	Orange County
148324	Fee-for-Service	1952468035	1952468035	1	1	OSLER MEDICAL GROUP INC	12/22/2015	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1330 NELSON AVE	SUITE C	MODESTO	CA	95350	5579	50	06099	37.66270847	-120.9881978	Stanislaus County
148337	Fee-for-Service	1912592247	1912592247	1	1	OGBODO, NKECHI N MD	10/17/2024	207R00000X	NA	Other	026	PHYSICIANS	None	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
148466	Fee-for-Service	1265553911	1265553911	1	1	OCEAN SIDE HOME HLTH SVS	1/15/2002	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4322 WILSHIRE BLVD	STE 208	LOS ANGELES	CA	90010	3792	19	06037	34.0617488	-118.322475	Los Angeles County
148472	Fee-for-Service	1760007330	1760007330	1	7	ORTHOWEST	9/13/2022	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8700 WARNER	SUITE 140	FOUNTAIN VALLEY	CA	92708	3207	30	06059	33.71568247	-117.977193	Orange County
148635	Fee-for-Service	1245254499	1245254499	1	1	O'MALLEY, MICHAEL MD	9/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	42283	41	Internal Medicine	0	In state provider	None	2525 STOCKTON BLVD	# 2008	SACRAMENTO	CA	95817	2207	34	06067	38.551311	-121.454433	Sacramento County
148757	Fee-for-Service	1760007330	1760007330	1	7	ORTHOWEST	3/2/2021	193200000X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	None	8700 WARNER	SUITE 140	FOUNTAIN VALLEY	CA	92708	3207	30	06059	33.71568247	-117.977193	Orange County
148775	Fee-for-Service	1457427437	1457427437	1	1	ORLANDO, ROBERT A MD	1/11/1980	207ZP0102X	NA	Other	026	PHYSICIANS	14763	22	Pathology (M.D. only)	0	In state provider	None	515 S BEACH BLVD	None	ANAHEIM	CA	92804	1812	30	06059	33.82559703	-117.9934832	Orange County
148784	Fee-for-Service	1508270844	1508270844	1	1	OYUNA HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5067 N MARIPOSA ST	SUITE 104	FRESNO	CA	93710	7626	10	06019	36.80965962	-119.7791428	Fresno County
148821	Fee-for-Service	1598889560	1598889560	1	1	ORTIZ, FABIOLA R LMFT	9/11/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	16055 VENTURA BLVD	SUITE 1010	ENCINO	CA	91436	2600	19	06037	34.15632563	-118.4832351	Los Angeles County
148934	Fee-for-Service	1124523774	1124523774	1	1	ONI-ORISAN, ADEOLA MD	9/15/2022	390200000X	NA	Other	026	PHYSICIANS	167053	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
149071	Fee-for-Service	1508270844	1508270844	1	1	OYUNA HOSPICE INC	10/17/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5067 N MARIPOSA ST	SUITE 104	FRESNO	CA	93710	7626	10	06019	36.80965962	-119.7791428	Fresno County
149116	Fee-for-Service	1619952587	1619952587	1	1	OKORIE, BERTAM	2/8/2015	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	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
149166	Fee-for-Service	1598490740	1598490740	1	1	OAKESON, SARRAH E NP	4/21/2023	363LG0600X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
149331	Fee-for-Service	1679504807	1679504807	1	1	OATES, DAVID W MD	9/1/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	72476	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1400 E CHURCH ST	None	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
149677	Fee-for-Service	1366543159	1366543159	1	1	O'BYRNE MARGARET G MD	9/30/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	76683	01	General Practice	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
149708	Fee-for-Service	1982669396	1982669396	2	1	OCONNOR, TIMOTHY A MD	11/30/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	58104	30	Radiology	0	In state provider	None	333 N F ST	None	OXNARD	CA	93030	4506	56	06111	34.206363	-119.1850685	Ventura County
149827	Fee-for-Service	1285990614	1285990614	1	1	ONG, VAN T DO	8/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14108	41	Internal Medicine	0	In state provider	None	1301 PINOLE VALLEY ROAD	None	PINOLE	CA	94564	1384	07	06013	37.9991883	-122.2867117	Contra Costa County
149860	Fee-for-Service	1063550234	1063550234	1	1	OKONKWO, CHARLES MD	9/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	31084	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	231 W VERNON AVE	STE 105	LOS ANGELES	CA	90037	2778	19	06037	34.0038305	-118.2774195	Los Angeles County
149947	Fee-for-Service	1972861490	1972861490	1	2	OKAWA, ERIN R MD	4/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	124492	67	Endocrinology	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
149999	Fee-for-Service	1982669396	1982669396	2	1	OCONNOR, TIMOTHY A MD	11/30/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	58104	78	Neoplastic Diseases/Oncology	0	In state provider	None	333 N F ST	None	OXNARD	CA	93030	4506	56	06111	34.206363	-119.1850685	Ventura County
150173	Fee-for-Service	1578019220	1578019220	1	1	ORIEL, RHEEZA L OD	8/6/2018	No Taxonomy Provided	NA	None	020	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
150215	Fee-for-Service	1255031233	1255031233	1	1	ONUMAJURU, JUSTINA CNP	5/31/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8101 GREENBACK LN	None	FAIR OAKS	CA	95628	2502	34	06067	38.679237	-121.261662	Sacramento County
150235	Fee-for-Service	1972861490	1972861490	1	2	OKAWA, ERIN R MD	4/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	124492	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
150487	Fee-for-Service	1538134309	1538134309	1	1	OWEN, JAMES P MD	9/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	36913	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
150598	Fee-for-Service	1992115778	1992115778	1	1	OH, NATHAN DO	8/30/2021	207T00000X	NA	General Surgery	026	PHYSICIANS	14440	None	None	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
150604	Fee-for-Service	1235245291	1235245291	1	2	OMNIPATHOLOGY SOLUTIONS MEDI	6/22/2010	291U00000X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	CAL CORPORATION	11 W DEL MAR BLVD	100	PASADENA	CA	91105	2505	19	06037	34.14074037	-118.1508578	Los Angeles County
150687	Fee-for-Service	1962769075	1962769075	1	1	OBISPO MCQUERRY, MICHELLE A	5/3/2017	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
150698	Fee-for-Service	1578787016	1578787016	1	1	OGAWA, BRENT K MD	12/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	91222	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
150742	Fee-for-Service	1841316577	1841316577	1	1	OSORIO, EMILIO LCSW	1/11/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1001 SNEATH LANE	None	SAN BRUNO	CA	94066	2349	41	06081	37.63462925	-122.4259247	San Mateo County
150806	Fee-for-Service	1508027665	1508027665	1	1	OKUYEMI, OLUWAFUNMILOLA T MD	8/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	1	Border provider	None	3150 N TENAYA WAY	112	LAS VEGAS	NV	89128	0446	00	None	36.21627039	-115.2510631	Clark County
150892	Fee-for-Service	1235245291	1235245291	1	2	OMNIPATHOLOGY SOLUTIONS MEDI	6/22/2010	291U00000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	CAL CORPORATION	11 W DEL MAR BLVD	100	PASADENA	CA	91105	2505	19	06037	34.14074037	-118.1508578	Los Angeles County
150931	Fee-for-Service	1528199643	1528199643	1	1	ONE IN LONG BEACH INC	10/27/2020	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	2017 EAST 4TH ST	None	LONG BEACH	CA	90814	1001	19	06037	33.77174847	-118.1671425	Los Angeles County
150998	Fee-for-Service	1285869917	1285869917	1	1	ORJUELA, DANIEL J MD	10/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125522	66	Emergency Medicine (Urgent Care)	0	In state provider	None	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33578	-121.999329	Santa Clara County
151030	Fee-for-Service	1629075635	1629075635	1	1	OGHALAI,JOHN S MD	6/27/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75420	04	Otology, Laryngology, Rhinology	0	In state provider	None	350 PARNASSUS AVE	None	SAN FRANCISCO	CA	94117	3608	38	06075	37.76403932	-122.4561371	San Francisco County
151144	Fee-for-Service	1649596537	1649596537	1	1	ONG, SHANNON S MD	8/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128362	05	Anesthesiology	0	In state provider	None	1600 NORTH ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
151216	Fee-for-Service	1164472759	1164472759	1	1	OSWAL, HEMLATA N MD	7/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	86903	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
151375	Fee-for-Service	1609098961	1609098961	1	1	ONORATO, THOMAS PHD INC	12/8/2006	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4560 ADMIRALTY WAY	STE 353	MARINA DEL REY	CA	90292	5423	19	06037	33.98364904	-118.4449069	Los Angeles County
151542	Fee-for-Service	1972864981	1972864981	1	2	ONORIA HEALTH CARE PROVIDER	10/12/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5050 PALO VERDE ST	SUITE 119	MONTCLAIR	CA	91763	2333	36	06071	34.08145549	-117.69516	San Bernardino County
151595	Fee-for-Service	1528521499	1528521499	1	1	ONODUGO, CHIOMA	10/3/2023	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10722 ARROW RTE	314-316	RANCHO CUCAMONGA	CA	91730	4811	36	06071	34.09917725	-117.5708877	San Bernardino County
151878	Fee-for-Service	1619688868	1619688868	1	1	OHM, BLAKE A CRNA	8/18/2023	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
151958	Fee-for-Service	1467174219	1467174219	1	1	ORTEGA, JOSEPH T CRNA	7/21/2023	367500000X	NA	Other	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
151998	Fee-for-Service	1558878066	1558878066	1	1	OLNEY-KENISTON, CARA A LMFT	11/15/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	673 S AUBURN ST	A,B,C,D	GRASS VALLEY	CA	95945	7576	29	06057	39.2060146	-121.0613316	Nevada County
152015	Fee-for-Service	1558355313	1558355313	1	1	OUTTRIM,REX A 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 2000	SALT LAKE CITY	UT	84124	0000	00	None	40.68703647	-111.85785	Salt Lake County
152027	Fee-for-Service	1952504771	1952504771	1	1	OJI, DAVID E MD	5/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126459	20	Orthopedic Surgery	0	In state provider	None	5601 NORRIS CANYON ROAD	None	SAN RAMON	CA	94583	5407	07	06013	37.77772182	-121.9579459	Contra Costa County
152047	Fee-for-Service	1366951113	1366951113	1	1	OGUNDIPE, KOLA M	11/13/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1731 STEARNS DR	None	LOS ANGELES	CA	90035	4627	19	06037	34.04557095	-118.3730391	Los Angeles County
152197	Fee-for-Service	1598778516	1598778516	1	1	OZANICH, KATHERINE MD	1/31/1982	207N00000X	NA	Dermatology	026	PHYSICIANS	47006	07	Dermatology	0	In state provider	None	225 DICKINSON ST	# H207	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
152278	Fee-for-Service	1124296611	1124296611	1	1	OBENA, NANCY M MD	6/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	93550	40	Pediatrics	0	In state provider	None	1211 W LA PALMA AVE	STE 401	ANAHEIM	CA	92801	2811	30	06059	33.84718298	-117.933758	Orange County
152334	Fee-for-Service	1366951113	1366951113	1	1	OGUNDIPE, KOLA M	11/13/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1731 STEARNS DR	None	LOS ANGELES	CA	90035	4627	19	06037	34.04557095	-118.3730391	Los Angeles County
152374	Fee-for-Service	1316256266	1316256266	1	1	OTHMAN, NANCY MFT	4/18/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	53030	-	NOT APPLICABLE	0	In state provider	None	2000 TYLER AVENUE	None	SOUTH EL MONTE	CA	91737	7144	19	06037	34.05228947	-118.0361765	Los Angeles County
152433	Fee-for-Service	1447311253	1447311253	1	1	ORTHOPAEDIC SPORTS	2/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SPECIALISTS AMC	39180 FARWELL DRIVE	SUITE 110	FREMONT	CA	94538	1015	01	06001	37.53211262	-121.9981587	Alameda County
152564	Fee-for-Service	1841638491	1841638491	1	1	ORABI, MAIA A MD	6/20/2023	2083P0011X	NA	Other	026	PHYSICIANS	136313	None	None	0	In state provider	None	26991 CROWN VALLEY PKWY	None	MISSION VIEJO	CA	92691	6528	30	06059	33.56210341	-117.6694207	Orange County
152693	Fee-for-Service	1316407026	1316407026	1	1	ORTIZ ILIZALITURRI, ANA K MD	10/25/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	178949	None	None	0	In state provider	MPH	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
152694	Fee-for-Service	1629156427	1629156427	1	1	O'NEAL, KELLY C MD	4/1/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	52153	02	General Surgery	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
152711	Fee-for-Service	1174886238	1174886238	1	1	OWEN, MIKAH C MD	4/14/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	127077	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
152776	Fee-for-Service	1902135940	1902135940	1	1	OKUN, DAVID B MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	29859	41	Internal Medicine	0	In state provider	None	24953 PASEO DE VALENCIA	None	LAGUNA HILLS	CA	92653	4342	30	06059	33.60028568	-117.7010887	Orange County
152828	Fee-for-Service	1053573618	1053573618	1	1	ORKIN, MELISSA B MD	9/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111503	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
152953	Fee-for-Service	1457034316	1457034316	1	1	ORO GRANDE SCHOOL DISTRICT	7/1/2024	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	19900 NATIONAL TRAILS	HWY	ORO GRANDE	CA	92368	0386	36	06071	34.60853123	-117.342073	San Bernardino County
153174	Fee-for-Service	1891272100	1891272100	1	1	O'BRIEN-HORN, MOLLY C PT	5/16/2020	208100000X	NA	Physical Medicine and Rehabilitation	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1721 TECHNOLOGY DR	None	SAN JOSE	CA	95110	1305	43	06085	37.36464282	-121.9163895	Santa Clara County
153196	Fee-for-Service	1538737390	1538737390	1	1	OGUNMOLA, ISAAC MD	5/28/2024	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
153265	Fee-for-Service	1093137051	1093137051	1	1	ORION ORTHOPAEDIC TRAUMA INC	5/15/2015	207XX0801X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1700 COFFEE RD	None	MODESTO	CA	95350	1159	50	06099	37.668645	-120.9756715	Stanislaus County
153353	Fee-for-Service	1356437586	1356437586	1	1	OVERSTREET, CHELSEY C MD	9/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76777	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
153586	Fee-for-Service	1326434978	1326434978	1	1	ONDAK, SUSAN	2/1/2018	207P00000X	NA	Other	026	PHYSICIANS	None	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
153626	Fee-for-Service	1689624975	1689624975	1	1	ORTHOPEDIC ASSOCIATES	2/28/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	MEDICAL GROUP	14350 WHITTIER BLVD	STE 300	WHITTIER	CA	90605	2154	19	06037	33.95501294	-118.0185665	Los Angeles County
153643	Fee-for-Service	1356437586	1356437586	1	1	OVERSTREET, CHELSEY C MD	9/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76777	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
153679	Fee-for-Service	1053768093	1053768093	1	1	ONG, HILARY MD	9/22/2020	2080P0204X	NA	Other	026	PHYSICIANS	140369	40	Pediatrics	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
153695	Fee-for-Service	1679913073	1679913073	1	1	OLVERA, SYLVIA V MD	8/11/2018	2084N0400X	NA	Neurology	026	PHYSICIANS	143017	13	Neurology (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
153710	Fee-for-Service	1740624543	1740624543	1	1	OZOMARO, UZOEZI I MD	12/11/2020	207U00000X	NA	Other	026	PHYSICIANS	161093	None	None	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
153774	Fee-for-Service	1699747790	1699747790	1	1	ORTIZ, MAURO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4411 MEDICAL DR	STE 300	SAN ANTONIO	TX	78229	3824	00	None	29.51000304	-98.57210273	Bexar County
153809	Fee-for-Service	1861845554	1861845554	1	1	OLIVER, RACHEL MD	9/22/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	165458	None	None	0	In state provider	None	2305 CAMINO RAMON	STE 130	SAN RAMON	CA	94583	1396	07	06013	37.77544224	-121.9657563	Contra Costa County
153857	Fee-for-Service	1073741898	1073741898	1	1	OTERI, OGHENEOCHUKO J MD	8/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121947	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
154055	Fee-for-Service	1740714732	1740714732	1	1	OUBRE, CARRI R MD	1/7/2021	207P00000X	NA	Other	026	PHYSICIANS	169511	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
154352	Fee-for-Service	1982657268	1982657268	1	1	OKI, ALAN N. 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 300	AIEA	HI	96807	4722	00	None	21.38373524	-157.937629	Honolulu County
154751	Fee-for-Service	1295024016	1295024016	1	1	OTTO, MARIA E MD	6/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124899	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
154768	Fee-for-Service	1629140702	1629140702	1	1	O'NEILL, PADRAIG G MD	10/31/1991	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	47764	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	3941 J ST	STE 260	SACRAMENTO	CA	95819	3633	34	06067	38.570652	-121.4535465	Sacramento County
154774	Fee-for-Service	1801987490	1801987490	1	1	OPAS, LAWRENCE MD	2/1/2003	2080P0210X	NA	Nephrology	026	PHYSICIANS	35277	45	Nephrology (Renal-Kidney)	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
154826	Fee-for-Service	1952690075	1952690075	1	1	ONISHI, MAIKA MD	8/28/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149194	68	Hematology	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
154834	Fee-for-Service	1164430443	1164430443	1	1	OPPENHEIMER, KAREN L MD	4/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	65288	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
154872	Fee-for-Service	1124787734	1124787734	1	1	OPTUM PHARMACY 707, INC.	1/14/2022	3336M0002X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4900 RIVERGRADE RD	STE E110	IRWINDALE	CA	91706	1460	19	06037	34.10201565	-117.9802967	Los Angeles County
154886	Fee-for-Service	1619927019	1619927019	1	1	O'BRYAN, THOMAS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	500 UNIVERSITY DR	None	HERSHEY	PA	17033	0000	00	None	40.26440258	-76.67394583	Dauphin County
155016	Fee-for-Service	1154767275	1154767275	1	2	OGUNKAH, GLADYS RVN	8/2/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	28804 LEAH CIRCLE	None	RANCHO PALO VERD.	CA	90275	4767	19	06037	33.7727739	-118.3915944	Los Angeles County
155106	Fee-for-Service	1497177760	1497177760	1	1	OPOLINER, JACOB J CRNA	4/21/2016	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
155110	Fee-for-Service	1174660740	1174660740	1	1	ORANGE COUNTY CCS	6/14/1994	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	PHILLIP J REILLY MTU	24171 PAVION	None	MISSION VIEJO	CA	92692	2200	30	06059	33.61367075	-117.6339235	Orange County
155111	Fee-for-Service	1952690075	1952690075	1	1	ONISHI, MAIKA MD	8/28/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149194	78	Neoplastic Diseases/Oncology	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
155163	Fee-for-Service	1548269210	1548269210	1	1	OCARANZA,HECTOR 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	2001 N OREGON	None	EL PASO	TX	79912	0000	00	None	31.77138005	-106.4995755	El Paso County
155303	Fee-for-Service	1154767275	1154767275	1	2	OGUNKAH, GLADYS RVN	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	28804 LEAH CIRCLE	None	RANCHO PALO VERD.	CA	90275	4767	19	06037	33.7727739	-118.3915944	Los Angeles County
155311	Fee-for-Service	1699236570	1699236570	1	1	OCAMPO, RAECHELLE G MD	6/24/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	178922	None	None	0	In state provider	None	1001 POTRERO AVE	6E/6D37	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
155369	Fee-for-Service	1699831800	1699831800	1	1	OROSZ, JAMES A OD	1/11/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3925 OLD REDWOOD HWY	None	SANTA ROSA	CA	95403	1719	49	06097	38.482839	-122.7357945	Sonoma County
155415	Fee-for-Service	1073019089	1073019089	1	1	OKO, OBINNA C MD	9/26/2022	363LX0001X	NA	Nurse Practitioner	026	PHYSICIANS	165945	None	None	0	In state provider	None	4053 LONE TREE WAY	100	ANTIOCH	CA	94531	6210	07	06013	37.97569499	-121.800733	Contra Costa County
155429	Fee-for-Service	1124035274	1124035274	1	1	O'CONNOR, LISA M OD	5/18/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	45 CASTRO ST	STE 318	SAN FRANCISCO	CA	94114	1019	38	06075	37.76829732	-122.4357056	San Francisco County
155456	Fee-for-Service	1558406462	1558406462	1	2	OGAWA, JANE W MD	11/6/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	54942	-	NOT APPLICABLE	0	In state provider	None	9505 MALECH RD	None	SAN JOSE	CA	95138	5246	43	06085	37.219795	-121.7322402	Santa Clara County
155481	Fee-for-Service	1568479483	1568479483	1	1	OSMANI, MOHAMMAD H MD	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	44937	41	Internal Medicine	0	In state provider	None	1805 W REDLANDS BLVD	None	REDLANDS	CA	92373	8054	36	06071	34.06290493	-117.2155148	San Bernardino County
155511	Fee-for-Service	1558081042	1558081042	1	1	OMNI FAMILY HEALTH	3/4/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2107 7TH STREET	None	WASCO	CA	93280	1502	15	06029	35.5942317	-119.350011	Kern County
155545	Fee-for-Service	1184940876	1184940876	1	1	OFT, JILLIAN R MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	119483	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
155560	Fee-for-Service	1922622174	1922622174	1	1	OSBORN, STEPHEN W LCSW	5/14/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1775 WOODSIDE RD	STE 203	REDWOOD CITY	CA	94061	3454	41	06081	37.45382723	-122.2289725	San Mateo County
155590	Fee-for-Service	1053408633	1053408633	1	1	OPONG, JULIANA O MD	11/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	60846	40	Pediatrics	0	In state provider	None	1165 PHELPS AVE	STE 201	COALINGA	CA	93210	9664	10	06019	36.15155341	-120.3409732	Fresno County
155603	Fee-for-Service	1538437355	1538437355	1	1	OROVILLE HOSPITAL	4/12/2012	261QR1300X	NA	Rural Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HIGHWAY	SUITE 310 & 320	OROVILLE	CA	95966	6118	04	06007	39.50386798	-121.5410203	Butte County
155707	Fee-for-Service	1902162894	1902162894	1	1	ORTIZ, ANGEL J LMFT	6/6/2022	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
155713	Fee-for-Service	1710332655	1710332655	1	1	ORTEGA, ALEXANDRA V DO	4/6/2022	207P00000X	NA	Other	026	PHYSICIANS	18723	None	None	0	In state provider	None	2425 SAMARITAN DR	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
155763	Fee-for-Service	1497053649	1497053649	1	1	O'BRIEN, JANE P CRNA	10/11/2011	No Taxonomy Provided	NA	None	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
155770	Fee-for-Service	1568479483	1568479483	1	1	OSMANI, MOHAMMAD H MD	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	44937	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1805 W REDLANDS BLVD	None	REDLANDS	CA	92373	8054	36	06071	34.06290493	-117.2155148	San Bernardino County
155796	Fee-for-Service	1649597329	1649597329	1	1	OGLEBAY, KJERSTIN E MD	10/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118862	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	555 CASTRO STREET	None	MOUNTAIN VIEW	CA	94041	2009	43	06085	37.38946454	-122.0815711	Santa Clara County
155803	Fee-for-Service	1538152095	1538152095	1	1	OO, THET N MD	5/22/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	71774	38	Geriatrics	0	In state provider	None	65 N MADISON AVE	STE 200	PASADENA	CA	91101	2051	19	06037	34.14705803	-118.1384317	Los Angeles County
155804	Fee-for-Service	1447496468	1447496468	1	1	OLIVE MEDICAL CENTER INC	4/5/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	41985	01	General Practice	0	In state provider	None	2252 BEVERLY BLVD	STE 101	LOS ANGELES	CA	90057	2235	19	06037	34.06771646	-118.2728448	Los Angeles County
155892	Fee-for-Service	1538437355	1538437355	1	1	OROVILLE HOSPITAL	4/12/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HIGHWAY	SUITE 310 & 320	OROVILLE	CA	95966	6118	04	06007	39.50386798	-121.5410203	Butte County
155921	Fee-for-Service	1225165822	1225165822	1	1	OROZCO, EMILIO A NP	11/24/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	732493	-	NOT APPLICABLE	0	In state provider	None	1380 HOWARD STREET	None	SAN FRANCISCO	CA	94103	2638	38	06075	37.77424669	-122.4141502	San Francisco County
156011	Fee-for-Service	1952460602	1952460602	1	1	OTSUKI, JOHN T MD	2/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77046	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
156039	Fee-for-Service	1689688004	1689688004	1	1	OMNI FAMILY HEALTH	10/1/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2101 7TH ST	BLDG A-F	WASCO	CA	93280	1502	15	06029	35.59426049	-119.3498955	Kern County
156050	Fee-for-Service	1821446915	1821446915	1	1	OLIVER, JESSE J NP	2/9/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	805 E MOUNTAIN VIEW ST	None	BARSTOW	CA	92311	3033	36	06071	34.89343047	-117.0171832	San Bernardino County
156083	Fee-for-Service	1366682163	1366682163	1	1	OGAWA, MAKIKO CCC-SLP	4/14/2025	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3518 JEFFERSON AVE	None	REDWOOD CITY	CA	94062	3136	41	06081	37.46715891	-122.2492205	San Mateo County
156091	Fee-for-Service	1538152095	1538152095	1	1	OO, THET N MD	5/22/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	71774	41	Internal Medicine	0	In state provider	None	65 N MADISON AVE	STE 200	PASADENA	CA	91101	2051	19	06037	34.14705803	-118.1384317	Los Angeles County
156095	Fee-for-Service	1447496468	1447496468	1	1	OLIVE MEDICAL CENTER INC	4/5/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	41985	02	General Surgery	0	In state provider	None	2252 BEVERLY BLVD	STE 101	LOS ANGELES	CA	90057	2235	19	06037	34.06771646	-118.2728448	Los Angeles County
156171	Fee-for-Service	1316043912	1316043912	1	1	OBERHOLTZER, JOHN F MD	10/18/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	55023	40	Pediatrics	0	In state provider	None	2660 W COVELL BLVD	FL 2	DAVIS	CA	95616	5645	57	06113	38.56101005	-121.7821776	Yolo County
156327	Fee-for-Service	1689688004	1689688004	1	1	OMNI FAMILY HEALTH	10/1/1991	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2101 7TH ST	BLDG A-F	WASCO	CA	93280	1502	15	06029	35.59426049	-119.3498955	Kern County
156361	Fee-for-Service	1477761310	1477761310	1	1	OZBOLT, LAUREN B MD	1/5/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	132583	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
156415	Fee-for-Service	1184739344	1184739344	1	1	OSBORN, EMILIE H S MD	6/30/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	44471	08	Family Practice	0	In state provider	None	1300 S ELISEO DR	STE 204	GREENBRAE	CA	94904	2015	21	06041	37.94447529	-122.53657	Marin County
156429	Fee-for-Service	1720318199	1720318199	1	1	ONA, MEL A MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142639	10	Gastroenterology (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
156433	Fee-for-Service	1326097932	1326097932	1	1	OREILLY, EAMON B MD	10/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	126269	24	Plastic Surgery	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
156441	Fee-for-Service	1407443328	1407443328	1	1	OSBORNE, JULIA LCSW	4/25/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
156546	Fee-for-Service	1225161730	1225161730	1	1	OXNARD ELEMENTARY SCHOOL	12/19/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	1051 S A ST	None	OXNARD	CA	93030	7442	56	06111	34.19086788	-119.1787093	Ventura County
156595	Fee-for-Service	1336173020	1336173020	1	1	OPEN DOOR COMMUNITY HEALTH	11/8/2006	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2426 BUHNE ST	None	EUREKA	CA	95501	3207	12	06023	40.78592355	-124.1405936	Humboldt County
156615	Fee-for-Service	1689688004	1689688004	1	1	OMNI FAMILY HEALTH	4/1/1998	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2101 7TH ST	BLDG A-F	WASCO	CA	93280	1502	15	06029	35.59426049	-119.3498955	Kern County
156700	Fee-for-Service	1013902162	1013902162	1	1	O'BRIEN, MARY 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	2200 RANDALLIA DR	None	FORT WAYNE	IN	46805	4638	00	None	41.09614623	-85.11152248	Allen County
156717	Fee-for-Service	1720318199	1720318199	1	1	ONA, MEL A MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142639	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
156750	Fee-for-Service	1124540489	1124540489	1	1	ORA, JOHN OD	8/29/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	751 DAILY DR	STE 110	CAMARILLO	CA	93010	6077	56	06111	34.21880533	-119.0593374	Ventura County
156764	Fee-for-Service	1881030401	1881030401	1	1	OAK VALLEY HOSPITAL DISTRICT	1/30/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	12146 YOSEMITE BLVD	None	WATERFORD	CA	95386	9163	50	06099	37.63817656	-120.7682339	Stanislaus County
156868	Fee-for-Service	1689688004	1689688004	1	2	OMNI FAMILY HEALTH	3/8/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2101 7TH ST	BLDG A-F	WASCO	CA	93280	1502	15	06029	35.59426049	-119.3498955	Kern County
156882	Fee-for-Service	1336173020	1336173020	1	1	OPEN DOOR COMMUNITY HEALTH	12/1/2005	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2426 BUHNE ST	None	EUREKA	CA	95501	3207	12	06023	40.78592355	-124.1405936	Humboldt County
156885	Fee-for-Service	1659425106	1659425106	1	1	OH, JI-SOOK LCSW	3/1/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	20 ALLEN STREET	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
156932	Fee-for-Service	1447756820	1447756820	1	1	OTTEY, ERIC MD	9/22/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	165690	None	None	0	In state provider	None	1450 TREAT BLVD	STE 320	WALNUT CREEK	CA	94597	2168	07	06013	37.92643968	-122.0521822	Contra Costa County
156944	Fee-for-Service	1245642917	1245642917	1	1	ODUFALU, FLORENCE-DAMILOLA	8/10/2020	207R00000X	NA	Other	026	PHYSICIANS	165393	10	Gastroenterology (M.D. only)	0	In state provider	MD	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
157052	Fee-for-Service	1881030401	1881030401	1	1	OAK VALLEY HOSPITAL DISTRICT	1/30/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	12146 YOSEMITE BLVD	None	WATERFORD	CA	95386	9163	50	06099	37.63817656	-120.7682339	Stanislaus County
157089	Fee-for-Service	1659667285	1659667285	1	1	OAK VALLEY OTOLARYNGOLOGY,	7/15/2011	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	16347	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	INC	250 S OAK STREET	STE A4	OAKDALE	CA	95361	3572	50	06099	37.75888818	-120.8609099	Stanislaus County
157102	Fee-for-Service	1538522396	1538522396	1	1	ONTIVEROS, SAM T MD	7/1/2019	390200000X	NA	Other	026	PHYSICIANS	162448	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
157124	Fee-for-Service	1639270366	1639270366	1	1	ORMSBY, MONICA MD	1/1/1998	207R00000X	NA	Other	026	PHYSICIANS	84292	41	Internal Medicine	0	In state provider	None	525 3RD AVE	None	CHULA VISTA	CA	91910	5616	37	06073	32.63367609	-117.0769202	San Diego County
157170	Fee-for-Service	1336173020	1336173020	1	1	OPEN DOOR COMMUNITY HEALTH	12/1/2005	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2426 BUHNE ST	None	EUREKA	CA	95501	3207	12	06023	40.78592355	-124.1405936	Humboldt County
157212	Fee-for-Service	1780903716	1780903716	1	1	ODITA, VERONICA N NP	1/20/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	1235 E STREET	None	FRESNO	CA	93706	2024	10	06019	36.73272329	-119.7993386	Fresno County
157348	Fee-for-Service	1023207123	1023207123	1	1	OLGUN, ESRA MD	7/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127283	41	Internal Medicine	0	In state provider	None	600 COFFEE ROAD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
157405	Fee-for-Service	1083720718	1083720718	1	1	O'BRIEN, KATHARINE M DO	8/17/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	7203	None	None	0	In state provider	None	1600 E FLORIDA AVE	103	HEMET	CA	92544	8643	33	06065	33.74768747	-116.9557425	Riverside County
157427	Fee-for-Service	1154783777	1154783777	1	2	OBEIDIN, FARRES MD	4/4/2025	207ZP0102X	NA	Other	026	PHYSICIANS	166362	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
157450	Fee-for-Service	1447675509	1447675509	1	1	OO, EI M MD	11/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141741	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
157475	Fee-for-Service	1801907449	1801907449	1	4	OPERATION SAMAHAN, INC.	3/1/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	9855 ERMA RD	STE 105-106	SAN DIEGO	CA	92131	1007	37	06073	32.91965883	-117.1142366	San Diego County
157585	Fee-for-Service	1063690592	1063690592	1	3	ORTHOPAEDIC SURGERY SPECIALI	2/13/2023	207XS0106X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	STS BURBANK	3413 W PACIFIC AVE	100, 200	BURBANK	CA	91505	1555	19	06037	34.18839272	-118.3485967	Los Angeles County
157626	Fee-for-Service	1073997326	1073997326	1	1	OMNI FAMILY HEALTH	8/3/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	93313	2065	15	06029	35.317233	-119.081649	Kern County
157661	Fee-for-Service	1790067668	1790067668	1	1	ORANGE COUNTY CARDIAC RHYTHM	1/1/2012	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	7664	06	Cardiovascular Disease (M.D. only)	0	In state provider	INSTITUTE PC	11100 WARNER AVE	STE 220	FOUNTAIN VALLEY	CA	92708	7511	30	06059	33.716291	-117.9355051	Orange County
157754	Fee-for-Service	1992000152	1992000152	1	1	ONG RUBIN SHAHMIR AMC	4/15/2011	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	1261 TRAVIS BLVD	STE 150	FAIRFIELD	CA	94533	4800	48	06095	38.25812361	-122.0495417	Solano County
157762	Fee-for-Service	1801907449	1801907449	1	4	OPERATION SAMAHAN, INC.	3/1/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	9855 ERMA RD	STE 105-106	SAN DIEGO	CA	92131	1007	37	06073	32.91965883	-117.1142366	San Diego County
157793	Fee-for-Service	1740424415	1740424415	1	1	OTA, LIN C MD	5/9/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124056	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	12710 LIMONITE AVE	None	EASTVALE	CA	92880	9630	33	06065	33.9752217	-117.5602254	Riverside County
157810	Fee-for-Service	1093426363	1093426363	1	1	OAKS FAMILY CARE INC	3/23/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	9456 BLUE DIAMOND WAY	None	ELK GROVE	CA	95624	4422	34	06067	38.402694	-121.345209	Sacramento County
157870	Fee-for-Service	1063690592	1063690592	1	3	ORTHOPAEDIC SURGERY SPECIALI	8/14/2023	207XS0106X	NA	Orthopedic Surgery	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	STS BURBANK	3413 W PACIFIC AVE	100, 200	BURBANK	CA	91505	1555	19	06037	34.18839272	-118.3485967	Los Angeles County
157914	Fee-for-Service	1073997326	1073997326	1	1	OMNI FAMILY HEALTH	12/14/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	93313	2065	15	06029	35.317233	-119.081649	Kern County
157965	Fee-for-Service	1679903587	1679903587	1	1	OBOT, LETITIA LPCC	11/30/2021	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - 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
158021	Fee-for-Service	1629556964	1629556964	1	1	ORTIZ, ELIZABETH	12/18/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
158142	Fee-for-Service	1972543379	1972543379	1	1	O'REGAN, EDWARD A MD	12/8/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	44337	41	Internal Medicine	0	In state provider	None	1427 MAGNOLIA AVE	None	CHICO	CA	95926	3226	04	06007	39.74063543	-121.8499003	Butte County
158159	Fee-for-Service	1063690592	1063690592	1	3	ORTHOPAEDIC SURGERY SPECIALI	1/11/2024	207XS0106X	NA	Orthopedic Surgery	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	STS BURBANK	3413 W PACIFIC AVE	100, 200	BURBANK	CA	91505	1555	19	06037	34.18839272	-118.3485967	Los Angeles County
158170	Fee-for-Service	1477533461	1477533461	1	1	ONEILL, DANIEL P MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	65286	01	General Practice	0	In state provider	None	1207 FAIRCHILD CT	None	WOODLAND	CA	95695	4321	57	06113	38.6657551	-121.7922645	Yolo County
158173	Fee-for-Service	1912074725	1912074725	1	1	OCONNELL, BRIAN T MD	6/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	70610	30	Radiology	0	In state provider	None	FRESNO AND R ST	None	FRESNO	CA	93721	0000	10	06019	36.741663	-119.7841005	Fresno County
158201	Fee-for-Service	1073997326	1073997326	1	1	OMNI FAMILY HEALTH	8/3/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	93313	2065	15	06029	35.317233	-119.081649	Kern County
158294	Fee-for-Service	1780644567	1780644567	1	1	OAKHURST MED GROUP INC	12/1/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	40232 JUNCTION DR	None	OAKHURST	CA	93644	8719	20	06039	37.3331485	-119.6588089	Madera County
158296	Fee-for-Service	1316301450	1316301450	1	1	OKAWA, KENT MD	8/22/2018	207P00000X	NA	Other	026	PHYSICIANS	144300	66	Emergency Medicine (Urgent Care)	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
158429	Fee-for-Service	1164507331	1164507331	1	1	OH, SCOTT S DO	3/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	9037	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	7001	19	06037	34.06527974	-118.4462792	Los Angeles County
158449	Fee-for-Service	1063690592	1063690592	1	3	ORTHOPAEDIC SURGERY SPECIALI	9/7/2023	207XS0106X	NA	Orthopedic Surgery	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	STS BURBANK	3413 W PACIFIC AVE	100, 200	BURBANK	CA	91505	1555	19	06037	34.18839272	-118.3485967	Los Angeles County
158491	Fee-for-Service	1073997326	1073997326	1	1	OMNI FAMILY HEALTH	8/3/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	93313	2065	15	06029	35.317233	-119.081649	Kern County
158672	Fee-for-Service	1245304559	1245304559	1	1	OH, CHRISTINE H MD	1/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	82637	30	Radiology	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
158719	Fee-for-Service	1932491495	1932491495	1	1	OLSON, ANDREW C MD	5/18/2022	2085P0229X	NA	Other	026	PHYSICIANS	169367	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
158808	Fee-for-Service	1104826486	1104826486	1	1	ODD FELLOWS HOME OF	7/31/2002	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	1900 ATRIUM PKWY	None	NAPA	CA	94559	4824	28	06055	38.27567892	-122.2967457	Napa County
158811	Fee-for-Service	1417584251	1417584251	1	1	OBIWURU, OZIOMA C MD	5/2/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	183679	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
158814	Fee-for-Service	1003527904	1003527904	1	1	OMEGURU PHARMACY INC	3/28/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 W I ST	STE D	LOS BANOS	CA	93635	3459	24	06047	37.06347448	-120.858102	Merced County
158861	Fee-for-Service	1770963159	1770963159	1	1	OLYMPIA HOSPICE CARE INC	1/16/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	13721 VENTURA BLVD	None	SHERMAN OAKS	CA	91423	3023	19	06037	34.14817197	-118.432004	Los Angeles County
159014	Fee-for-Service	1033212022	1033212022	1	1	OESTREICHER, LEONARD M	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	29861	08	Family Practice	0	In state provider	None	374 W OLIVE AVE	STE B	MERCED	CA	95348	3137	24	06047	37.31914092	-120.4749911	Merced County
159046	Fee-for-Service	1457369555	1457369555	1	1	O'DONNELL, LAURA A MD	6/1/1982	207L00000X	NA	Other	026	PHYSICIANS	43464	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
159066	Fee-for-Service	1184729311	1184729311	4	1	ORANGE COAST RESPIRATORY	12/30/2014	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	CARE SERVICES INC	1090 N ARMANDO ST	None	ANAHEIM	CA	92806	2605	30	06059	33.84984791	-117.8602173	Orange County
159146	Fee-for-Service	1770963159	1770963159	1	1	OLYMPIA HOSPICE CARE INC	1/16/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	13721 VENTURA BLVD	None	SHERMAN OAKS	CA	91423	3023	19	06037	34.14817197	-118.432004	Los Angeles County
159211	Fee-for-Service	1356721120	1356721120	1	1	OMI, KAZUO MD	11/21/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	168135	None	None	0	In state provider	None	555 TECHEVAH DRIVE	None	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
159236	Fee-for-Service	1699352211	1699352211	1	1	OW, GREGORY M MD	9/3/2024	208M00000X	NA	Other	026	PHYSICIANS	188385	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
159287	Fee-for-Service	1760492177	1760492177	1	1	ONG, KENNETH CHAM MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	62506	30	Radiology	0	In state provider	None	2410 SAMARITAN DR	STE 101	SAN JOSE	CA	95124	3909	43	06085	37.25107654	-121.9451342	Santa Clara County
159290	Fee-for-Service	1821720152	1821720152	1	1	OBANDO, HOWARD-RICK OT	10/27/2023	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
159300	Fee-for-Service	1033212022	1033212022	1	1	OESTREICHER, LEONARD M	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	29861	66	Emergency Medicine (Urgent Care)	0	In state provider	None	374 W OLIVE AVE	STE B	MERCED	CA	95348	3137	24	06047	37.31914092	-120.4749911	Merced County
159302	Fee-for-Service	1760466197	1760466197	1	1	OH, SAMUEL S MD	3/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	78217	08	Family Practice	0	In state provider	None	9041 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	3900	33	06065	33.92541585	-117.4378266	Riverside County
159344	Fee-for-Service	1932436078	1932436078	1	1	ODONNELL, BETSY E MD	9/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	114930	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
159367	Fee-for-Service	1811275654	1811275654	1	2	OTTENBACHER, JONOVAN OD	11/27/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	104 E OLIVE AVE	STE 100	REDLANDS	CA	92373	5255	36	06071	34.0540723	-117.1800104	San Bernardino County
159410	Fee-for-Service	1154373645	1154373645	1	1	OUTLUND, EARL C MD	9/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	54671	05	Anesthesiology	0	In state provider	None	1100 LAS TABLAS RD	None	TEMPLETON	CA	93465	9704	40	06079	35.55442648	-120.719754	San Luis Obispo County
159492	Fee-for-Service	1487627451	1487627451	1	1	ORLINO, ELMO N MD	8/22/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	87034	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
159661	Fee-for-Service	1720298763	1720298763	1	1	ORCHID COURT, INC	5/17/2004	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	CAMELOT ADHC	650 CAMINO REAL CIR	None	HEMET	CA	92543	2608	33	06065	33.75724554	-116.9858655	Riverside County
159844	Fee-for-Service	1063440121	1063440121	1	1	O'CONNELL, ELLEN JAME 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
159882	Fee-for-Service	1851450449	1851450449	1	1	ONTIVEROS, PEDRO MD	9/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	83544	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
159943	Fee-for-Service	1255359816	1255359816	1	1	OKU, RUSSELL K OPTOMETRY	3/16/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2207 S ATLANTIC BLVD	None	MONTEREY PARK	CA	91754	6803	19	06037	34.03837887	-118.1451599	Los Angeles County
159953	Fee-for-Service	1952817280	1952817280	1	1	ORANGE COUNTY URGENT CARE #3	8/12/2019	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	82151 AVENUE 42 STE 100	None	INDIO	CA	92203	9312	33	06065	33.74386847	-116.2324627	Riverside County
160019	Fee-for-Service	1659406494	1659406494	1	1	OLD ADOBE UNION SD	6/16/2004	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	845 CRINELLA DR	None	PETALUMA	CA	94954	4450	49	06097	38.24594139	-122.6108181	Sonoma County
160081	Fee-for-Service	1669432092	1669432092	1	1	O'NEILL, MARY M MD INC	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	69694	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	455 OCONNOR DR	STE 300	SAN JOSE	CA	95128	1644	43	06085	37.326654	-121.939897	Santa Clara County
160104	Fee-for-Service	1578751392	1578751392	1	1	OWENS, KIMBERLY J MD	10/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98069	08	Family Practice	0	In state provider	None	2018 MISSION STREET	None	SANTA CRUZ	CA	95065	5755	44	06087	36.962588	-122.0439201	Santa Cruz County
160330	Fee-for-Service	1801034368	1801034368	1	1	OHARA, CAITLYN C LMFT	6/24/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	50299	-	NOT APPLICABLE	0	In state provider	None	1433 S ROBERTSON BLVD	None	LOS ANGELES	CA	90035	3414	19	06037	34.05373818	-118.3839685	Los Angeles County
160333	Fee-for-Service	1740215854	1740215854	1	1	ONYEKWULUJE, TOCHUKWU O MD	4/29/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	53538	None	None	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
160376	Fee-for-Service	1174986897	1174986897	1	1	ORR, VERONICA N MD	6/16/2020	207L00000X	NA	Other	026	PHYSICIANS	150986	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
160425	Fee-for-Service	1851826242	1851826242	1	1	OROSZ, DEBORAH K MD	12/4/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	161549	None	None	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
160450	Fee-for-Service	1952408981	1952408981	2	1	OCAMPO, CONSUELO T MD	6/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	52309	08	Family Practice	0	In state provider	None	29645 RANCHO CALIFORNIA	STE 138	TEMECULA	CA	92591	5211	33	06065	33.50627123	-117.1431728	Riverside County
160522	Fee-for-Service	1578527651	1578527651	1	1	OH, SUN W MD	5/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	53641	05	Anesthesiology	0	In state provider	None	1300 NORTH VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
160583	Fee-for-Service	1134185382	1134185382	1	1	OKAH, FELIX A MD	2/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	1	Border provider	None	3001 SAINT ROSE PKWY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
160673	Fee-for-Service	1497417307	1497417307	1	1	OPTIMAL FOOT AND ANKLE INSTI	1/16/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	TUTE	2080 CENTURY PARK E	STE 1207	LOS ANGELES	CA	90067	2015	19	06037	34.05887194	-118.4122914	Los Angeles County
160839	Fee-for-Service	1619604642	1619604642	1	1	OTANI, JOANNE M NP	1/13/2023	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
160854	Fee-for-Service	1609945575	1609945575	1	1	ORANGE COUNTY PATHOLOGY	9/1/1983	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
161001	Fee-for-Service	1730579756	1730579756	1	1	OLYMPUS PHARMACY INC	3/12/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14437 VENTURA BLVD	None	SHERMAN OAKS	CA	91423	2606	19	06037	34.15079705	-118.447812	Los Angeles County
161297	Fee-for-Service	1205296845	1205296845	1	1	OSHI-OJURI, MORENIKE F PHD	11/8/2016	No Taxonomy Provided	NA	None	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
161354	Fee-for-Service	1821181553	1821181553	1	1	OLMECAH, HUITZILIN M MD	2/8/2015	207T00000X	NA	General Surgery	026	PHYSICIANS	94960	13	Neurology (M.D. only)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
161401	Fee-for-Service	1881188399	1881188399	1	1	OUMARBAEVA-MALONE, YULIYA M	4/16/2024	208M00000X	NA	Other	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	D	200 MEDICAL PLAZA	265	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
161431	Fee-for-Service	1083067888	1083067888	1	1	OLSEN, THOMAS LMFT	11/3/2023	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
161516	Fee-for-Service	1033667753	1033667753	1	1	OLIVEIRA, CHADWICK PT	1/1/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1700 E BULLARD AVE	102	FRESNO	CA	93710	5866	10	06019	36.82318621	-119.7562623	Fresno County
161696	Fee-for-Service	1225547359	1225547359	1	1	OBANOR, FEMI NP	6/18/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	135 CARMEN LN	None	SANTA MARIA	CA	93458	7729	42	06083	34.92484952	-120.4374645	Santa Barbara County
161791	Fee-for-Service	1760080709	1760080709	1	1	OCAMPO, ADRIANA M LCSW	4/13/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15497 W SAND ST	None	VICTORVILLE	CA	92392	2910	36	06071	34.51312455	-117.325854	San Bernardino County
161793	Fee-for-Service	1356736508	1356736508	1	1	OZA, ANUSHRI MD	6/24/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	160851	40	Pediatrics	0	In state provider	None	1510 FLORIDA AVE	STE B	MODESTO	CA	95350	4437	50	06099	37.666053	-120.996222	Stanislaus County
161949	Fee-for-Service	1336400688	1336400688	1	1	OLSON, PRASRA G MD	9/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137798	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
162023	Fee-for-Service	1871248096	1871248096	1	1	OHRELLE LABORATORIES INC	5/14/2024	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	8200 WILSHIRE BLVD	300	BEVERLY HILLS	CA	90211	2328	19	06037	34.063776	-118.372374	Los Angeles County
162042	Fee-for-Service	1194286047	1194286047	1	1	O'NEIL-TENNANT, COLLEEN MD	11/18/2022	207QA0505X	NA	Adult Primary Care	026	PHYSICIANS	179168	None	None	0	In state provider	None	40595 WESTLAKE DRIVE	None	OAKHURST	CA	93644	9024	20	06039	37.33873736	-119.6691473	Madera County
162250	Fee-for-Service	1184024143	1184024143	1	1	ORTEGA, JOSE LCSW	1/20/2025	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
162445	Fee-for-Service	1669680252	1669680252	1	1	ORECCHIO, AMY B PSYD	1/21/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3505 BROADWAY	None	OAKLAND	CA	94611	5714	01	06001	37.82263926	-122.2597946	Alameda County
162530	Fee-for-Service	1639259872	1639259872	1	1	OU, SAI-HONG I MD	7/15/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83672	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
162599	Fee-for-Service	1871850438	1871850438	1	1	ONDERI, SIMON P MD	2/16/2021	2085N0700X	NA	MRI Provider	026	PHYSICIANS	169930	None	None	0	In state provider	None	1444 FLORIDA AVE	STE 101	MODESTO	CA	95350	4400	50	06099	37.66487562	-120.9961927	Stanislaus County
162641	Fee-for-Service	1851592844	1851592844	1	1	ORTIZ, VERONICA N MD	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123496	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4404	50	06099	37.66508443	-120.9962589	Stanislaus County
162698	Fee-for-Service	1790846061	1790846061	1	1	OHARE, LORENE	9/11/2012	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
162743	Fee-for-Service	1316050537	1316050537	1	1	OB-GYN ASSOC OF CHICO	2/28/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	A MEDICAL GROUP	1665 ESPLANADE	None	CHICO	CA	95926	3312	04	06007	39.74388808	-121.8503372	Butte County
162744	Fee-for-Service	1194045450	1194045450	1	1	ODONO, RUSSELL M MD	3/2/2018	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	141218	20	Orthopedic Surgery	0	In state provider	None	43112 N 15TH ST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
162754	Fee-for-Service	1235196718	1235196718	1	2	ORNELAS, FRANCISCO R MD	8/15/2019	207P00000X	NA	Other	086	MEDICAL DIRECTORS	60144	-	NOT APPLICABLE	0	In state provider	None	9033 WASHINGTON BOULEVAR	None	PICO RIVERA	CA	90660	3839	19	06037	33.982546	-118.0958669	Los Angeles County
162769	Fee-for-Service	1730885906	1730885906	1	1	OKEKE, OGECHI	7/18/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7550 ALTURA PL	None	OAKLAND	CA	94605	3108	01	06001	37.77604948	-122.1575596	Alameda County
162815	Fee-for-Service	1639259872	1639259872	1	1	OU, SAI-HONG I MD	7/15/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83672	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
162988	Fee-for-Service	1003868217	1003868217	1	1	OGBECHIE, LAWRENCE O MD	4/4/1997	2084P0800X	NA	Psychiatry	026	PHYSICIANS	61959	36	Psychiatry	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
163148	Fee-for-Service	1366522658	1366522658	1	1	ONADEKO, OLUWOLE 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	2800 E AJO WAY	None	TUCSON	AZ	85713	6204	00	None	32.175801	-110.9306925	Pima County
163149	Fee-for-Service	1154370310	1154370310	1	1	ORTEGA, JASMINE Z	12/12/2005	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	200 W ARBOR DR	DEPT 8201	SAN DIEGO	CA	92103	8201	37	06073	32.7537975	-117.1658298	San Diego County
163276	Fee-for-Service	1003868217	1003868217	1	1	OGBECHIE, LAWRENCE O MD	4/4/1997	2084P0800X	NA	Psychiatry	026	PHYSICIANS	61959	01	General Practice	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
163306	Fee-for-Service	1710111976	1710111976	1	1	OBERLE, LARA M MD	3/1/2019	207RS0010X	NA	Other	026	PHYSICIANS	157971	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
163322	Fee-for-Service	1467201665	1467201665	1	1	ONDARI, LINET K CRNA	7/31/2024	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
163596	Fee-for-Service	1821712795	1821712795	1	1	OTA, AYAKO PT	12/30/2022	225100000X	NA	Physical Therapist	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
163597	Fee-for-Service	1710111976	1710111976	1	1	OBERLE, LARA M MD	3/1/2019	207RS0010X	NA	Other	026	PHYSICIANS	157971	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
163640	Fee-for-Service	1265516793	1265516793	1	1	OGALA, FABIAN MD	2/24/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
163655	Fee-for-Service	1154407773	1154407773	1	2	OPTIONS FAMILY OF SERVICES	6/12/1996	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	1693 MCCOLLUM ST	None	SAN LUIS OBISPO	CA	93405	2037	40	06079	35.29414858	-120.6546537	San Luis Obispo County
163928	Fee-for-Service	1811262918	1811262918	1	1	ORLIK, KSENIYA MD	8/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	133368	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
163987	Fee-for-Service	1346614062	1346614062	1	1	OKADA, XINYAN CRNA	2/1/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	400 NORTH PEPPER AVENUE	ANESTHESIA DEPT 2ND FLR	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
163999	Fee-for-Service	1093076267	1093076267	1	1	OBEKPA-AGWADA, LINDA A MD	8/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148019	25	Physical Medicine and Rehabilitation	0	In state provider	None	4501 SAND CREEK RD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
164110	Fee-for-Service	1487036414	1487036414	1	1	ORFALI, DIKRAN MD	8/16/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	152824	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
164183	Fee-for-Service	1669972121	1669972121	1	1	OAK HEALTHCARE INC	12/27/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2339 W HAMMER LN	STE J	STOCKTON	CA	95209	2368	39	06077	38.02138826	-121.344545	San Joaquin County
164310	Fee-for-Service	1245764778	1245764778	1	1	OBANOR, SAMANTHA G LCSW	5/14/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8247 E STOCKTON BLVD	None	SACRAMENTO	CA	95828	8200	34	06067	38.459187	-121.4080245	Sacramento County
164453	Fee-for-Service	1356394654	1356394654	1	1	OSMUNDSON, MICHAEL B MD	12/29/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	53859	None	None	0	In state provider	None	4001 J ST	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
164505	Fee-for-Service	1659317733	1659317733	1	1	OSBORNE, VIC A MD	9/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	45453	20	Orthopedic Surgery	0	In state provider	None	1135 S SUNSET AVE	STE 200	WEST COVINA	CA	91790	3937	19	06037	34.06215064	-117.9453997	Los Angeles County
164671	Fee-for-Service	1649317579	1649317579	1	1	OPTUM PHARMACY 801, INC.	9/9/2011	3336S0011X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	23620 N 20TH DRIVE	STE 12	PHOENIX	AZ	85085	0621	00	None	33.701094	-112.102146	Maricopa County
164758	Fee-for-Service	1043373681	1043373681	1	1	OLIN, REBECCA L MD	2/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106693	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
165048	Fee-for-Service	1043373681	1043373681	1	1	OLIN, REBECCA L MD	2/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106693	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
165070	Fee-for-Service	1235108077	1235108077	1	1	ORTHOPEDIC ASSOCIATES OF	1/25/1995	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	NORTHERN CALIF A MED COR	131 RALEY BLVD	None	CHICO	CA	95928	8347	04	06007	39.7160105	-121.788999	Butte County
165127	Fee-for-Service	1346527462	1346527462	1	1	OLSEN, SHARON L NP	1/2/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	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
165196	Fee-for-Service	1851749766	1851749766	1	1	O'BRIEN, JACK MD	6/21/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16921	08	Family Practice	0	In state provider	None	150 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	2142	19	06037	34.06812722	-118.3837146	Los Angeles County
165205	Fee-for-Service	1235549460	1235549460	1	1	OUYANG, DA MD	9/16/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	138463	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
165311	Fee-for-Service	1396245064	1396245064	1	1	OJA, KIMBERLY D NP	11/4/2019	363LA2200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2637 SHADELANDS DR	None	WALNUT CREEK	CA	94598	2512	07	06013	37.925712	-122.021856	Contra Costa County
165316	Fee-for-Service	1063690592	1063690592	1	1	ORTHOPAEDIC SURGERY SPECIALI	2/10/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	2625 W ALAMEDA AVE	STE 116	BURBANK	CA	91505	4815	19	06037	34.1577056	-118.329779	Los Angeles County
165334	Fee-for-Service	1679105563	1679105563	1	1	OH, MICHELLE T LMFT	1/9/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14241 E. FIRESTONE BLVD	STE 400	LA MIRADA	CA	90638	5534	19	06037	33.88516258	-118.0280298	Los Angeles County
165458	Fee-for-Service	1417677691	1417677691	1	1	OCONNOR, SARAH PT	11/23/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	215 S. HICKORY ST.	UNIT 112	ESCONDIDO	CA	92025	4359	37	06073	33.12335985	-117.0753842	San Diego County
165517	Fee-for-Service	1750610028	1750610028	1	1	ORTIZ, LAURA LMFT	12/29/2022	225400000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST 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
165605	Fee-for-Service	1063690592	1063690592	1	1	ORTHOPAEDIC SURGERY SPECIALI	2/10/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	2625 W ALAMEDA AVE	STE 116	BURBANK	CA	91505	4815	19	06037	34.1577056	-118.329779	Los Angeles County
165698	Fee-for-Service	1245377647	1245377647	1	1	ORANGE COUNTY CCS	10/19/2006	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	WESTMINSTER MTU	7200 TRASK AVE	None	WESTMINSTER	CA	92683	2626	30	06059	33.76638949	-118.003995	Orange County
165815	Fee-for-Service	1528021383	1528021383	1	2	OCHOA, LUIS F MD	8/19/2019	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	55404	40	Pediatrics	0	In state provider	None	1400 CHURCH	BUILDING 8	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
165869	Fee-for-Service	1750812319	1750812319	1	1	OSEN, HAYLEY B MD	8/19/2021	207L00000X	NA	Other	026	PHYSICIANS	160011	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
165879	Fee-for-Service	1336846682	1336846682	1	1	ONE WAY TRANSPORT, LLC.	6/5/2023	347C00000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1600 SACRAMENTO INN WAY	STE 111	SACRAMENTO	CA	95815	3448	34	06067	38.60775	-121.429233	Sacramento County
165893	Fee-for-Service	1063690592	1063690592	1	1	ORTHOPAEDIC SURGERY SPECIALI	2/10/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	46	Hand Surgery	0	In state provider	None	2625 W ALAMEDA AVE	STE 116	BURBANK	CA	91505	4815	19	06037	34.1577056	-118.329779	Los Angeles County
165905	Fee-for-Service	1285893107	1285893107	1	1	ORANGE COUNTY VASCULAR & END	9/8/2008	2086S0129X	NA	General Surgery	026	PHYSICIANS	73996	None	None	0	In state provider	ENDOVASCULAR SUR CTR INC	11190 WARNER AVE	408	FOUNTAIN VALLEY	CA	92708	4047	30	06059	33.714	-117.9333585	Orange County
165945	Fee-for-Service	1912624891	1912624891	1	1	OPERATION GRACE	9/30/2024	172V00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	1595 E ART TOWNSEND DR	None	SAN BERNARDINO	CA	92408	0117	36	06071	34.10233649	-117.2519865	San Bernardino County
165987	Fee-for-Service	1801054366	1801054366	1	1	OYEMADE, ADEWALE MD	12/8/2023	2084P0804X	NA	Psychiatry	026	PHYSICIANS	191667	None	None	0	In state provider	None	15434 W SAGE ST	None	VICTORVILLE	CA	92395	3965	36	06071	34.51210263	-117.3272335	San Bernardino County
166088	Fee-for-Service	1073006607	1073006607	1	1	OLE HEALTH	11/2/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	455 1ST ST	None	WOODLAND	CA	95695	4023	57	06113	38.675781	-121.773122	Yolo County
166144	Fee-for-Service	1639114259	1639114259	1	1	ORRILLO, ELVIA E MD	6/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	62912	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3865 JACKSON ST	None	RIVERSIDE	CA	92503	3919	33	06065	33.92617009	-117.4404151	Riverside County
166314	Fee-for-Service	1760596696	1760596696	1	1	OROSCO, MICHAEL A MD	5/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87528	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	BLDG 12311	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
166325	Fee-for-Service	1346531647	1346531647	1	1	ONGLEY, BRENDA I CCC-SLP	3/23/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	24600 SILVER CLOUD CT	104	MONTEREY	CA	93940	3128	27	06053	36.5721717	-121.8049621	Monterey County
166530	Fee-for-Service	1427072172	1427072172	1	1	OLIVER, ROBERT W MD	12/1/1987	207P00000X	NA	Other	026	PHYSICIANS	33457	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
166604	Fee-for-Service	1982794566	1982794566	1	1	OVERHOLSER, LINDA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	12605 E 16TH AVE	None	AURORA	CO	80045	2545	00	None	39.742182	-104.8408515	Adams County
166725	Fee-for-Service	1477931335	1477931335	1	1	OBREGON, MICHAEL A	8/15/2022	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
166804	Fee-for-Service	1669836227	1669836227	1	1	ONEOME HOLDINGS LLC	10/19/2023	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	807 BROADWAY ST NE	100	MINNEAPOLIS	MN	55413	4401	00	None	44.99873689	-93.25019166	Hennepin County
166826	Fee-for-Service	1396724209	1396724209	1	1	OSGOOD, PATRICK J MD	12/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	88857	20	Orthopedic Surgery	0	In state provider	None	10051 LAKE AVENUE	SUITE 3	TRUCKEE	CA	96161	4870	29	06057	39.32550268	-120.2025066	Nevada County
166878	Fee-for-Service	1891748968	1891748968	1	1	OLSON, DEBORAH B MD	3/30/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	87273	None	None	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
166933	Fee-for-Service	1801907449	1801907449	1	3	OPERATION SAMAHAN, INC.	11/23/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MOBILE	1428 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	4624	37	06073	32.67249521	-117.0966282	San Diego County
166952	Fee-for-Service	1164590089	1164590089	1	1	OPTIMAL HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2787 W BULLARD AVE	SUITE 101	FRESNO	CA	93711	2273	10	06019	36.82269949	-119.843892	Fresno County
166957	Fee-for-Service	1043480965	1043480965	1	1	OVERSTREET, JENNIFER MD	4/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	90694	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
167023	Fee-for-Service	1972630135	1972630135	1	1	OLIVA, ARTEMISA LCSW	7/27/2021	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
167031	Fee-for-Service	1518253046	1518253046	1	1	OTARODI, KARIMDAD A MD	9/25/2015	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	116927	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
167039	Fee-for-Service	1023888302	1023888302	1	1	ORTEGA, SIDNEY ROSE PT	4/9/2024	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
167132	Fee-for-Service	1073221024	1073221024	1	1	OTOOLE, SHEILA LAC	2/13/2023	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	764 CEDAR ST	None	GARBERVILLE	CA	95542	3222	12	06023	40.100841	-123.7927485	Humboldt County
167192	Fee-for-Service	1326076381	1326076381	1	1	OWENS, YVETTE N MD	9/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133030	66	Emergency Medicine (Urgent Care)	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
167220	Fee-for-Service	1801907449	1801907449	1	3	OPERATION SAMAHAN, INC.	11/23/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	MOBILE	1428 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	4624	37	06073	32.67249521	-117.0966282	San Diego County
167240	Fee-for-Service	1164590089	1164590089	1	1	OPTIMAL HOSPICE INC	7/15/2004	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2787 W BULLARD AVE	SUITE 101	FRESNO	CA	93711	2273	10	06019	36.82269949	-119.843892	Fresno County
167244	Fee-for-Service	1083915730	1083915730	1	1	OBER, ROBIN M DO	9/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11462	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
167310	Fee-for-Service	1285083907	1285083907	1	1	OYEYIPO, OYEKUNLE CO	9/14/2020	247200000X	NA	Other	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	None	646 W PACIFIC COAST HWY	4	LONG BEACH	CA	90806	5239	19	06037	33.78984651	-118.200384	Los Angeles County
167425	Fee-for-Service	1932138179	1932138179	1	1	OFIAELI, IJEOMA A MD	2/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	88840	41	Internal Medicine	0	In state provider	None	1400 E CHURCH ST	None	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
167482	Fee-for-Service	1780762401	1780762401	1	1	OFFERMAN, STEVE R MD	3/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67087	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
167497	Fee-for-Service	1912360462	1912360462	1	1	ORDON, MATTHEW P MD	9/6/2023	207T00000X	NA	General Surgery	026	PHYSICIANS	185550	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
167719	Fee-for-Service	1386697688	1386697688	1	1	ORO VALLEY HOSPITAL LLC	9/23/2007	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1551 E TANGERINE RD	None	ORO VALLEY	AZ	85755	6213	00	None	32.428467	-110.9493495	Pima County
167768	Fee-for-Service	1376776617	1376776617	1	1	ORANGE HEALTHCARE & WELLNESS	10/1/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	920 WEST LA VETA AVE	None	ORANGE	CA	92868	4302	30	06059	33.78029666	-117.8623901	Orange County
167771	Fee-for-Service	1538549571	1538549571	1	1	OZDEMIR, EGE MD	8/9/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	171806	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
168007	Fee-for-Service	1386697688	1386697688	1	1	ORO VALLEY HOSPITAL LLC	5/30/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1551 E TANGERINE RD	None	ORO VALLEY	AZ	85755	6213	00	None	32.428467	-110.9493495	Pima County
168058	Fee-for-Service	1891167821	1891167821	1	1	OLSON, DAVID A MD APC	5/1/2016	261QM2500X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	232 WEST F STREET	None	OAKDALE	CA	95361	3844	50	06099	37.76493274	-120.8512261	Stanislaus County
168157	Fee-for-Service	1104135813	1104135813	1	1	OKONKWO, RHONDA S LCSW	10/20/2023	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
168160	Fee-for-Service	1235235391	1235235391	1	1	ORTHOPAEDIC MEDICAL SUPP	1/27/2009	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	770 MAGNOLIA AVE	#1H	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
168317	Fee-for-Service	1962900654	1962900654	1	1	OC VOICE-EAR NOSE AND	4/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	136004	04	Otology, Laryngology, Rhinology	0	In state provider	THROAT CENTER INC	13031 KERRY STREET	None	GARDEN GROVE	CA	92844	1638	30	06059	33.773265	-117.958877	Orange County
168341	Fee-for-Service	1306025390	1306025390	1	1	OPTOMETRIC EYE INSTITUTE	2/13/2008	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	842 S BROADWAY	None	LOS ANGELES	CA	90014	3202	19	06037	34.04274961	-118.2556172	Los Angeles County
168350	Fee-for-Service	1689678559	1689678559	1	1	OHSON, ASPAN	6/2/2021	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
168458	Fee-for-Service	1902015894	1902015894	1	1	OGAWA, DAWN D MD	10/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94690	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
168474	Fee-for-Service	1275788689	1275788689	1	1	O'CONNELL, JESSICA MD	10/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	77212	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
168545	Fee-for-Service	1811469984	1811469984	1	1	OU, TIMO T CRNA	6/1/2021	367500000X	NA	Other	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
168637	Fee-for-Service	1861622086	1861622086	1	1	OLTRA, ERICA L MD	6/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126126	18	Ophthalmology	0	In state provider	None	100 STEIN PLAZA	1-340	LOS ANGELES	CA	90095	0001	19	06037	34.06489065	-118.4443287	Los Angeles County
168724	Fee-for-Service	1295701472	1295701472	1	1	OLSON, ERIK M MD	10/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	63923	30	Radiology	0	In state provider	None	300 CANAL ST	None	KING CITY	CA	93930	3431	27	06053	36.20653258	-121.1319345	Monterey County
168733	Fee-for-Service	1447344874	1447344874	1	1	O'HARA, SARA	4/16/2024	2085P0229X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	3333 BURNET AVENUE	None	CINCINNATI	OH	45229	3039	00	None	39.14105892	-84.50040782	Hamilton County
168746	Fee-for-Service	1831651025	1831651025	1	1	ODEA JOHNSON, MEAGHAN NP	10/23/2024	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	21515 HAWTHORNE BLVD	STE G100	TORRANCE	CA	90503	6503	19	06037	33.83306687	-118.3530111	Los Angeles County
168786	Fee-for-Service	1760897284	1760897284	1	1	OJHA, PRITI MD	8/6/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	139807	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
168838	Fee-for-Service	1457701302	1457701302	1	1	OPILAS, MARISSA P DO	9/18/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	15915	08	Family Practice	0	In state provider	None	350 JOHN MUIR PKWY	105	BRENTWOOD	CA	94513	5183	07	06013	37.91980577	-121.734715	Contra Costa County
168839	Fee-for-Service	1790707875	1790707875	1	1	OLEYNIKOV, YURI S MD	2/27/2008	207W00000X	NA	Ophthalmology	026	PHYSICIANS	96434	18	Ophthalmology	0	In state provider	None	50 N LA CIENEGA BLVD	SUITE 340	BEVERLY HILLS	CA	90211	2287	19	06037	34.06689439	-118.3762514	Los Angeles County
168873	Fee-for-Service	1164959433	1164959433	1	1	OCONNOR, KERI A NP	7/25/2017	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
168997	Fee-for-Service	1073880258	1073880258	1	1	OLIKER, CHELSEA PHD	5/8/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3900 LAKEVILLE HIGHWAY	None	PETALUMA	CA	94954	5698	49	06097	38.2304311	-122.5827918	Sonoma County
169022	Fee-for-Service	1447344874	1447344874	1	1	O'HARA, SARA	4/16/2024	2085P0229X	NA	Other	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	3333 BURNET AVENUE	None	CINCINNATI	OH	45229	3039	00	None	39.14105892	-84.50040782	Hamilton County
169099	Fee-for-Service	1588894919	1588894919	1	1	OPTIMUM CARE MEDICAL INC	10/14/2010	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	OPTIMUM CARE MEDICAL INC	15120 ATKINSON AVE	SUITE 6	GARDENA	CA	90249	4037	19	06037	33.894036	-118.325801	Los Angeles County
169181	Fee-for-Service	1003227372	1003227372	1	1	OKMAN, JONATHAN MD	8/16/2018	207N00000X	NA	Dermatology	026	PHYSICIANS	137860	07	Dermatology	0	In state provider	None	2290 SACRAMENTO ST	None	VALLEJO	CA	94590	2929	48	06095	38.12370851	-122.2637378	Solano County
169260	Fee-for-Service	1891052502	1891052502	1	1	OAKLAND PHARMACY INC	5/23/2012	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	250 E 18TH STREET	3RD FLOOR	OAKLAND	CA	94606	1729	01	06001	37.79999844	-122.2527149	Alameda County
169266	Fee-for-Service	1801276571	1801276571	1	1	OGAMI, KYLE Y MD	10/6/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	150189	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
169315	Fee-for-Service	1780611509	1780611509	1	1	ORTIZ, OFELIA G MD	6/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142634	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	999 S FAIRMONT AVE	SUITE 230	LODI	CA	95240	5142	39	06077	38.1206163	-121.2858323	San Joaquin County
169342	Fee-for-Service	1003144718	1003144718	1	1	OH, MARISA D DO	9/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11041	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
169357	Fee-for-Service	1689200644	1689200644	1	1	ODEH, DEENA F MD	8/29/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	184930	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
169370	Fee-for-Service	1902087778	1902087778	1	1	OKORO RELLIAS, BLESSING A LM	11/12/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FT	41197 GOLDEN GATE CIRCLE	205	MURRIETA	CA	92562	6999	33	06065	33.53652808	-117.1759195	Riverside County
169403	Fee-for-Service	1295863124	1295863124	1	1	OKTANYAN, MARO MD	7/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	53254	01	General Practice	0	In state provider	None	1259 S GLENDALE AVE	STE E	GLENDALE	CA	91205	3280	19	06037	34.13003451	-118.2525595	Los Angeles County
169420	Fee-for-Service	1881149151	1881149151	1	1	ONSITE TRANSPORTATION SERVIC	10/29/2021	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ES, LLC	5130 E. LA PALMA	202	ANAHEIM	CA	92807	2083	30	06059	33.85947553	-117.80577	Orange County
169493	Fee-for-Service	1093705279	1093705279	1	1	OXNARD INTERNAL MEDICINE	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	PULMONARY MED GRP	703 N A ST	None	OXNARD	CA	93030	4309	56	06111	34.209063	-119.1784975	Ventura County
169527	Fee-for-Service	1609945575	1609945575	1	2	ORANGE COUNTY PATHOLOGY	9/1/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MEDICAL GROUP INC	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
169594	Fee-for-Service	1306069802	1306069802	1	1	OROZCO, LAURA R LCSW	9/25/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	100 FALLS CANYON RD	None	AVALON	CA	90704	1563	19	06037	33.33904622	-118.3307237	Los Angeles County
169634	Fee-for-Service	1871881417	1871881417	1	1	ORLINO, REBECA CRNA	11/5/2012	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
169768	Fee-for-Service	1396753596	1396753596	1	1	OZEL, BEGUM Z MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69660	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
169779	Fee-for-Service	1831890995	1831890995	1	1	ORTIZ, JULIO CNP	4/15/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
169804	Fee-for-Service	1528078425	1528078425	1	1	OMARI, BASSAM O MD	8/31/1995	208G00000X	NA	General Surgery	026	PHYSICIANS	43287	02	General Surgery	0	In state provider	None	21840 NORMANDIE AVE	None	TORRANCE	CA	90502	2047	19	06037	33.82982744	-118.2991395	Los Angeles County
169851	Fee-for-Service	1699904425	1699904425	1	1	O'LEARY, DOROTHY LMFT	8/17/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	700 E STREET	SUITE 220	SAN RAFAEL	CA	94901	2857	21	06041	37.97112293	-122.533553	Marin County
170044	Fee-for-Service	1538657762	1538657762	1	1	OPPENHEIMER, MARIANNA MD	7/22/2024	207P00000X	NA	Other	026	PHYSICIANS	None	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
170143	Fee-for-Service	1417474966	1417474966	1	1	OPEN DOOR COMMUNITY HEALTH	3/18/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2350 BUHNE STREET	SUITE A	EUREKA	CA	95501	3205	12	06023	40.78592523	-124.1422103	Humboldt County
170207	Fee-for-Service	1629526249	1629526249	1	1	O'DONNELL, NANA PHD	1/16/2020	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
170266	Fee-for-Service	1700508538	1700508538	1	2	OPTIMUS WEST LLC	10/29/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200, OFFICE 289	RIVERSIDE	CA	92505	4400	33	06065	33.90100297	-117.49363	Riverside County
170268	Fee-for-Service	1801907449	1801907449	1	1	OPERATION SAMAHAN, INC.	8/25/2006	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2743 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	7410	37	06073	32.66109542	-117.0920417	San Diego County
170335	Fee-for-Service	1851916076	1851916076	1	1	OUR CARE HOME HEALTH INC	8/13/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	6621 VAN NUYS BLVD	UNIT 93	VAN NUYS	CA	91405	4672	19	06037	34.19138471	-118.4487668	Los Angeles County
170431	Fee-for-Service	1417474966	1417474966	1	1	OPEN DOOR COMMUNITY HEALTH	4/11/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2350 BUHNE STREET	SUITE A	EUREKA	CA	95501	3205	12	06023	40.78592523	-124.1422103	Humboldt County
170467	Fee-for-Service	1891823613	1891823613	1	1	OVANDO, RUBEN LMFT	8/24/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST 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
170504	Fee-for-Service	1629185012	1629185012	1	1	OZMAN, BRIDGET MD	10/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	55162	01	General Practice	0	In state provider	None	8607 IRVINE CENTER DR	None	IRVINE	CA	92618	4219	30	06059	33.64504816	-117.74363	Orange County
170542	Fee-for-Service	1326177171	1326177171	1	1	ONEILL, CONOR W MD	5/23/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	84882	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
170557	Fee-for-Service	1801907449	1801907449	1	1	OPERATION SAMAHAN, INC.	8/25/2006	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2743 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	7410	37	06073	32.66109542	-117.0920417	San Diego County
170572	Fee-for-Service	1720541626	1720541626	1	1	ORTIZ TORRES, IDELISSE MD	6/22/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	179210	None	None	0	In state provider	None	1001 POTRERO AVE	RM 4M62	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
170623	Fee-for-Service	1871167056	1871167056	1	1	ORANGE HOME HEALTH	2/28/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	13735 VICTORY BLVD	STE 18	VAN NUYS	CA	91401	6706	19	06037	34.18669746	-118.432404	Los Angeles County
170630	Fee-for-Service	1588758148	1588758148	1	1	OMARALI, IQBAL MD	11/1/2002	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	50208	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2324 SANTA RITA RD	STE 11	PLEASANTON	CA	94566	4150	01	06001	37.68217511	-121.8757097	Alameda County
170658	Fee-for-Service	1134273675	1134273675	1	1	O'NEIL, JEAN M NP	8/11/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	5250 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91601	3186	19	06037	34.1665161	-118.3755868	Los Angeles County
170719	Fee-for-Service	1417474966	1417474966	1	1	OPEN DOOR COMMUNITY HEALTH	4/11/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTERS	2350 BUHNE STREET	SUITE A	EUREKA	CA	95501	3205	12	06023	40.78592523	-124.1422103	Humboldt County
170786	Fee-for-Service	1093071763	1093071763	1	1	ONEILL, CATHRYN M MD	9/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	150885	01	General Practice	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
170790	Fee-for-Service	1376911123	1376911123	1	1	OKLAN, THERESIA L PHD	5/18/2023	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
170822	Fee-for-Service	1861432726	1861432726	1	1	OVERLAKE HOSPITAL	9/12/2002	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	1035 116TH AVE NE	None	BELLEVUE	WA	98004	4604	00	None	47.620296	-122.1856955	King County
170832	Fee-for-Service	1326177171	1326177171	1	1	ONEILL, CONOR W MD	5/23/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	84882	30	Radiology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
170844	Fee-for-Service	1801907449	1801907449	1	1	OPERATION SAMAHAN, INC.	12/28/2006	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2743 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	7410	37	06073	32.66109542	-117.0920417	San Diego County
170914	Fee-for-Service	1588758148	1588758148	1	1	OMARALI, IQBAL MD	11/1/2002	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	50208	41	Internal Medicine	0	In state provider	None	2324 SANTA RITA RD	STE 11	PLEASANTON	CA	94566	4150	01	06001	37.68217511	-121.8757097	Alameda County
170926	Fee-for-Service	1366463085	1366463085	1	1	OMNI FAMILY HEALTH	4/15/2013	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	655 S CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	15	06029	35.49504475	-119.264496	Kern County
170942	Fee-for-Service	1013042019	1013042019	1	1	OLSSON, JULIE K MD	11/1/2007	207RP1001X	NA	Pulmonology	026	PHYSICIANS	80058	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
171066	Fee-for-Service	1134307382	1134307382	1	1	OSUGI, ANDREW M MD	7/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102449	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
171109	Fee-for-Service	1861432726	1861432726	1	1	OVERLAKE HOSPITAL	9/12/2002	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	1035 116TH AVE NE	None	BELLEVUE	WA	98004	4604	00	None	47.620296	-122.1856955	King County
171132	Fee-for-Service	1801907449	1801907449	1	1	OPERATION SAMAHAN, INC.	8/25/2006	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2743 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	7410	37	06073	32.66109542	-117.0920417	San Diego County
171211	Fee-for-Service	1366463085	1366463085	1	1	OMNI FAMILY HEALTH	5/1/2003	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	655 S CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	15	06029	35.49504475	-119.264496	Kern County
171285	Fee-for-Service	1609947753	1609947753	1	1	ORAVEC, CHRISTINA M LCSW	5/21/2024	104100000X	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
171405	Fee-for-Service	1508897950	1508897950	1	1	OLKIN PHILIP LM	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	32253	08	Family Practice	0	In state provider	None	3302 RENNER DR	None	FORTUNA	CA	95540	3120	12	06023	40.5823206	-124.1359965	Humboldt County
171442	Fee-for-Service	1851393615	1851393615	1	1	OCHOA, MARIO A MD INC	2/15/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	76417	08	Family Practice	0	In state provider	None	3275 MCCALL AVE	STE 102	SELMA	CA	93662	2505	10	06019	36.583128	-119.6107075	Fresno County
171501	Fee-for-Service	1366463085	1366463085	1	1	OMNI FAMILY HEALTH	5/1/2003	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	655 S CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	15	06029	35.49504475	-119.264496	Kern County
171508	Fee-for-Service	1922676840	1922676840	1	1	OKINAGA, PATRICK DAVID S PT	7/16/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3760 CONVOY STREET	100	SAN DIEGO	CA	92111	3743	37	06073	32.81197521	-117.1531278	San Diego County
171524	Fee-for-Service	1528021383	1528021383	1	1	OCHOA, LUIS F MD	12/13/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	55404	None	None	0	In state provider	None	2701 S BRISTOL ST	None	SANTA ANA	CA	92704	6201	30	06059	33.71114199	-117.8853958	Orange County
171539	Fee-for-Service	1336173020	1336173020	1	3	OPEN DOOR COMMUNITY HEALTH	6/26/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1915 J STREET	None	EUREKA	CA	95501	3052	12	06023	40.789548	-124.158913	Humboldt County
171702	Fee-for-Service	1740895101	1740895101	1	1	OLEON, HILARY A LCSW	12/20/2021	104100000X	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
171721	Fee-for-Service	1801907449	1801907449	1	5	OPERATION SAMAHAN, INC.	1/30/2023	261QF0400X	NMT Provider	Federally Qualified Health Center	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2743 HIGHLAND AVE.	None	NATIONAL CITY	CA	91950	7410	37	06073	32.66109542	-117.0920417	San Diego County
171828	Fee-for-Service	1336173020	1336173020	1	3	OPEN DOOR COMMUNITY HEALTH	6/26/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1915 J STREET	None	EUREKA	CA	95501	3052	12	06023	40.789548	-124.158913	Humboldt County
171960	Fee-for-Service	1427580109	1427580109	1	1	ONCOCYTE, CORPORATION	5/25/2021	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	15 CUSHING	None	IRVINE	CA	92618	4220	30	06059	33.63983687	-117.7385428	Orange County
172032	Fee-for-Service	1154407773	1154407773	1	4	OPTIONS FAMILY OF SERVICES	4/1/2006	320900000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1106 N SCHOOL ST	None	SANTA MARIA	CA	93454	2962	42	06083	34.9631401	-120.430277	Santa Barbara County
172137	Fee-for-Service	1568741403	1568741403	1	1	ORTIZ, ROXANA LCSW	5/11/2020	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6620 VIA DEL ORO	None	SAN JOSE	CA	95119	1451	43	06085	37.23418124	-121.7818366	Santa Clara County
172250	Fee-for-Service	1114459807	1114459807	1	1	OHANESSIAN, MERAY M MD	2/29/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	None	4323 W RIVERSIDE DRIVE	None	BURBANK	CA	91505	4044	19	06037	34.15223748	-118.347426	Los Angeles County
172277	Fee-for-Service	1891807400	1891807400	1	1	ORNEDO, EDUARDO S MD	8/4/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	42944	01	General Practice	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
172299	Fee-for-Service	1730667007	1730667007	1	1	OJEDA, STERLING RCP	11/12/2018	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	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
172325	Fee-for-Service	1073692943	1073692943	1	1	ORLICH, MICHAEL J MD	10/3/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89013	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
172448	Fee-for-Service	1356676886	1356676886	1	1	O'NEILL, REBECCA A MD	11/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116845	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
172486	Fee-for-Service	1265897920	1265897920	1	1	OYAKAWA, ASHLEY K	5/19/2016	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
172566	Fee-for-Service	1891807400	1891807400	1	1	ORNEDO, EDUARDO S MD	8/4/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	42944	40	Pediatrics	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
172572	Fee-for-Service	1346290814	1346290814	1	2	OBRIEN, WALTER R MD	4/25/2019	207QS0010X	NA	Adult Primary Care	026	PHYSICIANS	63193	20	Orthopedic Surgery	0	In state provider	None	11710 WILSHIRE BLVD	None	LOS ANGELES	CA	90025	1503	19	06037	34.04917484	-118.4611352	Los Angeles County
172618	Fee-for-Service	1760462956	1760462956	1	1	OKAMOTO, JOHN M OD	3/12/2007	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1411 SECRET RAVINE PKWY	STE 120	ROSEVILLE	CA	95661	6042	31	06061	38.76424823	-121.2440842	Placer County
172633	Fee-for-Service	1144717422	1144717422	1	1	OGUNOYE, ADEWALE MD	9/4/2024	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
172726	Fee-for-Service	1154407773	1154407773	1	3	OPTIONS FAMILY OF SERVICES	6/30/1992	320900000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	8020 COROMAR AVE	None	ATASCADERO	CA	93422	5204	40	06079	35.47515058	-120.659616	San Luis Obispo County
172769	Fee-for-Service	1124405956	1124405956	1	1	ORTIZO, RONALD MD	10/19/2021	390200000X	NA	Other	026	PHYSICIANS	147111	None	None	0	In state provider	None	7117 BROCKTON AVE	None	RIVERSIDE	CA	92506	2620	33	06065	33.94354395	-117.394926	Riverside County
173187	Fee-for-Service	1780739136	1780739136	1	1	OGBUAFOR, TITUS C LMFT	12/22/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5871 PINE AVE	SUITE 230	CHINO HILLS	CA	91709	6545	36	06071	33.94767013	-117.6754339	San Bernardino County
173282	Fee-for-Service	1003209784	1003209784	1	1	ONE LEGACY HOSPICE	2/22/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	& PALLIATIVE CARE INC	178 S VICTORY BLVD	UNIT 107	BURBANK	CA	91502	2805	19	06037	34.17305012	-118.3162651	Los Angeles County
173411	Fee-for-Service	1083840458	1083840458	1	1	OH, FREDERICK S MD	10/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118307	08	Family Practice	0	In state provider	None	1520 STOCKTON STREET	None	SAN FRANCISCO	CA	94133	3354	38	06075	37.79989786	-122.4090369	San Francisco County
173438	Fee-for-Service	1184050171	1184050171	1	1	ORDONA, RON B NP	7/1/2021	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
173533	Fee-for-Service	1457643330	1457643330	1	1	OKORIE, CHIKANELE E MD	8/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137262	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1617 N CALIFORNIA ST	STE 2A	STOCKTON	CA	95204	6117	39	06077	37.9697906	-121.2890104	San Joaquin County
173567	Fee-for-Service	1003209784	1003209784	1	1	ONE LEGACY HOSPICE	2/22/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	& PALLIATIVE CARE INC	178 S VICTORY BLVD	UNIT 107	BURBANK	CA	91502	2805	19	06037	34.17305012	-118.3162651	Los Angeles County
173652	Fee-for-Service	1902250681	1902250681	1	1	O'NEIL, JAMES E MD	12/14/2020	207L00000X	NA	Other	026	PHYSICIANS	170385	None	None	0	In state provider	None	2185 CITRACADO PKWY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
173856	Fee-for-Service	1972965572	1972965572	1	1	OHANIAN, ARMOND MD	10/10/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	158824	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
173875	Fee-for-Service	1659849529	1659849529	1	1	OROVILLE HOSPITAL	10/23/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	A CALIFORNIA CORP	3579 ORO DAM BLVD	SUITE A& B	OROVILLE	CA	95966	5200	04	06007	39.51754433	-121.5344354	Butte County
173908	Fee-for-Service	1396765079	1396765079	1	1	OYE, ROBERT K MD	1/1/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	40346	41	Internal Medicine	0	In state provider	UCLA CTR DEPT OF MED	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
173939	Fee-for-Service	1902961956	1902961956	1	1	OJAI UNIFIED SCHOOL DIST	10/24/2000	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	414 E OJAI AVE	None	OJAI	CA	93023	2819	56	06111	34.44803638	-119.2426937	Ventura County
173964	Fee-for-Service	1780630103	1780630103	1	1	OLLE, ELIZABETH A DO	8/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	7981	01	General Practice	0	In state provider	None	99 MONTECILLO ROAD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
174078	Fee-for-Service	1477522019	1477522019	1	1	ORCHARD HOSPITAL	12/1/1977	282NC0060X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	240 SPRUCE ST	None	GRIDLEY	CA	95948	2216	04	06007	39.36701046	-121.6895355	Butte County
174141	Fee-for-Service	1295994739	1295994739	1	1	OISHI, MARISA L MD	5/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134104	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2450 ASHBY AVENUE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
174165	Fee-for-Service	1659849529	1659849529	1	1	OROVILLE HOSPITAL	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	A CALIFORNIA CORP	3579 ORO DAM BLVD	SUITE A& B	OROVILLE	CA	95966	5200	04	06007	39.51754433	-121.5344354	Butte County
174256	Fee-for-Service	1922480573	1922480573	1	1	O'CONNOR, CHRISTOPHER J MD	10/10/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	155975	08	Family Practice	0	In state provider	None	43112 N 15TH ST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
174299	Fee-for-Service	1083078927	1083078927	1	1	ORANTES, CYNTHIA MD	9/27/2023	207P00000X	NA	Other	026	PHYSICIANS	157120	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
174300	Fee-for-Service	1649358730	1649358730	1	1	OH, JOHN MD	12/17/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83004	34	Urology and Urological Surgery	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
174303	Fee-for-Service	1912167834	1912167834	1	1	ORTEGA, PNEUMA MD	10/6/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	101636	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
174310	Fee-for-Service	1720016181	1720016181	1	1	OLSEN, BONNIE J PHD	10/20/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	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
174334	Fee-for-Service	1528458817	1528458817	1	1	OBANNON, TIFFANY LMFT	6/18/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	350 SOUTH LAKE AVENUE	282	PASADENA	CA	91101	3532	19	06037	34.1397069	-118.1322284	Los Angeles County
174361	Fee-for-Service	1063475507	1063475507	1	1	OBLER, RICHARD MCCALL MD	12/31/1991	207P00000X	NA	Other	026	PHYSICIANS	69818	66	Emergency Medicine (Urgent Care)	0	In state provider	None	525 W ACACIA ST	None	STOCKTON	CA	95203	2405	39	06077	37.9611947	-121.3009489	San Joaquin County
174367	Fee-for-Service	1477522019	1477522019	1	1	ORCHARD HOSPITAL	12/1/1977	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	240 SPRUCE ST	None	GRIDLEY	CA	95948	2216	04	06007	39.36701046	-121.6895355	Butte County
174380	Fee-for-Service	1770204901	1770204901	1	1	OPTIONS RECOVERY SERVICES	3/14/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1470 CIVIC CT	100	CONCORD	CA	94520	5290	07	06013	37.97190134	-122.049461	Contra Costa County
174466	Fee-for-Service	1487669263	1487669263	1	1	OBERT, DAVID R OD	9/19/2006	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
174477	Fee-for-Service	1881107027	1881107027	1	1	OLIVER, MORGAN E 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
174576	Fee-for-Service	1881078798	1881078798	1	1	OSAGHAE, ENOWOGHOMWENMA PSY	10/31/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	D	1615 POLK ST	STE 3	SAN FRANCISCO	CA	94109	3697	38	06075	37.79168181	-122.4209371	San Francisco County
174624	Fee-for-Service	1669014825	1669014825	1	1	OMNI FAMILY HEALTH	10/10/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1110 W VISALIA RD	SUITE 102	EXETER	CA	93221	1481	54	06107	36.29730253	-119.1547035	Tulare County
174719	Fee-for-Service	1316990963	1316990963	1	1	OPTIMAL REHAB INC	3/1/1995	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	430 S CATARACT AVE	None	SAN DIMAS	CA	91773	2902	19	06037	34.10205228	-117.8114595	Los Angeles County
174914	Fee-for-Service	1669014825	1669014825	1	1	OMNI FAMILY HEALTH	3/2/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1110 W VISALIA RD	SUITE 102	EXETER	CA	93221	1481	54	06107	36.29730253	-119.1547035	Tulare County
174915	Fee-for-Service	1124147863	1124147863	1	1	O'LEARY, BERNADETTE A PHD	5/8/2014	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
175048	Fee-for-Service	1669763439	1669763439	1	1	OU, STEPHEN MD	8/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125605	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
175069	Fee-for-Service	1881635688	1881635688	1	1	OMSKI, JOLANTA M MD	5/25/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	81722	08	Family Practice	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
175125	Fee-for-Service	1417035197	1417035197	1	1	OCCHIPINTI, ANTHONY P MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	66775	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
175200	Fee-for-Service	1669014825	1669014825	1	1	OMNI FAMILY HEALTH	3/2/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1110 W VISALIA RD	SUITE 102	EXETER	CA	93221	1481	54	06107	36.29730253	-119.1547035	Tulare County
175253	Fee-for-Service	1518382662	1518382662	1	1	OBENAUER, AMY J CCC-SLP	1/21/2019	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	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
175347	Fee-for-Service	1851712251	1851712251	1	1	OH, JAMES LMFT	12/17/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
175407	Fee-for-Service	1164599536	1164599536	1	1	OZEIR, JENNIFER L MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	63548	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2089 VALE RD	STE 17	SAN PABLO	CA	94806	3848	07	06013	37.95396781	-122.3375393	Contra Costa County
175511	Fee-for-Service	1467588269	1467588269	1	1	OLIVER, BRENDA L LMFT	8/24/2018	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
175632	Fee-for-Service	1184092686	1184092686	1	1	ORTEGA, CLAUDIA E LCSW	1/28/2021	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	110 MACLAY	114	SAN FERNANDO	CA	91340	2989	19	06037	34.28449525	-118.4396137	Los Angeles County
175830	Fee-for-Service	1083061865	1083061865	1	1	OBAIDI, FRESHTA MD	8/1/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151402	08	Family Practice	0	In state provider	None	1020 29TH ST	STE 680	SACRAMENTO	CA	95816	5126	34	06067	38.572803	-121.4685	Sacramento County
175883	Fee-for-Service	1265850929	1265850929	1	1	OLEARYBECK, SALLY A DO	9/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14252	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
176170	Fee-for-Service	1235429861	1235429861	1	1	OKEIGWE, IJEOMA MD	9/18/2018	207VE0102X	NA	Obstetrics & Gynecology	026	PHYSICIANS	157295	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
176244	Fee-for-Service	1073561825	1073561825	1	1	OPTUM WOMENS AND CHILDRENS	1/21/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HEALTH LLC	3110 W LAKE CENTER DRIVE	MAILBOX CA152-0110	SANTA ANA	CA	92704	6917	30	06059	33.69943422	-117.9116717	Orange County
176295	Fee-for-Service	1295846152	1295846152	1	1	O'SHEA, MICHAEL K DPM	9/24/2018	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	29099 HOSPITAL RD	STE. 114	LAKE ARROWHEAD	CA	92352	1875	36	06071	34.26652661	-117.1690546	San Bernardino County
176349	Fee-for-Service	1518632827	1518632827	1	1	OPEN DOOR COMMUNITY HEALTH C	7/14/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2515 HARRISON AVE	None	EUREKA	CA	95501	3220	12	06023	40.78456602	-124.139623	Humboldt County
176411	Fee-for-Service	1538783956	1538783956	1	1	OU, MEI NP	2/25/2022	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
176426	Fee-for-Service	1164516886	1164516886	1	1	OLONA, THOMAS C PHD	2/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1328 CAPISTRANO AVE	None	GLENDALE	CA	91208	1919	19	06037	34.18271959	-118.236595	Los Angeles County
176499	Fee-for-Service	1760679856	1760679856	1	1	O'CONNOR, LAWRENCE R	6/30/1992	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	MEDICAL CORPORATION	1510 S CENTRAL AVE	STE 420	GLENDALE	CA	91204	2564	19	06037	34.12709764	-118.2577911	Los Angeles County
176503	Fee-for-Service	1609992627	1609992627	1	1	OSUNA, RANDY	9/24/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5151 N PALM AVE	STE 605	FRESNO	CA	93704	2271	10	06019	36.81119879	-119.808555	Fresno County
176615	Fee-for-Service	1235535642	1235535642	1	1	OLSON, SARAH NP	5/4/2023	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
176661	Fee-for-Service	1295913366	1295913366	1	1	OLE HEALTH	10/4/2007	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CLINIC OLE	1222 PINE ST	STE A	SAINT HELENA	CA	94574	1830	28	06055	38.50589667	-122.4722577	Napa County
176931	Fee-for-Service	1356909857	1356909857	1	1	OC SENIOR CARE RESOURCES INC	2/8/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	23201 LAKE CENTER DRIVE	SUITE 110	LAKE FOREST	CA	92630	6821	30	06059	33.6255281	-117.7160257	Orange County
176950	Fee-for-Service	1295913366	1295913366	1	1	OLE HEALTH	10/4/2007	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CLINIC OLE	1222 PINE ST	STE A	SAINT HELENA	CA	94574	1830	28	06055	38.50589667	-122.4722577	Napa County
177015	Fee-for-Service	1194805465	1194805465	2	1	OCHIA, CLAUDIA C MD	1/13/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	54189	None	None	0	In state provider	None	333 MERCY AVENUE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
177078	Fee-for-Service	1245777358	1245777358	1	1	OMNI FAMILY HEALTH	12/14/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	925 G STREET	None	REEDLEY	CA	93654	2626	10	06019	36.59806483	-119.4526979	Fresno County
177153	Fee-for-Service	1720261654	1720261654	1	1	OHARA, MICHELE S	12/10/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	740 S PLACENTIA AVE	STE 100	PLACENTIA	CA	92870	6832	30	06059	33.86285731	-117.8822066	Orange County
177195	Fee-for-Service	1952969818	1952969818	1	1	OJAX HOSPICE INC	4/30/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	3111 LOS FELIZ BLVD	STE 208	PASADENA	CA	90039	1585	19	06037	34.12432566	-118.2669792	Los Angeles County
177218	Fee-for-Service	1356909857	1356909857	1	1	OC SENIOR CARE RESOURCES INC	2/8/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	23201 LAKE CENTER DRIVE	SUITE 110	LAKE FOREST	CA	92630	6821	30	06059	33.6255281	-117.7160257	Orange County
177240	Fee-for-Service	1003924432	1003924432	1	1	OAKLAND MEDICAL GRP INC	1/1/1979	174400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	424 28TH ST	None	OAKLAND	CA	94609	3603	01	06001	37.81660247	-122.2659563	Alameda County
177242	Fee-for-Service	1295913366	1295913366	1	1	OLE HEALTH	1/1/2010	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CLINIC OLE	1222 PINE ST	STE A	SAINT HELENA	CA	94574	1830	28	06055	38.50589667	-122.4722577	Napa County
177351	Fee-for-Service	1962869545	1962869545	1	1	OPTOMETRX OPTOMETRY	7/5/2016	193400000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	17134 COLIMA ROAD	SUITE B & C	HACIENDA HEIGHTS	CA	91745	6770	19	06037	33.99066696	-117.9330037	Los Angeles County
177368	Fee-for-Service	1245777358	1245777358	1	1	OMNI FAMILY HEALTH	7/11/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	925 G STREET	None	REEDLEY	CA	93654	2626	10	06019	36.59806483	-119.4526979	Fresno County
177399	Fee-for-Service	1134395007	1134395007	1	1	ORTH, TERESA A MD	3/8/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	154064	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
177433	Fee-for-Service	1952361396	1952361396	1	1	OJHA-HAMMAD, ANITA R MD	3/15/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	80099	41	Internal Medicine	0	In state provider	None	15611 POMERADO RD	STE 200	POWAY	CA	92064	2437	37	06073	32.99706	-117.05544	San Diego County
177464	Fee-for-Service	1538316781	1538316781	1	1	ORTEGA, RAYMUNDO MD	9/7/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106105	08	Family Practice	0	In state provider	None	2210 DEL PASO	None	SACRAMENTO	CA	95834	9671	34	06067	38.655189	-121.5091575	Sacramento County
177480	Fee-for-Service	1952969818	1952969818	1	1	OJAX HOSPICE INC	4/30/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	3111 LOS FELIZ BLVD	STE 208	PASADENA	CA	90039	1585	19	06037	34.12432566	-118.2669792	Los Angeles County
177526	Fee-for-Service	1295913366	1295913366	1	1	OLE HEALTH	11/10/2011	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	CLINIC OLE	1222 PINE ST	STE A	SAINT HELENA	CA	94574	1830	28	06055	38.50589667	-122.4722577	Napa County
177542	Fee-for-Service	1124468293	1124468293	1	1	OJEVWE, FIDELIS O MD	12/7/2023	207R00000X	NA	Other	026	PHYSICIANS	189892	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
177546	Fee-for-Service	1598347296	1598347296	1	1	OWENS, SHANNON LCSW	10/2/2023	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
177601	Fee-for-Service	1588605273	1588605273	1	1	ORLANDO, MARC D MD	8/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	02	General Surgery	1	Border provider	None	3000 BRYANT WILLIAMS DR	None	KLAMATH FALLS	OR	97601	1139	00	None	42.25179653	-121.7822714	Klamath County
177607	Fee-for-Service	1962630467	1962630467	1	1	O'CONNOR, VICTORIA MD	2/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120167	78	Neoplastic Diseases/Oncology	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
177654	Fee-for-Service	1245777358	1245777358	1	1	OMNI FAMILY HEALTH	5/15/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	925 G STREET	None	REEDLEY	CA	93654	2626	10	06019	36.59806483	-119.4526979	Fresno County
177942	Fee-for-Service	1245777358	1245777358	1	1	OMNI FAMILY HEALTH	7/11/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	925 G STREET	None	REEDLEY	CA	93654	2626	10	06019	36.59806483	-119.4526979	Fresno County
178110	Fee-for-Service	1821154436	1821154436	1	1	OEI, HELENA A V NP	6/3/2016	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
178195	Fee-for-Service	1952833063	1952833063	1	1	OGAGA, ONOME A CNP	8/27/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	738 BANCROFT RD	None	WALNUT CREEK	CA	94598	1531	07	06013	37.92857256	-122.041705	Contra Costa County
178198	Fee-for-Service	1417953456	1417953456	2	1	OCHI, JAMES W MD	3/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	55273	01	General Practice	0	In state provider	None	2001 FOURTH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
178203	Fee-for-Service	1205459971	1205459971	1	1	OFTEDAL, BRENTWOOD MD	8/1/2023	390200000X	NA	Other	026	PHYSICIANS	188339	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
178207	Fee-for-Service	1124260146	1124260146	1	1	ORTIZ, LAURA LCSW	12/5/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1721 TECHNOLOGY DR	None	SAN JOSE	CA	95110	1305	43	06085	37.36464282	-121.9163895	Santa Clara County
178410	Fee-for-Service	1649422338	1649422338	1	1	O'BRYAN-BECERRA, CARLOS E MD	5/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110745	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
178411	Fee-for-Service	1598375172	1598375172	1	1	OC HEALTH INC	3/6/2023	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	CARE	2000 W CORPORATE WAY	None	ANAHEIM	CA	92801	5373	30	06059	33.83770701	-117.9515497	Orange County
178506	Fee-for-Service	1275826281	1275826281	1	1	OSEI, KWASI MD	10/31/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123685	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
178555	Fee-for-Service	1538167358	1538167358	1	1	OVERBECK, MICHAEL C MD	11/1/2017	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
178588	Fee-for-Service	1760570535	1760570535	1	1	O'CONNOR, LAURA J MD	10/11/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	83428	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
179024	Fee-for-Service	1740579416	1740579416	1	1	O'BRIEN, COLETTE R NP	5/5/2011	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
179227	Fee-for-Service	1396017927	1396017927	1	1	ORGILL, ROBERT J CRNA	6/8/2023	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
179362	Fee-for-Service	1346448537	1346448537	1	1	ORTIZ POMALES, YAN T MD	5/26/2020	208600000X	NA	General Surgery	026	PHYSICIANS	155358	24	Plastic Surgery	0	In state provider	None	6860 AVENIDA ENCINAS	None	CARLSBAD	CA	92009	3201	37	06073	33.10754269	-117.3146974	San Diego County
179507	Fee-for-Service	1801462791	1801462791	1	1	OAKLEY ASSISTED LIVING II	10/21/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1449 BUTTONS CT	None	OAKLEY	CA	94561	5741	07	06013	37.99520052	-121.7210265	Contra Costa County
179630	Fee-for-Service	1922011816	1922011816	1	1	OMERIGBO, NNENNAYA O DO	2/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	7791	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
179637	Fee-for-Service	1518301977	1518301977	1	1	OLSEN, JEFFERY J DO	10/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	102 E LAKE MEAD PKWY	None	HENDERSON	NV	89015	5775	00	None	36.03815706	-114.9842287	Clark County
179802	Fee-for-Service	1588001242	1588001242	1	1	OXFORD, TREY L III MD	12/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135587	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
179807	Fee-for-Service	1306548052	1306548052	1	1	OLGADO, JACQUELINE C NP	2/16/2024	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25455 BARTON RD	STE 108A	LOMA LINDA	CA	92354	3129	36	06071	34.04805253	-117.249534	San Bernardino County
179836	Fee-for-Service	1427204593	1427204593	1	1	OAKLEY, RICHARD J MD	7/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	300 PASTEUR DR	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
179966	Fee-for-Service	1669204160	1669204160	1	1	ORTED MEDICAL INC	1/31/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	NESS	6180 BROCKTON AVE	103	RIVERSIDE	CA	92506	2228	33	06065	33.958692	-117.3967415	Riverside County
180004	Fee-for-Service	1518076256	1518076256	1	1	OLIVEIRA MEDICAL INC APC	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	7032	01	General Practice	0	In state provider	None	506 W GRAHAM AVE	STE 107	LAKE ELSINORE	CA	92530	3665	33	06065	33.66962801	-117.3335059	Riverside County
180030	Fee-for-Service	1578792156	1578792156	1	1	OEVERAAS, TARGHEE O MD	9/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121000	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2170 SOUTH AVENUE	None	SOUTH LAKE TAHOE	CA	96150	7026	09	06017	38.91229842	-119.9978133	El Dorado County
180055	Fee-for-Service	1043090582	1043090582	1	1	OASIS DERMATOLOGY, INC	2/14/2024	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	None	12565 HESPERIA RD	STE 3	VICTORVILLE	CA	92395	8318	36	06071	34.47971486	-117.2908434	San Bernardino County
180081	Fee-for-Service	1558654673	1558654673	1	1	OLSON, CHRISTINE M	11/16/2018	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	980 ROOSEVELT	STE 100	IRVINE	CA	92620	3670	30	06059	33.69380208	-117.7653165	Orange County
180136	Fee-for-Service	1528298346	1528298346	1	1	OBERLEY, MATTHEW J MD	4/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134481	22	Pathology (M.D. only)	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	9062	19	06037	34.09813032	-118.2901794	Los Angeles County
180163	Fee-for-Service	1992115265	1992115265	1	1	OASIS HAVEN HOSPICE INC	5/23/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2081 BUSINESS CENTER DR	STE 218	IRVINE	CA	92612	1117	30	06059	33.67939212	-117.8561729	Orange County
180164	Fee-for-Service	1861867590	1861867590	1	1	OMNI FAMILY HEALTH	2/23/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	659 CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	15	06029	35.50162757	-119.2730311	Kern County
180275	Fee-for-Service	1609656404	1609656404	1	1	OJAI RECOVERY LLC	3/10/2025	101YA0400X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	158 ROCKAWAY RD	None	OAK VIEW	CA	93022	9306	56	06111	34.40922871	-119.3067262	Ventura County
180293	Fee-for-Service	1518076256	1518076256	1	1	OLIVEIRA MEDICAL INC APC	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	7032	08	Family Practice	0	In state provider	None	506 W GRAHAM AVE	STE 107	LAKE ELSINORE	CA	92530	3665	33	06065	33.66962801	-117.3335059	Riverside County
180355	Fee-for-Service	1437791779	1437791779	1	1	OMNI FAMILY HEALTH	2/2/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1451 WHITE LN	None	BAKERSFIELD	CA	93307	4677	15	06029	35.31758253	-119.018988	Kern County
180404	Fee-for-Service	1164630117	1164630117	1	1	OBEMBE, OLUFOLAJIMI O MD	10/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	158170	30	Radiology	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
180451	Fee-for-Service	1861867590	1861867590	1	1	OMNI FAMILY HEALTH	5/23/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	659 CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	15	06029	35.50162757	-119.2730311	Kern County
180455	Fee-for-Service	1992115265	1992115265	1	1	OASIS HAVEN HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2081 BUSINESS CENTER DR	STE 218	IRVINE	CA	92612	1117	30	06059	33.67939212	-117.8561729	Orange County
180478	Fee-for-Service	1073903050	1073903050	1	1	OHALLORAN, CHRISTINA L LCSW	3/13/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	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
180645	Fee-for-Service	1437791779	1437791779	1	1	OMNI FAMILY HEALTH	6/8/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1451 WHITE LN	None	BAKERSFIELD	CA	93307	4677	15	06029	35.31758253	-119.018988	Kern County
180670	Fee-for-Service	1710506084	1710506084	1	1	OLATUNJI, CYNTHIA C MD	10/20/2023	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	187442	None	None	0	In state provider	None	2150 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4811	36	06071	34.134705	-117.2787865	San Bernardino County
180681	Fee-for-Service	1699003723	1699003723	1	1	OVERMON, ALLISON L MD	11/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	156217	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
180741	Fee-for-Service	1861867590	1861867590	1	1	OMNI FAMILY HEALTH	5/23/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	659 CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	15	06029	35.50162757	-119.2730311	Kern County
180930	Fee-for-Service	1437791779	1437791779	1	1	OMNI FAMILY HEALTH	9/29/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1451 WHITE LN	None	BAKERSFIELD	CA	93307	4677	15	06029	35.31758253	-119.018988	Kern County
180969	Fee-for-Service	1245353622	1245353622	1	1	OYEWOLE, JOSEPHINE A	9/11/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	TOPSYN MEDICAL SUPPLY	225 S RIVERSIDE AVE	SUITE 4	RIALTO	CA	92376	6458	36	06071	34.09785282	-117.3702182	San Bernardino County
181019	Fee-for-Service	1619053899	1619053899	1	1	OBSTETRICS & GYNECOLOGY	2/1/1997	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MED ASSOC OF REDDING INC	2626 EDITH AVE	STE B	REDDING	CA	96001	3056	45	06089	40.57103976	-122.3974622	Shasta County
181027	Fee-for-Service	1861867590	1861867590	1	1	OMNI FAMILY HEALTH	2/27/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	659 CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	15	06029	35.50162757	-119.2730311	Kern County
181029	Fee-for-Service	1982846515	1982846515	1	1	OTE, ROBERT C MD	1/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109694	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
181068	Fee-for-Service	1336401702	1336401702	1	1	ORR, JEFFREY D MD	11/3/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	137630	None	None	0	In state provider	None	41870 GARSTIN DRIVE	None	BIG BEAR LAKE	CA	92315	1649	36	06071	34.24602097	-116.8885243	San Bernardino County
181122	Fee-for-Service	1689254286	1689254286	1	1	OSTERHAUS, SHEILA NP	12/29/2022	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
181172	Fee-for-Service	1972919322	1972919322	1	1	OLIVEROS, ADRIANA 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
181184	Fee-for-Service	1881759348	1881759348	2	1	OUR HOUSE RESIDENTIAL CARE	7/13/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2701 WESTGATE	None	MADERA	CA	93637	4156	20	06039	36.95608662	-120.0932213	Madera County
181228	Fee-for-Service	1437791779	1437791779	1	1	OMNI FAMILY HEALTH	6/8/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1451 WHITE LN	None	BAKERSFIELD	CA	93307	4677	15	06029	35.31758253	-119.018988	Kern County
181294	Fee-for-Service	1760007330	1760007330	1	5	ORTHOWEST	11/7/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	None	22 ODYSSEY	SUITE 205	IRVINE	CA	92618	3197	30	06059	33.66719598	-117.7642461	Orange County
181368	Fee-for-Service	1184709057	1184709057	1	1	ORLANDO HEALTH, INC	1/17/2002	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CARE SYSTEMS	1414 KUHL AVE	None	ORLANDO	FL	32806	2008	00	None	28.52546184	-81.37816293	Orange County
181370	Fee-for-Service	1942332754	1942332754	2	1	OLE HEALTH	11/2/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	500 B JEFFERSON BLV #195	None	WEST SACRAMENTO	CA	95605	2350	57	06113	38.58758543	-121.5270475	Yolo County
181390	Fee-for-Service	1083387765	1083387765	1	1	OLOWALU BEACH HOLDINGS LLC	8/1/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	246 SPRUCE ST	None	GRIDLEY	CA	95948	2216	04	06007	39.36699946	-121.6907235	Butte County
181484	Fee-for-Service	1841580032	1841580032	1	1	OZANICK, KRYSTAL A MD	11/17/2019	2084P0804X	NA	Psychiatry	026	PHYSICIANS	131159	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
181580	Fee-for-Service	1760007330	1760007330	1	5	ORTHOWEST	11/7/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	22 ODYSSEY	SUITE 205	IRVINE	CA	92618	3197	30	06059	33.66719598	-117.7642461	Orange County
181583	Fee-for-Service	1346244043	1346244043	1	1	OLSON, JOLANTA MD	8/19/2024	208M00000X	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
181657	Fee-for-Service	1184709057	1184709057	1	1	ORLANDO HEALTH, INC	1/17/2002	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CARE SYSTEMS	1414 KUHL AVE	None	ORLANDO	FL	32806	2008	00	None	28.52546184	-81.37816293	Orange County
181952	Fee-for-Service	1689754665	1689754665	2	1	OLELEWE, SARAH S MD	6/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	56520	38	Geriatrics	0	In state provider	None	11712 HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	2318	19	06037	33.92802	-118.352464	Los Angeles County
181959	Fee-for-Service	1497411003	1497411003	1	1	ODOGWU, OJIUGO	12/18/2023	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
181965	Fee-for-Service	1912978263	1912978263	1	1	OAKES, MARYA NP	3/20/2019	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	24700 CALAROGA AVE	STE 103	HAYWARD	CA	94545	2160	01	06001	37.64903435	-122.1018438	Alameda County
181966	Fee-for-Service	1003246570	1003246570	1	1	OGREN, LAUREN A LMFT	8/29/2020	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
182001	Fee-for-Service	1659801504	1659801504	1	1	OGAWA, MAKOTO	7/6/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	176213	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
182076	Fee-for-Service	1073027603	1073027603	1	1	OASIS ADVANCED GASTROENTEROL	8/10/2018	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	None	10	Gastroenterology (M.D. only)	0	In state provider	OGY, INC.	1100 N PALM CANYON DR	214	PALM SPRINGS	CA	92262	4426	33	06065	33.838182	-116.546744	Riverside County
182086	Fee-for-Service	1275670838	1275670838	1	1	ORANGE COUNTY CCS	5/23/2003	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	GARDEN GROVE MTU	6202 CERULEAN AVE	None	GARDEN GROVE	CA	92845	2711	30	06059	33.77855147	-118.0257885	Orange County
182173	Fee-for-Service	1174969356	1174969356	1	1	OKWAN-DUODU, DERICK MD	2/5/2025	207ZP0102X	NA	Other	026	PHYSICIANS	168866	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
182200	Fee-for-Service	1427552256	1427552256	1	1	OLSON, PAUL R DO	3/9/2023	207L00000X	NA	Other	026	PHYSICIANS	20714	None	None	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
182239	Fee-for-Service	1689754665	1689754665	2	1	OLELEWE, SARAH S MD	6/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	56520	41	Internal Medicine	0	In state provider	None	11712 HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	2318	19	06037	33.92802	-118.352464	Los Angeles County
182317	Fee-for-Service	1780643692	1780643692	1	1	OCTAVIO DELAPENA	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	DIGESTIVE HEALTH ASSOC	7929 BROOKRIVER DR 300	None	DALLAS	TX	75247	4946	00	None	32.81917046	-96.86544725	Dallas County
182342	Fee-for-Service	1316958077	1316958077	1	2	OUR LADY OF LOURDES HOME	2/8/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HEALTH INC	8560 VINEYARD AVE	SUITE 406	RANCHO CUCAMONGA	CA	91730	4350	36	06071	34.098435	-117.611127	San Bernardino County
182355	Fee-for-Service	1114938149	1114938149	1	1	O'CONNOR SUSAN MCANELLY	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	50612	14	Neurological Surgery	0	In state provider	None	10833 LE CONTE AVE	RM 12-430	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
182459	Fee-for-Service	1174969356	1174969356	1	1	OKWAN-DUODU, DERICK MD	2/5/2025	207ZP0102X	NA	Other	026	PHYSICIANS	168866	22	Pathology (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
182468	Fee-for-Service	1093961005	1093961005	1	1	ORINGHER, JONATHAN A PHD	7/5/2013	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
182548	Fee-for-Service	1013319169	1013319169	1	1	O'HAIRE, CHELSEA PSYD	12/13/2017	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	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
182704	Fee-for-Service	1013043645	1013043645	1	1	OLIVER, THOMAS DC	5/1/2002	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	STOCKTON FAMILY CHIROPRA	3020 PACIFIC AVENUE	None	STOCKTON	CA	95204	3639	39	06077	37.97705173	-121.304442	San Joaquin County
182877	Fee-for-Service	1356570469	1356570469	1	1	ORANDI, CYRUS R MD	5/16/2018	208600000X	NA	General Surgery	026	PHYSICIANS	148874	02	General Surgery	0	In state provider	None	2800 L STREET	200	SACRAMENTO	CA	95816	5616	34	06067	38.571237	-121.469958	Sacramento County
182887	Fee-for-Service	1679520449	1679520449	1	1	OUANO, ESTELITA C MD	4/14/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	158237	None	None	0	In state provider	None	1197 E ARQUES AVE	None	SUNNYVALE	CA	94085	3904	43	06085	37.38051652	-121.9964175	Santa Clara County
182944	Fee-for-Service	1407082100	1407082100	1	1	OLSON, NIELS H MD	10/2/2021	207ZP0102X	NA	Other	026	PHYSICIANS	114381	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
183287	Fee-for-Service	1174625990	1174625990	1	1	OGBO, RITA N MD	6/5/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	52176	41	Internal Medicine	0	In state provider	None	10301 GARVEY AVE	STE 100	EL MONTE	CA	91733	2180	19	06037	34.06275647	-118.0463355	Los Angeles County
183294	Fee-for-Service	1124021688	1124021688	1	1	ONG, OLIVIA MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66933	18	Ophthalmology	0	In state provider	None	1001 POTRERO AVE	RM 4M31	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
183478	Fee-for-Service	1902204423	1902204423	1	1	ORDUNO, ANNETTE D CRNA	9/8/2020	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
183584	Fee-for-Service	1184003121	1184003121	1	1	ODUGUWA, ABIMBOLA MD	2/28/2025	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
183803	Fee-for-Service	1356807820	1356807820	1	1	ORIGINS HOME HEALTHCARE PLUS	6/13/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	137 1/2 S KNOTT AVE	None	ANAHEIM	CA	92804	1406	30	06059	33.830397	-118.010977	Orange County
183804	Fee-for-Service	1215020169	1215020169	2	1	OJEDA, ALONSO R MD	4/14/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	44777	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	6767 BROCKTON AVE	None	RIVERSIDE	CA	92506	3023	33	06065	33.950448	-117.396769	Riverside County
183841	Fee-for-Service	1124492061	1124492061	1	1	O'CONNOR, ALYSON S	4/2/2020	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	14221 EUCLID ST	SUITE F	GARDEN GROVE	CA	92843	4991	30	06059	33.757191	-117.937638	Orange County
183846	Fee-for-Service	1710942800	1710942800	1	1	OWENS, DENNIS CRNA	12/18/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1100 MAGELLAN DR.	None	TEHACHAPI	CA	93561	1380	15	06029	35.14690796	-118.4506925	Kern County
184011	Fee-for-Service	1346425964	1346425964	1	1	OMID, NIKA MD	8/28/2017	207W00000X	NA	Ophthalmology	026	PHYSICIANS	100310	18	Ophthalmology	0	In state provider	None	4920 BARRANCA PKWY	STE A	IRVINE	CA	92604	4672	30	06059	33.67622637	-117.7951471	Orange County
184129	Fee-for-Service	1336355981	1336355981	1	1	OREILLY, KERRY E 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
184413	Fee-for-Service	1891915567	1891915567	1	1	ONEGENERATION ADULT DAY	7/6/1995	311ZA0620X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	HEALTHCARE PROGRAM	17400 VICTORY BLVD	None	VAN NUYS	CA	91406	5349	19	06037	34.183827	-118.514403	Los Angeles County
184430	Fee-for-Service	1730169855	1730169855	1	1	OSTROM, RONALD J DO	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	7663	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2215 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
184443	Fee-for-Service	1780268722	1780268722	1	1	ODANI, SHOKO NP	8/22/2023	363LX0001X	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
184503	Fee-for-Service	1730616624	1730616624	1	1	ONE HEALTH HOME CARE INC	11/27/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2133 LAS POSITAS CT	STE I	LIVERMORE	CA	94551	9772	01	06001	37.69720643	-121.7761117	Alameda County
184534	Fee-for-Service	1356878862	1356878862	1	1	OCRAN, CINDY MD	9/26/2022	207WX0200X	NA	Ophthalmology	026	PHYSICIANS	172136	None	None	0	In state provider	None	5525 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3009	37	06073	32.781195	-117.0070695	San Diego County
184573	Fee-for-Service	1245331297	1245331297	1	1	OCAMPO, HERMENEGILDO P	2/8/2015	208600000X	NA	General Surgery	026	PHYSICIANS	41629	02	General Surgery	0	In state provider	JR MD	1414 S GRAND AVE	#456	LOS ANGELES	CA	90015	3071	19	06037	34.03661142	-118.2657227	Los Angeles County
184617	Fee-for-Service	1457714651	1457714651	1	1	ONG, CINDY MD	5/8/2019	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	155757	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
184857	Fee-for-Service	1952082646	1952082646	1	1	O'MALLEY, BRANDON NP	4/22/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2373 COLORADO BLVD	None	LOS ANGELES	CA	90041	1157	19	06037	34.13990611	-118.2182985	Los Angeles County
184878	Fee-for-Service	1548301633	1548301633	1	1	OAK VALLEY HOSPITAL DIST	3/12/1996	261QR1300X	NA	Rural Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2603 PATTERSON RD	STE 3	RIVERBANK	CA	95367	3407	50	06099	37.73272653	-120.949119	Stanislaus County
185154	Fee-for-Service	1093900938	1093900938	1	1	OJARIGI, ASAMAU D PSYD	11/30/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	28240 AGOURA RD	101	AGOURA HILLS	CA	91301	2485	19	06037	34.14086266	-118.7423339	Los Angeles County
185166	Fee-for-Service	1548301633	1548301633	1	1	OAK VALLEY HOSPITAL DIST	3/12/1996	261QR1300X	NA	Rural Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2603 PATTERSON RD	STE 3	RIVERBANK	CA	95367	3407	50	06099	37.73272653	-120.949119	Stanislaus County
185292	Fee-for-Service	1619286846	1619286846	1	1	OWENS-MOORE, ANN M LCSW	5/31/2011	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	760 WESTWOOD PLAZA DR	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
185447	Fee-for-Service	1134312267	1134312267	1	1	OTTERSON, BROOKE L PSYD	3/31/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
185456	Fee-for-Service	1548301633	1548301633	1	1	OAK VALLEY HOSPITAL DIST	3/12/1996	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2603 PATTERSON RD	STE 3	RIVERBANK	CA	95367	3407	50	06099	37.73272653	-120.949119	Stanislaus County
185545	Fee-for-Service	1336189182	1336189182	1	1	OLDHAM, GEORGE MD	1/1/1994	207P00000X	NA	Other	026	PHYSICIANS	79685	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
185623	Fee-for-Service	1932921079	1932921079	1	1	ONTARIO-MONTCLAIR SCHOOL DIS	1/3/2025	No Taxonomy Provided	NA	None	112	CYBHI FEE SCHEDULE	-	-	NOT APPLICABLE	0	In state provider	None	950 W D ST	None	ONTARIO	CA	91762	3026	36	06071	34.067304	-117.667098	San Bernardino County
185660	Fee-for-Service	1881612513	1881612513	1	1	O GRADY, GERALD P MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	31655	41	Internal Medicine	0	In state provider	None	1505 SOQUEL DR	STE 7	SANTA CRUZ	CA	95065	1716	44	06087	36.98803429	-121.9848045	Santa Cruz County
185742	Fee-for-Service	1548301633	1548301633	1	1	OAK VALLEY HOSPITAL DIST	3/1/1997	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2603 PATTERSON RD	STE 3	RIVERBANK	CA	95367	3407	50	06099	37.73272653	-120.949119	Stanislaus County
185785	Fee-for-Service	1962745109	1962745109	1	1	ORANGE COUNTY BURN SURGEONS	6/24/2016	174400000X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	PC	1001 NORTH TUSTIN AVE	None	SANTA ANA	CA	92705	3502	30	06059	33.75363187	-117.8341886	Orange County
185810	Fee-for-Service	1316502016	1316502016	1	1	OLIVER, DAVID C MD	1/23/2023	207P00000X	NA	Other	026	PHYSICIANS	182218	None	None	0	In state provider	None	2215 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
185828	Fee-for-Service	1962792952	1962792952	1	1	ORR, JEFFREY A MD	9/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149744	20	Orthopedic Surgery	0	In state provider	None	1139 THIRD ST	None	SOUTH LAKE TAHOE	CA	96150	3465	09	06017	38.91323462	-119.9965999	El Dorado County
185850	Fee-for-Service	1467675058	1467675058	1	1	OLENSKI, PAWEL MD	7/14/2015	2084P0800X	NA	Psychiatry	026	PHYSICIANS	39596	36	Psychiatry	0	In state provider	None	5252 BALBOA AVE	STE 602	SAN DIEGO	CA	92117	6932	37	06073	32.81892468	-117.1833243	San Diego County
185948	Fee-for-Service	1881612513	1881612513	1	1	O GRADY, GERALD P MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	31655	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1505 SOQUEL DR	STE 7	SANTA CRUZ	CA	95065	1716	44	06087	36.98803429	-121.9848045	Santa Cruz County
185970	Fee-for-Service	1275094179	1275094179	1	1	O'CONNELL, CHLOE P MD	11/30/2023	207L00000X	NA	Other	026	PHYSICIANS	184573	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
185984	Fee-for-Service	1487842944	1487842944	1	1	O'SULLIVAN, RICHARD M	7/1/1996	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1477 LINCOLN ST	None	REDDING	CA	96001	2641	45	06089	40.57851566	-122.3895308	Shasta County
186037	Fee-for-Service	1104974922	1104974922	1	1	OHARA, WILLIAM M MD	4/30/1995	204D00000X	NA	Other	026	PHYSICIANS	74215	20	Orthopedic Surgery	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
186111	Fee-for-Service	1679644983	1679644983	1	1	OJURI, ADEBAMBO O MD	1/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	46336	10	Gastroenterology (M.D. only)	0	In state provider	None	8110 AIRPORT BLVD	None	LOS ANGELES	CA	90045	3119	19	06037	33.96526302	-118.3852705	Los Angeles County
186130	Fee-for-Service	1972709087	1972709087	1	1	OLOUGHLIN, BRIAN J MD	6/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120064	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
186135	Fee-for-Service	1205869815	1205869815	1	1	OBASI, EJIKEME 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	3650 W 95TH ST	None	EVERGREEN PK	IL	60805	2108	00	None	41.72063592	-87.71363145	Cook County
186136	Fee-for-Service	1467675058	1467675058	1	1	OLENSKI, PAWEL MD	7/14/2015	2084P0800X	NA	Psychiatry	026	PHYSICIANS	39596	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5252 BALBOA AVE	STE 602	SAN DIEGO	CA	92117	6932	37	06073	32.81892468	-117.1833243	San Diego County
186397	Fee-for-Service	1356384192	1356384192	1	1	ORO, TERESITA B MD	6/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	46195	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	8100 SUNLAND BLVD	None	SUN VALLEY	CA	91352	3948	19	06037	34.21771742	-118.3701303	Los Angeles County
186398	Fee-for-Service	1679644983	1679644983	1	1	OJURI, ADEBAMBO O MD	1/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	46336	41	Internal Medicine	0	In state provider	None	8110 AIRPORT BLVD	None	LOS ANGELES	CA	90045	3119	19	06037	33.96526302	-118.3852705	Los Angeles County
186427	Fee-for-Service	1912684820	1912684820	1	1	OTTI, FOLASADE	3/13/2024	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
186561	Fee-for-Service	1477785665	1477785665	1	1	ORTHOPEDIC INSTITUTE OF THE	10/5/2009	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	84190	20	Orthopedic Surgery	0	In state provider	BAY	901 CAMPUS DR	#111	DALY CITY	CA	94015	4930	41	06081	37.66535778	-122.4763793	San Mateo County
186596	Fee-for-Service	1154406015	1154406015	1	1	OPPENHEIM, STEVEN MD	3/31/1989	207R00000X	NA	Other	026	PHYSICIANS	54939	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	W HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
186614	Fee-for-Service	1750037743	1750037743	1	1	OGEGA, VICTOR BWOMA	4/28/2022	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	6902 BANK SIDE DR	None	JURUPA VALLEY	CA	91752	2726	33	06065	33.96285077	-117.5393454	Riverside County
186686	Fee-for-Service	1679644983	1679644983	1	1	OJURI, ADEBAMBO O MD	1/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	46336	01	General Practice	0	In state provider	None	8110 AIRPORT BLVD	None	LOS ANGELES	CA	90045	3119	19	06037	33.96526302	-118.3852705	Los Angeles County
186787	Fee-for-Service	1508346883	1508346883	1	1	OLLEN, ELIZABETH W PSYD	10/8/2019	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
186809	Fee-for-Service	1154407773	1154407773	1	1	OPTIONS FAMILY OF SERVICES	6/30/1992	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	490 BERNARDO AVE	None	MORRO BAY	CA	93442	2639	40	06079	35.361963	-120.843412	San Luis Obispo County
186884	Fee-for-Service	1578631719	1578631719	2	1	OMEGA PHARMA INC	9/30/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3163 N. SAN GABRIEL BLVD	103	ROSEMEAD	CA	91770	2586	19	06037	34.06597265	-118.0906335	Los Angeles County
186902	Fee-for-Service	1750037743	1750037743	1	1	OGEGA, VICTOR BWOMA	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	6902 BANK SIDE DR	None	JURUPA VALLEY	CA	91752	2726	33	06065	33.96285077	-117.5393454	Riverside County
186939	Fee-for-Service	1538787031	1538787031	1	1	OLCOTT, KELLY NP	5/17/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	20055 LAKE CHABOT RD	STE 130	CASTRO VALLEY	CA	94546	5332	01	06001	37.69836512	-122.0873587	Alameda County
186996	Fee-for-Service	1215992748	1215992748	1	2	ORANGE COUNTY UROLOGY ASSOCI	8/19/2022	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	ATES, INC A MEDICAL GROU	500 SUPERIOR AVENUE	305	NEWPORT BEACH	CA	92663	3660	30	06059	33.63017269	-117.929499	Orange County
187040	Fee-for-Service	1790046886	1790046886	1	1	OH, ANDREW MD	7/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155447	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
187120	Fee-for-Service	1417691429	1417691429	1	1	OURFALIAN, LAURA J LCSW	11/13/2023	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
187175	Fee-for-Service	1154498046	1154498046	1	1	OSANO, CYDNEY M MD	8/17/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	74143	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
187243	Fee-for-Service	1053418657	1053418657	1	1	OYE, RONALD T OD	1/1/1979	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	730 SPAANS DR	None	GALT	CA	95632	8607	34	06067	38.265462	-121.303296	Sacramento County
187268	Fee-for-Service	1477505881	1477505881	1	1	OSTROFF, JAMES W MD	1/1/1982	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	41522	10	Gastroenterology (M.D. only)	0	In state provider	None	350 PARNASSUS AVE	STE 410	SAN FRANCISCO	CA	94117	3608	38	06075	37.76403932	-122.4561371	San Francisco County
187285	Fee-for-Service	1215992748	1215992748	1	2	ORANGE COUNTY UROLOGY ASSOCI	8/19/2022	208800000X	NA	Other	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	ATES, INC A MEDICAL GROU	500 SUPERIOR AVENUE	305	NEWPORT BEACH	CA	92663	3660	30	06059	33.63017269	-117.929499	Orange County
187292	Fee-for-Service	1215114533	1215114533	1	1	OTTERSBACH, GUNTHER MD	6/29/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	110590	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
187395	Fee-for-Service	1235196718	1235196718	1	1	ORNELAS, FRANCISCO MD	12/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	60144	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3865 JACKSON ST	None	RIVERSIDE	CA	92503	3919	33	06065	33.92617009	-117.4404151	Riverside County
187437	Fee-for-Service	1063750297	1063750297	1	1	OROVILLE HOSPITAL	6/3/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2721 OLIVE HIGHWAY	STE 10, 10B, 12A & 12B	OROVILLE	CA	95966	6118	04	06007	39.50452062	-121.5420592	Butte County
187464	Fee-for-Service	1114336260	1114336260	1	1	OKWUOSA, CHRIS U MD	4/1/2021	208600000X	NA	General Surgery	026	PHYSICIANS	170738	None	None	0	In state provider	None	18310 US HWY 18	STE 100	APPLE VALLEY	CA	92307	2206	36	06071	34.54034956	-117.2645069	San Bernardino County
187488	Fee-for-Service	1578592309	1578592309	1	1	OPTIGEN INCORPORATED	2/15/2022	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	1351 13TH AVE S	STE 100	JACKSONVILLE BEAC	FL	32250	3234	00	None	30.27476319	-81.39765086	Duval County
187557	Fee-for-Service	1477505881	1477505881	1	1	OSTROFF, JAMES W MD	1/1/1982	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	41522	41	Internal Medicine	0	In state provider	None	350 PARNASSUS AVE	STE 410	SAN FRANCISCO	CA	94117	3608	38	06075	37.76403932	-122.4561371	San Francisco County
187724	Fee-for-Service	1063750297	1063750297	1	1	OROVILLE HOSPITAL	6/3/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2721 OLIVE HIGHWAY	STE 10, 10B, 12A & 12B	OROVILLE	CA	95966	6118	04	06007	39.50452062	-121.5420592	Butte County
187825	Fee-for-Service	1306056676	1306056676	1	1	ORLANDO, MARC V MD	1/8/2018	208200000X	NA	General Surgery	026	PHYSICIANS	135204	24	Plastic Surgery	0	In state provider	None	8635 W 3RD ST	SUITE 1090 WEST	LOS ANGELES	CA	90048	6101	19	06037	34.07361928	-118.3803143	Los Angeles County
187878	Fee-for-Service	1346384682	1346384682	1	1	OTERO-SALAZAR, ELSA MD	5/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93408	40	Pediatrics	0	In state provider	None	1828 CESAR CHAVEZ AVE	STE B 218	LOS ANGELES	CA	90033	0000	19	06037	34.05023174	-118.2154927	Los Angeles County
188033	Fee-for-Service	1487881116	1487881116	2	1	OBIOZOR, CYNTHIA C MD	6/14/2023	207R00000X	NA	Other	026	PHYSICIANS	165606	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
188066	Fee-for-Service	1063086924	1063086924	1	1	OLIVER, ALEXANDRA R MD	7/1/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	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
188113	Fee-for-Service	1992141428	1992141428	1	1	ODISH, MAZEN F MD	9/23/2019	390200000X	NA	Other	026	PHYSICIANS	133179	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
188228	Fee-for-Service	1265503148	1265503148	1	1	OUZOUNIAN, JOSEPH G MD	11/21/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	71815	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
188241	Fee-for-Service	1437412707	1437412707	1	1	OKDI, NASSER E MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137440	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	SUITE 365, 120, 420	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
188253	Fee-for-Service	1245222363	1245222363	1	1	OLITO, ATLANTA C	6/21/2000	207L00000X	NA	Other	026	PHYSICIANS	6471	None	None	0	In state provider	None	400 E MAIN ST	STE 200	STOCKTON	CA	95202	3000	39	06077	37.95344497	-121.2852303	San Joaquin County
188429	Fee-for-Service	1609389873	1609389873	1	1	OVERCAST, KERI CCC-SLP	12/23/2019	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	41555 COOK ST	100	PALM DESERT	CA	92211	5184	33	06065	33.74651823	-116.3563827	Riverside County
188442	Fee-for-Service	1942489398	1942489398	2	1	OMNI HOME HEALTH INC	3/23/2012	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	6222 WILSHIRE BLVD	SUITE 515	LOS ANGELES	CA	90048	5123	19	06037	34.06325771	-118.3641574	Los Angeles County
188447	Fee-for-Service	1972813228	1972813228	1	1	OROZCO, ISAURA LCSW	11/26/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	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
188506	Fee-for-Service	1770753618	1770753618	1	1	OZIEGBE, PETER	2/7/2023	363L00000X	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
188564	Fee-for-Service	1710097936	1710097936	1	1	OCHSNER MEDICAL CENTER	7/14/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	180 W ESPLANADE AVE	None	KENNER	LA	70065	2467	00	None	30.02314699	-90.27161194	Jefferson Parish
188625	Fee-for-Service	1346326857	1346326857	1	1	ODONOHUE, JAMES M MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	36268	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
188637	Fee-for-Service	1538294889	1538294889	1	1	OZA, DUSHYANT MD	2/26/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	34491	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
188641	Fee-for-Service	1336890045	1336890045	1	1	OLIVIA HOME HEALTH CARE INC	9/29/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	121 W LEXINGTON DR	STE L400F	GLENDALE	CA	91203	2203	19	06037	34.1517575	-118.2560706	Los Angeles County
188712	Fee-for-Service	1982924692	1982924692	1	1	O'KEEFE, LEONA M MD	2/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	118306	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
188738	Fee-for-Service	1447208111	1447208111	1	1	OBRASKY, JAMES E MD INC	6/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	20587	41	Internal Medicine	0	In state provider	None	8824 ROBINHOOD LN	None	LA JOLLA	CA	92037	2137	37	06073	32.86681389	-117.2416325	San Diego County
188739	Fee-for-Service	1073713269	1073713269	1	1	OHLIGER, MICHAEL A MD	4/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107952	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
188861	Fee-for-Service	1730558446	1730558446	1	1	OLENDER, ALEXANDER CRNA	11/23/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	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
188923	Fee-for-Service	1538294889	1538294889	1	1	OZA, DUSHYANT MD	2/26/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	34491	47	Miscellaneous	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
188929	Fee-for-Service	1073049227	1073049227	1	1	OLIVA, VENUS M DO	8/17/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20143	None	None	0	In state provider	None	2424 WILSHIRE BLVD	None	SANTA MONICA	CA	90403	5806	19	06037	34.03455172	-118.4792084	Los Angeles County
189025	Fee-for-Service	1447208111	1447208111	1	1	OBRASKY, JAMES E MD INC	6/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	20587	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	8824 ROBINHOOD LN	None	LA JOLLA	CA	92037	2137	37	06073	32.86681389	-117.2416325	San Diego County
189327	Fee-for-Service	1457422701	1457422701	1	1	OESTERLING, SCOTT D MD	2/27/2003	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	63062	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
189391	Fee-for-Service	1124386198	1124386198	1	1	OLSON, JEFFREY T MD	8/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129976	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
189393	Fee-for-Service	1376537399	1376537399	1	1	OLSEN, JEFFREY D MD	7/20/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	69571	25	Physical Medicine and Rehabilitation	0	In state provider	None	25431 CABOT ROAD	STE 113	LAGUNA HILLS	CA	92653	5526	30	06059	33.59115448	-117.6744575	Orange County
189538	Fee-for-Service	1194876821	1194876821	1	1	OROVILLE HOSPITAL	4/28/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
189631	Fee-for-Service	1124398235	1124398235	1	1	ORTHONORCAL INC	6/19/2020	207XP3100X	NA	Orthopedic Surgery	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	340 DARDANELLI	STE 10	LOS GATOS	CA	95032	1418	43	06085	37.262079	-121.9673345	Santa Clara County
189638	Fee-for-Service	1013936194	1013936194	1	1	OKA, JEANETTE MD	11/11/1993	207L00000X	NA	Other	026	PHYSICIANS	64317	05	Anesthesiology	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
189679	Fee-for-Service	1124386198	1124386198	1	1	OLSON, JEFFREY T MD	8/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129976	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
189686	Fee-for-Service	1710370317	1710370317	1	1	ONMYCARE LLC	9/21/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	39159 PASEO PADRE PKWY	SUITE 304	FREMONT	CA	94538	1698	01	06001	37.5531875	-121.9805141	Alameda County
189877	Fee-for-Service	1922157841	1922157841	1	1	ONEILL, EILEEN M CRNA	6/2/2004	No Taxonomy Provided	NA	None	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
189917	Fee-for-Service	1124398235	1124398235	1	1	ORTHONORCAL INC	2/11/2013	207XP3100X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	340 DARDANELLI	STE 10	LOS GATOS	CA	95032	1418	43	06085	37.262079	-121.9673345	Santa Clara County
190001	Fee-for-Service	1578959144	1578959144	1	1	OLAFSDOTTIR-GARDALI, BJORK M	6/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	151662	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
190114	Fee-for-Service	1861997637	1861997637	1	1	OH, DANIEL M MD	8/7/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	164706	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
190132	Fee-for-Service	1699902338	1699902338	1	1	OSTREA CHRISTOPHER T MD	9/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116179	40	Pediatrics	0	In state provider	None	1100 DELBON AVE	None	TURLOCK	CA	95382	2021	50	06099	37.5106124	-120.8356611	Stanislaus County
190141	Fee-for-Service	1972037190	1972037190	1	1	OPPONG DWAMENA, ADELAIDE MD	10/18/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	170997	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
190260	Fee-for-Service	1891321709	1891321709	1	1	OLIVAS, JUSTIN M MD	7/8/2023	207R00000X	NA	Other	026	PHYSICIANS	185903	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
190451	Fee-for-Service	1497816011	1497816011	1	1	OSBORNE, AARON G DO	9/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9141	20	Orthopedic Surgery	0	In state provider	SOLUTIONS, INC	2662 EDITH AVE	None	REDDING	CA	96001	3043	45	06089	40.57071892	-122.3974077	Shasta County
190568	Fee-for-Service	1083657621	1083657621	1	1	ORY, ERIC T MD	6/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91567	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
190652	Fee-for-Service	1942328497	1942328497	1	1	ORELLANA, BLANCA PHD	8/31/2012	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
190714	Fee-for-Service	1922199504	1922199504	1	1	OLENDER, MARY MD	9/24/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	97245	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	21013 SHERMAN WAY	#4	CANOGA PARK	CA	91303	3675	19	06037	34.20113934	-118.591226	Los Angeles County
190776	Fee-for-Service	1699701185	1699701185	1	1	OBAID, AMAL K MD	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75419	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
190837	Fee-for-Service	1497960819	1497960819	1	1	OKORONKWO MEDICAL CORPORATIO	9/14/2010	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	OF ALAMEDA COUNTY INC	10500 MACARTHUR BLVD	STE 102	OAKLAND	CA	94605	5248	01	06001	37.74325856	-122.1527511	Alameda County
190893	Fee-for-Service	1275628901	1275628901	1	1	OMEGA ULTRASOUND	4/1/1989	2085U0001X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	DIAGNOSTIC CENTER	4668 HOLLYWOOD BLVD	None	LOS ANGELES	CA	90027	5408	19	06037	34.10067572	-118.2910501	Los Angeles County
191008	Fee-for-Service	1740412741	1740412741	1	1	OBOYLE, ANGELICA B	2/5/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	18433 ROSCOE BLVD	204	NORTHRIDGE	CA	91325	4136	19	06037	34.22076747	-118.534725	Los Angeles County
191017	Fee-for-Service	1598858169	1598858169	1	1	OPEN DOOR COMM HLTH CTRS	4/1/1999	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	OPEN DOOR MCKINLEYVILLE	1644 CENTRAL AVE	STE A,B,C,D,E&F	MCKINLEYVILLE	CA	95519	4342	12	06023	40.935078	-124.100947	Humboldt County
191088	Fee-for-Service	1952448698	1952448698	1	1	ORANGE COUNTY CCS	6/14/1994	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	LORD BADEN POWELL MTU	2911 STONYBROOK DR	None	ANAHEIM	CA	92804	3931	30	06059	33.82149093	-117.9891552	Orange County
191218	Fee-for-Service	1851670335	1851670335	1	1	OMAR, MUNA MD	6/21/2018	207RP1001X	NA	Pulmonology	026	PHYSICIANS	154667	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2701 OLD EUREKA WAY	1E	REDDING	CA	96001	0228	45	06089	40.58555878	-122.4101367	Shasta County
191306	Fee-for-Service	1598858169	1598858169	1	1	OPEN DOOR COMM HLTH CTRS	4/1/1999	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	OPEN DOOR MCKINLEYVILLE	1644 CENTRAL AVE	STE A,B,C,D,E&F	MCKINLEYVILLE	CA	95519	4342	12	06023	40.935078	-124.100947	Humboldt County
191372	Fee-for-Service	1326018441	1326018441	1	1	ORTMAN, HOWARD S DPM	1/1/1979	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	711 D ST	STE 114	SAN RAFAEL	CA	94901	3781	21	06041	37.97088061	-122.5324469	Marin County
191402	Fee-for-Service	1932233343	1932233343	1	1	OSUAGWU, UZOMA	6/3/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	CHIPATLIN MED CONCEPTS	11633 HAWTHORNE BLVD	STE 308	HAWTHORNE	CA	90250	2321	19	06037	33.928488	-118.3527475	Los Angeles County
191422	Fee-for-Service	1093079691	1093079691	1	1	OROS, AMBER M DO	5/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	13200	01	General Practice	0	In state provider	None	191 S BUENA VISTA ST	STE 150	BURBANK	CA	91505	4522	19	06037	34.15872557	-118.3283863	Los Angeles County
191428	Fee-for-Service	1659333805	1659333805	1	1	OHAYON, JULIE R MD APC	9/5/2007	2086S0105X	NA	General Surgery	026	PHYSICIANS	70670	66	Emergency Medicine (Urgent Care)	0	In state provider	None	8008 FROST ST	STE 403	SAN DIEGO	CA	92123	4209	37	06073	32.80027859	-117.1524832	San Diego County
191505	Fee-for-Service	1851670335	1851670335	1	1	OMAR, MUNA MD	6/21/2018	207RP1001X	NA	Pulmonology	026	PHYSICIANS	154667	41	Internal Medicine	0	In state provider	None	2701 OLD EUREKA WAY	1E	REDDING	CA	96001	0228	45	06089	40.58555878	-122.4101367	Shasta County
191555	Fee-for-Service	1538157615	1538157615	1	1	ORLINO-OLIVA, EDITHA C	10/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	32395	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	A MEDICAL CORP	2135 AIRPARK DR	None	REDDING	CA	96001	2433	45	06089	40.57450425	-122.4048819	Shasta County
191594	Fee-for-Service	1598858169	1598858169	1	1	OPEN DOOR COMM HLTH CTRS	4/1/1999	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	OPEN DOOR MCKINLEYVILLE	1644 CENTRAL AVE	STE A,B,C,D,E&F	MCKINLEYVILLE	CA	95519	4342	12	06023	40.935078	-124.100947	Humboldt County
191648	Fee-for-Service	1235196718	1235196718	1	3	ORNELAS, FRANCISCO R MD	8/15/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	60144	-	NOT APPLICABLE	0	In state provider	None	2309 DALY STREET	None	LOS ANGELES	CA	90031	2230	19	06037	34.07225651	-118.2156318	Los Angeles County
191657	Fee-for-Service	1881665990	1881665990	1	1	OTTENHEIMER, EDWARD J MD	7/19/1972	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	5968	40	Pediatrics	0	In state provider	None	3939 IOWA ST	None	SAN DIEGO	CA	92104	3008	37	06073	32.749398	-117.1264015	San Diego County
191715	Fee-for-Service	1508467291	1508467291	1	1	OGANESYAN, JASMINE	8/25/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	28100 BOUQUET CANYON RD.	SUITE 218	SANTA CLARITA	CA	91350	2009	19	06037	34.45052733	-118.497654	Los Angeles County
191716	Fee-for-Service	1659333805	1659333805	1	1	OHAYON, JULIE R MD APC	9/5/2007	2086S0105X	NA	General Surgery	026	PHYSICIANS	70670	46	Hand Surgery	0	In state provider	None	8008 FROST ST	STE 403	SAN DIEGO	CA	92123	4209	37	06073	32.80027859	-117.1524832	San Diego County
191735	Fee-for-Service	1477559722	1477559722	1	1	ONUMA, EDWARD K MD	10/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85508	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
191762	Fee-for-Service	1124197306	1124197306	1	1	OLLIVIER, NICOLE F LMFT	7/31/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9600 CENTER AVE	160	RANCHO CUCAMONGA	CA	91730	5838	36	06071	34.07922138	-117.5796173	San Bernardino County
191781	Fee-for-Service	1821029703	1821029703	1	1	OUCHI, YUKO PHD	12/1/2009	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	20955 PATHFINDER RD	None	DIAMOND BAR	CA	91765	4028	19	06037	33.98404595	-117.8470211	Los Angeles County
191883	Fee-for-Service	1598858169	1598858169	1	1	OPEN DOOR COMM HLTH CTRS	7/21/1999	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	OPEN DOOR MCKINLEYVILLE	1644 CENTRAL AVE	STE A,B,C,D,E&F	MCKINLEYVILLE	CA	95519	4342	12	06023	40.935078	-124.100947	Humboldt County
191993	Fee-for-Service	1194222745	1194222745	1	1	ORLOVIC, MATEA MD DO	8/5/2020	207P00000X	NA	Other	026	PHYSICIANS	17732	66	Emergency Medicine (Urgent Care)	0	In state provider	None	47111 MONROE ST	None	INDIO	CA	92201	6739	33	06065	33.70620698	-116.2339008	Riverside County
192005	Fee-for-Service	1659333805	1659333805	1	1	OHAYON, JULIE R MD APC	9/5/2007	2086S0105X	NA	General Surgery	026	PHYSICIANS	70670	02	General Surgery	0	In state provider	None	8008 FROST ST	STE 403	SAN DIEGO	CA	92123	4209	37	06073	32.80027859	-117.1524832	San Diego County
192012	Fee-for-Service	1477973865	1477973865	1	1	OO, TUN K MD	10/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147144	41	Internal Medicine	0	In state provider	None	43112 15TH STREET WEST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
192024	Fee-for-Service	1477559722	1477559722	1	1	ONUMA, EDWARD K MD	10/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85508	10	Gastroenterology (M.D. only)	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
192227	Fee-for-Service	1104116292	1104116292	1	1	O'MALLEY, JENNIFER A MD	6/22/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143349	79	Neurology-Child	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
192252	Fee-for-Service	1982419081	1982419081	1	1	OUR FAMILY MEDICAL GROUP, IN	4/11/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	C.	5475 WALNUT AVE	SUITE H	CHINO	CA	91710	2609	36	06071	34.02627053	-117.684846	San Bernardino County
192317	Fee-for-Service	1366642415	1366642415	1	1	OZDEGIRMENCI, HASAN B MD	8/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	103729	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 N MCDOWELL BLVD	None	PETALUMA	CA	94954	2339	49	06097	38.25477	-122.63175	Sonoma County
192340	Fee-for-Service	1639121015	1639121015	1	1	OLSEN, ERIK W MD	4/19/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94078	08	Family Practice	0	In state provider	None	2140 GRAND AVE	STE 125	CHINO HILLS	CA	91709	6802	36	06071	33.99623518	-117.7579477	San Bernardino County
192351	Fee-for-Service	1649318338	1649318338	3	1	OSTOYA, PAUL W MD INC	8/16/2004	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	1095 E WARNER AVE	STE 101	FRESNO	CA	93710	4000	10	06019	36.83618554	-119.769894	Fresno County
192353	Fee-for-Service	1285828541	1285828541	1	1	OBRIEN, JEREMY C LCSW	9/9/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	848 MARCHETA ST	STE 1	ALTADENA	CA	91001	2580	19	06037	34.18759978	-118.132523	Los Angeles County
192518	Fee-for-Service	1700264678	1700264678	1	1	OSGOOD, GEOFFREY MD	9/3/2021	208600000X	NA	General Surgery	026	PHYSICIANS	149034	None	None	0	In state provider	None	963 BUTTE STREET	None	REDDING	CA	96001	0828	45	06089	40.58567535	-122.3853786	Shasta County
192536	Fee-for-Service	1396528089	1396528089	1	1	OBREGON, OSCAR PT	10/23/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8800 STOCKDALE HWY	150	BAKERSFIELD	CA	93311	1012	15	06029	35.35448783	-119.0995578	Kern County
192542	Fee-for-Service	1982419081	1982419081	1	1	OUR FAMILY MEDICAL GROUP, IN	4/11/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	C.	5475 WALNUT AVE	SUITE H	CHINO	CA	91710	2609	36	06071	34.02627053	-117.684846	San Bernardino County
192607	Fee-for-Service	1972721793	1972721793	2	1	OLE HEALTH	11/2/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	215 W BEAMER ST	None	WOODLAND	CA	95695	2510	57	06113	38.68483629	-121.7937301	Yolo County
192639	Fee-for-Service	1649318338	1649318338	3	1	OSTOYA, PAUL W MD INC	10/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	52252	None	None	0	In state provider	None	1095 E WARNER AVE	STE 101	FRESNO	CA	93710	4000	10	06019	36.83618554	-119.769894	Fresno County
192699	Fee-for-Service	1568551752	1568551752	1	1	OLAMBIWONNU, OLA MD	2/8/2015	2080P0205X	NA	Endocrinology	026	PHYSICIANS	18111	40	Pediatrics	0	In state provider	None	65 N MADISON AVE	STE 304	PASADENA	CA	91101	2050	19	06037	34.14705803	-118.1384317	Los Angeles County
192828	Fee-for-Service	1982419081	1982419081	1	1	OUR FAMILY MEDICAL GROUP, IN	4/11/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	38	Geriatrics	0	In state provider	C.	5475 WALNUT AVE	SUITE H	CHINO	CA	91710	2609	36	06071	34.02627053	-117.684846	San Bernardino County
192868	Fee-for-Service	1063564300	1063564300	1	1	OSTROW, DEBORAH E LMFT	10/17/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2931 SHATTUCK AVE	101E	BERKELEY	CA	94705	1808	01	06001	37.85574785	-122.2665517	Alameda County
192961	Fee-for-Service	1962484741	1962484741	1	1	OCHOA, ENRIQUE L M MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	66932	36	Psychiatry	0	In state provider	None	2230 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1419	34	06067	38.555631	-121.459203	Sacramento County
193031	Fee-for-Service	1912078809	1912078809	1	1	ORENS, JAMES R MD	7/29/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	42021	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
193033	Fee-for-Service	1184060956	1184060956	1	1	OLIPHANT, ANNE L MD	6/1/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	150135	None	None	0	In state provider	None	1721 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735353	-121.2443415	San Joaquin County
193368	Fee-for-Service	1114205143	1114205143	1	1	OISHI, KENSUKE CCC-SLP	3/2/2025	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4383 TUJUNGA AVE	J	STUDIO CITY	CA	91604	2771	19	06037	34.14979048	-118.3790215	Los Angeles County
193450	Fee-for-Service	1467437681	1467437681	1	1	OEFELEIN, MARY R MD	11/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	88454	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
193469	Fee-for-Service	1265793020	1265793020	1	1	ORAVEC, RICHARD MD	2/9/2021	207QS0010X	NA	Adult Primary Care	026	PHYSICIANS	156769	None	None	0	In state provider	None	1377 E HERNDON AVE	STE 104	FRESNO	CA	93720	3022	10	06019	36.83704387	-119.7641113	Fresno County
193538	Fee-for-Service	1316663651	1316663651	1	1	ORNA DR INC	6/5/2024	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	20930 GAULT ST	None	CANOGA PARK	CA	91303	2276	19	06037	34.19919086	-118.5896203	Los Angeles County
193571	Fee-for-Service	1619407426	1619407426	1	1	OROKUNLE, SYDNEY L	11/14/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	165979	None	None	0	In state provider	None	2345 FAIR OAKS BLVD	None	SACRAMENTO	CA	95825	4708	34	06067	38.57535	-121.407633	Sacramento County
193703	Fee-for-Service	1689720930	1689720930	1	1	OH, JEONG G	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	BALBOA ACUPUCTURE	10515 BALBOA BLVD	STE 175	GRANADA HILLS	CA	91344	6343	19	06037	34.261497	-118.502318	Los Angeles County
193751	Fee-for-Service	1043639420	1043639420	1	1	OPTIMAL SLEEP, LLC	12/18/2014	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	6928 OWENSMOUTH AVE.	STE 102	CANOGA PARK	CA	91303	2194	19	06037	34.19637216	-118.601507	Los Angeles County
193788	Fee-for-Service	1215258892	1215258892	1	36	OBHG CALIFORNIA, P.C.	1/30/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5525 GROSSMONT CENTER DR	SUITE 602	LA MESA	CA	91942	3019	37	06073	32.781195	-117.0070695	San Diego County
193815	Fee-for-Service	1710260781	1710260781	1	1	OBREGON, JOSEPHINE N LCSW	10/24/2020	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	591 CAMINO DE LA REINA	SUITE 210	SAN DIEGO	CA	92108	3104	37	06073	32.76632791	-117.1616245	San Diego County
193828	Fee-for-Service	1477781623	1477781623	1	1	OMALLEY, RYAN G MD	9/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	125886	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
193923	Fee-for-Service	1730319237	1730319237	1	1	OSAK, NINA MD	3/1/2016	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
194019	Fee-for-Service	1073692018	1073692018	1	1	ODINEAL, CORINNE E OD	8/19/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3133 PROFESSIONAL DR	STE 14	AUBURN	CA	95603	2463	31	06061	38.9412	-121.100888	Placer County
194061	Fee-for-Service	1366941395	1366941395	1	1	ORANGE COUNTY HEART & VASCUL	6/21/2018	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	None	None	0	In state provider	AR INC	1101 BRYAN AVE	STE E	TUSTIN	CA	92870	9442	30	06059	33.74272355	-117.8149529	Orange County
194081	Fee-for-Service	1215258892	1215258892	1	36	OBHG CALIFORNIA, P.C.	1/30/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5525 GROSSMONT CENTER DR	SUITE 602	LA MESA	CA	91942	3019	37	06073	32.781195	-117.0070695	San Diego County
194205	Fee-for-Service	1710186689	1710186689	1	1	ORAVSKY, KELLY B	7/6/2010	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
194230	Fee-for-Service	1346436573	1346436573	1	1	OBRIEN, BRIDGET A NP	11/4/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	780 SHADOWRIDGE RD	None	VISTA	CA	92083	7986	37	06073	33.16632768	-117.2212175	San Diego County
194241	Fee-for-Service	1972766772	1972766772	1	1	OGUNLEYE, FOLUSO	2/1/2025	207RH0003X	NA	Oncology	026	PHYSICIANS	159449	68	Hematology	0	In state provider	None	27450 YNEZ RD	SUITE 116	TEMECULA	CA	92591	4671	33	06065	33.50684549	-117.1502048	Riverside County
194363	Fee-for-Service	1215258892	1215258892	1	36	OBHG CALIFORNIA, P.C.	1/30/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	5525 GROSSMONT CENTER DR	SUITE 602	LA MESA	CA	91942	3019	37	06073	32.781195	-117.0070695	San Diego County
194375	Fee-for-Service	1700983103	1700983103	1	1	OBSTETRIX MEDICAL GROUP OF	8/18/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	2	Out of state provider	COLORADO PC	501 EAST HAMPDEN AVENUE	None	ENGLEWOOD	CO	80113	2702	00	None	39.6531952	-104.9810967	Arapahoe County
194390	Fee-for-Service	1083940597	1083940597	1	6	OC URGENTCARE MEDICAL GROUP	2/20/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	4720 CHAPMAN AVE	None	ORANGE	CA	92869	4113	30	06059	33.78770453	-117.803421	Orange County
194392	Fee-for-Service	1730684663	1730684663	1	1	OBLOCK, NICHOLAS R MD	8/19/2021	207P00000X	NA	Other	026	PHYSICIANS	173952	None	None	0	In state provider	None	1700 COFFEE RD	None	MODESTO	CA	95355	2803	50	06099	37.668645	-120.9756715	Stanislaus County
194440	Fee-for-Service	1235499872	1235499872	1	1	OLMEDO, CESAR MD	7/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	126785	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
194528	Fee-for-Service	1972766772	1972766772	1	1	OGUNLEYE, FOLUSO	2/1/2025	207RH0003X	NA	Oncology	026	PHYSICIANS	159449	41	Internal Medicine	0	In state provider	None	27450 YNEZ RD	SUITE 116	TEMECULA	CA	92591	4671	33	06065	33.50684549	-117.1502048	Riverside County
194660	Fee-for-Service	1760682355	1760682355	1	1	ODONNELL, DIANE M LCSW	12/12/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	804 NORTH IRWIN ST	STE A	HANFORD	CA	93230	3839	16	06031	36.333297	-119.6477085	Kings County
194664	Fee-for-Service	1700983103	1700983103	1	1	OBSTETRIX MEDICAL GROUP OF	8/18/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	2	Out of state provider	COLORADO PC	501 EAST HAMPDEN AVENUE	None	ENGLEWOOD	CO	80113	2702	00	None	39.6531952	-104.9810967	Arapahoe County
194711	Fee-for-Service	1992864565	1992864565	1	1	OWYANG, ELIZABETH H MD	8/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	57918	18	Ophthalmology	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
194730	Fee-for-Service	1366764300	1366764300	1	1	O'CON, MARCELA F CRNA	8/6/2019	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
194753	Fee-for-Service	1285893107	1285893107	1	2	ORANGE COUNTY VASCULAR & END	4/2/2020	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	89	Surgery-Traumatic	0	In state provider	OVASCULAR SURGERY CENTER	11190 WARNER AVE	408	FOUNTAIN VALLEY	CA	92708	4047	30	06059	33.714	-117.9333585	Orange County
194952	Fee-for-Service	1700983103	1700983103	1	1	OBSTETRIX MEDICAL GROUP OF	8/18/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	2	Out of state provider	COLORADO PC	501 EAST HAMPDEN AVENUE	None	ENGLEWOOD	CO	80113	2702	00	None	39.6531952	-104.9810967	Arapahoe County
195001	Fee-for-Service	1992864565	1992864565	1	1	OWYANG, ELIZABETH H MD	8/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	57918	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
195101	Fee-for-Service	1871905869	1871905869	1	1	OAKVIEW HOSPICE CARE INC	3/15/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	9087 ARROW ROUTE	SUITE 246	RANCHO CUCAMONGA	CA	91730	4488	36	06071	34.09931154	-117.6069482	San Bernardino County
195171	Fee-for-Service	1346567708	1346567708	1	1	OMEGA HOME HEALTH	1/29/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	2049 PACIFIC COAST HWY	SUITE 103	LOMITA	CA	90717	2568	19	06037	33.7895673	-118.3163601	Los Angeles County
195199	Fee-for-Service	1013047554	1013047554	1	1	O'NEILL, PATRICIA I	3/19/2018	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1600 OWENS STREET	None	SAN FRANCISCO	CA	94158	2261	38	06075	37.76850146	-122.3949365	San Francisco County
195284	Fee-for-Service	1801852710	1801852710	1	1	O'HOLLAREN, ROBERT M MD	6/30/1993	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	39131	None	None	0	In state provider	VENTURA ORTHO & SPORT GP	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
195362	Fee-for-Service	1033619580	1033619580	1	1	OSBOURN, MATTHEW E OT	1/10/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	18270 SISKIYOU RD	STE B	APPLE VALLEY	CA	92307	1413	36	06071	34.54450348	-117.265221	San Bernardino County
195374	Fee-for-Service	1437221413	1437221413	1	1	OPTICAL, GLENVIEW	1/1/1979	No Taxonomy Provided	NA	None	012	DISPENSING OPTICIANS	-	-	NOT APPLICABLE	0	In state provider	None	515 N CENTRAL AVE	None	GLENDALE	CA	91203	3388	19	06037	34.15334895	-118.2579594	Los Angeles County
195378	Fee-for-Service	1912978263	1912978263	1	2	OAKES, MARYA NP	8/17/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	8626 LOWER SACRAMENTO RO	41	STOCKTON	CA	95210	1835	39	06077	38.02905449	-121.3226622	San Joaquin County
195388	Fee-for-Service	1871905869	1871905869	1	1	OAKVIEW 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	9087 ARROW ROUTE	SUITE 246	RANCHO CUCAMONGA	CA	91730	4488	36	06071	34.09931154	-117.6069482	San Bernardino County
195411	Fee-for-Service	1629006846	1629006846	1	1	OMACHI, THEODORE A MD	9/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87142	01	General Practice	0	In state provider	None	250 BON AIR RD	None	GREENBRAE	CA	94904	1702	21	06041	37.9469952	-122.5373892	Marin County
195633	Fee-for-Service	1417397225	1417397225	1	1	OROSZ, SARAH T LCSW	10/16/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1200 CLAY ST	None	OAKLAND	CA	94612	1400	01	06001	37.80422981	-122.2742222	Alameda County
195806	Fee-for-Service	1053357137	1053357137	1	1	O'BRIEN, CHARLES B MD	6/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79283	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
195842	Fee-for-Service	1750784559	1750784559	1	1	O'BRIEN, MEGAN C CNP	1/27/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2740 GRANT ST	None	CONCORD	CA	94520	2265	07	06013	37.98580944	-122.0385574	Contra Costa County
195867	Fee-for-Service	1356061857	1356061857	1	1	OHLINGER, ERIN LMFT	5/14/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
195901	Fee-for-Service	1518198423	1518198423	1	1	OGUNNIYI, ADEDAMOLA A MD	10/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	114461	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
196021	Fee-for-Service	1023094570	1023094570	1	1	OPTOMETRIC SPECIALTIES	11/1/2001	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3750 SANTA ROSALIA DR.	102	LOS ANGELES	CA	90008	3627	19	06037	34.00799127	-118.3385451	Los Angeles County
196084	Fee-for-Service	1477519205	1477519205	1	1	OMENS, ERWIN M MD	11/19/1976	No Taxonomy Provided	NA	None	026	PHYSICIANS	38629	18	Ophthalmology	0	In state provider	None	810 E OHIO AVE	None	ESCONDIDO	CA	92025	3421	37	06073	33.12651511	-117.0715892	San Diego County
196087	Fee-for-Service	1164652061	1164652061	1	1	OKIMOTO, ROSS A MD	6/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118623	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
196164	Fee-for-Service	1215992748	1215992748	1	4	ORANGE COUNTY UROLOGY ASSOCI	8/30/2022	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	ATES, INC A MEDICAL GROU	26691 PLAZA	SUITE 120	MISSION VIEJO	CA	92691	6538	30	06059	33.56533763	-117.6645538	Orange County
196189	Fee-for-Service	1407545817	1407545817	1	1	OCHSNER, JENETTE K	1/17/2025	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	51	06101	0	0	None
196294	Fee-for-Service	1922108877	1922108877	2	1	ODUBELA, ABAYOMI A MD	12/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	51039	41	Internal Medicine	0	In state provider	None	27699 JEFFERSON AVENUE	SUITE 312	TEMECULA	CA	92590	2697	33	06065	33.51449799	-117.1593524	Riverside County
196422	Fee-for-Service	1891745527	1891745527	1	1	OBLITAS, DANIEL MD	7/31/1990	207P00000X	NA	Other	026	PHYSICIANS	43111	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
196504	Fee-for-Service	1336246065	1336246065	1	1	ORANUSI, VICTOR A MD	8/10/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	63000	41	Internal Medicine	0	In state provider	None	3611 MARTIN LUTHER KING	SUITE 108	LYNWOOD	CA	90262	2685	19	06037	33.93182471	-118.203307	Los Angeles County
196572	Fee-for-Service	1215992748	1215992748	1	3	ORANGE COUNTY UROLOGY ASSOCI	8/30/2022	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	ATES, INC A MEDICAL GROU	18785 BROOKHURST STREET	SUITE 105	FOUNTAIN VALLEY	CA	92708	7300	30	06059	33.68987636	-117.9542321	Orange County
196583	Fee-for-Service	1376745018	1376745018	1	1	OTSUKA, KIMBERLY N MD	8/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	104961	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	11370 ANDERSON STREET	SUITE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
196793	Fee-for-Service	1336246065	1336246065	1	1	ORANUSI, VICTOR A MD	8/10/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	63000	38	Geriatrics	0	In state provider	None	3611 MARTIN LUTHER KING	SUITE 108	LYNWOOD	CA	90262	2685	19	06037	33.93182471	-118.203307	Los Angeles County
196804	Fee-for-Service	1235205774	1235205774	1	1	ORTIZ, RONALD J MD	4/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	71725	01	General Practice	0	In state provider	None	1212 WEST 17TH STREET	None	SANTA ANA	CA	92706	3418	30	06059	33.75995152	-117.883521	Orange County
196809	Fee-for-Service	1497744247	1497744247	1	1	O'BRIEN, MARK C DO	8/31/1995	174400000X	NA	Other	026	PHYSICIANS	601717	41	Internal Medicine	0	In state provider	None	130 CEDAR RD	None	VISTA	CA	92083	5102	37	06073	33.18682732	-117.2839184	San Diego County
196872	Fee-for-Service	1376745018	1376745018	1	1	OTSUKA, KIMBERLY N MD	8/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	104961	40	Pediatrics	0	In state provider	None	11370 ANDERSON STREET	SUITE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
197052	Fee-for-Service	1609076983	1609076983	1	1	OTTESTAD, EINAR MD	7/30/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	92865	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
197104	Fee-for-Service	1497140107	1497140107	1	1	ODAY, MAURA E NP	8/24/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.76344756	-122.4581992	San Francisco County
197475	Fee-for-Service	1780743740	1780743740	1	1	OMACHI, ANN MD	1/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	43405	41	Internal Medicine	0	In state provider	None	300 EUREKA SQ	None	PACIFICA	CA	94044	2652	41	06081	37.63268139	-122.4871969	San Mateo County
197542	Fee-for-Service	1821581364	1821581364	1	1	OGAN, WILLIAM S MD	8/23/2021	207R00000X	NA	Other	026	PHYSICIANS	173682	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
197625	Fee-for-Service	1760007330	1760007330	1	4	ORTHOWEST	11/7/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	None	18785 BROOKHURST	None	FOUNTAIN VALLEY	CA	92708	7300	30	06059	33.68987636	-117.9542321	Orange County
197664	Fee-for-Service	1760434799	1760434799	1	1	OLSON, FORREST R MD	2/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	71016	08	Family Practice	0	In state provider	None	5TH & ESPLANADE	None	CHICO	CA	95926	3226	04	06007	39.741948	-121.848921	Butte County
197674	Fee-for-Service	1164840708	1164840708	1	1	OKOYE, UCHENNA B MD	11/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	140022	36	Psychiatry	0	In state provider	None	2060 FAIRMONT DR	None	SAN LEANDRO	CA	94578	1001	01	06001	37.71083326	-122.1208841	Alameda County
197911	Fee-for-Service	1760007330	1760007330	1	4	ORTHOWEST	11/7/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	18785 BROOKHURST	None	FOUNTAIN VALLEY	CA	92708	7300	30	06059	33.68987636	-117.9542321	Orange County
198025	Fee-for-Service	1154766921	1154766921	1	1	OM MEDICAL INC	7/20/2020	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	730 17TH ST	None	MODESTO	CA	95354	1209	50	06099	37.64322407	-120.9908967	Stanislaus County
198131	Fee-for-Service	1598963142	1598963142	1	1	OCEANSIDE CITY USD	4/7/1997	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	2080 MISSION AVE	None	OCEANSIDE	CA	92058	2325	37	06073	33.20544728	-117.3632208	San Diego County
198473	Fee-for-Service	1215992748	1215992748	1	6	ORANGE COUNTY UROLOGY ASSOCI	11/19/2024	174400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ATES, INC A MEDICAL GROU	10110 ADAMS AVE	None	HUNTINGTON BEACH	CA	92646	4907	30	06059	33.670539	-117.9521865	Orange County
198577	Fee-for-Service	1043296866	1043296866	1	1	OH, PILSOO MD	10/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	100119	41	Internal Medicine	0	In state provider	None	520 S VIRGIL AVE	STE 202	LOS ANGELES	CA	90020	1425	19	06037	34.064487	-118.2870305	Los Angeles County
198593	Fee-for-Service	1639226822	1639226822	1	1	OPET, ADRIENNE M	1/24/2014	No Taxonomy Provided	NA	None	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
198656	Fee-for-Service	1710259361	1710259361	1	1	O'HAIR, ERIN NP	10/16/2024	363LG0600X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1144 65TH ST STE F	None	OAKLAND	CA	94608	1053	01	06001	37.84779018	-122.2868874	Alameda County
198709	Fee-for-Service	1053373852	1053373852	1	1	OLIVER, DIANE G MD	10/19/2004	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	2170 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	7026	09	06017	38.91229842	-119.9978133	El Dorado County
198761	Fee-for-Service	1215992748	1215992748	1	6	ORANGE COUNTY UROLOGY ASSOCI	11/19/2024	174400000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	ATES, INC A MEDICAL GROU	10110 ADAMS AVE	None	HUNTINGTON BEACH	CA	92646	4907	30	06059	33.670539	-117.9521865	Orange County
198814	Fee-for-Service	1477574986	1477574986	1	1	ONTIVEROS, ERIC B MD	7/31/1995	207L00000X	NA	Other	026	PHYSICIANS	80331	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
198839	Fee-for-Service	1023456613	1023456613	1	1	OWEN, ELIZABETH A MD	6/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132888	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
198863	Fee-for-Service	1043296866	1043296866	1	1	OH, PILSOO MD	10/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	100119	10	Gastroenterology (M.D. only)	0	In state provider	None	520 S VIRGIL AVE	STE 202	LOS ANGELES	CA	90020	1425	19	06037	34.064487	-118.2870305	Los Angeles County
199009	Fee-for-Service	1376854281	1376854281	1	1	ONG, LEONARD MD	7/3/2019	2085B0100X	NA	MRI Provider	026	PHYSICIANS	122632	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
199026	Fee-for-Service	1043255722	1043255722	1	1	OKUDA, DARIN T MD	9/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	88561	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
199076	Fee-for-Service	1467658914	1467658914	1	1	OGANESYAN, GAGIK MD	7/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	106964	07	Dermatology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
199148	Fee-for-Service	1558574954	1558574954	1	1	OCHOA, WILLIAM G MD	8/11/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	104133	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
199169	Fee-for-Service	1508425885	1508425885	1	1	OLENCZUK, CHANTAL J OT	1/27/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	50 N HILL AVE	302	PASADENA	CA	91106	1903	19	06037	34.146963	-118.121344	Los Angeles County
199299	Fee-for-Service	1225547359	1225547359	1	2	OBANOR, FEMI B NP	12/7/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	95008046	-	NOT APPLICABLE	0	In state provider	None	135 CARMEN LANE	None	SANTA MARIA	CA	93458	7729	42	06083	34.92484952	-120.4374645	Santa Barbara County
199323	Fee-for-Service	1255385985	1255385985	1	1	OKELO, SANDE MD	8/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	68246	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	12-311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
199326	Fee-for-Service	1801154380	1801154380	1	1	OLADELE, OPEYEMI M MD	2/12/2018	207RN0300X	NA	Nephrology	026	PHYSICIANS	148782	41	Internal Medicine	0	In state provider	None	12675 HESPERIA RD	None	VICTORVILLE	CA	92395	5878	36	06071	34.48143043	-117.2906246	San Bernardino County
199582	Fee-for-Service	1386869717	1386869717	1	1	OMID, REZA B MD	5/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	99030	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
199840	Fee-for-Service	1992000152	1992000152	1	2	ONG RUBIN SHAHMIR AMC	4/15/2011	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	1360 BURTON DR	STE 160	VACAVILLE	CA	95687	3557	48	06095	38.36439485	-121.9548858	Solano County
199871	Fee-for-Service	1396219663	1396219663	1	1	OUTLAW, DERRICK M PT	8/25/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3883 AIRWAY DR	135	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
199883	Fee-for-Service	1053655191	1053655191	1	1	ORTHOSPINE ADVANCE HEALTH	5/7/2014	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	INC	3180 COLLINS DRIVE	SUITE A	MERCED	CA	95348	3156	24	06047	37.32165459	-120.4760862	Merced County
199921	Fee-for-Service	1215992748	1215992748	1	5	ORANGE COUNTY UROLOGY ASSOCI	8/30/2022	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	ATES, INC A MEDICAL GROU	16305 SAND CANYON AVENUE	SUITE 200	IRVINE	CA	92618	3783	30	06059	33.66201662	-117.7737316	Orange County
199961	Fee-for-Service	1043604986	1043604986	1	1	OLSON, CAITLIN P MD	1/1/2024	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	159753	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
199988	Fee-for-Service	1407011224	1407011224	1	1	OLIVO, CRYSTAL	3/4/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	302 W 5TH ST STE 308	None	SAN PEDRO	CA	90731	2750	19	06037	33.73971572	-118.284045	Los Angeles County
200093	Fee-for-Service	1760007330	1760007330	1	8	ORTHOWEST	11/8/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	None	24331 EL TORO ROAD	SUITE 200	LAGUNA WOODS	CA	92637	3116	30	06059	33.60928782	-117.7295058	Orange County
200115	Fee-for-Service	1003697343	1003697343	1	1	OAKHURST SKILLED CARE LLC	5/1/2024	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	40131 HIGHWAY 49	None	OAKHURST	CA	93644	9560	20	06039	37.33472461	-119.6614073	Madera County
200243	Fee-for-Service	1851941942	1851941942	1	1	OSAYANDE, NATALIE I OD	10/16/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3756 SANTA ROSALIA DR	STE 100	LOS ANGELES	CA	90008	3617	19	06037	34.00888336	-118.3389334	Los Angeles County
200301	Fee-for-Service	1730381823	1730381823	1	1	O'BRIEN, KRISTA N	6/1/2002	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2450 MARTIN RD	None	FAIRFIELD	CA	94534	1018	48	06095	38.27452597	-122.0510438	Solano County
200370	Fee-for-Service	1952614307	1952614307	1	1	OTTOCHIAN, MARCUS MD	11/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	113211	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4101 TORRANCE BLVD	None	LOS ANGELES	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles
200375	Fee-for-Service	1356546048	1356546048	1	1	ONG, PHAT V MD	11/5/2008	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	104006	30	Radiology	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
200376	Fee-for-Service	1700839446	1700839446	1	3	ORLOFF, FEOKTIST MD	1/9/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	60579	None	None	0	In state provider	None	800 SOUTH MAIN ST	2ND FLOOR	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
200384	Fee-for-Service	1760007330	1760007330	1	8	ORTHOWEST	11/8/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	24331 EL TORO ROAD	SUITE 200	LAGUNA WOODS	CA	92637	3116	30	06059	33.60928782	-117.7295058	Orange County
200395	Fee-for-Service	1811667876	1811667876	1	1	OSUAGWU, JANET CNP	4/23/2025	No Taxonomy Provided	NA	None	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
200411	Fee-for-Service	1437863297	1437863297	1	1	OMEGATEL NURSING CORP	2/17/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	126 AVOCADO AVE	STE 205	PERRIS	CA	92571	2605	33	06065	33.8102395	-117.2244465	Riverside County
200465	Fee-for-Service	1033359914	1033359914	1	1	OLANGO, GARTH J MD	10/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	113046	36	Psychiatry	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
200521	Fee-for-Service	1245799550	1245799550	1	1	OROZCO, JOSE D MD	6/23/2022	207P00000X	NA	Other	026	PHYSICIANS	177465	None	None	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
200579	Fee-for-Service	1316413404	1316413404	1	1	ODABE, CAROLYN PT	9/25/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	275 W HOSPITALITY LN	103	SAN BERNARDINO	CA	92408	3249	36	06071	34.0659135	-117.289215	San Bernardino County
200587	Fee-for-Service	1821594243	1821594243	1	1	OLSEN, CONNER M MD	9/1/2023	207RH0002X	NA	Adult Primary Care	026	PHYSICIANS	178873	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
200657	Fee-for-Service	1952614307	1952614307	1	1	OTTOCHIAN, MARCUS MD	11/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	113211	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	4101 TORRANCE BLVD	None	LOS ANGELES	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles
200672	Fee-for-Service	1760007330	1760007330	1	8	ORTHOWEST	11/8/2020	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	24331 EL TORO ROAD	SUITE 200	LAGUNA WOODS	CA	92637	3116	30	06059	33.60928782	-117.7295058	Orange County
200700	Fee-for-Service	1215945647	1215945647	1	2	ONEILL, BRIAN F DPM	3/1/2000	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	9474 BASELINE RD	None	ALTA LOMA	CA	91701	5822	36	06071	34.1215715	-117.598653	San Bernardino County
200714	Fee-for-Service	1780708602	1780708602	1	1	OLIVERI, JOHN C PHD	8/21/2018	103T00000X	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
200808	Fee-for-Service	1275764458	1275764458	1	1	ORDONEZ NARANJO MD, MARIA P	8/11/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	95983	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
200813	Fee-for-Service	1154734200	1154734200	1	1	OSHO, ASISHANA A MD	3/1/2022	208600000X	NA	General Surgery	026	PHYSICIANS	175600	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
200859	Fee-for-Service	1912978115	1912978115	1	1	OTTEMOELLER-FRICKE, LINDA G	2/22/2016	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	67412	None	None	0	In state provider	None	315 MERCY AVE	STE 400	MERCED	CA	95340	8368	24	06047	37.33874349	-120.467493	Merced County
200897	Fee-for-Service	1851913867	1851913867	2	2	OC REGIONAL RX CARE LLC	1/30/2025	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CY	26024 ACERO	110	MISSION VIEJO	CA	92691	2768	30	06059	33.61784172	-117.6769661	Orange County
200909	Fee-for-Service	1609168814	1609168814	1	1	O'BARR, THADDEUS J IV MD	5/18/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124438	None	None	0	In state provider	None	3700 EAST SOUTH ST	None	LAKEWOOD	CA	90712	1419	19	06037	33.8601747	-118.148313	Los Angeles County
200944	Fee-for-Service	1912221458	1912221458	1	1	OLESEN, ERIK LMFT	11/24/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1103 BUTTE HOUSE RD	SUITE E	YUBA CITY	CA	95991	3109	51	06101	39.14536728	-121.6306637	Sutter County
201097	Fee-for-Service	1275764458	1275764458	1	1	ORDONEZ NARANJO MD, MARIA P	8/11/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	95983	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
201118	Fee-for-Service	1396721197	1396721197	1	10	OMNI WOMENS HEALTH MEDICAL G	1/19/1996	207VG0400X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	GROUP INC	3812 N FIRST ST	None	FRESNO	CA	93726	4301	10	06019	36.78707387	-119.7723363	Fresno County
201128	Fee-for-Service	1215258892	1215258892	1	26	OBHG CALIFORNIA, P.C.	4/25/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
201386	Fee-for-Service	1700806759	1700806759	1	1	ORR, CHERYL H MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	72242	05	Anesthesiology	0	In state provider	None	72925 FRED WARING DR	STE 102	PALM DESERT	CA	92260	9401	33	06065	33.72860149	-116.3920095	Riverside County
201417	Fee-for-Service	1215258892	1215258892	1	26	OBHG CALIFORNIA, P.C.	4/25/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
201546	Fee-for-Service	1114917952	1114917952	1	1	OAKLAND PHARMACY INC	3/19/1998	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NEW OAKLAND PHARMACY 1	333 9TH ST	None	OAKLAND	CA	94607	4211	01	06001	37.79968404	-122.2703884	Alameda County
201642	Fee-for-Service	1275924557	1275924557	1	1	OBRIEN, TIMOTHY J PHD	3/13/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
201705	Fee-for-Service	1215258892	1215258892	1	26	OBHG CALIFORNIA, P.C.	4/25/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	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
201729	Fee-for-Service	1124185947	1124185947	1	1	O'MEARA, E WARREN PHD	2/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	591 CAMINO DE LA REINA	STE 709	SAN DIEGO	CA	92108	3109	37	06073	32.76632791	-117.1616245	San Diego County
201795	Fee-for-Service	1619660701	1619660701	1	1	ORILLOSA, CHARIE MAE	9/12/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1185 MAGNOLIA AVENUE	SUITE C-D	CORONA	CA	92879	3218	33	06065	33.86372325	-117.5461972	Riverside County
201832	Fee-for-Service	1841678653	1841678653	1	1	OSMAN, OMAR MD	8/24/2023	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	175597	None	None	0	In state provider	None	5602 UNIVERSITY AVE	None	SAN DIEGO	CA	92105	2308	37	06073	32.7481088	-117.0743149	San Diego County
201863	Fee-for-Service	1316471980	1316471980	1	1	OTHMAN, TAMER A MD	4/26/2023	207RH0000X	NA	Hematology	026	PHYSICIANS	158324	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
201926	Fee-for-Service	1972142818	1972142818	1	2	OLYMPUS MEDICAL TRANSPORTATI	2/22/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ON INC	4100 W ALAMEDA AVE	STE 337	BURBANK	CA	91505	4195	19	06037	34.1526111	-118.3447742	Los Angeles County
201958	Fee-for-Service	1922697861	1922697861	1	1	OMNIBUS MEDICAL CORP	3/1/2020	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	12566 VALLEY VIEW ST	None	GARDEN GROVE	CA	92845	2006	43	06085	33.78049752	-118.0307808	Orange County
201976	Fee-for-Service	1083940597	1083940597	1	2	OC URGENTCARE MEDICAL GROUP	2/20/2023	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	26781 PORTOLA PKWY	4E	FOOTHILL RANCH	CA	92610	1758	30	06059	33.6785505	-117.6626791	Orange County
202086	Fee-for-Service	1922612761	1922612761	1	1	OTT, MADELYN 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
202196	Fee-for-Service	1629103031	1629103031	1	1	ONTSON, PLACIDE F LMFT	8/16/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	30456	-	NOT APPLICABLE	0	In state provider	None	152 WEST WALNUT ST	STE 150	GARDENA	CA	90248	3146	19	06037	33.87540307	-118.2773813	Los Angeles County
202253	Fee-for-Service	1215258892	1215258892	1	20	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1509 WILSON	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
202301	Fee-for-Service	1467880583	1467880583	2	1	OROVILLE HOSPITAL	3/28/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2450 ORO DAM BLVD	SUITE B	OROVILLE	CA	95966	6052	04	06007	39.50570174	-121.5470597	Butte County
202424	Fee-for-Service	1316361785	1316361785	1	1	OLIVE BRANCH DIAGNOSTIC IMAG	11/6/2019	2471S1302X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	ING, INC	10722 ARROW RTE	SUITE 520	RANCHO CUCAMONGA	CA	91730	4808	36	06071	34.09917725	-117.5708877	San Bernardino County
202454	Fee-for-Service	1255968095	1255968095	1	1	OLADELE, MODUPE MD	3/5/2025	207L00000X	NA	Other	026	PHYSICIANS	None	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
202541	Fee-for-Service	1215258892	1215258892	1	20	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1509 WILSON	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
202543	Fee-for-Service	1952559114	1952559114	1	1	OLUMBA, APPOLONIA A NP	9/18/2020	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	140 E COMMONWEALTH AVE	SUITE 101	FULLERTON	CA	92832	1905	30	06059	33.87034048	-117.922437	Orange County
202618	Fee-for-Service	1578121737	1578121737	1	1	OROVILLE HOSPITAL	7/19/2019	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
202785	Fee-for-Service	1194468439	1194468439	1	1	O'BRIEN, KAITLIN M PHD	8/14/2024	390200000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	625 S FAIR OAKS AVE	#325	PASADENA	CA	91105	2675	19	06037	34.134894	-118.1504155	Los Angeles County
202829	Fee-for-Service	1215258892	1215258892	1	20	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	1509 WILSON	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
202836	Fee-for-Service	1144372665	1144372665	1	1	OROVILLE HOSPITAL	12/1/1979	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95955	6118	04	06007	39.506454	-121.5412785	Butte County
202992	Fee-for-Service	1972675650	1972675650	1	1	OMID ADHC CORP	1/9/2003	311ZA0620X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	SINAI ADULT DAY HEALTH	1772-1776 S ROBERTSON BL	None	LOS ANGELES	CA	90035	2648	19	06037	34.04729187	-118.3859329	Los Angeles County
203033	Fee-for-Service	1740565621	1740565621	1	1	OLSEN, REBECCA M LCSW	5/30/2024	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
203048	Fee-for-Service	1215258892	1215258892	1	10	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	23625 WR HOLMAN HWY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
203082	Fee-for-Service	1912102922	1912102922	1	1	ORIBELLO, ADRIAN MARK P MD	9/23/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109545	41	Internal Medicine	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
203266	Fee-for-Service	1912062001	1912062001	1	1	OVERBY, HALLINE MD INC	1/31/1989	207RH0003X	NA	Oncology	026	PHYSICIANS	32767	68	Hematology	0	In state provider	None	3628 E IMPERIAL HWY	STE 402	LYNWOOD	CA	90262	2646	19	06037	33.93070837	-118.2044557	Los Angeles County
203337	Fee-for-Service	1215258892	1215258892	1	10	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	23625 WR HOLMAN HWY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
203349	Fee-for-Service	1326303124	1326303124	1	1	O'HARA, JOHN P MD	12/20/2018	207L00000X	NA	Other	026	PHYSICIANS	153135	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
203431	Fee-for-Service	1487232468	1487232468	1	1	ORTEGA, ALYSSA A MD	8/12/2024	207N00000X	NA	Dermatology	026	PHYSICIANS	182072	07	Dermatology	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
203538	Fee-for-Service	1174576821	1174576821	1	1	OLIVETO, JENNIFER 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	987400 NEBRASKA MED CTR	None	OMAHA	NE	68198	0001	00	None	0	0	None
203555	Fee-for-Service	1912062001	1912062001	1	1	OVERBY, HALLINE MD INC	1/31/1989	207RH0003X	NA	Oncology	026	PHYSICIANS	32767	41	Internal Medicine	0	In state provider	None	3628 E IMPERIAL HWY	STE 402	LYNWOOD	CA	90262	2646	19	06037	33.93070837	-118.2044557	Los Angeles County
203589	Fee-for-Service	1720023419	1720023419	1	1	OLSEN, NATALIE R NP	5/14/2018	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
203624	Fee-for-Service	1215258892	1215258892	1	10	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	23625 WR HOLMAN HWY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
203652	Fee-for-Service	1043311244	1043311244	2	1	OH, EDWARD S MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	99218	30	Radiology	0	In state provider	None	1600 W AVENUE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
203692	Fee-for-Service	1578927877	1578927877	1	1	OATMAN, ANNALISE LCSW	7/23/2019	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	45 FRANKLIN ST	SUITE 214	SAN FRANCISCO	CA	94102	0000	38	06075	37.77497018	-122.4209309	San Francisco County
203816	Fee-for-Service	1598225658	1598225658	1	1	OSTOWARI, ARSHA MD	11/8/2022	208600000X	NA	General Surgery	026	PHYSICIANS	179452	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
203827	Fee-for-Service	1831369552	1831369552	1	1	ORTEGA, KIM K	11/22/2013	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
203874	Fee-for-Service	1336164284	1336164284	1	1	OPEN ADVANTAGE MRI II	10/16/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	600 N TUSTIN AVE	STE 100	SANTA ANA	CA	92705	3781	30	06059	33.75029437	-117.8341815	Orange County
203995	Fee-for-Service	1417930330	1417930330	1	1	OLSON, NATHANIEL S OD	6/10/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7117 BROCKTON AVENUE	None	RIVERSIDE	CA	92506	3912	33	06065	33.94354395	-117.394926	Riverside County
204125	Fee-for-Service	1225102528	1225102528	1	1	OSIAS,JOELLE MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	80476	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
204182	Fee-for-Service	1639706401	1639706401	1	1	OLAVARRY, CAROLINA C MD	8/16/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	180925	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
204246	Fee-for-Service	1194803320	1194803320	1	1	ORANGE COUNTY OPHTHALMOLOGY	9/26/2019	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	MEDICAL GROUP	12665 GARDEN GROVE BLVD	SUITE 401	GARDEN GROVE	CA	92843	1918	30	06059	33.77450141	-117.9123364	Orange County
204253	Fee-for-Service	1215258892	1215258892	1	8	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
204362	Fee-for-Service	1144267097	1144267097	1	1	ORWIG, DENNIS S MD	5/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	57636	30	Radiology	0	In state provider	None	700 RIVER DR	None	FORT BRAGG	CA	95437	5403	23	06045	39.43163763	-123.8007631	Mendocino County
204539	Fee-for-Service	1215258892	1215258892	1	8	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
204660	Fee-for-Service	1477743474	1477743474	1	1	OLVERA, JENNIFER L LMFT	8/25/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
204686	Fee-for-Service	1730783598	1730783598	1	1	ORCHID COURT INC	2/5/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2020 WEST MESA ST	None	SAN BERNARDINO	CA	92408	6538	36	06071	34.13968196	-117.3362719	San Bernardino County
204690	Fee-for-Service	1467920934	1467920934	1	1	OSEI, MAAME E CNP	12/7/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	491 E ALESSANDRO BLVD	None	RIVERSIDE	CA	92508	6071	33	06065	33.91628714	-117.3230954	Riverside County
204762	Fee-for-Service	1215258892	1215258892	1	34	OBHG CALIFORNIA, P.C.	9/14/2023	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1401 GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
204785	Fee-for-Service	1881247229	1881247229	1	1	OKONKO, CHIEMEZIE NP	10/17/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	95014392	-	NOT APPLICABLE	0	In state provider	None	18646 OXNARD STREET	None	TARZANA	CA	91356	1411	19	06037	34.17993229	-118.5397265	Los Angeles County
204829	Fee-for-Service	1215258892	1215258892	1	8	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
204872	Fee-for-Service	1538488754	1538488754	1	1	OWUSU, YASMIN N MD	8/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	113351	36	Psychiatry	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
204882	Fee-for-Service	1134578800	1134578800	1	1	OLUWOLE, IZABELA MD	8/25/2023	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	169067	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
205018	Fee-for-Service	1225430739	1225430739	1	1	OLSON, AMY E NP	11/25/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
205055	Fee-for-Service	1215258892	1215258892	1	34	OBHG CALIFORNIA, P.C.	9/14/2023	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1401 GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
205093	Fee-for-Service	1396721197	1396721197	1	4	OMNI WOMENS HEALTH MEDICAL G	5/6/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	HEALTH MEDICAL GRP INC	2210 E ILLINOIS	STE 406	FRESNO	CA	93701	2167	10	06019	36.74500687	-119.7846885	Fresno County
205159	Fee-for-Service	1538488754	1538488754	1	1	OWUSU, YASMIN N MD	8/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	113351	26	Psychiatry (child)	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
205167	Fee-for-Service	1033760517	1033760517	1	1	OJO, MATTHEW A	5/21/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1810 WILLOW SPRINGS AVE	None	COALINGA	CA	93210	9267	10	06019	36.13481648	-120.3313185	Fresno County
205182	Fee-for-Service	1003666728	1003666728	1	1	OBAE, JOHN-PAUL SEND	5/1/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	961 E PHILLIPS BLVD	UNIT 10	POMONA	CA	97166	7533	19	06037	34.04452949	-117.737649	Los Angeles County
205216	Fee-for-Service	1598785073	1598785073	1	1	OZGULER, BORA MD	4/26/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	165852	None	None	0	In state provider	None	1095 MARSHALL WAY	2N FL	PLACERVILLE	CA	95667	5722	09	06017	38.7257686	-120.7910663	El Dorado County
205250	Fee-for-Service	1427136191	1427136191	1	1	OLIVER, DONALD C MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	27129	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
205332	Fee-for-Service	1578675245	1578675245	1	1	O'MARA, KEVIN T MD	4/29/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	93623	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
205341	Fee-for-Service	1215258892	1215258892	1	34	OBHG CALIFORNIA, P.C.	9/14/2023	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1401 GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
205382	Fee-for-Service	1396730586	1396730586	1	1	O'MEARA, DANIEL J MD	10/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89854	08	Family Practice	0	In state provider	None	48677 VICTORIA LN	None	OAKHURST	CA	93644	9216	20	06039	37.32772782	-119.6601883	Madera County
205397	Fee-for-Service	1831714880	1831714880	1	1	OUR CARE HOSPICE INC	11/16/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	UNIT 303	VAN NUYS	CA	91401	6559	19	06037	34.18669646	-118.4460435	Los Angeles County
205406	Fee-for-Service	1710042395	1710042395	1	1	ORAKA, CHINWE N MD	5/9/2024	208M00000X	NA	Other	026	PHYSICIANS	192149	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
205428	Fee-for-Service	1700839446	1700839446	1	2	ORLOFF, FEOKTIST MD	12/13/2020	163WW0000X	NA	Other	026	PHYSICIANS	60579	None	None	0	In state provider	None	1950 ROSALINE AVE	SUITE A/B	REDDING	CA	96001	2543	45	06089	40.57330004	-122.3943613	Shasta County
205457	Fee-for-Service	1033760517	1033760517	1	1	OJO, MATTHEW A	5/21/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1810 WILLOW SPRINGS AVE	None	COALINGA	CA	93210	9267	10	06019	36.13481648	-120.3313185	Fresno County
205470	Fee-for-Service	1003666728	1003666728	1	1	OBAE, JOHN-PAUL SEND	5/1/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	961 E PHILLIPS BLVD	UNIT 10	POMONA	CA	97166	7533	19	06037	34.04452949	-117.737649	Los Angeles County
205520	Fee-for-Service	1871768820	1871768820	1	1	OHSIE, STEVEN J MD	5/4/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	90336	22	Pathology (M.D. only)	0	In state provider	None	19951 MARINER AVE	SUITE 155	TORRANCE	CA	90503	1838	19	06037	33.85129396	-118.3504889	Los Angeles County
205573	Fee-for-Service	1083940597	1083940597	1	3	OC URGENTCARE MEDICAL GROUP	12/29/2023	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	801 S BROOKHURST ST.	None	ANAHEIM	CA	92804	4302	30	06059	33.821568	-117.9589665	Orange County
205636	Fee-for-Service	1740515782	1740515782	1	1	OTTO BOCK ORTHOPEDIC	9/10/2018	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	SERVICES LLC	11501 ALTERRA PARKWAY	SUITE 600	AUSTIN	TX	78758	3597	00	None	30.4010898	-97.71971187	Travis County
205639	Fee-for-Service	1063711067	1063711067	1	1	OCHOA, KELLY M MD	8/3/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115696	None	None	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
205659	Fee-for-Service	1316339245	1316339245	1	1	ORTHOCARE & SPORTS PHYSICAL	4/22/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	THERAPY INC	1360 9TH AVE	SUITE 210	SAN FRANCISCO	CA	94122	2374	38	06075	37.76290019	-122.4662021	San Francisco County
205678	Fee-for-Service	1972912921	1972912921	1	1	ODD, LESLIE D LCSW	3/24/2020	1041C0700X	NA	Mental Health Outpatient Services	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
205684	Fee-for-Service	1831714880	1831714880	1	1	OUR CARE HOSPICE INC	11/16/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	UNIT 303	VAN NUYS	CA	91401	6559	19	06037	34.18669646	-118.4460435	Los Angeles County
205694	Fee-for-Service	1710042395	1710042395	1	1	ORAKA, CHINWE N MD	5/9/2024	208M00000X	NA	Other	026	PHYSICIANS	192149	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
205900	Fee-for-Service	1215258892	1215258892	1	25	OBHG CALIFORNIA, P.C.	5/1/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	43	06085	37.36893518	-122.0779448	Santa Clara County
205936	Fee-for-Service	1215258892	1215258892	1	31	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	215 JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
205937	Fee-for-Service	1114380623	1114380623	1	1	OLSEN, JILLIAN MD	7/8/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	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
205967	Fee-for-Service	1114281557	1114281557	1	1	OJI, EMMY A DPM	8/20/2015	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1247 E ALLUVIAL AVE	SUITE 101	FRESNO	CA	93720	2686	10	06019	36.84470048	-119.7606195	Fresno County
206041	Fee-for-Service	1326097338	1326097338	1	1	OTIENO, CHARLES O MD	3/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85874	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2615 EYE ST	None	BAKERSFIELD	CA	93301	2006	15	06029	35.38291587	-119.0199632	Kern County
206122	Fee-for-Service	1740357763	1740357763	1	1	ODDIE, JAMES W MD	1/10/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	49455	84	Surgery-Head and Neck	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
206191	Fee-for-Service	1215258892	1215258892	1	25	OBHG CALIFORNIA, P.C.	5/1/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	43	06085	37.36893518	-122.0779448	Santa Clara County
206223	Fee-for-Service	1215258892	1215258892	1	31	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	215 JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
206257	Fee-for-Service	1629153465	1629153465	1	1	ORTIZ PORTILLO, ELENA	6/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	84141	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
206270	Fee-for-Service	1215258892	1215258892	1	27	OBHG CALIFORNIA, P.C.	6/12/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	38600 MEDICAL CENTER DR	None	PALMDALE	CA	93551	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
206271	Fee-for-Service	1013158112	1013158112	1	1	OBRIEN, NICOLE F	9/17/2020	2080P0203X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	700 CHILDRENS DRIVE	None	COLUMBUS	OH	43205	2664	00	None	39.95288635	-82.98152375	Franklin County
206342	Fee-for-Service	1881742955	1881742955	1	1	OHARRA, LAURA G	6/23/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3101 I ST.	103	SACRAMENTO	CA	95816	4421	34	06067	38.574387	-121.4642925	Sacramento County
206407	Fee-for-Service	1740357763	1740357763	1	1	ODDIE, JAMES W MD	1/10/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	49455	04	Otology, Laryngology, Rhinology	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
206478	Fee-for-Service	1215258892	1215258892	1	25	OBHG CALIFORNIA, P.C.	5/1/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	43	06085	37.36893518	-122.0779448	Santa Clara County
206509	Fee-for-Service	1306473608	1306473608	1	1	OMOLE, ADEDAMOLA MD	7/26/2024	208M00000X	NA	Other	026	PHYSICIANS	180926	08	Family Practice	0	In state provider	None	1401 GARCES HWY	None	DELANO	CA	93215	3660	15	06029	35.76144847	-119.238912	Kern County
206512	Fee-for-Service	1215258892	1215258892	1	31	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	215 JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
206558	Fee-for-Service	1215258892	1215258892	1	27	OBHG CALIFORNIA, P.C.	6/12/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	38600 MEDICAL CENTER DR	None	PALMDALE	CA	93551	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
206601	Fee-for-Service	1750008876	1750008876	1	1	OROPEZA, NATALIE PSYD	10/28/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	6620 VIA DEL ORO	None	SAN JOSE	CA	95119	1451	43	06085	37.23418124	-121.7818366	Santa Clara County
206620	Fee-for-Service	1336164284	1336164284	1	2	OPEN ADVANTAGE MRI II	8/17/2018	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	600 NORTH TUSTIN AVENUE	STE 100	SANTA ANA	CA	92705	3781	30	06059	33.75029437	-117.8341815	Orange County
206650	Fee-for-Service	1992848667	1992848667	1	1	OLVERA, ANA E LMFT	12/3/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	50810	-	NOT APPLICABLE	0	In state provider	None	1401 L STREET	None	BAKERSFIELD	CA	93301	4522	15	06029	35.37071435	-119.0164657	Kern County
206656	Fee-for-Service	1831684786	1831684786	1	1	OFOEGBU, HENRIETTA O NP	8/23/2023	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
206697	Fee-for-Service	1700839446	1700839446	1	1	ORLOFF, FEOKTIST MD	12/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	60579	None	None	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
206846	Fee-for-Service	1215258892	1215258892	1	27	OBHG CALIFORNIA, P.C.	6/12/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	38600 MEDICAL CENTER DR	None	PALMDALE	CA	93551	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
206921	Fee-for-Service	1750314944	1750314944	1	1	OXI TECHS INC	7/1/2008	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	8978 BAINBRIDGE PL	None	STOCKTON	CA	95209	4807	39	06077	38.03124892	-121.3556727	San Joaquin County
207057	Fee-for-Service	1215258892	1215258892	1	13	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
207071	Fee-for-Service	1750725362	1750725362	1	1	OLIVER, DEANNA L	9/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	139921	41	Internal Medicine	0	In state provider	None	290 N WAYTE LANE	None	FRESNO	CA	93701	2124	10	06019	36.74643429	-119.7837416	Fresno County
207073	Fee-for-Service	1508902289	1508902289	1	1	ORANGE COUNTY PEDIATRIC	12/4/2000	2080P0202X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CARDIOLOGY MEDICAL GROUP	1310 W STEWART DR	STE 407	ORANGE	CA	92868	3855	30	06059	33.78236048	-117.8664975	Orange County
207085	Fee-for-Service	1215258892	1215258892	1	16	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	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
207340	Fee-for-Service	1255567699	1255567699	1	1	ORTIZ, GERMAN E LMFT	2/26/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	680 E COLORADO BLVD	SUITE 180	PASADENA	CA	91101	6143	19	06037	34.14586451	-118.136493	Los Angeles County
207345	Fee-for-Service	1215258892	1215258892	1	13	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	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
207374	Fee-for-Service	1215258892	1215258892	1	16	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	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
207383	Fee-for-Service	1215258892	1215258892	1	40	OBHG CALIFORNIA, P.C.	12/4/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2755 HERNDON AVE	None	CLOVIS	CA	93611	6800	10	06019	36.83745149	-119.6604315	Fresno County
207422	Fee-for-Service	1336207281	1336207281	1	1	OCEAN VIEW HEALTH CARE INC	2/7/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	OCEAN VIEW HEALTH CARE	3430 OCEAN VIEW BLVD	SUITE C	GLENDALE	CA	91208	1596	19	06037	34.20135989	-118.2282592	Los Angeles County
207439	Fee-for-Service	1134336530	1134336530	1	1	ORTEGA, LAUREN P MD	6/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93694	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
207487	Fee-for-Service	1578813598	1578813598	1	1	ORR, LAVENDER R OD	6/17/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	191 S BUENA VISTA ST	SUITE 420	BURBANK	CA	91505	4551	19	06037	34.15872557	-118.3283863	Los Angeles County
207617	Fee-for-Service	1407893399	1407893399	1	1	OCHALEK, DANIEL J MD	1/8/2020	208600000X	NA	General Surgery	026	PHYSICIANS	159153	02	General Surgery	0	In state provider	None	5401 NORRIS CANYON RD	STE 202	SAN RAMON	CA	94583	5406	07	06013	37.77752374	-121.9579277	Contra Costa County
207621	Fee-for-Service	1487605168	1487605168	1	1	OAKWOOD HERITAGE HOSPITAL	8/26/2007	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	10000 TELEGRAPH RD.	None	TAYLOR	MI	48180	0000	00	None	42.235191	-83.276514	Wayne County
207632	Fee-for-Service	1215258892	1215258892	1	13	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
207660	Fee-for-Service	1215258892	1215258892	1	16	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	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
207673	Fee-for-Service	1215258892	1215258892	1	40	OBHG CALIFORNIA, P.C.	12/4/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	2755 HERNDON AVE	None	CLOVIS	CA	93611	6800	10	06019	36.83745149	-119.6604315	Fresno County
207828	Fee-for-Service	1962820530	1962820530	1	1	ORABI, LAUREN	9/9/2024	207P00000X	NA	Other	026	PHYSICIANS	None	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
207959	Fee-for-Service	1215258892	1215258892	1	40	OBHG CALIFORNIA, P.C.	12/4/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2755 HERNDON AVE	None	CLOVIS	CA	93611	6800	10	06019	36.83745149	-119.6604315	Fresno County
208040	Fee-for-Service	1215081799	1215081799	2	1	ORTIZ, MILDRED C PSYD	7/16/2018	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	18000 STUDEBAKER RD	STE 700	CERRITOS	CA	90703	2684	19	06037	33.86863289	-118.0988933	Los Angeles County
208138	Fee-for-Service	1689770281	1689770281	1	1	OPFELL, ANDREW R MD	12/31/1987	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	57471	20	Orthopedic Surgery	0	In state provider	None	1234 EMPIRE ST	None	FAIRFIELD	CA	94533	5711	48	06095	38.25037548	-122.049045	Solano County
208141	Fee-for-Service	1154422442	1154422442	1	1	OSBORN, JENNIFER L MD	7/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	77329	41	Internal Medicine	0	In state provider	None	4944 SUNRISE BLVD	None	FAIR OAKS	CA	95628	4941	34	06067	38.656107	-121.271931	Sacramento County
208240	Fee-for-Service	1467858696	1467858696	1	1	OMNI FAMILY HEALTH	2/18/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	210 N CHESTER AVE	None	BAKERSFIELD	CA	93308	4841	15	06029	35.407179	-119.0208925	Kern County
208379	Fee-for-Service	1720616733	1720616733	1	1	OWEN, RODNEY MD	7/1/2023	207P00000X	NA	Other	026	PHYSICIANS	184024	None	None	0	In state provider	None	1306 MARICOPA HWY	None	OJAI	CA	93023	3131	56	06111	34.44229705	-119.2645703	Ventura County
208380	Fee-for-Service	1003336322	1003336322	1	1	OLSON-STUDLER, NATHALIE LPC	10/24/2023	101Y00000X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	C	300 MONTGOMERY	STE 204	SAN FRANCISCO	CA	94104	1902	38	06075	37.7923269	-122.4026145	San Francisco County
208418	Fee-for-Service	1063894152	1063894152	1	1	ONE STOP HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1442 IRVINE BLVD	SUITE 103	TUSTIN	CA	92780	3846	30	06059	33.74510442	-117.8049024	Orange County
208508	Fee-for-Service	1093248999	1093248999	1	1	OVEYSSI, JUSTIN O DO	7/6/2022	207RN0300X	NA	Nephrology	026	PHYSICIANS	16908	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
208525	Fee-for-Service	1487110458	1487110458	1	1	OUR DUTY HOME HEALTH INC	4/15/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	16133 VENTURA BLVD	STE 1135	ENCINO	CA	91346	2415	19	06037	34.15656164	-118.4849569	Los Angeles County
208528	Fee-for-Service	1467858696	1467858696	1	1	OMNI FAMILY HEALTH	12/14/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	210 N CHESTER AVE	None	BAKERSFIELD	CA	93308	4841	15	06029	35.407179	-119.0208925	Kern County
208588	Fee-for-Service	1518030659	1518030659	1	1	OSBORN, JOHN M MD	3/7/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	23565	24	Plastic Surgery	0	In state provider	None	95 SCRIPPS DR	None	SACRAMENTO	CA	95825	6320	34	06067	38.571831	-121.409604	Sacramento County
208654	Fee-for-Service	1043708456	1043708456	1	1	O'DONNELL, NICOLE CNP	4/6/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1792 GARNET AVE	None	SAN DIEGO	CA	92109	3350	37	06073	32.80054833	-117.2374979	San Diego County
208705	Fee-for-Service	1063894152	1063894152	1	1	ONE STOP HOSPICE INC	7/17/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1442 IRVINE BLVD	SUITE 103	TUSTIN	CA	92780	3846	30	06059	33.74510442	-117.8049024	Orange County
208755	Fee-for-Service	1336196211	1336196211	1	1	ORDAS, DENNIS M MD	12/31/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	77521	36	Psychiatry	0	In state provider	None	328 ENCINITAS BLVD	STE 100	ENCINITAS	CA	92024	8704	37	06073	33.04815637	-117.2842827	San Diego County
208819	Fee-for-Service	1467858696	1467858696	1	1	OMNI FAMILY HEALTH	5/7/2015	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	210 N CHESTER AVE	None	BAKERSFIELD	CA	93308	4841	15	06029	35.407179	-119.0208925	Kern County
208944	Fee-for-Service	1396721197	1396721197	1	13	OMNI WOMENS HEALTH MEDICAL G	7/8/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	GROUP INC	2137 HERNDON AVE	102	CLOVIS	CA	93611	6306	10	06019	36.83753304	-119.6766193	Fresno County
209088	Fee-for-Service	1861274094	1861274094	1	1	OLLADA ALIPIO, MICHELLE P	5/14/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10 EASTMONT	None	IRVINE	CA	92604	3345	30	06059	33.68226859	-117.7850815	Orange County
209105	Fee-for-Service	1467858696	1467858696	1	1	OMNI FAMILY HEALTH	2/18/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	210 N CHESTER AVE	None	BAKERSFIELD	CA	93308	4841	15	06029	35.407179	-119.0208925	Kern County
209116	Fee-for-Service	1073803979	1073803979	1	1	OKAMOTO, DANIEL A MD	7/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136708	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
209127	Fee-for-Service	1932158805	1932158805	1	1	OCALLAHAN, JULIANNE G MD	12/6/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	79159	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
209138	Fee-for-Service	1881232999	1881232999	1	1	O'CONNOR, SEAN PSYD	8/9/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	925 DE LA VINA ST	SUITE 100	SANTA BARBARA	CA	93101	3243	42	06083	34.41905458	-119.7037817	Santa Barbara County
209162	Fee-for-Service	1720828999	1720828999	1	1	OWENS, STEVNE M BIRTH DOULA	6/6/2024	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	36	06071	0	0	None
209176	Fee-for-Service	1336591361	1336591361	1	1	OGEMBO, REBECCA K NP	2/11/2019	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	1150	19	06037	33.985584	-118.256433	Los Angeles County
209218	Fee-for-Service	1215258892	1215258892	1	11	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1555 SOQUEL DR	None	SANTA CRUZ	CA	95065	1705	44	06087	36.98863619	-121.9830754	Santa Cruz County
209377	Fee-for-Service	1861274094	1861274094	1	1	OLLADA ALIPIO, MICHELLE P	5/14/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10 EASTMONT	None	IRVINE	CA	92604	3345	30	06059	33.68226859	-117.7850815	Orange County
209444	Fee-for-Service	1932396611	1932396611	1	1	OH, DANIEL S MD	8/26/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	82679	33	Thoracic Surgery	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
209508	Fee-for-Service	1215258892	1215258892	1	11	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1555 SOQUEL DR	None	SANTA CRUZ	CA	95065	1705	44	06087	36.98863619	-121.9830754	Santa Cruz County
209584	Fee-for-Service	1215258892	1215258892	1	22	OBHG CALIFORNIA, P.C.	1/25/2021	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	39000 BOB HOPE	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
209600	Fee-for-Service	1518061530	1518061530	1	1	OSTERGARD, DONALD MD INC	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	701 E 28TH ST	STE 212	LONG BEACH	CA	90806	2774	19	06037	33.80803441	-118.1847137	Los Angeles County
209730	Fee-for-Service	1932396611	1932396611	1	1	OH, DANIEL S MD	8/26/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	82679	02	General Surgery	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
209795	Fee-for-Service	1215258892	1215258892	1	11	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	1555 SOQUEL DR	None	SANTA CRUZ	CA	95065	1705	44	06087	36.98863619	-121.9830754	Santa Cruz County
209827	Fee-for-Service	1134780604	1134780604	1	1	ON CALL HOSPICE CARE INC	6/12/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5311 TOPANGA CANYON BLVD	STE 314	WOODLAND HILLS	CA	91364	1754	19	06037	34.166313	-118.6059365	Los Angeles County
209873	Fee-for-Service	1215258892	1215258892	1	22	OBHG CALIFORNIA, P.C.	1/25/2021	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	39000 BOB HOPE	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
209889	Fee-for-Service	1568899193	1568899193	1	1	OFILI, MIRIAM N NP	9/8/2015	No Taxonomy Provided	NA	None	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
209945	Fee-for-Service	1326486010	1326486010	1	1	OKUMURA, SEAN M MD	7/1/2017	207P00000X	NA	Other	026	PHYSICIANS	133236	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
209987	Fee-for-Service	1700178530	1700178530	1	1	OAK, JEAN S MD	7/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	122678	22	Pathology (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
210004	Fee-for-Service	1831521939	1831521939	1	1	O'CONNOR, LINDA LCSW	2/22/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
210112	Fee-for-Service	1134780604	1134780604	1	1	ON CALL HOSPICE CARE INC	6/12/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5311 TOPANGA CANYON BLVD	STE 314	WOODLAND HILLS	CA	91364	1754	19	06037	34.166313	-118.6059365	Los Angeles County
210157	Fee-for-Service	1215258892	1215258892	1	22	OBHG CALIFORNIA, P.C.	1/25/2021	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	39000 BOB HOPE	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
210309	Fee-for-Service	1710039953	1710039953	1	1	ONCOLOGY HEMATOLOGY	2/28/1987	174400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	CONSULTANTS	2653 ELM AVE	STE 300	LONG BEACH	CA	90806	1636	19	06037	33.805512	-118.188348	Los Angeles County
210327	Fee-for-Service	1568650109	1568650109	1	1	O'CONNELL, HEATHER M PHD	4/22/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	740 SOLANO STREET	None	CORNING	CA	96021	3352	52	06103	39.92792649	-122.175513	Tehama County
210357	Fee-for-Service	1669752077	1669752077	1	1	O'SHEA, RYAN M MD	9/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	122871	20	Orthopedic Surgery	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
210366	Fee-for-Service	1184098063	1184098063	1	1	OMNISEQ INC	5/3/2018	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	700 ELLICOT STREET	None	BUFFALO	NY	14203	1102	00	None	42.897609	-78.8685975	Erie County
210385	Fee-for-Service	1326605148	1326605148	1	1	OGUNJALE, OLUWATOYIN M NP	7/20/2019	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
210399	Fee-for-Service	1285181156	1285181156	1	1	ONE HEALTH MEDICAL	10/4/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	& SURGICAL CENTER INC	425 OLD NEWPORT BLVD	None	NEWPORT BEACH	CA	92633	4250	30	06059	33.62664336	-117.9264807	Orange County
210546	Fee-for-Service	1326535717	1326535717	1	1	ORTEGA, LINDA	12/18/2018	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	279 WEST WOODBURY RD	None	ALTADENA	CA	91001	5565	19	06037	34.18286446	-118.1565765	Los Angeles County
210598	Fee-for-Service	1710039953	1710039953	1	1	ONCOLOGY HEMATOLOGY	2/28/1987	174400000X	NA	Other	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	CONSULTANTS	2653 ELM AVE	STE 300	LONG BEACH	CA	90806	1636	19	06037	33.805512	-118.188348	Los Angeles County
210621	Fee-for-Service	1679849038	1679849038	1	1	ORANGE COUNTY HEALTHCARE INC	5/13/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	9918 KATELLA AVE	SUITE C	ANAHEIM	CA	92804	6465	30	06059	33.80307047	-117.959688	Orange County
210676	Fee-for-Service	1023181203	1023181203	1	1	ORNSTEIN, KARA S MD	4/1/1999	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	65492	40	Pediatrics	0	In state provider	None	1100 S ELISEO DR	STE 106	GREENBRAE	CA	94904	2017	21	06041	37.94358265	-122.5345035	Marin County
210687	Fee-for-Service	1285181156	1285181156	1	1	ONE HEALTH MEDICAL	10/4/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	& SURGICAL CENTER INC	425 OLD NEWPORT BLVD	None	NEWPORT BEACH	CA	92633	4250	30	06059	33.62664336	-117.9264807	Orange County
210716	Fee-for-Service	1386270452	1386270452	1	1	ONG, KARLA MARIE NP	2/26/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4867 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5969	19	06037	34.0981755	-118.295055	Los Angeles County
210834	Fee-for-Service	1326535717	1326535717	1	1	ORTEGA, LINDA	12/18/2018	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	279 WEST WOODBURY RD	None	ALTADENA	CA	91001	5565	19	06037	34.18286446	-118.1565765	Los Angeles County
210891	Fee-for-Service	1518406362	1518406362	1	1	ORTIZ, KATIE M LCSW	9/12/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	700 N CENTRAL AVE STE 34	None	GLENDALE	CA	91203	4238	19	06037	34.15708991	-118.2579615	Los Angeles County
210975	Fee-for-Service	1285181156	1285181156	1	1	ONE HEALTH MEDICAL	10/4/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	& SURGICAL CENTER INC	425 OLD NEWPORT BLVD	None	NEWPORT BEACH	CA	92633	4250	30	06059	33.62664336	-117.9264807	Orange County
210992	Fee-for-Service	1386968675	1386968675	1	1	OPANS, LLC	12/8/2017	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	4134 S ALSTON AVENUE	SUITE 101	DURHAM	NC	27713	1870	00	None	35.916345	-78.8897385	Durham County
211080	Fee-for-Service	1558386615	1558386615	1	1	O'DONNELL, ROBERT H MD	1/30/1997	207L00000X	NA	Other	026	PHYSICIANS	56760	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
211144	Fee-for-Service	1568669158	1568669158	1	1	OWEN GINOCCHIO	7/29/2018	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
211235	Fee-for-Service	1144646217	1144646217	1	1	OELRICH, CRYSTAL J NP	4/1/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1300 N VERMONT AVE	SUITE 606	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
211253	Fee-for-Service	1699356840	1699356840	1	1	OKHUNOV, ZHAMSHID MD	2/9/2024	208800000X	NA	Other	026	PHYSICIANS	189589	None	None	0	In state provider	None	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
211373	Fee-for-Service	1235136060	1235136060	2	1	ORTHOFIX US LLC	12/11/2017	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	701 PALOMAR AIRPORT RD	STE 300 OFFICE 11	CARLSBAD	CA	92011	1023	37	06073	33.12205613	-117.3236305	San Diego County
211386	Fee-for-Service	1194013193	1194013193	1	1	ONTIVEROS, ERIC	3/8/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6840 INDIANA AVE	275	RIVERSIDE	CA	92506	4279	33	06065	33.94246965	-117.3926366	Riverside County
211402	Fee-for-Service	1689335523	1689335523	1	1	ODESSA MEDICAL SUPPLY INC.	8/4/2022	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	14747 KESWICK ST	None	VAN NUYS	CA	91405	1206	19	06037	34.21028953	-118.455048	Los Angeles County
211454	Fee-for-Service	1790042471	1790042471	1	1	ORKIN, JESSICA L MD	7/31/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127361	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
211514	Fee-for-Service	1184829467	1184829467	1	1	O'NEILL, ROBIN LCSW	8/17/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	28821	-	NOT APPLICABLE	0	In state provider	None	2523 EL PORTAL DRIVE	103	SAN PABLO	CA	94806	3305	07	06013	37.96550037	-122.338586	Contra Costa County
211747	Fee-for-Service	1376786079	1376786079	1	1	ORTIZ, LIZA M MD	4/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	116294	01	General Practice	0	In state provider	None	20111 CEDAR ROAD NORTH	None	SONORA	CA	95370	5939	55	06109	37.98813587	-120.3664247	Tuolumne County
211779	Fee-for-Service	1801440292	1801440292	1	1	OBANA, BRENDA V NP	5/26/2023	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	615 WEST AVE L	None	LANCASTER	CA	93545	7211	19	06037	34.6603515	-118.1419695	Los Angeles County
211781	Fee-for-Service	1902963853	1902963853	1	1	ORO, ANTHONY E MD	10/1/1998	207N00000X	NA	Dermatology	026	PHYSICIANS	79854	07	Dermatology	0	In state provider	None	2680 HANOVER ST	# 100	PALO ALTO	CA	94304	1117	43	06085	37.41744418	-122.1474815	Santa Clara County
211824	Fee-for-Service	1376771030	1376771030	1	1	ODOM, NATHAN E MD	3/8/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	25	Physical Medicine and Rehabilitation	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
212047	Fee-for-Service	1043383904	1043383904	1	1	OUWEKERK, YASNA L NP	10/27/2015	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
212195	Fee-for-Service	1730141573	1730141573	1	1	OSMAN, DEBRA D MD	7/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	46339	41	Internal Medicine	0	In state provider	None	1545 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3425	38	06075	37.78393521	-122.4396714	San Francisco County
212210	Fee-for-Service	1033734728	1033734728	1	1	ORANGE COUNTY SURGICAL CENTE	4/6/2021	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	R	1400 REYNOLDS AVE	SUITE 109	IRVINE	CA	92614	5538	30	06059	33.6957272	-117.8542013	Orange County
212212	Fee-for-Service	1144209206	1144209206	1	1	O'DELL, JENNIFER F	8/24/2018	207ZP0102X	NA	Other	026	PHYSICIANS	147262	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
212229	Fee-for-Service	1497821516	1497821516	1	1	ONYEADOR, EJIKE C MD	8/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	45589	40	Pediatrics	0	In state provider	None	1045 ATLANTIC AVE	STE 715	LONG BEACH	CA	90813	3412	19	06037	33.780267	-118.1850795	Los Angeles County
212408	Fee-for-Service	1639476112	1639476112	1	1	OLEGARIO NEBEL, MARISSA A MD	8/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150160	25	Physical Medicine and Rehabilitation	0	In state provider	None	801 EAST CHAPEL STREET	SUITE 1	SANTA MARIA	CA	93454	4607	42	06083	34.9542915	-120.424455	Santa Barbara County
212512	Fee-for-Service	1467456731	1467456731	1	1	OXNARD DRUG	10/14/2003	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	105 W 5TH ST	None	OXNARD	CA	93030	7105	56	06111	34.19771851	-119.177622	Ventura County
212518	Fee-for-Service	1497821516	1497821516	1	1	ONYEADOR, EJIKE C MD	8/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	45589	08	Family Practice	0	In state provider	None	1045 ATLANTIC AVE	STE 715	LONG BEACH	CA	90813	3412	19	06037	33.780267	-118.1850795	Los Angeles County
212551	Fee-for-Service	1982706818	1982706818	1	1	OBIOMA ONUORAH M.D.	2/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	900 S AUBURN ST	None	KENNEWICK	WA	99336	5621	00	None	46.19896647	-119.11855	Benton County
212594	Fee-for-Service	1114927985	1114927985	1	1	OCEAN SIDE HOME HLTH SVS	1/15/2002	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4322 WILSHIRE BLVD	STE 208	LOS ANGELES	CA	90010	3792	19	06037	34.0617488	-118.322475	Los Angeles County
212602	Fee-for-Service	1922485671	1922485671	1	1	OROSCO, DANIEL DO	8/1/2019	207P00000X	NA	Other	026	PHYSICIANS	17124	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2309 ANTONIO AVE	None	CAMARILLO	CA	93010	1414	56	06111	34.24435917	-119.0191975	Ventura County
212661	Fee-for-Service	1568994366	1568994366	1	1	ORSULAK, MARY K MD	7/9/2020	390200000X	NA	Other	026	PHYSICIANS	157139	08	Family Practice	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
212662	Fee-for-Service	1427315118	1427315118	1	1	OSWALD, JESSICA MD	12/4/2018	390200000X	NA	Other	026	PHYSICIANS	130925	66	Emergency Medicine (Urgent Care)	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
212854	Fee-for-Service	1972665131	1972665131	1	1	OWENS, INC.	2/13/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	3860 MORROW LN	SUITE E	CHICO	CA	95928	8819	04	06007	39.71191705	-121.7906136	Butte County
212904	Fee-for-Service	1104809169	1104809169	1	1	OUNJIAN, ZAREH J MD INC	1/1/1982	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	22927	30	Radiology	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
213167	Fee-for-Service	1891929469	1891929469	1	1	OLULADE, ABISOLA A MD	11/29/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	152409	08	Family Practice	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2393	37	06073	32.72663119	-117.1611714	San Diego County
213281	Fee-for-Service	1215258892	1215258892	1	29	OBHG CALIFORNIA, P.C.	2/2/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	815 POLLARD ROAD	None	LOS GATOS	CA	95032	1438	43	06085	37.26214754	-121.9701986	Santa Clara County
213360	Fee-for-Service	1053359232	1053359232	1	1	OSTRZEGA, ENRIQUE L MD	6/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	50472	06	Cardiovascular Disease (M.D. only)	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
213367	Fee-for-Service	1841751971	1841751971	1	1	OLDENKAMP, CAITLIN MD	8/20/2023	207P00000X	NA	Other	026	PHYSICIANS	179895	None	None	0	In state provider	None	2050 VIBORG RD	None	SOLVANG	CA	93463	2220	42	06083	34.60246267	-120.1261332	Santa Barbara County
213398	Fee-for-Service	1184004137	1184004137	1	1	OLIVE DIALYSIS LLC	10/18/2017	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	9848 ATLANTIC AVE	None	SOUTH GATE	CA	90280	5219	19	06037	33.94210239	-118.1812512	Los Angeles County
213571	Fee-for-Service	1215258892	1215258892	1	29	OBHG CALIFORNIA, P.C.	2/2/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	815 POLLARD ROAD	None	LOS GATOS	CA	95032	1438	43	06085	37.26214754	-121.9701986	Santa Clara County
213634	Fee-for-Service	1740577535	1740577535	1	1	O'LEARY, ERIN T MD	8/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115585	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
213655	Fee-for-Service	1215258892	1215258892	1	28	OBHG CALIFORNIA, P.C.	10/5/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	42	06083	34.42887662	-119.7237878	Santa Barbara County
213857	Fee-for-Service	1215258892	1215258892	1	29	OBHG CALIFORNIA, P.C.	2/2/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	815 POLLARD ROAD	None	LOS GATOS	CA	95032	1438	43	06085	37.26214754	-121.9701986	Santa Clara County
213879	Fee-for-Service	1043827140	1043827140	1	1	ORTIZ, APRIL L NP	12/22/2020	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4045 STOCKDALE HWY	None	BAKERSFIELD	CA	93309	2021	15	06029	35.3540847	-119.0536548	Kern County
213943	Fee-for-Service	1215258892	1215258892	1	28	OBHG CALIFORNIA, P.C.	10/5/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	42	06083	34.42887662	-119.7237878	Santa Barbara County
214050	Fee-for-Service	1871094979	1871094979	1	1	OGORCHOCK, KENDALL P LMFT	2/11/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	130 E LELAND RD	C	PITTSBURG	CA	94565	4983	07	06013	38.01186589	-121.8902232	Contra Costa County
214135	Fee-for-Service	1932400025	1932400025	1	1	OCULOFACIAL PLASTIC &	10/19/2011	261QS0132X	NA	Other	026	PHYSICIANS	10810	18	Ophthalmology	0	In state provider	RECONSTRUCTIVE SURGERY	210 HOSPITAL CIRCLE	STE C	WESTMINSTER	CA	92683	3900	30	06059	33.76238217	-117.9945685	Orange County
214137	Fee-for-Service	1902435928	1902435928	1	1	OUEINI, LEILA MD	8/26/2023	207R00000X	NA	Other	026	PHYSICIANS	185016	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
214234	Fee-for-Service	1215258892	1215258892	1	28	OBHG CALIFORNIA, P.C.	10/5/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	42	06083	34.42887662	-119.7237878	Santa Barbara County
214302	Fee-for-Service	1366418535	1366418535	1	1	O'BRIEN, KERRY L. 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	501 N GRAHAM ST	STE 555	PORTLAND	OR	97227	2007	00	None	45.54285348	-122.671035	Multnomah County
214314	Fee-for-Service	1912955980	1912955980	1	1	ONG, JAMES J MD	2/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	70354	41	Internal Medicine	0	In state provider	VALLEY REGIONAL ARRHYTHM	18411 CLARK ST	STE 203	TARZANA	CA	91356	3534	19	06037	34.16981538	-118.5337442	Los Angeles County
214386	Fee-for-Service	1609107887	1609107887	1	1	OBRIEN, KATE M NP	8/5/2019	363LA2200X	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
214395	Fee-for-Service	1780143024	1780143024	1	1	O'BRIEN, JAMES R MD	8/25/2024	207P00000X	NA	Other	026	PHYSICIANS	None	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
214399	Fee-for-Service	1598816225	1598816225	1	1	OROVILLE HOSPITAL	3/30/1995	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2767 OLIVE HWY	STE 23	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
214459	Fee-for-Service	1255374443	1255374443	1	1	OWENS, LEON J MD	6/1/1999	207P00000X	NA	Other	026	PHYSICIANS	38101	02	General Surgery	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
214497	Fee-for-Service	1750385183	1750385183	1	1	ONCOLOGY HEMATOLOGY MED	1/15/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ASSOC OF THE CENT COAST	1941 JOHNSON AVE	STE 301	SAN LUIS OBISPO	CA	93401	4169	40	06079	35.27804785	-120.649711	San Luis Obispo County
214600	Fee-for-Service	1912955980	1912955980	1	1	ONG, JAMES J MD	2/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	70354	06	Cardiovascular Disease (M.D. only)	0	In state provider	VALLEY REGIONAL ARRHYTHM	18411 CLARK ST	STE 203	TARZANA	CA	91356	3534	19	06037	34.16981538	-118.5337442	Los Angeles County
214614	Fee-for-Service	1679560585	1679560585	1	1	ORANGE ORTHOPEDIC MED	2/28/1981	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	GROUP INC	1310 W STEWART DR	STE 510	ORANGE	CA	92868	3885	30	06059	33.78236048	-117.8664975	Orange County
214665	Fee-for-Service	1285958884	1285958884	1	1	OLAGUNJU, OLUMIDE T MD	5/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	6900 N DURANGO BLVD	None	LAS VEGAS	NV	89149	4409	00	None	36.28701289	-115.2877045	Clark County
214749	Fee-for-Service	1255374443	1255374443	1	1	OWENS, LEON J MD	6/1/1999	207P00000X	NA	Other	026	PHYSICIANS	38101	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
214755	Fee-for-Service	1093312316	1093312316	1	1	OSBORNE, RACHEL B NP	10/27/2020	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
214768	Fee-for-Service	1649775719	1649775719	1	1	OBASI, HANNAH MD	4/2/2025	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	165789	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
214783	Fee-for-Service	1750385183	1750385183	1	1	ONCOLOGY HEMATOLOGY MED	1/15/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	ASSOC OF THE CENT COAST	1941 JOHNSON AVE	STE 301	SAN LUIS OBISPO	CA	93401	4169	40	06079	35.27804785	-120.649711	San Luis Obispo County
214969	Fee-for-Service	1093849762	1093849762	1	1	ORNELAS, ALEJANDRO LCSW	5/27/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	256 CAJON ST	SUITE E	REDLANDS	CA	92373	5278	36	06071	34.05204454	-117.1802319	San Bernardino County
214979	Fee-for-Service	1023509346	1023509346	1	1	OWENS, GREGORY LMFT	3/7/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	740 W. 190TH ST	SUITE A	GARDENA	CA	90248	4235	19	06037	33.86022767	-118.2873851	Los Angeles County
215036	Fee-for-Service	1255374443	1255374443	1	1	OWENS, LEON J MD	6/1/1999	207P00000X	NA	Other	026	PHYSICIANS	38101	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
215127	Fee-for-Service	1033403027	1033403027	1	1	OSTEEN, VICTORIA G LCSW	6/22/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	37	06073	32.70162897	-117.1465065	San Diego County
215173	Fee-for-Service	1932287786	1932287786	1	1	OSHITA, LESLIE A MD	3/16/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52154	41	Internal Medicine	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
215228	Fee-for-Service	1528395118	1528395118	1	1	OCHNER, MARGARET H MD	8/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113113	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
215341	Fee-for-Service	1215258892	1215258892	1	2	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4863	36	06071	34.13502	-117.2758635	San Bernardino County
215402	Fee-for-Service	1871697243	1871697243	1	1	OGUNDEJI, ABIMBOLA A LMFT	9/4/2018	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
215428	Fee-for-Service	1588469167	1588469167	1	1	OPTICA OPTOMETRY VISION CENT	3/20/2025	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	ER	16259 PARAMOUNT BLVD	SUITE B	PARAMOUNT	CA	90723	5425	19	06037	33.886701	-118.160168	Los Angeles County
215487	Fee-for-Service	1083940597	1083940597	1	4	OC URGENTCARE MEDICAL GROUP	2/14/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	610 E KATELLA AVE	None	ORANGE	CA	92867	4954	30	06059	33.80907023	-117.847242	Orange County
215630	Fee-for-Service	1215258892	1215258892	1	2	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4863	36	06071	34.13502	-117.2758635	San Bernardino County
215733	Fee-for-Service	1962608067	1962608067	1	1	OGAO, JARED M MD	5/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	02	General Surgery	1	Border provider	None	3000 BRYANT WILLIAMS DR	None	KLAMATH FALLS	OR	97601	1139	00	None	42.25179653	-121.7822714	Klamath County
215791	Fee-for-Service	1851657969	1851657969	1	1	ORDAZ, CINTHIA LMFT	6/1/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	114729	-	NOT APPLICABLE	0	In state provider	None	2000 W BRIGGSMORE AVE	STE I	MODESTO	CA	95350	3839	50	06099	37.67139252	-121.0281273	Stanislaus County
215794	Fee-for-Service	1083940597	1083940597	1	9	OC URGENTCARE MEDICAL GROUP	9/18/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	INCORPORATED	17672 BEACH BLVD	A	HUNTINGTON BEACH	CA	92647	6836	30	06059	33.7058197	-117.9890745	Orange County
215867	Fee-for-Service	1891261202	1891261202	1	1	OWENS, TOSHA M LPCC	8/17/2023	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - 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
215917	Fee-for-Service	1215258892	1215258892	1	2	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4863	36	06071	34.13502	-117.2758635	San Bernardino County
215930	Fee-for-Service	1790312601	1790312601	1	1	OH, DAVID H MD	2/17/2023	207R00000X	NA	Other	026	PHYSICIANS	178644	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
216019	Fee-for-Service	1376750364	1376750364	1	1	OUSE, KAREN J LMFT	9/18/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9515 SOQUEL DR	STE 212	APTOS	CA	95003	4137	44	06087	36.9753751	-121.8848219	Santa Cruz County
216139	Fee-for-Service	1376538017	1376538017	1	1	OKEEFE, DAVID 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	11600 W 2ND PLACE	None	LAKEWOOD	CO	80228	1527	00	None	39.71791454	-105.1292205	Jefferson County
216145	Fee-for-Service	1770014615	1770014615	1	1	OLUOHA, NNEKA C MD	3/12/2020	208M00000X	NA	Other	026	PHYSICIANS	164558	41	Internal Medicine	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
216215	Fee-for-Service	1174965016	1174965016	1	1	OBIOHA, JASMINE O MD	9/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	140279	07	Dermatology	0	In state provider	None	99 N LA CIENEGA BLVD	None	BEVERLY HILLS	CA	90211	2222	19	06037	34.06736471	-118.3763201	Los Angeles County
216216	Fee-for-Service	1164479309	1164479309	1	1	OVODOV, KONSTANTIE J MD	4/1/1998	207L00000X	NA	Other	026	PHYSICIANS	53866	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
216331	Fee-for-Service	1215258892	1215258892	1	42	OBHG CALIFORNIA, P.C.	4/3/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1600 W AVENUE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
216394	Fee-for-Service	1306852496	1306852496	1	1	OMNI FAMILY HEALTH	12/18/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1215 JEFFERSON ST	None	DELANO	CA	93215	2203	15	06029	35.77250027	-119.2451029	Kern County
216395	Fee-for-Service	1831114966	1831114966	1	1	O'CONNELL, STEPHEN J MD	12/13/1990	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	45015	20	Orthopedic Surgery	0	In state provider	SUITE 201WB	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
216436	Fee-for-Service	1164819975	1164819975	1	1	OBRYANT, SHELEASE C MD	12/9/2021	2080P0204X	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
216618	Fee-for-Service	1215258892	1215258892	1	42	OBHG CALIFORNIA, P.C.	4/3/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1600 W AVENUE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
216682	Fee-for-Service	1306852496	1306852496	1	1	OMNI FAMILY HEALTH	5/1/2003	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1215 JEFFERSON ST	None	DELANO	CA	93215	2203	15	06029	35.77250027	-119.2451029	Kern County
216758	Fee-for-Service	1205855004	1205855004	1	1	O'KEEFFE, JOHN 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	3910 S CAREFREE CIR	STE B	COLORADO SPGS	CO	80917	3053	00	None	38.877957	-104.7547205	El Paso County
216780	Fee-for-Service	1588850267	1588850267	1	1	OZOA, GLENN J DO	6/30/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	9737	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
216909	Fee-for-Service	1215258892	1215258892	1	42	OBHG CALIFORNIA, P.C.	4/3/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	1600 W AVENUE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
216945	Fee-for-Service	1083940597	1083940597	1	10	OC URGENTCARE MEDICAL GROUP	10/17/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	7923 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4225	30	06059	33.77386849	-117.994176	Orange County
216971	Fee-for-Service	1306852496	1306852496	1	1	OMNI FAMILY HEALTH	5/1/2003	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1215 JEFFERSON ST	None	DELANO	CA	93215	2203	15	06029	35.77250027	-119.2451029	Kern County
217081	Fee-for-Service	1659061141	1659061141	1	1	OGDEN, CHRISTOPHER T RN	12/18/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1355 EAST ST	SUITE 200	REDDING	CA	96001	0801	45	06089	40.58628506	-122.3887911	Shasta County
217154	Fee-for-Service	1699780536	1699780536	1	1	OMNI FAMILY HEALTH	8/1/1993	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1100 4TH ST	None	TAFT	CA	93268	2415	15	06029	35.14905085	-119.4534352	Kern County
217257	Fee-for-Service	1306852496	1306852496	1	1	OMNI FAMILY HEALTH	10/5/2016	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1215 JEFFERSON ST	None	DELANO	CA	93215	2203	15	06029	35.77250027	-119.2451029	Kern County
217269	Fee-for-Service	1245492016	1245492016	1	1	ONNAGAN, SAMANTHA L MD	1/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	112081	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
217375	Fee-for-Service	1528398773	1528398773	1	1	OC FAMILY MEDICAL GROUP INC	2/9/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	92067	08	Family Practice	0	In state provider	None	2401 W CHAPMAN AVE	SUITE 201	ORANGE	CA	92868	2336	30	06059	33.78793069	-117.8784055	Orange County
217440	Fee-for-Service	1760584189	1760584189	1	1	OSPITAL, MICHELLE R	11/15/2005	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	PHYS THERAPY & WELLNESS	2490 S MAIN ST	None	RED BLUFF	CA	96080	4337	52	06103	40.15020135	-122.2183126	Tehama County
217444	Fee-for-Service	1699780536	1699780536	1	1	OMNI FAMILY HEALTH	9/1/1997	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1100 4TH ST	None	TAFT	CA	93268	2415	15	06029	35.14905085	-119.4534352	Kern County
217445	Fee-for-Service	1265717110	1265717110	1	1	ONYEGBULE, PATIENCE A NP	11/1/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3875 AVOCADO BLVD	None	LA MESA	CA	91941	7303	37	06073	32.750325	-116.9607955	San Diego County
217455	Fee-for-Service	1790996072	1790996072	1	1	OVERBEY, JENNIFER N MD	6/27/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102311	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	8120 TIMBERLAKE WAY	None	SACRAMENTO	CA	95823	5413	34	06067	38.461023	-121.41414	Sacramento County
217500	Fee-for-Service	1215258892	1215258892	1	24	OBHG CALIFORNIA, P.C.	4/4/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	800 S MAIN ST	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
217624	Fee-for-Service	1265734362	1265734362	1	1	OSIBODU-ONYALI, IBINYE O	8/14/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	39755 MURRIETA HOT SPRIN	D160	MURRIETA	CA	92563	9100	33	06065	33.55575954	-117.1627899	Riverside County
217681	Fee-for-Service	1962625079	1962625079	1	1	OAKLAND UNIFIED SD	6/13/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1011 UNION ST	None	OAKLAND	CA	94607	2236	01	06001	37.80724731	-122.2893787	Alameda County
217727	Fee-for-Service	1699780536	1699780536	1	1	OMNI FAMILY HEALTH	8/1/1993	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1100 4TH ST	None	TAFT	CA	93268	2415	15	06029	35.14905085	-119.4534352	Kern County
217737	Fee-for-Service	1790934669	1790934669	1	1	OLIVER, AMY M MD	8/28/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	107053	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
217764	Fee-for-Service	1215258892	1215258892	1	23	OBHG CALIFORNIA, P.C.	4/22/2021	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	2185 CITRACADA PARKWAY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
217774	Fee-for-Service	1396721197	1396721197	1	12	OMNI WOMENS HEALTH MEDICAL G	11/1/2017	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	GROUP INC	2405 TULARE ST	None	FRESNO	CA	93721	2207	10	06019	36.73722057	-119.785418	Fresno County
217787	Fee-for-Service	1215258892	1215258892	1	24	OBHG CALIFORNIA, P.C.	4/4/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	800 S MAIN ST	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
217800	Fee-for-Service	1568659134	1568659134	1	1	OBAYASHI, DEREK Y MD	9/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	90576	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	301 INDUSTRIAL ROAD	None	SAN CARLOS	CA	94070	2603	41	06081	37.51438187	-122.2607682	San Mateo County
217936	Fee-for-Service	1215258892	1215258892	1	7	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	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
217984	Fee-for-Service	1881659233	1881659233	1	1	OZAETA, JERE S MD	10/11/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	85231	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
218021	Fee-for-Service	1619934122	1619934122	1	1	ORLOFF, LISA A MD	3/31/1991	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	71176	04	Otology, Laryngology, Rhinology	0	In state provider	None	225 DICKINSON ST	None	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
218023	Fee-for-Service	1467979658	1467979658	1	1	O LEARY, JESSICA L PHD	11/19/2021	103TC0700X	NA	Mental Health Outpatient Services	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
218038	Fee-for-Service	1275129181	1275129181	1	1	OCVAC ASC LLC	12/27/2022	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	RY CENTER	12827 HARBOR BLVD	STE G1	GARDEN GROVE	CA	92840	5839	30	06059	33.77737896	-117.9151828	Orange County
218052	Fee-for-Service	1215258892	1215258892	1	23	OBHG CALIFORNIA, P.C.	4/22/2021	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2185 CITRACADA PARKWAY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
218069	Fee-for-Service	1396721197	1396721197	1	1	OMNI WOMENS HEALTH MEDICAL G	1/5/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTH MEDICAL GRP INC	2944 FRESNO ST	STE 101	FRESNO	CA	93721	1405	10	06019	36.74288962	-119.7823299	Fresno County
218077	Fee-for-Service	1215258892	1215258892	1	24	OBHG CALIFORNIA, P.C.	4/4/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	800 S MAIN ST	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
218088	Fee-for-Service	1568659134	1568659134	1	1	OBAYASHI, DEREK Y MD	9/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	90576	40	Pediatrics	0	In state provider	None	301 INDUSTRIAL ROAD	None	SAN CARLOS	CA	94070	2603	41	06081	37.51438187	-122.2607682	San Mateo County
218223	Fee-for-Service	1669474417	1669474417	1	1	OLCOTT, MARK V MD	8/2/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	55234	66	Emergency Medicine (Urgent Care)	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
218227	Fee-for-Service	1215258892	1215258892	1	7	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	1689	19	06037	34.15729818	-118.3277073	Los Angeles County
218250	Fee-for-Service	1851376479	1851376479	1	1	OZONOFF, SALLY J PHD	5/8/2002	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
218326	Fee-for-Service	1285052514	1285052514	1	1	OO, HEYMAN MD	5/23/2017	390200000X	NA	Other	026	PHYSICIANS	139832	40	Pediatrics	0	In state provider	None	1001 POTRERO AVE	SUITE 6E/6D37	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
218337	Fee-for-Service	1215258892	1215258892	1	23	OBHG CALIFORNIA, P.C.	4/22/2021	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2185 CITRACADA PARKWAY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
218404	Fee-for-Service	1710303136	1710303136	1	1	ORANGE COUNTY URGENT CARE #3	7/1/2019	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	TIA	858 N ROSE DR	SUITE C2	PLACENTIA	CA	92870	7522	30	06059	33.87839649	-117.8434267	Orange County
218487	Fee-for-Service	1124104625	1124104625	1	1	OLANDER, HEIDI P MD	10/1/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	76741	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
218510	Fee-for-Service	1427060391	1427060391	1	1	OZERAN, JAMES D	2/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	66825	None	None	0	In state provider	None	10833 LE CONTE AVE	BLDG 12311	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
218518	Fee-for-Service	1215258892	1215258892	1	7	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	1689	19	06037	34.15729818	-118.3277073	Los Angeles County
218595	Fee-for-Service	1619520624	1619520624	1	1	OJUKWU, NGOZI LMFT	4/17/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
218651	Fee-for-Service	1093732646	1093732646	1	1	ORLANDO F AGUILAR-GUZMAN	11/7/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2710 S RIFE MEDICAL LN	None	ROGERS	AR	72758	1452	00	None	36.308916	-94.183317	Benton County
218663	Fee-for-Service	1629558721	1629558721	1	1	OMNI FAMILY HEALTH	12/11/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	311 W NOBLE AVENUE	None	VISALIA	CA	93277	2669	54	06107	36.326304	-119.295477	Tulare County
218667	Fee-for-Service	1821461286	1821461286	1	1	ONYWERA, EMMANUEL O NP	12/7/2023	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
218693	Fee-for-Service	1710303136	1710303136	1	1	ORANGE COUNTY URGENT CARE #3	7/1/2019	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	TIA	858 N ROSE DR	SUITE C2	PLACENTIA	CA	92870	7522	30	06059	33.87839649	-117.8434267	Orange County
218725	Fee-for-Service	1942574488	1942574488	1	1	ORTA, KIMBERLY A NP	1/24/2020	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
218743	Fee-for-Service	1699780536	1699780536	1	2	OMNI FAMILY HEALTH	3/8/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1100 4TH STREET	None	TAFT	CA	93268	2415	15	06029	35.14905085	-119.4534352	Kern County
218768	Fee-for-Service	1972975241	1972975241	1	1	OO, YE M MD	1/4/2023	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	175417	None	None	0	In state provider	None	255 E BONITA AVE	None	POMONA	CA	91767	1923	19	06037	34.097913	-117.7474635	Los Angeles County
218803	Fee-for-Service	1235281874	1235281874	1	1	OKAMOTO, RAFAEL MD	5/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	4880 WYNN ROAD	None	LAS VEGAS	NV	89103	5406	00	None	36.10169134	-115.1953733	Clark County
218809	Fee-for-Service	1427103399	1427103399	1	1	OYEMADE, ADELEKE A CRNA	8/16/2010	No Taxonomy Provided	NA	None	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
218816	Fee-for-Service	1437663895	1437663895	1	1	OVERBEY, HEIDI LMFT	10/29/2024	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
218897	Fee-for-Service	1215258892	1215258892	1	1	OBHG CALIFORNIA, P.C.	9/7/2010	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	ONE HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
218924	Fee-for-Service	1275585937	1275585937	1	1	O'LEARY, RICHARD J JR MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	78747	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
218925	Fee-for-Service	1770862757	1770862757	1	1	OSER, MEGAN PHD	4/25/2022	103TB0200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	100 UCLA MEDICAL PLZ	755	LOS ANGELES	CA	90024	6990	19	06037	34.06544724	-118.4459249	Los Angeles County
218951	Fee-for-Service	1629558721	1629558721	1	1	OMNI FAMILY HEALTH	12/11/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	311 W NOBLE AVENUE	None	VISALIA	CA	93277	2669	54	06107	36.326304	-119.295477	Tulare County
218959	Fee-for-Service	1083940597	1083940597	1	11	OC URGENTCARE MEDICAL GROUP	2/11/2025	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	1401 TUSTIN AVE	150	SANTA ANA	CA	92705	8644	30	06059	33.757254	-117.8341425	Orange County
219087	Fee-for-Service	1215258892	1215258892	1	3	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
219091	Fee-for-Service	1184078776	1184078776	1	1	ONAMI, SUSAN H MD	9/9/2020	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	154278	25	Physical Medicine and Rehabilitation	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
219146	Fee-for-Service	1558597989	1558597989	1	1	OSMAN, CECILE LACSINA MD	4/25/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107413	40	Pediatrics	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
219160	Fee-for-Service	1538797642	1538797642	1	1	OGANESYAN, DIANA	2/10/2024	207P00000X	NA	Other	026	PHYSICIANS	-	70	Clinic (mixed specialty)	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
219194	Fee-for-Service	1639516511	1639516511	1	1	ORDONEZ, MIGDALIA MD	8/28/2018	390200000X	NA	Other	026	PHYSICIANS	134298	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
219196	Fee-for-Service	1215258892	1215258892	1	21	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	1812 VERDUGO	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
219239	Fee-for-Service	1629558721	1629558721	1	1	OMNI FAMILY HEALTH	3/15/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	311 W NOBLE AVENUE	None	VISALIA	CA	93277	2669	54	06107	36.326304	-119.295477	Tulare County
219261	Fee-for-Service	1851657969	1851657969	1	2	ORDAZ, CINTHIA LMFT	6/1/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4700 ENTERPRISE WAY	None	MODESTO	CA	95356	0000	50	06099	37.705761	-121.072012	Stanislaus County
219372	Fee-for-Service	1215258892	1215258892	1	3	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
219448	Fee-for-Service	1538797642	1538797642	1	1	OGANESYAN, DIANA	2/10/2024	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
219484	Fee-for-Service	1215258892	1215258892	1	21	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1812 VERDUGO	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
219526	Fee-for-Service	1629558721	1629558721	1	1	OMNI FAMILY HEALTH	10/10/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	311 W NOBLE AVENUE	None	VISALIA	CA	93277	2669	54	06107	36.326304	-119.295477	Tulare County
219545	Fee-for-Service	1902184419	1902184419	1	1	OSORIO-FLORES, MARTIN MD	8/31/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	148075	None	None	0	In state provider	None	2895 N TOWNE AVE	None	POMONA	CA	91767	2009	19	06037	34.098525	-117.7368955	Los Angeles County
219652	Fee-for-Service	1821560418	1821560418	1	1	ORDONEZ, KATHRYN M OD	2/5/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	342 F STREET	None	CHULA VISTA	CA	91910	2625	37	06073	32.64073026	-117.0815293	San Diego County
219661	Fee-for-Service	1396721197	1396721197	1	8	OMNI WOMENS HEALTH MEDICAL G	1/5/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2550 MERCED ST	None	FRESNO	CA	93721	1812	10	06019	36.7410967	-119.7875046	Fresno County
219662	Fee-for-Service	1215258892	1215258892	1	3	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
219674	Fee-for-Service	1447312327	1447312327	1	1	OGORMAN, BEATRICE A	11/3/2016	No Taxonomy Provided	NA	None	037	SPEECH 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
219772	Fee-for-Service	1215258892	1215258892	1	21	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1812 VERDUGO	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
219839	Fee-for-Service	1871814442	1871814442	1	1	OZGUR, OMAR MD	2/5/2021	207WX0200X	NA	Ophthalmology	026	PHYSICIANS	140845	None	None	0	In state provider	None	3953 W STETSON AVE	None	HEMET	CA	92545	9687	33	06065	33.72930152	-117.012681	Riverside County
219843	Fee-for-Service	1417917691	1417917691	2	1	O'BRIEN, AIDAN P MD	5/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	39688	05	Anesthesiology	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
219888	Fee-for-Service	1659736858	1659736858	1	1	OASIS HOME HEALTH CARE, INC	3/6/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	7502 FOOTHILL BLVD	SUITE 101	TUJUNGA	CA	91042	7502	19	06037	34.25295017	-118.2957018	Los Angeles County
219976	Fee-for-Service	1902854615	1902854615	1	1	OSTOVARKERMANI, LEILA DPM	11/21/2016	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
220037	Fee-for-Service	1619081718	1619081718	1	1	OBERG, KERBY C MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	76510	22	Pathology (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
220044	Fee-for-Service	1144580457	1144580457	1	1	OROZCO VILLANUEVA, VANESSA	9/18/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	29	06057	39.33573744	-120.180872	Nevada County
220069	Fee-for-Service	1861540205	1861540205	1	1	ONG, SHIRLEY OD	10/3/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
220115	Fee-for-Service	1700413671	1700413671	1	1	OLIVER, JASON DO	12/18/2024	207L00000X	NA	Other	026	PHYSICIANS	22444	05	Anesthesiology	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
220150	Fee-for-Service	1215258892	1215258892	1	37	OBHG CALIFORNIA, PC	7/10/2023	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	28062 BAXTER RD	None	MURRIETA	CA	92563	1401	33	06065	33.61350847	-117.1691225	Riverside County
220310	Fee-for-Service	1477189587	1477189587	1	1	OCAMPO, DALIA LCSW	12/30/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	39350 CIVIC CENTER DR	None	FREMONT	CA	94538	2343	01	06001	37.55399458	-121.9756047	Alameda County
220318	Fee-for-Service	1285849604	1285849604	1	1	O'CONNELL, LISA C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	49379	41	Internal Medicine	0	In state provider	None	9619 CHESAPEAKE DR	STE 102	SAN DIEGO	CA	92123	1373	37	06073	32.83359409	-117.1237093	San Diego County
220462	Fee-for-Service	1811258940	1811258940	1	1	ONIZUKA, ALLEN K MD	1/23/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124965	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
220477	Fee-for-Service	1891704888	1891704888	1	1	OWENS, JANIS F MD	5/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	46021	30	Radiology	0	In state provider	None	1770 IOWA AVE	STE 280	RIVERSIDE	CA	92507	7401	33	06065	33.995169	-117.3398115	Riverside County
220515	Fee-for-Service	1699410746	1699410746	1	1	OBIOHA, NDUBUISI C NP	4/13/2023	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
220522	Fee-for-Service	1215258892	1215258892	1	18	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
220525	Fee-for-Service	1124589437	1124589437	1	1	ONGAIGUI, KRISTINE CAMILLE	7/1/2022	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	178921	None	None	0	In state provider	MD	726 N MEDICAL CTR DR E	STE 209	CLOVIS	CA	93611	6886	10	06019	36.84186593	-119.6624867	Fresno County
220531	Fee-for-Service	1053804096	1053804096	1	1	ONIBONOJE, OLUSEGUN K DO	7/13/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	21091	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
220534	Fee-for-Service	1083173348	1083173348	1	1	ORTIZO, RYAN BRADLEY E MD	8/5/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180446	None	None	0	In state provider	None	1300 E COLLEY DR	None	COLTON	CA	92324	3905	36	06071	34.0544745	-117.306315	San Bernardino County
220550	Fee-for-Service	1194530394	1194530394	1	1	OLIVER, MADISON M LCSW	3/12/2025	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	39755 MURRIETA HOT SPRIN	SUITE D160	MURRIETA	CA	92563	9113	33	06065	33.55575954	-117.1627899	Riverside County
220575	Fee-for-Service	1457921595	1457921595	1	1	OSEGURA, MARISA L CCC-SLP	10/17/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8282 WHITE OAK AVE	107, 108, AND 111	RANCHO CUCAMONGA	CA	91730	7680	36	06071	34.10361339	-117.5644472	San Bernardino County
220695	Fee-for-Service	1215258892	1215258892	1	4	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
220711	Fee-for-Service	1437298759	1437298759	1	1	OPATOWSKY, IRA E MD INC	12/1/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	73429	18	Ophthalmology	0	In state provider	None	42543 8TH ST WEST	SUITE 101	LANCASTER	CA	93534	7200	19	06037	34.65631551	-118.145529	Los Angeles County
220739	Fee-for-Service	1245961663	1245961663	1	1	OGBEBOR, FUTURE NP	10/20/2022	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
220788	Fee-for-Service	1649582826	1649582826	1	1	OMRANI, BAHMAN DO INC	8/3/2010	207R00000X	NA	Other	026	PHYSICIANS	9465	41	Internal Medicine	0	In state provider	None	14545 SYLVAN ST	None	VAN NUYS	CA	91411	2325	19	06037	34.18467549	-118.450386	Los Angeles County
220810	Fee-for-Service	1215258892	1215258892	1	15	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
220834	Fee-for-Service	1285628685	1285628685	1	1	OLSHANSKY, MARINA DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	2299 POST ST	STE 306	SAN FRANCISCO	CA	94115	3474	38	06075	37.78434298	-122.4392033	San Francisco County
220876	Fee-for-Service	1376683409	1376683409	1	1	OSAKO, EUGENE Y OD	4/25/2007	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	477 EAST COLORADO BLVD	None	PASADENA	CA	91101	2024	19	06037	34.14587948	-118.140561	Los Angeles County
220887	Fee-for-Service	1174238786	1174238786	1	1	OBERG, ELEANOR G	1/26/2023	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
220983	Fee-for-Service	1215258892	1215258892	1	4	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
220987	Fee-for-Service	1588341978	1588341978	1	1	OWUOR, YVONNE AYOO	6/20/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	5959 REDGOLD STREET	None	EASTVALE	CA	92880	3125	33	06065	33.98026413	-117.5724364	Riverside County
221009	Fee-for-Service	1639319718	1639319718	1	1	OOMMEN, LAUREN M DO	12/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14865	13	Neurology (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
221097	Fee-for-Service	1215258892	1215258892	1	15	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
221130	Fee-for-Service	1659475309	1659475309	1	1	OMAR GONZALEZ MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	101 E RIDGE RD	None	MCALLEN	TX	78503	1248	00	None	26.18576858	-98.22260269	Hidalgo County
221273	Fee-for-Service	1215258892	1215258892	1	4	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
221276	Fee-for-Service	1588341978	1588341978	1	1	OWUOR, YVONNE AYOO	6/20/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	5959 REDGOLD STREET	None	EASTVALE	CA	92880	3125	33	06065	33.98026413	-117.5724364	Riverside County
221279	Fee-for-Service	1720643083	1720643083	1	1	OPARAUGO, DOZIE A DO	7/6/2022	207R00000X	NA	Other	026	PHYSICIANS	19614	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
221289	Fee-for-Service	1760007330	1760007330	1	2	ORTHOWEST	10/29/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	3851 KATELLA AVENUE	SUITE 150	LOS ALAMITOS	CA	90720	3363	30	06059	33.80319053	-118.0657305	Orange County
221374	Fee-for-Service	1700800448	1700800448	1	1	OLSON, INGER L MD	8/17/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	85847	40	Pediatrics	0	In state provider	None	800 MAGNOLIA AVE	STE 101	CORONA	CA	92879	3123	33	06065	33.85979137	-117.5527252	Riverside County
221386	Fee-for-Service	1215258892	1215258892	1	18	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
221577	Fee-for-Service	1760007330	1760007330	1	2	ORTHOWEST	10/29/2020	193200000X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	None	3851 KATELLA AVENUE	SUITE 150	LOS ALAMITOS	CA	90720	3363	30	06059	33.80319053	-118.0657305	Orange County
221605	Fee-for-Service	1003970773	1003970773	1	1	ORADY, MONA E MD FACOG	10/23/2007	207VG0400X	NA	Obstetrics & Gynecology	026	PHYSICIANS	96316	None	None	0	In state provider	None	1111 SONOMA AVE	STE 316	SANTA ROSA	CA	95405	4820	49	06097	38.442042	-122.700033	Sonoma County
221674	Fee-for-Service	1215258892	1215258892	1	15	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
221713	Fee-for-Service	1215258892	1215258892	1	12	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
221741	Fee-for-Service	1326058819	1326058819	1	1	OSTERLIE, ASHLEY E LMFT	4/27/2020	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
221819	Fee-for-Service	1538316450	1538316450	1	1	ORDONEZ, ANNA E MD	10/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	105135	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
221832	Fee-for-Service	1093882821	1093882821	1	1	OSBORNE, WENDELL A MD	9/17/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90186	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
221841	Fee-for-Service	1083940597	1083940597	1	5	OC URGENTCARE MEDICAL GROUP	2/15/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	8101 NEWMAN AVE	A	HUNTINGTON BEACH	CA	92647	7042	30	06059	33.70483151	-117.987264	Orange County
221872	Fee-for-Service	1154407773	1154407773	1	5	OPTIONS FAMILY OF SERVICES	4/1/2006	320900000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	4087 HILLVIEW RD	None	SANTA MARIA	CA	93455	3215	42	06083	34.88348269	-120.424459	Santa Barbara County
221960	Fee-for-Service	1215258892	1215258892	1	18	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
222002	Fee-for-Service	1215258892	1215258892	1	12	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	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
222035	Fee-for-Service	1891873964	1891873964	1	1	ORTIZ, JEFF A MD	10/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	72721	08	Family Practice	0	In state provider	DOCTORS MED GROUP, PINOL	1617 CANYON DR	STE 301	PINOLE	CA	94564	2134	07	06013	37.99537501	-122.3019132	Contra Costa County
222130	Fee-for-Service	1265499727	1265499727	1	1	ORIGEL, WILLIAM MD	10/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	57128	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2504 STRANAHAN DR	None	ALHAMBRA	CA	91803	4423	19	06037	34.06455046	-118.1444061	Los Angeles County
222159	Fee-for-Service	1952857369	1952857369	1	1	OKUMU MD INC	3/17/2017	207XS0117X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	None	1800 SULLIVAN AVE	STE 602	DALY CITY	CA	94015	2207	41	06081	37.68077723	-122.4728941	San Mateo County
222220	Fee-for-Service	1831247808	1831247808	1	1	O'LEARY, LINDA M MD	12/14/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	62003	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
222282	Fee-for-Service	1558580514	1558580514	1	1	ONAY, OLGA O MD	9/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	98325	40	Pediatrics	0	In state provider	None	910 MARSHALL STREET	None	REDWOOD CITY	CA	94063	2034	41	06081	37.4876781	-122.2249265	San Mateo County
222290	Fee-for-Service	1215258892	1215258892	1	38	OBHG CALIFORNIA, P.C.	3/27/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	4001 J ST	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
222344	Fee-for-Service	1568838050	1568838050	1	1	OLSON, NICHOLE D PHD	11/17/2015	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
222445	Fee-for-Service	1740374578	1740374578	1	1	OYAMA, LESLIE C MD	7/11/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96317	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9300 CAMPUS POINT DR	None	LA JOLLA	CA	92037	1300	37	06073	32.877999	-117.225891	San Diego County
222472	Fee-for-Service	1134683816	1134683816	1	1	OBAKHUME, CHINYERE NP	6/2/2019	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
222499	Fee-for-Service	1417981440	1417981440	1	1	OLSON, MICAH L MD	11/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	1919 E THOMAS ROAD	None	PHOENIX	AZ	85016	7710	00	None	33.478749	-112.0426515	Maricopa County
222509	Fee-for-Service	1831247808	1831247808	1	1	O'LEARY, LINDA M MD	12/14/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	62003	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
222576	Fee-for-Service	1215258892	1215258892	1	12	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
222643	Fee-for-Service	1699841700	1699841700	1	1	ONYEADOR, EJIKE C MD	8/1/1993	193400000X	NA	Other	026	PHYSICIANS	45589	40	Pediatrics	0	In state provider	None	555 W COMPTON BLVD	STE 205	COMPTON	CA	90220	3037	19	06037	33.89593853	-118.233513	Los Angeles County
222665	Fee-for-Service	1275994188	1275994188	1	1	OSTREM, BRIDGET MD	7/5/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	177905	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
222705	Fee-for-Service	1528174984	1528174984	1	1	ODAY, MARY P MD	4/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	146124	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
222749	Fee-for-Service	1811973100	1811973100	1	1	OCHSNER FOUNDATION HOSPI	4/5/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1516 JEFFERSON HIGHWAY	None	NEW ORLEANS	LA	70121	2429	00	None	29.96295887	-90.14661818	Jefferson Parish
222769	Fee-for-Service	1881383032	1881383032	1	1	OLIVARES LOPEZ, CINDY DOULA	5/18/2023	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	19	06037	0	0	None
222780	Fee-for-Service	1043261712	1043261712	1	1	OSAKO, ERIN A OD	3/3/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	22015 S. AVALON BLVD.	STE A	CARSON	CA	90745	3355	19	06037	33.827382	-118.263757	Los Angeles County
222842	Fee-for-Service	1912941360	1912941360	1	1	ONIBOKUN, ADEDAYO MD	2/8/2015	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
222870	Fee-for-Service	1215258892	1215258892	1	38	OBHG CALIFORNIA, P.C.	3/27/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4001 J ST	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
222924	Fee-for-Service	1023348885	1023348885	1	1	OWEN, SOOK Y	11/21/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
222929	Fee-for-Service	1699841700	1699841700	1	1	ONYEADOR, EJIKE C MD	8/1/1993	193400000X	NA	Other	026	PHYSICIANS	45589	08	Family Practice	0	In state provider	None	555 W COMPTON BLVD	STE 205	COMPTON	CA	90220	3037	19	06037	33.89593853	-118.233513	Los Angeles County
222968	Fee-for-Service	1013116441	1013116441	1	1	OCHOA, CHRISTIAN J MD	7/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	91938	02	General 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
222986	Fee-for-Service	1003340217	1003340217	1	1	OC PROGRESSIVE RECOVERY INC	8/15/2017	2084P0800X	NA	Psychiatry	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
223026	Fee-for-Service	1083940597	1083940597	1	8	OC URGENTCARE MEDICAL GROUP	7/14/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	6502 BOLSA AVE	SUITE 105	HUNTINGTON BEACH	CA	92647	2661	30	06059	33.74431567	-118.0153924	Orange County
223037	Fee-for-Service	1811973100	1811973100	1	1	OCHSNER FOUNDATION HOSPI	4/5/2007	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1516 JEFFERSON HIGHWAY	None	NEW ORLEANS	LA	70121	2429	00	None	29.96295887	-90.14661818	Jefferson Parish
223040	Fee-for-Service	1336120088	1336120088	1	1	OK, JOON-HA MD	7/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	98957	34	Urology and Urological Surgery	0	In state provider	None	8220 WYMARK DR	STE 200	ELK GROVE	CA	95757	6298	34	06067	38.406888	-121.4100495	Sacramento County
223154	Fee-for-Service	1215258892	1215258892	1	38	OBHG CALIFORNIA, P.C.	3/27/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4001 J ST	None	SACRAMENTO	CA	95819	3626	34	06067	38.570526	-121.4521695	Sacramento County
223176	Fee-for-Service	1699216622	1699216622	1	1	OPERATION SAMAHAN INC	1/29/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	9995 CARMEL MOUNTAIN RD	SUITE B10 & B11	SAN DIEGO	CA	92129	2889	37	06073	32.96073738	-117.1119913	San Diego County
223243	Fee-for-Service	1295140846	1295140846	2	1	ORTIZ RAMIREZ, IREN M MD	6/9/2023	207R00000X	NA	Other	026	PHYSICIANS	175056	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
223410	Fee-for-Service	1285120980	1285120980	1	1	ORISON HOSPICE INC	3/23/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5958 VINELAND AVE	I	NORTH HOLLYWOOD	CA	91601	4141	19	06037	34.179174	-118.370272	Los Angeles County
223462	Fee-for-Service	1699216622	1699216622	1	1	OPERATION SAMAHAN INC	1/29/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	9995 CARMEL MOUNTAIN RD	SUITE B10 & B11	SAN DIEGO	CA	92129	2889	37	06073	32.96073738	-117.1119913	San Diego County
223471	Fee-for-Service	1609317767	1609317767	1	1	OCONNOR, RODERICK S CPO	7/23/2021	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1287 N TUSTIN AVE	None	ANAHEIM	CA	92807	0000	30	06059	33.8607764	-117.8406892	Orange County
223557	Fee-for-Service	1184098063	1184098063	1	2	OMNISEQ INC	6/21/2022	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	700 ELLICOTT ST	None	BUFFALO	NY	14203	1102	00	None	42.897609	-78.8685975	Erie County
223631	Fee-for-Service	1174756357	1174756357	1	1	OH HAPPY CLINIC INC	12/16/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	107209	08	Family Practice	0	In state provider	None	3500 BARRANCA PKWY	STE 330	IRVINE	CA	92606	8288	30	06059	33.6868192	-117.8148191	Orange County
223645	Fee-for-Service	1245518422	1245518422	1	1	OESTERICH, LESLIE G MD	6/23/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125675	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
223699	Fee-for-Service	1285120980	1285120980	1	1	ORISON HOSPICE INC	3/23/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5958 VINELAND AVE	I	NORTH HOLLYWOOD	CA	91601	4141	19	06037	34.179174	-118.370272	Los Angeles County
223751	Fee-for-Service	1699216622	1699216622	1	1	OPERATION SAMAHAN INC	3/16/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	9995 CARMEL MOUNTAIN RD	SUITE B10 & B11	SAN DIEGO	CA	92129	2889	37	06073	32.96073738	-117.1119913	San Diego County
223765	Fee-for-Service	1023638004	1023638004	1	1	OWENS-GANTT, CARTIER L LMFT	12/8/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	155 HOSPITALITY LN	245	SAN BERNARDINO	CA	92408	3305	36	06071	34.06580948	-117.2856915	San Bernardino County
223917	Fee-for-Service	1457077943	1457077943	1	1	OROZCO, CANDICE PT	6/30/2023	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
223986	Fee-for-Service	1487296422	1487296422	2	1	OWEN, CAROL PHD	6/6/2024	103TA0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	17254 QUESAN PL	None	ENCINO	CA	91316	3934	19	06037	34.14974919	-118.5091025	Los Angeles County
224014	Fee-for-Service	1942385851	1942385851	1	1	OOMMEN, SAMUEL C MD	7/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	43862	02	General Surgery	0	In state provider	None	1479 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	2932	07	06013	37.91301169	-122.0438513	Contra Costa County
224044	Fee-for-Service	1699216622	1699216622	1	1	OPERATION SAMAHAN INC	1/29/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	9995 CARMEL MOUNTAIN RD	SUITE B10 & B11	SAN DIEGO	CA	92129	2889	37	06073	32.96073738	-117.1119913	San Diego County
224100	Fee-for-Service	1508027863	1508027863	1	1	O'CONNOR, DENNIS R IV MD	9/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135332	01	General Practice	0	In state provider	None	2400 EAST FOURTH ST	None	NATIONAL CITY	CA	91950	2026	37	06073	32.68637926	-117.0828839	San Diego County
224130	Fee-for-Service	1215258892	1215258892	1	6	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	4850	36	06071	34.03717616	-117.2046115	San Bernardino County
224177	Fee-for-Service	1568085751	1568085751	1	1	OLECHOWSKI, CAMILLE MD	9/17/2024	163WG0000X	NA	Other	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	1805 N CALIFORNIA ST	201	STOCKTON	CA	95204	6032	39	06077	37.9711691	-121.2894221	San Joaquin County
224266	Fee-for-Service	1215258892	1215258892	1	19	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	9920 TALBERT	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
224300	Fee-for-Service	1942385851	1942385851	1	1	OOMMEN, SAMUEL C MD	7/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	43862	28	Proctology (colon and rectal)	0	In state provider	None	1479 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	2932	07	06013	37.91301169	-122.0438513	Contra Costa County
224301	Fee-for-Service	1457563868	1457563868	1	1	O CONNOR, MAUREEN J	2/8/2015	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	613 F ST	None	COLMA	CA	94014	3160	41	06081	37.68257346	-122.4578475	San Mateo County
224323	Fee-for-Service	1730269978	1730269978	1	1	OMAN, JENNIFER A MD	2/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	61862	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
224416	Fee-for-Service	1215258892	1215258892	1	6	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	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
224535	Fee-for-Service	1518995133	1518995133	1	1	OREGEL, SAMUEL E MD	11/27/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	68052	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
224556	Fee-for-Service	1215258892	1215258892	1	19	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9920 TALBERT	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
224575	Fee-for-Service	1912908336	1912908336	1	1	OKIMOTO, DEAN I MD	5/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	48075	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
224618	Fee-for-Service	1104891423	1104891423	1	1	OH, KOOK 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	200 LOTHROP ST	STE 3950	PITTSBURGH	PA	15213	2536	00	None	40.44188737	-79.96079711	Allegheny County
224698	Fee-for-Service	1215258892	1215258892	1	39	OBHG CALIFORNIA, P.C.	10/2/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	300 HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
224705	Fee-for-Service	1215258892	1215258892	1	6	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	4850	36	06071	34.03717616	-117.2046115	San Bernardino County
224841	Fee-for-Service	1033587993	1033587993	1	1	OSUNA, YUDID F LCSW	3/7/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	335 E AVENUE I	RM 2D15, 2D16, CONF. RM.	LANCASTER	CA	93535	1916	19	06037	34.7041113	-118.1247548	Los Angeles County
224844	Fee-for-Service	1215258892	1215258892	1	19	OBHG CALIFORNIA, P.C.	11/2/2020	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9920 TALBERT	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
224986	Fee-for-Service	1215258892	1215258892	1	39	OBHG CALIFORNIA, P.C.	10/2/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	300 HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
225105	Fee-for-Service	1700841749	1700841749	1	1	ORR, ROBERT W CRNA	4/11/2007	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
225210	Fee-for-Service	1346330552	1346330552	1	1	OPPENHEIM, DEBRA L	6/30/2019	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	16055 VENTURA BLVD	SUITE 905	ENCINO	CA	91436	2601	19	06037	34.15632563	-118.4832351	Los Angeles County
225236	Fee-for-Service	1093213787	1093213787	1	1	OJEDA, ANGLAE B NP	12/16/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7117 BROCKTON AVE	None	RIVERSIDE	CA	92506	2620	33	06065	33.94354395	-117.394926	Riverside County
225248	Fee-for-Service	1558449454	1558449454	1	1	OWN, KAR H MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	53485	45	Nephrology (Renal-Kidney)	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
225275	Fee-for-Service	1215258892	1215258892	1	39	OBHG CALIFORNIA, P.C.	10/2/2024	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	300 HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
225299	Fee-for-Service	1861533648	1861533648	1	1	OAK VALLEY HOSPITAL DISTRICT	7/31/1987	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	275 S OAK AVE	None	OAKDALE	CA	95361	3517	50	06099	37.75894814	-120.860889	Stanislaus County
225384	Fee-for-Service	1083940597	1083940597	1	7	OC URGENTCARE MEDICAL GROUP	2/20/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INCORPORATED	2001 4TH ST	SUITE 104	SANTA ANA	CA	92705	3916	30	06059	33.74826075	-117.8385386	Orange County
225537	Fee-for-Service	1538217427	1538217427	1	1	OLKEN, DOUGLAS M MD	7/31/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	61072	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
225553	Fee-for-Service	1467795575	1467795575	1	1	OTOOLE, ADAM M	10/1/2021	208200000X	NA	General Surgery	026	PHYSICIANS	170617	None	None	0	In state provider	None	300 W HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
225636	Fee-for-Service	1619125788	1619125788	1	1	OAKLAND PHYSICIANS MED CTR	7/31/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	461 W HURON ST	None	PONTIAC	MI	48341	1601	00	None	42.63571067	-83.3095043	Oakland County
225708	Fee-for-Service	1295179141	1295179141	1	1	OLADIMEJI, OLOLADE O	9/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139596	None	None	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	15	06029	35.38333823	-119.0188872	Kern County
225762	Fee-for-Service	1750453577	1750453577	1	1	OSUGA, JOANNA M MD	9/10/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	69768	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
225834	Fee-for-Service	1215258892	1215258892	1	33	OBHG CALIFORNIA, P.C.	7/10/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
225857	Fee-for-Service	1689284580	1689284580	1	1	ORANGE SENIOR LIVING INC	9/4/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1800 W CULVER AVENUE	None	ORANGE	CA	92868	4127	30	06059	33.78213536	-117.8722228	Orange County
226069	Fee-for-Service	1801989488	1801989488	1	1	OMNI TRANSPORT SYS	12/6/2005	No Taxonomy Provided	NA	None	038	AIR AMBULANCE TRANSPORTATION SERVICES	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	325 CALHOUN STREET	None	CHARLESTON	SC	29401	0000	00	None	32.78169	-79.9503885	Charleston County
226094	Fee-for-Service	1083940597	1083940597	1	1	OC URGENTCARE MEDICAL GROUP	4/29/2010	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GROUP INCORPORATED	631 S BROOKHURST ST	SUITE # 101	ANAHEIM	CA	92804	3510	30	06059	33.823647	-117.9589675	Orange County
226121	Fee-for-Service	1215258892	1215258892	1	33	OBHG CALIFORNIA, P.C.	7/10/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	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
226231	Fee-for-Service	1760741938	1760741938	1	1	OTHMAN, DAVID	10/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143497	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
226390	Fee-for-Service	1215258892	1215258892	1	9	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	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
226408	Fee-for-Service	1215258892	1215258892	1	33	OBHG CALIFORNIA, P.C.	7/10/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
226482	Fee-for-Service	1821141185	1821141185	1	1	OB/GYN MED GROUP OF	2/28/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	VERDUGO HILLS	1809 VERDUGO BLVD	STE 350	GLENDALE	CA	91208	1498	19	06037	34.20568088	-118.2154356	Los Angeles County
226510	Fee-for-Service	1407874761	1407874761	1	1	OVBI,BRUCE I MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	64840	13	Neurology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	RM 12430	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
226533	Fee-for-Service	1336612688	1336612688	1	1	ODISHO, CHANTELLE S LMFT	4/4/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4700 ENTERPRISE WAY	None	MODESTO	CA	95356	0000	50	06099	37.705761	-121.072012	Stanislaus County
226537	Fee-for-Service	1386008043	1386008043	1	1	O'DWYER, SEAN LCSW	6/6/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3160 TELEGRAPH ROAD	STE 200	VENTURA	CA	93003	3250	56	06111	34.27228149	-119.2529119	Ventura County
226649	Fee-for-Service	1699766501	1699766501	1	1	OCHSNER, HAROLD C JR MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	28545	03	Allergy	0	In state provider	STE 112	2700 N BELLFLOWER BLVD	None	LONG BEACH	CA	90815	1129	19	06037	33.805692	-118.1251805	Los Angeles County
226679	Fee-for-Service	1215258892	1215258892	1	9	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
226706	Fee-for-Service	1649617572	1649617572	1	1	OMAR, YASSER MD	9/6/2023	207R00000X	NA	Other	026	PHYSICIANS	168090	None	None	0	In state provider	None	555 E HARDY ST	IRA KAUFMAN PAVILION	INGLEWOOD	CA	90301	4106	19	06037	33.94909549	-118.3481595	Los Angeles County
226725	Fee-for-Service	1386377588	1386377588	1	1	OWYANG, TAYLOR K PT	2/12/2024	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
226748	Fee-for-Service	1629198742	1629198742	1	2	OSF MEDICAL GROUP OF CALIFOR	1/21/2025	207XS0117X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	NTER	401 E CARRILLO ST	None	SANTA BARBARA	CA	93101	1460	42	06083	34.42588572	-119.6972176	Santa Barbara County
226812	Fee-for-Service	1023646114	1023646114	1	1	O'CONNOR, AMBER DPM	7/8/2024	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	28078 BAXTER RD	SUITE 320	MURRIETA	CA	92563	1404	33	06065	33.615	-117.1670265	Riverside County
226813	Fee-for-Service	1972763555	1972763555	1	1	OH, MICHAEL S MD	8/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123554	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
226911	Fee-for-Service	1760400253	1760400253	1	1	O'REILLY, MICHAEL MD	7/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	88290	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE S	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
226967	Fee-for-Service	1215258892	1215258892	1	9	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
227019	Fee-for-Service	1407210891	1407210891	1	1	OLMEDO GUTIERREZ, KARLA P MD	11/1/2022	207RH0003X	NA	Oncology	026	PHYSICIANS	159385	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
227030	Fee-for-Service	1699192575	1699192575	1	1	ONISHI, SO L MD	2/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138611	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
227032	Fee-for-Service	1972967230	1972967230	1	1	OKAM, CHIMA I NP	9/7/2020	363LG0600X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
227037	Fee-for-Service	1629198742	1629198742	1	2	OSF MEDICAL GROUP OF CALIFOR	1/21/2025	207XS0117X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	NTER	401 E CARRILLO ST	None	SANTA BARBARA	CA	93101	1460	42	06083	34.42588572	-119.6972176	Santa Barbara County
227051	Fee-for-Service	1306478508	1306478508	1	1	O'BRIEN, RONAN LMFT	4/11/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
227243	Fee-for-Service	1811506314	1811506314	1	1	ORAGUI, CHIKA C MD	8/2/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	185777	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
227325	Fee-for-Service	1629198742	1629198742	1	2	OSF MEDICAL GROUP OF CALIFOR	1/21/2025	207XS0117X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	NTER	401 E CARRILLO ST	None	SANTA BARBARA	CA	93101	1460	42	06083	34.42588572	-119.6972176	Santa Barbara County
227342	Fee-for-Service	1427290279	1427290279	1	1	OROSCO, RYAN K MD	5/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	120515	17	Ophthalmology, Otolaryngology, Rhinology (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
227348	Fee-for-Service	1467529008	1467529008	1	1	ORENSTEIN, ZELDA	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	901 NEVIN AVENUE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
227403	Fee-for-Service	1063611044	1063611044	1	1	OH-LIVERANT, SINDY PHD	3/23/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	10801 NATIONAL BLVD	STE 611	LOS ANGELES	CA	90064	4170	19	06037	34.03101398	-118.4202342	Los Angeles County
227433	Fee-for-Service	1649681834	1649681834	1	1	OROS-NAVARRO, VERONICA E LMF	3/15/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	T	1500 PALMA DR FL 2	None	VENTURA	CA	93003	6451	56	06111	34.25975064	-119.2276657	Ventura County
227442	Fee-for-Service	1285995183	1285995183	1	1	OSTER, CYRUS D MD	4/26/2019	207ZP0102X	NA	Other	026	PHYSICIANS	131190	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	9080 COLIMA RD	None	WHITTIER	CA	90605	1600	19	06037	33.95062799	-118.0051627	Los Angeles County
227558	Fee-for-Service	1093723066	1093723066	1	1	OSTOWARI, CATHERINE M LMFT	8/21/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4760 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6063	19	06037	34.09811852	-118.293408	Los Angeles County
227568	Fee-for-Service	1790346880	1790346880	1	1	ODUYEMI, ODUTOYOSI MD	4/3/2024	207L00000X	NA	Other	026	PHYSICIANS	183882	05	Anesthesiology	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
227589	Fee-for-Service	1801614615	1801614615	1	1	O'NEILL, DANIELLE NP	11/2/2024	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
227699	Fee-for-Service	1215258892	1215258892	1	32	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	18321 CLARK ST	None	TARZANA	CA	91356	3501	19	06037	34.16979433	-118.5312303	Los Angeles County
227713	Fee-for-Service	1518051390	1518051390	1	1	OYAKHIRE, JOHN O MD	1/15/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103437	41	Internal Medicine	0	In state provider	None	3555 CESAR CHAVEZ STREET	None	SAN FRANCISCO	CA	94110	4403	38	06075	37.7479947	-122.4209132	San Francisco County
227740	Fee-for-Service	1497730014	1497730014	1	1	ONATE, JOHN CLARO	5/11/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90613	41	Internal Medicine	0	In state provider	None	2230 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1419	34	06067	38.555631	-121.459203	Sacramento County
227756	Fee-for-Service	1336163732	1336163732	1	1	OMIYA, BRUCE H MD	12/1/1998	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	43352	None	None	0	In state provider	None	2555 E CHAPMAN AVE	STE 500	FULLERTON	CA	92831	3620	30	06059	33.87432134	-117.8854801	Orange County
227805	Fee-for-Service	1346628179	1346628179	1	1	ORCHID HEALTHCARE INC	7/30/2015	No Taxonomy Provided	NA	None	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	15373 INNOVATION DR	STE 395	SAN DIEGO	CA	92128	3429	37	06073	32.99427342	-117.0794782	San Diego County
227821	Fee-for-Service	1457341299	1457341299	1	1	OAKLAND PHARMACY INC	7/6/2005	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	22138 MISSION BLVD	None	HAYWARD	CA	94541	2645	01	06001	37.67734253	-122.0901451	Alameda County
227907	Fee-for-Service	1750550836	1750550836	1	1	OLLIS, AMANDA A LMFT	1/22/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3551 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.6057383	-122.0834562	Alameda County
227931	Fee-for-Service	1659331684	1659331684	1	1	OC PATH MEDICAL GROUP	11/27/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	ORANGE REGIONAL PATHOLOG	2601 E CHAPMAN AVE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
227986	Fee-for-Service	1215258892	1215258892	1	32	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	18321 CLARK ST	None	TARZANA	CA	91356	3501	19	06037	34.16979433	-118.5312303	Los Angeles County
227990	Fee-for-Service	1134245376	1134245376	1	1	OPAS, SUSAN R NP	10/18/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	20940 BURBANK BLVD	None	WOODLAND HILLS	CA	91367	6601	19	06037	34.1719401	-118.5881418	Los Angeles County
228027	Fee-for-Service	1497730014	1497730014	1	1	ONATE, JOHN CLARO	5/11/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90613	36	Psychiatry	0	In state provider	None	2230 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1419	34	06067	38.555631	-121.459203	Sacramento County
228094	Fee-for-Service	1346628179	1346628179	1	1	ORCHID HEALTHCARE INC	7/30/2015	2084P0800X	NA	Psychiatry	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	None	15373 INNOVATION DR	STE 395	SAN DIEGO	CA	92128	3429	37	06073	32.99427342	-117.0794782	San Diego County
228114	Fee-for-Service	1497066500	1497066500	1	1	ODOWD, JOHN J MFT	5/11/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	96869	-	NOT APPLICABLE	0	In state provider	None	890 HAYES ST	None	SAN FRANCISCO	CA	94117	2615	38	06075	37.77587721	-122.4309963	San Francisco County
228163	Fee-for-Service	1619256617	1619256617	1	1	OO, THIRI T MD	12/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	117718	41	Internal Medicine	0	In state provider	None	8311 FLORENCE AVE	None	DOWNEY	CA	90240	3928	19	06037	33.95103918	-118.1247373	Los Angeles County
228206	Fee-for-Service	1184267411	1184267411	1	1	OCEGUEDA, JENNIFER J CNP	1/23/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2760 FLETCHER PKWY	None	EL CAJON	CA	92020	2110	37	06073	32.80015674	-117.0036982	San Diego County
228207	Fee-for-Service	1871667477	1871667477	1	1	OWYONG, LAY MD	9/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	54077	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
228244	Fee-for-Service	1922410919	1922410919	1	1	ORDONEZ, NELDA V MD	6/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	82638	01	General Practice	0	In state provider	None	1201 SOUTH ORANGE AVE	None	EL CAJON	CA	92020	7521	37	06073	32.77914448	-116.9639444	San Diego County
228250	Fee-for-Service	1932847852	1932847852	1	1	OEUR, CHRISTINE NP	3/27/2023	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
228276	Fee-for-Service	1215258892	1215258892	1	32	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	18321 CLARK ST	None	TARZANA	CA	91356	3501	19	06037	34.16979433	-118.5312303	Los Angeles County
228339	Fee-for-Service	1073882981	1073882981	1	1	OBIAGA, NKEM DOZE	5/6/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10074 MUD HEN WAY	None	ELK GROVE	CA	95757	6422	34	06067	38.391345	-121.383801	Sacramento County
228382	Fee-for-Service	1346628179	1346628179	1	1	ORCHID HEALTHCARE INC	7/30/2015	2084P0800X	NA	Psychiatry	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	15373 INNOVATION DR	STE 395	SAN DIEGO	CA	92128	3429	37	06073	32.99427342	-117.0794782	San Diego County
228433	Fee-for-Service	1831878875	1831878875	1	1	ONO, YASUKO CNP	4/19/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	23530 HAWTHORNE BLVD	BLDG 1, STE. 290	TORRANCE	CA	90505	4765	19	06037	33.811983	-118.351014	Los Angeles County
228483	Fee-for-Service	1750353892	1750353892	1	1	ONOFRE-VASQUEZ, RICKY S MD	4/9/1990	207R00000X	NA	Other	026	PHYSICIANS	48136	41	Internal Medicine	0	In state provider	None	12099 W WASHINGTON BLVD	STE 202	LOS ANGELES	CA	90066	5882	19	06037	33.99748876	-118.4239234	Los Angeles County
228627	Fee-for-Service	1073882981	1073882981	1	1	OBIAGA, NKEM DOZE	5/6/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10074 MUD HEN WAY	None	ELK GROVE	CA	95757	6422	34	06067	38.391345	-121.383801	Sacramento County
228806	Fee-for-Service	1467910216	1467910216	1	1	OBIAGA, CHINENYE N	6/11/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10074 MUD HEN WAY	None	ELK GROVE	CA	95757	6422	34	06067	38.391345	-121.383801	Sacramento County
228884	Fee-for-Service	1114503950	1114503950	1	1	OH, NATHAN MD	7/18/2023	390200000X	NA	Other	026	PHYSICIANS	180104	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
228963	Fee-for-Service	1659472041	1659472041	1	1	OB-GYN ASSOC OF TURLOCK	1/1/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	A MEDICAL GROUP, INC	1729 N OLIVE AVE	STE 3	TURLOCK	CA	95382	2501	50	06099	37.50874586	-120.8399103	Stanislaus County
229095	Fee-for-Service	1467910216	1467910216	1	1	OBIAGA, CHINENYE N	6/11/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10074 MUD HEN WAY	None	ELK GROVE	CA	95757	6422	34	06067	38.391345	-121.383801	Sacramento County
229116	Fee-for-Service	1093867897	1093867897	1	1	OU, I-CHUN S MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	55190	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
229317	Fee-for-Service	1295830321	1295830321	1	1	ORR, FREDERICK L MD	6/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	17591	30	Radiology	0	In state provider	None	2224 MEDICAL CENTER DR	None	PERRIS	CA	92571	2638	33	06065	33.8123212	-117.2217309	Riverside County
229329	Fee-for-Service	1396721197	1396721197	1	11	OMNI WOMENS HEALTH MEDICAL G	10/17/2011	193400000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	HEALTH MEDICAL GRP INC	1530 SHAW AVE	None	CLOVIS	CA	93611	4028	10	06019	36.80850452	-119.687832	Fresno County
229384	Fee-for-Service	1982238986	1982238986	1	1	OJEDA, VANESSA PT	6/10/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	41421 DATE STREET	101	MURRIETA	CA	92562	7079	33	06065	33.53012372	-117.174507	Riverside County
229476	Fee-for-Service	1215258892	1215258892	1	30	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	400 OLD RIVER RD	None	BAKERSFIELD	CA	93311	9781	15	06029	35.351487	-119.1143025	Kern County
229766	Fee-for-Service	1215258892	1215258892	1	30	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	400 OLD RIVER RD	None	BAKERSFIELD	CA	93311	9781	15	06029	35.351487	-119.1143025	Kern County
229799	Fee-for-Service	1144745803	1144745803	1	2	ORANGE COUNTY ROBOTIC GENERA	4/1/2020	208600000X	NA	General Surgery	026	PHYSICIANS	None	02	General Surgery	0	In state provider	L SURGERY INC	1010 W LA VETA AVENUE	775	ORANGE	CA	92868	4306	30	06059	33.78028244	-117.8635552	Orange County
229921	Fee-for-Service	1306562335	1306562335	1	1	ONYENUFORO, NGOZI C NP	2/2/2023	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
230056	Fee-for-Service	1215258892	1215258892	1	30	OBHG CALIFORNIA, P.C.	3/3/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	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
230303	Fee-for-Service	1548526494	1548526494	1	1	OGUN, OMOLADE A MD	1/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121040	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
230451	Fee-for-Service	1225106693	1225106693	2	1	OH, HEE YONG MD	5/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	34352	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	1433 W MERCED AVE	STE 207	WEST COVINA	CA	91790	3402	19	06037	34.06252177	-117.9477117	Los Angeles County
230473	Fee-for-Service	1639676000	1639676000	1	1	OR, CHI MONG C MD	6/16/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	172845	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
230504	Fee-for-Service	1477989846	1477989846	1	1	ODELL, LINDA K PHD	5/8/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	9730 WILSHIRE BLVD	SUITE 205A	BEVERLY HILLS	CA	90212	2004	19	06037	34.06705051	-118.4074425	Los Angeles County
230520	Fee-for-Service	1356379507	1356379507	1	1	OLDHAM, ROBERT L MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	112080	36	Psychiatry	0	In state provider	None	2828 FRESNO ST	STE 203	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
230569	Fee-for-Service	1306456579	1306456579	1	1	ORANGEVALE HOSPICE CARE INC	1/25/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	9198 GREENBACK LANE	SUITE 115	ORANGEVALE	CA	95662	4770	34	06067	38.677905	-121.2122655	Sacramento County
230574	Fee-for-Service	1326019027	1326019027	1	1	ODISH, AMAAL OD INC	7/25/2011	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	ADVANCED VISION CARE	844 E WASHINGTON AVE	None	EL CAJON	CA	92020	5328	37	06073	32.78766945	-116.95176	San Diego County
230616	Fee-for-Service	1518695006	1518695006	1	1	OPTIMAL VISION OPTOMETRY PC	9/2/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	17617 PIONEER BLVD	None	ARTESIA	CA	90701	4008	19	06037	33.87077683	-118.0823775	Los Angeles County
230766	Fee-for-Service	1144685215	1144685215	1	1	ORFF, HENRY J PHD	7/6/2017	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
230769	Fee-for-Service	1922198795	1922198795	1	1	ORR, LEO E MD INC	11/30/1986	207RH0003X	NA	Oncology	026	PHYSICIANS	35803	68	Hematology	0	In state provider	None	1245 WILSHIRE BLVD	SUITE 801	LOS ANGELES	CA	90017	4808	19	06037	34.05362775	-118.2661889	Los Angeles County
230800	Fee-for-Service	1487850616	1487850616	1	1	OPPENHEIMER, ROBERT J LCSW	4/1/2019	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
230808	Fee-for-Service	1215258892	1215258892	1	5	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	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
230820	Fee-for-Service	1215258892	1215258892	1	35	OBHG CALIFORNIA, P.C.	2/28/2024	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
230822	Fee-for-Service	1558605618	1558605618	1	1	O'CONNELL, DANIEL E MD	4/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	130186	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA	SUITE B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
230856	Fee-for-Service	1306456579	1306456579	1	1	ORANGEVALE HOSPICE CARE INC	1/25/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	9198 GREENBACK LANE	SUITE 115	ORANGEVALE	CA	95662	4770	34	06067	38.677905	-121.2122655	Sacramento County
230861	Fee-for-Service	1326019027	1326019027	1	1	ODISH, AMAAL OD INC	9/1/2002	193400000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	ADVANCED VISION CARE	844 E WASHINGTON AVE	None	EL CAJON	CA	92020	5328	37	06073	32.78766945	-116.95176	San Diego County
230996	Fee-for-Service	1164185849	1164185849	1	1	ONYEKWERE, CHIOMA O LCSW	8/8/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	100 MED PLAZA	100, 755	LOS ANGELES	CA	90095	0001	19	06037	34.06544724	-118.4459249	Los Angeles County
231057	Fee-for-Service	1922198795	1922198795	1	1	ORR, LEO E MD INC	11/30/1986	207RH0003X	NA	Oncology	026	PHYSICIANS	35803	47	Miscellaneous	0	In state provider	None	1245 WILSHIRE BLVD	SUITE 801	LOS ANGELES	CA	90017	4808	19	06037	34.05362775	-118.2661889	Los Angeles County
231068	Fee-for-Service	1629016043	1629016043	1	1	O'RIORDAN, DECLAN MD	2/8/2015	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
231090	Fee-for-Service	1497152755	1497152755	1	1	OJAI EMERGENCY PHYSICIANS	2/17/2015	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	CORPORATION	1306 MARICOPA HWY	None	OJAI	CA	93023	3131	56	06111	34.44229705	-119.2645703	Ventura County
231092	Fee-for-Service	1700941267	1700941267	2	1	OUR HOUSE RESIDENTIAL CARE	7/13/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	100 BERRY DRIVE	None	MADERA	CA	93637	4111	20	06039	36.95316669	-120.0944819	Madera County
231097	Fee-for-Service	1215258892	1215258892	1	5	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
231109	Fee-for-Service	1215258892	1215258892	1	35	OBHG CALIFORNIA, P.C.	2/28/2024	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
231129	Fee-for-Service	1346241056	1346241056	1	2	ODYSSEY HEALTHCARE OPERATING	4/16/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	400 SOUTH MELROSE DR	SUITE 107	VISTA	CA	92081	6632	37	06073	33.19060281	-117.2538848	San Diego County
231130	Fee-for-Service	1780059014	1780059014	1	1	ORANGE ASC LLC	12/5/2016	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1403 N TUSTIN AVE	SUITE 100	SANTA ANA	CA	92705	8691	30	06059	33.75741732	-117.8341425	Orange County
231382	Fee-for-Service	1215258892	1215258892	1	5	OBHG CALIFORNIA, P.C.	2/9/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	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
231396	Fee-for-Service	1215258892	1215258892	1	35	OBHG CALIFORNIA, P.C.	8/12/2024	207P00000X	NA	Other	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
231416	Fee-for-Service	1346241056	1346241056	1	2	ODYSSEY HEALTHCARE OPERATING	4/16/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	400 SOUTH MELROSE DR	SUITE 107	VISTA	CA	92081	6632	37	06073	33.19060281	-117.2538848	San Diego County
231535	Fee-for-Service	1306935739	1306935739	1	1	OPPENLANDER, VANESSA MD	8/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	70163	08	Family Practice	0	In state provider	None	225 CABRILLO HWY S	STE 100A	HALF MOON BAY	CA	94019	1738	41	06081	37.46542425	-122.4337617	San Mateo County
231558	Fee-for-Service	1073742185	1073742185	1	1	OC NEONATAL GROUP, INC	8/1/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	17100 EUCLID STREET	None	FOUNTAIN VALLEY	CA	92708	4043	30	06059	33.715035	-117.936993	Orange County
231707	Fee-for-Service	1235111022	1235111022	1	1	OVALLE, ALFREDO MD	9/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	87529	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
231729	Fee-for-Service	1093900995	1093900995	1	1	ORLOFF, SHELLY E NP	12/21/2018	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
231812	Fee-for-Service	1649210493	1649210493	1	1	ONYEKWULUJE, ANNE N MD	10/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	53526	41	Internal Medicine	0	In state provider	None	24451 HEALTH CENTER DR	None	LAGUNA HILLS	CA	92653	3689	30	06059	33.60848903	-117.7079742	Orange County
231894	Fee-for-Service	1396325916	1396325916	1	1	ORMOND, JELYCA MD	9/27/2024	207R00000X	NA	Other	026	PHYSICIANS	184405	41	Internal Medicine	0	In state provider	None	1721 TECHNOLOGY DR	None	SAN JOSE	CA	95110	1305	43	06085	37.36464282	-121.9163895	Santa Clara County
231939	Fee-for-Service	1053496240	1053496240	1	1	OAKLAND CA ENDOSCOPY ASC	10/31/2006	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	LP	300 FRANK OGAWA PLAZA	STE 135	OAKLAND	CA	94612	2070	01	06001	37.80542149	-122.2710615	Alameda County
231945	Fee-for-Service	1932324258	1932324258	1	1	ORMAN, RODGER S MD INC	2/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	700 MT RANCH RD	None	SAN ANDREAS	CA	95249	9707	05	06009	38.18960347	-120.6719165	Calaveras County
232151	Fee-for-Service	1790268845	1790268845	1	1	ORANGE COUNTY HOME HEALTH	3/24/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	3532 KATELLA AVE	STE 111	LOS ALAMITOS	CA	90720	3144	30	06059	33.80299947	-118.071135	Orange County
232195	Fee-for-Service	1427019264	1427019264	1	1	OLVERA-GIMENEZ, MARIA MD	7/8/2024	207ZP0102X	NA	Other	026	PHYSICIANS	66032	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	968 FAIR OAKS AVE	None	PASADENA	CA	91105	2626	19	06037	34.12932865	-118.1503092	Los Angeles County
232314	Fee-for-Service	1780333013	1780333013	1	1	ORREN, MICHELLE PT	9/3/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	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
232382	Fee-for-Service	1235154535	1235154535	1	1	OTIS, JOHN L MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	28506	36	Psychiatry	0	In state provider	None	4150 REGENTS PARK ROW	STE 250	LA JOLLA	CA	92037	1417	37	06073	32.87272099	-117.2175656	San Diego County
232467	Fee-for-Service	1659693687	1659693687	1	1	OH, NOEUN MD	7/1/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111662	30	Radiology	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
232513	Fee-for-Service	1205500808	1205500808	1	1	OMNI FAMILY HEALTH	5/27/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	3800 MALL VIEW ROAD	None	BAKERSFIELD	CA	93306	3029	15	06029	35.39391297	-118.9503991	Kern County
232547	Fee-for-Service	1477086320	1477086320	1	1	OLALIA, MICHAEL B MD	8/6/2020	207R00000X	NA	Other	026	PHYSICIANS	167397	41	Internal Medicine	0	In state provider	None	770 MASON ST	None	VACAVILLE	CA	95688	4646	48	06095	38.35504697	-121.983852	Solano County
232558	Fee-for-Service	1225476484	1225476484	1	1	OTOUKESH, SALMAN MD	3/3/2019	207RH0000X	NA	Hematology	026	PHYSICIANS	139997	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
232653	Fee-for-Service	1376513200	1376513200	2	1	OAKLAND PHARMACY INC	12/19/1996	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CHILDRENS CLINIC PHARMAC	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
232669	Fee-for-Service	1235154535	1235154535	1	1	OTIS, JOHN L MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	28506	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4150 REGENTS PARK ROW	STE 250	LA JOLLA	CA	92037	1417	37	06073	32.87272099	-117.2175656	San Diego County
232802	Fee-for-Service	1205500808	1205500808	1	1	OMNI FAMILY HEALTH	5/27/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	3800 MALL VIEW ROAD	None	BAKERSFIELD	CA	93306	3029	15	06029	35.39391297	-118.9503991	Kern County
232849	Fee-for-Service	1225476484	1225476484	1	1	OTOUKESH, SALMAN MD	3/3/2019	207RH0000X	NA	Hematology	026	PHYSICIANS	139997	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
232862	Fee-for-Service	1750398863	1750398863	1	5	ORANGE COUNTY RETINA MEDICAL	9/29/2020	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GROUP	999 N TUSTIN AVE	STE 17	SANTA ANA	CA	92705	6504	30	06059	33.754167	-117.834191	Orange County
232892	Fee-for-Service	1093335853	1093335853	1	1	OKPALA, OBIANUJU NP	8/1/2024	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
232920	Fee-for-Service	1790011245	1790011245	1	1	ORELLANA, EMMA N LCSW	9/20/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER 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
232924	Fee-for-Service	1003926023	1003926023	1	1	OLSON, BONNIE L MD	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	68801	36	Psychiatry	0	In state provider	None	3831 HUGHES AVE	STE 506	CULVER CITY	CA	90232	6860	19	06037	34.02243278	-118.3981492	Los Angeles County
232946	Fee-for-Service	1891227559	1891227559	1	1	OURFALIAN, RAFFI M DO	3/1/2019	111NR0200X	NA	Other	026	PHYSICIANS	16658	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
233055	Fee-for-Service	1235155490	1235155490	1	1	O'HARA, STEPHEN L MD	2/8/2015	2084N0400X	NA	Neurology	026	PHYSICIANS	42230	13	Neurology (M.D. only)	0	In state provider	#203	2080 CENTURY PARK E	None	LOS ANGELES	CA	90067	2001	19	06037	34.05887194	-118.4122914	Los Angeles County
233088	Fee-for-Service	1205500808	1205500808	1	1	OMNI FAMILY HEALTH	9/29/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	3800 MALL VIEW ROAD	None	BAKERSFIELD	CA	93306	3029	15	06029	35.39391297	-118.9503991	Kern County
233184	Fee-for-Service	1538412085	1538412085	1	1	OLNEY, CHRISTINE L PHD	10/1/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4531 MARKET ST	STE E	VENTURA	CA	93303	8014	56	06111	34.25730465	-119.2316626	Ventura County
233379	Fee-for-Service	1205500808	1205500808	1	1	OMNI FAMILY HEALTH	12/13/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	3800 MALL VIEW ROAD	None	BAKERSFIELD	CA	93306	3029	15	06029	35.39391297	-118.9503991	Kern County
233481	Fee-for-Service	1508803131	1508803131	1	1	OCHOA-LUBINOFF, CESAR A MD	7/6/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	187586	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
233556	Fee-for-Service	1649332982	1649332982	1	1	OGATA, SAYAKA NP	10/25/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
233573	Fee-for-Service	1619402542	1619402542	1	1	O'SHAUGHNESSY, BRADEN DO	7/16/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16736	08	Family Practice	0	In state provider	None	8170 LAGUNA BLVD	STE 101	ELK GROVE	CA	95758	7902	34	06067	38.421054	-121.405365	Sacramento County
233699	Fee-for-Service	1154498921	1154498921	1	1	OHARA, LYNNE D OD	12/26/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4950 SUNSET BLVD	None	LOS ANGELES	CA	90027	5822	19	06037	34.09812092	-118.2980246	Los Angeles County
233725	Fee-for-Service	1982174512	1982174512	1	1	OMEGALIFE HOSPICE OF	8/4/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA INC	21151 S WESTERN AVENUE	STE 256	TORRANCE	CA	90501	1724	19	06037	33.83695304	-118.3092655	Los Angeles County
233729	Fee-for-Service	1437684255	1437684255	1	1	OSTRUE, JOSHUA A DO	11/9/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18486	None	None	0	In state provider	None	2081 BRONZE STAR DR	None	WOODLAND	CA	95776	5423	57	06113	38.67049812	-121.7238394	Yolo County
233732	Fee-for-Service	1528011772	1528011772	1	1	OH, JOHN MD	2/1/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	60	UNKNOWN	1	Border provider	None	620 SHADOW LANE	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
233737	Fee-for-Service	1568422350	1568422350	1	1	OBED, ESAM M MD	9/5/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79496	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1200 N VENTURA RD	None	OXNARD	CA	93030	3863	56	06111	34.21435634	-119.1943831	Ventura County
233765	Fee-for-Service	1396380671	1396380671	1	1	OVSEPYAN, ALISA PT	2/20/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	500 W GLENOAKS BLVD	None	GLENDALE	CA	91202	2813	19	06037	34.15937082	-118.2644042	Los Angeles County
233776	Fee-for-Service	1144745803	1144745803	1	1	ORANGE COUNTY ROBOTIC	9/7/2017	208600000X	NA	General Surgery	026	PHYSICIANS	None	02	General Surgery	0	In state provider	GENERAL SURGERY INC	17542 17TH ST	STE 410	TUSTIN	CA	92780	1978	30	06059	33.75969746	-117.8261777	Orange County
233977	Fee-for-Service	1215258892	1215258892	1	17	OBHG CALIFORNIA, P.C.	3/30/2018	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	18300 HWY 18	None	APPLE VALLEY	CA	92307	2206	36	06071	34.5406159	-117.2658221	San Bernardino County
234013	Fee-for-Service	1982174512	1982174512	1	1	OMEGALIFE HOSPICE OF	8/4/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA INC	21151 S WESTERN AVENUE	STE 256	TORRANCE	CA	90501	1724	19	06037	33.83695304	-118.3092655	Los Angeles County
234031	Fee-for-Service	1205073384	1205073384	1	1	O'HARA, MICHAEL P CRNA	1/15/2009	No Taxonomy Provided	NA	None	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
234053	Fee-for-Service	1174190318	1174190318	1	1	OLIVEGLEN HOME HEALTH CARE	12/16/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	121 S GLENOAKS BLVD	STE 2	BURBANK	CA	91502	1604	19	06037	34.18291031	-118.3058877	Los Angeles County
234174	Fee-for-Service	1649888157	1649888157	1	1	ONE TOUCH OF CHRIST EVANGELI	1/15/2021	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	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
234266	Fee-for-Service	1215258892	1215258892	1	17	OBHG CALIFORNIA, P.C.	3/30/2018	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	18300 HWY 18	None	APPLE VALLEY	CA	92307	2206	36	06071	34.5406159	-117.2658221	San Bernardino County
234273	Fee-for-Service	1588082390	1588082390	1	1	OWYANG, CLARK G MD	2/4/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	155291	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
234305	Fee-for-Service	1518282490	1518282490	1	1	OAKRHEEM INCORPORATED	8/1/2010	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1832 B STREET	None	HAYWARD	CA	94541	4585	01	06001	37.68193983	-122.0671071	Alameda County
234555	Fee-for-Service	1215258892	1215258892	1	17	OBHG CALIFORNIA, P.C.	3/30/2018	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	18300 HWY 18	None	APPLE VALLEY	CA	92307	2206	36	06071	34.5406159	-117.2658221	San Bernardino County
234601	Fee-for-Service	1508971367	1508971367	1	1	OPTIMA CARE PHARMACY INC	3/15/2005	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1755 W GLENOAKS BLVD	None	GLENDALE	CA	91201	1500	19	06037	34.17243947	-118.2913083	Los Angeles County
234666	Fee-for-Service	1649048786	1649048786	1	1	OLATAWURA, ADETUTU D CNP	1/10/2024	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	601 S WESTMORELAND AVE	None	LOS ANGELES	CA	90005	3999	19	06037	34.06348495	-118.28845	Los Angeles County
234893	Fee-for-Service	1790317766	1790317766	1	1	OCONNOR, DANIELLE CRNA	7/19/2022	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
234904	Fee-for-Service	1447681309	1447681309	1	1	OCM ANESTHESIA	3/24/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	9920 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
235230	Fee-for-Service	1427256817	1427256817	1	1	OH, JOHN C MD	10/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118369	30	Radiology	0	In state provider	None	250 HOSPITAL PKWAY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
235372	Fee-for-Service	1639533490	1639533490	1	1	O'BRIEN, PETER NP	11/21/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	41880 KALMIA ST	SUITE 100	MURRIETA	CA	92562	8835	33	06065	33.55740114	-117.2157733	Riverside County
235846	Fee-for-Service	1669577276	1669577276	1	1	O'BRIEN, SUSAN M MD	5/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	53141	68	Hematology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
235906	Fee-for-Service	1912418310	1912418310	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	355 CAMPUS DRIVE	SUITE E	HANFORD	CA	93230	4376	16	06031	36.3271295	-119.6633596	Kings County
235948	Fee-for-Service	1831391879	1831391879	1	1	ORTIZ, GABRIEL M MD	9/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95266	77	Infectious Disease	0	In state provider	None	1001 POTRERO AVE	RM 5H	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
236089	Fee-for-Service	1982791034	1982791034	1	1	OSTER, LEILANI O CRNA	1/31/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2767 OLIVE HIGHWAY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
236103	Fee-for-Service	1790895803	1790895803	1	1	OTSUKA, TAKAHIRO MD INC	10/19/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	55960	41	Internal Medicine	0	In state provider	TM AND HANA MEDICAL CORP	12780 HESPERIA RD	None	VICTORVILLE	CA	92395	5806	36	06071	34.4833646	-117.2904386	San Bernardino County
236131	Fee-for-Service	1669577276	1669577276	1	1	O'BRIEN, SUSAN M MD	5/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	53141	78	Neoplastic Diseases/Oncology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
236146	Fee-for-Service	1427375781	1427375781	1	1	OVERMAN, CAROLYN M MD	10/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124441	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
236147	Fee-for-Service	1689856734	1689856734	1	1	OANDASAN, DULCE M MD	6/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	98956	01	General Practice	0	In state provider	None	555 TACHEVAH DR	3W105	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
236189	Fee-for-Service	1912418310	1912418310	1	1	OMNI FAMILY HEALTH	5/28/2019	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	355 CAMPUS DRIVE	SUITE E	HANFORD	CA	93230	4376	16	06031	36.3271295	-119.6633596	Kings County
236227	Fee-for-Service	1376062638	1376062638	1	1	ODEGHE, OKIEMUTE C CNP	7/8/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
236236	Fee-for-Service	1831391879	1831391879	1	1	ORTIZ, GABRIEL M MD	9/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95266	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
236268	Fee-for-Service	1427347590	1427347590	1	1	OSTREA, MARILOU O MD	1/8/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	113702	40	Pediatrics	0	In state provider	None	3100 W CHRISTOFFERSEN PK	None	TURLOCK	CA	95382	9547	50	06099	37.52910755	-120.8840959	Stanislaus County
236388	Fee-for-Service	1790895803	1790895803	1	1	OTSUKA, TAKAHIRO MD INC	10/19/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	55960	67	Endocrinology	0	In state provider	TM AND HANA MEDICAL CORP	12780 HESPERIA RD	None	VICTORVILLE	CA	92395	5806	36	06071	34.4833646	-117.2904386	San Bernardino County
236467	Fee-for-Service	1518288091	1518288091	1	1	OVERBEY, JAMIE K DO	3/30/2022	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	11917	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
236471	Fee-for-Service	1487693495	1487693495	1	1	OLUMADE, LAWRENCE	10/20/2009	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	UNLIMITED CARE & MED SUP	15522 LAKEWOOD BLVD	None	BELLFLOWER	CA	90706	4243	19	06037	33.89269604	-118.142562	Los Angeles County
236478	Fee-for-Service	1912418310	1912418310	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	355 CAMPUS DRIVE	SUITE E	HANFORD	CA	93230	4376	16	06031	36.3271295	-119.6633596	Kings County
236500	Fee-for-Service	1619481348	1619481348	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3748 E SHILEDS AVE	None	FRESNO	CA	93726	7028	10	06019	36.77950149	-119.7622755	Fresno County
236548	Fee-for-Service	1093055154	1093055154	1	1	OSTOJIC, HYPATIA LCSW	9/6/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	29296	-	NOT APPLICABLE	0	In state provider	None	2115 N WILMINGTON AVE	None	COMPTON	CA	90222	2030	19	06037	33.91197848	-118.2391821	Los Angeles County
236601	Fee-for-Service	1528396231	1528396231	1	1	ODISHO, ANOBEL Y MD	6/12/2017	208800000X	NA	Other	026	PHYSICIANS	115436	34	Urology and Urological Surgery	0	In state provider	None	1001 POTRERO AVE	3A20	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
236618	Fee-for-Service	1215258892	1215258892	1	41	OBHG CALIFORNIA, P.C.	2/26/2025	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	400 MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
236762	Fee-for-Service	1912418310	1912418310	1	1	OMNI FAMILY HEALTH	1/16/2019	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	355 CAMPUS DRIVE	SUITE E	HANFORD	CA	93230	4376	16	06031	36.3271295	-119.6633596	Kings County
236791	Fee-for-Service	1619481348	1619481348	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3748 E SHILEDS AVE	None	FRESNO	CA	93726	7028	10	06019	36.77950149	-119.7622755	Fresno County
236893	Fee-for-Service	1851486237	1851486237	1	1	OHANA PHYSICAL THERAPY INC	4/1/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	13341 GARDEN GROVE BLVD.	SUITE B	GARDEN GROVE	CA	92843	2255	30	06059	33.77637908	-117.9007412	Orange County
236908	Fee-for-Service	1215258892	1215258892	1	41	OBHG CALIFORNIA, P.C.	2/26/2025	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	400 MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
236949	Fee-for-Service	1356761571	1356761571	1	1	ORTIZ, KENNETH K MD	7/27/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	156607	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
236957	Fee-for-Service	1699841700	1699841700	1	2	ONYEADOR, EJIKE C MD	6/30/1989	193400000X	NA	Other	026	PHYSICIANS	45589	40	Pediatrics	0	In state provider	None	1045 ATLANTIC AVE	STE 715	LONG BEACH	CA	90813	3412	19	06037	33.780267	-118.1850795	Los Angeles County
236978	Fee-for-Service	1487912309	1487912309	1	1	O'SHEA, JAMES T MD	10/24/2019	207P00000X	NA	Other	026	PHYSICIANS	164140	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
237054	Fee-for-Service	1740508985	1740508985	1	1	OBRIEN, JULIE S MD	4/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	112278	40	Pediatrics	0	In state provider	None	1001 POTRERO	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
237173	Fee-for-Service	1396142956	1396142956	1	1	OKOH, HELEN C MD	12/28/2023	207R00000X	NA	Other	026	PHYSICIANS	145301	None	None	0	In state provider	None	4323 W RIVERSIDE DRIVE	None	BURBANK	CA	91505	4044	19	06037	34.15223748	-118.347426	Los Angeles County
237190	Fee-for-Service	1114323094	1114323094	1	1	ORTEGA-GARCIA, CONCHITA LCS	3/8/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	W	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
237194	Fee-for-Service	1215258892	1215258892	1	14	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	450 E ROMIE LN	None	SALINAS	CA	93901	4029	27	06053	36.65983988	-121.6458041	Monterey County
237229	Fee-for-Service	1780989509	1780989509	1	1	ORANGE COUNTY HOSPICE LLC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	13522 NEWPORT AVE	STE 200	TUSTIN	CA	92780	3707	30	06059	33.74329025	-117.8167455	Orange County
237243	Fee-for-Service	1487060182	1487060182	1	1	OJEDA, CHRISTINA E LMFT	5/6/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4502 EAST AVE S	None	PALMDALE	CA	93552	4480	19	06037	34.55800153	-118.0488825	Los Angeles County
237245	Fee-for-Service	1699841700	1699841700	1	2	ONYEADOR, EJIKE C MD	6/30/1989	193400000X	NA	Other	026	PHYSICIANS	45589	09	Gynecology (D.O. only)	0	In state provider	None	1045 ATLANTIC AVE	STE 715	LONG BEACH	CA	90813	3412	19	06037	33.780267	-118.1850795	Los Angeles County
237298	Fee-for-Service	1467988519	1467988519	1	1	OCONNOR, SHANNAN	3/31/2023	106H00000X	NA	Mental Health Outpatient Services	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
237317	Fee-for-Service	1689100703	1689100703	1	1	OSIRIS HOME HEALTH CARE INC	2/5/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	18570 SHERMAN WAY	SUITE F	RESEDA	CA	91335	8636	19	06037	34.20101951	-118.538424	Los Angeles County
237327	Fee-for-Service	1407938996	1407938996	1	1	ORANGE COUNTY PATHOLOGY	1/28/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	MEDICAL GROUP INC	805 W LA VETA AVE	STE 104	ORANGE	CA	92868	3928	30	06059	33.78064152	-117.8606475	Orange County
237354	Fee-for-Service	1760628895	1760628895	1	1	OSTERMAN, LINDSEY A PSYD	5/16/2020	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
237428	Fee-for-Service	1679044226	1679044226	1	1	OPTIONS RECOVERY SERVICES	12/31/2018	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1300 E. 14TH ST	None	SAN LEANDRO	CA	94577	4714	01	06001	37.72475514	-122.1554863	Alameda County
237483	Fee-for-Service	1215258892	1215258892	1	41	OBHG CALIFORNIA, P.C.	2/26/2025	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
237506	Fee-for-Service	1265469027	1265469027	1	1	ONG, ALBINO Y MD	5/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	44742	30	Radiology	0	In state provider	None	14500 SHERMAN CIR	None	VAN NUYS	CA	91405	3052	19	06037	34.20025916	-118.4500763	Los Angeles County
237507	Fee-for-Service	1346373172	1346373172	1	1	OZOH, ADAOBI NP	2/24/2025	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1161 E COVINA BLVD	None	COVINA	CA	91724	1523	19	06037	34.09946746	-117.8671905	Los Angeles County
237516	Fee-for-Service	1780989509	1780989509	1	1	ORANGE COUNTY HOSPICE LLC	8/20/2013	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	13522 NEWPORT AVE	STE 200	TUSTIN	CA	92780	3707	30	06059	33.74329025	-117.8167455	Orange County
237537	Fee-for-Service	1477713139	1477713139	1	1	OHANNESSIAN, ARTHUR N MD	6/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111094	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
237573	Fee-for-Service	1750575593	1750575593	1	1	OBIAKO, STEPHANIE L NP	2/7/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
237694	Fee-for-Service	1548230790	1548230790	1	1	ORR, LANCE M MD	1/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68183	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
237739	Fee-for-Service	1851402002	1851402002	1	1	OUTHWAITE, SIMON G MD	12/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	80528	41	Internal Medicine	0	In state provider	None	17360 BROOKHURST ST	None	FOUNTAIN VALLEY	CA	92708	3720	30	06059	33.71141952	-117.9542482	Orange County
237770	Fee-for-Service	1215258892	1215258892	1	14	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	450 E ROMIE LN	None	SALINAS	CA	93901	4029	27	06053	36.65983988	-121.6458041	Monterey County
237878	Fee-for-Service	1477089175	1477089175	1	1	OUTCALT, KATHLEEN R DO	3/8/2021	390200000X	NA	Other	026	PHYSICIANS	18248	None	None	0	In state provider	None	5525 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3009	37	06073	32.781195	-117.0070695	San Diego County
238015	Fee-for-Service	1801032842	1801032842	1	1	OLIAEI, SEPEHR MD	6/27/2023	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	111747	None	None	0	In state provider	None	101 CITY DR S	BLDG 25	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
238058	Fee-for-Service	1215258892	1215258892	1	14	OBHG CALIFORNIA, P.C.	2/9/2018	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	450 E ROMIE LN	None	SALINAS	CA	93901	4029	27	06053	36.65983988	-121.6458041	Monterey County
238131	Fee-for-Service	1770641870	1770641870	1	1	O'CONNOR, BRIAN P MD	1/1/1996	207RR0500X	NA	Other	026	PHYSICIANS	40893	83	Rheumatology	0	In state provider	None	675 S ARROYO PWKY	STE 400	PASADENA	CA	91105	3264	19	06037	34.13385453	-118.1474229	Los Angeles County
238155	Fee-for-Service	1467479295	1467479295	1	1	OBIOCHA, IKECHI O MD	11/29/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	84056	41	Internal Medicine	0	In state provider	None	11678 RANCHO RD	None	ADELANTO	CA	92301	2700	36	06071	34.5592985	-117.410409	San Bernardino County
238250	Fee-for-Service	1205066990	1205066990	1	1	OKOYE, CHINWE P MD	8/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	112186	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
238352	Fee-for-Service	1285363622	1285363622	1	1	OUR LEGACY LLC	7/14/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	13000 WILD SAGE LANE	None	MORENO VALLEY	CA	92555	4529	33	06065	33.93103608	-117.1865762	Riverside County
238364	Fee-for-Service	1356337109	1356337109	1	1	ORD, JOHN 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
238645	Fee-for-Service	1598311896	1598311896	1	1	OBENG-ADUASARE, AKOSUA N NP	3/13/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
238792	Fee-for-Service	1962075713	1962075713	1	1	O?ONNELL, DILLON P CCC-SLP	2/5/2025	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1325 HOWE AVE	SUITE 207	SACRAMENTO	CA	95825	3364	34	06067	38.590191	-121.416624	Sacramento County
238796	Fee-for-Service	1952836553	1952836553	1	1	OH, DAVID S MD	3/3/2023	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	184141	None	None	0	In state provider	None	729 SUNRISE AVE	SUITE 602	ROSEVILLE	CA	95661	4542	31	06061	38.73444822	-121.2720033	Placer County
238831	Fee-for-Service	1568650109	1568650109	1	2	O'CONNELL, HEATHER M PHD	7/29/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	11B WILLIAMSBURG LN	STE B	CHICO	CA	95926	2225	04	06007	39.75280586	-121.8547951	Butte County
238943	Fee-for-Service	1033121207	1033121207	1	1	O'HARA, GARY C MD	12/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	65069	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
239046	Fee-for-Service	1114182813	1114182813	1	1	OWOLABI, OLUFEMI S MD	10/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113997	41	Internal Medicine	0	In state provider	None	3001 SILLECT AVE	None	BAKERSFIELD	CA	93308	6337	15	06029	35.38601911	-119.0400416	Kern County
239076	Fee-for-Service	1326481698	1326481698	1	1	OZHAND, ALI MD	6/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142939	41	Internal Medicine	0	In state provider	None	11165 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1113	19	06037	34.2738618	-118.4678337	Los Angeles County
239337	Fee-for-Service	1023201829	1023201829	1	1	OSBORNE, AARON R MD	8/1/2022	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
239471	Fee-for-Service	1972243640	1972243640	1	1	OPTIMAL MEDICAL CARE INC	3/5/2023	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1860 S CENTRAL ST	STE B	VISALIA	CA	93277	4497	54	06107	36.314469	-119.3106195	Tulare County
239556	Fee-for-Service	1386006112	1386006112	1	1	OKERBLOM, JENNA R DO	9/17/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	22917	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1400 EAST CHURCH ST	None	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
239590	Fee-for-Service	1891052015	1891052015	1	1	OZAWA, MICHAEL G MD	6/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	128524	22	Pathology (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
239616	Fee-for-Service	1114422722	1114422722	1	1	OO, THEINGI MD INC	1/2/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	104545	77	Infectious Disease	0	In state provider	None	1225 WILSHIRE BLVD	None	LOS ANGELES	CA	90017	1901	19	06037	34.05358988	-118.2661119	Los Angeles County
239781	Fee-for-Service	1255489241	1255489241	1	1	OGAWA, TIMOTHY MD	1/1/1982	2085B0100X	NA	MRI Provider	026	PHYSICIANS	14027	30	Radiology	0	In state provider	None	1200 N TUSTIN AVE	# 1	SANTA ANA	CA	92705	3508	30	06059	33.75564579	-117.8342574	Orange County
239904	Fee-for-Service	1114422722	1114422722	1	1	OO, THEINGI MD INC	1/2/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	104545	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
239906	Fee-for-Service	1669671681	1669671681	1	1	OUYANG, DANIEL L MD	8/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	92727	25	Physical Medicine and Rehabilitation	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
240025	Fee-for-Service	1447339981	1447339981	1	1	O'CONNOR, CATHERINE M NP	12/9/2015	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
240073	Fee-for-Service	1740469626	1740469626	1	1	ODOM, SHARON R LMFT	12/6/2018	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1601 I STREET	STE 320	MODESTO	CA	95354	1135	50	06099	37.64408717	-120.993212	Stanislaus County
240280	Fee-for-Service	1801028907	1801028907	1	1	OSTERHOFF, ROBERT A MD	5/24/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	106502	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
240303	Fee-for-Service	1972081651	1972081651	1	1	OC CARE CENTERS, INC	11/16/2019	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	127 N QUEENSBURY ST	None	ANAHEIM	CA	92806	3814	30	06059	33.84241668	-117.8628921	Orange County
240327	Fee-for-Service	1851859714	1851859714	1	1	OC REHAB A MEDICAL GROUP INC	5/27/2021	225100000X	NA	Physical Therapist	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	15201 BEACH BLVD	A	WESTMINSTER	CA	92683	9268	30	06059	33.7416537	-117.9896279	Orange County
240412	Fee-for-Service	1710953047	1710953047	1	1	OH, DENNIS H MD	7/11/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	79853	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
240519	Fee-for-Service	1003317306	1003317306	1	1	OLIVARES CHAYEB, RAFAEL PSY	2/22/2025	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	D	750 B	2870	SAN DIEGO	CA	92101	8114	37	06073	32.71782447	-117.157905	San Diego County
240524	Fee-for-Service	1467858696	1467858696	1	2	OMNI FAMILY HEALTH	6/1/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1022 CALLOWAY DR	None	BAKERSFIELD	CA	93312	6337	15	06029	35.36767613	-119.1111388	Kern County
240567	Fee-for-Service	1245737071	1245737071	1	1	OH, ANNE DO	11/15/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17729	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
240584	Fee-for-Service	1730795071	1730795071	1	1	OAKLAND HOSPICE INC	2/18/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1901 HARRISON ST	SUITE 1100	OAKLAND	CA	94612	3648	01	06001	37.80665105	-122.2652946	Alameda County
240615	Fee-for-Service	1851859714	1851859714	1	1	OC REHAB A MEDICAL GROUP INC	11/13/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	15201 BEACH BLVD	A	WESTMINSTER	CA	92683	9268	30	06059	33.7416537	-117.9896279	Orange County
240678	Fee-for-Service	1639523475	1639523475	1	1	OHRI, AJAY MD	7/1/2019	390200000X	NA	Other	026	PHYSICIANS	157736	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
240692	Fee-for-Service	1467408195	1467408195	1	1	OGUNMOLA, DAYO	6/8/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	GLORY MEDICAL SUPPLIES	2912 W VERNON AVE	None	LOS ANGELES	CA	90008	4757	19	06037	34.00364183	-118.3251997	Los Angeles County
240714	Fee-for-Service	1073957932	1073957932	1	1	OTCHERE, JUSTICE MD	4/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	136211	01	General Practice	0	In state provider	None	135 CARMEN LANE	None	SANTA MARIA	CA	93458	7729	42	06083	34.92484952	-120.4374645	Santa Barbara County
240757	Fee-for-Service	1568689958	1568689958	1	1	OKON,ANIETIE E MD	7/23/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102633	None	None	0	In state provider	None	681 MAIN ST	STE 105	PLACERVILLE	CA	95667	5747	09	06017	38.72992279	-120.7927701	El Dorado County
240808	Fee-for-Service	1710321864	1710321864	1	1	OH, ERNEST J MD	2/12/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	134499	41	Internal Medicine	0	In state provider	None	7117 BROCKTON AVENUE	None	RIVERSIDE	CA	92506	2658	33	06065	33.94354395	-117.394926	Riverside County
240812	Fee-for-Service	1467858696	1467858696	1	2	OMNI FAMILY HEALTH	6/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1022 CALLOWAY DR	None	BAKERSFIELD	CA	93312	6337	15	06029	35.36767613	-119.1111388	Kern County
240872	Fee-for-Service	1730795071	1730795071	1	1	OAKLAND HOSPICE INC	2/18/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1901 HARRISON ST	SUITE 1100	OAKLAND	CA	94612	3648	01	06001	37.80665105	-122.2652946	Alameda County
240873	Fee-for-Service	1548487366	1548487366	1	1	OU, HONZEN MD INC	6/1/1980	208600000X	NA	General Surgery	026	PHYSICIANS	30984	02	General Surgery	0	In state provider	None	13768 ROSWELL AVE	SUITE 218	CHINO	CA	91710	1407	36	06071	34.0038	-117.7218555	San Bernardino County
240903	Fee-for-Service	1851859714	1851859714	1	1	OC REHAB A MEDICAL GROUP INC	11/13/2019	225100000X	NA	Physical Therapist	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	15201 BEACH BLVD	A	WESTMINSTER	CA	92683	9268	30	06059	33.7416537	-117.9896279	Orange County
240922	Fee-for-Service	1316174667	1316174667	1	1	OZEN, MAIDE MD	11/24/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	117529	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	MC 5548	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
240968	Fee-for-Service	1861552606	1861552606	1	1	OMANI, ALBERTINE E MD	9/20/2007	207VX0000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	77328	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	HIGHLAND GEN HOSP	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
241057	Fee-for-Service	1568994366	1568994366	1	2	ORSULAK, MARY MD	1/5/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	157139	-	NOT APPLICABLE	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
241101	Fee-for-Service	1467858696	1467858696	1	2	OMNI FAMILY HEALTH	6/1/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1022 CALLOWAY DR	None	BAKERSFIELD	CA	93312	6337	15	06029	35.36767613	-119.1111388	Kern County
241115	Fee-for-Service	1851358915	1851358915	1	1	OZAKI, ROBERT H MD	4/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	8665	01	General Practice	0	In state provider	None	320 LENNON LANE	None	WALNUT CREEK	CA	94598	2419	07	06013	37.92699561	-122.0292732	Contra Costa County
241124	Fee-for-Service	1023606357	1023606357	1	1	OPEN HEART HOSPICE INC	6/19/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	30495 CANWOOD ST	STE 209	AROURA HILLS	CA	91301	4331	19	06037	34.14698794	-118.7853623	Los Angeles County
241133	Fee-for-Service	1215575949	1215575949	2	1	OREEGAL, CLAUDIA LCSW	2/6/2025	103TP2700X	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	42211 STONEWOOD RD	APT 184	TEMECULA	CA	92591	3815	33	06065	33.51065955	-117.1472507	Riverside County
241196	Fee-for-Service	1992396972	1992396972	1	2	OFA VALE	3/17/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	33769 SALVIA LANE	None	MURRIETA	CA	92563	3436	33	06065	33.62817859	-117.1585791	Riverside County
241200	Fee-for-Service	1952573826	1952573826	1	2	ONEIL, JOHN C MD	10/2/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	118663	-	NOT APPLICABLE	0	In state provider	None	771 W ORANGETHORPE AVE	None	FULLERTON	CA	92832	2016	30	06059	33.85956604	-117.9393193	Orange County
241271	Fee-for-Service	1902341183	1902341183	1	1	OAKS COMMUNITY PHARMACY INC	1/13/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	13322 RIVERSIDE DR	None	SHERMAN OAKS	CA	91423	2509	19	06037	34.15758047	-118.4232375	Los Angeles County
241334	Fee-for-Service	1740629559	1740629559	1	1	O'CONNOR, PAUL MD	9/4/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	162305	30	Radiology	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
241390	Fee-for-Service	1629156708	1629156708	1	1	ODELL, DAVID LEE MD	3/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	41438	13	Neurology (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
241412	Fee-for-Service	1023606357	1023606357	1	1	OPEN HEART HOSPICE INC	6/19/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	30495 CANWOOD ST	STE 209	AROURA HILLS	CA	91301	4331	19	06037	34.14698794	-118.7853623	Los Angeles County
241426	Fee-for-Service	1295785285	1295785285	1	1	OAKWOOD ANNAPOLIS HOSP	10/12/2005	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	OAKWOOD HEALTHCARE, INC	33155 ANNAPOLIS ST	None	WAYNE	MI	48184	0000	00	None	42.27425649	-83.36479079	Wayne County
241439	Fee-for-Service	1891716254	1891716254	1	1	O'BRIAN, EDWARD O MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	68754	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
241454	Fee-for-Service	1962433409	1962433409	1	1	OEY, JAMIE MD INC	7/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	53553	40	Pediatrics	0	In state provider	None	10800 PARAMOUNT BLVD	STE 302	DOWNEY	CA	90241	3324	19	06037	33.94604301	-118.1354831	Los Angeles County
241474	Fee-for-Service	1740230713	1740230713	1	1	OLSON, CALVIN E MD	8/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	39482	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
241520	Fee-for-Service	1033774310	1033774310	1	1	ORLANDO, CHRISTOPHER M MD	7/13/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	185549	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
241624	Fee-for-Service	1386920718	1386920718	1	1	ORTEGA, ADRIAN E MD	5/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	58797	02	General Surgery	0	In state provider	None	1441 EAST LAKE AVE	None	LOS ANGELES	CA	90033	0804	19	06037	34.060806	-118.20636	Los Angeles County
241708	Fee-for-Service	1124524715	1124524715	1	1	OMRAN, ELNAZ MD	9/29/2022	207L00000X	NA	Other	026	PHYSICIANS	174688	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
241744	Fee-for-Service	1962433409	1962433409	1	1	OEY, JAMIE MD INC	7/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	53553	01	General Practice	0	In state provider	None	10800 PARAMOUNT BLVD	STE 302	DOWNEY	CA	90241	3324	19	06037	33.94604301	-118.1354831	Los Angeles County
241758	Fee-for-Service	1881725158	1881725158	1	1	ORILLANEDA, RHYNA PT	1/13/2024	171W00000X	NA	Other	025	PHYSICAL THERAPISTS	-	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
241883	Fee-for-Service	1205367646	1205367646	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4844 N 1ST STREET	SUITE 104	FRESNO	CA	93726	0529	10	06019	36.80569286	-119.7720261	Fresno County
241998	Fee-for-Service	1558469064	1558469064	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	215 WEST BEAMER STREET	None	WOODLAND	CA	95695	2510	57	06113	38.68483629	-121.7937301	Yolo County
242019	Fee-for-Service	1841275542	1841275542	1	1	ORNELAS KNIGHT, MICHELE M PS	6/20/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	YD	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
242169	Fee-for-Service	1205367646	1205367646	1	1	OMNI FAMILY HEALTH	11/13/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4844 N 1ST STREET	SUITE 104	FRESNO	CA	93726	0529	10	06019	36.80569286	-119.7720261	Fresno County
242188	Fee-for-Service	1073142121	1073142121	1	1	OTEGBULU, ANGELA U NP	11/28/2023	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
242204	Fee-for-Service	1194770495	1194770495	1	1	OMEGA IMAGING INCORPORATED	11/12/2009	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	None	26161 MARGUERITE PKWY	STE A	MISSION VIEJO	CA	92692	3162	30	06059	33.58257724	-117.6585555	Orange County
242261	Fee-for-Service	1881239861	1881239861	1	1	OLAVE ST. CLAIR OPTOMETRY, I	1/13/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3951 GRAND AVE	None	CHINO	CA	91710	5429	36	06071	33.99381	-117.7181235	San Bernardino County
242282	Fee-for-Service	1942588181	1942588181	1	1	ORMISTON, ANNICE E PHD	10/26/2015	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1801 BUSH STREET	STE 222	SAN FRANCISCO	CA	94109	5239	38	06075	37.78777536	-122.427321	San Francisco County
242286	Fee-for-Service	1699002519	1699002519	1	1	OLORUNSOLA, OLUFOLADARE G MD	6/10/2015	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	115167	None	None	0	In state provider	None	3700 CALIFORNIA STREET	None	SAN FRANCISCO	CA	94118	1618	38	06075	37.78614008	-122.4556866	San Francisco County
242287	Fee-for-Service	1558469064	1558469064	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	215 WEST BEAMER STREET	None	WOODLAND	CA	95695	2510	57	06113	38.68483629	-121.7937301	Yolo County
242457	Fee-for-Service	1205367646	1205367646	1	1	OMNI FAMILY HEALTH	12/18/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4844 N 1ST STREET	SUITE 104	FRESNO	CA	93726	0529	10	06019	36.80569286	-119.7720261	Fresno County
242463	Fee-for-Service	1982940912	1982940912	1	2	OMNI EYE CARE, INC.	10/22/2021	207R00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	554 E SAN BERNARDINO RD	SUITE 102	COVINA	CA	91723	1747	19	06037	34.09085021	-117.8800144	Los Angeles County
242567	Fee-for-Service	1710060165	1710060165	1	1	OEN, ROGER MD	9/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85777	01	General Practice	0	In state provider	None	200 W ARBOR DR	DEPT 8201	SAN DIEGO	CA	92103	8201	37	06073	32.7537975	-117.1658298	San Diego County
242573	Fee-for-Service	1558469064	1558469064	2	1	OLE HEALTH	10/1/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	215 WEST BEAMER STREET	None	WOODLAND	CA	95695	2510	57	06113	38.68483629	-121.7937301	Yolo County
242575	Fee-for-Service	1730347105	1730347105	1	1	OH, GIA J MD	8/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	106104	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
242664	Fee-for-Service	1225005283	1225005283	1	1	ORGEL, LING C PHD	5/2/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	816 GROVE STREET	None	SAN FRANCISCO	CA	94117	1712	38	06075	37.77691279	-122.430404	San Francisco County
242688	Fee-for-Service	1285754986	1285754986	1	1	OCCHIOGROSSO, MARIROSE LMFT	9/4/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST 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
242748	Fee-for-Service	1982940912	1982940912	1	2	OMNI EYE CARE, INC.	10/22/2021	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	554 E SAN BERNARDINO RD	SUITE 102	COVINA	CA	91723	1747	19	06037	34.09085021	-117.8800144	Los Angeles County
242762	Fee-for-Service	1063582112	1063582112	1	1	OHADI, CAMIAR MD	5/2/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	79807	30	Radiology	0	In state provider	MILLENIUM IMAGING MED CT	9655 MONTE VISTA AVE	STE 403	MONTCLAIR	CA	91763	2238	36	06071	34.07991502	-117.6982245	San Bernardino County
242785	Fee-for-Service	1093890725	1093890725	1	1	ORENDAC, CATHERINE A MD	8/28/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
242790	Fee-for-Service	1548792815	1548792815	1	1	OWENS, SABRINA M MD	12/9/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	158638	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
242812	Fee-for-Service	1649849225	1649849225	1	1	O'LOUGHLIN, AMANDA DO	9/19/2024	261QP2300X	NA	Other	026	PHYSICIANS	22396	08	Family Practice	0	In state provider	None	2170 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	7026	09	06017	38.91229842	-119.9978133	El Dorado County
242863	Fee-for-Service	1558469064	1558469064	2	1	OLE HEALTH	12/18/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	215 WEST BEAMER STREET	None	WOODLAND	CA	95695	2510	57	06113	38.68483629	-121.7937301	Yolo County
243058	Fee-for-Service	1942687843	1942687843	1	1	O'NEIL, MATTHEW C MD	10/4/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	148204	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
243072	Fee-for-Service	1093890725	1093890725	1	1	ORENDAC, CATHERINE A MD	8/28/2017	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
243174	Fee-for-Service	1750488193	1750488193	1	1	ORDONEZ, XAVIER P	2/1/1999	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL CORPORATION	6325 HOLLYWOOD BLVD	None	HOLLYWOOD	CA	90028	6302	19	06037	34.1016405	-118.327707	Los Angeles County
243185	Fee-for-Service	1932905189	1932905189	1	1	OPDYKE HURLBURT, KALEENA M	3/31/2025	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	27	06053	0	0	None
243275	Fee-for-Service	1194154005	1194154005	1	1	OLCOTT, JONATHAN A LAC	9/12/2024	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1025 PACIFIC ST	None	SAN LUIS OBISPO	CA	93401	5056	40	06079	35.27997695	-120.6588498	San Luis Obispo County
243297	Fee-for-Service	1215202304	1215202304	1	1	O'NEILL, SEAN	5/12/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	112879	-	NOT APPLICABLE	0	In state provider	None	2201 & 2205 KILSON DR	None	SANTA ANA	CA	92707	2918	30	06059	33.71754801	-117.8615744	Orange County
243458	Fee-for-Service	1477703262	1477703262	1	1	OLAGUE, JESSE L PSYD	6/14/2019	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
243499	Fee-for-Service	1013369164	1013369164	1	1	OTIENO, BELINDA LCSW	6/5/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	122258	-	NOT APPLICABLE	0	In state provider	None	31760 CASINO DRIVE	SUITE 200	LAKE ELSINORE	CA	92530	4561	33	06065	33.65752351	-117.2961478	Riverside County
243535	Fee-for-Service	1366763096	1366763096	1	1	OGUNLEYE, ADEYEMI A MD	7/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155078	24	Plastic Surgery	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
243605	Fee-for-Service	1487289195	1487289195	1	1	ONSITE PRIMARY CARE AND NURS	1/19/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	ING	678 3RD ST	None	WOODLAND	CA	95695	4034	57	06113	38.67218698	-121.7707131	Yolo County
243671	Fee-for-Service	1427104256	1427104256	1	1	OOMMEN, SANTOSH S MD	10/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143006	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	365 HAWTHORNE AVE	STE 201	OAKLAND	CA	94546	5270	01	06001	37.82079728	-122.2633226	Alameda County
243706	Fee-for-Service	1932294816	1932294816	1	1	O'CALLAGHAN, WILLIAM K MD	12/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	23727	41	Internal Medicine	0	In state provider	None	51 HITCHCOCK WAY	None	SANTA BARBARA	CA	93105	4500	42	06083	34.43833587	-119.7444336	Santa Barbara County
243874	Fee-for-Service	1184613135	1184613135	1	1	OH, EUGENE MD	11/5/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	166038	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
243882	Fee-for-Service	1649932252	1649932252	1	1	O'DONNELL, CAITLIN	8/22/2023	103T00000X	NA	Mental Health Outpatient Services	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
244052	Fee-for-Service	1790941870	1790941870	1	2	OUTTERSON, RACHEL E MD	9/10/2019	207L00000X	NA	Other	026	PHYSICIANS	122502	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
244062	Fee-for-Service	1891072070	1891072070	1	1	ORLOVICH, DANIEL S MD	6/22/2020	207L00000X	NA	Other	026	PHYSICIANS	150520	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
244095	Fee-for-Service	1528290509	1528290509	1	1	ORNELAS, JOEL MD	7/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	114623	None	None	0	In state provider	None	2320 BATH STREET	SUITE 208	SANTA BARBARA	CA	93105	5322	42	06083	34.43082689	-119.7223032	Santa Barbara County
244155	Fee-for-Service	1780743351	1780743351	1	1	OCONNELL, THEODORE X MD	7/28/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	70806	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
244187	Fee-for-Service	1194116459	1194116459	1	1	OLDS, GARY S MD	9/11/2020	207P00000X	NA	Other	026	PHYSICIANS	170007	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
244207	Fee-for-Service	1003529819	1003529819	1	1	OTUECHERE, IJEOMA	3/23/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	19587 KRAMERIA AVE	None	RIVERSIDE	CA	92508	6800	33	06065	33.88015585	-117.321	Riverside County
244218	Fee-for-Service	1336292507	1336292507	1	1	OBIALISI, CHARLES EBERE	9/24/2005	164X00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	8425 BELFORD AVE	None	WESTCHESTER	CA	90045	4313	19	06037	33.96149489	-118.383922	Los Angeles County
244227	Fee-for-Service	1578700316	1578700316	1	1	OCEANIC MEDICAL CONCEPTS INC	1/5/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	2688 W IMPERIAL HWY	None	INGLEWOOD	CA	90303	3137	19	06037	33.9308427	-118.322869	Los Angeles County
244236	Fee-for-Service	1528093267	1528093267	1	1	ONEIL, TERENCE DANNY MD	5/3/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85148	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1720 TERMINO AVE	None	LONG BEACH	CA	90804	2104	19	06037	33.78889871	-118.1458784	Los Angeles County
244248	Fee-for-Service	1295290633	1295290633	1	1	OASIS MEDICAL TRANSPORT INC.	8/24/2020	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ANSPORTATION	6860 CANBY AVE	109	RESEDA	CA	91335	8720	19	06037	34.19504577	-118.5346692	Los Angeles County
244269	Fee-for-Service	1467980961	1467980961	1	1	O'HARA, GIANNA N DO	6/17/2021	207R00000X	NA	Other	026	PHYSICIANS	18033	None	None	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
244475	Fee-for-Service	1194116459	1194116459	1	1	OLDS, GARY S MD	9/11/2020	207P00000X	NA	Other	026	PHYSICIANS	170007	70	Clinic (mixed specialty)	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
244479	Fee-for-Service	1336567346	1336567346	1	1	ORDOOKHANI, ARASH	8/15/2018	208M00000X	NA	Other	026	PHYSICIANS	None	70	Clinic (mixed specialty)	0	In state provider	None	450 E ROMIE LN	None	SALINAS	CA	93901	4029	27	06053	36.65983988	-121.6458041	Monterey County
244486	Fee-for-Service	1609471929	1609471929	1	1	ORTHO 1 MEDICAL GROUP	9/28/2021	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	9834 GENESEE AVE	SUITE 228	LA JOLLA	CA	92037	1215	37	06073	32.884074	-117.225855	San Diego County
244498	Fee-for-Service	1003529819	1003529819	1	1	OTUECHERE, IJEOMA	3/23/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	19587 KRAMERIA AVE	None	RIVERSIDE	CA	92508	6800	33	06065	33.88015585	-117.321	Riverside County
244503	Fee-for-Service	1710261185	1710261185	1	2	ORTIZ, CASSANDRA M LMFT	3/26/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4401 ATLANTIC AVE	200	LONG BEACH	CA	90807	2218	19	06037	33.836976	-118.185096	Los Angeles County
244506	Fee-for-Service	1952840118	1952840118	1	1	O'BRIEN, YVONNE LMFT	6/5/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1588 HOMESTEAD RD	M/B 10, SUITE B	SANTA CLARA	CA	95050	4721	43	06085	37.34637328	-121.9509049	Santa Clara County
244570	Fee-for-Service	1932154531	1932154531	1	1	OLIVES, MARK A	11/13/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39815 ALTA MURRIETA DR	SUITE C-1	MURRIETA	CA	92563	5405	33	06065	33.5604437	-117.1776992	Riverside County
244606	Fee-for-Service	1316955230	1316955230	1	1	ODONNELL, MARGARET R MD	3/31/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	50887	68	Hematology	0	In state provider	None	1500 DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
244755	Fee-for-Service	1942313226	1942313226	1	1	OTANI, ROBERT K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	55038	25	Physical Medicine and Rehabilitation	0	In state provider	None	340 W EAST AVE	None	CHICO	CA	95926	7238	04	06007	39.75353271	-121.8668176	Butte County
244769	Fee-for-Service	1336567346	1336567346	1	1	ORDOOKHANI, ARASH	8/15/2018	208M00000X	NA	Other	026	PHYSICIANS	None	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
244830	Fee-for-Service	1437511516	1437511516	1	1	OH LEONOR, JUDITH H DO	8/17/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	16074	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
244839	Fee-for-Service	1174102818	1174102818	1	1	ORJI, WHITNEY MD	8/5/2024	2086S0120X	NA	General Surgery	026	PHYSICIANS	187497	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
245034	Fee-for-Service	1770260200	1770260200	1	1	OOST, CADE OD	9/11/2023	152WL0500X	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
245043	Fee-for-Service	1316381213	1316381213	1	1	ORANGE ANESTHESIA	2/14/2014	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	CONSULTANTS INC	1301 N ROSE DR	None	PLACENTIA	CA	92870	3802	30	06059	33.8868003	-117.8420447	Orange County
245211	Fee-for-Service	1508379181	1508379181	1	1	OPTIMUM MA HOME HEALTH CARE	3/10/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	5658 SEPULVEDA BLVD	UNIT 208	VAN NUYS	CA	91411	2927	19	06037	34.173774	-118.466123	Los Angeles County
245252	Fee-for-Service	1932423993	1932423993	1	1	OSTROVSKY, ANDREY MD	5/10/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	176810	None	None	0	In state provider	None	95 THIRD ST	None	SAN FRANCISCO	CA	94103	3103	38	06075	37.78653271	-122.402286	San Francisco County
245256	Fee-for-Service	1578862157	1578862157	1	1	OTTO, ANDREW M MD	10/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	138024	66	Emergency Medicine (Urgent Care)	0	In state provider	None	825 DELBON AVENUE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
245600	Fee-for-Service	1588611461	1588611461	2	1	OGBECHIE, LAWRENCE MD	1/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	61959	01	General Practice	0	In state provider	INC	2491 PACIFIC AVENUE	STE 3	LONG BEACH	CA	90806	2900	19	06037	33.802425	-118.193809	Los Angeles County
245757	Fee-for-Service	1629113634	1629113634	1	1	O'NEILL, HEATHER L PSYD	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
245759	Fee-for-Service	1124291828	1124291828	2	1	OLIVEIRA, THOMAS E DO	1/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	7032	01	General Practice	0	In state provider	None	506 W GRAHAM AVE	STE 107	LAKE ELSINORE	CA	92530	3665	33	06065	33.66962801	-117.3335059	Riverside County
245783	Fee-for-Service	1851459614	1851459614	2	1	OLSON, KENNETH A LMFT	10/3/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9033 BASELINE	SUITE K	RANCHO CUCAMONGA	CA	91730	1255	36	06071	34.12151248	-117.6080805	San Bernardino County
245902	Fee-for-Service	1356509038	1356509038	1	1	OTTO, TARA M MD	4/3/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	126786	30	Radiology	0	In state provider	None	18436 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.22078873	-118.5351265	Los Angeles County
245966	Fee-for-Service	1831171602	1831171602	1	1	ORTHOPAEDIC REHAB SPEC	8/1/2005	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	PHYSICAL THERAPY BLDG	2400 S FLOWER ST	None	LOS ANGELES	CA	90007	2629	19	06037	34.02861627	-118.273964	Los Angeles County
246022	Fee-for-Service	1912078809	1912078809	1	1	ORENS, JAMES R MD	7/29/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	42021	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
246035	Fee-for-Service	1861503187	1861503187	1	1	OCONNELL, PATRICK J MD	10/10/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	72720	None	None	0	In state provider	None	707 W VALLEY BLVD	None	TEHACHAPI	CA	93561	2119	15	06029	35.12433846	-118.4591228	Kern County
246050	Fee-for-Service	1124291828	1124291828	2	1	OLIVEIRA, THOMAS E DO	1/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	7032	08	Family Practice	0	In state provider	None	506 W GRAHAM AVE	STE 107	LAKE ELSINORE	CA	92530	3665	33	06065	33.66962801	-117.3335059	Riverside County
246137	Fee-for-Service	1528601572	1528601572	1	1	ORTBALS, BRIANNA CRNA	3/4/2020	163W00000X	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
246443	Fee-for-Service	1316254840	1316254840	1	1	ONG, LAWRENCE MD	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115027	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	SUITE 8211	LOS ANGELES	CA	90045	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
246464	Fee-for-Service	1699298166	1699298166	1	1	OMID, NIKA MD INC	8/28/2017	207W00000X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	None	4920 BARRANCA PKWY	STE A	IRVINE	CA	92604	4672	30	06059	33.67622637	-117.7951471	Orange County
246617	Fee-for-Service	1457636094	1457636094	1	2	OH, HEE YONG MD INC	9/19/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	34352	None	None	0	In state provider	None	1433 W MERCED AVE	STE 207	W COVINA	CA	91790	3402	19	06037	34.06252177	-117.9477117	Los Angeles County
246703	Fee-for-Service	1801962360	1801962360	1	1	OPPENHEIM, WILLIAM L MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	20568	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
246718	Fee-for-Service	1811072598	1811072598	1	1	OBRIEN, CRISTINE C LSCW	9/14/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	23120 ALICIA PKWY	STE 236	MISSION VIEJO	CA	92692	1210	30	06059	33.62754998	-117.6504451	Orange County
246741	Fee-for-Service	1881783934	1881783934	1	1	OSAGIEDE, EKHATOR L PA	11/30/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	16227	-	NOT APPLICABLE	0	In state provider	None	11315 S ATLANTIC AVENUE	None	LYNWOOD	CA	90262	3007	19	06037	33.92275026	-118.1869042	Los Angeles County
246890	Fee-for-Service	1023349305	1023349305	1	1	ORANGE COUNTY CENTER FOR	2/2/2017	261QM0850X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	PSYCHOTHERAPY AND COUNCE	213 N POMONA AVE	None	FULLERTON	CA	92832	1926	30	06059	33.87195218	-117.9221152	Orange County
246956	Fee-for-Service	1730493594	1730493594	1	1	OCEAN VIEW MEDICINE INC	6/16/2020	207PE0005X	NA	Other	026	PHYSICIANS	None	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
246983	Fee-for-Service	1669812707	1669812707	1	1	OLSEN-VAN STONE, CAROLINE A	6/24/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
247039	Fee-for-Service	1578897724	1578897724	1	1	OXBORROW, MAEGAN A LMFT	1/21/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	838 BEACH COURT	None	COLOMA	CA	95613	0437	09	06017	38.80779414	-120.9070843	El Dorado County
247145	Fee-for-Service	1588733802	1588733802	1	1	ONKKA, TONI M LCSW	2/27/2018	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1754 E BULLARD AVE	SUITE 103	FRESNO	CA	93710	5865	10	06019	36.82319966	-119.755546	Fresno County
247312	Fee-for-Service	1952909004	1952909004	1	1	OPENSHAW, MICHAEL A CPO	10/13/2020	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1849 W REDLANDS BLVD	STE 103	REDLANDS	CA	92373	3127	36	06071	34.06287354	-117.2162115	San Bernardino County
247394	Fee-for-Service	1073608998	1073608998	2	1	ORSINI PHARMACEUTICAL SERVIC	5/2/2022	3336S0011X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	2	Out of state provider	ES, LLC	1107 NICHOLAS BLVD	None	ELK GROVE VILLAGE	IL	60007	2516	00	None	42.0102213	-87.95054082	Cook County
247395	Fee-for-Service	1679581557	1679581557	1	1	OROVILLE HOSPITAL	7/16/2004	282N00000X	NA	Hospitals	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	A CALIFORNIA CORP	2767 OLIVE HWY	ANNEX BLDG	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
247502	Fee-for-Service	1366420531	1366420531	1	1	OCONOMOWOC MEMEORIAL HOSP	3/31/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	791 SUMMIT AVE	None	OCONOMOWOC	WI	53066	0000	00	None	43.10069697	-88.4856153	Waukesha County
247664	Fee-for-Service	1609336874	1609336874	1	1	OCHOA, RONALD A LMFT	11/14/2024	106S00000X	NA	Other	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
247693	Fee-for-Service	1679581557	1679581557	1	1	OROVILLE HOSPITAL	7/16/2004	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	A CALIFORNIA CORP	2767 OLIVE HWY	ANNEX BLDG	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
247775	Fee-for-Service	1447280722	1447280722	1	2	ORCHARD MEDICAL CENTER	3/1/2001	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	3475 W SHAW AVE	STE 102	FRESNO	CA	93711	3200	10	06019	36.80816399	-119.8550587	Fresno County
247839	Fee-for-Service	1043637127	1043637127	1	1	OFLAHRITY, TYLER A MD	7/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	141220	68	Hematology	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
247873	Fee-for-Service	1356586432	1356586432	1	1	OAKLEY, JOHN L PHD MD	3/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	51283	05	Anesthesiology	0	In state provider	INC	255 E BONITA AVE	BLDG 3B	POMONA	CA	91767	1923	19	06037	34.097913	-117.7474635	Los Angeles County
247972	Fee-for-Service	1578097192	1578097192	1	1	ONG, TIARA L MD	9/21/2020	208M00000X	NA	Other	026	PHYSICIANS	169216	41	Internal Medicine	0	In state provider	None	1250 16TH STREET	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
248127	Fee-for-Service	1043637127	1043637127	1	1	OFLAHRITY, TYLER A MD	7/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	141220	41	Internal Medicine	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
248171	Fee-for-Service	1134218555	1134218555	1	1	ORTIZ, JOSE A MD	10/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73634	22	Pathology (M.D. only)	0	In state provider	CLINICA MEDICA FAMILIAR	3900 W 3RD ST	None	LOS ANGELES	CA	90020	2675	19	06037	34.06898849	-118.2995505	Los Angeles County
248176	Fee-for-Service	1689699969	1689699969	1	1	OLICHNEY, JOHN M MD	12/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	68500	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
248256	Fee-for-Service	1770983132	1770983132	1	1	OREWYLER, TIFFANY F LMFT	5/3/2022	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
248320	Fee-for-Service	1063654424	1063654424	1	1	OCAMPO, ALAINE S LSP	9/2/2009	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
248417	Fee-for-Service	1043637127	1043637127	1	1	OFLAHRITY, TYLER A MD	7/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	141220	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
248458	Fee-for-Service	1134218555	1134218555	1	1	ORTIZ, JOSE A MD	10/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73634	01	General Practice	0	In state provider	CLINICA MEDICA FAMILIAR	3900 W 3RD ST	None	LOS ANGELES	CA	90020	2675	19	06037	34.06898849	-118.2995505	Los Angeles County
248531	Fee-for-Service	1932110442	1932110442	3	1	OPTUM PHARMACY 707, INC.	3/25/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4900 RIVERGRADE ROAD	STE E110	IRWINDALE	CA	91706	1460	19	06037	34.10201565	-117.9802967	Los Angeles County
248570	Fee-for-Service	1649441718	1649441718	1	1	ORANGE COUNTY CCS	1/15/2008	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	TUSTIN MTU	13601 BROWNING AVE	None	TUSTIN	CA	92780	5212	30	06059	33.7330854	-117.8045954	Orange County
248609	Fee-for-Service	1144329608	1144329608	1	1	OVEIAN, MARGARITA MD	3/10/2009	2084N0400X	NA	Neurology	026	PHYSICIANS	72511	13	Neurology (M.D. only)	0	In state provider	None	2701 W ALAMEDA	STE 500	BURBANK	CA	91505	4410	19	06037	34.15751343	-118.3303715	Los Angeles County
248628	Fee-for-Service	1235625401	1235625401	1	1	OSLUND, ELIZABETH R MD	2/6/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	159029	None	None	0	In state provider	None	4560 ADMIRALTY WAY	SUITE 105	MARINA DEL REY	CA	90292	5423	19	06037	33.98364904	-118.4449069	Los Angeles County
248712	Fee-for-Service	1942588181	1942588181	1	2	ORMISTON, ANNICE E PHD	10/26/2015	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2000 HEARST AVE	SUITE 207	BERKELEY	CA	94709	2130	01	06001	37.8735896	-122.2706628	Alameda County
248751	Fee-for-Service	1982940912	1982940912	1	1	OMNI EYE CARE, INC.	9/3/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	114121	None	None	0	In state provider	None	554 E SAN BERNARDINO RD	SUITE 102	COVINA	CA	91723	1748	19	06037	34.09085021	-117.8800144	Los Angeles County
248760	Fee-for-Service	1700804556	1700804556	1	1	OMNI FAMILY HEALTH	4/1/2004	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	525 ROBERTS LN	None	BAKERSFIELD	CA	93308	4799	15	06029	35.40860151	-119.0317455	Kern County
248855	Fee-for-Service	1730267238	1730267238	1	1	OFARRELL, IRENE MD	1/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96313	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
248936	Fee-for-Service	1528260940	1528260940	1	1	ONG, JASON C PHD	7/30/2007	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
248951	Fee-for-Service	1871947085	1871947085	1	1	OTEYZA, KAREN B MD	10/23/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	164580	36	Psychiatry	0	In state provider	None	888 S HILL ROAD	None	VENTURA	CA	93003	8400	56	06111	34.26903979	-119.2062923	Ventura County
248978	Fee-for-Service	1194201376	1194201376	1	1	OMNI FAMILY HEALTH	10/10/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	860 SEQUOIA AVENUE	None	LINDSAY	CA	93247	1425	54	06107	36.21418314	-119.096029	Tulare County
249014	Fee-for-Service	1013233741	1013233741	1	1	OTTUMWA REG HEALTH CTR	6/6/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1001 PENNSYLVANIA AVE	None	OTTUMWA	IA	52501	0000	00	None	41.02752207	-92.38989696	Wapello County
249045	Fee-for-Service	1700804556	1700804556	1	1	OMNI FAMILY HEALTH	8/9/2005	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	525 ROBERTS LN	None	BAKERSFIELD	CA	93308	4799	15	06029	35.40860151	-119.0317455	Kern County
249213	Fee-for-Service	1457675258	1457675258	1	1	OBEDIN-MALIVER, JUNO MD	12/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	121586	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
249238	Fee-for-Service	1821099003	1821099003	1	1	OGILVIE, PATRICK D MD	9/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142481	01	General Practice	0	In state provider	None	2424 WILSHIRE BLVD	None	SANTA MONICA	CA	90403	5806	19	06037	34.03455172	-118.4792084	Los Angeles County
249267	Fee-for-Service	1194201376	1194201376	1	1	OMNI FAMILY HEALTH	12/11/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	860 SEQUOIA AVENUE	None	LINDSAY	CA	93247	1425	54	06107	36.21418314	-119.096029	Tulare County
249284	Fee-for-Service	1871005439	1871005439	1	2	OMNI FAMILY HEALTH	8/15/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2505 MERCED STREET	None	FRESNO	CA	93721	1811	10	06019	36.74081939	-119.7879808	Fresno County
249328	Fee-for-Service	1336628858	1336628858	1	1	OSUNA AISSA, SUZANNA LMFT	8/21/2024	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
249333	Fee-for-Service	1700804556	1700804556	1	1	OMNI FAMILY HEALTH	4/1/2004	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	525 ROBERTS LN	None	BAKERSFIELD	CA	93308	4799	15	06029	35.40860151	-119.0317455	Kern County
249457	Fee-for-Service	1881707586	1881707586	1	1	OLYMPIC ANESTHESIA	7/7/2008	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PARTNERSHIP	5900 W OLYMPIC BLVD	None	LOS ANGELES	CA	90036	4671	19	06037	34.05760692	-118.3604361	Los Angeles County
249492	Fee-for-Service	1043211931	1043211931	1	1	ODYSSEY HEALTHCARE	9/1/2001	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OPERATING A, LP	36947 COOK STREET	BLDG 10 SUITE 102	PALM DESERT	CA	92211	6078	33	06065	33.780123	-116.3585205	Riverside County
249525	Fee-for-Service	1801058649	1801058649	1	1	ORDAZ, BENJAMIN O MD	4/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114571	None	None	0	In state provider	None	350 RHODE ISLAND	None	SAN FRANCISCO	CA	94103	5182	38	06075	37.76542836	-122.4026384	San Francisco County
249571	Fee-for-Service	1871005439	1871005439	1	2	OMNI FAMILY HEALTH	8/15/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2505 MERCED STREET	None	FRESNO	CA	93721	1811	10	06019	36.74081939	-119.7879808	Fresno County
249588	Fee-for-Service	1659588978	1659588978	1	1	OH, SANG-ROG MD	5/7/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106750	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
249619	Fee-for-Service	1891208146	1891208146	1	1	OZAKI, KEVIN K PT	3/20/2018	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
249728	Fee-for-Service	1245558980	1245558980	1	1	O'SULLIVAN, KRISTIN M MD	12/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	112124	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
249751	Fee-for-Service	1366052847	1366052847	1	1	OVANEK, CHELSEA D CNP	9/30/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2760 FLETCHER PKWY	None	EL CAJON	CA	92020	2110	37	06073	32.80015674	-117.0036982	San Diego County
249761	Fee-for-Service	1336499789	1336499789	1	1	OSIECKI, ERIN J MD	8/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	142449	66	Emergency Medicine (Urgent Care)	0	In state provider	None	155 GLASSON WY	None	GRASS VALLEY	CA	95945	5723	29	06057	39.22820863	-121.0465856	Nevada County
249779	Fee-for-Service	1043211931	1043211931	1	1	ODYSSEY HEALTHCARE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OPERATING A, LP	36947 COOK STREET	BLDG 10 SUITE 102	PALM DESERT	CA	92211	6078	33	06065	33.780123	-116.3585205	Riverside County
249859	Fee-for-Service	1871005439	1871005439	1	2	OMNI FAMILY HEALTH	8/15/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2505 MERCED STREET	None	FRESNO	CA	93721	1811	10	06019	36.74081939	-119.7879808	Fresno County
249979	Fee-for-Service	1609824010	1609824010	1	1	OREGON HEALTH SCIENCE	2/27/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	UNIVERSITY	3181 SW SAM JACKSON PARK	None	PORTLAND	OR	97239	3011	00	None	45.49936609	-122.6856232	Multnomah County
249992	Fee-for-Service	1659458586	1659458586	1	1	ORMAN, JAMES J MD	11/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90725	24	Plastic Surgery	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
250110	Fee-for-Service	1518109719	1518109719	1	1	OU, JONATHAN D MD	9/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	113176	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
250161	Fee-for-Service	1750398863	1750398863	1	3	ORANGE COUNTY RETINA MEDICAL	12/1/1983	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	320 SUPERIOR AVE	STE 160	NEWPORT BEACH	CA	92663	6139	30	06059	33.62657138	-117.9330754	Orange County
250265	Fee-for-Service	1609824010	1609824010	1	1	OREGON HEALTH SCIENCE	2/27/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	UNIVERSITY	3181 SW SAM JACKSON PARK	None	PORTLAND	OR	97239	3011	00	None	45.49936609	-122.6856232	Multnomah County
250315	Fee-for-Service	1841442738	1841442738	1	1	ONTIVEROS, LUIS O MD	3/23/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101545	41	Internal Medicine	0	In state provider	None	1701 E CESAR E CHAVEZ AV	230	LOS ANGELES	CA	90033	2464	19	06037	34.05112725	-118.2173921	Los Angeles County
250399	Fee-for-Service	1518109719	1518109719	1	1	OU, JONATHAN D MD	9/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	113176	40	Pediatrics	0	In state provider	None	2141 N HARBOR BLVD	STE 25000	FULLERTON	CA	92835	3830	30	06059	33.89443025	-117.9288328	Orange County
250472	Fee-for-Service	1770010068	1770010068	1	1	ONESOURCE COMPOUNDING PHARMA	10/22/2018	3336C0004X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CY	104 WHISPERING PINES DR	105	SCOTTS VALLEY	CA	95066	4799	44	06087	37.04300708	-122.0264104	Santa Cruz County
250782	Fee-for-Service	1386726313	1386726313	1	1	OLSON,MARIE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5301 E GRANT RD	None	TUCSON	AZ	85712	2805	00	None	32.252391	-110.8790055	Pima County
250922	Fee-for-Service	1154472611	1154472611	1	1	ODDO, CARL G PHD	8/1/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	710 S BROADWAY ST	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
250991	Fee-for-Service	1356421879	1356421879	1	1	OKUMURA, MEGUMI J MD	10/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	97391	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
251070	Fee-for-Service	1588257455	1588257455	1	1	OLGUIN, REBECA LMFT	12/7/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
251223	Fee-for-Service	1861474306	1861474306	1	1	OGRADY, CHRISTOPHER J MD	9/2/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73458	08	Family Practice	0	In state provider	None	1100 BUTTE ST	None	REDDING	CA	96001	0852	45	06089	40.5853603	-122.3869865	Shasta County
251297	Fee-for-Service	1124693726	1124693726	1	1	OXY HOME HEALTH SERVICES INC	8/18/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	18328 SHERMAN WAY	STE C	RESEDA	CA	91335	4425	19	06037	34.20105251	-118.532727	Los Angeles County
251519	Fee-for-Service	1871882266	1871882266	1	1	OHARA, ERIN S DO	8/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11698	01	General Practice	0	In state provider	None	27871 MEDICAL CENTER RD	SUITE 200	MISSION VIEJO	CA	92691	6406	30	06059	33.558534	-117.6641255	Orange County
251602	Fee-for-Service	1528546108	1528546108	1	1	OHEB, JONATHAN MD INC	2/25/2019	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	128003	20	Orthopedic Surgery	0	In state provider	None	5363 BALBOA BLVD	STE 445	ENCINO	CA	91316	2844	19	06037	34.169058	-118.5011265	Los Angeles County
251603	Fee-for-Service	1457434128	1457434128	1	1	OLSEN, STEVEN D MD	2/28/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	26828	01	General Practice	0	In state provider	None	4940 VAN NUYS BLVD	FL 2	SHERMAN OAKS	CA	91403	1700	19	06037	34.160589	-118.4486715	Los Angeles County
251613	Fee-for-Service	1891997813	1891997813	1	1	OMNI WOMEN'S HEALTH	10/1/2002	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	MEDICAL GROUP	3812 N FIRST ST	None	FRESNO	CA	93726	4301	10	06019	36.78707387	-119.7723363	Fresno County
251617	Fee-for-Service	1497715940	1497715940	1	1	OKADA, PAMELA 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	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
251624	Fee-for-Service	1235160151	1235160151	1	1	OGHAMIAN, NOVART	12/12/1996	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1018 E BROADWAY AVE	None	GLENDALE	CA	91205	1206	19	06037	34.1462305	-118.2422745	Los Angeles County
251686	Fee-for-Service	1326145343	1326145343	1	1	OGBOGU, CHINELO U MD	5/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92306	38	Geriatrics	0	In state provider	None	1011 BALDWIN PARK	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
251787	Fee-for-Service	1033599469	1033599469	1	1	OSMAN, SAHAR H MD	5/22/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	152811	13	Neurology (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
251794	Fee-for-Service	1366637407	1366637407	1	1	OO, THEINGI MD	6/5/2019	207R00000X	NA	Other	026	PHYSICIANS	104545	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
251812	Fee-for-Service	1255762241	1255762241	1	1	ORTIZ, CLARA LCSW	7/8/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1660 E ROSEVILLE PARKWAY	None	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
251826	Fee-for-Service	1558726760	1558726760	1	1	OCEGUERA-RIOS, MIRIAM	2/2/2016	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1301 CANAL FARM LANE	APT 811	LOS BANOS	CA	93639	3800	24	06047	37.05920717	-120.8348073	Merced County
251903	Fee-for-Service	1821287285	1821287285	1	1	ONG, ERWIN S MD	9/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107476	02	General Surgery	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
252083	Fee-for-Service	1366637407	1366637407	1	1	OO, THEINGI MD	6/5/2019	207R00000X	NA	Other	026	PHYSICIANS	104545	77	Infectious Disease	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	0001	39	06077	37.97026329	-121.2890849	San Joaquin County
252111	Fee-for-Service	1558726760	1558726760	1	1	OCEGUERA-RIOS, MIRIAM	2/2/2016	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1301 CANAL FARM LANE	APT 811	LOS BANOS	CA	93639	3800	24	06047	37.05920717	-120.8348073	Merced County
252178	Fee-for-Service	1104176767	1104176767	1	1	OJEDA, JESSICA LMFT	12/4/2023	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
252209	Fee-for-Service	1962501940	1962501940	1	1	ONEILL, CLARK, NARVARTE & VI	12/1/2001	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	41	Internal Medicine	1	Border provider	None	5437 KIETZKE LANE	None	RENO	NV	89511	1088	00	None	39.46515231	-119.7902663	Washoe County
252336	Fee-for-Service	1649430661	1649430661	1	1	OLDE DEL MAR SURGICAL MEDICA	1/22/2021	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	L GROUP, INC.	9850 GENESEE AVE	SUITE 570	LA JOLLA	CA	92037	1224	37	06073	32.882913	-117.226341	San Diego County
252340	Fee-for-Service	1710356233	1710356233	1	1	O'DAY, MEAGHAN N	2/24/2020	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
252407	Fee-for-Service	1639367717	1639367717	1	1	OLMSTED, KEELY E MD	6/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106081	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
252452	Fee-for-Service	1164550687	1164550687	1	1	ODOM, KARA L MD	2/20/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	93624	08	Family Practice	0	In state provider	None	6041 CADILLAC AVENUE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
252476	Fee-for-Service	1295941748	1295941748	1	1	OTANI, JULIE	11/26/2012	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
252495	Fee-for-Service	1962501940	1962501940	1	1	ONEILL, CLARK, NARVARTE & VI	12/1/2001	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	5437 KIETZKE LANE	None	RENO	NV	89511	1088	00	None	39.46515231	-119.7902663	Washoe County
252510	Fee-for-Service	1518096205	1518096205	1	1	ORTIZ, LINDA	11/26/2012	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
252568	Fee-for-Service	1043599368	1043599368	1	1	ONGSINGCO, JILLIAN M S LMFT	9/4/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST 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
252590	Fee-for-Service	1740349711	1740349711	1	1	OCONNELL, CAREY PHD	7/16/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3554 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	0929	49	06097	38.47599	-122.725557	Sonoma County
252624	Fee-for-Service	1730479577	1730479577	1	1	OBERHEIM BUSH, NANCY A E MD	7/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123358	14	Neurological Surgery	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
252725	Fee-for-Service	1790064913	1790064913	1	1	OGBOZOR, UCHENNA D L MD	11/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	117143	None	None	0	In state provider	None	2450 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4357	52	06103	40.14921426	-122.2216794	Tehama County
252785	Fee-for-Service	1962501940	1962501940	1	1	ONEILL, CLARK, NARVARTE & VI	12/1/2001	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	67	Endocrinology	1	Border provider	None	5437 KIETZKE LANE	None	RENO	NV	89511	1088	00	None	39.46515231	-119.7902663	Washoe County
252904	Fee-for-Service	1326461377	1326461377	1	1	OTERO MOSTACERO, DIANA C MD	10/7/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	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
253073	Fee-for-Service	1962501940	1962501940	1	1	ONEILL, CLARK, NARVARTE & VI	5/23/2018	207RN0300X	NA	Nephrology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	None	5437 KIETZKE LANE	None	RENO	NV	89511	1088	00	None	39.46515231	-119.7902663	Washoe County
253144	Fee-for-Service	1518015320	1518015320	1	1	OSORIO, ANNA-MARIA MD	4/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	54120	36	Psychiatry	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
253209	Fee-for-Service	1891084349	1891084349	1	1	OH, DAVID Y MD	6/28/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	123255	68	Hematology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCSICO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco
253271	Fee-for-Service	1568464048	1568464048	2	1	OWIESY, FAROUGH MD	11/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	87796	01	General Practice	0	In state provider	None	802 MAGNOLIA AVENUE	SUITE 106	CORONA	CA	92879	3125	33	06065	33.8596449	-117.5529774	Riverside County
253290	Fee-for-Service	1942219944	1942219944	1	2	OU, MARK H K MD	2/11/1985	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	41511	08	Family Practice	0	In state provider	None	4195 CHINO HILLS PKWY	STE H	CHINO HILLS	CA	91709	2618	36	06071	33.98254452	-117.713142	San Bernardino County
253388	Fee-for-Service	1194260612	1194260612	1	1	OAK GROVE CRITICAL CARE INC	2/21/2017	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	465 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
253491	Fee-for-Service	1891084349	1891084349	1	1	OH, DAVID Y MD	6/28/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	123255	78	Neoplastic Diseases/Oncology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCSICO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco
253561	Fee-for-Service	1568464048	1568464048	2	1	OWIESY, FAROUGH MD	11/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	87796	02	General Surgery	0	In state provider	None	802 MAGNOLIA AVENUE	SUITE 106	CORONA	CA	92879	3125	33	06065	33.8596449	-117.5529774	Riverside County
253584	Fee-for-Service	1942219944	1942219944	1	2	OU, MARK H K MD	2/11/1985	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	41511	40	Pediatrics	0	In state provider	None	4195 CHINO HILLS PKWY	STE H	CHINO HILLS	CA	91709	2618	36	06071	33.98254452	-117.713142	San Bernardino County
253649	Fee-for-Service	1215135124	1215135124	1	1	ORDONE, MONIQUE T LMFT	5/16/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
253661	Fee-for-Service	1659374445	1659374445	1	1	OPATOWSKY, IRA E MD INC	2/5/2009	207W00000X	NA	Ophthalmology	026	PHYSICIANS	73429	18	Ophthalmology	0	In state provider	None	42543 8TH ST WEST	STE 101	LANCASTER	CA	93534	7200	19	06037	34.65631551	-118.145529	Los Angeles County
253757	Fee-for-Service	1336500248	1336500248	1	1	OGA HEALTH PARTNERS, INC	1/13/2020	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1116 LUNDY DR	None	SIMI VALLEY	CA	93065	4232	56	06111	34.26005226	-118.7856531	Ventura County
253824	Fee-for-Service	1255107165	1255107165	1	1	OIKAWA, ALEXANDER PT	2/6/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	588 NORTH SUNRISE AVENUE	SUITE 100	ROSEVILLE	CA	95661	2843	31	06061	38.7585915	-121.2527015	Placer County
253848	Fee-for-Service	1568464048	1568464048	2	1	OWIESY, FAROUGH MD	11/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	87796	08	Family Practice	0	In state provider	None	802 MAGNOLIA AVENUE	SUITE 106	CORONA	CA	92879	3125	33	06065	33.8596449	-117.5529774	Riverside County
253849	Fee-for-Service	1275738940	1275738940	1	1	O'DAY, CRISTINA H MD	10/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	105959	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
253876	Fee-for-Service	1710415492	1710415492	1	1	OLIVERIO MEDICAL CORPORATION	4/27/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	164 W HOSPITALITY LN	STE 3B	SAN BERNARDINO	CA	92408	3328	36	06071	34.06586648	-117.2866005	San Bernardino County
253909	Fee-for-Service	1871660951	1871660951	1	1	O'BRIEN, BRUCE	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
253922	Fee-for-Service	1972692937	1972692937	1	1	OANG, SY HOA DO	8/31/1994	207R00000X	NA	Other	026	PHYSICIANS	6673	41	Internal Medicine	0	In state provider	None	15725 WHITTIER BLVD	None	WHITTIER	CA	90603	2347	19	06037	33.94435533	-117.9931159	Los Angeles County
254195	Fee-for-Service	1396794962	1396794962	1	1	O'REILLY, DEIRDRE A MD	11/6/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	620 SHADOW LN	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
254260	Fee-for-Service	1184988255	1184988255	1	1	ODELEYE, MELANIE E MD	8/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	134428	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
254395	Fee-for-Service	1811928070	1811928070	1	2	ORLOV WHITESMITH, JULIE LCS	2/1/2019	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	54240 RIDGEVIEW DR	201	IDYLLWILD	CA	92549	0312	33	06065	33.74443331	-116.7145497	Riverside County
254419	Fee-for-Service	1356379507	1356379507	1	2	OLDHAM, ROBERT L MD	8/24/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	112080	-	NOT APPLICABLE	0	In state provider	None	101 CIRBY HILLS DRIVE	None	ROSEVILLE	CA	95678	4360	31	06061	38.7303989	-121.2872592	Placer County
254497	Fee-for-Service	1972189686	1972189686	1	1	OH, CRISTINE MD	9/25/2024	390200000X	NA	Other	026	PHYSICIANS	189645	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
254516	Fee-for-Service	1134240112	1134240112	1	1	ORRAS, ELIZABETH H LMFT	6/4/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	24012 CALLE DE LA PLATA	STE 450	LAGUNA HILLS	CA	92653	3153	30	06059	33.61012113	-117.7115908	Orange County
254581	Fee-for-Service	1750027736	1750027736	1	1	OAKS PSYCHOLOGICAL SERVICES	10/22/2024	103TB0200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	INC	3625 E THOUSAND OAKS BLV	106	WESTLAKE VILLAGE	CA	91362	3551	19	06037	34.16480359	-118.8299997	Ventura County
254621	Fee-for-Service	1205366184	1205366184	1	1	ORIETA, CARLA LCSW	7/24/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18401 BURBANK BLVD	STE 203	TARZANA	CA	91356	6604	19	06037	34.17187827	-118.5339035	Los Angeles County
254640	Fee-for-Service	1588070742	1588070742	1	1	OGUNLAJA, OYINDAMOLA I MD	4/28/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	155518	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
254753	Fee-for-Service	1366491920	1366491920	1	1	ORTHOPEDIC SURGERY	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	MEDICAL GROUP	120 S SPALDING DR	STE 401	BEVERLY HILLS	CA	90212	1842	19	06037	34.06625419	-118.4088854	Los Angeles County
254762	Fee-for-Service	1255637781	1255637781	1	1	OCHOA, CESAR O MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115616	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
254772	Fee-for-Service	1881682193	1881682193	1	1	OLDENBURG, JOSEPH B MD	10/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	49343	40	Pediatrics	0	In state provider	None	795 ELM AVE	None	SEASIDE	CA	93955	4309	27	06053	36.60771984	-121.8477673	Monterey County
254799	Fee-for-Service	1780797019	1780797019	1	1	OSTRUP, RICHARD , MD	4/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	44778	14	Neurological Surgery	0	In state provider	UCSD DEPT OF NEURO SURG	225 DICKINSON ST	STE H201	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
254829	Fee-for-Service	1740906387	1740906387	1	1	OCEAN URGENT CARE, INC.	11/2/2022	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	15603 HAWTHORNE BLVD	None	LAWNDALE	CA	90260	2639	19	06037	33.889455	-118.3527685	Los Angeles County
254868	Fee-for-Service	1750027736	1750027736	1	1	OAKS PSYCHOLOGICAL SERVICES	2/13/2023	103TB0200X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	INC	3625 E THOUSAND OAKS BLV	106	WESTLAKE VILLAGE	CA	91362	3551	19	06037	34.16480359	-118.8299997	Ventura County
254881	Fee-for-Service	1689632374	1689632374	1	1	ORTHOPAEDIC HOSPITAL	10/19/2005	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	403 WEST ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	19	06037	34.02741539	-118.2743622	Los Angeles County
254975	Fee-for-Service	1093185993	1093185993	1	1	ORR, RIVA	2/18/2025	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
255070	Fee-for-Service	1609988864	1609988864	1	1	OKEN, RICHARD L MD	3/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	22744	40	Pediatrics	0	In state provider	None	5700 TELEGRAPH AVE	SUITE 100	OAKLAND	CA	94609	1710	01	06001	37.84323585	-122.2614659	Alameda County
255136	Fee-for-Service	1033358205	1033358205	1	1	OU, SANDIA	8/11/2009	302F00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	SMARTEYES OPTOMETRY	25 E HUNTINGTON DRIVE	#111	ARCADIA	CA	91006	3210	19	06037	34.14008924	-118.030194	Los Angeles County
255157	Fee-for-Service	1902106198	1902106198	1	1	OLE HEALTH	4/6/2011	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	300 HARTLE COURT	None	NAPA	CA	94559	4078	28	06055	38.28326249	-122.2801759	Napa County
255159	Fee-for-Service	1750027736	1750027736	1	1	OAKS PSYCHOLOGICAL SERVICES	2/13/2023	103TB0200X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	INC	3625 E THOUSAND OAKS BLV	106	WESTLAKE VILLAGE	CA	91362	3551	19	06037	34.16480359	-118.8299997	Ventura County
255444	Fee-for-Service	1902106198	1902106198	1	1	OLE HEALTH	4/6/2011	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	300 HARTLE COURT	None	NAPA	CA	94559	4078	28	06055	38.28326249	-122.2801759	Napa County
255663	Fee-for-Service	1104351303	1104351303	1	1	OVERCASH, STEPHEN F MD	7/1/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	169881	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
255669	Fee-for-Service	1942979877	1942979877	1	1	OLIPHANT, RENEE CRNA	7/8/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
255732	Fee-for-Service	1902106198	1902106198	1	1	OLE HEALTH	4/6/2011	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	300 HARTLE COURT	None	NAPA	CA	94559	4078	28	06055	38.28326249	-122.2801759	Napa County
255846	Fee-for-Service	1962561555	1962561555	1	1	OZERSKY, DAVID MD	7/25/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	26417	24	Plastic Surgery	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
255974	Fee-for-Service	1447308648	1447308648	2	1	ONRX INC	7/3/2017	193400000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3586 REDONDO BEACH BLVD	None	TORRANCE	CA	90504	1404	19	06037	33.88027435	-118.3345809	Los Angeles County
255986	Fee-for-Service	1801147038	1801147038	1	1	OPATOWSKY, JOSHUA D LCSW	1/10/2022	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
256021	Fee-for-Service	1902106198	1902106198	1	1	OLE HEALTH	11/10/2011	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	300 HARTLE COURT	None	NAPA	CA	94559	4078	28	06055	38.28326249	-122.2801759	Napa County
256046	Fee-for-Service	1538459243	1538459243	1	1	OH, JANE H MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111363	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
256125	Fee-for-Service	1538280292	1538280292	1	1	OCHOA CASTRO, BLANCA E MD	6/30/2005	207R00000X	NA	Other	026	PHYSICIANS	81058	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
256171	Fee-for-Service	1336573864	1336573864	1	1	ORMAND, LAURA E LCSW	11/8/2023	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
256375	Fee-for-Service	1144251760	1144251760	1	1	OCAMPO, JAIME E MD	12/14/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	87358	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	975 SERENO DRIVE	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
256428	Fee-for-Service	1669783510	1669783510	1	1	OKAFOR, PHILIP N MD	5/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142014	10	Gastroenterology (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
256438	Fee-for-Service	1699854323	1699854323	1	1	OWENS, JOHN D DO	10/11/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	9118	30	Radiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
256461	Fee-for-Service	1295852358	1295852358	1	1	OO, HTUN Z MD	10/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	103044	38	Geriatrics	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
256494	Fee-for-Service	1205210531	1205210531	1	1	ODURO-BURTON, EMELIA	6/2/2023	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1532 SAN BERNARDINO AVE	A-2	POMONA	CA	91767	3559	19	06037	34.0758525	-117.7200855	Los Angeles County
256545	Fee-for-Service	1952309841	1952309841	1	1	OI, SEIJO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	42915	41	Internal Medicine	0	In state provider	None	400 NEWPORT CENTER DR	STE 406	NEWPORT BEACH	CA	92660	7630	30	06059	33.6142606	-117.8726808	Orange County
256553	Fee-for-Service	1285732354	1285732354	1	1	OFOEGBU, KINGSLEY O MD	3/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	73040	41	Internal Medicine	0	In state provider	None	644 E REGENT ST	STE 200	INGLEWOOD	CA	90301	1444	19	06037	33.96448447	-118.345059	Los Angeles County
256717	Fee-for-Service	1669783510	1669783510	1	1	OKAFOR, PHILIP N MD	5/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142014	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
256732	Fee-for-Service	1154716223	1154716223	1	1	OLATUNJI, TEMITOPE A MD	7/14/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	153501	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
256749	Fee-for-Service	1295852358	1295852358	1	1	OO, HTUN Z MD	10/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	103044	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
256833	Fee-for-Service	1952309841	1952309841	1	1	OI, SEIJO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	42915	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	400 NEWPORT CENTER DR	STE 406	NEWPORT BEACH	CA	92660	7630	30	06059	33.6142606	-117.8726808	Orange County
256907	Fee-for-Service	1871964635	1871964635	1	1	OFFIELD, DANIEL J LMFT	5/17/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1151 W ROBINHOOD DR	STE C6	STOCKTON	CA	95207	5628	39	06077	37.99954017	-121.3212828	San Joaquin County
256926	Fee-for-Service	1700491180	1700491180	1	1	OMNI FAMILY HEALTH	5/7/2021	3336C0002X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4646 N. 1ST STREET	None	FRESNO	CA	93726	0973	10	06019	36.802161	-119.7722105	Fresno County
257064	Fee-for-Service	1093310583	1093310583	1	1	ONE HEALTH MEDICAL FOUNDATIO	3/11/2021	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	227 N. JACKSON AVE	STE 235	SAN JOSE	CA	95116	1635	43	06085	37.36478223	-121.8497978	Santa Clara County
257103	Fee-for-Service	1023472891	1023472891	1	1	OMNIHEALTH DIAGNOSTICS LLC	7/5/2023	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	1840 N GREENVILLE AVE	STE 176	RICHARDSON	TX	75081	6724	00	None	32.97279253	-96.71329263	Dallas County
257178	Fee-for-Service	1992492706	1992492706	1	1	OPERATION LIFE NON EMERGENCY	5/11/2024	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	MEDICAL TRANSPORT, LLC	577 N. D ST	STE. #115	SAN BERNARDINO	CA	92401	1324	36	06071	34.109613	-117.291874	San Bernardino County
257366	Fee-for-Service	1992937775	1992937775	1	1	OU, JOEL MD	11/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	116040	05	Anesthesiology	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
257375	Fee-for-Service	1235457334	1235457334	1	1	OSKOWITZ, ADAM Z MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	116599	02	General Surgery	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.7634502	-122.4579779	San Francisco County
257449	Fee-for-Service	1770067274	1770067274	1	1	ORDYNIEC, ANGELA LCSW	12/19/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4110 EDISON AVE	206A	CHINO	CA	91710	8417	36	06071	33.99723746	-117.7140555	San Bernardino County
257455	Fee-for-Service	1780338442	1780338442	1	1	OGAMBA, OLAMMA A NP	3/29/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	39350 CIVIC CENTER DR	None	FREMONT	CA	94538	2343	01	06001	37.55399458	-121.9756047	Alameda County
257514	Fee-for-Service	1831172295	1831172295	1	1	ONEILL,TIMOTHY J MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	67900	41	Internal Medicine	0	In state provider	None	5125 CONVOY ST	STE 212	SAN DIEGO	CA	92111	1216	37	06073	32.83513811	-117.1525297	San Diego County
257560	Fee-for-Service	1245272533	1245272533	1	1	ORIAS, DAVID W MD	6/27/2018	174400000X	NA	Other	026	PHYSICIANS	66301	41	Internal Medicine	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
257575	Fee-for-Service	1366639726	1366639726	1	1	OLIVIER, LINSEY M OD	2/25/2008	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	82227 US HWY 111	None	INDIO	CA	92201	5667	33	06065	33.71471443	-116.2312195	Riverside County
257601	Fee-for-Service	1245200393	1245200393	1	1	OBIJIOFOR, OBIAGELI C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4911 SANDHILL DR	None	SUGAR LAND	TX	77479	5320	00	None	29.59948264	-95.68213887	Fort Bend County
257633	Fee-for-Service	1164915716	1164915716	1	1	ORTHOPAEDIC MEDICAL GROUP OF	7/31/2019	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	RIVERSIDE, INC.	4354 LATHAM ST	100	RIVERSIDE	CA	92501	1777	33	06065	34.00210305	-117.3744075	Riverside County
257655	Fee-for-Service	1346287414	1346287414	1	1	OPTIMA OPHTHALMIC	10/13/1993	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	MEDICAL ASSOCIATES	1237 B ST	None	HAYWARD	CA	94541	2915	01	06001	37.67566503	-122.0786821	Alameda County
257661	Fee-for-Service	1992130405	1992130405	1	1	ODA, NINOS M MD	4/8/2019	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	161324	20	Orthopedic Surgery	0	In state provider	None	19333 BEAR VALLEY ROAD	SUITE 104	APPLE VALLEY	CA	92308	5149	36	06071	34.47104148	-117.2413863	San Bernardino County
257666	Fee-for-Service	1285613612	1285613612	1	1	OWENSBORO MEDICAL HEALTH	4/27/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SYSTEM INC	811 EAST PARRISH AVE	None	OWENSBORO	KY	42303	3258	00	None	37.76521879	-87.10141209	Daviess County
257724	Fee-for-Service	1457937062	1457937062	1	1	OLIVARES-PEREZ, MARCUS	8/6/2024	390200000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	333 MERCY AVENUE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
257747	Fee-for-Service	1154701829	1154701829	1	1	OLAYA, WINDY A MD INC	8/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	104824	24	Plastic Surgery	0	In state provider	None	1010 WEST LA VETA	STE 675	ORANGE	CA	92868	4308	30	06059	33.78028244	-117.8635552	Orange County
257780	Fee-for-Service	1356365373	1356365373	1	1	OLIVER, KERRY A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	53289	41	Internal Medicine	0	In state provider	None	3108 SARATOGA ST	None	BAKERSFIELD	CA	93306	4338	15	06029	35.38230485	-118.9470873	Kern County
257894	Fee-for-Service	1356896492	1356896492	1	1	OCHI, MAYANO CNM	9/12/2023	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
257955	Fee-for-Service	1285613612	1285613612	1	1	OWENSBORO MEDICAL HEALTH	4/27/2009	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SYSTEM INC	811 EAST PARRISH AVE	None	OWENSBORO	KY	42303	3258	00	None	37.76521879	-87.10141209	Daviess County
258033	Fee-for-Service	1154701829	1154701829	1	1	OLAYA, WINDY A MD INC	8/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	104824	02	General Surgery	0	In state provider	None	1010 WEST LA VETA	STE 675	ORANGE	CA	92868	4308	30	06059	33.78028244	-117.8635552	Orange County
258102	Fee-for-Service	1740230648	1740230648	1	1	OAKWOOD HEALTHCARE, INC	10/25/2005	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5450 FORT STREET	None	TRENTON	MI	48183	0000	00	None	42.116814	-83.213901	Wayne County
258107	Fee-for-Service	1164206975	1164206975	1	1	OWEN, SARAH PT	6/30/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1811 OAK ST	SUITE 150	BAKERSFIELD	CA	93301	3064	15	06029	35.37534422	-119.0386865	Kern County
258147	Fee-for-Service	1770631764	1770631764	1	1	OQUENDO, DOLORES P MD	6/14/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	75649	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
258164	Fee-for-Service	1285763318	1285763318	1	1	OGBEBOR, AMENZE O LCSW	8/9/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3200 E GUASTI ROAD	SUITE 100	ONTARIO	CA	91761	8661	36	06071	34.06518	-117.5822055	San Bernardino County
258222	Fee-for-Service	1962506295	1962506295	1	1	OROVILLE HOSPITAL	8/16/2006	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HIGHWAY	SUITE 210 & 320	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
258231	Fee-for-Service	1386657856	1386657856	1	1	OH, JENNY S MD	1/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	71626	83	Rheumatology	0	In state provider	None	18376 CLARK STREET	None	TARZANA	CA	91356	3502	19	06037	34.16975482	-118.5331876	Los Angeles County
258325	Fee-for-Service	1457568396	1457568396	2	1	ORIENT EXPRESS CORPORATION	12/28/2011	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	20111 ELKWOOD ST	None	WINNETKA	CA	91306	2311	19	06037	34.2124434	-118.5714707	Los Angeles County
258331	Fee-for-Service	1134654775	1134654775	1	1	OKUKPON, CHINENYE MD	8/22/2022	2084P0802X	NA	Psychiatry	026	PHYSICIANS	172892	None	None	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
258364	Fee-for-Service	1811375702	1811375702	1	1	OLTON, VANESSA MD	3/13/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	148183	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
258367	Fee-for-Service	1205875788	1205875788	1	1	ORTH, GREGORY J MD	7/17/2020	174400000X	NA	Other	026	PHYSICIANS	168702	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
258435	Fee-for-Service	1154455244	1154455244	1	1	OH, KYU CO	10/30/2023	222Z00000X	NA	Other	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	None	3602 INLAND EMPIRE BLVD	STE C130	ONTARIO	CA	91764	4942	36	06071	34.07022	-117.572877	San Bernardino County
258512	Fee-for-Service	1962506295	1962506295	1	1	OROVILLE HOSPITAL	4/10/2007	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HIGHWAY	SUITE 210 & 320	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
258600	Fee-for-Service	1629703178	1629703178	1	1	OWEN, BRANDEN PT	8/23/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	740 S PLACENTIA AVE	STE 100	PLACENTIA	CA	92870	6832	30	06059	33.86285731	-117.8822066	Orange County
258673	Fee-for-Service	1699091074	1699091074	1	1	ORANGE COUNTY DIGESTIVE CARE	11/17/2010	193400000X	NA	Other	026	PHYSICIANS	72508	10	Gastroenterology (M.D. only)	0	In state provider	INC	9900 TALBERT AVE	STE 100	FOUNTAIN VALLEY	CA	92708	5153	30	06059	33.7016655	-117.955521	Orange County
258733	Fee-for-Service	1083064935	1083064935	1	1	OAKLEY, KATHERINE E MD	11/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	157730	08	Family Practice	0	In state provider	None	1601 MONTE VISTA AVE	STE 190	CLAREMONT	CA	91711	6600	19	06037	34.112259	-117.698539	Los Angeles County
258738	Fee-for-Service	1235434143	1235434143	1	1	OROZCO, JOHNNY M DO	8/10/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11501	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
258746	Fee-for-Service	1871537191	1871537191	1	1	OJEDA-FOURNIER, HAYDEE	8/27/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99462	30	Radiology	0	In state provider	MD	330 LEWIS ST	None	SAN DIEGO	CA	92103	2108	37	06073	32.75187491	-117.1617402	San Diego County
258780	Fee-for-Service	1689112179	1689112179	1	1	OWENS, JADRIANE C PT	11/9/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1020 TIERRA DEL REY	A1	CHULA VISTA	CA	91910	7886	37	06073	32.6377383	-117.0196092	San Diego County
258807	Fee-for-Service	1962506295	1962506295	1	1	OROVILLE HOSPITAL	8/16/2002	282N00000X	NA	Hospitals	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HIGHWAY	SUITE 210 & 320	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
258860	Fee-for-Service	1962641522	1962641522	1	2	OZTURK, ARZU MD	6/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	140970	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
259054	Fee-for-Service	1760729933	1760729933	1	1	OLSON, ERIN E NP	11/20/2018	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
259087	Fee-for-Service	1962506295	1962506295	1	1	OROVILLE HOSPITAL	8/16/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2809 OLIVE HIGHWAY	SUITE 210 & 320	OROVILLE	CA	95966	6133	04	06007	39.50386798	-121.5410203	Butte County
259150	Fee-for-Service	1629268776	1629268776	1	1	OUGH, JASON K MD	8/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123632	05	Anesthesiology	0	In state provider	None	99 MONTECILLO ROAD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
259183	Fee-for-Service	1326131541	1326131541	1	1	OREILLY-GREEN, CHRISTOPH	5/22/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	87639	01	General Practice	0	In state provider	MD	1541 FLORIDA AVE	STE 305	MODESTO	CA	95350	4439	50	06099	37.666863	-120.9962775	Stanislaus County
259355	Fee-for-Service	1720540016	1720540016	1	1	ORTEGO, JONATHAN MD	7/1/2024	390200000X	NA	Other	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
259423	Fee-for-Service	1265691505	1265691505	1	1	OKOUR, SALMAN N MD	1/31/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115961	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1729 WEST AVENUE J	SUITE 101	LANCASTER	CA	90260	1513	19	06037	34.68944953	-118.162287	Los Angeles County
259426	Fee-for-Service	1689023392	1689023392	1	1	ORCHARD HOSPITAL	10/12/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2990 ORO DAM BLVD E	STE A	OROVILLE	CA	95966	0721	04	06007	39.51099741	-121.5417288	Butte County
259465	Fee-for-Service	1366415564	1366415564	1	1	OSTREA, RHODORA U MD	2/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	79413	08	Family Practice	0	In state provider	None	1550 GATEWAY BLVD	None	FAIRFIELD	CA	94533	6901	48	06095	38.2629133	-122.0560176	Solano County
259613	Fee-for-Service	1851643712	1851643712	1	1	OBREGON MADERA, TAMARA PSYD	7/5/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4153 24TH STREET	4	SAN FRANCISCO	CA	94114	3614	38	06075	37.75120501	-122.4352246	San Francisco County
259668	Fee-for-Service	1346328978	1346328978	1	1	OKUHN, STEVEN P MD	3/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	50596	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
259714	Fee-for-Service	1689023392	1689023392	1	1	ORCHARD HOSPITAL	10/12/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2990 ORO DAM BLVD E	STE A	OROVILLE	CA	95966	0721	04	06007	39.51099741	-121.5417288	Butte County
259776	Fee-for-Service	1851057327	1851057327	1	1	O'CONNOR, TARA M CRNA	3/19/2024	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
260005	Fee-for-Service	1053312033	1053312033	1	1	ODYSSEY HEALTHCARE OPERATING	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	A, LP	735 CARNEGIE DRIVE	STE 240	SAN BERNARDINO	CA	92408	3574	36	06071	34.06866757	-117.2689231	San Bernardino County
260115	Fee-for-Service	1093027278	1093027278	1	1	OBASARE, EDINRIN R MD	11/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	127612	41	Internal Medicine	0	In state provider	None	820 E MOUNTAIN VIEW ST	None	BARSTOW	CA	92311	3004	36	06071	34.89327944	-117.0174383	San Bernardino County
260190	Fee-for-Service	1285758912	1285758912	1	1	ORILLANEDA, ALVIN PT	10/11/2019	171W00000X	NA	Other	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
260246	Fee-for-Service	1154522340	1154522340	1	1	OEI, GRACE C MD	7/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94619	40	Pediatrics	0	In state provider	None	9961 SIERRA AVENUE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
260292	Fee-for-Service	1053312033	1053312033	1	1	ODYSSEY HEALTHCARE OPERATING	7/1/2001	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	A, LP	735 CARNEGIE DRIVE	STE 240	SAN BERNARDINO	CA	92408	3574	36	06071	34.06866757	-117.2689231	San Bernardino County
260337	Fee-for-Service	1457330474	1457330474	1	1	OLSON, TIMOTHY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2111 GREEN ST	None	ADEL	IA	50003	1637	00	None	41.61246493	-94.03468238	Dallas County
260339	Fee-for-Service	1699262485	1699262485	1	1	OAD, SONIA K MD	10/25/2022	207ZP0102X	NA	Other	026	PHYSICIANS	181827	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
260470	Fee-for-Service	1093895401	1093895401	1	1	O'MAHONEY,CHRISTINE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	6621 FANNIN ST	None	HOUSTON	TX	77030	0000	00	None	29.70724683	-95.4026169	Harris County
260490	Fee-for-Service	1750398863	1750398863	1	2	ORANGE COUNTY RETINA MEDICAL	2/28/1984	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP	23521 PASEO DE VALENCIA	STE 309	LAGUNA HILLS	CA	92653	3144	30	06059	33.61113028	-117.7126684	Orange County
260496	Fee-for-Service	1407891278	1407891278	1	1	OCEGUERA, LILIA R MD	4/1/1998	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	62438	40	Pediatrics	0	In state provider	None	20130 LAKE CHABOT RD	STE 302	CASTRO VALLEY	CA	94546	5340	01	06001	37.69738066	-122.087041	Alameda County
260501	Fee-for-Service	1972533941	1972533941	1	1	OVIEDO-LINARES, RAUL	2/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76050	None	None	0	In state provider	None	890 EASTLAKE PKWY	SUITE 205	CHULA VISTA	CA	91914	4521	37	06073	32.65223126	-116.9677279	San Diego County
260535	Fee-for-Service	1821237355	1821237355	1	1	OMNI FAMILY HEALTH	8/14/2012	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1133 N CHELSEA ST	None	RIDGECREST	CA	93555	5537	15	06029	35.64262361	-117.6671491	Kern County
260577	Fee-for-Service	1154785061	1154785061	1	1	OTU, MITCH MD	7/2/2024	2084P0804X	NA	Psychiatry	026	PHYSICIANS	None	26	Psychiatry (child)	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
260644	Fee-for-Service	1205993367	1205993367	1	1	OPPERMANN, PETER PHD	7/31/1993	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	435 ARDEN AVE	STE 440	GLENDALE	CA	91203	4063	19	06037	34.15848148	-118.2628845	Los Angeles County
260754	Fee-for-Service	1881134906	1881134906	1	1	OURFIRST INC	8/10/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1151 W ROBINHOOD DR	STE B-5	STOCKTON	CA	95207	5625	39	06077	37.99954017	-121.3212828	San Joaquin County
260825	Fee-for-Service	1821237355	1821237355	1	1	OMNI FAMILY HEALTH	8/13/2012	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1133 N CHELSEA ST	None	RIDGECREST	CA	93555	5537	15	06029	35.64262361	-117.6671491	Kern County
260965	Fee-for-Service	1710415492	1710415492	1	2	OLIVERIO MEDICAL CORPORATION	4/27/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	330 W RAMSEY ST	None	BANNING	CA	92220	4823	33	06065	33.92540549	-116.8802908	Riverside County
260986	Fee-for-Service	1831883453	1831883453	1	1	OWENS, COURTNEY J NP	8/16/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
261113	Fee-for-Service	1821237355	1821237355	1	1	OMNI FAMILY HEALTH	1/3/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1133 N CHELSEA ST	None	RIDGECREST	CA	93555	5537	15	06029	35.64262361	-117.6671491	Kern County
261273	Fee-for-Service	1639512296	1639512296	1	1	O'NEAL, JOHN M MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	133100	66	Emergency Medicine (Urgent Care)	0	In state provider	None	26520 CACTUS AVENUE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
261382	Fee-for-Service	1417133273	1417133273	3	1	ORGLIFE PHARMACY INC	12/21/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1030 S GLENDALE AVE	STE 101 & 102	GLENDALE	CA	91205	2866	19	06037	34.13381535	-118.2519184	Los Angeles County
261403	Fee-for-Service	1821237355	1821237355	1	1	OMNI FAMILY HEALTH	1/3/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1133 N CHELSEA ST	None	RIDGECREST	CA	93555	5537	15	06029	35.64262361	-117.6671491	Kern County
261404	Fee-for-Service	1134446727	1134446727	1	1	OBRIEN, SARAH L MD	9/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121585	25	Physical Medicine and Rehabilitation	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
261432	Fee-for-Service	1316174915	1316174915	1	1	OLIVA, ANTHONY M MD	8/28/2016	207L00000X	NA	Other	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
261564	Fee-for-Service	1013095785	1013095785	1	1	OCHI, ROBERT P MD	9/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	85760	30	Radiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
261568	Fee-for-Service	1700948791	1700948791	1	1	OWEN, PATRICIA L PHD	6/4/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	CAL PSYCHOLOGIST	1430 BLUE OAKS BLVD	120	ROSEVILLE	CA	95747	5156	31	06061	38.79556567	-121.3172774	Placer County
261619	Fee-for-Service	1194774547	1194774547	1	1	O'LEARY, PATRICK J MD	9/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83444	02	General Surgery	0	In state provider	None	8337 TELEGRAPH RD	STE 102	PICO RIVERA	CA	90660	4930	19	06037	33.96454327	-118.1134473	Los Angeles County
261846	Fee-for-Service	1548337397	1548337397	1	1	OKWANDU, MARY I NP	10/18/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	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
261949	Fee-for-Service	1063424273	1063424273	1	1	OU, JENNIE C MD	8/31/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81849	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
262025	Fee-for-Service	1699772897	1699772897	1	1	ONE SOURCE MEDICAL SUPPLY,	1/17/2012	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	LLC	1829 PARK LANE SOUTH	SUITE 8 & 9	JUPITER	FL	33458	8086	00	None	26.9166174	-80.14345848	Palm Beach County
262089	Fee-for-Service	1871750497	1871750497	1	1	O'NEILL, GEOFFERY A MD	9/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97758	05	Anesthesiology	0	In state provider	None	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
262189	Fee-for-Service	1538163878	1538163878	1	1	ORTHO-PROS INC	7/1/1996	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	2021 SANTA MONICA BLVD	STE 625E	SANTA MONICA	CA	90404	2208	19	06037	34.02922048	-118.4793681	Los Angeles County
262382	Fee-for-Service	1033479936	1033479936	1	1	O'NEILL-CHA, JENNIFER Y MD	9/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	126813	None	None	0	In state provider	None	3687 MT DIABLO BLVD	SUITE 200	LAFAYETTE	CA	94549	3746	07	06013	37.8898926	-122.1304235	Contra Costa County
262519	Fee-for-Service	1831969856	1831969856	1	1	OAKES, JOSHUA E CNP	3/6/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
262570	Fee-for-Service	1851434898	1851434898	1	1	O'CONNOR, LAWRENCE R MD	6/30/1992	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	25238	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1510 S CENTRAL AVE	STE 420	GLENDALE	CA	91204	2564	19	06037	34.12709764	-118.2577911	Los Angeles County
262625	Fee-for-Service	1568472421	1568472421	1	1	OH, CHAD K MD	8/31/1993	2080P0201X	NA	Neurology	026	PHYSICIANS	52349	None	None	0	In state provider	None	1000 W CARSON ST	None	TORRANCE	CA	90502	2004	19	06037	33.83155851	-118.2920625	Los Angeles County
262654	Fee-for-Service	1912451469	1912451469	1	1	OCHONMA, CHRISTIAN MD	10/18/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	166668	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	1320 STANDIFORD AVE	STE 5	MODESTO	CA	95350	0726	50	06099	37.68934252	-121.0140405	Stanislaus County
262660	Fee-for-Service	1982940912	1982940912	1	3	OMNI EYE CARE, INC.	3/7/2022	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	11436 GARVEY AVE	E	EL MONTE	CA	91732	3304	19	06037	34.06282769	-118.0281402	Los Angeles County
262671	Fee-for-Service	1730250788	1730250788	1	1	OBRIEN, CHRISTOPHER M MD	10/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	70951	77	Infectious Disease	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
262715	Fee-for-Service	1225771264	1225771264	1	1	OLESCO, JENNIFER S NP	6/10/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	752 MEDICAL CENTER CT	SUITE 302	CHULA VISTA	CA	91911	6661	37	06073	32.61800405	-117.0232585	San Diego County
262766	Fee-for-Service	1508114711	1508114711	1	1	ORANGE COUNTY EMERGENCY	10/19/2012	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL ASSOCIATES INC	7901 WALKER STREET	None	LA PALMA	CA	90623	1722	30	06059	33.84755382	-118.0373024	Orange County
262869	Fee-for-Service	1386091676	1386091676	1	1	OROZCO, CARLO R NP	8/31/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	601 E FLORIDA AVE	None	HEMET	CA	92543	4335	33	06065	33.74753447	-116.966052	Riverside County
262910	Fee-for-Service	1033989306	1033989306	1	1	O&P STATION, INC	3/27/2024	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1335 W VALENCIA DR	M	FULLERTON	CA	92833	4046	30	06059	33.866554	-117.9493816	Orange County
262948	Fee-for-Service	1982940912	1982940912	1	3	OMNI EYE CARE, INC.	3/7/2022	207R00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	11436 GARVEY AVE	E	EL MONTE	CA	91732	3304	19	06037	34.06282769	-118.0281402	Los Angeles County
262960	Fee-for-Service	1730250788	1730250788	1	1	OBRIEN, CHRISTOPHER M MD	10/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	70951	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
263090	Fee-for-Service	1770689374	1770689374	1	1	O'BRIEN, KATHLEEN B	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
263184	Fee-for-Service	1497140222	1497140222	1	1	OAK FENCE SENIOR LIVING, LLC	11/15/2019	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	HEALTH FACILITY	6067 WEST OAK FENCE LN	None	LANCASTER	CA	93536	1795	19	06037	34.66801919	-118.2386438	Los Angeles County
263197	Fee-for-Service	1700265832	1700265832	1	1	OLENSKI, KLARI DO	10/12/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	19141	None	None	0	In state provider	None	44045 MARGARITA RD	STE 106	TEMECULA	CA	92592	2729	33	06065	33.48351542	-117.1027964	Riverside County
263387	Fee-for-Service	1881125755	1881125755	1	1	ORDON, SHANNON MD	10/23/2024	174400000X	NA	Other	026	PHYSICIANS	159876	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
263404	Fee-for-Service	1104814680	1104814680	1	1	OVERCASH, JEFFREY S MD	7/29/2008	207PE0004X	NA	Other	026	PHYSICIANS	104007	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2400 EAST FOURTH ST	None	NATIONAL CITY	CA	91950	2026	37	06073	32.68637926	-117.0828839	San Diego County
263455	Fee-for-Service	1124890934	1124890934	1	1	OMEGA MOLECULAR LABORATORIES	12/11/2024	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	LLC	6445 SHILOH RD	STE B	ALPHARETTA	GA	30005	8407	00	None	34.106994	-84.2072265	Forsyth County
263481	Fee-for-Service	1356927412	1356927412	1	1	OKONTA, VIVIAN DO	2/28/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	22384	08	Family Practice	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
263510	Fee-for-Service	1790400786	1790400786	1	1	OLSON-WIENCEK, SARA NP	2/2/2023	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
263572	Fee-for-Service	1356325823	1356325823	1	1	OH, STANLEY K DC	6/10/2008	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	6405 DAY STREET	None	RIVERSIDE	CA	92507	0901	33	06065	33.934059	-117.2789475	Riverside County
263753	Fee-for-Service	1295297133	1295297133	2	1	OPEN ACCESSIBLE TRANSPORT	12/1/2023	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	611 GATEWAY BLVD	120	SOUTH SAN FRANCIS	CA	94080	7017	41	06081	37.65774486	-122.3994553	San Mateo County
263781	Fee-for-Service	1215202304	1215202304	1	2	O'NEILL, SEAN	3/31/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2081 BUSINESS CENTER DRI	270	IRVINE	CA	92612	1212	30	06059	33.67939212	-117.8561729	Orange County
263929	Fee-for-Service	1508805235	1508805235	1	1	OLBERGING, NICOLE PA	8/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1601 W SAINT MARYS RD	None	TUCSON	AZ	85745	2623	00	None	32.228199	-111.0000825	Pima County
263947	Fee-for-Service	1750356846	1750356846	1	1	OTUWA, SAMSON MD	7/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2450 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2179	00	None	36.15900951	-115.175853	Clark County
263953	Fee-for-Service	1659831717	1659831717	1	1	OLALEMI, HAFEEZ MD	9/12/2023	207L00000X	NA	Other	026	PHYSICIANS	185080	None	None	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
263976	Fee-for-Service	1760413280	1760413280	1	1	OLSEN, ERIC 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	3033 S PARKER RD	STE 800	AURORA	CO	80014	2938	00	None	39.6612	-104.8603095	Arapahoe County
264191	Fee-for-Service	1356332951	1356332951	1	1	OPPENHEIM, JOANNA T MD	1/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	70819	None	None	0	In state provider	None	909 BLANCO CIR	None	SALINAS	CA	93901	4401	27	06053	36.65354107	-121.6381985	Monterey County
264201	Fee-for-Service	1225304959	1225304959	1	1	OZOIGBO, GUGUAMOBI O MD	10/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	127543	05	Anesthesiology	0	In state provider	None	7417 N CEDAR AVENUE	None	FRESNO	CA	93720	3637	10	06019	36.844227	-119.7568975	Fresno County
264217	Fee-for-Service	1942200225	1942200225	1	1	ODD FELLOWS HOME OF	9/1/1979	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	14500 FRUITVALE AVE	None	SARATOGA	CA	95070	6165	43	06085	37.25766351	-122.009499	Santa Clara County
264268	Fee-for-Service	1972182459	1972182459	1	1	OBADEYI, OLUSEYI A MD	8/20/2024	207P00000X	NA	Other	026	PHYSICIANS	191388	66	Emergency Medicine (Urgent Care)	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
264347	Fee-for-Service	1538134549	1538134549	1	1	OSTERKAMP, TERRE L MD	11/27/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	40344	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1808 VERDUGO BLVD	STE 109	GLENDALE	CA	91208	1479	19	06037	34.2056211	-118.2154553	Los Angeles County
264417	Fee-for-Service	1043515802	1043515802	1	1	OPPORTUNITY PERS CARE AG	3/1/2011	385HR2060X	NA	Other	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1430 TRUXTUN AVE	SUITE 529	BAKERSFIELD	CA	93301	5246	15	06029	35.37345768	-119.0173312	Kern County
264425	Fee-for-Service	1043224348	1043224348	1	1	OLIMPIA RAUTA MD	6/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	225 N 7TH ST	None	BISMARCK	ND	58501	4417	00	None	46.807254	-100.781172	Burleigh County
264544	Fee-for-Service	1831710870	1831710870	1	1	ONWUEGBUSI, UCHENNA C MD	8/17/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	183346	None	None	0	In state provider	None	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
264641	Fee-for-Service	1215957055	1215957055	1	1	OSEA, SHARON A MD	4/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	01	General Practice	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
264703	Fee-for-Service	1821101635	1821101635	1	1	O'CONNOR, RYAN S MD	7/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	95130	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2070 CENTURY PARK E	None	LOS ANGELES	CA	90067	1907	19	06037	34.05887194	-118.4122914	Los Angeles County
264705	Fee-for-Service	1760171078	1760171078	1	1	OASIS PHARMACY LLC	11/17/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2650 E VINEYARD AVE	None	OXNARD	CA	93036	1615	56	06111	34.23526655	-119.1706785	Ventura County
264723	Fee-for-Service	1720548530	1720548530	1	1	OCHOA, CAROLANN NP	10/17/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2810 CAMINO DEL RIO S	STE 102	SAN DIEGO	CA	92108	3819	37	06073	32.77081335	-117.1316557	San Diego County
264754	Fee-for-Service	1518125194	1518125194	1	1	OLIVERA-MARTINEZ, MARCO A MD	2/8/2015	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
264881	Fee-for-Service	1902106198	1902106198	1	2	OLE HEALTH	4/6/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	100 HARTLE CT	None	NAPA	CA	94559	4020	28	06055	38.28325345	-122.2795703	Napa County
265002	Fee-for-Service	1891854089	1891854089	1	1	O'REILLY, RICHARD R MD	11/30/1984	208G00000X	NA	General Surgery	026	PHYSICIANS	10484	33	Thoracic Surgery	0	In state provider	None	2510 TWICKENHAM CT	None	BAKERSFIELD	CA	93311	9268	15	06029	35.33162005	-119.1287329	Kern County
265009	Fee-for-Service	1144529405	1144529405	1	1	OCHOA-FRONGIA, LISA M MD	7/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124898	41	Internal Medicine	0	In state provider	None	1001 POTRERO AVE	ROOM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
265126	Fee-for-Service	1689051120	1689051120	1	1	ORTIZO, CHARMAINE JAMIAS MD	8/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147836	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
265133	Fee-for-Service	1780662023	1780662023	2	1	OSTOVAR, HERALD MD	11/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	100656	66	Emergency Medicine (Urgent Care)	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
265167	Fee-for-Service	1902106198	1902106198	1	2	OLE HEALTH	4/6/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	100 HARTLE CT	None	NAPA	CA	94559	4020	28	06055	38.28325345	-122.2795703	Napa County
265217	Fee-for-Service	1245393354	1245393354	1	1	OLIVIA GARZA	10/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5301 E GRANT RD	None	TUCSON	AZ	85712	0000	00	None	32.252391	-110.8790055	Pima County
265270	Fee-for-Service	1861717803	1861717803	1	1	ODELE, PATIENCE MD	4/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	119092	02	General Surgery	0	In state provider	None	99 MONTECILLO ROAD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
265284	Fee-for-Service	1710261185	1710261185	1	1	ORTIZ, CASSANDRA M LMFT	6/17/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	104859	-	NOT APPLICABLE	0	In state provider	None	100 EAST WARDLOW ROAD	None	LONG BEACH	CA	90807	4417	19	06037	33.8188341	-118.1923297	Los Angeles County
265288	Fee-for-Service	1891854089	1891854089	1	1	O'REILLY, RICHARD R MD	11/30/1984	208G00000X	NA	General Surgery	026	PHYSICIANS	10484	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2510 TWICKENHAM CT	None	BAKERSFIELD	CA	93311	9268	15	06029	35.33162005	-119.1287329	Kern County
265304	Fee-for-Service	1124281001	1124281001	1	1	O'CONNOR, KEVIN M MD	1/7/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	170700	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
265341	Fee-for-Service	1679720460	1679720460	1	1	OPENSHAW, JOHN J MD	6/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	109301	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
265389	Fee-for-Service	1982731972	1982731972	1	1	OLSON, CATHERINE E MD	6/21/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	68337	08	Family Practice	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
265482	Fee-for-Service	1851827471	1851827471	1	1	OPENE, MICHAEL MD	2/11/2025	207R00000X	NA	Other	026	PHYSICIANS	158321	41	Internal Medicine	0	In state provider	None	4323 W RIVERSIDE DRIVE	None	BURBANK	CA	91505	4044	19	06037	34.15223748	-118.347426	Los Angeles County
265624	Fee-for-Service	1679720460	1679720460	1	1	OPENSHAW, JOHN J MD	6/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	109301	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
265640	Fee-for-Service	1831383124	1831383124	1	1	ORTEGA, MARIA V LMFT	2/2/2021	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41-750 RANCHO LAS PALMAS	L-4	RANCHO MIRAGE	CA	92270	0000	33	06065	33.742854	-116.4082014	Riverside County
265833	Fee-for-Service	1346586690	1346586690	1	1	ODONNELL, EILEEN M CRNA	11/10/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2635 G ST	None	BAKERSFIELD	CA	93301	2013	15	06029	35.38360448	-119.0223416	Kern County
265908	Fee-for-Service	1760239594	1760239594	1	1	ONE PURPOSE PSYCHOLOGICAL SE	12/5/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	RVICES INC	851 S MOUNT VERNON AVE	7A	COLTON	CA	92324	3926	36	06071	34.056468	-117.3091965	San Bernardino County
265911	Fee-for-Service	1982090783	1982090783	1	1	OH, HYOUNG M DO	5/5/2020	282N00000X	NA	Hospitals	026	PHYSICIANS	15149	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
265912	Fee-for-Service	1285810689	1285810689	1	1	OSBORN, MEGAN B MD	2/11/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106761	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
265953	Fee-for-Service	1629260369	1629260369	1	1	OKA, HIDEMI MD	12/10/2008	1223S0112X	NA	Dental Provider	026	PHYSICIANS	91565	02	General 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
266017	Fee-for-Service	1407042302	1407042302	1	1	ORTIZ, CHRISTOPHER JOHN P PT	2/4/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8247 E STOCKTON BLVD	None	SACRAMENTO	CA	95828	8200	34	06067	38.459187	-121.4080245	Sacramento County
266103	Fee-for-Service	1609207398	1609207398	1	1	O'BRIEN, LEAH E NP	11/4/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1751 UNIVERSITY DR	None	VISTA	CA	92083	7775	37	06073	33.17027826	-117.214478	San Diego County
266164	Fee-for-Service	1952573826	1952573826	1	1	ONEIL, JOHN C MD	10/2/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	118663	-	NOT APPLICABLE	0	In state provider	None	1408 A STREET	None	ANTIOCH	CA	94509	2331	07	06013	38.007756	-121.8060465	Contra Costa County
266384	Fee-for-Service	1598712135	1598712135	1	1	OVERTON, CLAYTON J III	9/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96078	None	None	0	In state provider	MD	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
266403	Fee-for-Service	1548920275	1548920275	1	1	ORANGE COUNTY DIGESTIVE ANES	2/10/2022	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	THESIA, INC.	1400 REYNOLDS AVE	125	IRVINE	CA	92614	5559	30	06059	33.6957272	-117.8542013	Orange County
266562	Fee-for-Service	1255660536	1255660536	1	1	OWENS, MILTON LEROY MD INC	9/9/2014	208600000X	NA	General Surgery	026	PHYSICIANS	27997	02	General Surgery	0	In state provider	None	2617 E CHAPMAN AVE	SUITE 201	ORANGE	CA	92869	3222	30	06059	33.7878445	-117.8254845	Orange County
266692	Fee-for-Service	1679681027	1679681027	1	1	OTOSHI, JAMES S MD	9/17/1982	207RP1001X	NA	Pulmonology	026	PHYSICIANS	27763	41	Internal Medicine	0	In state provider	None	649 E GRAND AVE	None	ESCONDIDO	CA	92025	4402	37	06073	33.12475346	-117.0732063	San Diego County
266768	Fee-for-Service	1477915528	1477915528	1	1	OROZCO, NICHOLAS M MD	10/31/2019	207P00000X	NA	Other	026	PHYSICIANS	152062	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5451 WALNUT AVE	None	CHINO	CA	91710	2609	36	06071	34.02626886	-117.6858645	San Bernardino County
266813	Fee-for-Service	1518462423	1518462423	1	1	OJO, ANTHONIA B MD	4/28/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	None	None	0	In state provider	None	3779 PIEDMONT	None	OAKLAND	CA	94611	5347	01	06001	37.82384659	-122.2558913	Alameda County
266819	Fee-for-Service	1811215338	1811215338	1	1	OERTLI, MATTHEW C MD	5/24/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	120999	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
266908	Fee-for-Service	1093239477	1093239477	1	1	O'LANNERGHTY, LAURA B PT	4/28/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3908 10 STREET	None	RIVERSIDE	CA	92501	3522	33	06065	33.98117228	-117.3785355	Riverside County
266965	Fee-for-Service	1265986509	1265986509	1	1	OH, KELLY LMFT	3/22/2022	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
266978	Fee-for-Service	1740230119	1740230119	1	1	OAKWOOD HEALTHCARE SYST	3/1/2003	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	18101 OAKWOOD BLVD	None	DEARBORN	MI	48124	4089	00	None	42.290397	-83.214414	Wayne County
267041	Fee-for-Service	1790067148	1790067148	1	1	OFILI, KENE P IV DPM	7/20/2015	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	632 W GIBSON ROAD	None	WOODLAND	CA	95695	5169	57	06113	38.66314048	-121.794696	Yolo County
267080	Fee-for-Service	1609310333	1609310333	1	1	OSHODI MEDICAL CORPORATION	3/24/2017	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	53256	None	None	0	In state provider	None	40700 CALIFORNIA OAKS RD	SUITE 208	MURRIETA	CA	92562	5789	33	06065	33.57067363	-117.2045035	Riverside County
267093	Fee-for-Service	1972057289	1972057289	1	1	OWEN, JESSICA L	11/7/2016	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11205 KNOTT AVE	STE B	CYPRESS	CA	90630	5489	30	06059	33.8006025	-118.0111199	Orange County
267155	Fee-for-Service	1710920111	1710920111	1	1	OTT, DEREK A MD	4/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	61601	36	Psychiatry	0	In state provider	None	11901 W SUNSET BLVD	APT 111	LOS ANGELES	CA	90049	4201	19	06037	34.06311236	-118.4725582	Los Angeles County
267263	Fee-for-Service	1740230119	1740230119	1	1	OAKWOOD HEALTHCARE SYST	7/8/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	18101 OAKWOOD BLVD	None	DEARBORN	MI	48124	4089	00	None	42.290397	-83.214414	Wayne County
267316	Fee-for-Service	1992319347	1992319347	1	1	ONE VERITAS PHARMACY	4/27/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	18607 VENTURA BLVD	109	TARZANA	CA	91356	4165	19	06037	34.16995274	-118.5388841	Los Angeles County
267328	Fee-for-Service	1588227250	1588227250	1	1	ORCINE, MONICA MD	7/17/2023	1835G0303X	NA	Other	026	PHYSICIANS	178306	None	None	0	In state provider	None	1190 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48941956	-122.2227204	San Mateo County
267361	Fee-for-Service	1790300200	1790300200	1	1	OMNI HOSPICE SERVICES	5/5/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	8001 LAUREL CANYON BLVD	SUITE 209	N HOLLYWOOD	CA	91605	1466	19	06037	34.216164	-118.396559	Los Angeles County
267362	Fee-for-Service	1679636013	1679636013	1	1	OWENS, INC.	12/19/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	2950 RAILROAD AVE.	None	REDDING	CA	96001	3112	45	06089	40.56935991	-122.3906539	Shasta County
267426	Fee-for-Service	1295877181	1295877181	4	1	OXFORD MEADOWS FORK CO.	6/15/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	231 W. VERNON AVE	100	LOS ANGELES	CA	90037	2700	19	06037	34.0038305	-118.2774195	Los Angeles County
267521	Fee-for-Service	1831631639	1831631639	1	1	OGDEN, SHANTE LCSW	11/20/2020	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER 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
267646	Fee-for-Service	1790300200	1790300200	1	1	OMNI HOSPICE SERVICES	5/5/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	8001 LAUREL CANYON BLVD	SUITE 209	N HOLLYWOOD	CA	91605	1466	19	06037	34.216164	-118.396559	Los Angeles County
267655	Fee-for-Service	1700804556	1700804556	1	2	OMNI FAMILY HEALTH	12/13/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3748 E SHIELDS AVE	None	FRESNO	CA	93726	7028	10	06019	36.77950149	-119.7622755	Fresno County
267937	Fee-for-Service	1700804556	1700804556	1	2	OMNI FAMILY HEALTH	12/13/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3748 E SHIELDS AVE	None	FRESNO	CA	93726	7028	10	06019	36.77950149	-119.7622755	Fresno County
267945	Fee-for-Service	1902248289	1902248289	1	1	OKAMOTO, LINDA K DO	11/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13215	41	Internal Medicine	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
267999	Fee-for-Service	1124069380	1124069380	1	1	OWENS, LARRY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1003 WILLOW CREEK RD	None	PRESCOTT	AZ	86301	1641	00	None	34.558992	-112.481901	Yavapai County
268029	Fee-for-Service	1962693531	1962693531	1	3	ORANGE COAST EYE CENTER, INC	9/27/2022	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	.	18426 BROOKHURST ST.	103	FOUNTAIN VALLEY	CA	92708	6777	30	06059	33.69482614	-117.9540486	Orange County
268121	Fee-for-Service	1538595152	1538595152	1	1	ORPHEY, KRISTIAN R LCSW	3/30/2021	1041C0700X	NA	Mental Health Outpatient Services	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
268209	Fee-for-Service	1255789681	1255789681	1	1	OLSON, DAVID S	3/15/2023	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	300 E ESPLANADE DR	STE 480	OXNARD	CA	93036	0589	56	06111	34.22957085	-119.174108	Ventura County
268238	Fee-for-Service	1356381073	1356381073	1	1	OMEEGHAN, ROSEMARY A MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	50595	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
268352	Fee-for-Service	1033125075	1033125075	1	1	ONG, TIMOTHY P MD	12/1/1995	207R00000X	NA	Other	026	PHYSICIANS	80475	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
268518	Fee-for-Service	1356381073	1356381073	1	1	OMEEGHAN, ROSEMARY A MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	50595	05	Anesthesiology	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
268524	Fee-for-Service	1912013194	1912013194	1	1	OSBORNE, JOHN MD	6/30/1984	207P00000X	NA	Other	026	PHYSICIANS	42163	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5451 WALNUT AVE	None	CHINO	CA	91710	2609	36	06071	34.02626886	-117.6858645	San Bernardino County
268676	Fee-for-Service	1821004144	1821004144	1	1	OTT, RICHARD A MD	6/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	45864	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1310 W STEWART DR	STE 502	ORANGE	CA	92868	3856	30	06059	33.78236048	-117.8664975	Orange County
268711	Fee-for-Service	1710654355	1710654355	1	1	OMNI FAMILY HEALTH	10/4/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	141 S MIRAGE AVE	None	LINDSAY	CA	93247	2541	54	06107	36.20245187	-119.0885408	Tulare County
268762	Fee-for-Service	1811928070	1811928070	1	1	ORLOV WHITESMITH, JULIE LCS	10/29/2018	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2200 PACIFIC COAST HIGHW	SUITE 218	HERMOSA BEACH	CA	90254	4429	19	06037	33.87079831	-118.3947051	Los Angeles County
268770	Fee-for-Service	1881057750	1881057750	1	1	ONYI, STELLA DO	7/31/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	None	None	None	0	In state provider	None	1117 E DEVONSHIRE AVE	None	HEMET	CA	92543	3083	33	06065	33.75116909	-116.9601666	Riverside County
268864	Fee-for-Service	1942219944	1942219944	1	1	OU, MARK H K MD	10/31/1986	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	41511	08	Family Practice	0	In state provider	None	5562 PHILADELPHIA ST	SUITE 101	CHINO	CA	91710	2482	36	06071	34.03370384	-117.6837291	San Bernardino County
268912	Fee-for-Service	1437177060	1437177060	1	1	OSTROM, NANCY K MD	11/30/1985	174400000X	NA	Other	026	PHYSICIANS	56048	03	Allergy	0	In state provider	None	7920 FROST ST	STE 100	SAN DIEGO	CA	92123	2732	37	06073	32.80027449	-117.153846	San Diego County
268955	Fee-for-Service	1821004144	1821004144	1	1	OTT, RICHARD A MD	6/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	45864	33	Thoracic Surgery	0	In state provider	None	1310 W STEWART DR	STE 502	ORANGE	CA	92868	3856	30	06059	33.78236048	-117.8664975	Orange County
268972	Fee-for-Service	1144378191	1144378191	1	1	ONG-VELOSO, MARY V MD	8/1/1991	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	49891	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
268992	Fee-for-Service	1710654355	1710654355	1	1	OMNI FAMILY HEALTH	10/4/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	141 S MIRAGE AVE	None	LINDSAY	CA	93247	2541	54	06107	36.20245187	-119.0885408	Tulare County
269006	Fee-for-Service	1851950687	1851950687	1	1	OCAMPO, ROSA A LPCC	12/7/2023	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
269116	Fee-for-Service	1386390128	1386390128	1	1	OLIVE TREE OCCUPATIONAL THER	11/5/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	APY	41865 BOARDWALK	121	PALM DESERT	CA	92211	9026	33	06065	33.74625125	-116.3549824	Riverside County
269197	Fee-for-Service	1831495571	1831495571	1	1	OLITO, ATALANTA C OSTEO	3/1/2011	193400000X	NA	Other	026	PHYSICIANS	6471	05	Anesthesiology	0	In state provider	PATHIC CORP	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
269201	Fee-for-Service	1942333596	1942333596	1	1	OVANESSIAN, ADRINA A	5/8/2002	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	VERDUGO OPTOMETRY	4170 VERDUGO RD	None	LOS ANGELES	CA	90065	3821	19	06037	34.12699791	-118.2320973	Los Angeles County
269315	Fee-for-Service	1326509670	1326509670	1	1	ORTIZ, KARLA MD	5/3/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	176338	40	Pediatrics	0	In state provider	None	2801 ATLANTIC AVENUE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
269409	Fee-for-Service	1336322577	1336322577	1	1	O'HEAR, CAROL E MD	9/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	135446	40	Pediatrics	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
269418	Fee-for-Service	1780934356	1780934356	1	1	OCHOA, ALEXANDRA LMFT	12/16/2020	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
269432	Fee-for-Service	1760697940	1760697940	1	1	O'LEARY, SUSAN L MD	12/8/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105681	06	Cardiovascular Disease (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
269494	Fee-for-Service	1225731615	1225731615	1	1	OCAMPO, MICHELLE T CRNA	4/11/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
269524	Fee-for-Service	1609806918	1609806918	1	1	OBEDIAN, ROBERT MD	10/8/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	54360	None	None	0	In state provider	None	300 W HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
269675	Fee-for-Service	1720420227	1720420227	1	1	OLADEJO, ADANNA NP	8/4/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4199 CAMPUS DR	SUITE 550, OFFICE 57	IRVINE	CA	92612	4684	30	06059	33.650775	-117.838296	Orange County
269690	Fee-for-Service	1336322577	1336322577	1	1	O'HEAR, CAROL E MD	9/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	135446	68	Hematology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
269691	Fee-for-Service	1114430550	1114430550	1	3	OAKS PHARM INC	7/29/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	AND OAKS	166 N MOORPARK RD	STE 105	THOUSAND OAKS	CA	91360	4445	56	06111	34.18064394	-118.8759861	Ventura County
269784	Fee-for-Service	1770698136	1770698136	1	1	OSEA, NOLITO A MD	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	38229	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
269803	Fee-for-Service	1700175007	1700175007	1	1	OROZCO FLORES, CELIA 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
269887	Fee-for-Service	1023100450	1023100450	1	1	ONG, ANGELINE L MD	11/13/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	85111	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
269935	Fee-for-Service	1144261173	1144261173	2	1	OVERTON, JOHN B MD	12/8/2014	208G00000X	NA	General Surgery	026	PHYSICIANS	38023	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	420 W ACACIA ST	STE 17	STOCKTON	CA	95203	2441	39	06077	37.96135715	-121.2996632	San Joaquin County
269974	Fee-for-Service	1558931022	1558931022	1	1	OMANDAM, ALEXANDRA T	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
270126	Fee-for-Service	1497130280	1497130280	1	1	OLE HEALTH	1/26/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	470 CHADBOURNE ROAD	STE A	FAIRFIELD	CA	94534	9600	48	06095	38.23474317	-122.0838031	Solano County
270131	Fee-for-Service	1578721015	1578721015	1	1	ODERA, GULNAR P MD	8/10/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	110537	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
270171	Fee-for-Service	1689019432	1689019432	1	1	ORTIZ, RENEE	7/26/2024	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
270365	Fee-for-Service	1245422922	1245422922	1	1	OGUNTOLU, YEMI	5/8/2007	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	GLOBAL AID MED SUPPLY	17638 SHERMAN WAY	None	VAN NUYS	CA	91406	3509	19	06037	34.20104854	-118.517598	Los Angeles County
270402	Fee-for-Service	1497130280	1497130280	1	1	OLE HEALTH	2/1/2016	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	470 CHADBOURNE ROAD	STE A	FAIRFIELD	CA	94534	9600	48	06095	38.23474317	-122.0838031	Solano County
270406	Fee-for-Service	1578721015	1578721015	1	1	ODERA, GULNAR P MD	8/10/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	110537	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4501 SAND CREEK RD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
270433	Fee-for-Service	1891348678	1891348678	1	1	OSMAN, ALI O MD	8/30/2022	207R00000X	NA	Other	026	PHYSICIANS	176009	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
270682	Fee-for-Service	1497130280	1497130280	1	1	OLE HEALTH	4/8/2016	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	470 CHADBOURNE ROAD	STE A	FAIRFIELD	CA	94534	9600	48	06095	38.23474317	-122.0838031	Solano County
270856	Fee-for-Service	1497130280	1497130280	1	2	OLE HEALTH	1/1/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	911 WASHINGTON ST	None	CALISTOGA	CA	94515	1433	28	06055	38.57812737	-122.5772111	Napa County
270888	Fee-for-Service	1306681630	1306681630	1	1	OBER, KAITLYN E	9/9/2024	235Z00000X	NA	Other	037	SPEECH 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
270959	Fee-for-Service	1497130280	1497130280	1	1	OLE HEALTH	1/26/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	470 CHADBOURNE ROAD	STE A	FAIRFIELD	CA	94534	9600	48	06095	38.23474317	-122.0838031	Solano County
270967	Fee-for-Service	1861516809	1861516809	1	1	OBRIA MEDICAL CLINICS OF	6/12/2006	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	SOUTHERN CALIFORNIA, INC	2001 E FIRST STREET	SUITE 209	SANTA ANA	CA	92705	4048	30	06059	33.74572853	-117.8385885	Orange County
271050	Fee-for-Service	1316967961	1316967961	1	1	OHNING, GORDON V MD	9/1/1995	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	60447	10	Gastroenterology (M.D. only)	0	In state provider	None	200 UCLA MEDICAL PLZ	STE 365	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
271136	Fee-for-Service	1497130280	1497130280	1	2	OLE HEALTH	1/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	911 WASHINGTON ST	None	CALISTOGA	CA	94515	1433	28	06055	38.57812737	-122.5772111	Napa County
271177	Fee-for-Service	1396721197	1396721197	1	2	OMNI WOMENS HEALTH MEDICAL G	5/6/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	HEALTH MEDICAL GRP INC	2210 E ILLINOIS	STE 201	FRESNO	CA	93701	2167	10	06019	36.74500687	-119.7846885	Fresno County
271185	Fee-for-Service	1770520488	1770520488	1	1	ONTARIO DIALYSIS CENTER	3/8/2008	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	INC	1001 W 6TH ST	None	ONTARIO	CA	91762	1213	36	06071	34.084872	-117.668295	San Bernardino County
271205	Fee-for-Service	1619010592	1619010592	1	1	ORTIZ, ANGELITA T RN	8/1/1995	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	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
271296	Fee-for-Service	1427085141	1427085141	1	1	ORAVA, ROBERT S MD	12/10/2019	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	2	Out of state provider	None	1400 S DOBSON RD	None	MESA	AZ	85202	4707	00	None	33.38982	-111.8760885	Maricopa County
271374	Fee-for-Service	1902253610	1902253610	1	1	OMOGROSSO, ROBERT K DO	10/10/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	15941	08	Family Practice	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	0001	39	06077	37.97026329	-121.2890849	San Joaquin County
271419	Fee-for-Service	1497040562	1497040562	1	1	ORANGE COUNTY WOMEN'S	1/17/2012	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	105959	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	HEALTHCARE ASSOCIATES	1211 W LA PALMA AVENUE	STE 609	ANAHEIM	CA	92801	2813	30	06059	33.84718298	-117.933758	Orange County
271437	Fee-for-Service	1023110905	1023110905	1	1	ORANGE COUNTY NEUROLOGICAL M	10/21/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	EDICAL GROUP INC	1211 W LA PALMA AVE	710	ANAHEIM	CA	92801	2814	30	06059	33.84718298	-117.933758	Orange County
271597	Fee-for-Service	1902106198	1902106198	1	4	OLE HEALTH	4/6/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	780 LINCOLN AVE	None	NAPA	CA	94558	5110	28	06055	38.3099033	-122.2875427	Napa County
271612	Fee-for-Service	1982741898	1982741898	1	1	OLEA, JOHN G MD	12/1/2003	207L00000X	NA	Other	026	PHYSICIANS	48729	05	Anesthesiology	0	In state provider	None	1530 E CHEVY CHASE DR	STE 205A	GLENDALE	CA	91206	4168	19	06037	34.150689	-118.2303855	Los Angeles County
271655	Fee-for-Service	1447793724	1447793724	1	1	ORLANDO, ANTHEA LMFT	10/9/2024	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
271716	Fee-for-Service	1275776536	1275776536	1	1	ORTIZ-GUERRERO, ANA C MD	11/21/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117719	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
271805	Fee-for-Service	1306039920	1306039920	1	1	OGAR, IPUOLE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5102 W CAMPBELL AVE	None	PHOENIX	AZ	85031	1703	00	None	33.502932	-112.171095	Maricopa County
271822	Fee-for-Service	1770908758	1770908758	1	1	OCAMPO-GIANCOLA, ROCIO LMFT	7/29/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	50607	-	NOT APPLICABLE	0	In state provider	None	1365 N JOHNSON AVE	SUITES 111 AND 113	EL CAJON	CA	92020	1649	37	06073	32.813955	-116.9709805	San Diego County
271861	Fee-for-Service	1427075118	1427075118	1	1	OSTER, HENRY A MD	10/31/1992	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	33690	77	Infectious Disease	0	In state provider	None	100 N BRENT ST	STE 203	VENTURA	CA	93003	2866	56	06111	34.27345057	-119.2569821	Ventura County
271895	Fee-for-Service	1265460687	1265460687	1	1	OSBORNE, AARON G DO INC	3/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	9141	20	Orthopedic Surgery	0	In state provider	None	2662 EDITH AVE	None	REDDING	CA	96001	3043	45	06089	40.57071892	-122.3974077	Shasta County
271945	Fee-for-Service	1811163637	1811163637	1	1	O'BRIEN, NANCY LMFT	6/27/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	36254	-	NOT APPLICABLE	0	In state provider	None	303 41ST STREET	None	RICHMOND	CA	94805	2221	07	06013	37.93356197	-122.3307418	Contra Costa County
271981	Fee-for-Service	1750319471	1750319471	1	1	OBER, RONALD L LCSW	1/27/2020	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	ERVICES	2160 CALISTOGA DR	None	HOLLISTER	CA	95023	6255	35	06069	36.8286868	-121.3703887	San Benito County
272057	Fee-for-Service	1669870663	1669870663	1	1	OPTIONS RECOVERY SERVICES	6/18/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1835 ALLSTON WAY	None	BERKELEY	CA	94703	1764	01	06001	37.86870737	-122.2736553	Alameda County
272080	Fee-for-Service	1760062855	1760062855	1	1	OC LIFE INC	3/6/2023	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	8100 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92844	1016	30	06059	33.77371353	-117.9908775	Orange County
272130	Fee-for-Service	1427075118	1427075118	1	1	OSTER, HENRY A MD	10/31/1992	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	33690	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	100 N BRENT ST	STE 203	VENTURA	CA	93003	2866	56	06111	34.27345057	-119.2569821	Ventura County
272192	Fee-for-Service	1558412494	1558412494	1	1	OBINNAH, AUGUSTINE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4809 ARGONNE ST	STE 100	DENVER	CO	80249	6835	00	None	39.7841371	-104.7649375	Denver County
272234	Fee-for-Service	1982970356	1982970356	1	1	OLAREWAJU, ADEBOLA M NP	6/23/2015	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
272281	Fee-for-Service	1780314492	1780314492	1	1	OLSON, NATALYA A NP	2/27/2023	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
272389	Fee-for-Service	1174867147	1174867147	1	1	OSILLA, KAREN C PHD	11/11/2021	103T00000X	NA	Mental Health Outpatient Services	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
272447	Fee-for-Service	1770567513	1770567513	1	1	OPPENHEIM, PETER I MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	80115	08	Family Practice	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
272643	Fee-for-Service	1609973833	1609973833	1	1	OC PATH MEDICAL GROUP	11/27/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PATHOLOGY ASSOCIATES INC	2601 E CHAPMAN AVE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
272664	Fee-for-Service	1801282116	1801282116	1	1	OGLESBYMCCOWAN, KIMBERLY A	10/8/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	NP	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
272728	Fee-for-Service	1376093013	1376093013	1	1	OAKK CARE INC	8/28/2024	302R00000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1358 E HELMICK ST	None	CARSON	CA	90746	3108	19	06037	33.85175413	-118.2464468	Los Angeles County
272781	Fee-for-Service	1346244183	1346244183	1	1	OTERO, FERNANDO R MD	4/24/2009	2086S0129X	NA	General Surgery	026	PHYSICIANS	54054	02	General Surgery	0	In state provider	None	1601 YGNACIO VALLEY ROAD	None	WALNUT CREEK	CA	94598	3194	07	06013	37.9141514	-122.0422089	Contra Costa County
272946	Fee-for-Service	1073992731	1073992731	1	1	OZZELLO, DANIEL J MD	7/19/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	161485	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
272988	Fee-for-Service	1306158928	1306158928	1	1	ODHAV, RAJ MD	8/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	119963	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
273157	Fee-for-Service	1588816656	1588816656	1	1	OMAHONY, JOAN M NP	1/8/2021	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
273167	Fee-for-Service	1912087156	1912087156	1	1	OLIVEROS, LETICIA C MD	8/1/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	51721	40	Pediatrics	0	In state provider	None	101 THE CITY DR S	BLDG 27	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
273246	Fee-for-Service	1013631985	1013631985	1	1	ORTHOPEDIC PAIN & SPINE CENT	10/23/2023	2081P2900X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	None	None	None	0	In state provider	ER	1640 NEWPORT BLVD	230	COSTA MESA	CA	92627	7730	30	06059	33.63437128	-117.9221659	Orange County
273250	Fee-for-Service	1891725057	1891725057	1	1	OSWALT, DEBRA A CRNA	4/11/2025	No Taxonomy Provided	NA	None	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
273255	Fee-for-Service	1952338709	1952338709	1	1	OKAMOTO, VINCENT R MD	6/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68044	05	Anesthesiology	0	In state provider	None	9212 MIRA ESTE CT	STE 204	SAN DIEGO	CA	92126	6337	37	06073	32.88927901	-117.1482338	San Diego County
273387	Fee-for-Service	1760773188	1760773188	1	1	OPOKU, ABENA A MD	12/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144605	01	General Practice	0	In state provider	None	601 VAN NESS AVE	None	SAN FRANCISCO	CA	94102	3200	38	06075	37.78149353	-122.4206703	San Francisco County
273473	Fee-for-Service	1598792442	1598792442	1	1	OCHS, MELVIN A MD	11/30/1995	207P00000X	NA	Other	026	PHYSICIANS	31038	01	General Practice	0	In state provider	MEDICAL CORPORATION	492 3RD AVE	STE 105	CHULA VISTA	CA	91910	4614	37	06073	32.63490965	-117.0774465	San Diego County
273498	Fee-for-Service	1043238728	1043238728	1	1	OLSON, CHERYL L MD	5/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	78218	02	General Surgery	0	In state provider	None	9850 GENESEE AVE	STE 660	LA JOLLA	CA	92037	1231	37	06073	32.882913	-117.226341	San Diego County
273579	Fee-for-Service	1770809329	1770809329	1	1	OH, GERALD S MD	8/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148816	13	Neurology (M.D. only)	0	In state provider	None	25150 HANCOCK AVE	SUITE 210	MURRIETA	CA	92562	5989	33	06065	33.56635084	-117.1823956	Riverside County
273604	Fee-for-Service	1467606640	1467606640	1	1	OH, JOO SEOK LAC	4/15/2018	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	6717 INDIANA AVE	None	RIVERSIDE	CA	92506	4263	33	06065	33.94390109	-117.3907384	Riverside County
273678	Fee-for-Service	1316035942	1316035942	1	1	OBERG, JON C E MD	6/22/1994	208600000X	NA	General Surgery	026	PHYSICIANS	79243	02	General Surgery	0	In state provider	None	2510 AIRPARK DR	STE 301	REDDING	CA	96001	2462	45	06089	40.57119566	-122.4016582	Shasta County
273726	Fee-for-Service	1174844815	1174844815	1	1	OLSON, ERIK J MD	12/23/2020	208600000X	NA	General Surgery	026	PHYSICIANS	117835	None	None	0	In state provider	None	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
273766	Fee-for-Service	1043238728	1043238728	1	1	OLSON, CHERYL L MD	5/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	78218	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9850 GENESEE AVE	STE 660	LA JOLLA	CA	92037	1231	37	06073	32.882913	-117.226341	San Diego County
273902	Fee-for-Service	1245520790	1245520790	1	1	OREJEL, DEREK J MD	5/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124440	41	Internal Medicine	0	In state provider	None	43112 15TH ST W	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
273941	Fee-for-Service	1902106198	1902106198	1	3	OLE HEALTH	4/6/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2751 NAPA VALLEY CORP DR	SUITE 1100	NAPA	CA	94558	6216	28	06055	38.24829023	-122.2745626	Napa County
274100	Fee-for-Service	1518631142	1518631142	1	1	OMNI FAMILY HEALTH	10/12/2023	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	6700 NILES STREET	STE 185	BAKERSFIELD	CA	93306	4800	15	06029	35.37616449	-118.9303406	Kern County
274101	Fee-for-Service	1033373287	1033373287	1	1	OSPINA, JOSE A MD	9/2/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100569	None	None	0	In state provider	None	555 SOUTH 7TH AVENUE	None	BARSTOW	CA	92311	3086	36	06071	34.894062	-117.0196215	San Bernardino County
274205	Fee-for-Service	1902106198	1902106198	1	3	OLE HEALTH	4/6/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2751 NAPA VALLEY CORP DR	SUITE 1100	NAPA	CA	94558	6216	28	06055	38.24829023	-122.2745626	Napa County
274359	Fee-for-Service	1689072977	1689072977	1	1	ORANGE TREEIDENCE OPCO LLC	1/1/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	4000 HARRISON STREET	None	RIVERSIDE	CA	92530	3514	33	06065	33.92064	-117.4541365	Riverside County
274365	Fee-for-Service	1518631142	1518631142	1	1	OMNI FAMILY HEALTH	4/17/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	6700 NILES STREET	STE 185	BAKERSFIELD	CA	93306	4800	15	06029	35.37616449	-118.9303406	Kern County
274394	Fee-for-Service	1861733602	1861733602	1	1	ODELL, KARLA D MD	9/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	110746	04	Otology, Laryngology, Rhinology	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
274419	Fee-for-Service	1841331626	1841331626	1	1	OAK VALLEY HOSPITAL DISTRICT	1/13/1994	261QR1300X	NA	Rural Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1420 W H ST	None	OAKDALE	CA	95361	3557	50	06099	37.75794715	-120.8623247	Stanislaus County
274451	Fee-for-Service	1053774125	1053774125	1	1	OTTLEY, RAJANI L LMFT	5/25/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14135 MAIN ST	301	HESPERIA	CA	92345	8092	36	06071	34.42669852	-117.354483	San Bernardino County
274455	Fee-for-Service	1710245055	1710245055	1	1	OWENS, MICHELLE C DO	10/31/2022	2278P3800X	NA	Other	026	PHYSICIANS	19865	None	None	0	In state provider	None	517 3RD STREET	22	EUREKA	CA	95501	3203	12	06023	40.80367671	-124.166036	Humboldt County
274577	Fee-for-Service	1700804556	1700804556	1	4	OMNI FAMILY HEALTH	12/13/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4844 N 1ST ST	SUITE 104	FRESNO	CA	93726	0529	10	06019	36.80569286	-119.7720261	Fresno County
274631	Fee-for-Service	1518631142	1518631142	1	1	OMNI FAMILY HEALTH	4/17/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	6700 NILES STREET	STE 185	BAKERSFIELD	CA	93306	4800	15	06029	35.37616449	-118.9303406	Kern County
274682	Fee-for-Service	1841331626	1841331626	1	1	OAK VALLEY HOSPITAL DISTRICT	1/13/1994	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1420 W H ST	None	OAKDALE	CA	95361	3557	50	06099	37.75794715	-120.8623247	Stanislaus County
274749	Fee-for-Service	1588369789	1588369789	1	1	OLCOTT, GABRIELLE L PT	10/3/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	24 E MAIN ST	None	VENTURA	CA	93001	2660	56	06111	34.28096357	-119.3003485	Ventura County
274754	Fee-for-Service	1881768497	1881768497	1	1	ORLINO, PATRICIA A MD	3/21/2008	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	95921	30	Radiology	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
274758	Fee-for-Service	1811958127	1811958127	2	1	OLUSANYA, ABIMBOLA O NP	11/1/2010	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
274803	Fee-for-Service	1467493155	1467493155	1	1	O'NEILL, TIMOTHY F	2/28/1992	174400000X	NA	Other	026	PHYSICIANS	65895	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	39600 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3265	33	06065	33.7614267	-116.4080191	Riverside County
274844	Fee-for-Service	1700804556	1700804556	1	4	OMNI FAMILY HEALTH	12/13/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4844 N 1ST ST	SUITE 104	FRESNO	CA	93726	0529	10	06019	36.80569286	-119.7720261	Fresno County
274852	Fee-for-Service	1538788427	1538788427	1	1	ORTIZ-COLON, JORGE MD	7/31/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	188044	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
274876	Fee-for-Service	1508145277	1508145277	1	1	OSORIO, SANTIAGO PT	7/5/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2424 VISTA WAY	120	OCEANSIDE	CA	92054	6169	37	06073	33.18326195	-117.3355017	San Diego County
274943	Fee-for-Service	1841331626	1841331626	1	1	OAK VALLEY HOSPITAL DISTRICT	1/13/1994	261QR1300X	NA	Rural Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1420 W H ST	None	OAKDALE	CA	95361	3557	50	06099	37.75794715	-120.8623247	Stanislaus County
274967	Fee-for-Service	1558353144	1558353144	1	1	OHARA & ASSOCIATES: A PROFES	8/8/2019	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SIONAL MEDICAL CORPORATI	22 ODYSSEY	SUITE 170A	IRVINE	CA	92618	3186	30	06059	33.66719598	-117.7642461	Orange County
275060	Fee-for-Service	1720038839	1720038839	1	1	OMNI ANESTHESIA ASSOC	7/1/2003	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	CERT RN ANEST GRP INC	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
275063	Fee-for-Service	1467493155	1467493155	1	1	O'NEILL, TIMOTHY F	2/28/1992	174400000X	NA	Other	026	PHYSICIANS	65895	01	General Practice	0	In state provider	None	39600 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3265	33	06065	33.7614267	-116.4080191	Riverside County
275065	Fee-for-Service	1205934783	1205934783	1	1	ORANGE COUNTY RENAL MED	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GROUP INC	12665 GARDEN GROVE BLVD	STE 211	GARDEN GROVE	CA	92843	1916	30	06059	33.77450141	-117.9123364	Orange County
275205	Fee-for-Service	1841331626	1841331626	1	1	OAK VALLEY HOSPITAL DISTRICT	3/1/1997	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1420 W H ST	None	OAKDALE	CA	95361	3557	50	06099	37.75794715	-120.8623247	Stanislaus County
275216	Fee-for-Service	1396365078	1396365078	1	1	OCEANSIDE REST HOME, INC	1/10/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	4451 SAN JOAQUIN ST	None	OCEANSIDE	CA	92057	6024	37	06073	33.24466416	-117.3190158	San Diego County
275349	Fee-for-Service	1629245790	1629245790	1	1	O'CONNELL, TARA A MD	6/15/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	107639	66	Emergency Medicine (Urgent Care)	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
275539	Fee-for-Service	1235215732	1235215732	1	1	ORQUE, ROLAND S MD	9/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85264	01	General Practice	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
275625	Fee-for-Service	1205154408	1205154408	1	1	OROZCO, ISIS R LMFT	1/13/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	150 N GRAND AVE STE 212	None	WEST COVINA	CA	91791	1757	19	06037	34.07366465	-117.8723323	Los Angeles County
275633	Fee-for-Service	1669763769	1669763769	1	1	OHNO, MIKA S MD	11/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123055	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
275641	Fee-for-Service	1679749865	1679749865	1	1	OSTICK, AIMEE P MD	1/24/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113996	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
275773	Fee-for-Service	1790859601	1790859601	1	1	O'NEAL, JOHN H MD	5/20/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	31029	36	Psychiatry	0	In state provider	None	2008 MORSE AVE	None	SACRAMENTO	CA	92825	2135	34	06067	38.601801	-121.391613	Sacramento County
275792	Fee-for-Service	1235215732	1235215732	1	1	ORQUE, ROLAND S MD	9/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85264	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
275877	Fee-for-Service	1043241888	1043241888	1	1	OLOFF, LAWRENCE M DPM	3/20/2019	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	4506	41	06081	37.592811	-122.382351	San Mateo County
276063	Fee-for-Service	1144403411	1144403411	1	1	OSORIO, RUBEN MD INC	9/20/2007	193400000X	NA	Other	026	PHYSICIANS	81620	02	General Surgery	0	In state provider	None	399 E HIGHLAND AVE	STE 319	SAN BERNARDINO	CA	92404	3858	36	06071	34.1358627	-117.2757898	San Bernardino County
276186	Fee-for-Service	1598907453	1598907453	1	1	O'BRIEN, MICHAEL P MD	5/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	1240 EAST 9TH STREET	None	RENO	NV	89512	2964	00	None	39.53846574	-119.7974202	Washoe County
276245	Fee-for-Service	1932398674	1932398674	1	2	OLSZANOWSKI, MAIELLA G	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	12 PROVINCETOWN CIR	None	SALINAS	CA	93906	4465	27	06053	36.70581662	-121.6168577	Monterey County
276306	Fee-for-Service	1023650256	1023650256	1	1	OMNI FAMILY HEALTH	5/7/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1701 STINE RD	None	BAKERSFIELD	CA	93309	4827	15	06029	35.33828383	-119.0513543	Kern County
276308	Fee-for-Service	1821031741	1821031741	1	1	ORTHOPEDIC TRAUMA SURGEONS	2/21/2003	193400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	6620 COYLE AVE	STE 212	CARMICHAEL	CA	95608	6337	34	06067	38.66751	-121.310028	Sacramento County
276364	Fee-for-Service	1851859714	1851859714	1	2	OC REHAB A MEDICAL GROUP INC	5/27/2021	225100000X	NA	Physical Therapist	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	12555 GARDEN GROVE BLVD	SUITE 406	GARDEN GROVE	CA	92843	1000	30	06059	33.77450946	-117.913041	Orange County
276367	Fee-for-Service	1790104503	1790104503	1	2	OASIS TRANSPORT INC.	10/3/2023	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	13735 VICTORY BLVD	15	VAN NUYS	CA	91401	2300	19	06037	34.18669746	-118.432404	Los Angeles County
276497	Fee-for-Service	1932398674	1932398674	1	2	OLSZANOWSKI, MAIELLA G	10/11/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	12 PROVINCETOWN CIR	None	SALINAS	CA	93906	4465	27	06053	36.70581662	-121.6168577	Monterey County
276548	Fee-for-Service	1780990077	1780990077	1	2	OC HOME HEALTH CARE INC	12/8/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2001 W MAGNOLIA BLVD	SUITE B	BURBANK	CA	91506	1704	19	06037	34.17366469	-118.3298365	Los Angeles County
276557	Fee-for-Service	1821031741	1821031741	1	1	ORTHOPEDIC TRAUMA SURGEONS	2/21/2003	193400000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6620 COYLE AVE	STE 212	CARMICHAEL	CA	95608	6337	34	06067	38.66751	-121.310028	Sacramento County
276614	Fee-for-Service	1851859714	1851859714	1	2	OC REHAB A MEDICAL GROUP INC	1/25/2021	225100000X	NA	Physical Therapist	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	12555 GARDEN GROVE BLVD	SUITE 406	GARDEN GROVE	CA	92843	1000	30	06059	33.77450946	-117.913041	Orange County
276701	Fee-for-Service	1306290838	1306290838	1	1	OZEKI, KATHARINE MD	8/15/2019	207R00000X	NA	Other	026	PHYSICIANS	151141	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
276773	Fee-for-Service	1093002883	1093002883	1	1	OSBORNE, GLORIA B LCSW	5/7/2020	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2626 COLORADO BLVD	None	LOS ANGELES	CA	90041	1070	19	06037	34.14236825	-118.2236654	Los Angeles County
276836	Fee-for-Service	1750398863	1750398863	1	4	ORANGE COUNTY RETINA MEDICAL	3/5/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP	1440 N HARBOR BLVD	STE 708	FULLERTON	CA	92835	4120	30	06059	33.88513341	-117.926041	Orange County
276868	Fee-for-Service	1851859714	1851859714	1	2	OC REHAB A MEDICAL GROUP INC	1/25/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12555 GARDEN GROVE BLVD	SUITE 406	GARDEN GROVE	CA	92843	1000	30	06059	33.77450946	-117.913041	Orange County
276963	Fee-for-Service	1811621907	1811621907	1	1	OKWARAJI, KELECHI NP	8/7/2024	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
276998	Fee-for-Service	1912538166	1912538166	1	1	OATES, JULIE A CNM	7/12/2021	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
277004	Fee-for-Service	1316957228	1316957228	1	1	OUDIZ, RONALD J MD	8/30/1990	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	70500	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1127 N AVALON BLVD	None	WILMINGTON	CA	90744	3501	19	06037	33.78567703	-118.2629206	Los Angeles County
277113	Fee-for-Service	1245642990	1245642990	1	1	ORONA, LAUREN E MD	9/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	146562	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
277209	Fee-for-Service	1336638840	1336638840	1	1	OFFERMAN, ERIK J MD	8/6/2024	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	174696	06	Cardiovascular Disease (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
277215	Fee-for-Service	1750936217	1750936217	1	1	O'MARA, TIERNEY CCC-SLP	5/23/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	745 E LOCUST AVE	STE. 110	FRESNO	CA	93720	3000	10	06019	36.84055248	-119.7718605	Fresno County
277255	Fee-for-Service	1417986613	1417986613	1	1	O'LEARY MICHAEL J MD INC	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	56751	04	Otology, Laryngology, Rhinology	0	In state provider	None	6645 ALVARADO RD	STE 4000	SAN DIEGO	CA	92120	5208	37	06073	32.7772577	-117.0575222	San Diego County
277280	Fee-for-Service	1447561089	1447561089	1	1	O'NEILL KIMBERLY H	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
277307	Fee-for-Service	1538999792	1538999792	1	1	OLVERA DENA, JASMIN	8/30/2024	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	43	06085	0	0	None
277318	Fee-for-Service	1265235790	1265235790	1	1	ORTEGA, MARTHA P	5/20/2025	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	44	06087	0	0	None
277372	Fee-for-Service	1679767701	1679767701	1	2	ONUAGULUCHI, VICTOR N CRNA	1/26/2017	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	901 OLIVE DRIVE	None	BAKERSFIELD	CA	93308	4137	15	06029	35.41225153	-119.0396655	Kern County
277431	Fee-for-Service	1790119626	1790119626	1	1	OLSEN, ANNA MICHELLE D	6/12/2020	207L00000X	NA	Other	026	PHYSICIANS	150908	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
277472	Fee-for-Service	1699814681	1699814681	2	1	OUIMET, ADAM C MD	11/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	1	Border provider	None	1600 MEDICAL PARKWAY	None	CARSON CITY	NV	89703	4625	00	None	39.202263	-119.7841095	Consolidated Municipality of Carson City
277500	Fee-for-Service	1417986613	1417986613	1	1	O'LEARY MICHAEL J MD INC	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	56751	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6645 ALVARADO RD	STE 4000	SAN DIEGO	CA	92120	5208	37	06073	32.7772577	-117.0575222	San Diego County
277620	Fee-for-Service	1619219037	1619219037	1	1	O'CONNELL, JACQUELINE NP	3/14/2022	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
277638	Fee-for-Service	1023342649	1023342649	1	1	ODYSSEY CLINICAL	1/25/2013	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	LABORATORIES	2061 WRIGHT AVE	SUITE A3	LA VERNE	CA	91750	5813	19	06037	34.0950783	-117.7729389	Los Angeles County
277659	Fee-for-Service	1437308715	1437308715	1	1	OAKLAND PHARMACY INC	9/29/2008	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NEW OAKLAND PHARMACY #2	388 9TH ST	#108	OAKLAND	CA	94607	4211	01	06001	37.80019425	-122.2715222	Alameda County
277668	Fee-for-Service	1629121389	1629121389	1	1	OBIALISI, JOSEPHINE C	4/11/2005	164X00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	8425 BELFORD AVE	None	WESTCHESTER	CA	90045	4313	19	06037	33.96149489	-118.383922	Los Angeles County
277760	Fee-for-Service	1285925636	1285925636	1	1	OOMERJEE, EBRAHIM R MD	10/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	132078	40	Pediatrics	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
277960	Fee-for-Service	1821138405	1821138405	1	1	OLIVARES, GISELLA V DO	7/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	8664	08	Family Practice	0	In state provider	None	984 WEST FOOTHILL BLVD	None	UPLAND	CA	91786	3700	36	06071	34.10650049	-117.6651668	San Bernardino County
278325	Fee-for-Service	1699473140	1699473140	1	1	OCHOA, KEVIN P PT	3/30/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1027 N HARBOR BLVD	SUITE B	FULLERTON	CA	92832	1310	30	06059	33.88084265	-117.9245141	Orange County
278371	Fee-for-Service	1801279906	1801279906	1	1	OBANOR, OSAMEDE S MD	6/23/2023	207R00000X	NA	Other	026	PHYSICIANS	172598	None	None	0	In state provider	None	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
278434	Fee-for-Service	1083643993	1083643993	1	1	ORBIT MEDICAL OF LAS VEGAS	10/19/2010	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	ORBIT MEDICAL OF LAS VEG	4655 QUALITY COURT	SUITE I AND J	LAS VEGAS	NV	89103	5229	00	None	36.10585035	-115.2045203	Clark County
278440	Fee-for-Service	1952304859	1952304859	1	1	ORTIZ, XAVIER G MD	5/22/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	148485	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
278463	Fee-for-Service	1558719633	1558719633	1	1	ORABI, DANNY A MD	8/5/2024	204F00000X	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
278467	Fee-for-Service	1992396972	1992396972	1	1	OFA VALE	3/17/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	26171 FOUNTAIN BLEU DR	None	SUN CITY	CA	92586	2776	33	06065	33.70749777	-117.2032143	Riverside County
278469	Fee-for-Service	1750603494	1750603494	1	1	OUCHIDA, GRACE S LAC	5/3/2019	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	3559 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	1763	49	06097	38.47813376	-122.7279674	Sonoma County
278502	Fee-for-Service	1982864773	1982864773	1	1	OSBORNE, CHAD N MD	8/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117348	08	Family Practice	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
278542	Fee-for-Service	1154438943	1154438943	1	1	OPENSHAW, HARRY MD	10/18/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	20673	01	General Practice	0	In state provider	UCD PROF SVCS GRP	2601 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2210	34	06067	38.551311	-121.454433	Sacramento County
278684	Fee-for-Service	1063990497	1063990497	1	1	OROZCO, BARBARA LMFT	3/4/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	21660 COPLEY DR	SUITE 210	DIAMOND BAR	CA	91765	4109	19	06037	33.99822893	-117.8340403	Los Angeles County
279044	Fee-for-Service	1992425482	1992425482	1	1	OMNI FAMILY HEALTH	10/14/2024	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	667 S. CENTRAL VALLEY HW	None	SHAFTER	CA	93263	2790	15	06029	35.49495752	-119.2643883	Kern County
279103	Fee-for-Service	1700362159	1700362159	1	1	OPTIONS RECOVERY SERVICES	4/8/2020	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1630 10TH STREET	None	OAKLAND	CA	94607	1927	01	06001	37.80875282	-122.2969308	Alameda County
279131	Fee-for-Service	1043277452	1043277452	1	1	OSGOOD, ALAN C	7/1/1983	207P00000X	NA	Other	026	PHYSICIANS	52807	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
279152	Fee-for-Service	1073528790	1073528790	1	1	ORNITZ, DONNA B.	6/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	69819	18	Ophthalmology	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
279155	Fee-for-Service	1780857268	1780857268	1	1	OATMAN, OLIVER J DO	5/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	67	Endocrinology	2	Out of state provider	None	1920 E CAMBRIDGE AVE	STE 301	PHOENIX	AZ	85006	1464	00	None	33.4775733	-112.040141	Maricopa County
279182	Fee-for-Service	1821073537	1821073537	1	1	O'MALLEY, PETER L MD	2/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	66715	40	Pediatrics	0	In state provider	None	7911 LAGUNA BLVD	None	ELK GROVE	CA	95758	7920	34	06067	38.422971	-121.410873	Sacramento County
279297	Fee-for-Service	1720093180	1720093180	1	1	ORETSKY, MARTIN I MD	6/1/1994	207P00000X	NA	Other	026	PHYSICIANS	14261	66	Emergency Medicine (Urgent Care)	0	In state provider	None	555 E VALLEY PKWY	None	ESCONDIDO	CA	92025	3048	37	06073	33.12542915	-117.0764725	San Diego County
279364	Fee-for-Service	1043277452	1043277452	1	1	OSGOOD, ALAN C	7/1/1983	207P00000X	NA	Other	026	PHYSICIANS	52807	41	Internal Medicine	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
279428	Fee-for-Service	1629028279	1629028279	1	1	ORTMEYER, ANN E MD	2/28/1991	207N00000X	NA	Dermatology	026	PHYSICIANS	56738	07	Dermatology	0	In state provider	None	204 GREEN VALLEY RD	None	FREEDOM	CA	95019	3135	44	06087	36.93777813	-121.7711905	Santa Cruz County
279462	Fee-for-Service	1215604814	1215604814	1	1	OMEGA TRANSPORTATION SERVICE	7/8/2022	342000000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	S L L C	429 S. BRISTOL STREET	#3	SANTA ANA	CA	92703	1234	30	06059	33.74164179	-117.8850226	Orange County
279525	Fee-for-Service	1720093180	1720093180	1	1	ORETSKY, MARTIN I MD	6/1/1994	207P00000X	NA	Other	026	PHYSICIANS	14261	41	Internal Medicine	0	In state provider	None	555 E VALLEY PKWY	None	ESCONDIDO	CA	92025	3048	37	06073	33.12542915	-117.0764725	San Diego County
279946	Fee-for-Service	1871183368	1871183368	1	1	OLD IS GOLD HOSPICE CARE INC	10/15/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	18747 SHERMAN WAY	STE 104	RESEDA	CA	91335	4055	19	06037	34.2011975	-118.5419835	Los Angeles County
280027	Fee-for-Service	1518191253	1518191253	1	1	OCTAVE, TONYA	10/4/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	237 S LAKEVIEW AVE	SUITE A	PLACENTIA	CA	92870	6756	30	06059	33.86855096	-117.8182453	Orange County
280124	Fee-for-Service	1831221480	1831221480	1	1	OLIN, AMY E MD	12/19/2007	207P00000X	NA	Other	026	PHYSICIANS	96656	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
280128	Fee-for-Service	1982731972	1982731972	1	2	OLSON, CATHERINE E MD	9/28/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	68337	-	NOT APPLICABLE	0	In state provider	None	1625 CARROLL AVE	2ND FLOOR	SAN FRANCISCO	CA	94124	3219	38	06075	37.72518613	-122.3938382	San Francisco County
280140	Fee-for-Service	1588819114	1588819114	1	1	OMOTO, PATRICIA P CRNA	5/28/2010	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
280170	Fee-for-Service	1871183368	1871183368	1	1	OLD IS GOLD HOSPICE CARE INC	10/15/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	18747 SHERMAN WAY	STE 104	RESEDA	CA	91335	4055	19	06037	34.2011975	-118.5419835	Los Angeles County
280218	Fee-for-Service	1821559386	1821559386	1	1	OLDS, ANNA MD	5/1/2023	2086S0120X	NA	General Surgery	026	PHYSICIANS	177266	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
280245	Fee-for-Service	1467093377	1467093377	1	1	OWENS, ELSA T NP	7/12/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
280279	Fee-for-Service	1407113616	1407113616	1	1	OXMAN, RACHAEL T MD	5/24/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	135177	67	Endocrinology	0	In state provider	None	200 MEDICAL PLAZA	STE 365, 420, 120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
280285	Fee-for-Service	1053499806	1053499806	1	1	ONG, ELAINE K MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	64839	40	Pediatrics	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
280325	Fee-for-Service	1154392470	1154392470	1	1	OTA, GORDON K OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	10130 WARNER AVE	STE J	FOUNTAIN VALLEY	CA	92708	1619	30	06059	33.7161915	-117.95238	Orange County
280376	Fee-for-Service	1164012662	1164012662	1	1	OAKES, BRENNA L NP	1/1/2022	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
280398	Fee-for-Service	1053357012	1053357012	1	1	OLEGARIO, ALBERTA C MD	10/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	38258	01	General Practice	0	In state provider	None	209 N 2ND AVE	None	BARSTOW	CA	92311	2222	36	06071	34.89951991	-117.026143	San Bernardino County
280405	Fee-for-Service	1063423903	1063423903	1	1	OHIAERI, IKECHUKWU A MD	1/1/1998	2084P0800X	NA	Psychiatry	026	PHYSICIANS	51835	36	Psychiatry	0	In state provider	None	14344 CAJON AVE	#102	VICTORVILLE	CA	92392	4300	36	06071	34.511292	-117.3264295	San Bernardino County
280465	Fee-for-Service	1639378748	1639378748	1	1	OSEI, ADWOA P MD	3/14/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	153804	40	Pediatrics	0	In state provider	None	555 TECHEVAH DRIVE	None	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
280554	Fee-for-Service	1417950221	1417950221	1	1	ORR, PAUL D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	22925	01	General Practice	0	In state provider	None	430 W BASELINE RD	None	CLAREMONT	CA	91711	1607	19	06037	34.12157453	-117.7214355	Los Angeles County
280588	Fee-for-Service	1174836340	1174836340	1	1	ORTEGA, MATTHEW LMFT	5/15/2023	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
280621	Fee-for-Service	1053357012	1053357012	1	1	OLEGARIO, ALBERTA C MD	10/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	38258	41	Internal Medicine	0	In state provider	None	209 N 2ND AVE	None	BARSTOW	CA	92311	2222	36	06071	34.89951991	-117.026143	San Bernardino County
280717	Fee-for-Service	1154353357	1154353357	1	1	OLTERMANN, MARK H MD	5/31/2018	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
280730	Fee-for-Service	1700856796	1700856796	1	1	ORANGE CITY MUNICIPAL HOSP	4/29/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1000 LINCOLN CIR SE	None	ORANGE CITY	IA	51041	1836	00	None	42.99560241	-96.04464101	Sioux County
280774	Fee-for-Service	1609074939	1609074939	1	1	OVERSTREET, JOSHUA W	8/10/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4867 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5969	19	06037	34.0981755	-118.295055	Los Angeles County
280777	Fee-for-Service	1417950221	1417950221	1	1	ORR, PAUL D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	22925	08	Family Practice	0	In state provider	None	430 W BASELINE RD	None	CLAREMONT	CA	91711	1607	19	06037	34.12157453	-117.7214355	Los Angeles County
280787	Fee-for-Service	1932698065	1932698065	1	1	OLIVEIRA, FLAVIO T MD	9/12/2023	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	163534	None	None	0	In state provider	None	2557 MOWRY AVE	STE 30	FREMONT	CA	94538	1614	01	06001	37.55561575	-121.9826617	Alameda County
280964	Fee-for-Service	1629388939	1629388939	1	1	ORCUTT UNION SCHOOL DISTRICT	7/12/2010	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	500 DYER ST	None	ORCUTT	CA	93455	5300	42	06083	34.86135214	-120.4422303	Santa Barbara County
281080	Fee-for-Service	1780195529	1780195529	1	1	OMNI FAMILY HEALTH	3/16/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	4900 CALIFORNIA AVE	SUITE 100-B	BAKERSFIELD	CA	93309	0000	15	06029	35.36440586	-119.0562732	Kern County
281142	Fee-for-Service	1841576097	1841576097	1	1	OSIAS, WALTER A MD	3/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	124224	30	Radiology	0	In state provider	None	1500 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
281239	Fee-for-Service	1902982689	1902982689	1	1	OU, HENRY C. 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
281296	Fee-for-Service	1780195529	1780195529	1	1	OMNI FAMILY HEALTH	12/14/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	4900 CALIFORNIA AVE	SUITE 100-B	BAKERSFIELD	CA	93309	0000	15	06029	35.36440586	-119.0562732	Kern County
281389	Fee-for-Service	1033426002	1033426002	1	1	OMNI FAMILY HEALTH	12/21/2010	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1014 CALLOWAY DRIVE	BLDG F	BAKERSFIELD	CA	93312	6337	15	06029	35.36769028	-119.1111246	Kern County
281410	Fee-for-Service	1619074531	1619074531	1	1	OMAR A. BLANCO	1/4/2022	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
281447	Fee-for-Service	1760916886	1760916886	1	1	OBEROI, ANGAD S DO	11/13/2019	390200000X	NA	Other	026	PHYSICIANS	16753	08	Family 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
281492	Fee-for-Service	1619590536	1619590536	1	1	OLSEN, CAMERON R MD	5/17/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	190029	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
281509	Fee-for-Service	1780195529	1780195529	1	1	OMNI FAMILY HEALTH	11/19/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4900 CALIFORNIA AVE	SUITE 100-B	BAKERSFIELD	CA	93309	0000	15	06029	35.36440586	-119.0562732	Kern County
281603	Fee-for-Service	1033426002	1033426002	1	1	OMNI FAMILY HEALTH	12/21/2010	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1014 CALLOWAY DRIVE	BLDG F	BAKERSFIELD	CA	93312	6337	15	06029	35.36769028	-119.1111246	Kern County
281630	Fee-for-Service	1902243173	1902243173	1	1	OTTESEN, ROBIN	7/18/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	760 POLHEMUS RD	None	SAN MATEO	CA	94402	3938	41	06081	37.52051982	-122.3386627	San Mateo County
281676	Fee-for-Service	1497853949	1497853949	1	1	ONG, KWEE K MD	11/5/1993	207L00000X	NA	Other	026	PHYSICIANS	76417	05	Anesthesiology	0	In state provider	None	47111 MONROE ST	None	INDIO	CA	92201	6739	33	06065	33.70620698	-116.2339008	Riverside County
281717	Fee-for-Service	1992396972	1992396972	1	3	OFA VALE	3/17/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	35725 VERDE VISTA WAY	None	WILDOMAR	CA	92595	7626	33	06065	33.60186028	-117.2231765	Riverside County
281724	Fee-for-Service	1780195529	1780195529	1	1	OMNI FAMILY HEALTH	11/19/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4900 CALIFORNIA AVE	SUITE 100-B	BAKERSFIELD	CA	93309	0000	15	06029	35.36440586	-119.0562732	Kern County
281813	Fee-for-Service	1033426002	1033426002	1	1	OMNI FAMILY HEALTH	7/20/2011	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1014 CALLOWAY DRIVE	BLDG F	BAKERSFIELD	CA	93312	6337	15	06029	35.36769028	-119.1111246	Kern County
281883	Fee-for-Service	1659770394	1659770394	1	1	ONTARIO HOLT DIALYSIS CENTER	10/11/2017	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	INC	1310 W HOLT BLVD	None	ONTARIO	CA	91762	3640	36	06071	34.06356	-117.6751035	San Bernardino County
281897	Fee-for-Service	1346241056	1346241056	1	1	ODYSSEY HEALTHCARE OPERATING	7/1/2001	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	A LP	5080 SHOREHAM PLACE	SUITE 105	SAN DIEGO	CA	92122	5930	37	06073	32.8527212	-117.185405	San Diego County
282014	Fee-for-Service	1144483314	1144483314	1	1	ORMSBY, BERNARD L DO	12/16/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	10985	08	Family Practice	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9989	39	06077	37.88652418	-121.2820956	San Joaquin County
282024	Fee-for-Service	1033426002	1033426002	1	1	OMNI FAMILY HEALTH	12/21/2010	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1014 CALLOWAY DRIVE	BLDG F	BAKERSFIELD	CA	93312	6337	15	06029	35.36769028	-119.1111246	Kern County
282104	Fee-for-Service	1346241056	1346241056	1	1	ODYSSEY HEALTHCARE OPERATING	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	A LP	5080 SHOREHAM PLACE	SUITE 105	SAN DIEGO	CA	92122	5930	37	06073	32.8527212	-117.185405	San Diego County
282143	Fee-for-Service	1750365821	1750365821	1	1	OLTMANS, TERESA A PT	3/12/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1191 N. STATE	#D	SAN JACINTO	CA	92583	0000	33	06065	33.802677	-116.972033	Riverside County
282189	Fee-for-Service	1265521389	1265521389	1	1	OREGGIO, PREEDAR J MD	8/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	65289	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
282209	Fee-for-Service	1538376298	1538376298	1	1	OGWONUWE, CHRIS N.	10/15/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	LAX HEALTH CARE TECH	8939 S. SEPULVEDA BLVD	STE 424	LOS ANGELES	CA	90045	3646	19	06037	33.95485856	-118.3962461	Los Angeles County
282235	Fee-for-Service	1942700943	1942700943	1	1	OSRETKAR, HAYLEY	8/17/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
282301	Fee-for-Service	1003013319	1003013319	1	1	ORSBORN, JONATHAN W MD	1/1/2018	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
282436	Fee-for-Service	1568607414	1568607414	1	1	OWENS, MELISSA K MD	4/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	66206	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	350 30TH ST	STE 208	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
282505	Fee-for-Service	1003013319	1003013319	1	1	ORSBORN, JONATHAN W MD	1/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
282521	Fee-for-Service	1386135481	1386135481	1	1	ORELLANA, DANIEL MD	8/15/2024	2080P0206X	NA	Gastroenterology	026	PHYSICIANS	164891	10	Gastroenterology (M.D. only)	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
282528	Fee-for-Service	1902557192	1902557192	1	1	OTUBUAH, RACHEL NP	10/13/2023	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
282530	Fee-for-Service	1093126336	1093126336	1	1	O'DOWD, JAMES A MD	12/9/2020	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	138430	None	None	0	In state provider	None	300 W HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
282532	Fee-for-Service	1881712370	1881712370	1	1	OVSIOWITZ, MARK MD	5/22/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94620	10	Gastroenterology (M.D. only)	0	In state provider	None	200 MED PLAZA	#365, 420, 120	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
282550	Fee-for-Service	1033276894	1033276894	1	1	OHAMA, NANCY OD	6/30/1992	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1550 GATEWAY BLVD	None	FAIRFIELD	CA	94533	6901	48	06095	38.2629133	-122.0560176	Solano County
282552	Fee-for-Service	1376876854	1376876854	1	1	OLSON, KORIN J CCC-SLP	5/18/2020	2081P0010X	NA	Physical Medicine and Rehabilitation	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
282577	Fee-for-Service	1134176050	1134176050	1	1	OBAL, DETLEF MD	10/29/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
282656	Fee-for-Service	1720426828	1720426828	1	1	ORELLANA VEGA, REYNA MSW LC	1/23/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	SW	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
282663	Fee-for-Service	1184913006	1184913006	1	1	OREGEL, KARLOS Z MD	8/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	130317	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
282727	Fee-for-Service	1881712370	1881712370	1	1	OVSIOWITZ, MARK MD	5/22/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94620	41	Internal Medicine	0	In state provider	None	200 MED PLAZA	#365, 420, 120	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
282742	Fee-for-Service	1063590966	1063590966	1	1	OBERAI, BRIJINDER S MD	8/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91823	01	General Practice	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
282785	Fee-for-Service	1285251892	1285251892	1	1	OO, SOE LWIN MD	10/19/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	186106	None	None	0	In state provider	None	525 NORTH GARFIELD AVE	None	MONTEREY PARK	CA	91754	1202	19	06037	34.06794352	-118.1229278	Los Angeles County
282840	Fee-for-Service	1518146620	1518146620	1	1	OLIVE HOLDINGS, LLC	4/16/2008	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	944 REGAL RD	None	ENCINITAS	CA	92024	4634	37	06073	33.04029898	-117.281563	San Diego County
282857	Fee-for-Service	1184913006	1184913006	1	1	OREGEL, KARLOS Z MD	8/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	130317	68	Hematology	0	In state provider	None	19582 BEACH BLVD	212	HUNTINGTON BEACH	CA	92648	5923	30	06059	33.67831649	-117.9885198	Orange County
282972	Fee-for-Service	1992206940	1992206940	1	1	OC HEALTHY HEART INC	9/26/2020	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	06	Cardiovascular Disease (M.D. only)	0	In state provider	ITUTE	438 E KATELLA AVE	SUITE B	ORANGE	CA	92867	4857	30	06059	33.80908349	-117.849438	Orange County
282974	Fee-for-Service	1912091893	1912091893	1	1	ORNEKIAN, NUBAR A DPM	2/28/1992	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	844 W GLENOAKS BLVD	None	GLENDALE	CA	91202	2134	19	06037	34.16065425	-118.2746063	Los Angeles County
282996	Fee-for-Service	1811417371	1811417371	1	1	ORTIZ, CLARA L MD	10/24/2018	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	148444	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
283041	Fee-for-Service	1396295325	1396295325	1	1	OLIVAREZ, MARK V O NP	9/18/2017	No Taxonomy Provided	NA	None	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
283059	Fee-for-Service	1396775680	1396775680	1	1	OSAF AHMED, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5171 CUB LAKE RD	None	SHOW LOW	AZ	85901	0000	00	None	34.202214	-110.0207205	Navajo County
283233	Fee-for-Service	1467918821	1467918821	1	1	OLIVER BUCIO, GRISELDA LMFT	9/13/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1148 ALPINE RD	207	WALNUT CREEK	CA	94596	4435	07	06013	37.89668429	-122.0666986	Contra Costa County
283279	Fee-for-Service	1356840763	1356840763	1	1	OUTPATIENT BIOPSY CENTER	4/23/2018	207ZC0500X	NA	Other	022	PHYSICIANS GROUP	-	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	25 S RAYMOND AVE STE 113	None	ALHAMBRA	CA	91801	7143	19	06037	34.09042452	-118.1450725	Los Angeles County
283322	Fee-for-Service	1821038092	1821038092	1	1	O'CONNELL, JAMES V MD	9/3/2021	207N00000X	NA	Dermatology	026	PHYSICIANS	18672	None	None	0	In state provider	None	4244 RIVERWALK PKWY	170	RIVERSIDE	CA	92505	8509	33	06065	33.90336622	-117.49394	Riverside County
283444	Fee-for-Service	1427585496	1427585496	1	1	OZDEMIR, DENIZHAN MD	10/5/2024	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	None	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
283486	Fee-for-Service	1780799718	1780799718	2	1	OCEAN DRUG INC	6/28/2012	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	17059-17071 VENTURA BLVD	#100	ENCINO	CA	91316	4130	19	06037	34.16024304	-118.5053652	Los Angeles County
283549	Fee-for-Service	1396285912	1396285912	1	1	OSASERI, KLARISSA LCSW	4/18/2025	No Taxonomy Provided	NA	None	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
283653	Fee-for-Service	1972928059	1972928059	1	1	OWYANG, JASON NP	4/5/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2101 VALE RD	STE 201	SAN PABLO	CA	94806	3845	07	06013	37.95420174	-122.3372902	Contra Costa County
283659	Fee-for-Service	1114329984	1114329984	1	1	OCEN, MICHELE A PHD	6/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
283669	Fee-for-Service	1023439809	1023439809	1	1	ORANGE COUNTY LABS INC.	10/7/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	15165 TRITON LN	None	HUNTINGTON BEACH	CA	92649	1040	30	06059	33.742107	-118.039566	Orange County
283714	Fee-for-Service	1861516809	1861516809	1	2	OBRIA MEDICAL CLINICS OF	9/13/2021	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5359 N FRESNO ST	STE 109	FRESNO	CA	93710	6831	10	06019	36.815031	-119.7813855	Fresno County
283734	Fee-for-Service	1861614976	1861614976	1	1	ODELUGA, NDUKWE	8/12/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	76572	-	NOT APPLICABLE	0	In state provider	None	1018 21ST STREET	None	BAKERSFIELD	CA	93301	4709	15	06029	35.37813217	-119.0132767	Kern County
283771	Fee-for-Service	1164600128	1164600128	1	1	ONUGHA, OSITA MD	4/28/2022	208G00000X	NA	General Surgery	026	PHYSICIANS	105537	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
283778	Fee-for-Service	1669625323	1669625323	1	1	ORTEGA JARA, EMILIA LCSW	8/9/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5790 MAGNOLIA AVE	SUITE 201	RIVERSIDE	CA	92506	1874	33	06065	33.96267292	-117.3905848	Riverside County
283821	Fee-for-Service	1013545995	1013545995	1	1	OLENGUE, KETETHA C	10/12/2022	2084B0040X	NA	Neurology	026	PHYSICIANS	179045	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
283852	Fee-for-Service	1780679647	1780679647	1	1	OLSEN, HARVEY MD	5/28/1987	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	22004	10	Gastroenterology (M.D. only)	0	In state provider	None	3300 WEBSTER ST	STE 312	OAKLAND	CA	94609	3118	01	06001	37.82132826	-122.2621843	Alameda County
283868	Fee-for-Service	1851483127	1851483127	1	1	OBERSTEIN, LINDA L MD	9/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	83203	41	Internal Medicine	0	In state provider	None	1501 TROUSDALE DRIVE	3RD FLOOR	BURLINGAME	CA	94010	4506	41	06081	37.592811	-122.382351	San Mateo County
283909	Fee-for-Service	1497130280	1497130280	1	3	OLE HEALTH	11/17/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2650 NAPA VALLEY	CORPORATE DRIVE	NAPA	CA	94558	6284	28	06055	38.25085792	-122.2745803	Napa County
284093	Fee-for-Service	1497130280	1497130280	1	3	OLE HEALTH	11/17/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2650 NAPA VALLEY	CORPORATE DRIVE	NAPA	CA	94558	6284	28	06055	38.25085792	-122.2745803	Napa County
284120	Fee-for-Service	1427831742	1427831742	1	1	OULASVIRTA, JELENA	7/19/2024	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
284215	Fee-for-Service	1831180132	1831180132	1	1	OBRINSKY, ALLEN MD	10/31/1990	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	61060	40	Pediatrics	0	In state provider	None	200 PORTER DR	STE 300	SAN RAMON	CA	94583	1524	07	06013	37.77372204	-121.9911155	Contra Costa County
284221	Fee-for-Service	1821105305	1821105305	1	1	OKAWA, TSUYOSHI M MD	6/1/2001	207R00000X	NA	Other	026	PHYSICIANS	70549	41	Internal Medicine	0	In state provider	None	7798 STARLING DR	STE 306	SAN DIEGO	CA	92123	2733	37	06073	32.79328051	-117.1554268	San Diego County
284224	Fee-for-Service	1922718691	1922718691	1	1	OUR FAMILY CARE HOME LLC	1/19/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	810 CENTENNIAL DRIVE	None	VISTA	CA	92081	6501	37	06073	33.18421092	-117.2564148	San Diego County
284259	Fee-for-Service	1922414622	1922414622	1	1	OGUNKOYA, ADEYEMI MD	9/25/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	157110	05	Anesthesiology	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
284373	Fee-for-Service	1043533706	1043533706	1	1	OCHSNER MEDICAL CENTER	4/8/2011	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NORTHSHORE LLC	100 MEDICAL CENTER DRIVE	None	SLIDELL	LA	70461	5520	00	None	30.2866122	-89.74338356	St. Tammany Parish
284394	Fee-for-Service	1821105305	1821105305	1	1	OKAWA, TSUYOSHI M MD	6/1/2001	207R00000X	NA	Other	026	PHYSICIANS	70549	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7798 STARLING DR	STE 306	SAN DIEGO	CA	92123	2733	37	06073	32.79328051	-117.1554268	San Diego County
284432	Fee-for-Service	1336739721	1336739721	1	1	OZONE GROUP, INC	3/3/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	SUITE 301	VAN NUYS	CA	91401	1996	19	06037	34.18669646	-118.4460435	Los Angeles County
284543	Fee-for-Service	1043533706	1043533706	1	1	OCHSNER MEDICAL CENTER	4/8/2011	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NORTHSHORE LLC	100 MEDICAL CENTER DRIVE	None	SLIDELL	LA	70461	5520	00	None	30.2866122	-89.74338356	St. Tammany Parish
284601	Fee-for-Service	1336739721	1336739721	1	1	OZONE GROUP, INC	3/31/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	SUITE 301	VAN NUYS	CA	91401	1996	19	06037	34.18669646	-118.4460435	Los Angeles County
284632	Fee-for-Service	1073784385	1073784385	1	1	O'SHEA, LAURA A	6/9/2023	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1827 KNOLL DR	None	VENTURA	CA	93003	7321	56	06111	34.25641704	-119.2199387	Ventura County
284822	Fee-for-Service	1154827814	1154827814	1	1	OSAK, PATRICK DO	9/1/2021	207P00000X	NA	Other	026	PHYSICIANS	18759	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
284944	Fee-for-Service	1881731289	1881731289	1	1	ORANGE COUNTY CCS	9/24/1993	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	WOODREST MTU	1300 S RICHMAN AVE	None	FULLERTON	CA	92832	0000	30	06059	33.8580518	-117.9330002	Orange County
284981	Fee-for-Service	1851351076	1851351076	1	1	OHARA, SHARON R MD	5/24/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	52190	22	Pathology (M.D. only)	0	In state provider	None	3325 CHANATE RD	None	SANTA ROSA	CA	95404	1707	49	06097	38.469537	-122.707314	Sonoma County
285013	Fee-for-Service	1487779260	1487779260	1	1	ONG, LIANNE MD	7/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	08	Family Practice	1	Border provider	None	2410 FIRE MESA STREET	180	LAS VEGAS	NV	89128	9017	00	None	36.20533596	-115.2575074	Clark County
285057	Fee-for-Service	1770698862	1770698862	1	1	OCHOA, HUMBERTO R MD	3/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	52958	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
285103	Fee-for-Service	1780195529	1780195529	1	2	OMNI FAMILY HEALTH	9/7/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MOBILE	4900 CALIFORNIA AVE	SUITE 400-B	BAKERSFIELD	CA	93309	7024	15	06029	35.36440586	-119.0562732	Kern County
285186	Fee-for-Service	1578506523	1578506523	1	1	OWENS, ERIK L MD	7/24/1998	2086S0127X	NA	General Surgery	026	PHYSICIANS	84727	02	General Surgery	0	In state provider	None	225 DICKINSON ST	None	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
285268	Fee-for-Service	1780195529	1780195529	1	2	OMNI FAMILY HEALTH	9/7/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	MOBILE	4900 CALIFORNIA AVE	SUITE 400-B	BAKERSFIELD	CA	93309	7024	15	06029	35.36440586	-119.0562732	Kern County
285313	Fee-for-Service	1588435093	1588435093	1	1	ORNELL, ELIZABETH PT	6/28/2024	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3975 OLD REDWOOD HGHWY	None	SANTA ROSA	CA	95403	1719	49	06097	38.484045	-122.7376395	Sonoma County
285341	Fee-for-Service	1538832837	1538832837	1	1	OBEZO, AMERICA	12/7/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
285493	Fee-for-Service	1184107799	1184107799	1	1	OCHOA, DENISE M NP	9/26/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2500 MILVIA ST.	None	BERKELEY	CA	94704	2636	01	06001	37.86338897	-122.2698455	Alameda County
285494	Fee-for-Service	1689692832	1689692832	1	1	ONCLEY, PHILIP R PHD	3/1/1994	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5762 BOLSA AVE	STE 107	HUNTINGTON BEACH	CA	92649	1172	30	06059	33.74435559	-118.0280994	Orange County
285531	Fee-for-Service	1235884883	1235884883	1	1	ORANGEVALE SENIOR LIVING LLC	7/27/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	6487 MAIN AVE	None	ORANGEVALE	CA	95662	4309	34	06067	38.68326	-121.2025815	Sacramento County
285539	Fee-for-Service	1306901855	1306901855	2	1	OUR HOUSE RESIDENTIAL CARE	7/13/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	405 SHANNON	None	MADERA	CA	93637	4255	20	06039	36.95690633	-120.0863597	Madera County
285550	Fee-for-Service	1548329121	1548329121	1	1	OSMONOV, EDUARD MD	12/16/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	51756	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
285586	Fee-for-Service	1912477480	1912477480	1	1	OMEGA HOME HEALTH AGENCY INC	3/12/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	221 E GLENOAKS BLVD	STE 228-B	GLENDALE	CA	91207	2085	19	06037	34.15856042	-118.253151	Los Angeles County
285810	Fee-for-Service	1568807972	1568807972	1	1	OLEKSY, EDWARD PHD	4/18/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3840 HOMESTEAD ROAD	None	SANTA CLARA	CA	95051	5173	43	06085	37.33774954	-122.002065	Santa Clara County
285895	Fee-for-Service	1912188053	1912188053	1	1	OZDOGAN, SEBNEM MD	10/1/2020	2080P0214X	NA	Pulmonology	026	PHYSICIANS	94693	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
285925	Fee-for-Service	1720859986	1720859986	1	1	O'DRISCOLL, ELDRID M BIRTH D	1/18/2024	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
285949	Fee-for-Service	1457310294	1457310294	1	1	O'HAIR, BRIAN C CRNA	10/28/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
286005	Fee-for-Service	1518128883	1518128883	1	1	OGWARO, KISANI B MD	11/29/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	163016	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
286148	Fee-for-Service	1841476686	1841476686	1	1	OMNI FAMILY HEALTH	12/31/2007	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	3409 CALLOWAY DR	STE 300	BAKERSFIELD	CA	93312	2528	15	06029	35.39132551	-119.11007	Kern County
286161	Fee-for-Service	1457500217	1457500217	1	1	ORLAND CHILDREN'S CENTER	4/9/2009	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	APMC	116 E WALKER ST	None	ORLAND	CA	95963	1526	11	06021	39.7473048	-122.1841574	Glenn County
286193	Fee-for-Service	1629018189	1629018189	1	2	ONG, YO-HANG MD	12/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	46039	05	Anesthesiology	0	In state provider	None	1805 MEDICAL CENTER DR	None	SAN BERNARDINO	CA	92411	1217	36	06071	34.131303	-117.3225325	San Bernardino County
286276	Fee-for-Service	1770952400	1770952400	1	1	OLOWOYEYE, ABIOLA O	7/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138249	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
286299	Fee-for-Service	1841476686	1841476686	1	1	OMNI FAMILY HEALTH	4/12/2010	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	3409 CALLOWAY DR	STE 300	BAKERSFIELD	CA	93312	2528	15	06029	35.39132551	-119.11007	Kern County
286302	Fee-for-Service	1336344118	1336344118	1	1	ORDUNEZ-LARA, MARIA LMFT	12/2/2024	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
286311	Fee-for-Service	1457500217	1457500217	1	1	ORLAND CHILDREN'S CENTER	4/9/2009	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	APMC	116 E WALKER ST	None	ORLAND	CA	95963	1526	11	06021	39.7473048	-122.1841574	Glenn County
286445	Fee-for-Service	1841476686	1841476686	1	1	OMNI FAMILY HEALTH	12/31/2007	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3409 CALLOWAY DR	STE 300	BAKERSFIELD	CA	93312	2528	15	06029	35.39132551	-119.11007	Kern County
286592	Fee-for-Service	1841476686	1841476686	1	1	OMNI FAMILY HEALTH	12/31/2007	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	3409 CALLOWAY DR	STE 300	BAKERSFIELD	CA	93312	2528	15	06029	35.39132551	-119.11007	Kern County
286632	Fee-for-Service	1659693745	1659693745	2	1	OAKLAND HEALTHCARE &	11/4/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	WELLNESS CENTER LLC	3030 WEBSTER STREET	None	OAKLAND	CA	94609	3411	01	06001	37.81938475	-122.2632718	Alameda County
286669	Fee-for-Service	1730102286	1730102286	1	2	ORR, LEO E MD INC	12/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	35803	47	Miscellaneous	0	In state provider	None	1338 S HOPE ST	None	LOS ANGELES	CA	90015	2902	19	06037	34.03778533	-118.2667518	Los Angeles County
286733	Fee-for-Service	1841476686	1841476686	1	1	OMNI FAMILY HEALTH	11/5/2008	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	3409 CALLOWAY DR	STE 300	BAKERSFIELD	CA	93312	2528	15	06029	35.39132551	-119.11007	Kern County
286808	Fee-for-Service	1730102286	1730102286	1	2	ORR, LEO E MD INC	12/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	35803	68	Hematology	0	In state provider	None	1338 S HOPE ST	None	LOS ANGELES	CA	90015	2902	19	06037	34.03778533	-118.2667518	Los Angeles County
287139	Fee-for-Service	1376164780	1376164780	1	1	OAKTREE HOSPICE INC	11/19/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14555 KESWICK ST	STE 200	VAN NUYS	CA	91405	1202	19	06037	34.21031087	-118.4507039	Los Angeles County
287190	Fee-for-Service	1033506068	1033506068	2	1	ONE & ONLY CONGREGATE LIVING	7/6/2021	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	23296 COHASSET STREET	None	WEST HILLS	CA	91304	5366	19	06037	34.2059365	-118.636947	Los Angeles County
287241	Fee-for-Service	1063816809	1063816809	1	1	OEI, KEVIN DO	4/15/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	13597	None	None	0	In state provider	None	301 W BASTANCHURY RD	220	FULLERTON	CA	92835	3424	30	06059	33.89397383	-117.9316737	Orange County
287276	Fee-for-Service	1376164780	1376164780	1	1	OAKTREE HOSPICE INC	11/19/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14555 KESWICK ST	STE 200	VAN NUYS	CA	91405	1202	19	06037	34.21031087	-118.4507039	Los Angeles County
287401	Fee-for-Service	1811151681	1811151681	1	1	OSSIA, ARMAN MD	5/21/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	104763	08	Family Practice	0	In state provider	None	421 E ANGELENO	STE 102	BURBANK	CA	91501	2286	19	06037	34.18278568	-118.3048911	Los Angeles County
287486	Fee-for-Service	1235841651	1235841651	1	1	OPTIMAL CHOICE &	2/14/2024	No Taxonomy Provided	NA	None	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL SERVICES	5528 N PALM AVE	STE 115	FRESNO	CA	93704	1947	10	06019	36.817821	-119.8082425	Fresno County
287503	Fee-for-Service	1962514687	1962514687	1	1	OC MEDICAL SUPPLY INC	12/4/2007	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	OC MEDICAL SUPPLY INC	755 N EUCLID ST	None	ANAHEIM	CA	92801	4116	30	06059	33.842682	-117.9416365	Orange County
287731	Fee-for-Service	1689771891	1689771891	1	1	O'CONNOR IMAGING MED GRP	2/28/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
287793	Fee-for-Service	1144231994	1144231994	1	1	OJEDA, HERMINIO F MD	2/9/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	53549	02	General Surgery	0	In state provider	None	2030 SUTTER PLACE	SUITE 1100	DAVIS	CA	95616	6215	57	06113	38.56292466	-121.7715423	Yolo County
287952	Fee-for-Service	1326196130	1326196130	1	1	OSHIRO, KAREN N MD	9/30/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	40343	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
288067	Fee-for-Service	1801427026	1801427026	1	1	OC HOSPICE CARE INC	2/10/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	19626 VENTURA BLVD	STE 225	TARZANA	CA	91356	6038	19	06037	34.17266732	-118.5610251	Los Angeles County
288186	Fee-for-Service	1801427026	1801427026	1	1	OC HOSPICE CARE INC	2/10/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	19626 VENTURA BLVD	STE 225	TARZANA	CA	91356	6038	19	06037	34.17266732	-118.5610251	Los Angeles County
288240	Fee-for-Service	1457986226	1457986226	1	1	OSTROM, PAUL R LPCC	8/13/2024	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - 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
288343	Fee-for-Service	1942975008	1942975008	1	1	ORTIZ, MATTHEW D CO	9/22/2021	222Z00000X	NA	Other	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	None	1248 32ND ST	None	SACRAMENTO	CA	95816	5210	34	06067	38.569824	-121.464873	Sacramento County
288380	Fee-for-Service	1992321418	1992321418	1	1	OKAFOR, OGADINMA EUGENIA	10/9/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	694 SPRUCE AVE	APT A	UPLAND	CA	91786	4497	36	06071	34.10216849	-117.6688876	San Bernardino County
288491	Fee-for-Service	1679057368	1679057368	1	1	OLAGUEZ, JASMINE	8/15/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST 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
288495	Fee-for-Service	1992321418	1992321418	1	1	OKAFOR, OGADINMA EUGENIA	10/9/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	694 SPRUCE AVE	APT A	UPLAND	CA	91786	4497	36	06071	34.10216849	-117.6688876	San Bernardino County
288496	Fee-for-Service	1760047724	1760047724	1	1	OAK TREE HOSPICE LLC	4/14/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	18663 VENTURA BLVD	SUITE 215	TARZANA	CA	91356	4100	19	06037	34.17051848	-118.5402557	Los Angeles County
288554	Fee-for-Service	1801037254	1801037254	1	1	OMIDNIA, BAYA MD	10/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	143666	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
288566	Fee-for-Service	1578843991	1578843991	1	1	OEUNG, SALLY OD	9/22/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13800 SAN ANTONIO DR	None	NORWALK	CA	90650	4033	19	06037	33.9058081	-118.0785951	Los Angeles County
288608	Fee-for-Service	1396001863	1396001863	2	1	OLIVEIRA, ELAINE C MD	4/11/2022	207P00000X	NA	Other	026	PHYSICIANS	157521	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
288611	Fee-for-Service	1760047724	1760047724	1	1	OAK TREE HOSPICE LLC	4/14/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	18663 VENTURA BLVD	SUITE 215	TARZANA	CA	91356	4100	19	06037	34.17051848	-118.5402557	Los Angeles County
288651	Fee-for-Service	1346411261	1346411261	1	1	ORTIZ, SYLVIA S MD	1/20/2009	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	56555	42	Nuclear Medicine	0	In state provider	ORION RADIOLOGY INC	41870 GARSTIN DR	None	BIG BEAR LAKE	CA	92315	0000	36	06071	34.24602097	-116.8885243	San Bernardino County
288682	Fee-for-Service	1588687933	1588687933	1	1	ORJUELA, ANDRES 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	3100 SW 62ND AVE	STE 124	MIAMI	FL	33155	3009	00	None	25.74141026	-80.29501628	Miami-Dade County
288704	Fee-for-Service	1760707756	1760707756	1	1	ORTIZ SOTO, XAVIERA MD	9/6/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125842	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
288760	Fee-for-Service	1346411261	1346411261	1	1	ORTIZ, SYLVIA S MD	1/20/2009	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	56555	30	Radiology	0	In state provider	ORION RADIOLOGY INC	41870 GARSTIN DR	None	BIG BEAR LAKE	CA	92315	0000	36	06071	34.24602097	-116.8885243	San Bernardino County
288864	Fee-for-Service	1740687094	1740687094	1	1	OLESKI, VANESSA LCSW	5/6/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
288961	Fee-for-Service	1376568659	1376568659	1	1	OLSON, SCOTT E MD	9/23/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83715	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
289042	Fee-for-Service	1629099189	1629099189	1	1	O DONOGHUE, JOHN W LMFT	10/31/2023	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
289106	Fee-for-Service	1184992851	1184992851	1	2	OKPARA, IZUCHUKWU D MD	12/7/2016	208600000X	NA	General Surgery	026	PHYSICIANS	126340	None	None	0	In state provider	None	10880 WILSHIRE BLVD	STE 1101	LOS ANGELES	CA	90024	4112	19	06037	34.05897499	-118.4431123	Los Angeles County
289260	Fee-for-Service	1205988854	1205988854	2	1	OWEN HEALTHCARE LLC	3/1/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1109 VICENTE STREET	SUITE 103	SAN FRANCISCO	CA	94116	3082	38	06075	37.73912934	-122.4790332	San Francisco County
289354	Fee-for-Service	1366454548	1366454548	1	1	OMIDI, SHADI MD	4/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	61775	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2601 W ALAMEDA AVE	STE 300	BURBANK	CA	91505	4814	19	06037	34.15783817	-118.3293969	Los Angeles County
289525	Fee-for-Service	1346593118	1346593118	2	2	OPTUM INFUSION SERVICES 550,	1/21/2022	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	LLC	1819 ASTON AVENUE	104	CARLSBAD	CA	92008	7338	37	06073	33.13206163	-117.2885582	San Diego County
289556	Fee-for-Service	1518994318	1518994318	1	1	OHRLING, ROBERT A PHD	3/31/1991	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	82262 VALENCIA AVE	None	INDIO	CA	92201	1558	33	06065	33.72443486	-116.230241	Riverside County
289596	Fee-for-Service	1669183299	1669183299	1	1	OLUWATOYIN O OLADIMEJI DNP R	4/16/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	EGISTERED NURSING PRACTI	12658 DUTCH COURT	None	EASTVALE	CA	92880	9279	33	06065	33.96510761	-117.5591719	Riverside County
289603	Fee-for-Service	1568498319	1568498319	1	1	ORMISTON, THOMAS W MD	3/1/1985	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	54481	08	Family Practice	0	In state provider	None	1207 FAIRCHILD CT	None	WOODLAND	CA	95695	4321	57	06113	38.6657551	-121.7922645	Yolo County
289691	Fee-for-Service	1174033393	1174033393	1	1	OAK CREEK HOSPICE, LLC	6/25/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	9580 OAK AVE PKWY	SUITE 15	FOLSOM	CA	95630	1888	34	06067	38.698848	-121.191165	Sacramento County
289770	Fee-for-Service	1174033393	1174033393	1	1	OAK CREEK HOSPICE, LLC	6/25/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	9580 OAK AVE PKWY	SUITE 15	FOLSOM	CA	95630	1888	34	06067	38.698848	-121.191165	Sacramento County
289827	Fee-for-Service	1841410461	1841410461	1	1	OCHOA, MARIA G MD	2/8/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	99082	08	Family Practice	0	In state provider	None	1301 SOUTH POINT BLVD	STE A	PETALUMA	CA	94954	6858	49	06097	38.26109022	-122.6476782	Sonoma County
290017	Fee-for-Service	1275111981	1275111981	1	1	ODIMEGWU, AMAKA	9/3/2024	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
290057	Fee-for-Service	1275588410	1275588410	1	1	OAKES, MARIA 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	13611 E COLFAX AVE	None	AURORA	CO	80045	5701	00	None	39.74039327	-104.8302052	Adams County
290091	Fee-for-Service	1265963789	1265963789	1	1	ORLINO, JON CHRISTOPHER P MD	9/23/2022	2086S0129X	NA	General Surgery	026	PHYSICIANS	176815	None	None	0	In state provider	None	2637 SHADELANDS DR	None	WALNUT CREEK	CA	94598	2512	07	06013	37.925712	-122.021856	Contra Costa County
290212	Fee-for-Service	1861558637	1861558637	1	1	OLVERA, EDWARD H LMFT	11/14/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	673 S AUBURN ST	STE B	GRASS VALLEY	CA	95945	7576	29	06057	39.2060146	-121.0613316	Nevada County
290248	Fee-for-Service	1710183769	1710183769	1	1	ORTIZ, CLAUDIA E LMFT	9/10/2020	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
290328	Fee-for-Service	1407083678	1407083678	1	1	ORTANEZ, CAMILLE	5/4/2010	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	20501 VENTURA BLVD	SUITE 213	WOODLAND HILLS	CA	91364	2337	19	06037	34.16800818	-118.5797688	Los Angeles County
290403	Fee-for-Service	1902288350	1902288350	1	1	OTTMAN, ASHLEY C MD	1/29/2018	390200000X	NA	Other	026	PHYSICIANS	145942	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
290410	Fee-for-Service	1053848978	1053848978	1	1	O'LEARY, RYAN W MD	8/11/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	157988	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
290428	Fee-for-Service	1235903865	1235903865	1	1	ORTIZ, LUCIA M NP	11/16/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6001B TRUXTUN	220	BAKERSFIELD	CA	93309	0611	15	06029	35.36254873	-119.0727158	Kern County
290530	Fee-for-Service	1316367329	1316367329	1	1	OROSZ, NADIA J MD	7/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147081	41	Internal Medicine	0	In state provider	None	400 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
290777	Fee-for-Service	1477578383	1477578383	1	1	OTT, PETER 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
290872	Fee-for-Service	1689273922	1689273922	1	1	OAK TREE HOME HEALTH INC	8/9/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	13609 VICTORY BLVD	STE 131	VAN NUYS	CA	91401	6416	19	06037	34.18671049	-118.429353	Los Angeles County
290901	Fee-for-Service	1790705952	1790705952	1	1	OLSEN,ERIC 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	10301 GLACIER HWY	None	JUNEAU	AK	99801	0000	00	None	58.37267291	-134.6168554	Juneau City and Borough
291031	Fee-for-Service	1053766444	1053766444	1	1	OLESKE, ALEXANDRA A DO	12/13/2021	207L00000X	NA	Other	026	PHYSICIANS	18133	None	None	0	In state provider	None	6719 ALVARADO RD	STE 108	SAN DIEGO	CA	92120	5254	37	06073	32.77684978	-117.055137	San Diego County
291052	Fee-for-Service	1437647856	1437647856	1	1	OLDENBURG, REID MD	8/22/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	166384	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
291079	Fee-for-Service	1083714398	1083714398	1	1	OBRZUT, SEBASTIAN MD	8/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85028	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
291091	Fee-for-Service	1659739464	1659739464	1	1	ONTIVEROS, ALEXANDRA LAC	3/21/2017	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	4940 VAN NUYS BLVD	STE 304	SHERMAN OAKS	CA	91403	1700	19	06037	34.160589	-118.4486715	Los Angeles County
291098	Fee-for-Service	1083714398	1083714398	1	1	OBRZUT, SEBASTIAN MD	8/27/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85028	42	Nuclear 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
291127	Fee-for-Service	1205988854	1205988854	2	2	OWEN HEALTHCARE LLC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1109 VICENTE STREET	SUITE 101	SAN FRANCISCO	CA	94116	3082	38	06075	37.73912934	-122.4790332	San Francisco County
291142	Fee-for-Service	1205988854	1205988854	2	2	OWEN HEALTHCARE LLC	3/1/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1109 VICENTE STREET	SUITE 101	SAN FRANCISCO	CA	94116	3082	38	06075	37.73912934	-122.4790332	San Francisco County
291260	Fee-for-Service	1568540359	1568540359	1	1	OSTREICHER, RICHARD J MD	12/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	73615	07	Dermatology	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
291269	Fee-for-Service	1568541951	1568541951	1	1	O'CONNELL, JAMES C CNP	10/3/2022	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3700 EDISON ST	None	SAN MATEO	CA	94403	4462	41	06081	37.53169972	-122.2983207	San Mateo County
291453	Fee-for-Service	1700809100	1700809100	1	1	OSHIMA, SACHIE MD	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	69454	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
291552	Non-Physician Medical Practitioner	None	1265823322	0	0	OLDENBURG, AMY PA-C	3/26/2018	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
291605	Non-Physician Medical Practitioner	None	1477824027	0	0	OKAMOTO, ELISE H	3/29/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 E VALENCIA MESA DR	EMERGENCY DEPT.	FULLERTON	CA	92835	3809	00	06000	33.89356031	-117.9271656	Orange County
291711	Non-Physician Medical Practitioner	None	1760997951	0	0	ONU, TAMMY E PA	10/19/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	700 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	00	06000	37.33578	-121.999329	Santa Clara County
291757	Non-Physician Medical Practitioner	None	1255655023	0	0	O'CONNOR, KAMBERLYN J NP	10/23/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10645 PALISADES DR	None	TRUCKEE	CA	96161	3111	00	06000	39.31506752	-120.176559	Placer County
291802	Non-Physician Medical Practitioner	None	1871205484	0	0	O'LOUGHLIN, DANIEL C NP	1/18/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 UCLA MEDICAL PLAZA	None	LOS ANGELES	CA	90095	8344	00	06000	34.065126	-118.446237	Los Angeles County
291836	Non-Physician Medical Practitioner	None	1356582191	0	0	ON LOK SENIOR HEALTH SERVICES	12/31/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	299 STOCKTON AVE	None	SAN JOSE	CA	95126	2763	00	06000	37.33359336	-121.9057534	Santa Clara County
291861	Non-Physician Medical Practitioner	None	1285145672	0	0	OSWALD, MOLLY M	2/28/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	405 S IRVING BLVD	None	LOS ANGELES	CA	90020	4725	00	06000	34.06690926	-118.3185582	Los Angeles County
291898	Non-Physician Medical Practitioner	None	1982369575	0	0	OBILOR, LEEANNE A PA	9/14/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 TAMAL PLAZA	200	CORTE MADERA	CA	94925	1128	00	06000	37.93574053	-122.5199024	Marin County
291920	Non-Physician Medical Practitioner	None	1437620218	0	0	ODIAKOSA, ALFREDA NP	7/21/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11303 W WASHINGTON BLVD	100	LOS ANGELES	CA	90066	6003	00	06000	34.00408212	-118.4147433	Los Angeles County
292030	Non-Physician Medical Practitioner	None	1518371525	0	0	ONG, NGIN L	8/19/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1290 PEBBLEDON ST	None	MONTEREY PARK	CA	91754	4300	00	06000	34.04800795	-118.1579279	Los Angeles County
292047	Non-Physician Medical Practitioner	None	1376833186	0	0	ONGBONGAN, KRISCHEL T NP	9/26/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	800 N LOVERS LN	237	VISALIA	CA	93292	7411	00	06000	36.336915	-119.2604085	Tulare County
292053	Non-Physician Medical Practitioner	None	1629543392	0	0	ORTIZ, ERIC PA	7/23/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5000 SAN BERNARDINO ST	None	MONTCLAIR	CA	91763	2326	00	06000	34.07768647	-117.6957498	San Bernardino County
292090	Non-Physician Medical Practitioner	None	1578185757	0	0	OLARTE, KATRYNA F PA	8/18/2021	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
292101	Non-Physician Medical Practitioner	None	1194496265	0	0	OSBORN, GRACE M PA	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	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	00	06000	37.7634502	-122.4579779	San Francisco County
292234	Non-Physician Medical Practitioner	None	1386979227	0	0	OSENA, JAYLENE R NP	5/11/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1192 CARSON AVENUE	None	CLOVIS	CA	93611	8595	00	06000	36.81591627	-119.6589919	Fresno County
292263	Non-Physician Medical Practitioner	None	1972928059	0	0	OWYANG, JASON 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	700 GUERRERO ST	None	SAN FRANCISCO	CA	94110	1614	00	06000	37.75983327	-122.4236392	San Francisco County
292316	Non-Physician Medical Practitioner	None	1497147409	0	0	OPENDA, DAVIS M NP	10/17/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4161 PURPLE SAGE LANE	None	TURLOCK	CA	95382	9314	00	06000	37.53156843	-120.8312467	Stanislaus County
292338	Non-Physician Medical Practitioner	None	1275005621	0	0	OBREJA, VALENTINA L NP	2/4/2022	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
292339	Non-Physician Medical Practitioner	None	1770657876	0	0	ORELLANA, ISABEL	12/3/2008	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	None	SACRAMENTO	CA	95816	7058	00	06000	38.564991	-121.4696565	Sacramento County
292592	Non-Physician Medical Practitioner	None	1376846527	0	0	ORTIZ, DEVONNE A NP	6/21/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8220 WYMARK DRIVE	STE 200	ELK GROVE	CA	95757	6298	00	06000	38.406888	-121.4100495	Sacramento County
292651	Non-Physician Medical Practitioner	None	1760951354	0	0	OFFHAUS, BROOKE A NP	3/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	315 MERCY AVE	STE 400	MERCED	CA	95340	8363	00	06000	37.33874349	-120.467493	Merced County
292705	Non-Physician Medical Practitioner	None	1265930531	0	0	OBANA, SCOTT V PA	4/26/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	00	06000	38.471625	-122.7259935	Sonoma County
292743	Non-Physician Medical Practitioner	None	1790410348	0	0	OGINO, RENA	10/3/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	355 ABBOTT STREET	200	SALINAS	CA	93901	4483	00	06000	36.66552031	-121.6439174	Monterey County
292766	Non-Physician Medical Practitioner	None	1679526842	0	0	OUANO, ROY C	2/7/2000	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14411 RIVERSIDE DRIVE	STE 20	SHERMAN OAKS	CA	91423	1740	00	06000	34.15763649	-118.446849	Los Angeles County
292780	Non-Physician Medical Practitioner	None	1548314735	0	0	OCHOA, JASON	7/1/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1782 W HAMMER LN	None	STOCKTON	CA	95209	2922	00	06000	38.0210584	-121.3358534	San Joaquin County
292829	Non-Physician Medical Practitioner	None	1619219037	0	0	O'CONNELL, JACQUELINE M NP	10/29/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1602 LYMAN PLACE	STE 1	LOS ANGELES	CA	90027	5449	00	06000	34.100217	-118.288481	Los Angeles County
292846	Non-Physician Medical Practitioner	None	1477001832	0	0	OYADOMARI, KENNETH H	11/18/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9319 LA ALBA DR	None	WHITTIER	CA	90603	1227	00	06000	33.953269	-117.9953112	Los Angeles County
292868	Non-Physician Medical Practitioner	None	1053789438	0	0	O'KEEFE, GABRIELLE NP	7/12/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10538 MISSION GORGE RD	SUITE 100	SANTEE	CA	92071	3154	00	06000	32.8384953	-116.9677746	San Diego County
292933	Non-Physician Medical Practitioner	None	1598524498	0	0	ONG, JEANELLE M 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
292978	Non-Physician Medical Practitioner	None	1548989965	0	0	OMSON, VICTORIA NP	10/11/2023	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
293021	Non-Physician Medical Practitioner	None	1083653729	0	0	OSWALD, SHERI L	5/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	32082 REVIS RD	None	COARSEGOLD	CA	93614	9216	00	06000	37.18756485	-119.7616457	Madera County
293087	Non-Physician Medical Practitioner	None	1659810406	0	0	ONDIEKI, STELLA K 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	10855 CHURCH ST	None	RANCHO CUCAMONGA	CA	91730	8582	00	06000	34.11104225	-117.5693492	San Bernardino County
293226	Non-Physician Medical Practitioner	None	1518725779	0	0	O'BRIEN, MATTHEW PA-C	5/1/2024	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
293310	Non-Physician Medical Practitioner	None	1194505172	0	0	OROSCO, CINTHIA A NP	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	1910 OUTLET CENTER DRIVE	None	OXNARD	CA	93036	0677	00	06000	34.2202663	-119.1484221	Ventura County
293339	Non-Physician Medical Practitioner	None	1699298711	0	0	OCHOA, IRENE	9/4/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	25054 HOLLYHOCK CT	None	STEVENSON RANCH	CA	91381	2218	00	06000	34.37349197	-118.5687904	Los Angeles County
293599	Non-Physician Medical Practitioner	None	1760280192	0	0	OROZCO SANTANA, EMMANUEL NP	3/21/2025	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
293604	Non-Physician Medical Practitioner	None	1417212465	0	0	OMAN, HUI J NP	6/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	150 FULTON WAY	None	UPLAND	CA	91786	6347	00	06000	34.09343209	-117.666286	San Bernardino County
293636	Non-Physician Medical Practitioner	None	1467623975	0	0	OPPERMAN, JOSHUA M	3/11/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5610 SPYGLASS LANE	None	CITRUS HEIGHTS	CA	95610	7711	00	06000	38.668419	-121.2689475	Sacramento County
293689	Non-Physician Medical Practitioner	None	1679943054	0	0	OCAMPO, RIO G NP	10/23/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1508 MONTICELLO CT	None	REDLANDS	CA	92373	7148	00	06000	34.03337909	-117.1609459	San Bernardino County
293698	Non-Physician Medical Practitioner	None	1093984452	0	0	OCONNELL, DENNIS E	4/1/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15 KNOLL LANE	UNIT C	MILL VALLEY	CA	94941	2359	00	06000	37.90132901	-122.5133571	Marin County
293809	Non-Physician Medical Practitioner	None	1467858696	0	0	OMNI FAMILY HEALTH	1/28/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	210 NORTH CHESTER AVENUE	None	BAKERSFIELD	CA	93308	4841	00	06000	35.407179	-119.0208925	Kern County
293873	Non-Physician Medical Practitioner	None	1194934380	0	0	ODUCADO, CAROLYN M	8/17/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17425 BRIARDALE LN	None	YORBA LINDA	CA	92886	1844	00	06000	33.90071609	-117.8291411	Orange County
293902	Non-Physician Medical Practitioner	None	1477786945	0	0	OVASAPYAN, SHAKE	1/12/2010	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
293965	Non-Physician Medical Practitioner	None	1982642351	0	0	OBERST, DAVID J	4/1/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	450 GREENFIELD AVE	EMERGENCY DEPT.	HANFORD	CA	93230	3513	00	06000	36.328968	-119.6582195	Kings County
294010	Non-Physician Medical Practitioner	None	1083463277	0	0	OLIVAS, ANDREA PA-C	8/29/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	31720 S TEMECULA PARKWAY	203	TEMECULA	CA	92592	2034	00	06000	33.4799323	-117.1033702	Riverside County
294014	Non-Physician Medical Practitioner	None	1104371947	0	0	OZERUGA, ILONA PA-C	7/10/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3941 J STREET	SUITE 270	SACRAMENTO	CA	95819	3624	00	06000	38.570652	-121.4535465	Sacramento County
294015	Non-Physician Medical Practitioner	None	1477602985	0	0	OLSON, MARYEL	1/25/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2 MEDICAL PLAZA DR	SUITE 105	ROSEVILLE	CA	95661	3043	00	06000	38.76507948	-121.2477476	Placer County
294033	Non-Physician Medical Practitioner	None	1316584477	0	0	ODA, KEVIN Y PA	2/1/2020	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
294083	Non-Physician Medical Practitioner	None	1912005133	0	0	OGAWA, DELIA V	12/27/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1227 W 17TH ST	SUITE 101	SANTA ANA	CA	92706	3455	00	06000	33.76011446	-117.8839755	Orange County
294084	Non-Physician Medical Practitioner	None	1881736338	0	0	O'CONNOR, MICHAEL A NP	7/17/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	550 S GREEN VALLEY RD	None	WATSONVILLE	CA	95076	3053	00	06000	36.92586689	-121.7796602	Santa Cruz County
294313	Non-Physician Medical Practitioner	None	1831629252	0	0	OBESO-MARTINEZ, IDA S NP	9/11/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2436 EARHART CR	None	IMPERIAL	CA	92251	9006	00	06000	32.82689935	-115.5889366	Imperial County
294364	Non-Physician Medical Practitioner	None	1265782528	0	0	OCAMPO, MICHAEL P PA	8/2/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10800 PARAMOUNT BLVD	STE 405	DOWNEY	CA	90241	3334	00	06000	33.94604301	-118.1354831	Los Angeles County
294396	Non-Physician Medical Practitioner	None	1235703273	0	0	OBRIEN, KAITLYN O PA-C	7/15/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1301 MISSION STREET	None	SANTA CRUZ	CA	95030	3528	00	06000	36.96817615	-122.0381947	Santa Cruz County
294405	Non-Physician Medical Practitioner	None	1821563073	0	0	OZOR, AMAECHI G NP	3/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3751 E SHIELDS AVE	None	FRESNO	CA	93726	0000	00	06000	36.7796958	-119.7618088	Fresno County
294442	Non-Physician Medical Practitioner	None	1124074380	0	0	OGAWA, MICHELLE	9/8/2009	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
294452	Non-Physician Medical Practitioner	None	1669027025	0	0	OLSON, KELLY E PA-C	10/10/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2525 ERRINGER RD.	None	SIMI VALLEY	CA	93065	2352	00	06000	34.280838	-118.7614975	Ventura County
294495	Non-Physician Medical Practitioner	None	1194840603	0	0	OLSON, RICHARD L	1/2/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	33 FLORAMAR	None	RCHO STA MARG	CA	92688	1309	00	06000	33.65358417	-117.5859651	Orange County
294593	Non-Physician Medical Practitioner	None	1659422533	0	0	OLIVA, ARCELI NP	10/17/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 VICTORIA ST	STE 2A	COSTA MESA	CA	92627	1906	00	06000	33.6526055	-117.910746	Orange County
294610	Non-Physician Medical Practitioner	None	1275220295	0	0	ONUEGBULEM, ANGELA NP	4/3/2025	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
294702	Non-Physician Medical Practitioner	None	1265405401	0	0	OLSON, JULIE D NP	4/23/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5671 BALBOA AVE	None	SAN DIEGO	CA	92111	2705	00	06000	32.82010691	-117.1788026	San Diego County
294719	Non-Physician Medical Practitioner	None	1215599121	0	0	OTTERSTATTER, BRITTANY NP	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	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
294732	Non-Physician Medical Practitioner	None	1629027305	0	0	ONG-VELOSO, MADELEINE NP	2/10/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7779 SVL BOX	None	VICTORVILLE	CA	92395	5117	00	06000	0	0	None
294734	Non-Physician Medical Practitioner	None	1366801193	0	0	ONGJOCO, ASHLEY M NP	8/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2373 CASTLE PINES WY	None	ROSEVILLE	CA	95747	8961	00	06000	38.78633053	-121.3893138	Placer County
294837	Non-Physician Medical Practitioner	None	1437467966	0	0	OSBORN, CHRISTOPHER J	10/12/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5401 E CANTON ST	None	LONG BEACH	CA	90815	1035	00	06000	33.80966818	-118.1282461	Los Angeles County
294928	Non-Physician Medical Practitioner	None	1619902491	0	0	OAKLEY, NANCY T NP	9/19/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	510 BAUGHMAN AVE	None	CLAREMONT	CA	91711	3732	00	06000	34.10613284	-117.7226882	Los Angeles County
294965	Non-Physician Medical Practitioner	None	1730357310	0	0	ODELUGA, NNEKA D I	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	11101 MYERS RANCH COURT	None	BAKERSFIELD	CA	93311	2898	00	06000	35.31627443	-119.125375	Kern County
295002	Non-Physician Medical Practitioner	None	1548454101	0	0	ONEILL, TAMMY N	7/9/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	662 SNOW CIRCLE	None	BISHOP	CA	93514	2665	00	06000	37.35269263	-118.4163114	Inyo County
295082	Non-Physician Medical Practitioner	None	1447672696	0	0	ORIGEL, LUIS M JR NP	1/27/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18021 W TERRA VERDE PL	None	CANYON COUNTRY	CA	91387	1830	00	06000	34.40099743	-118.4542403	Los Angeles County
295147	Non-Physician Medical Practitioner	None	1497242762	0	0	OLARTE, GEORGE LEO R 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
295225	Non-Physician Medical Practitioner	None	1699929042	0	0	OLABODE, JULIANAH A NP	12/3/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	315 MERCY AVE	STE 400	MERCED	CA	95340	8363	00	06000	37.33874349	-120.467493	Merced County
295269	Non-Physician Medical Practitioner	None	1164806410	0	0	OMNI FAMILY HEALTH	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	1022 CALLOWAY DR	None	BAKERSFIELD	CA	93312	6337	00	06000	35.36767613	-119.1111388	Kern County
295291	Non-Physician Medical Practitioner	None	1669754958	0	0	OLIVER, KRISTIE	9/15/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	260 CREST RD	SUITE 103	SAINT ALBANS	VT	05478	9503	00	06000	44.80919632	-73.07137522	Franklin County
295296	Non-Physician Medical Practitioner	None	1366615791	0	0	ODIASE, SANDRA C NP	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	8862 BOREAL WAY	None	ELK GROVE	CA	95758	6020	00	06000	38.433375	-121.4473635	Sacramento County
295351	Non-Physician Medical Practitioner	None	1083460992	0	0	ODNEAL, ALYSSA E PA	11/22/2024	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
295462	Non-Physician Medical Practitioner	None	1861516809	0	0	OBRIA MEDICAL CLINICS OF	8/12/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1215 E CHAPMAN	SUITE 10	ORANGE	CA	90621	2526	00	06000	33.78786853	-117.840456	Orange County
295602	Non-Physician Medical Practitioner	None	1851647655	0	0	OLIVER, MELINDA	9/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1515 HOLCOMBE BLVD	None	HOUSTON	TX	77030	4009	00	06000	29.70638133	-95.39706066	Harris County
295619	Non-Physician Medical Practitioner	None	1760940001	0	0	OBI, RACHAEL NP	5/22/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2373 COLORADO BOULEVARD	None	LOS ANGELES	CA	90041	1157	00	06000	34.13990611	-118.2182985	Los Angeles County
295676	Non-Physician Medical Practitioner	None	1528512225	0	0	OLSON, AHNA A PA-C	7/25/2018	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
295688	Non-Physician Medical Practitioner	None	1790820660	0	0	OROURKE, HELEN M CNM	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	439 SOUTH GIBSON COURT	None	BURBANK	CA	91501	1127	00	06000	34.19343377	-118.2915853	Los Angeles County
295788	Non-Physician Medical Practitioner	None	1972704864	0	0	OMOTOSHO, DEBRA R	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	8721 12TH AVE	None	INGLEWOOD	CA	90305	2311	00	06000	33.95817799	-118.3298785	Los Angeles County
295800	Non-Physician Medical Practitioner	None	1609498120	0	0	OCFEMIA, ROMMEL D NP	4/21/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5353 G STREET	None	CHINO	CA	91710	5249	00	06000	34.00987149	-117.6880905	San Bernardino County
295815	Non-Physician Medical Practitioner	None	1639641129	0	0	OSENA, DENNIS C NP	2/7/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1303 EAST HERNDON AVENUE	None	FRESNO	CA	93720	3309	00	06000	36.83626596	-119.7674879	Fresno County
295820	Non-Physician Medical Practitioner	None	1275979742	0	0	OROPEZA, MICHELLE A PA-C	8/6/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18002 WIKA RD	None	APPLE VALLEY	CA	92307	2125	00	06000	34.54046469	-117.2712424	San Bernardino County
295824	Non-Physician Medical Practitioner	None	1780338442	0	0	OGAMBA, OLAMMA A NP	3/22/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2322 BUTANO DRIVE	STE 205	SACRAMENTO	CA	95825	0629	00	06000	38.606373	-121.3814655	Sacramento County
295851	Non-Physician Medical Practitioner	None	1770691222	0	0	OCONNOR, ANN M	3/1/2003	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 W MACARTHUR	None	OAKLAND	CA	94611	5641	00	06000	37.82397231	-122.2578822	Alameda County
295867	Non-Physician Medical Practitioner	None	1164879219	0	0	OLIVAS, MEGAN A NP	2/22/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27470 HAZELHURST ST	UNIT 2	MURRIETA	CA	92562	2886	00	06000	33.60013787	-117.179391	Riverside County
295885	Non-Physician Medical Practitioner	None	1164581872	0	0	OCULAM, MARIA RIZHEL C	3/3/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3060 NORTH NAOMI ST	None	BURBANK	CA	91504	1732	00	06000	34.20821826	-118.3393284	Los Angeles County
295908	Non-Physician Medical Practitioner	None	1598293623	0	0	OWYANG, ALYSON 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	7763 RIVER LANDING DRIVE	None	SACRAMENTO	CA	95831	5784	00	06000	38.476449	-121.539213	Sacramento County
295930	Non-Physician Medical Practitioner	None	1073542262	0	0	OHERIN, JENNIFER L	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	14322 SHADYBROOK DR	None	TUSTIN	CA	92780	6345	00	06000	33.72491133	-117.8118363	Orange County
295987	Non-Physician Medical Practitioner	None	1669061297	0	0	OSBORN, CODY S PA	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	455 HICKEY DRIVE	SUITE 200	DALY CITY	CA	94015	2630	00	06000	37.66383747	-122.4671404	San Mateo County
296024	Non-Physician Medical Practitioner	None	1467761486	0	0	OSAKI, KATHERINE ALLYNE	11/1/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1415 ROSS AVE	None	EL CENTRO	CA	92243	4306	00	06000	32.78144947	-115.568541	Imperial County
296086	Non-Physician Medical Practitioner	None	1750784559	0	0	OBRIEN, MEGAN C	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	1120 REGENT ST	UNIT F	ALAMEDA	CA	94501	7752	00	06000	37.7579746	-122.2448118	Alameda County
296220	Non-Physician Medical Practitioner	None	1407314651	0	0	OLIVEIRA, NICOLE PA	8/26/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	00	06000	37.66508443	-120.9962589	Stanislaus County
296394	Non-Physician Medical Practitioner	None	1013317163	0	0	OBRIEN, JASON P NP	10/13/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8149 N CEDAR AVE	APT 202	FRESNO	CA	93720	2280	00	06000	36.854163	-119.759355	Fresno County
296504	Non-Physician Medical Practitioner	None	1467528646	0	0	ODENHEIMER, SANDRA NP	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	19982 VIA ESCUELA DRIVE	None	SARATOGA	CA	95070	4448	00	06000	37.27818517	-122.0225566	Santa Clara County
296505	Non-Physician Medical Practitioner	None	1750860920	0	0	OKEKE, STELLA 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	1245 E HERNDON AVE	None	FRESNO	CA	93720	3235	00	06000	36.83626267	-119.7674845	Fresno County
296594	Non-Physician Medical Practitioner	None	1386153237	0	0	OLIVER, DEREK J	8/17/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	975 CALLE ARROYO	None	THOUSAND OAKS	CA	91360	2305	00	06000	34.1899237	-118.9027581	Ventura County
296644	Non-Physician Medical Practitioner	None	1477314474	0	0	OSGOOD, BRITTANY	8/15/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1212 S MAIN ST	None	SALINAS	CA	93901	2260	00	06000	36.65759539	-121.6594973	Monterey County
296648	Non-Physician Medical Practitioner	None	1386089449	0	0	OHEARN, KATHLEEN S NP	7/25/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	306 26TH AVE	None	SAN FRANCISCO	CA	94121	1916	00	06000	37.78360421	-122.4860349	San Francisco County
296678	Non-Physician Medical Practitioner	None	1316904428	0	0	OTT, LOREN GLEN	5/1/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1600 ESPLANADE	SUITE C	CHICO	CA	95926	3369	00	06000	39.74352822	-121.8495394	Butte County
296716	Non-Physician Medical Practitioner	None	1174870331	0	0	ONGOCO, ERIKA KRISHA P NP	12/8/2021	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
296740	Non-Physician Medical Practitioner	None	1306252051	0	0	OPEN DOOR COMMUNITY HEALTH CENTERS	10/27/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3306 RENNER DR	None	FORTUNA	CA	95540	3120	00	06000	40.58239845	-124.1360414	Humboldt County
296904	Non-Physician Medical Practitioner	None	1043792179	0	0	OCAMPO, JENNIFER D NP	7/17/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	420 34TH ST	None	BAKERSFIELD	CA	93301	2298	00	06000	35.39052148	-119.0070765	Kern County
296919	Non-Physician Medical Practitioner	None	1891146767	0	0	OKPAN, FRANCIS O 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	17546 BUTTONWOOD LN	None	CARSON	CA	90746	7476	00	06000	33.87080975	-118.2554271	Los Angeles County
296938	Non-Physician Medical Practitioner	None	1881235968	0	0	OPOKU, ESTHER PA	4/17/2022	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
296963	Non-Physician Medical Practitioner	None	1104663418	0	0	ONYEKWE, CHIDINMA NP	8/27/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1809 W. REDLANDS BLVD	# 234	REDLANDS	CA	92373	8054	00	06000	34.06288379	-117.2156673	San Bernardino County
297012	Non-Physician Medical Practitioner	None	1972179992	0	0	O'BRIEN, KERSTYN A PA-C	10/14/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2335 E KASHIAN LANE	SUITE 260	FRESNO	CA	93701	2234	00	06000	36.74333844	-119.7831874	Fresno County
297014	Non-Physician Medical Practitioner	None	1376892521	0	0	OSTLIE, KARI L PA-C	6/20/2018	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
297048	Non-Physician Medical Practitioner	None	1053931469	0	0	ORJI, NCHEGEM NP	12/16/2021	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
297066	Non-Physician Medical Practitioner	None	1750519310	0	0	OTT, NIKI PA	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	888 LAKESIDE VILLAGE COM	None	CHICO	CA	95926	2281	00	06000	39.750084	-121.7934327	Butte County
297088	Non-Physician Medical Practitioner	None	1316414386	0	0	OCAMPO, KRISTIANNE R	12/4/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	985 AVALON AVE	None	SAN FRANCISCO	CA	94112	2133	00	06000	37.72510673	-122.4235319	San Francisco County
297092	Non-Physician Medical Practitioner	None	1972221984	0	0	ORTEGA, ALEXIS Y NP	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	1550 PEPPER DR	STE B-C	EL CENTRO	CA	92243	4165	00	06000	32.77910638	-115.5707385	Imperial County
297143	Non-Physician Medical Practitioner	None	1437687530	0	0	OKITA, KRISTIN COURTNEY K PA	8/18/2017	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
297168	Non-Physician Medical Practitioner	None	1841381472	0	0	OLSON, KATHRYN D PA	11/1/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	00	06000	37.97026329	-121.2890849	San Joaquin County
297173	Non-Physician Medical Practitioner	None	1427700640	0	0	OTI, OLIVIA N	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	27200 CALAROGA	None	HAYWARD	CA	94545	4339	00	06000	37.63347961	-122.0897735	Alameda County
297182	Non-Physician Medical Practitioner	None	1972965770	0	0	OKAFOR, IFEATU S	11/18/2024	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
297185	Non-Physician Medical Practitioner	None	1396960357	0	0	OFO, JOY U	3/24/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2619 S LASSEN AVE	None	ONTARIO	CA	91761	0001	00	06000	34.026084	-117.62046	San Bernardino County
297232	Non-Physician Medical Practitioner	None	1649328576	0	0	ORTENZO, NICHOLAS A	2/27/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13451 LOWELL CIR	None	WESTMINSTER	CA	92683	1764	00	06000	33.76704183	-118.0349375	Orange County
297289	Non-Physician Medical Practitioner	None	1932594678	0	0	ORTEGA, MARIA NP	10/5/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1305 SUSAN AVE	None	REDLANDS	CA	92374	2743	00	06000	34.07295649	-117.160407	San Bernardino County
297300	Non-Physician Medical Practitioner	None	1346094422	0	0	ONYE, IFEANYI 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	2131 ELKS	104	SAN BERNARDINO	CA	92404	5544	00	06000	34.13470788	-117.262434	San Bernardino County
297374	Non-Physician Medical Practitioner	None	1093300600	0	0	OKONKWO, CHIUGO S NP	6/14/2021	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
297425	Non-Physician Medical Practitioner	None	1457749319	0	0	OLSON, BRIDGET L NP	5/8/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1647 S BUNDY DR	APT 211	LOS ANGELES	CA	90025	2635	00	06000	34.03775559	-118.4600738	Los Angeles County
297436	Non-Physician Medical Practitioner	None	1396295325	0	0	OLIVAREZM, MARY V 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	1817 N KENWOOD ST	None	BURBANK	CA	91505	1418	00	06000	34.18191	-118.352549	Los Angeles County
297582	Non-Physician Medical Practitioner	None	1700437928	0	0	ONDREJKA, ALLEGRA 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	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	00	06000	34.19395645	-118.463265	Los Angeles County
297671	Non-Physician Medical Practitioner	None	1356598403	0	0	OCONNOR, ELIZABETH MARIA	10/1/2008	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.	JOHN MUIR MEDICAL CENTER	WALNUT CREEK	CA	94598	0000	00	06000	37.9141514	-122.0422089	Contra Costa County
297749	Non-Physician Medical Practitioner	None	1578273579	0	0	OLYMPIUS, JACQUELINE M PA-C	3/19/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3000 Q STREET	2ND FLOOR	SACRAMENTO	CA	95816	7058	00	06000	38.564991	-121.4696565	Sacramento County
297814	Non-Physician Medical Practitioner	None	1740746312	0	0	OESTERLE, TROY D PA	12/1/2020	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
297834	Non-Physician Medical Practitioner	None	1356096697	0	0	OWENS, VIRGINIA L	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	1508 ALHAMBRA BLVD	200	SACRAMENTO	CA	95816	6510	00	06000	38.567007	-121.468068	Sacramento County
297846	Non-Physician Medical Practitioner	None	1598161309	0	0	OLVERA, LUISA NP	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	1786 SUNNY CREST LN	None	BONITA	CA	91902	4057	00	06000	32.65328303	-116.9909966	San Diego County
297867	Non-Physician Medical Practitioner	None	1043566938	0	0	OLIVEIRA, ANA B	5/6/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4205 MEPHAN CT	None	SACRAMENTO	CA	95762	4280	00	06000	38.69036801	-121.0885122	El Dorado County
297935	Non-Physician Medical Practitioner	None	1851690838	0	0	OLIVIERI, KENDRA J	5/19/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	236 INVERNESS COURT	None	ALAMEDA	CA	94502	6421	00	06000	37.74313013	-122.2468552	Alameda County
297962	Non-Physician Medical Practitioner	None	1598849374	0	0	OLDENBURG, RICKY A	12/23/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35700 TRABUCO RD	None	LAKE ELSINORE	CA	92530	7538	00	06000	33.60341522	-117.3595461	Riverside County
297977	Non-Physician Medical Practitioner	None	1720884612	0	0	ONYANGO, THERESIA	4/4/2025	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
298054	Non-Physician Medical Practitioner	None	1740813062	0	0	OGUNLEYE, ADENIKE C NP	6/23/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 VICTORIA ST	STE 2A	COSTA MESA	CA	92627	1906	00	06000	33.6526055	-117.910746	Orange County
298066	Non-Physician Medical Practitioner	None	1972964401	0	0	OJEBIYI, OLUYOMBO O	9/16/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26019 NEWPORT AVE	None	LOMA LINDA	CA	92354	3883	00	06000	34.04794852	-117.23688	San Bernardino County
298141	Non-Physician Medical Practitioner	None	1417956327	0	0	OKAWA, MARCIA K NP	2/6/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1924 ARLINGTON AVENUE	None	TORRANCE	CA	90501	3529	00	06000	33.82813658	-118.3177657	Los Angeles County
298210	Non-Physician Medical Practitioner	None	1649606518	0	0	OPPENHEIM, SARAH S NP	3/19/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2801 KITCHENER CT	None	OAKLAND	CA	94602	3551	00	06000	37.80654701	-122.1980602	Alameda County
298228	Non-Physician Medical Practitioner	None	1477799310	0	0	ONEILL, KELLY PA	1/26/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	140 CENTENNIAL WAY	None	TUSTIN	CA	92780	3711	00	06000	33.74496	-117.818857	Orange County
298240	Non-Physician Medical Practitioner	None	1134770811	0	0	OCONNELL, RYAN PA-C	12/13/2024	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
298312	Non-Physician Medical Practitioner	None	1972047629	0	0	OCONNELL, CRISTY D NP	7/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1241 DIAMOND VALLEY ST	None	HENDERSON	NV	89052	3019	00	06000	35.9836684	-115.1265028	Clark County
298407	Non-Physician Medical Practitioner	None	1174845226	0	0	OTTO, RYAN DAVID	11/18/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 W. MACARTHUR BLVD	SUITE 17	OAKLAND	CA	94611	0000	00	06000	37.82397231	-122.2578822	Alameda County
298413	Non-Physician Medical Practitioner	None	1245985464	0	0	OLSSON, SAVANNA P NP	2/22/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15434 W SAGE ST	None	VICTORVILLE	CA	92395	3965	00	06000	34.51210263	-117.3272335	San Bernardino County
298452	Non-Physician Medical Practitioner	None	1669743506	0	0	OBLITAS, PAULINE	3/6/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	845 RANDOM LANE	None	DUARTE	CA	91010	2041	00	06000	34.14178051	-117.9573271	Los Angeles County
298546	Non-Physician Medical Practitioner	None	1295461234	0	0	O'CONNOR, RACHEL N PA	9/28/2022	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
298573	Non-Physician Medical Practitioner	None	1982880795	0	0	OMS, CATHERINE J D	2/20/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26376 KELLER DR	None	LOMA LINDA	CA	92354	6567	00	06000	34.049242	-117.2291948	San Bernardino County
298590	Non-Physician Medical Practitioner	None	1720632540	0	0	OSMANZADA, FRISHTA NP	9/4/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4100 E COMMERCE WAY	BLDG J STE 100	SACRAMENTO	CA	95834	9679	00	06000	38.644866	-121.519188	Sacramento County
298631	Non-Physician Medical Practitioner	None	1528297736	0	0	OLSON, SHERYL A NP	8/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1813 VILLAGE EAST DRIVE	None	PETALUMA	CA	94954	5814	00	06000	38.24733895	-122.6008378	Sonoma County
298666	Non-Physician Medical Practitioner	None	1861625386	0	0	OLMOS, MARIE ANTOINETTE S NP	8/14/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	777 CAMPUS COMMONS RD	SUITE 120	SACRAMENTO	CA	95825	8343	00	06000	38.571021	-121.416786	Sacramento County
298735	Non-Physician Medical Practitioner	None	1902572852	0	0	OKOWITA, LINDSAY M PA-C	2/11/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8635 W 3RD ST	695W	LOS ANGELES	CA	90048	6162	00	06000	34.07361928	-118.3803143	Los Angeles County
298830	Non-Physician Medical Practitioner	None	1659788693	0	0	O'NEILL, SUSAN E NP	4/14/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	00	06000	39.33573744	-120.180872	Nevada County
298873	Non-Physician Medical Practitioner	None	1447454814	0	0	OLMEDOCOLOR, PEDRO	3/7/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3300 E SOUTH ST	SUITE 305	LAKEWOOD	CA	90805	4549	00	06000	33.86018093	-118.1537163	Los Angeles County
298878	Non-Physician Medical Practitioner	None	1376875872	0	0	OPITZ, KIMBERLY M PA-C	7/22/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3273 CLAREMONT WAY	SUITE 100	NAPA	CA	94558	3306	00	06000	38.32062499	-122.3012501	Napa County
298911	Non-Physician Medical Practitioner	None	1184871113	0	0	OHANESIAN, JESSICA RODRIGUEZ	9/1/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2755 HERNDON AVE.	None	CLOVIS	CA	93611	0000	00	06000	36.83745149	-119.6604315	Fresno County
298972	Non-Physician Medical Practitioner	None	1932373990	0	0	OZOA, ERWIN ROGER	8/6/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4730 47TH AVE	None	SACRAMENTO	CA	95824	3946	00	06000	38.509983	-121.451157	Sacramento County
299006	Non-Physician Medical Practitioner	None	1568020428	0	0	OEIJ, ORIESA W PA-C	11/11/2019	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
299024	Non-Physician Medical Practitioner	None	1841800448	0	0	OWEN, MICHAEL P PA	1/12/2022	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
299037	Non-Physician Medical Practitioner	None	1518325349	0	0	OUN, ELIZA	3/30/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1514 INTERNATIONAL BLVD	5	OAKLAND	CA	94606	4400	00	06000	37.78878815	-122.2448701	Alameda County
299051	Non-Physician Medical Practitioner	None	1609107887	0	0	OBRIEN, KATE M NP	8/17/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	333 S E ST	None	SANTA ROSA	CA	95404	5132	00	06000	38.435895	-122.706396	Sonoma County
299100	Non-Physician Medical Practitioner	None	1720697030	0	0	OCHOA, PAULA PA	9/22/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1174 NEVADA ST	STE 100	REDLANDS	CA	92374	2893	00	06000	34.068636	-117.217434	San Bernardino County
299103	Non-Physician Medical Practitioner	None	1093213787	0	0	OJEDA, ANGLAE B	4/19/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	945 SYCAMORE DR	None	CORONA	CA	92879	2641	00	06000	33.8665867	-117.5534792	Riverside County
299104	Non-Physician Medical Practitioner	None	1639841018	0	0	ONUSKI, TRISTINE NP	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	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
299163	Non-Physician Medical Practitioner	None	1487109955	0	0	OMORUYI, ESOHE A	3/20/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2330 HURLEY WAY	APT 16	SACRAMENTO	CA	95825	3544	00	06000	38.588346	-121.4090325	Sacramento County
299234	Non-Physician Medical Practitioner	None	1649332982	0	0	OGATA, SAYAKA NP	1/19/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5111 FRESNO AVENUE	APARTMENT B	RICHMOND	CA	94804	5464	00	06000	37.90277157	-122.3147147	Contra Costa County
299254	Non-Physician Medical Practitioner	None	1295057735	0	0	OVADIA, SANDRA K	8/19/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 S REXFORD DRIVE	SUITE 106	BEVERLY HILLS	CA	90212	4635	00	06000	34.06198751	-118.3938533	Los Angeles County
299268	Non-Physician Medical Practitioner	None	1952464562	0	0	OAKLEY, ASHLEY JO	12/17/2013	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 FL 5	None	SAN FRANCISCO	CA	94118	3010	00	06000	37.7802547	-122.4642049	San Francisco County
299326	Non-Physician Medical Practitioner	None	1821820820	0	0	O'MALLEY, EMMA H PA	3/5/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11815 EDUCATION ST	None	AUBURN	CA	95602	2410	00	06000	38.94431878	-121.1009419	Placer County
299447	Non-Physician Medical Practitioner	None	1841493079	0	0	ORNELAS, TANYA N	10/15/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 W 30TH ST	None	LOS ANGELES	CA	90007	3320	00	06000	34.0239409	-118.2755606	Los Angeles County
299484	Non-Physician Medical Practitioner	None	1386064616	0	0	OH, IN EUI NP	2/3/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3425 WATERMARKET PL	None	IRVINE	CA	92612	5620	00	06000	33.66561848	-117.8508839	Orange County
299494	Non-Physician Medical Practitioner	None	1780268722	0	0	ODANI, SHOKO NP	5/4/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	301 INDUSTRIAL ROAD	None	SAN CARLOS	CA	94070	2603	00	06000	37.51438187	-122.2607682	San Mateo County
299497	Non-Physician Medical Practitioner	None	1194149146	0	0	OLSEN, JARVIS D NP	11/11/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	8937 SADDLE RED AVE	None	LAS VEGAS	NV	89143	1128	00	06000	36.32550013	-115.2916597	Clark County
299532	Non-Physician Medical Practitioner	None	1073523072	0	0	ORTIZ, JOSE A PA	6/12/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12021 JACARANDA AVE	SUITE 101	HESPERIA	CA	92345	4978	00	06000	34.46963618	-117.263267	San Bernardino County
299615	Non-Physician Medical Practitioner	None	1811013048	0	0	OROZCO, FRANCISCO	10/24/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11941 SUSAN AVE	None	DOWNEY	CA	90242	2008	00	06000	33.94021493	-118.1573583	Los Angeles County
299698	Non-Physician Medical Practitioner	None	1619981503	0	0	ORTIZ, LESLIE CAROL	10/24/2006	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	1819	00	06000	34.073505	-117.3505995	San Bernardino County
299706	Non-Physician Medical Practitioner	None	1306379359	0	0	OERDING, KEN S NP	2/14/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5850 OBERLIN DRIVE	SUITE 100	SAN DIEGO	CA	92121	4710	00	06000	32.894677	-117.1928626	San Diego County
299728	Non-Physician Medical Practitioner	None	1548016900	0	0	ORUKWOWU, RAMOTALAI 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	1759 W AVENUE J	STE 101	LANCASTER	CA	93534	2703	00	06000	34.68944351	-118.163124	Los Angeles County
299783	Non-Physician Medical Practitioner	None	1326794223	0	0	ONYEGBULEM, MAUREEN NP	5/2/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1007 E COOLEY DR	STE 111	COLTON	CA	92324	3901	00	06000	34.05461152	-117.310599	San Bernardino County
299916	Non-Physician Medical Practitioner	None	1932304623	0	0	ONEAL, EMILY SUSANNE	6/1/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1580 CREEKSIDE DR	SUITE 260	FOLSOM	CA	95630	3886	00	06000	38.668914	-121.148028	Sacramento County
299942	Non-Physician Medical Practitioner	None	1083951263	0	0	OH, TRAVIS SEUNG H	3/12/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1275 S CABERNET CIRCLE	None	ANAHEIM	CA	92804	4741	00	06000	33.8169669	-118.0051972	Orange County
299987	Non-Physician Medical Practitioner	None	1285407742	0	0	OSCARSON, KYLE PA-C	1/1/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27300 IRIS AVE	None	MORENO VALLEY	CA	92555	4802	00	06000	33.89552551	-117.186021	Riverside County
300013	Non-Physician Medical Practitioner	None	1497129860	0	0	OKADA, MICHELLE R PA	3/10/2021	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
300071	Non-Physician Medical Practitioner	None	1710544242	0	0	OLUKAIKPE OGOM, KELECHI U NP	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	2372 STERLING AVE	None	SAN BERNARDINO	CA	92404	4624	00	06000	34.13682	-117.243687	San Bernardino County
300133	Non-Physician Medical Practitioner	None	1912302852	0	0	OLSON, SHERYL L	12/11/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23152 TULIP ST	None	LAKE FOREST	CA	92630	4533	00	06000	33.62567441	-117.6980717	Orange County
300172	Non-Physician Medical Practitioner	None	1194892968	0	0	ORDAZ, JORGE E	5/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39101 SILVERBERRY LANE	None	PALMDALE	CA	93551	4193	00	06000	34.59256423	-118.1733351	Los Angeles County
300176	Non-Physician Medical Practitioner	None	1114559176	0	0	OKEKE, THERESA N PA-C	2/26/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12550 HESPERIA RD	SUITE 100	VICTORVILLE	CA	92395	5873	00	06000	34.47928534	-117.2909553	San Bernardino County
300271	Non-Physician Medical Practitioner	None	1376940254	0	0	ONOCHIE, ADAOBI N NP	4/8/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1100 VAN NESS AVE	None	SAN FRANCISCO	CA	94109	6978	00	06000	37.78594176	-122.421322	San Francisco County
300283	Non-Physician Medical Practitioner	None	1144887530	0	0	ONEILL, TERESA A NP	12/9/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	361 TOWN CTR W	None	SANTA MARIA	CA	93454	6900	00	06000	34.95008211	-120.437386	Santa Barbara County
300412	Non-Physician Medical Practitioner	None	1477961340	0	0	OBANDO, DENISSE T NP	10/27/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7332 KELVIN AVENUE	None	WINNETKA	CA	91306	2724	00	06000	34.2038631	-118.5862585	Los Angeles County
300467	Non-Physician Medical Practitioner	None	1700956653	0	0	OKASAKO, JOAN YAE	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	KAISER PERMANENTE	2238 GEARY BLVD	SAN FRANCISCO	CA	94115	0000	00	06000	0	0	None
300489	Non-Physician Medical Practitioner	None	1336915693	0	0	OJACASTRO, JAN MARIE NP	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	12507 ALONDRA BLVD	None	NORWALK	CA	90650	7351	00	06000	33.88780847	-118.0660905	Los Angeles County
300504	Non-Physician Medical Practitioner	None	1982970356	0	0	OLAREWAJU, ADEBOLA M NP	6/23/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2400 SIERRA BLVD	APT 58	SACRAMENTO	CA	95825	4820	00	06000	38.576745	-121.406571	Sacramento County
300513	Non-Physician Medical Practitioner	None	1497235634	0	0	OKWU, LINDA I NP	10/23/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	310 CHANNING WAY	None	SAN RAFAEL	CA	94903	2630	00	06000	38.01144723	-122.5362066	Marin County
300514	Non-Physician Medical Practitioner	None	1598879793	0	0	O'BRIEN, JEANNINE A PA-C	1/19/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3680 INDUSTRIAL BLVD	STE 550-H	WEST SACRAMENTO	CA	95691	6500	00	06000	38.57331162	-121.566125	Yolo County
300673	Non-Physician Medical Practitioner	None	1699910703	0	0	O'CONNOR, KAMBERLYN J NP	10/23/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10645 PALISADES DR	None	TRUCKEE	CA	96161	3111	00	06000	39.31506752	-120.176559	Placer County
300853	Non-Physician Medical Practitioner	None	1184612483	0	0	OBANNON, BRIAN KARL	5/10/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	350 S OAK AVE	None	OAKDALE	CA	95361	3519	00	06000	37.75764557	-120.8600743	Stanislaus County
300883	Non-Physician Medical Practitioner	None	1144417726	0	0	O'FLAHERTY-KEESE, KATE MICHELLE	11/8/2007	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
300943	Non-Physician Medical Practitioner	None	1780216598	0	0	O'BRIEN, HANNAH J PA-C	9/3/2020	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
300988	Non-Physician Medical Practitioner	None	1699410746	0	0	OBIOHA, NDUBUISI C NP	3/30/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12555 CENTRAL AVE	STE C	CHINO	CA	91710	3569	00	06000	34.025247	-117.6892645	San Bernardino County
301041	Non-Physician Medical Practitioner	None	1407455116	0	0	ONEILL, CATHERINE E PA-C	6/22/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	45 E SAN JOAQUIN ST	None	SALINAS	CA	93901	2903	00	06000	36.65855611	-121.6575982	Monterey County
301105	Non-Physician Medical Practitioner	None	1376644369	0	0	OROPEZA, BERTHA S NP	2/14/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	417 S 5TH AVE	None	LA PUENTE	CA	91746	3008	00	06000	34.03502882	-117.9864814	Los Angeles County
301118	Non-Physician Medical Practitioner	None	1265216295	0	0	OLESKOWICZ, KATHRYN E PA	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
301123	Non-Physician Medical Practitioner	None	1750575593	0	0	OBIAKO, STEPHANIE L	6/5/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9242 WHITAKER AVE	None	NORTHRIDGE	CA	91367	1902	00	06000	34.23891868	-118.4989208	Los Angeles County
301325	Non-Physician Medical Practitioner	None	1407444839	0	0	OLGUIN, MARANDA	8/29/2024	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
301369	Non-Physician Medical Practitioner	None	1811288129	0	0	OROZCO, NATALIA P	6/15/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	37491 ENTERPRISE DR	None	BURNEY	CA	96013	4386	00	06000	40.88784451	-121.6526265	Shasta County
301544	Non-Physician Medical Practitioner	None	1871091108	0	0	OUZTS, KENDALL A NP	5/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1157 34TH AVE	None	SACRAMENTO	CA	95822	2403	00	06000	38.522736	-121.5147105	Sacramento County
301550	Non-Physician Medical Practitioner	None	1447563705	0	0	OROZCO, M DOLORES PA-C	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	1336 NATIVIDAD RD	None	SALINAS	CA	93906	3101	00	06000	36.69908763	-121.6352503	Monterey County
301578	Non-Physician Medical Practitioner	None	1477164051	0	0	OLIQUINO, BENILDA M NP	10/25/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5924 STONERIDGE DR	SUITE 206	PLEASANTON	CA	94588	5400	00	06000	37.69132593	-121.8988844	Alameda County
301597	Non-Physician Medical Practitioner	None	1497411003	0	0	ODOGWU, OJIUGO D NP	1/7/2022	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
301600	Non-Physician Medical Practitioner	None	1386890838	0	0	ONTIVEROS, HEATHER WM	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	41880 KALMIA ST STE 100	None	MURRIETA	CA	92562	8835	00	06000	33.55740114	-117.2157733	Riverside County
301683	Non-Physician Medical Practitioner	None	1861123937	0	0	O'BRIEN, MACKENZIE A NP	8/25/2022	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
301695	Non-Physician Medical Practitioner	None	1184322026	0	0	OLVERA, CHLOE PA-C	8/28/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1035 JEFFERSON BLVD	1	WEST SACRAMENTO	CA	95691	3343	00	06000	38.57339903	-121.523861	Yolo County
301719	Non-Physician Medical Practitioner	None	1043383904	0	0	OUWERKERK, YASNA	1/27/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1124 W CARSON ST # N28	None	TORRANCE	CA	90502	2006	00	06000	33.83154152	-118.2954105	Los Angeles County
301755	Non-Physician Medical Practitioner	None	1245681550	0	0	ONYENUFORO, UDOCHI E NP	8/8/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19918 REINHART AVE	None	CARSON	CA	90746	2335	00	06000	33.85045773	-118.2635911	Los Angeles County
301760	Non-Physician Medical Practitioner	None	1669720447	0	0	OPERATION SAMAHAN, INC.	5/16/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4260 54TH ST	None	SAN DIEGO	CA	92115	6009	00	06000	32.75407845	-117.079444	San Diego County
301815	Non-Physician Medical Practitioner	None	1457770836	0	0	ORJI, UCHENNA G NP	4/30/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13826 CASABLANCA CT	None	EASTVALE	CA	92880	8515	00	06000	33.95151593	-117.5850633	Riverside County
301816	Non-Physician Medical Practitioner	None	1821538919	0	0	OBIDIMALOR, VANESSA O CNM	10/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2907 CHANTICLEER AVE	None	SANTA CRUZ	CA	95065	1815	00	06000	36.98793933	-121.9782322	Santa Cruz County
301881	Non-Physician Medical Practitioner	None	1366777989	0	0	OBRA, VIOLETA B	9/30/2011	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	RIVERSIDE COUNTY REGIONA	MORENO VALLEY	CA	92555	0000	00	06000	33.912117	-117.195849	Riverside County
301900	Non-Physician Medical Practitioner	None	1710236120	0	0	OPERATION SAMAHAN, INC.	10/24/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9955 F2 CARMEL MOUNTAIN	None	SAN DIEGO	CA	92129	2815	00	06000	32.9607535	-117.1124549	San Diego County
301921	Non-Physician Medical Practitioner	None	1285244806	0	0	ONZURES, VALERIA PA	2/19/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	888 LAKESIDE VILLAGE COM	None	CHICO	CA	95926	2281	00	06000	39.750084	-121.7934327	Butte County
301930	Non-Physician Medical Practitioner	None	1992484448	0	0	ORWIG, EMILY E 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	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	00	06000	35.38333823	-119.0188872	Kern County
301933	Non-Physician Medical Practitioner	None	1558019984	0	0	OKONKWO, BEATRICE I NP	5/4/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12555 CENTRAL AVE	STE C	CHINO	CA	91710	3569	00	06000	34.025247	-117.6892645	San Bernardino County
301986	Non-Physician Medical Practitioner	None	1669098430	0	0	OJEISEKHOBA, OLAFEYIDE O NP	3/2/2021	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
302057	Non-Physician Medical Practitioner	None	1568428514	0	0	OWENS, VICTORIA F NP	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	4823 SCHUYLER DRIVE	None	CARMICHAEL	CA	95608	1055	00	06000	38.652192	-121.3220025	Sacramento County
302088	Non-Physician Medical Practitioner	None	1629648514	0	0	OTERO HERNANDEZ, MAHE NP	9/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	399 E HIGHLAND AVE	SUITE 501	SAN BERNARDINO	CA	92404	3879	00	06000	34.1358627	-117.2757898	San Bernardino County
302089	Non-Physician Medical Practitioner	None	1255405189	0	0	ORY, LINDA M NP	7/8/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	888 LAKESIDE VILLAGE COM	None	CHICO	CA	95926	2281	00	06000	39.750084	-121.7934327	Butte County
302210	Non-Physician Medical Practitioner	None	1275957078	0	0	ORBACH, MELINDA NP	3/3/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	156 TOWNE TER	None	SANTA CRUZ	CA	95060	3645	00	06000	36.97272488	-122.0327329	Santa Cruz County
302441	Non-Physician Medical Practitioner	None	1477678977	0	0	OWEN, LISA A PA	6/30/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	539 S. BREA BLVD	None	BREA	CA	92821	0000	00	06000	33.91175971	-117.9029588	Orange County
302457	Non-Physician Medical Practitioner	None	1790173664	0	0	OLVERA, ROSANA A NP	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	801 S MARIPOSA STREET	None	LA HABRA	CA	90631	3411	00	06000	33.92265416	-117.9696412	Orange County
302468	Non-Physician Medical Practitioner	None	1104442391	0	0	ORTON, STEVEN P PA-C	10/23/2020	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
302582	Non-Physician Medical Practitioner	None	1053990051	0	0	OKAZAKI, ALYSZA KRISTINE P 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	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
302652	Non-Physician Medical Practitioner	None	1710405097	0	0	OVANDO, RENEE M NP	9/10/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4201 TORRANCE BLVD	SUITE 520	TORRANCE	CA	90503	4009	00	06000	33.8375955	-118.358748	Los Angeles County
302656	Non-Physician Medical Practitioner	None	1306495916	0	0	OU, CHRISTIAN PA	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	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
302669	Non-Physician Medical Practitioner	None	1962773325	0	0	OWEN, ANNE LORRAINE SALAC	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	877 QUANTAS LN	None	HAYWARD	CA	94545	2123	00	06000	37.64880259	-122.099779	Alameda County
302773	Non-Physician Medical Practitioner	None	1497766273	0	0	ODENATH, KARI L 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	3525 LOMA VISTA RD	STE A	VENTURA	CA	93003	3101	00	06000	34.27680789	-119.2480851	Ventura County
302801	Non-Physician Medical Practitioner	None	1992948764	0	0	OMLOR, AARON M PA-C	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	275 N EL CIELO RD	None	PALM SPRINGS	CA	92262	6972	00	06000	33.82736911	-116.5109632	Riverside County
302856	Non-Physician Medical Practitioner	None	1700929841	0	0	OKONKWO, HENRY	7/11/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	976 BLACKBERRY LN	None	DOMINGUEZ HILLS	CA	90746	0000	00	06000	33.86860734	-118.2555247	Los Angeles County
302866	Non-Physician Medical Practitioner	None	1871961938	0	0	OPENE, MELODY G 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	101 LAGUNA RD	STE 100	FULLERTON	CA	92835	3634	00	06000	33.89326085	-117.9300987	Orange County
302869	Non-Physician Medical Practitioner	None	1861867590	0	0	OMNI FAMILY HEALTH	7/27/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	659 CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	2790	00	06000	35.50162757	-119.2730311	Kern County
302872	Non-Physician Medical Practitioner	None	1740276732	0	0	OLMSTEAD, JILL NP	1/27/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	419 MAIN ST	APT 290	HUNTINGTON BEACH	CA	92648	5199	00	06000	33.660684	-117.9989155	Orange County
302886	Non-Physician Medical Practitioner	None	1861970592	0	0	OKRAY, KELLY J PA-C	8/11/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	44725 10TH ST WEST	170	LANCASTER	CA	93534	4936	00	06000	34.695693	-118.1480965	Los Angeles County
302944	Non-Physician Medical Practitioner	None	1346527462	0	0	OLSEN, SHARON L.	4/30/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11333 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1116	00	06000	34.27684353	-118.4684024	Los Angeles County
302950	Non-Physician Medical Practitioner	None	1417227745	0	0	OVERSTREET, TINA MARIE	2/15/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3152 N MILLBROOK AVE	None	FRESNO	CA	93703	1400	00	06000	36.779166	-119.7634925	Fresno County
303060	Non-Physician Medical Practitioner	None	1972662682	0	0	ONOH, MICHAEL	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	7182 ACORN PL	None	RANCHO CUCAMONGA	CA	91739	5926	00	06000	34.12303683	-117.5174438	San Bernardino County
303114	Non-Physician Medical Practitioner	None	1427211564	0	0	OLSON, KINGA P NP	1/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1501 SANTA INEZ DR	None	SAN JOSE	CA	95125	5329	00	06000	37.29791868	-121.9149866	Santa Clara County
303262	Non-Physician Medical Practitioner	None	1740681717	0	0	OH, JESSIE PA	2/20/2023	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
303263	Non-Physician Medical Practitioner	None	1104835966	0	0	OKUNGBOWA, GODWIN I PA	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	4241 FLORIN RD STE 40	STE 40	SACRAMENTO	CA	95823	2535	00	06000	38.496816	-121.4582625	Sacramento County
303312	Non-Physician Medical Practitioner	None	1497748149	0	0	OESCHLI, MARK B	2/2/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	28828 COLINA VISTA ST	None	AGOURA HILLS	CA	91301	1760	00	06000	34.1652762	-118.7551752	Los Angeles County
303361	Non-Physician Medical Practitioner	None	1083886576	0	0	ORTEGA, OLIVIA J NP	12/14/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5408 VASTO CT	None	FONTANA	CA	92336	0256	00	06000	34.15571527	-117.4560106	San Bernardino County
303395	Non-Physician Medical Practitioner	None	1154636736	0	0	O'NEAL, JENNIFER V NP	12/6/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	403 W ADAMS BLVD	None	LOS ANGELES	CA	90007	2664	00	06000	34.02741539	-118.2743622	Los Angeles County
303503	Non-Physician Medical Practitioner	None	1659052454	0	0	OJEDA, JESSICA NP	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	1250 S SUNSET AVE	STE 303	WEST COVINA	CA	91790	3912	00	06000	34.0610671	-117.9463685	Los Angeles County
303575	Non-Physician Medical Practitioner	None	1356926745	0	0	OSTLUND, PAIGE NP	4/1/2024	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
303583	Non-Physician Medical Practitioner	None	1295342152	0	0	ORELLANA, NORMA G NP	10/3/2020	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
303700	Non-Physician Medical Practitioner	None	1932320546	0	0	ONOFRE, JOHN R	1/26/1999	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9325 DALEWOOD AVE	None	DOWNEY	CA	90240	2514	00	06000	33.948874	-118.0978434	Los Angeles County
303771	Non-Physician Medical Practitioner	None	1861020448	0	0	OHN, NURI NP	4/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5838 EDISON PL	None	CARLSBAD	CA	92008	5520	00	06000	33.12181055	-117.2840499	San Diego County
303806	Non-Physician Medical Practitioner	None	1518540376	0	0	OSULLIVAN ROCHE, ORLA S 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	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	00	06000	34.06269295	-118.2030006	Los Angeles County
303837	Non-Physician Medical Practitioner	None	1073997326	0	0	OMNI FAMILY HEALTH	12/12/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	93313	2065	00	06000	35.317233	-119.081649	Kern County
303980	Non-Physician Medical Practitioner	None	1114078631	0	0	OKAWACHI, MARK	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	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	00	06000	37.89189148	-122.057999	Contra Costa County
304103	Non-Physician Medical Practitioner	None	1548024649	0	0	OCHOA, ALISA S NP	1/2/2025	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
304164	Non-Physician Medical Practitioner	None	1124303334	0	0	ORTIZ, MARCUS R	10/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	448 VAN SLYKE CT	None	RIPON	CA	95366	9216	00	06000	37.75209172	-121.1290374	San Joaquin County
304276	Non-Physician Medical Practitioner	None	1750035432	0	0	ORHAN, ELMAS NP	3/3/2022	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
304321	Non-Physician Medical Practitioner	None	1881355907	0	0	O'CONNOR, NICOLE M PA	1/17/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1045 ATLANTIC AVE	SUITE 1019	LONG BEACH	CA	90813	3413	00	06000	33.780267	-118.1850795	Los Angeles County
304378	Non-Physician Medical Practitioner	None	1649946385	0	0	OGBORO, KAREN NP	8/28/2023	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
304384	Non-Physician Medical Practitioner	None	1205134517	0	0	OPERATION SAMAHAN, INC.	3/25/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2101 GRANGER AVE	SUITE 101A	NATIONAL CITY	CA	91950	6208	00	06000	32.67265644	-117.0738553	San Diego County
304489	Non-Physician Medical Practitioner	None	1548776446	0	0	ONEIL, NICOLE NP	6/24/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	29826 HAUN	300	MENIFEE	CA	92586	6546	00	06000	33.68719818	-117.1748757	Riverside County
304557	Non-Physician Medical Practitioner	None	1053855239	0	0	O'CONNOR, ALYSON B PA	4/1/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7920 FROST STREET	SUITE 200	SAN DIEGO	CA	92123	4289	00	06000	32.80027449	-117.153846	San Diego County
304609	Non-Physician Medical Practitioner	None	1184920050	0	0	OMUSON, VICTORIA NP	1/20/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9808 VENICE BLVD	100	CULVER CITY	CA	90232	2732	00	06000	34.0236396	-118.3980847	Los Angeles County
304610	Non-Physician Medical Practitioner	None	1366030546	0	0	OLIVAS, NICOLE PA-C	5/27/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	999 N. TUSTIN AVE	UNIT # 216	SANTA ANA	CA	92705	3528	00	06000	33.754167	-117.834191	Orange County
304619	Non-Physician Medical Practitioner	None	1457520074	0	0	OKOREEH-KANGAH, BEATRICE	9/24/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	920 2ND AVE S	SUITE 400	MINNEAPOLIS	MN	55402	3318	00	06000	44.97310912	-93.27171852	Hennepin County
304766	Non-Physician Medical Practitioner	None	1801531561	0	0	ORION, IRIS W PA	10/4/2022	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
304881	Non-Physician Medical Practitioner	None	1639489875	0	0	OGDIE, ALYSHIA AILEENE	5/19/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DRIVE, NEURO	STANFORD UNIVERSITY MEDI	STANFORD	CA	94305	0000	00	06000	37.43304542	-122.1759654	Santa Clara County
304902	Non-Physician Medical Practitioner	None	1558061051	0	0	OGANESYAN, PHILLIP NP	5/9/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	435 ARDEN AVE	550	GLENDALE	CA	91203	1130	00	06000	34.15848148	-118.2628845	Los Angeles County
304915	Non-Physician Medical Practitioner	None	1144415365	0	0	ONEILL, LYNN C NP	9/16/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	164 BOCANA STREET	None	SAN FRANCISCO	CA	94110	5530	00	06000	37.74127838	-122.4173264	San Francisco County
305046	Non-Physician Medical Practitioner	None	1689341109	0	0	OTENIYA, VENESSA T NP	10/7/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1207 E FLORIDA AVE	None	HEMET	CA	92543	4513	00	06000	33.74753552	-116.9593245	Riverside County
305172	Non-Physician Medical Practitioner	None	1396059754	0	0	ONOSAKI, JON PA	2/28/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4300 ROSE DR	None	YORBA LINDA	CA	92886	2026	00	06000	33.89815111	-117.8419708	Orange County
305220	Non-Physician Medical Practitioner	None	1316309438	0	0	ORTEGA, MARINA	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	2002 ALAMEDA AVE	STE 1	ALAMEDA	CA	94501	4299	00	06000	37.76750468	-122.2531127	Alameda County
305248	Non-Physician Medical Practitioner	None	1134683816	0	0	OBAKHUME, CHINYERE A NP	10/28/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2372 STERLING AVE	None	SAN BERNARDINO	CA	92404	4624	00	06000	34.13682	-117.243687	San Bernardino County
305253	Non-Physician Medical Practitioner	None	1265659742	0	0	O'CONNELL-JOBB, CYNDIE PA-C	1/8/2025	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
305269	Non-Physician Medical Practitioner	None	1154096196	0	0	OBICE, ANDRESSA F PA-C	11/1/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	575 AUTO CENTER DR	None	WATSONVILLE	CA	95076	3727	00	06000	36.91752728	-121.7672578	Santa Cruz County
305282	Non-Physician Medical Practitioner	None	1700027430	0	0	ORTIZ, ADOLFO	8/8/2023	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
305296	Non-Physician Medical Practitioner	None	1316928088	0	0	OCHOA, RICHARD GERARD	1/1/2002	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
305369	Non-Physician Medical Practitioner	None	1942321567	0	0	ORBIA MEDICAL CLINICS OF	4/12/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8352 COMMONWEALTH AVE	None	BUENA PARK	CA	90621	2526	00	06000	33.8698947	-117.9872467	Orange County
305408	Non-Physician Medical Practitioner	None	1548701535	0	0	ONYEJEKWE, CHIOMA I 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	15514 LEAHY ANENUE	None	BELLFLOWER	CA	90706	3810	00	06000	33.892551	-118.1242125	Los Angeles County
305551	Non-Physician Medical Practitioner	None	1396939831	0	0	OH, KAYLENE K	5/13/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	24910 LAS BRISAS RD	SUITE 111	MURRIETA	CA	92562	4010	00	06000	33.57522424	-117.1828078	Riverside County
305660	Non-Physician Medical Practitioner	None	1477837862	0	0	O'NAN, TAMARA PA-C	4/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1401 DOVE ST	420	NEWPORT BEACH	CA	92660	2420	00	06000	33.66331121	-117.8658763	Orange County
305700	Non-Physician Medical Practitioner	None	1225693526	0	0	OROSZ, CASSANDRA R NP	10/31/2022	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
305830	Non-Physician Medical Practitioner	None	1770690612	0	0	O, GARBEZ R	12/1/2002	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 COFFEE ROAD	None	MODESTO	CA	95355	2803	00	06000	37.668645	-120.9756715	Stanislaus County
305923	Non-Physician Medical Practitioner	None	1649667221	0	0	OLAVSON, ANA NP	3/9/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	210 CANAL ST	None	KING CITY	CA	93930	3432	00	06000	36.20731142	-121.1325532	Monterey County
305925	Non-Physician Medical Practitioner	None	1770592321	0	0	OWEN, MARY C	5/20/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	350 PARNASSUS AVE STE 90	None	SAN FRANCISCO	CA	94117	3612	00	06000	37.76403932	-122.4561371	San Francisco County
306011	Non-Physician Medical Practitioner	None	1568484723	0	0	OIEN, SHANNON NP	10/22/1996	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 1100	LOMA LINDA	CA	92354	3450	00	06000	34.047153	-117.2611485	San Bernardino County
306166	Non-Physician Medical Practitioner	None	1033514500	0	0	ORTEGA-ENDAHL, ISAAC RAMON	8/25/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	3512 CASCADE LOOP	APT A	YAKAMA	WA	98982	1897	00	06000	46.61325188	-120.5559987	Yakima County
306168	Non-Physician Medical Practitioner	None	1184224164	0	0	OWOLABI, TOOYIN NP	9/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10630 TOWN CENTER DR	STE 110	RANCHO CUCAMONGA	CA	91730	6806	00	06000	34.11112305	-117.5729644	San Bernardino County
306233	Non-Physician Medical Practitioner	None	1710063557	0	0	OCONNOR, KEVIN F JR	9/9/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2540 BARBERS POINT RD	APT C	ALAMEDA	CA	94501	7135	00	06000	37.7857479	-122.2927452	Alameda County
306340	Non-Physician Medical Practitioner	None	1679619514	0	0	ORTIZ, CAROLYN L	8/20/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4200 PECK RD	SUITE #B	EL MONTE	CA	91732	2177	00	06000	34.08057824	-118.0194719	Los Angeles County
306452	Non-Physician Medical Practitioner	None	1477197689	0	0	OCHOA, ANDREW PA	3/13/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18300 US HIGHWAY 18	None	APPLE VALLEY	CA	92307	2206	00	06000	34.5406159	-117.2658221	San Bernardino County
306519	Non-Physician Medical Practitioner	None	1770254195	0	0	OMAHEN, ADAM J PA	12/1/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	00	06000	33.481134	-117.1060515	Riverside County
306570	Non-Physician Medical Practitioner	None	1912390196	0	0	OCHOA, JIJI C NP	11/24/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	6563 ISOLATED AVE	None	LAS VEGAS	NV	89110	5157	00	06000	36.16192629	-115.0291426	Clark County
306612	Non-Physician Medical Practitioner	None	1184894974	0	0	OH, CAROLINE E NP	2/26/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5248 VIA ESTER	None	YORBA LINDA	CA	92886	4530	00	06000	33.88600592	-117.7817004	Orange County
306738	Non-Physician Medical Practitioner	None	1902092596	0	0	OBESO BAEZ, RAMONA B	11/18/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10005 PARROT AVE	None	DOWNEY	CA	90240	3822	00	06000	33.95436973	-118.1275092	Los Angeles County
306878	Non-Physician Medical Practitioner	None	1649824202	0	0	OTA, MADELINE A NP	11/4/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6263	00	06000	36.327888	-119.294919	Tulare County
306893	Non-Physician Medical Practitioner	None	1750079471	0	0	O'BRIEN, AMANDA B PA-C	10/10/2023	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
307071	Non-Physician Medical Practitioner	None	1780928986	0	0	OMNI FAMILY HEALTH	2/23/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4600 PANAMA LANE	102B	BAKERSFIELD	CA	93313	3509	00	06000	35.29596129	-119.0543102	Kern County
307082	Non-Physician Medical Practitioner	None	1073844650	0	0	OBRERO, EVANGELINE L R	6/22/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	32 COUNTRY MILE RD	None	PHILLIPS RANCH	CA	91766	4815	00	06000	34.02611054	-117.76257	Los Angeles County
307120	Non-Physician Medical Practitioner	None	1811263015	0	0	OPPER, BECKY PA	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	277 COHASSET ROAD	None	CHICO	CA	95926	2242	00	06000	39.75152348	-121.8511763	Butte County
307279	Non-Physician Medical Practitioner	None	1477984193	0	0	OKIMURA, BRITTANY M	6/19/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6321 GREENBRIAR LN	None	GRANITE BAY	CA	95746	6810	00	06000	38.74790378	-121.1833115	Placer County
307291	Non-Physician Medical Practitioner	None	1497377428	0	0	OLANDER, MARGARET PA-C	7/1/2024	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
307301	Non-Physician Medical Practitioner	None	1174186910	0	0	OKWARE, BRENDA	6/3/2024	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
307360	Non-Physician Medical Practitioner	None	1437906799	0	0	OAKES, DIANNA K NP	5/28/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3975 JACKSON STREET	SUITE 110	RIVERSIDE	CA	92503	3946	00	06000	33.92729721	-117.4413503	Riverside County
307372	Non-Physician Medical Practitioner	None	1417618547	0	0	ORDONEZ, CINDY S NP	7/25/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	500 W BADILLO ST	None	COVINA	CA	91722	3762	00	06000	34.0862325	-117.899253	Los Angeles County
307542	Non-Physician Medical Practitioner	None	1174724785	0	0	OCALAPLAPIT, WALTER	12/28/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2410 MARY CLARE STREET	None	CORONA	CA	92882	2508	00	06000	33.85332996	-117.5735951	Riverside County
307649	Non-Physician Medical Practitioner	None	1801971783	0	0	OASE, SUSAN JEANNE	5/2/2011	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
307782	Non-Physician Medical Practitioner	None	1598178915	0	0	OPEN DOOR COMMUNITY HEALTH CENTERS	7/29/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	638 MAIN STREET	None	FERNDALE	CA	95536	0000	00	06000	40.57848417	-124.2617335	Humboldt County
307830	Non-Physician Medical Practitioner	None	1326340225	0	0	OLSON, JOHN D PA	4/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2701 S BRISTOL ST	None	SANTA ANA	CA	92704	6201	00	06000	33.71114199	-117.8853958	Orange County
307872	Non-Physician Medical Practitioner	None	1679119135	0	0	ORTIZ, ANDREA C NP	3/30/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	107 MARGARET LN	None	GRASS VALLEY	CA	95945	5211	00	06000	39.22931377	-121.0463561	Nevada County
307993	Non-Physician Medical Practitioner	None	1689928368	0	0	ORLOFF, STEPHANIE LOKE	7/5/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	00	06000	37.78224789	-122.4412946	San Francisco County
308052	Non-Physician Medical Practitioner	None	1215122478	0	0	ODIGIE, OMOROVBIYE T	5/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2740 NEW CASTLE WAY	None	SAN JACINTO	CA	92582	3747	00	06000	33.78049444	-117.0165026	Riverside County
308186	Non-Physician Medical Practitioner	None	1992983787	0	0	OKOH, PERPETUA NP	4/29/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3625 E THOUSAND OAKS BLV	SUITE #232	WESTLAKE VILLAGE	CA	91362	6932	00	06000	34.16480359	-118.8299997	Ventura County
308224	Non-Physician Medical Practitioner	None	1700218427	0	0	OCAMPO, PAYAL P PA-C	9/9/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11822 FLORAL DR	None	WHITTIER	CA	90601	2900	00	06000	33.99172377	-118.0495187	Los Angeles County
308235	Non-Physician Medical Practitioner	None	1295371748	0	0	OVSEPYAN, ANAIT 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	4081 E OLYMPIC BLVD	None	LOS ANGELES	CA	90023	3330	00	06000	34.01891346	-118.186614	Los Angeles County
308248	Non-Physician Medical Practitioner	None	1255723797	0	0	OLORUNOJE, IBUNKUN PA	1/29/2025	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
308529	Non-Physician Medical Practitioner	None	1245391408	0	0	OWENS, HOLLY ELAINE	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	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	00	06000	37.55102172	-121.9759026	Alameda County
308601	Non-Physician Medical Practitioner	None	1376947960	0	0	OCHOA, NORMA PA-C	3/11/2019	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
308625	Non-Physician Medical Practitioner	None	1619401460	0	0	OTTO, EMILY P NP	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	4350 CLARES ST	UNIT 9	CAPITOLA	CA	95010	3143	00	06000	36.97834452	-121.9608516	Santa Cruz County
308631	Non-Physician Medical Practitioner	None	1134273675	0	0	ONEIL, JEAN	1/30/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1812 VERDUGO BLVD	None	GLENDALE	CA	91208	1407	00	06000	34.20560177	-118.216054	Los Angeles County
308652	Non-Physician Medical Practitioner	None	1093264962	0	0	OH, JOO HYUN 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	1040 LINDA GLEN DRIVE	None	PASADENA	CA	91105	1118	00	06000	34.15386148	-118.1718808	Los Angeles County
308701	Non-Physician Medical Practitioner	None	1134260060	0	0	OGUNDIPE, DAHLMA A CNM	6/30/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	40 VIA PORTO GRANDE	None	RANCHO PALOS VERD	CA	90275	4878	00	06000	33.7698382	-118.3834239	Los Angeles County
308732	Non-Physician Medical Practitioner	None	1154089555	0	0	OVEIS, SHAGHAYEGH CNP	8/2/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11103 VENICE BLVD	None	LOS ANGELES	CA	90034	6914	00	06000	34.01379685	-118.4159354	Los Angeles County
308780	Non-Physician Medical Practitioner	None	1083325336	0	0	O'MALLEY, ARIANA K PA	9/22/2023	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
308793	Non-Physician Medical Practitioner	None	1326171638	0	0	ORAN, DIANE P CNP	8/29/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1865 GREENFIELD AVE	105	LOS ANGELES	CA	90025	4415	00	06000	34.04685369	-118.4397782	Los Angeles County
308921	Non-Physician Medical Practitioner	None	1174755763	0	0	OLSEN, RACHELLE C	2/16/2022	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
308941	Non-Physician Medical Practitioner	None	1518018183	0	0	OLSON, LORRAINE	2/21/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11671 NORGROVE LANE	None	LOS ALAMITOS	CA	90720	4025	00	06000	33.79292663	-118.0811185	Orange County
308961	Non-Physician Medical Practitioner	None	1790171791	0	0	OSUJI, PAT N NP	1/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6046 CRESTMONT DR	None	CHINO HILLS	CA	91709	3255	00	06000	33.93449565	-117.6733735	San Bernardino County
309058	Non-Physician Medical Practitioner	None	1659350445	0	0	OPENE, LORELEI M	5/13/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19 DOVER PL	None	LAGUNA NIGUEL	CA	92677	4723	00	06000	33.49650768	-117.7068399	Orange County
309092	Non-Physician Medical Practitioner	None	1801282116	0	0	OGLESBYMCCOWAN, KIMBERLY A N	3/3/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5263 TETON LN	None	VENTURA	CA	93003	3099	00	06000	34.2606938	-119.2199507	Ventura County
309107	Non-Physician Medical Practitioner	None	1952748212	0	0	ONG, TWILA M NP	1/21/2021	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
309109	Non-Physician Medical Practitioner	None	1902204340	0	0	OBRIEN, JESSICA D	1/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2700 ROGUE RIVER CIRCLE	None	WEST SACRAMENTO	CA	95691	4922	00	06000	38.54866114	-121.5324669	Yolo County
309193	Non-Physician Medical Practitioner	None	1144226077	0	0	OUTSLAY, MICHAEL G PA	4/27/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	124 CAPE COTTAGE LANE	None	FOLSOM	CA	95630	7638	00	06000	38.672451	-121.1325975	Sacramento County
309199	Non-Physician Medical Practitioner	None	1194432039	0	0	OCHOCO, MARIO SEIGFRED	7/17/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	6900 NORTH DURANGO DRIVE	None	LAS VEGAS	NV	89149	4409	00	06000	36.28701289	-115.2877045	Clark County
309201	Non-Physician Medical Practitioner	None	1841321841	0	0	OLDHAM, LAURIE ANN	5/9/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3300 WEBSTER ST	SUITE 500	OAKLAND	CA	94609	3117	00	06000	37.82132826	-122.2621843	Alameda County
309268	Non-Physician Medical Practitioner	None	1902844970	0	0	OSTERLOH, CATHERINE L	8/10/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	653 N TOWN CENTER DR	SUITE 10	LAS VEGAS	NV	89144	0514	00	06000	36.17975641	-115.3155995	Clark County
309272	Non-Physician Medical Practitioner	None	1144400771	0	0	OKIMOTO, MARY M NP	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	1114 VISTA DEL LAGO	None	SAN LUIS OBISPO	CA	93405	4835	00	06000	35.26497669	-120.6950239	San Luis Obispo County
309493	Non-Physician Medical Practitioner	None	1801013388	0	0	OBER, LISA L	1/9/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3949 VIA VERDE	None	THOUSAND OAKS	CA	91360	6935	00	06000	34.23364962	-118.850705	Ventura County
309523	Non-Physician Medical Practitioner	None	1770084246	0	0	OZA, AMISHA NP	5/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7720 N FRESNO ST	104	FRESNO	CA	93720	2407	00	06000	36.85068226	-119.7836282	Fresno County
309766	Non-Physician Medical Practitioner	None	1427365154	0	0	OATES, DEBORAH J NP	2/20/2018	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
309797	Non-Physician Medical Practitioner	None	1316162381	0	0	OGBUCHIEKWE, CHINYE N NP	4/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4190 CHICAGO AVE	None	RIVERSIDE	CA	92507	5348	00	06000	33.97217008	-117.3484877	Riverside County
309813	Non-Physician Medical Practitioner	None	1396729760	0	0	ONG, ROBERT T A NP	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	2206 DEEPGROVE AVE	None	ROWLAND HEIGHTS	CA	91748	4207	00	06000	33.97968569	-117.9105859	Los Angeles County
309917	Non-Physician Medical Practitioner	None	1194835033	0	0	ORDONEZ, ANDRES	6/30/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14013 LA CASCADA CT	None	BAKERSFIELD	CA	93314	8356	00	06000	35.39605352	-119.15793	Kern County
309969	Non-Physician Medical Practitioner	None	1346568094	0	0	ORLOFF, TATIANA N NP	1/30/2023	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
309996	Non-Physician Medical Practitioner	None	1538386495	0	0	OLUKANMI, WALE O	11/8/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	646 W LANCASTER BLVD	STE 103	LANCASTER	CA	93534	3163	00	06000	34.69783941	-118.1411929	Los Angeles County
310049	Non-Physician Medical Practitioner	None	1063163608	0	0	OKWOR, JUDE E NP	5/19/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1050 KENDALL DR	SUITE F	SAN BERNARDINO	CA	92407	4125	00	06000	34.16464044	-117.3063239	San Bernardino County
310054	Non-Physician Medical Practitioner	None	1255841383	0	0	OAKLEY, JESSICA A PA	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	5600 CALIFORNIA AVE	STE 101	BAKERSFIELD	CA	93309	1614	00	06000	35.356203	-119.0612695	Kern County
310113	Non-Physician Medical Practitioner	None	1437551561	0	0	OTUBUAH, PRISCILLA N NP	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	164 W HOSPITALITY LN STE	None	SAN BERNARDINO	CA	92408	3316	00	06000	34.06586648	-117.2866005	San Bernardino County
310126	Non-Physician Medical Practitioner	None	1851890131	0	0	ONWULI, CHINYERE J NP	2/27/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9629 FIRE STATION CT	None	ELK GROVE	CA	95757	8341	00	06000	38.405493	-121.429548	Sacramento County
310134	Non-Physician Medical Practitioner	None	1568987311	0	0	OUL, LUNA S	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	17136 VISTA CIELO COURT	None	FONTANA	CA	92337	7963	00	06000	34.04352386	-117.4306161	San Bernardino County
310148	Non-Physician Medical Practitioner	None	1649764374	0	0	ONG, CRISTINE PHILINA N CNP	12/22/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1260 15TH STREET	1501, 1502	SANTA MONICA	CA	90404	1150	00	06000	34.02648965	-118.4867439	Los Angeles County
310297	Non-Physician Medical Practitioner	None	1326803347	0	0	ORTIZ, GABRIELA	3/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5725 S SOTO ST	None	HUNTINGTON PARK	CA	90255	9993	00	06000	33.990444	-118.2193965	Los Angeles County
310340	Non-Physician Medical Practitioner	None	1801107313	0	0	O'KELLEY, KATHY R NP	4/6/2020	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
310341	Non-Physician Medical Practitioner	None	1043336282	0	0	OBRYAN, DENICE I	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	6187 DEERHILL ROAD	None	OAK PARK	CA	91377	5831	00	06000	34.19104994	-118.7577705	Ventura County
310368	Non-Physician Medical Practitioner	None	1992990006	0	0	OBIORA, FRANCISCA O	10/8/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12187 CREST AVE	None	SYLMAR	CA	91342	5498	00	06000	34.29241309	-118.465069	Los Angeles County
310402	Non-Physician Medical Practitioner	None	1427762160	0	0	O'HARA, SHELBY A PA-C	4/9/2024	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
310640	Non-Physician Medical Practitioner	None	1780205278	0	0	OCAMPIAN, NICOLE PA-C	2/13/2024	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
310746	Non-Physician Medical Practitioner	None	1366184152	0	0	ONG, SAMANTHA B PA-C	2/29/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	00	06000	33.969141	-118.0489095	Los Angeles County
310755	Non-Physician Medical Practitioner	None	1063960441	0	0	OREGAN, BRITTANY L	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	2822 DOLPHIN BEND	None	CHICO	CA	95973	7245	00	06000	39.76711049	-121.8084585	Butte County
310790	Non-Physician Medical Practitioner	None	1689083230	0	0	OMEGA, REYNALD 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	333 UNIVERSITY AVENUE	STE 200	SACRAMENTO	CA	95825	6531	00	06000	38.570976	-121.416651	Sacramento County
310822	Non-Physician Medical Practitioner	None	1508174046	0	0	OESER, LAUREEN E	12/8/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12325 HAMPTON CT	None	ATASCADERO	CA	93422	6037	00	06000	35.44811952	-120.6276897	San Luis Obispo County
310848	Non-Physician Medical Practitioner	None	1043408800	0	0	OROURKE, MICHELLE L	4/25/2008	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 # 1600	None	SACRAMENTO	CA	95817	2307	00	06000	38.552211	-121.449429	Sacramento County
310883	Non-Physician Medical Practitioner	None	1851037006	0	0	O'NEILL, BROOKE PA	1/7/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	345 SAXONY RD	STE 201	ENCINITAS	CA	92024	2787	00	06000	33.05403165	-117.285548	San Diego County
310955	Non-Physician Medical Practitioner	None	1902544240	0	0	OKORO, CHIBUIKEM PA-C	12/28/2022	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
311109	Non-Physician Medical Practitioner	None	1740458827	0	0	OBENAUER, ROSS A	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	1203 E CENTRAL AVE	506	REDLANDS	CA	92374	4336	00	06000	34.05719072	-117.1622293	San Bernardino County
311164	Non-Physician Medical Practitioner	None	1770911620	0	0	O'BANNON, LYDIA B	8/20/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	935 MICA DR	STE 13	CARSON CITY	NV	89705	7181	00	06000	39.091285	-119.7766585	Douglas County
311239	Non-Physician Medical Practitioner	None	1245614114	0	0	OBRIEN, SHANNON J NP	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	17003 SIENNA RIDGE DR	None	SAN DIEGO	CA	92127	2866	00	06000	33.02664706	-117.1169935	San Diego County
311263	Non-Physician Medical Practitioner	None	1477062693	0	0	OLSSON, INGRID M PA-C	11/23/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	255 E BONITA AVE	BLDG 9	POMONA	CA	91767	1923	00	06000	34.097913	-117.7474635	Los Angeles County
311301	Non-Physician Medical Practitioner	None	1972063790	0	0	OKERE, GEORGENIA O NP	1/18/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4190 CHICAGO AVE	None	RIVERSIDE	CA	92507	5348	00	06000	33.97217008	-117.3484877	Riverside County
311309	Non-Physician Medical Practitioner	None	1003194416	0	0	OKOH, GLORIA NP	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	2007 WILSHIRE BLVD	FL 3, 1A	LOS ANGELES	CA	90057	3519	00	06000	34.05752718	-118.2749855	Los Angeles County
311384	Non-Physician Medical Practitioner	None	1619640141	0	0	OTEYZA, EDRICK M NP	8/23/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	00	06000	38.26109552	-122.0470245	Solano County
311408	Non-Physician Medical Practitioner	None	1376078287	0	0	ONAKA, ANDREW	10/31/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2135 RANCH VIEW DRIVE	None	ROCKLIN	CA	95765	5357	00	06000	38.83579678	-121.2770626	Placer County
311472	Non-Physician Medical Practitioner	None	1174803332	0	0	ORTIZ, JESSIE 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	3801 KATELLA AVE	STE 330	LOS ALAMITOS	CA	90720	6900	00	06000	33.80318951	-118.066068	Orange County
311509	Non-Physician Medical Practitioner	None	1265978647	0	0	OSMANSKI, LAURA NP	2/27/2019	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
311713	Non-Physician Medical Practitioner	None	1316546930	0	0	OGUAGHA, CHIKA U NP	4/6/2022	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
311740	Non-Physician Medical Practitioner	None	1558146860	0	0	OOI, AMELIA M PA-C	9/26/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3110 CHINO AVE	SUITE 150	CHINO HILLS	CA	91709	1211	00	06000	34.01077341	-117.738406	San Bernardino County
311801	Non-Physician Medical Practitioner	None	1346618071	0	0	OHALLORAN, ELLEN PA	10/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	620 B SUMNER ST	None	SANTA CRUZ	CA	95062	2535	00	06000	36.97391202	-122.006715	Santa Cruz County
311827	Non-Physician Medical Practitioner	None	1922625185	0	0	O'BRIEN, MICHAEL J PA	11/1/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 NORTH PEPPER AVENUE	None	COLTON	CA	92324	1819	00	06000	34.073505	-117.3505995	San Bernardino County
311828	Non-Physician Medical Practitioner	None	1912525833	0	0	OK, FANNY PA-C	12/22/2021	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
311928	Non-Physician Medical Practitioner	None	1215139373	0	0	OROSCO, HEATHER PA-C	4/23/2018	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
311932	Non-Physician Medical Practitioner	None	1992047138	0	0	ORIJA, ADEBISI M NP	9/22/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1141 S SPAULDING AVE	15	LOS ANGELES	CA	90019	2464	00	06000	34.0549868	-118.3605532	Los Angeles County
311971	Non-Physician Medical Practitioner	None	1598001133	0	0	OLSON, LINDSEY D	7/19/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2212 CAROL VIEW DRIVE	C 205	CARDIFF	CA	92007	1953	00	06000	33.02242763	-117.2741794	San Diego County
312041	Non-Physician Medical Practitioner	None	1851886873	0	0	OEI-HUI, SABRINA W PA	10/9/2019	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
312162	Non-Physician Medical Practitioner	None	1518919737	0	0	ORDONEZ, PEGGY R	2/12/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23442 COLLINS STREET	None	WOODLAND HILLS	CA	91367	3014	00	06000	34.17367388	-118.6379284	Los Angeles County
312164	Non-Physician Medical Practitioner	None	1144612805	0	0	OSAGIE, UJU C NP	8/8/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11733 KILLIMORE AVENUE	None	PORTER RANCH	CA	91326	1511	00	06000	34.28563686	-118.5452946	Los Angeles County
312185	Non-Physician Medical Practitioner	None	1912770579	0	0	ONAGA, LYNDSAY PA-C	1/14/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 REDONDO AVE	STE B	LONG BEACH	CA	90814	2651	00	06000	33.768324	-118.152404	Los Angeles County
312203	Non-Physician Medical Practitioner	None	1508955840	0	0	OGELVIE, LINDA	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	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	00	06000	37.43920432	-122.162109	Santa Clara County
312239	Non-Physician Medical Practitioner	None	1639429871	0	0	ORTEGA, SALVADOR	10/31/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2107 BUSH ST	None	CALEXICO	CA	92231	4405	00	06000	32.689566	-115.471596	Imperial County
312241	Non-Physician Medical Practitioner	None	1285782110	0	0	OCHOA, RHONDA A NP	3/1/2023	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
312242	Non-Physician Medical Practitioner	None	1235211459	0	0	OTANIAN, SHAHNAZ	5/11/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	640 WEST CURTIS STREET	None	SALINAS	CA	93906	3133	00	06000	36.70247347	-121.6595658	Monterey County
312342	Non-Physician Medical Practitioner	None	1619912482	0	0	OGRADY, CHERE ANN	2/22/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18300 HIGHWAY 18	None	APPLE VALLEY	CA	92307	0000	00	06000	34.5406159	-117.2658221	San Bernardino County
312515	Non-Physician Medical Practitioner	None	1407940109	0	0	OKEEFFE, LINDA PA-C	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	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
312612	Non-Physician Medical Practitioner	None	1174912752	0	0	OMAHONEY, SHANNON B NP	12/14/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3130 DEL MONTE BLVD	None	MARINA	CA	93933	3047	00	06000	36.68590557	-121.8010492	Monterey County
312636	Non-Physician Medical Practitioner	None	1669995494	0	0	OKOLO, NGOZI E NP	6/19/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2701 S BRISTOL ST	None	SANTA ANA	CA	92704	6201	00	06000	33.71114199	-117.8853958	Orange County
312688	Non-Physician Medical Practitioner	None	1093429193	0	0	OBUSEH, CHRISTABEL PA	4/17/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	847 W CHILDS AVE	None	MERCED	CA	95341	6805	00	06000	37.28825369	-120.4963159	Merced County
312692	Non-Physician Medical Practitioner	None	1306369376	0	0	OROZCO, KACIE L NP	12/28/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12760 HESPERIA RD	C	VICTORVILLE	CA	92395	8305	00	06000	34.48276227	-117.2905134	San Bernardino County
312751	Non-Physician Medical Practitioner	None	1669139879	0	0	O'REILLY, MICHAEL D PA	5/1/2022	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
312807	Non-Physician Medical Practitioner	None	1437357217	0	0	OZIGHO, ANTHONY ODION	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	200 N ROBERTSON BLVD	SUITE 101	BEVERLY HILLS	CA	90211	1769	00	06000	34.069509	-118.383743	Los Angeles County
312852	Non-Physician Medical Practitioner	None	1811592561	0	0	OREGEL, LAURA	10/18/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	600 COFFEE RD	None	MODESTO	CA	95355	4201	00	06000	37.653219	-120.975542	Stanislaus County
312888	Non-Physician Medical Practitioner	None	1700376324	0	0	OTHMAN, SHADDE PA-C	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	7774 CHERRY AVE	None	FONTANA	CA	92336	4014	00	06000	34.11281482	-117.488717	San Bernardino County
312961	Non-Physician Medical Practitioner	None	1609232875	0	0	OZIGBOH, CHELSEA N 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	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	00	06000	39.33573744	-120.180872	Nevada County
312964	Non-Physician Medical Practitioner	None	1497960819	0	0	OKORONKWO MEDICAL CORP OF ALAMEDA	9/14/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10500 MACARTHUR BLVD.	SUITE #102	OAKLAND	CA	94605	5248	00	06000	37.74325856	-122.1527511	Alameda County
313028	Non-Physician Medical Practitioner	None	1033661897	0	0	OKOLONWAMU, OFILI A	2/16/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2701 DEL PASO ROAD	SUITE 130-161	SACRAMENTO	CA	95835	2306	00	06000	38.6568	-121.5224685	Sacramento County
313045	Non-Physician Medical Practitioner	None	1679898928	0	0	OKADA, MAKI NP	2/16/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3613 W HIDDEN LN	APT E	PALOS VERDES PE	CA	90274	4136	00	06000	33.78567312	-118.3429314	Los Angeles County
313083	Non-Physician Medical Practitioner	None	1962015701	0	0	OMOREGIE, EGBEBALAKHAMEN I NP	12/4/2020	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
313096	Non-Physician Medical Practitioner	None	1700435237	0	0	OROURKE, ERIN E CNP	7/1/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6555 COYLE	SUITE 220	CARMICHAEL	CA	95608	0303	00	06000	38.66859	-121.3118055	Sacramento County
313142	Non-Physician Medical Practitioner	None	1144453457	0	0	OBRIEN, BRIDGET A PA-C	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	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
313282	Non-Physician Medical Practitioner	None	1649704115	0	0	OCAMPO, TRACY N NP	5/30/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4950 BARRANCA PARKWAY	SUITE 104	IRVINE	CA	92604	4630	00	06000	33.67620851	-117.7948348	Orange County
313303	Non-Physician Medical Practitioner	None	1346768934	0	0	OBREGON, LISA L NP	9/13/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3075 HEALTH CENTER DR	STE 102	SAN DIEGO	CA	92123	2773	00	06000	32.79963065	-117.1556197	San Diego County
313330	Non-Physician Medical Practitioner	None	1932147287	0	0	OLSON, ROBERT E	11/27/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14601 ECHO RIDGE DR	None	NEVADA CITY	CA	95959	9630	00	06000	39.24598449	-121.0507745	Nevada County
313375	Non-Physician Medical Practitioner	None	1417987223	0	0	OFWONO, MONIQUE PA-C	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	15615 POMERADO RD	None	POWAY	CA	92064	2405	00	06000	32.99706	-117.05544	San Diego County
313387	Non-Physician Medical Practitioner	None	1083298178	0	0	O'LEARY, ZACHARY PA-C	6/14/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5189 HOSPITAL RD	None	MARIPOSA	CA	95338	9524	00	06000	37.50033166	-119.9769163	Mariposa County
313427	Non-Physician Medical Practitioner	None	1902676125	0	0	OKOH, ADAEZE NP	2/14/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	229 W 7TH ST	None	SAN JACINTO	CA	92583	4662	00	06000	33.78027368	-116.9601627	Riverside County
313432	Non-Physician Medical Practitioner	None	1013537794	0	0	ONDARZA, JULIA A PA	11/9/2021	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
313500	Non-Physician Medical Practitioner	None	1851713929	0	0	OMNI FAMILY HEALTH	3/14/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4131 MING AVE	None	BAKERSFIELD	CA	93309	4994	00	06000	35.33945463	-119.0506798	Kern County
313503	Non-Physician Medical Practitioner	None	1487130878	0	0	OSHIKOYA, OLATUNDE	7/19/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	617 VETERANS BLVD	STE 101	REDWOOD CITY	CA	94063	1496	00	06000	37.4924484	-122.2318516	San Mateo County
313527	Non-Physician Medical Practitioner	None	1063686616	0	0	ONYEKONWU-MCGILL, JENNIFER OCS	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	2372 STERLING AVE	None	SAN BERNARDINO	CA	92404	4624	00	06000	34.13682	-117.243687	San Bernardino County
313570	Non-Physician Medical Practitioner	None	1568681971	0	0	OLSON, LYNN MARIE	4/8/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3901 LAS POSAS RD STE 20	None	CAMARILLO	CA	93010	1506	00	06000	34.2415821	-119.0183756	Ventura County
313636	Non-Physician Medical Practitioner	None	1437495173	0	0	OCAMPO, GINA G PA	2/8/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19202 AMALFI CT	None	WALNUT	CA	91789	4204	00	06000	34.02138524	-117.8848627	Los Angeles County
313660	Non-Physician Medical Practitioner	None	1427479740	0	0	OLDS, JENNIFER J NP	2/9/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2102 TIBURON DRIVE	None	REDDING	CA	96003	9032	00	06000	40.59315583	-122.3330727	Shasta County
313684	Non-Physician Medical Practitioner	None	1821408097	0	0	OTMAR, MICHELLA M NP	3/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3959 H STREET	None	SACRAMENTO	CA	95819	2750	00	06000	38.572101	-121.452633	Sacramento County
313803	Non-Physician Medical Practitioner	None	1003974643	0	0	OVIEDO, MONICA	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	3630 EAST IMPERIAL HWY	None	LYNWOOD	CA	90262	2678	00	06000	33.93112671	-118.2035532	Los Angeles County
313854	Non-Physician Medical Practitioner	None	1194026542	0	0	ONYEKWE, CORDELIA ROSE E	3/12/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10811 BECKFORD AVE	None	NORTHRIDGE	CA	91326	2605	00	06000	34.26652805	-118.5499287	Los Angeles County
313888	Non-Physician Medical Practitioner	None	1851649032	0	0	OLIPHANT, DAVID T	12/6/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2442 BELT BUCKLEY DRIVE	None	HENDERSON	NV	89002	9384	00	06000	35.99616015	-114.929092	Clark County
313936	Non-Physician Medical Practitioner	None	1033426002	0	0	OMNI FAMILY HEALTH	12/21/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1014 CALLOWAY DR	BUILDING F	BAKERSFIELD	CA	93312	6337	00	06000	35.36769028	-119.1111246	Kern County
313970	Non-Physician Medical Practitioner	None	1487023222	0	0	OSHIRO, HEATHER H PA	12/17/2021	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
314009	Non-Physician Medical Practitioner	None	1417059122	0	0	ORIGEL, GRACE	4/14/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10001 CALIFORNIA AVE	None	SOUTH GATE	CA	90280	6005	00	06000	33.94353626	-118.207669	Los Angeles County
314176	Non-Physician Medical Practitioner	None	1871515601	0	0	OCONNOR, MARY J NP	7/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27381 VIA CAUDALOSO	None	MISSION VIEJO	CA	92692	2413	00	06000	33.60569913	-117.6526639	Orange County
314187	Non-Physician Medical Practitioner	None	1366463085	0	0	OMNI FAMILY HEALTH	5/5/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	655 S. CENTRAL VALLEY HW	None	SHAFTER	CA	93263	2790	00	06000	35.49504475	-119.264496	Kern County
314298	Non-Physician Medical Practitioner	None	1952934739	0	0	ODIMEGWU, ETHEL N NP	5/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3633 CAMINO DEL RIO S	STE 300	SAN DIEGO	CA	92108	4011	00	06000	32.77798059	-117.1163142	San Diego County
314308	Non-Physician Medical Practitioner	None	1659020329	0	0	OROS, EMMELINE L PA	8/15/2022	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
314380	Non-Physician Medical Practitioner	None	1427169762	0	0	OKABAYASHI-WILLIAMS, SARA FRANCES	10/20/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	380 90TH ST	None	DALY CITY	CA	94015	1807	00	06000	37.69110985	-122.4742036	San Mateo County
314442	Non-Physician Medical Practitioner	None	1770517286	0	0	OWENS, JENNIFER	7/31/2006	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
314457	Non-Physician Medical Practitioner	None	1972967230	0	0	OKAM, CHIMA I NP	7/25/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	36794 GEMINA AVE	None	MURRIETA	CA	92563	4204	00	06000	33.586569	-117.138162	Riverside County
314516	Non-Physician Medical Practitioner	None	1194167841	0	0	OK, SUNG W NP	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	503 N ATLANTIC BLVD	UNIT A	ALHAMBRA	CA	91801	2233	00	06000	34.09776	-118.134717	Los Angeles County
314529	Non-Physician Medical Practitioner	None	1750697017	0	0	OLIVER, JAMES C NP	4/1/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	00	06000	38.546091	-121.447305	Sacramento County
314607	Non-Physician Medical Practitioner	None	1023654084	0	0	OSTER, MADELEINE NP	3/25/2020	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
314673	Non-Physician Medical Practitioner	None	1407229172	0	0	OLEARY SEARLES, MICHELLE NP	3/10/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	368 22ND STREET	None	SAN DIEGO	CA	92102	2904	00	06000	32.70915409	-117.1440276	San Diego County
314728	Non-Physician Medical Practitioner	None	1811958127	0	0	OLUSANYA, ABIMBOLA	2/27/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4501 X ST	SUITE 3010	SACRAMENTO	CA	95817	2229	00	06000	38.553822	-121.452822	Sacramento County
314802	Non-Physician Medical Practitioner	None	1043697378	0	0	ORTEGA, JOSE M NP	6/26/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	36260 42ND STREET EAST	None	PALMDALE	CA	93552	6209	00	06000	34.540794	-118.054021	Los Angeles County
314821	Non-Physician Medical Practitioner	None	1023133790	0	0	OBRIEN, ELIZABETH W NP	4/5/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	260 LOOP PLACE	None	TRINIDAD	CA	95570	9746	00	06000	41.03514722	-124.1147917	Humboldt County
314940	Non-Physician Medical Practitioner	None	1093900995	0	0	ORLOFF, SHELLY E NP	7/7/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	20885 REDWOOD RD	STE 213	CASTRO VALLEY	CA	94546	5915	00	06000	37.69387341	-122.075068	Alameda County
314998	Non-Physician Medical Practitioner	None	1568124949	0	0	OSBORNE, SARA M NP	12/2/2021	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
315020	Non-Physician Medical Practitioner	None	1710458096	0	0	OKORONKWO, NNENNAYA O NP	4/15/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2373 COLORADO BOULEVARD	None	LOS ANGELES	CA	90041	1157	00	06000	34.13990611	-118.2182985	Los Angeles County
315053	Non-Physician Medical Practitioner	None	1801665054	0	0	OCAMPO, MICHAEL NP	3/7/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 WEST HUNTINGTON DR	None	ARCADIA	CA	91007	3402	00	06000	34.13489987	-118.0424069	Los Angeles County
315125	Non-Physician Medical Practitioner	None	1538783956	0	0	OU, MEI 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	19270 SONOMA HIGHWAY 12	None	SONOMA	CA	95476	5414	00	06000	38.29871411	-122.4751509	Sonoma County
315222	Non-Physician Medical Practitioner	None	1447850649	0	0	OVER, MARGARET A PA	11/14/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4725 FIRST STREET	SUITE 100	PLEASANTON	CA	94566	7366	00	06000	37.65692944	-121.8767827	Alameda County
315347	Non-Physician Medical Practitioner	None	1457617383	0	0	OLMEDO, BENJAMIN	4/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1615 ELM AVE	None	SOLVANG	CA	93463	2612	00	06000	34.59713701	-120.1408801	Santa Barbara County
315581	Non-Physician Medical Practitioner	None	1912313602	0	0	OWENS, MACDALY	1/23/2024	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
315601	Non-Physician Medical Practitioner	None	1184050171	0	0	ORDONA, RON B NP	3/31/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3160 FOLSOM BLVD.	STE 1400	SACRAMENTO	CA	91816	5219	00	06000	38.568393	-121.4658585	Sacramento County
315659	Non-Physician Medical Practitioner	None	1477036648	0	0	O'BOYLE, THERESA PA-C	4/17/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	351 S PATTERSON AVE	None	SANTA BARBARA	CA	93111	2403	00	06000	34.43295562	-119.8098287	Santa Barbara County
315706	Non-Physician Medical Practitioner	None	1841782265	0	0	OLIVERA, DIANA	1/14/2025	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
315722	Non-Physician Medical Practitioner	None	1518636307	0	0	OCHOA, DENISE A PA-C	4/23/2024	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
315724	Non-Physician Medical Practitioner	None	1699099424	0	0	OKOSUN, PRINCE NP	2/8/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5838 EDISON PL	None	CARLSBAD	CA	92008	5520	00	06000	33.12181055	-117.2840499	San Diego County
315772	Non-Physician Medical Practitioner	None	1407235237	0	0	ONG, ROBERT T	2/5/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2206 DEEPGROVE AVE	None	ROWLAND HEIGHTS	CA	91748	4207	00	06000	33.97968569	-117.9105859	Los Angeles County
315798	Non-Physician Medical Practitioner	None	1558674531	0	0	OWENS, MARK D	3/5/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2305 FORTUNA CRT	None	DAVIS	CA	95616	0602	00	06000	38.56336118	-121.7561638	Yolo County
315878	Non-Physician Medical Practitioner	None	1104478700	0	0	OLIVARES, JEAN PHILIPPE 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	3883 AIRWAY DR	120	SANTA ROSA	CA	95403	1671	00	06000	38.483226	-122.739705	Sonoma County
315928	Non-Physician Medical Practitioner	None	1427458223	0	0	OSWEILER, BETH J	10/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	701 COMMERCIAL AVE	UNIT B	RIDGECREST	CA	93555	4312	00	06000	35.62150251	-117.656451	Kern County
315994	Non-Physician Medical Practitioner	None	1811764566	0	0	OKAWARA, RIE V PA-C	3/18/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	604 N MAGNOLIA AVE	100	CLOVIS	CA	93611	9204	00	06000	36.83939464	-119.6661479	Fresno County
316084	Ordering, Referring, Prescribing	N/A	1003084245	0	0	O'BRIEN, NANCY A	5/1/2013	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	RN0271651	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
316129	Ordering, Referring, Prescribing	N/A	1003159864	0	0	OHRI, PRIYAL S DDS	7/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS61434	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
316156	Ordering, Referring, Prescribing	N/A	1003194416	0	0	OKOH, GLORIA NP	2/7/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	19661	N/A	N/A	N/A	N/A	N/A	2007 WILSHIRE BLVD FL 3R	None	LOS ANGELES	CA	90057	3519	00	06000	34.05752718	-118.2749855	Los Angeles County
316368	Ordering, Referring, Prescribing	N/A	1003486085	0	0	OLSON, ASHLEY N LCSW	9/16/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100760	N/A	N/A	N/A	N/A	N/A	1001 2ND ST STE 225	STE 225	NAPA	CA	94559	3030	00	06000	38.29837488	-122.2851912	Napa County
316443	Ordering, Referring, Prescribing	N/A	1003939950	0	0	OZAWA, EIJI	2/17/2015	Taxonomy not applicable	NA	n/a	000	Unknown	227	N/A	N/A	N/A	N/A	N/A	3220 SEPULVEDA BLVD	103	TORRANCE	CA	90505	2744	00	06000	33.82490043	-118.3436029	Los Angeles County
316457	Ordering, Referring, Prescribing	N/A	1003949512	0	0	OCEGUEDA-ARJONA, IRMA K PHD	11/13/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY24686	N/A	N/A	N/A	N/A	N/A	3580 WILSHIRE BLVD	2000	LOS ANGELES	CA	90010	2501	00	06000	34.06170677	-118.302787	Los Angeles County
316708	Ordering, Referring, Prescribing	N/A	1013376029	0	0	OLOYE, GABRIELLA NP	11/7/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005386	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
316730	Ordering, Referring, Prescribing	N/A	1013421833	0	0	OSUNA, CAROLINA LPCC	1/30/2023	Taxonomy not applicable	NA	n/a	000	Unknown	13133	N/A	N/A	N/A	N/A	N/A	123 W GUTIERREZ ST	None	SANTA BARBARA	CA	93101	3424	00	06000	34.41387023	-119.6962788	Santa Barbara County
316805	Ordering, Referring, Prescribing	N/A	1013545995	0	0	OLENGUE, KETETHA C MD	5/26/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A179045	N/A	N/A	N/A	N/A	N/A	438 N WHITE ROAD	None	SAN JOSE	CA	95127	1439	00	06000	37.3776149	-121.8374887	Santa Clara County
316977	Ordering, Referring, Prescribing	N/A	1023294329	0	0	OTERO, ANGELICA LCSW	6/7/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW62671	N/A	N/A	N/A	N/A	N/A	182 E. WALNUT AVE.	SPECIAL SERVICES DEPARTM	RIALTO	CA	92376	3530	00	06000	34.12866149	-117.3689595	San Bernardino County
317010	Ordering, Referring, Prescribing	N/A	1023367273	0	0	OCHOA, IRMA LCSW	10/16/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	92511	N/A	N/A	N/A	N/A	N/A	426 LOCUST STREET	I	MODESTO	CA	95351	2631	00	06000	37.63962649	-121.012353	Stanislaus County
317057	Ordering, Referring, Prescribing	N/A	1023430881	0	0	ORELLANA, JESSICA E LCSW	4/21/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW101221	N/A	N/A	N/A	N/A	N/A	5100 S EASTERN AVE	110	COMMERCE	CA	90040	2950	00	06000	33.98882955	-118.1615175	Los Angeles County
317080	Ordering, Referring, Prescribing	N/A	1023472743	0	0	OUMA, KEVIN D MD	4/12/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A168338	N/A	N/A	N/A	N/A	N/A	302 FRESNO ST	STE 101	FRESNO	CA	93706	3611	00	06000	36.72393092	-119.8091084	Fresno County
317085	Ordering, Referring, Prescribing	N/A	1023484540	0	0	OUYANG, ANCHIEH PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72920	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
317183	Ordering, Referring, Prescribing	N/A	1023658846	0	0	OLIP-BOOTH, ROBIN LCSW	8/27/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	103565	N/A	N/A	N/A	N/A	N/A	11175 SAN PABLO AVE	None	EL CERRITO	CA	94530	2157	00	06000	37.91926262	-122.31424	Contra Costa County
317204	Ordering, Referring, Prescribing	N/A	1023694072	0	0	OKAI, SHAMMAH MD	6/11/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A196847	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FLOOR SUITE. 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
317210	Ordering, Referring, Prescribing	N/A	1023725165	0	0	OUYANG, KENNETH PHARMD	10/6/2022	Taxonomy not applicable	NA	n/a	000	Unknown	87016	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
317235	Ordering, Referring, Prescribing	N/A	1023859295	0	0	ORTIZ, ALEXANDRA CNP	5/2/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95030001	N/A	N/A	N/A	N/A	N/A	2433 MARCONI AVE	None	SACRAMENTO	CA	95821	4807	00	06000	38.619405	-121.4045595	Sacramento County
317295	Ordering, Referring, Prescribing	N/A	1033254479	0	0	O'BRIEN, RENEE C LSW	2/23/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	3294	N/A	N/A	N/A	N/A	N/A	39990 FAURE ROAD	None	HEMET	CA	92544	9408	00	06000	33.54540303	-116.8982524	Riverside County
317314	Ordering, Referring, Prescribing	N/A	1033282157	0	0	OH, ISAAC PHARMD	4/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58916	N/A	N/A	N/A	N/A	N/A	3430 E LA PALMA AVE	None	ANAHEIM	CA	92806	2020	00	06000	33.852105	-117.8444835	Orange County
317345	Ordering, Referring, Prescribing	N/A	1033329792	0	0	OPREA, LUCIAN MD	2/15/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A92196	N/A	N/A	N/A	N/A	N/A	1490 6TH STREET	None	COACHELLA	CA	92236	1712	00	06000	33.67863924	-116.1766654	Riverside County
317355	Ordering, Referring, Prescribing	N/A	1033364187	0	0	ONO, MARIA LCSW	5/16/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW122566	N/A	N/A	N/A	N/A	N/A	3715 COLUMBUS ST	None	BAKERSFIELD	CA	93306	2719	00	06000	35.39925709	-118.9522496	Kern County
317358	Ordering, Referring, Prescribing	N/A	1033364278	0	0	OLIVAREZ, REBECCA H	1/2/2003	Taxonomy not applicable	NA	n/a	000	Unknown	PA766	N/A	N/A	N/A	N/A	N/A	1201 N STEWART STREET	SUITE 120	CARSON CITY	NV	89706	3004	00	06000	39.171627	-119.7637965	Consolidated Municipality of Carson City
317359	Ordering, Referring, Prescribing	N/A	1033372271	0	0	OQVIST, JESSICA	5/1/2013	Taxonomy not applicable	NA	n/a	082	LICENSED MIDWIVES	LM214	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
317376	Ordering, Referring, Prescribing	N/A	1033403027	0	0	OSTEEN, VICTORIA G LCSW	8/1/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	69748	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
317420	Ordering, Referring, Prescribing	N/A	1033455811	0	0	OAK, ERIC PHARMD	7/14/2019	Taxonomy not applicable	NA	n/a	000	Unknown	10119	N/A	N/A	N/A	N/A	N/A	43839 N 15TH ST WEST	None	LANCASTER	CA	93534	0005	00	06000	34.678791	-118.156867	Los Angeles County
317517	Ordering, Referring, Prescribing	N/A	1033590948	0	0	OGTONG, KATHERINE G	8/28/2001	Taxonomy not applicable	NA	n/a	099	DENTIST	D48975	N/A	N/A	N/A	N/A	N/A	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	00	06000	34.28899399	-118.4481394	Los Angeles County
317554	Ordering, Referring, Prescribing	N/A	1033656830	0	0	OMRANIPOUR, HEDYEH PHARMD	3/31/2018	Taxonomy not applicable	NA	n/a	000	Unknown	75465	N/A	N/A	N/A	N/A	N/A	1421 MANHATTAN AVE	None	FULLERTON	CA	92831	5221	00	06000	33.85701	-117.902438	Orange County
317559	Ordering, Referring, Prescribing	N/A	1033664198	0	0	ONNIGIAN, HEATHER M	9/13/2016	Taxonomy not applicable	NA	n/a	000	Unknown	53594	N/A	N/A	N/A	N/A	N/A	400 W 30TH STREET	None	LOS ANGELES	CA	90007	3320	00	06000	34.0239409	-118.2755606	Los Angeles County
317608	Ordering, Referring, Prescribing	N/A	1033733027	0	0	OKOLI, DORIS NP	8/1/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015565	N/A	N/A	N/A	N/A	N/A	2695 S 4TH ST	None	EL CENTRO	CA	92243	6012	00	06000	32.76973509	-115.5520629	Imperial County
317677	Ordering, Referring, Prescribing	N/A	1043250079	0	0	OBRIEN, DENNIS A MD	6/7/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C161834	N/A	N/A	N/A	N/A	N/A	39155 LIBERTY ST STE. G7	None	FREMONT	CA	94538	0000	00	06000	37.55123907	-121.9828956	Alameda County
317716	Ordering, Referring, Prescribing	N/A	1043373863	0	0	OKUMURA, WESLEY K	4/3/2008	Taxonomy not applicable	NA	n/a	099	DENTIST	D42387	N/A	N/A	N/A	N/A	N/A	1454 E SECOND STREET	None	SAN BERNARDINO	CA	92408	0118	00	06000	34.1035953	-117.2563723	San Bernardino County
317877	Ordering, Referring, Prescribing	N/A	1043672835	0	0	OHALLERAN, MICHAEL MD	3/29/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A161617	N/A	N/A	N/A	N/A	N/A	2 UPPER RAGSDALE DR	B-210	MONTEREY	CA	93940	5736	00	06000	36.57940327	-121.8142876	Monterey County
317964	Ordering, Referring, Prescribing	N/A	1043792179	0	0	OCAMPO, JENNIFER D NP	8/29/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95009869	N/A	N/A	N/A	N/A	N/A	4600 PANAMA LANE	102B	BAKERSFIELD	CA	93313	3509	00	06000	35.29596129	-119.0543102	Kern County
317966	Ordering, Referring, Prescribing	N/A	1043790561	0	0	OLEA, ANTONIO PHARMD	2/1/2020	Taxonomy not applicable	NA	n/a	000	Unknown	77552	N/A	N/A	N/A	N/A	N/A	1141 PEAR TREE LN	None	NAPA	CA	94558	0000	00	06000	38.32125908	-122.2921523	Napa County
318145	Ordering, Referring, Prescribing	N/A	1053469957	0	0	OWEN, WENDE M CNM	10/5/2021	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	1441	N/A	N/A	N/A	N/A	N/A	15403 PARK AVE E.	None	VICTORVILLE	CA	92392	2482	00	06000	34.50640129	-117.3250645	San Bernardino County
318153	Ordering, Referring, Prescribing	N/A	1053485862	0	0	ONEILL, KATHLEEN D LMFT	3/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	41402	N/A	N/A	N/A	N/A	N/A	303 SOUTH C STREET	None	LOMPOC	CA	93436	7305	00	06000	34.63525845	-120.451628	Santa Barbara County
318256	Ordering, Referring, Prescribing	N/A	1053668434	0	0	OLUMOYA, JONATHAN MD	7/9/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A131566	N/A	N/A	N/A	N/A	N/A	2801 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	00	06000	34.01966657	-118.2625434	Los Angeles County
318374	Ordering, Referring, Prescribing	N/A	1053808733	0	0	OLTON, PAMELA E LAC	8/23/2017	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	3115	N/A	N/A	N/A	N/A	N/A	1563 MISSION ST	None	SAN FRANCISCO	CA	94103	2543	00	06000	37.77327874	-122.4183559	San Francisco County
318493	Ordering, Referring, Prescribing	N/A	1063086924	0	0	OLIVER, ALEXANDRA MD	12/3/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL8289	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
318511	Ordering, Referring, Prescribing	N/A	1063163541	0	0	OSAJI, TRACY	11/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	85560	N/A	N/A	N/A	N/A	N/A	7309 OLYMPIA DR	APT A	BAKERSFIELD	CA	93309	7564	00	06000	35.32291133	-119.08423	Kern County
318575	Ordering, Referring, Prescribing	N/A	1063539567	0	0	ORTIZ, TINA M LMFT	2/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT52790	N/A	N/A	N/A	N/A	N/A	66 HURLBUT ST	None	PASADENA	CA	91105	4025	00	06000	34.12993251	-118.1516625	Los Angeles County
318625	Ordering, Referring, Prescribing	N/A	1063562403	0	0	OH, DAVID	12/21/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A61774	N/A	N/A	N/A	N/A	N/A	1925 DALY STREET 1ST FLO	None	LOS ANGELES	CA	90031	0000	00	06000	34.06674826	-118.2155159	Los Angeles County
318634	Ordering, Referring, Prescribing	N/A	1063629343	0	0	OCHOA, KRISTEN C MD	2/20/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A100604	N/A	N/A	N/A	N/A	N/A	14445 OLIVE VIEW DRIVE	None	SYLMAR	CA	91342	1437	00	06000	34.32450186	-118.4456317	Los Angeles County
318678	Ordering, Referring, Prescribing	N/A	1063714616	0	0	OROZCO, TIFFANY T LCSW	6/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	93064	N/A	N/A	N/A	N/A	N/A	7200 BANCROFT AVE SUITE	125A	OAKLAND	CA	94605	2417	00	06000	37.768221	-122.17608	Alameda County
318692	Ordering, Referring, Prescribing	N/A	1063746550	0	0	OELRICH, TREVOR K PHARMD	6/12/2019	Taxonomy not applicable	NA	n/a	000	Unknown	62817	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
318764	Ordering, Referring, Prescribing	N/A	1063824126	0	0	ONEIL, DENISE LMFT	5/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT100221	N/A	N/A	N/A	N/A	N/A	3605 VISTA WAY	STE 258	OCEANSIDE	CA	92056	4565	00	06000	33.1818929	-117.3104591	San Diego County
318793	Ordering, Referring, Prescribing	N/A	1063868560	0	0	OH, JUNG PHARMD	3/15/2018	Taxonomy not applicable	NA	n/a	000	Unknown	73872	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
318891	Ordering, Referring, Prescribing	N/A	1073019089	0	0	OKO, OBINNA C MD	3/18/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165945	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON AVENUE	None	SACRAMENTO	CA	95817	2307	00	06000	38.555181	-121.4566785	Sacramento County
318915	Ordering, Referring, Prescribing	N/A	1073064358	0	0	OJEWOLE, JOHN K LMFT	10/6/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT128530	N/A	N/A	N/A	N/A	N/A	10 DOUGLAS DR	140	MARTINEZ	CA	94553	4077	00	06000	37.99546221	-122.1222474	Contra Costa County
318948	Ordering, Referring, Prescribing	N/A	1073096970	0	0	OCOBOC, JESSICA A	4/20/2019	Taxonomy not applicable	NA	n/a	000	Unknown	LEP2989	N/A	N/A	N/A	N/A	N/A	1001 S EAST ST	None	ANAHEIM	CA	92805	5749	00	06000	33.82302745	-117.8977198	Orange County
319001	Ordering, Referring, Prescribing	N/A	1073291993	0	0	OMAR, PUSHTANA LMFT	6/18/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	147498	N/A	N/A	N/A	N/A	N/A	1910 OLYMPIC BLVD	365	WALNUT CREEK	CA	94596	5096	00	06000	37.89453628	-122.0662326	Contra Costa County
319008	Ordering, Referring, Prescribing	N/A	1073346243	0	0	OH, SOL PHARMD	8/21/2024	Taxonomy not applicable	NA	n/a	000	Unknown	RPH89883	N/A	N/A	N/A	N/A	N/A	2655 W OLYMPIC BLVD	104	LOS ANGELES	CA	90006	2800	00	06000	34.05243121	-118.289956	Los Angeles County
319054	Ordering, Referring, Prescribing	N/A	1073657664	0	0	O'RAIDY, THERESA L LMFT	12/30/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	46115	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
319095	Ordering, Referring, Prescribing	N/A	1073757449	0	0	OKEEFE, JENNIFER CCC-SLP	8/28/2022	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	20081	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
319101	Ordering, Referring, Prescribing	N/A	1073777538	0	0	ORNELAS, WILDI L LMFT	11/20/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT80119	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
319125	Ordering, Referring, Prescribing	N/A	1073836185	0	0	OKUHARA, CAROL A NP	12/16/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	336378	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
319145	Ordering, Referring, Prescribing	N/A	1073869145	0	0	OWEN, MICHAEL C NP	11/13/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95001492	N/A	N/A	N/A	N/A	N/A	251 LANDIS AVE	None	CHULA VISTA	CA	91910	2628	00	06000	32.6425313	-117.0814859	San Diego County
319155	Ordering, Referring, Prescribing	N/A	1073891214	0	0	OWLIAIE, MEHDI A LMFT	5/10/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125912	N/A	N/A	N/A	N/A	N/A	11600 ELDRIDGE AVE.	None	LAKE VIEW TERRACE	CA	91342	0000	00	06000	34.28038404	-118.3838708	Los Angeles County
319161	Ordering, Referring, Prescribing	N/A	1073899472	0	0	OTOMO, CHIEKO	4/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	62510	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
319255	Ordering, Referring, Prescribing	N/A	1083029409	0	0	ORTIZ, CHRISTINA LMFT	2/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT105541	N/A	N/A	N/A	N/A	N/A	5276 HOLLISTER AVE	STE. 106	SANTA BARBARA	CA	93111	2073	00	06000	34.43504438	-119.8083695	Santa Barbara County
319427	Ordering, Referring, Prescribing	N/A	1083356430	0	0	OSEGUEDA, VIOLETA MD	8/30/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A189682	N/A	N/A	N/A	N/A	N/A	14411 VANOWEN ST.	None	VAN NUYS	CA	91405	4083	00	06000	34.1939596	-118.4468813	Los Angeles County
319463	Ordering, Referring, Prescribing	N/A	1083653729	0	0	OSWALD, SHERI L PA-C	6/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	15304	N/A	N/A	N/A	N/A	N/A	49169 RD 426	None	OAKHURST	CA	93644	0000	00	06000	37.3300998	-119.650508	Madera County
319599	Ordering, Referring, Prescribing	N/A	1083962096	0	0	ORTEGA, LOURDES MSW LCSW	2/11/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	81660	N/A	N/A	N/A	N/A	N/A	2311 W EL SEGUNDO BLVD	None	HAWTHORNE	CA	90250	3315	00	06000	33.91647947	-118.3189815	Los Angeles County
319607	Ordering, Referring, Prescribing	N/A	1083969224	0	0	OLIVIER, RALPH A PHARMD	10/12/2020	Taxonomy not applicable	NA	n/a	000	Unknown	RPH41392	N/A	N/A	N/A	N/A	N/A	1530 S OLIVE ST	None	LOS ANGELES	CA	90015	3023	00	06000	34.03542552	-118.2652073	Los Angeles County
319617	Ordering, Referring, Prescribing	N/A	1083995815	0	0	OSORIA, RITA LMFT	12/7/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	97505	N/A	N/A	N/A	N/A	N/A	5628 E SLAUSON AVE	None	COMMERCE	CA	90040	2922	00	06000	33.98593459	-118.163681	Los Angeles County
319633	Ordering, Referring, Prescribing	N/A	1093006322	0	0	OWEN, ELEANOR I LCSW	11/30/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	73540	N/A	N/A	N/A	N/A	N/A	100 W. WALNUT STREET	375	PASADENA	CA	91124	0001	00	06000	34.14963648	-118.1522925	Los Angeles County
319739	Ordering, Referring, Prescribing	N/A	1093185993	0	0	ORR, RIVA S LPCC	11/24/2024	Taxonomy not applicable	NA	n/a	000	Unknown	18056	N/A	N/A	N/A	N/A	N/A	631 S ORCHARD AVE	None	UKIAH	CA	95482	5011	00	06000	39.14619517	-123.1986323	Mendocino County
319747	Ordering, Referring, Prescribing	N/A	1093198384	0	0	OZDIL, NEVRA MD	6/30/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A156186	N/A	N/A	N/A	N/A	N/A	1145 E COMPTON BLVD	None	COMPTON	CA	90221	3307	00	06000	33.89606151	-118.2106125	Los Angeles County
319753	Ordering, Referring, Prescribing	N/A	1093200040	0	0	OCAMPO, LAURA S LCSW	3/23/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW99166	N/A	N/A	N/A	N/A	N/A	3303 N. BROADWAY	None	LOS ANGELES	CA	90031	2803	00	06000	34.07380397	-118.20586	Los Angeles County
319843	Ordering, Referring, Prescribing	N/A	1093372617	0	0	OBREGON, DARLENE A LMFT	7/18/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140481	N/A	N/A	N/A	N/A	N/A	3120 FREEBOARD DR	102	WEST SACRAMENTO	CA	95691	5039	00	06000	38.5746747	-121.552383	Yolo County
319887	Ordering, Referring, Prescribing	N/A	1093561813	0	0	O'CONNOR, ERIN	7/16/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95031124	N/A	N/A	N/A	N/A	N/A	1580 VALENCIA ST	None	SAN FRANCISCO	CA	94110	4423	00	06000	37.74746923	-122.4202583	San Francisco County
319928	Ordering, Referring, Prescribing	N/A	1093841546	0	0	OKENEME, JOYCE E	6/25/2018	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	922	N/A	N/A	N/A	N/A	N/A	1530 S OLIVE STREET	None	LOS ANGELES	CA	90015	0000	00	06000	34.03542552	-118.2652073	Los Angeles County
319990	Ordering, Referring, Prescribing	N/A	1093940165	0	0	OKAMOTO-GIBBS, ETSUKO LMFT	12/29/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT43279	N/A	N/A	N/A	N/A	N/A	231 E. THIRD ST.	G106	LOS ANGELES	CA	90013	1494	00	06000	34.04804033	-118.2438699	Los Angeles County
320046	Ordering, Referring, Prescribing	N/A	1104064492	0	0	ORTIZ, DEVON LMFT	6/15/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	MFT38370	N/A	N/A	N/A	N/A	N/A	897 GRANITE DRIVE	None	PASADENA	CA	91101	3501	00	06000	34.13703447	-118.1317905	Los Angeles County
320051	Ordering, Referring, Prescribing	N/A	1104073865	0	0	OKAFOR, ESTHER U NP	3/27/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	500002	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
320154	Ordering, Referring, Prescribing	N/A	1104250521	0	0	OJWANG, RHODA A CNP	2/11/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	23239	N/A	N/A	N/A	N/A	N/A	1665 S. IMPERIAL AVE	STE D	EL CENTRO	CA	92243	4247	00	06000	32.77860065	-115.5695241	Imperial County
320238	Ordering, Referring, Prescribing	N/A	1104376839	0	0	OLIVER, BRITANY LCSW	4/26/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	114977	N/A	N/A	N/A	N/A	N/A	4892 SAN PABLO DAM RD	None	EL SOBRANTE	CA	94803	3222	00	06000	37.96337568	-122.2929195	Contra Costa County
320247	Ordering, Referring, Prescribing	N/A	1104392810	0	0	OLAJIDE, ESTHER LMFT	9/22/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	141648	N/A	N/A	N/A	N/A	N/A	9713 SANTA MONICA BLVD	SUITE 201	BEVERLY HILLS	CA	90210	4236	00	06000	34.06835061	-118.4076858	Los Angeles County
320259	Ordering, Referring, Prescribing	N/A	1104406123	0	0	OSBORNE, MAILE S	10/5/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	106851	N/A	N/A	N/A	N/A	N/A	425 S PACIFIC AVE	None	SAN PEDRO	CA	90731	2625	00	06000	33.740073	-118.2879355	Los Angeles County
320290	Ordering, Referring, Prescribing	N/A	1104491752	0	0	ODUDU, GABRIELLA MD	6/12/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A196863	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
320485	Ordering, Referring, Prescribing	N/A	1114202272	0	0	OUEINI, ZEINA PHARMD	7/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53060	N/A	N/A	N/A	N/A	N/A	2795 FLORAL AVE	None	SELMA	CA	93662	2795	00	06000	36.57639181	-119.6264901	Fresno County
320520	Ordering, Referring, Prescribing	N/A	1114256690	0	0	ORBE, KERIN DO	6/20/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A17225	N/A	N/A	N/A	N/A	N/A	248 LANDIS AVE	None	CHULA VISTA	CA	91910	2609	00	06000	32.6430374	-117.0817455	San Diego County
320554	Ordering, Referring, Prescribing	N/A	1114323094	0	0	ORTEGA-GARCIA, CONCHITA LCSW	6/18/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW83134	N/A	N/A	N/A	N/A	N/A	6851 LENNOX AVE	100	VAN NUYS	CA	91405	4073	00	06000	34.19553967	-118.4454933	Los Angeles County
320634	Ordering, Referring, Prescribing	N/A	1114446838	0	0	OKUNYAN, ALINA PHARMD	3/28/2022	Taxonomy not applicable	NA	n/a	000	Unknown	71809	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
320640	Ordering, Referring, Prescribing	N/A	1114456738	0	0	OLZACK, DERRICK PA	5/22/2023	Taxonomy not applicable	NA	n/a	000	Unknown	54432	N/A	N/A	N/A	N/A	N/A	850 W OLIVE AVE	None	MERCED	CA	95348	2427	00	06000	37.31843749	-120.4834376	Merced County
320707	Ordering, Referring, Prescribing	N/A	1114586583	0	0	O'BRIEN GUERRERO, VINCENT P MD	9/16/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A182105	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
320731	Ordering, Referring, Prescribing	N/A	1114670882	0	0	OBAH, ADA G NP	12/23/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95019561	N/A	N/A	N/A	N/A	N/A	2100 E ANAHEIM ST	SUITE B	LONG BEACH	CA	90804	3419	00	06000	33.7825725	-118.1663865	Los Angeles County
320794	Ordering, Referring, Prescribing	N/A	1124110028	0	0	O'NEILL, AMY E LCSW	3/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW29649	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
320851	Ordering, Referring, Prescribing	N/A	1124186770	0	0	O?RIEN, LAURA M NP	1/7/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	6263	N/A	N/A	N/A	N/A	N/A	844 OLD TUNNEL ROAD GRAS	None	GRASS VALLEY	CA	95945	8524	00	06000	39.23512508	-121.0306878	Nevada County
320965	Ordering, Referring, Prescribing	N/A	1124408935	0	0	ORPILLA, LISA	1/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51522	N/A	N/A	N/A	N/A	N/A	720 THIRD AVE	None	CHULA VISTA	CA	91910	5804	00	06000	32.62680922	-117.0742561	San Diego County
321038	Ordering, Referring, Prescribing	N/A	1124523774	0	0	ONI-ORISAN, ADEOLA MD	12/20/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A167053	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
321040	Ordering, Referring, Prescribing	N/A	1124520341	0	0	OKOTH ODHIAMBO, GEOFFREY NP	11/12/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95006514	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
321055	Ordering, Referring, Prescribing	N/A	1124545645	0	0	OLAGBEMI, TEMITAYO M NP	11/3/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011030	N/A	N/A	N/A	N/A	N/A	1031 25TH ST	None	SAN DIEGO	CA	92102	2102	00	06000	32.716404	-117.1402635	San Diego County
321175	Ordering, Referring, Prescribing	N/A	1134140882	0	0	OCSKAY, OLIVER PHD	3/4/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY6480	N/A	N/A	N/A	N/A	N/A	704 MILL ST.	None	LOYALTON	CA	96118	0265	00	06000	39.67395553	-120.241026	Sierra County
321205	Ordering, Referring, Prescribing	N/A	1134239932	0	0	OKONKWOAGUOLU, JERRY A MD	10/18/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A29427	N/A	N/A	N/A	N/A	N/A	15901 HAWTHORNE BLVD.	#400	LAWNDALE	CA	90260	2639	00	06000	33.8863737	-118.352778	Los Angeles County
321216	Ordering, Referring, Prescribing	N/A	1134246036	0	0	ORTIZ, TIFFANY M PSYD	4/2/2021	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY32501	N/A	N/A	N/A	N/A	N/A	1125 W. 6TH ST.	None	LOS ANGELES	CA	90017	1896	00	06000	34.05441139	-118.2628642	Los Angeles County
321227	Ordering, Referring, Prescribing	N/A	1134260060	0	0	OSBORNE, DAHLMA CNM	11/19/2023	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	1185	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
321240	Ordering, Referring, Prescribing	N/A	1134286701	0	0	OMAR, SORAYA A DDS	6/5/2023	Taxonomy not applicable	NA	n/a	000	Unknown	41767	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
321433	Ordering, Referring, Prescribing	N/A	1134644925	0	0	OLAVE, NATALIA LPCC	2/16/2024	Taxonomy not applicable	NA	n/a	000	Unknown	15861	N/A	N/A	N/A	N/A	N/A	1196 THIRD AVE	None	CHULA VISTA	CA	91911	3131	00	06000	32.61031228	-117.067833	San Diego County
321499	Ordering, Referring, Prescribing	N/A	1134769011	0	0	O'DONNELL, JENNA NP	6/21/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021391	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
321562	Ordering, Referring, Prescribing	N/A	1144299355	0	0	OWEN, JAMES P OD	9/24/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	8966	N/A	N/A	N/A	N/A	N/A	374 EAST H STREET	None	CHULA VISTA	CA	91910	7484	00	06000	32.64037799	-117.0489675	San Diego County
321575	Ordering, Referring, Prescribing	N/A	1144338674	0	0	ODISHOO, VILARD Z	9/3/1991	Taxonomy not applicable	NA	n/a	099	DENTIST	D39857	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
321682	Ordering, Referring, Prescribing	N/A	1144570896	0	0	ORTEGA, JUANITA LCSW	8/11/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW75257	N/A	N/A	N/A	N/A	N/A	510 S VERMONT AVE	18 FLOOR	LOS ANGELES	CA	90020	1992	00	06000	34.065	-118.291631	Los Angeles County
321729	Ordering, Referring, Prescribing	N/A	1144631482	0	0	OSAWARU, ZSANETTE LCSW	1/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW80741	N/A	N/A	N/A	N/A	N/A	251 E AVENUE K6	B	LANCASTER	CA	93535	4509	00	06000	34.6694965	-118.1264085	Los Angeles County
321793	Ordering, Referring, Prescribing	N/A	1144717828	0	0	OSORIO, BRENDA N PSYD	12/22/2021	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY33086	N/A	N/A	N/A	N/A	N/A	1339 20TH STREET	None	SANTA MONICA	CA	90404	2033	00	06000	34.02917949	-118.4805651	Los Angeles County
321806	Ordering, Referring, Prescribing	N/A	1144718669	0	0	ORTIZ, LEONILA LMFT	4/8/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	146250	N/A	N/A	N/A	N/A	N/A	144 S L ST	None	DINUBA	CA	93618	2323	00	06000	36.54033313	-119.389607	Tulare County
321922	Ordering, Referring, Prescribing	N/A	1144952185	0	0	OMAR, XAMDA A	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	83249	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
321928	Ordering, Referring, Prescribing	N/A	1144954801	0	0	OMAR, HOMIRA PA-C	6/8/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA64615	N/A	N/A	N/A	N/A	N/A	4137 VERDUGO ROAD	None	LOS ANGELES	CA	90065	3820	00	06000	34.1261475	-118.2319835	Los Angeles County
321948	Ordering, Referring, Prescribing	N/A	1154031417	0	0	OREILLY, CRISTINA C CCC-SLP	2/16/2022	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	15209	N/A	N/A	N/A	N/A	N/A	9401 S. PAINTER AVE	None	WHITTIER	CA	90605	2729	00	06000	33.953337	-118.046439	Los Angeles County
321997	Ordering, Referring, Prescribing	N/A	1154366946	0	0	OBIOHA, UDOH MD	6/28/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A42739	N/A	N/A	N/A	N/A	N/A	18651 VALLEY BLVD	None	BLOOMINGTON	CA	92316	1831	00	06000	34.07044952	-117.3974715	San Bernardino County
322034	Ordering, Referring, Prescribing	N/A	1154458644	0	0	OSHIRO-FOSSATI, PAMELA LCSW	3/3/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	26876	N/A	N/A	N/A	N/A	N/A	1550 TECHNOLOGY DR	1027	SAN JOSE	CA	95110	3832	00	06000	37.3632612	-121.9149062	Santa Clara County
322089	Ordering, Referring, Prescribing	N/A	1154574853	0	0	ORTIZ URDA, MARIA S MD	12/16/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A105136	N/A	N/A	N/A	N/A	N/A	603 S KNICKERBOCKER DR	None	SUNNYVALE	CA	94087	1034	00	06000	37.37388391	-122.058159	Santa Clara County
322095	Ordering, Referring, Prescribing	N/A	1154577344	0	0	OSATO, DOUGLAS H PHARMD	3/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH61244	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
322144	Ordering, Referring, Prescribing	N/A	1154677144	0	0	ODA, JULIE PHARMD	3/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66179	N/A	N/A	N/A	N/A	N/A	9400 ROSECRANS AVE	PHARMACY ADMINISTRATION	BELLFLOWER	CA	90706	2246	00	06000	33.9040752	-118.1328995	Los Angeles County
322166	Ordering, Referring, Prescribing	N/A	1154710010	0	0	OKWANDU, CHIBUZO I J MD	8/21/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A146591	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
322224	Ordering, Referring, Prescribing	N/A	1154807642	0	0	OMOKO, BENEDICTA O MD	10/3/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165890	N/A	N/A	N/A	N/A	N/A	420 S GLENDORA AVE	None	WEST COVINA	CA	91790	3001	00	06000	34.06750236	-117.925203	Los Angeles County
322234	Ordering, Referring, Prescribing	N/A	1154826089	0	0	ONWUKA, ROSEMARY NP	6/21/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95009056	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
322243	Ordering, Referring, Prescribing	N/A	1154839447	0	0	OCAMPO, CARLOS LMFT	10/1/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	141763	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
322268	Ordering, Referring, Prescribing	N/A	1154869626	0	0	OH, SOHYUN PHARMD	6/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	76222	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
322312	Ordering, Referring, Prescribing	N/A	1154964849	0	0	OYELADE, OYEBOLA O NP	3/11/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95012789	N/A	N/A	N/A	N/A	N/A	1481 WINDSOR DRIVE	None	SAN BERNARDINO	CA	92404	8889	00	06000	34.12654883	-117.2694316	San Bernardino County
322320	Ordering, Referring, Prescribing	N/A	1154969723	0	0	OH, SUSIE PHARMD	7/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81350	N/A	N/A	N/A	N/A	N/A	230 N LA BREA AVE	None	INGLEWOOD	CA	90301	1215	00	06000	33.96624834	-118.3534347	Los Angeles County
322362	Ordering, Referring, Prescribing	N/A	1164059143	0	0	OSBOURNE, APPLEDENE S MD	7/5/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180225	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
322515	Ordering, Referring, Prescribing	N/A	1164628558	0	0	OLAH, DIAN M	10/10/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	D51020	N/A	N/A	N/A	N/A	N/A	101 WEST COAST ROAD	769	REDWAY	CA	95560	0769	00	06000	40.11704433	-123.8133408	Humboldt County
322551	Ordering, Referring, Prescribing	N/A	1164708640	0	0	OCANSEY, PRINCE NP	12/7/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	21235	N/A	N/A	N/A	N/A	N/A	9415 MISSION BLVD	P	RIVERSIDE	CA	92509	2600	00	06000	34.01179145	-117.4903644	Riverside County
322819	Ordering, Referring, Prescribing	N/A	1174157028	0	0	ORTIZ, ASHLEY T	9/2/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	106823	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
322952	Ordering, Referring, Prescribing	N/A	1174724678	0	0	ONIWOR, ESEOGHENE LMFT	6/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	52885	N/A	N/A	N/A	N/A	N/A	2999 KENDALL DR	204 PMB 1055	SAN BERNADINO	CA	92407	5953	00	06000	34.18845018	-117.3548605	San Bernardino
322953	Ordering, Referring, Prescribing	N/A	1174732713	0	0	OBOLNIKOV, MARINA MD	12/7/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A91716	N/A	N/A	N/A	N/A	N/A	802 BREWSTER AVE	None	REDWOOD CITY	CA	94063	1510	00	06000	37.48873991	-122.2339433	San Mateo County
323035	Ordering, Referring, Prescribing	N/A	1174891188	0	0	OU, JOHANNA M PHARMD	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	61843	N/A	N/A	N/A	N/A	N/A	11795 W OLYMPIC BLVD	None	LOS ANGELES	CA	90064	1211	00	06000	34.03340929	-118.4493238	Los Angeles County
323037	Ordering, Referring, Prescribing	N/A	1174836340	0	0	ORTEGA, MATTHEW LMFT	8/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	119216	N/A	N/A	N/A	N/A	N/A	7780 N FRESNO ST	105	FRESNO	CA	93720	2413	00	06000	36.85162237	-119.7836163	Fresno County
323063	Ordering, Referring, Prescribing	N/A	1174913990	0	0	OJIBWAY, RHUSSEL J LMFT	11/22/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	109612	N/A	N/A	N/A	N/A	N/A	275 BECK AVENUE	5-120	FAIRFIELD	CA	94533	6804	00	06000	38.23532718	-122.0663968	Solano County
323065	Ordering, Referring, Prescribing	N/A	1174923262	0	0	OH, SARAH E	7/25/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D63995	N/A	N/A	N/A	N/A	N/A	13721 NEWPORT AVE	None	TUSTIN	CA	92780	4690	00	06000	33.74113794	-117.8193349	Orange County
323134	Ordering, Referring, Prescribing	N/A	1184001950	0	0	OSBORN, JENNIFER LMFT	2/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	117433	N/A	N/A	N/A	N/A	N/A	550 W VISTA WAY	407	VISTA	CA	92083	5732	00	06000	33.19564771	-117.2534095	San Diego County
323182	Ordering, Referring, Prescribing	N/A	1184060956	0	0	OLIPHANT, ANNE MD	3/13/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A150135	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
323249	Ordering, Referring, Prescribing	N/A	1184161390	0	0	ORTIZ, KATIE C LCSW	7/25/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW124563	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
323280	Ordering, Referring, Prescribing	N/A	1184224164	0	0	OWOLABI, TOOYIN NP	10/2/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95027494	N/A	N/A	N/A	N/A	N/A	2380 N SIERRA WAY	None	SAN BERNARDINO	CA	92405	3546	00	06000	34.137657	-117.285168	San Bernardino County
323365	Ordering, Referring, Prescribing	N/A	1184468555	0	0	OTT, JAMIE M MSW LCSW	12/3/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	29719	N/A	N/A	N/A	N/A	N/A	112 CHILDREN'S CIRCLE	None	SANTA ROSA	CA	95409	6558	00	06000	38.439603	-122.583699	Sonoma County
323429	Ordering, Referring, Prescribing	N/A	1184768913	0	0	OLSEN, MICHAEL D LMFT	2/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	46226	N/A	N/A	N/A	N/A	N/A	6001 CLARA ST	None	BELL GARDENS	CA	90201	4723	00	06000	33.96259296	-118.1593487	Los Angeles County
323439	Ordering, Referring, Prescribing	N/A	1184811531	0	0	OZOBIANI, ISAAC M LCSW	4/7/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW17798	N/A	N/A	N/A	N/A	N/A	5168 HONPIE ROAD	None	PLACERVILLE	CA	95667	8682	00	06000	38.6943603	-120.9018271	El Dorado County
323447	Ordering, Referring, Prescribing	N/A	1184829467	0	0	O'NEILL, ROBIN F LCSW	5/27/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	28821	N/A	N/A	N/A	N/A	N/A	13585 SAN PABLO AVE	2ND FLOOR	SAN PABLO	CA	94806	3804	00	06000	37.95651393	-122.3371491	Contra Costa County
323464	Ordering, Referring, Prescribing	N/A	1184854127	0	0	OCONNELL, SARAH E	12/21/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP18373	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
323470	Ordering, Referring, Prescribing	N/A	1184873325	0	0	OELBERGER, BETH F LMFT	5/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48516	N/A	N/A	N/A	N/A	N/A	11175 SAN PABLO AVE.	None	EL CERRITO	CA	94530	2157	00	06000	37.91926262	-122.31424	Contra Costa County
323504	Ordering, Referring, Prescribing	N/A	1184920050	0	0	OMUSON, VICTORIA	12/26/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	494863	N/A	N/A	N/A	N/A	N/A	3828 DELMAS TERRACE	None	CULVER CITY	CA	90232	2713	00	06000	34.02308948	-118.3972101	Los Angeles County
323505	Ordering, Referring, Prescribing	N/A	1184923500	0	0	OSUNA, DAVID MD	12/7/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A132688	N/A	N/A	N/A	N/A	N/A	222 W HOSPITALITY LN	None	SAN BERNARDINO	CA	92415	0018	00	06000	34.068006	-117.2879505	San Bernardino County
323567	Ordering, Referring, Prescribing	N/A	1194026542	0	0	ONYEKWE, CORDELIA R	12/22/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	528163	N/A	N/A	N/A	N/A	N/A	14860 ROSCOE BLVD STE 30	STE 304	PANORAMA CITY	CA	91402	4695	00	06000	34.2214515	-118.4573205	Los Angeles County
323687	Ordering, Referring, Prescribing	N/A	1194243790	0	0	OGUNJIMI, OLUWASEUN B NP	8/11/2022	Taxonomy not applicable	NA	n/a	000	Unknown	95041229	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
323701	Ordering, Referring, Prescribing	N/A	1194257741	0	0	OKOBI, DANIEL E MD	2/25/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A162136	N/A	N/A	N/A	N/A	N/A	300 UCLA MEDICAL PLZ	SUITE B200	LOS ANGELES	CA	90095	8346	00	06000	34.06465655	-118.4461	Los Angeles County
323740	Ordering, Referring, Prescribing	N/A	1194352146	0	0	OCHI, DEREK DO	6/16/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A19781	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
323743	Ordering, Referring, Prescribing	N/A	1194352401	0	0	OMARY, LINA MD	12/10/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL5042	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
323754	Ordering, Referring, Prescribing	N/A	1194385799	0	0	OSEGUEDA CUEVAS, JACQUELINE CNP	6/21/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95011021	N/A	N/A	N/A	N/A	N/A	3314 FIRESTONE BLVD	None	SOUTH GATE	CA	90280	2938	00	06000	33.95457876	-118.2106077	Los Angeles County
323823	Ordering, Referring, Prescribing	N/A	1194840454	0	0	OUSLEY, MATTHEW J LMFT	6/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	43396	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DR	STE 210	OXNARD	CA	93036	0673	00	06000	34.219566	-119.1539365	Ventura County
323834	Ordering, Referring, Prescribing	N/A	1194853994	0	0	OU, KUNDARA V LMFT	9/16/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	104476	N/A	N/A	N/A	N/A	N/A	500 N 9TH STREET	None	MODESTO	CA	95351	0000	00	06000	37.65145793	-121.0156971	Stanislaus County
323886	Ordering, Referring, Prescribing	N/A	1194926469	0	0	OBIDI, OLUBUKOLA A	12/5/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0673401	N/A	N/A	N/A	N/A	N/A	12900 FREDERICK ST	STE C	MORENO VALLEY	CA	92553	5266	00	06000	33.932655	-117.261383	Riverside County
323991	Ordering, Referring, Prescribing	N/A	1205145497	0	0	O'BRIEN, ELIZABETH C LCSW	2/12/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27429	N/A	N/A	N/A	N/A	N/A	3 SIXTH ST.	None	POINT REYES STATI	CA	94956	0910	00	06000	38.06926923	-122.8086302	Marin County
324006	Ordering, Referring, Prescribing	N/A	1205181765	0	0	OETINGER, JENNIFER LMFT	3/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT102775	N/A	N/A	N/A	N/A	N/A	2245 BACON ST.	None	CONCORD	CA	94520	2021	00	06000	37.98183228	-122.0353715	Contra Costa County
324033	Ordering, Referring, Prescribing	N/A	1205237179	0	0	OSBORNE, LORETTA E NP	6/28/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	502340	N/A	N/A	N/A	N/A	N/A	487 S MAIN ST	None	LAKEPORT	CA	95453	5315	00	06000	39.03874681	-122.9152741	Lake County
324121	Ordering, Referring, Prescribing	N/A	1205370400	0	0	ORNELAS, MIGUEL LCSW	6/10/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW92405	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
324139	Ordering, Referring, Prescribing	N/A	1205393998	0	0	OKEREKE, MAUREEN N NP	10/22/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011011	N/A	N/A	N/A	N/A	N/A	2115 N WILMINGTON AVE	None	COMPTON	CA	90222	2030	00	06000	33.91197848	-118.2391821	Los Angeles County
324194	Ordering, Referring, Prescribing	N/A	1205540796	0	0	ONG, TIFFANY PHARMD	10/31/2022	Taxonomy not applicable	NA	n/a	000	Unknown	87223	N/A	N/A	N/A	N/A	N/A	570 N SHORELINE BLVD	None	MOUNTAIN VIEW	CA	94043	3103	00	06000	37.40276459	-122.0782742	Santa Clara County
324206	Ordering, Referring, Prescribing	N/A	1205595287	0	0	ORIGINALES, CHIEN PHARMD	8/31/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH84140	N/A	N/A	N/A	N/A	N/A	60 N HIGHLAND SPRINGS AV	None	BANNING	CA	92220	3048	00	06000	33.92988307	-116.9468586	Riverside County
324288	Ordering, Referring, Prescribing	N/A	1215015227	0	0	O'HARA, FELECIA LCSW	7/28/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	73903	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
324352	Ordering, Referring, Prescribing	N/A	1215133269	0	0	OCHOA, LUCIA LCSW	8/10/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	62060	N/A	N/A	N/A	N/A	N/A	740 E ALMOND AVE	None	MADERA	CA	93637	5617	00	06000	36.94545502	-120.0492446	Madera County
324398	Ordering, Referring, Prescribing	N/A	1215224696	0	0	OWEN, REBECCA C NP	4/23/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	20766	N/A	N/A	N/A	N/A	N/A	3030 EXPLORER DRIVE	None	SACRAMENTO	CA	95827	2728	00	06000	38.563362	-121.332429	Sacramento County
324475	Ordering, Referring, Prescribing	N/A	1215345350	0	0	OLIVO, JOSE LMFT	7/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	49321	N/A	N/A	N/A	N/A	N/A	414 GOUGH ST	SUITE 6	SAN FRANCISCO	CA	94102	4464	00	06000	37.7772453	-122.4230146	San Francisco County
324511	Ordering, Referring, Prescribing	N/A	1215390711	0	0	OLAZABAL PUPO, YOEL MD	5/25/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164723	N/A	N/A	N/A	N/A	N/A	8787 HALL ROAD	None	LAMONT	CA	93241	1953	00	06000	35.25969451	-118.908099	Kern County
324536	Ordering, Referring, Prescribing	N/A	1215461991	0	0	OLALO, PRINCELLA G MD	3/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A158193	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2282	00	06000	38.555181	-121.4566785	Sacramento County
324659	Ordering, Referring, Prescribing	N/A	1215929310	0	0	O'CONNELL, ELIZABETH MD	7/8/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A61259	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
324705	Ordering, Referring, Prescribing	N/A	1225141567	0	0	ONEILL, DEVI M NP	8/24/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	663444	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
324723	Ordering, Referring, Prescribing	N/A	1225167372	0	0	OKAMOTO, ALAN LMFT	1/27/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48110	N/A	N/A	N/A	N/A	N/A	26137 LA PAZ RD.	230	MISSION VIEJO	CA	92691	5337	00	06000	33.60038172	-117.6735855	Orange County
324918	Ordering, Referring, Prescribing	N/A	1225509334	0	0	OWUSU ABORAH, JUANITTA PA-C	10/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55683	N/A	N/A	N/A	N/A	N/A	1850 SPRING RIDGE DRIVE	None	SUSANVILLE	CA	96130	6100	00	06000	40.43814074	-120.6259249	Lassen County
325014	Ordering, Referring, Prescribing	N/A	1225679038	0	0	ORENCHUK, MERANDA M LCSW	4/10/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	114727	N/A	N/A	N/A	N/A	N/A	8912 VOLUNTEER LN	None	COLFAX	CA	95826	3221	00	06000	38.55438	-121.3756965	Sacramento County
325027	Ordering, Referring, Prescribing	N/A	1225695463	0	0	OSHINUGA, OLUWADAMILOLA F MD	3/29/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL1258	N/A	N/A	N/A	N/A	N/A	747 52ND ST	None	OAKLAND	CA	94609	1809	00	06000	37.83734639	-122.2672128	Alameda County
325108	Ordering, Referring, Prescribing	N/A	1235282922	0	0	OCCHIPINTI, JOSEPH OD	8/9/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	9327	N/A	N/A	N/A	N/A	N/A	10502 KATELLA AVE	None	ANAHEIM	CA	92804	6528	00	06000	33.80291728	-117.9500175	Orange County
325148	Ordering, Referring, Prescribing	N/A	1235366584	0	0	OMIDVAR, YASAMAN MD	6/6/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A114462	N/A	N/A	N/A	N/A	N/A	5901 GREEN VALLEY CIR	STE 405	CULVER CITY	CA	90230	6938	00	06000	33.98409358	-118.3923715	Los Angeles County
325160	Ordering, Referring, Prescribing	N/A	1235397563	0	0	OHSHITA, YUKO	11/17/2019	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	OT10371	N/A	N/A	N/A	N/A	N/A	14112 S KINGSLEY DR	None	GARDENA	CA	90249	3018	00	06000	33.902901	-118.304243	Los Angeles County
325302	Ordering, Referring, Prescribing	N/A	1235612599	0	0	OH, JAE S DMD	9/25/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS107185	N/A	N/A	N/A	N/A	N/A	8788 JAMACHA RD	None	SPRING VALLEY	CA	91977	4035	00	06000	32.71482507	-117.0098243	San Diego County
325406	Ordering, Referring, Prescribing	N/A	1235847625	0	0	OH, MARC D NP	11/23/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023436	N/A	N/A	N/A	N/A	N/A	7451 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	2803	00	06000	34.20616081	-118.3878161	Los Angeles County
325425	Ordering, Referring, Prescribing	N/A	1235983156	0	0	OBLIGACION, TABITHA	1/8/2024	Taxonomy not applicable	NA	n/a	000	Unknown	4458	N/A	N/A	N/A	N/A	N/A	224 N RIVERSIDE AVE	D	RIALTO	CA	92376	5968	00	06000	34.10345211	-117.3705328	San Bernardino County
325428	Ordering, Referring, Prescribing	N/A	1245008028	0	0	ONYIA, UKAMAKA NP	9/17/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NPF95024586	N/A	N/A	N/A	N/A	N/A	308 N LA CADENA	None	FONTANA	CA	92337	6866	00	06000	34.15608711	-117.4411137	San Bernardino County
325438	Ordering, Referring, Prescribing	N/A	1245099092	0	0	OHANES, NOVA H DDS	3/14/2024	Taxonomy not applicable	NA	n/a	000	Unknown	109955	N/A	N/A	N/A	N/A	N/A	7451 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	2803	00	06000	34.20616081	-118.3878161	Los Angeles County
325638	Ordering, Referring, Prescribing	N/A	1245619485	0	0	O'BRIEN, JESSIKA R	8/31/2017	Taxonomy not applicable	NA	n/a	000	Unknown	52503	N/A	N/A	N/A	N/A	N/A	1964 VIA CTR	None	VISTA	CA	92081	6056	00	06000	33.18400138	-117.283827	San Diego County
325650	Ordering, Referring, Prescribing	N/A	1245637263	0	0	OLIO, DEVIN PSYD	9/26/2024	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY35364	N/A	N/A	N/A	N/A	N/A	706 PEACH ST	None	CORNING	CA	96021	3355	00	06000	39.928689	-122.174397	Tehama County
325722	Ordering, Referring, Prescribing	N/A	1245757186	0	0	OBI-CANBY, CHINWE N NP	10/29/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007868	N/A	N/A	N/A	N/A	N/A	4126 N. MAINE AVE	None	BALDWIN PARK	CA	91706	3306	00	06000	34.08740223	-117.9603532	Los Angeles County
325834	Ordering, Referring, Prescribing	N/A	1245970888	0	0	OROZCO-LLAMAS, MAYRA MD	2/24/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A190465	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
325894	Ordering, Referring, Prescribing	N/A	1255366779	0	0	OGHOORIAN, EDWIN D DPM	3/14/2024	Taxonomy not applicable	NA	n/a	027	PODIATRISTS	E4526	N/A	N/A	N/A	N/A	N/A	150 W. FOOTHILL BLVD.	UNIT F	SAN DIMAS	CA	91773	1103	00	06000	34.12480006	-117.8083927	Los Angeles County
325923	Ordering, Referring, Prescribing	N/A	1255457933	0	0	OCEGUERA, ROSAMARIA LMFT	7/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT33680	N/A	N/A	N/A	N/A	N/A	3080 LA SELVA ST	None	SAN MATEO	CA	94403	2109	00	06000	37.54360308	-122.2846368	San Mateo County
326020	Ordering, Referring, Prescribing	N/A	1255613386	0	0	OJOSE, MAUREEN O	1/21/2016	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	625573	N/A	N/A	N/A	N/A	N/A	4211 S AVALON BLVD	None	LOS ANGELES	CA	90011	5622	00	06000	34.007238	-118.2653065	Los Angeles County
326138	Ordering, Referring, Prescribing	N/A	1255836656	0	0	OPENE, CAROLINE N MD	3/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165185	N/A	N/A	N/A	N/A	N/A	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	2246	00	06000	38.470392	-121.4223975	Sacramento County
326155	Ordering, Referring, Prescribing	N/A	1255862736	0	0	O'SULLIVAN, DEIRDRE L	8/16/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A160784	N/A	N/A	N/A	N/A	N/A	631 MAPLE AVENUE	SUITE A	LOS ANGELES	CA	90014	1200	00	06000	34.04323075	-118.2485358	Los Angeles County
326171	Ordering, Referring, Prescribing	N/A	1255882247	0	0	OCHOA, ANA C LCSW	2/17/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100050	N/A	N/A	N/A	N/A	N/A	4701 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90022	1209	00	06000	34.04062547	-118.1643975	Los Angeles County
326210	Ordering, Referring, Prescribing	N/A	1255941654	0	0	ORTH, TERESA LMFT	9/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121863	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
326237	Ordering, Referring, Prescribing	N/A	1255995254	0	0	OROZCO, KHUSBU LMFT	7/17/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	148124	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
326247	Ordering, Referring, Prescribing	N/A	1265019061	0	0	ORDINANZA, MYLENE NP	2/10/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NPF95019995	N/A	N/A	N/A	N/A	N/A	3364 BEYER BLVD	SUITE 102-103	SAN YSIDRO	CA	92173	1322	00	06000	32.56624454	-117.0611925	San Diego County
326262	Ordering, Referring, Prescribing	N/A	1265056824	0	0	OSTROMOGILSKAYA, JULIA NP	8/9/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021157	N/A	N/A	N/A	N/A	N/A	1295 BROADWAY	201	CHULA VISTA	CA	91911	2982	00	06000	32.60364599	-117.0786521	San Diego County
326307	Ordering, Referring, Prescribing	N/A	1265182794	0	0	OSAKUE, EVBU S DDS	7/18/2023	Taxonomy not applicable	NA	n/a	000	Unknown	108983	N/A	N/A	N/A	N/A	N/A	1500 CAPITOLA RD	None	SANTA CRUZ	CA	95062	2912	00	06000	36.97641295	-121.9850639	Santa Cruz County
326392	Ordering, Referring, Prescribing	N/A	1265604854	0	0	OBRIEN, JEAN F LCSW	6/28/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCS15268	N/A	N/A	N/A	N/A	N/A	828 SOUTH BASCOM AVE	180	SAN JOSE	CA	95128	2600	00	06000	37.31225204	-121.9317854	Santa Clara County
326472	Ordering, Referring, Prescribing	N/A	1265742274	0	0	OKI, YASUHIRO MD	6/3/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C152935	N/A	N/A	N/A	N/A	N/A	5555 W LAS POSITAS BLVD	None	PLEASANTON	CA	94588	4000	00	06000	37.69212528	-121.8803442	Alameda County
326554	Ordering, Referring, Prescribing	N/A	1265878441	0	0	OMOLOLU, ADEYIMIKA O MD	3/23/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A144031	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
326574	Ordering, Referring, Prescribing	N/A	1265910988	0	0	OLVERA, PEDRO PSYD	11/4/2019	Taxonomy not applicable	NA	n/a	000	Unknown	2975	N/A	N/A	N/A	N/A	N/A	41555 COOK ST	STE 130	PALM DESERT	CA	92211	5184	00	06000	33.74651823	-116.3563827	Riverside County
326588	Ordering, Referring, Prescribing	N/A	1265925200	0	0	OHN, KHIN M MD	7/8/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A173613	N/A	N/A	N/A	N/A	N/A	320 S GARFIELD AVE	118	ALHAMBRA	CA	91801	3886	00	06000	34.09184212	-118.1245127	Los Angeles County
326597	Ordering, Referring, Prescribing	N/A	1265954853	0	0	OBRIEN, COLLEEN LMFT	9/13/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	134709	N/A	N/A	N/A	N/A	N/A	226 W OJAI AVE	101-80	OJAI	CA	93023	3278	00	06000	34.44760276	-119.2488095	Ventura County
326602	Ordering, Referring, Prescribing	N/A	1265962559	0	0	OLCESE, MAURA E MD	11/6/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A159350	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FLOOR SUITE. 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
326620	Ordering, Referring, Prescribing	N/A	1265986509	0	0	OH, KELLY LMFT	12/7/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	116561	N/A	N/A	N/A	N/A	N/A	21545 CENTRE POINTE PARK	None	SANTA CLARITA	CA	91350	2947	00	06000	34.413021	-118.514534	Los Angeles County
326634	Ordering, Referring, Prescribing	N/A	1275019473	0	0	OZOKWERE, BENJAMIN C PHARMD	8/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH77708	N/A	N/A	N/A	N/A	N/A	2525 HARRIS ST	None	EUREKA	CA	95503	6532	00	06000	40.780953	-124.139643	Humboldt County
326648	Ordering, Referring, Prescribing	N/A	1275057796	0	0	OKORO, ESTHER C PHARMD	3/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78608	N/A	N/A	N/A	N/A	N/A	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	00	06000	37.93684848	-122.361345	Contra Costa County
326676	Ordering, Referring, Prescribing	N/A	1275097081	0	0	ORLANDO, FRANCESCA A LCSW	3/7/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	107210	N/A	N/A	N/A	N/A	N/A	215 W MADISON AVE	None	EL CAJON	CA	92020	0000	00	06000	32.80066448	-116.9642655	San Diego County
326681	Ordering, Referring, Prescribing	N/A	1275096711	0	0	OH, JENNIFER Y LCSW	8/18/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	96316	N/A	N/A	N/A	N/A	N/A	520 S LA FAYETTE PARK PL	3RD FLLOOR	LOS ANGELES	CA	90057	1607	00	06000	34.06392003	-118.2826062	Los Angeles County
326747	Ordering, Referring, Prescribing	N/A	1275298853	0	0	OLUWADARE, FAITH	7/11/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	147996	N/A	N/A	N/A	N/A	N/A	520 W PALMDALE BLVD	None	PALMDALE	CA	93551	4229	00	06000	34.58407117	-118.1400842	Los Angeles County
326775	Ordering, Referring, Prescribing	N/A	1275603268	0	0	O'DONNELL, DINA K	10/28/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D47105	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
326825	Ordering, Referring, Prescribing	N/A	1275673626	0	0	ORNELAS, JESSE LCSW	3/20/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW94496	N/A	N/A	N/A	N/A	N/A	572 N ARROWHEAD AVE	100	SAN BERNARDINO	CA	92401	1251	00	06000	34.109667	-117.289669	San Bernardino County
326908	Ordering, Referring, Prescribing	N/A	1275868358	0	0	ORELLANA, ANY M VELASQUEZ LCSW	6/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	89318	N/A	N/A	N/A	N/A	N/A	12821 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	91606	1001	00	06000	34.18670951	-118.41246	Los Angeles County
327002	Ordering, Referring, Prescribing	N/A	1275990699	0	0	ORELLANA, TARYN NP	3/14/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN827062	N/A	N/A	N/A	N/A	N/A	6001 CLARA ST	None	BELL GARDENS	CA	90201	4723	00	06000	33.96259296	-118.1593487	Los Angeles County
327022	Ordering, Referring, Prescribing	N/A	1285016667	0	0	OTTO, ANN M LCSW	4/3/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	70720	N/A	N/A	N/A	N/A	N/A	744 P STREET	STE 27	FRESNO	CA	93721	2705	00	06000	36.73601368	-119.7814633	Fresno County
327094	Ordering, Referring, Prescribing	N/A	1285118208	0	0	ORTIZ-RODRIGUEZ, FABIAN LCSW	3/17/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	107322	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
327120	Ordering, Referring, Prescribing	N/A	1285160903	0	0	OGATA, MICHAEL MD	11/7/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157356	N/A	N/A	N/A	N/A	N/A	10605 BALBOA BLVD	SUITE 100	GRANADA HILLS	AL	91344	6367	00	06000	34.263378	-118.5022965	Los Angeles County
327130	Ordering, Referring, Prescribing	N/A	1285182485	0	0	OKAMOTO, ANNIKA LP	12/29/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	31499	N/A	N/A	N/A	N/A	N/A	3580 WILSHIRE BLVD	2000	LOS ANGELES	CA	90010	2151	00	06000	34.06170677	-118.302787	Los Angeles County
327252	Ordering, Referring, Prescribing	N/A	1285670133	0	0	OGANYAN, ALINA A	11/10/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	D46313	N/A	N/A	N/A	N/A	N/A	1727 N VERMONT AVE	SUITE 109	LOS ANGELES	CA	90027	4343	00	06000	34.102602	-118.291796	Los Angeles County
327284	Ordering, Referring, Prescribing	N/A	1285763318	0	0	OGBEBOR, AMENZE O LCSW	6/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW28472	N/A	N/A	N/A	N/A	N/A	2085 RUSTIN AVE	1109	RIVERSIDE	CA	92507	2498	00	06000	33.99323085	-117.3355363	Riverside County
327300	Ordering, Referring, Prescribing	N/A	1285782110	0	0	OCHOA, RHONDA A	11/14/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	258443	N/A	N/A	N/A	N/A	N/A	1920 N GAREY AVE	None	POMONA	CA	91767	2708	00	06000	34.08095869	-117.7526975	Los Angeles County
327357	Ordering, Referring, Prescribing	N/A	1285907972	0	0	OBERBECK, VACHAREE S	3/6/2017	Taxonomy not applicable	NA	n/a	024	PHARMACIES/PHARMACISTS	61592	N/A	N/A	N/A	N/A	N/A	1100 W ARTESIA BLVD	None	COMPTON	CA	90220	5108	00	06000	33.87310855	-118.2410909	Los Angeles County
327400	Ordering, Referring, Prescribing	N/A	1285967844	0	0	OSTERHOLM, MELANIE J LCSW	7/28/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	80278	N/A	N/A	N/A	N/A	N/A	18880 CHERRY VALLEY BLVD	None	TUOLUMNE	CA	95379	9506	00	06000	37.96511668	-120.2399015	Tuolumne County
327479	Ordering, Referring, Prescribing	N/A	1295133080	0	0	OLIVEROS, OLIVIA LCSW	3/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW88226	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
327501	Ordering, Referring, Prescribing	N/A	1295179141	0	0	OLADIMEJI, OLOLADE MD	9/11/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A139596	N/A	N/A	N/A	N/A	N/A	501 MUNZER STREET	SUITE C	SHAFTER	CA	93263	2042	00	06000	35.50077392	-119.2765035	Kern County
327531	Ordering, Referring, Prescribing	N/A	1295220093	0	0	OBANOR, OSAGIE MD	11/6/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164266	N/A	N/A	N/A	N/A	N/A	3751 STOCKER ST	None	VIEW PARK	CA	90008	5101	00	06000	34.00616017	-118.3385751	Los Angeles County
327639	Ordering, Referring, Prescribing	N/A	1295484848	0	0	OU, MONICA G MD	9/3/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A189983	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
327691	Ordering, Referring, Prescribing	N/A	1295800936	0	0	OUELLETTE, STEPHAN P LCSW	9/24/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	19763	N/A	N/A	N/A	N/A	N/A	5335 LAKESHORE BLVD	None	LAKEPORT	CA	95453	6123	00	06000	39.1058965	-122.9032986	Lake County
327719	Ordering, Referring, Prescribing	N/A	1295874055	0	0	OKANO, SACHIKO LMFT	7/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	44166	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
327747	Ordering, Referring, Prescribing	N/A	1295953263	0	0	ORTIZ, JASMINE LMFT	12/4/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	143363	N/A	N/A	N/A	N/A	N/A	51 MARINA BLVD	None	PITTSBURG	CA	94565	2068	00	06000	38.0354387	-121.8837345	Contra Costa County
327934	Ordering, Referring, Prescribing	N/A	1306279500	0	0	OSBORN, JENNIFER G NP	9/24/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	23669	N/A	N/A	N/A	N/A	N/A	21507 EAST CLIFF DR	None	SANTA CRUZ	CA	95062	4844	00	06000	36.96330203	-121.9900666	Santa Cruz County
327976	Ordering, Referring, Prescribing	N/A	1306331228	0	0	OLIVARES GOMEZ, EDNA M LMFT	4/1/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125285	N/A	N/A	N/A	N/A	N/A	5776 STONERIDGE MALL RD	SUITE 340	PLEASANTON	CA	94588	2832	00	06000	37.69272221	-121.9305836	Alameda County
328061	Ordering, Referring, Prescribing	N/A	1306548052	0	0	OLGADO, JACQUELINE C NP	3/17/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024647	N/A	N/A	N/A	N/A	N/A	420 W HARRISON ST	None	CORONA	CA	92878	4032	00	06000	33.88517292	-117.5691303	Riverside County
328076	Ordering, Referring, Prescribing	N/A	1306589056	0	0	ORTON, NICOLE M LAC	11/15/2021	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	19276	N/A	N/A	N/A	N/A	N/A	1735 MISSION ST	None	SAN FRANCISCO	CA	94103	2417	00	06000	37.76957692	-122.4199811	San Francisco County
328108	Ordering, Referring, Prescribing	N/A	1306906755	0	0	OLSON, KIMBERLY L LMFT	3/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	41200	N/A	N/A	N/A	N/A	N/A	1841 EAST MAIN STREET	None	BARSTOW	CA	92311	1602	00	06000	34.8901829	-116.9978731	San Bernardino County
328226	Ordering, Referring, Prescribing	N/A	1316162381	0	0	OGBUCHIEKWE, CHINYE N NP	8/27/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	536017	N/A	N/A	N/A	N/A	N/A	2933 UNIVERSITY AVE	None	RIVERSIDE	CA	92507	4243	00	06000	33.97760919	-117.3651828	Riverside County
328317	Ordering, Referring, Prescribing	N/A	1316321342	0	0	ODOM, ANGELYNN P LMFT	9/21/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT150009	N/A	N/A	N/A	N/A	N/A	130 W. GABILAN STREET	None	SALINAS	CA	93901	2762	00	06000	36.67518004	-121.6586136	Monterey County
328337	Ordering, Referring, Prescribing	N/A	1316354434	0	0	ORNSTEIN, ETHAN LCSW	10/3/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW26850	N/A	N/A	N/A	N/A	N/A	6 FUNSTON AVE	None	SAN FRANCISCO	CA	94129	1109	00	06000	37.79935716	-122.4557158	San Francisco County
328347	Ordering, Referring, Prescribing	N/A	1316371677	0	0	OPDAHL, ERIN	10/16/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	91231	N/A	N/A	N/A	N/A	N/A	125 W THOUSAND OAKS BLVD	400	THOUSAND OAKS	CA	91360	4402	00	06000	34.17854676	-118.8805015	Ventura County
328376	Ordering, Referring, Prescribing	N/A	1316407026	0	0	ORTIZ ILIZALITURRI, ANA K MD	5/24/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A178949	N/A	N/A	N/A	N/A	N/A	4050 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	00	06000	32.5582775	-117.046881	San Diego County
328420	Ordering, Referring, Prescribing	N/A	1316471980	0	0	OTHMAN, TAMER A MD	3/15/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A158324	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
328470	Ordering, Referring, Prescribing	N/A	1316546930	0	0	OGUAGHA, CHIKA U RN PNP	10/21/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95015739	N/A	N/A	N/A	N/A	N/A	770 MAGNOLIA AVE	# 2F	CORONA	CA	92879	3120	00	06000	33.85936872	-117.5534605	Riverside County
328596	Ordering, Referring, Prescribing	N/A	1326124751	0	0	OKOH, PRAISE C LMFT	4/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	103830	N/A	N/A	N/A	N/A	N/A	3625 14TH ST	None	RIVERSIDE	CA	92501	3815	00	06000	33.97584034	-117.3775789	Riverside County
328622	Ordering, Referring, Prescribing	N/A	1326171638	0	0	ORAN, DIANE NP	8/12/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	21782	N/A	N/A	N/A	N/A	N/A	650 HOWE AVE	None	SACRAMENTO	CA	95825	4731	00	06000	38.577294	-121.4146395	Sacramento County
328650	Ordering, Referring, Prescribing	N/A	1326218611	0	0	ODAK, BETTY LMFT	7/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT52001	N/A	N/A	N/A	N/A	N/A	535 W STATE	C	REDLANDS	CA	92373	4662	00	06000	34.0564445	-117.1886892	San Bernardino County
328696	Ordering, Referring, Prescribing	N/A	1326303124	0	0	O'HARA, JOHN P MD	12/11/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A153135	N/A	N/A	N/A	N/A	N/A	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	0000	00	06000	34.17030266	-118.5881699	Los Angeles County
328804	Ordering, Referring, Prescribing	N/A	1326444308	0	0	ORDONEZ MONTOYA, STEPHANIE D LMFT	1/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT99724	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
328814	Ordering, Referring, Prescribing	N/A	1326469065	0	0	OTERO, SUZY LCSW	3/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	86184	N/A	N/A	N/A	N/A	N/A	6333 TELEGRAPH AVE	STE 102	OAKLAND	CA	94609	1359	00	06000	37.84914135	-122.260702	Alameda County
328863	Ordering, Referring, Prescribing	N/A	1326550690	0	0	OH, DANIEL H PHARMD	7/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77707	N/A	N/A	N/A	N/A	N/A	200 WILMOT RD	None	DEERFIELD	IL	60015	4620	00	06000	42.156882	-87.870654	Lake County
328877	Ordering, Referring, Prescribing	N/A	1326571456	0	0	ORTIZ, ROXANA A LMFT	4/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	108160	N/A	N/A	N/A	N/A	N/A	5815 3RD STREET	None	SAN FRANCISCO	CA	94124	9412	00	06000	37.72518008	-122.3942876	San Francisco County
328884	Ordering, Referring, Prescribing	N/A	1326592569	0	0	OLESON, ELIZABETH C NP	12/28/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005173	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
328889	Ordering, Referring, Prescribing	N/A	1326595430	0	0	ORTEZ, ALVARO J LCSW	8/19/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	110042	N/A	N/A	N/A	N/A	N/A	21545 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91350	2947	00	06000	34.413021	-118.514534	Los Angeles County
328915	Ordering, Referring, Prescribing	N/A	1326645896	0	0	OVSEPYAN, HAIK PHARMD	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH82683	N/A	N/A	N/A	N/A	N/A	5451 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5613	00	06000	34.0981319	-118.3087069	Los Angeles County
329066	Ordering, Referring, Prescribing	N/A	1336344118	0	0	ORDUNEZ-LARA, MARIA E LMFT	2/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	110970	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
329157	Ordering, Referring, Prescribing	N/A	1336505924	0	0	OH, LUCY LCSW	3/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	86737	N/A	N/A	N/A	N/A	N/A	3303 N. BROADWAY	None	LOS ANGELES	CA	90031	2803	00	06000	34.07380397	-118.20586	Los Angeles County
329211	Ordering, Referring, Prescribing	N/A	1336571629	0	0	OLIN, MELISSA NP	8/13/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95020134	N/A	N/A	N/A	N/A	N/A	1 HAWTHORNE ST	SUITE 23D	SAN FRANCISCO	CA	94105	3911	00	06000	37.78564929	-122.3990268	San Francisco County
329247	Ordering, Referring, Prescribing	N/A	1336628700	0	0	OCHOA, ANABELLE C LMFT	1/14/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT124017	N/A	N/A	N/A	N/A	N/A	20501 VENTURA BLVD	170	WOODLAND HILLS	CA	91364	0700	00	06000	34.16800818	-118.5797688	Los Angeles County
329444	Ordering, Referring, Prescribing	N/A	1346373172	0	0	OZOH, ADAOBI NP	1/29/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	23110	N/A	N/A	N/A	N/A	N/A	11721 TELEGRAPH RD	A	SANTA FE SPRINGS	CA	90670	3674	00	06000	33.94629336	-118.0832752	Los Angeles County
329481	Ordering, Referring, Prescribing	N/A	1346439676	0	0	OSHITA-DUNN, NORMA L LMFT	12/30/2017	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	103325	N/A	N/A	N/A	N/A	N/A	78401, HWY 111, SUITE V	None	LA QUINTA	CA	92253	2071	00	06000	33.71562752	-116.2964232	Riverside County
329493	Ordering, Referring, Prescribing	N/A	1346470671	0	0	OWENS, JENNIFER L LPCC	8/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	12201	N/A	N/A	N/A	N/A	N/A	4250 FOWLER LN	204	DIAMOND SPRINGS	CA	95619	9781	00	06000	38.69331583	-120.8130299	El Dorado County
329556	Ordering, Referring, Prescribing	N/A	1346575347	0	0	OCAMPO MARTINEZ, CAROLINA LCSW	8/31/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW75351	N/A	N/A	N/A	N/A	N/A	2200 W ORANGEWOOD AVE	212	ORANGE	CA	92868	1945	00	06000	33.79576054	-117.875655	Orange County
329670	Ordering, Referring, Prescribing	N/A	1346753019	0	0	ONYIA, UKAMAKA R CNP	7/8/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NPF95006091	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
329767	Ordering, Referring, Prescribing	N/A	1346983889	0	0	OLIVER, MIRANDA N NP	11/6/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95020631	N/A	N/A	N/A	N/A	N/A	370 DEL NORTE AVE	201	YUBA CITY	CA	95991	4142	00	06000	39.14466521	-121.6166961	Sutter County
329768	Ordering, Referring, Prescribing	N/A	1346974110	0	0	ORUJYAN, ANI PHARMD	5/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86140	N/A	N/A	N/A	N/A	N/A	18430 SHERMAN WAY	None	RESEDA	CA	91335	0000	00	06000	34.20105549	-118.534329	Los Angeles County
329797	Ordering, Referring, Prescribing	N/A	1356096697	0	0	OWENS, VIRGINIA NP	6/30/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95018104	N/A	N/A	N/A	N/A	N/A	1908 N BEALE RD	SUITE E	MARYSVILLE	CA	95901	6937	00	06000	39.1278388	-121.5457994	Yuba County
329861	Ordering, Referring, Prescribing	N/A	1356471429	0	0	ONGCAPIN, ANGELA C PHD	10/23/2018	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY25463	N/A	N/A	N/A	N/A	N/A	501 S IDAHO ST	SUITE 250	LA HABRA	CA	90631	6047	00	06000	33.927525	-117.959216	Orange County
329890	Ordering, Referring, Prescribing	N/A	1356548093	0	0	OJUKWU, CHINWE S MD	6/11/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A102676	N/A	N/A	N/A	N/A	N/A	11306 MOUNTAIN VIEW AVE	STE E	LOMA LINDA	CA	92354	3832	00	06000	34.047513	-117.243647	San Bernardino County
329894	Ordering, Referring, Prescribing	N/A	1356559553	0	0	OBENG, GLADYS K NP	1/5/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011262	N/A	N/A	N/A	N/A	N/A	8350 ARCHIBALD AVENUE	110	RANCHO CUCAMONGA	CA	91730	3669	00	06000	34.10202623	-117.5935082	San Bernardino County
329951	Ordering, Referring, Prescribing	N/A	1356653836	0	0	OTO, CANDACE N OD	3/11/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	14133	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
329987	Ordering, Referring, Prescribing	N/A	1356713002	0	0	OCHSNER, SARAH E LMFT	4/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	103079	N/A	N/A	N/A	N/A	N/A	1000 SUNSET BLVD	None	ROCKLIN	CA	95765	3791	00	06000	38.81665958	-121.2884287	Placer County
330009	Ordering, Referring, Prescribing	N/A	1356736508	0	0	OZA, ANUSHRI MD	7/11/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A160851	N/A	N/A	N/A	N/A	N/A	500 WEST HOSPITAL ROAD	SUITE# C	FRENCH CAMP	CA	95231	9693	00	06000	37.88652418	-121.2820956	San Joaquin County
330106	Ordering, Referring, Prescribing	N/A	1356896492	0	0	OCHI, MAYANO	7/1/2018	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	NMW235942	N/A	N/A	N/A	N/A	N/A	1530 S. OLIVE STREET	None	LOS ANGELES	CA	90015	0000	00	06000	34.03542552	-118.2652073	Los Angeles County
330119	Ordering, Referring, Prescribing	N/A	1356912059	0	0	OLSEN, DAGMARA MD	3/5/2025	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A193842	N/A	N/A	N/A	N/A	N/A	4800 E LOS COYOTES DIAGO	None	LONG BEACH	CA	90815	2897	00	06000	33.79304077	-118.1378147	Los Angeles County
330165	Ordering, Referring, Prescribing	N/A	1366012346	0	0	OROSCO BERESFORD, NATALIA RDH	5/10/2023	Taxonomy not applicable	NA	n/a	000	Unknown	25921	N/A	N/A	N/A	N/A	N/A	50100 GOLSH ROAD	None	VALLEY CENTER	CA	92082	5338	00	06000	33.27715948	-116.9618201	San Diego County
330223	Ordering, Referring, Prescribing	N/A	1366175572	0	0	OCHOA GARCIA, JOSELINE M	8/2/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA61448	N/A	N/A	N/A	N/A	N/A	1005 E WASHINGTON BLVD	None	LOS ANGELES	CA	90021	3068	00	06000	34.02578238	-118.2530622	Los Angeles County
330303	Ordering, Referring, Prescribing	N/A	1366615791	0	0	ODIASE, SANDRA I	2/11/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP17711	N/A	N/A	N/A	N/A	N/A	7171 BOWLING DR	300	SACRAMENTO	CA	95823	2034	00	06000	38.497527	-121.455297	Sacramento County
330321	Ordering, Referring, Prescribing	N/A	1366646960	0	0	OSGOOD, LOIS K LMFT	3/22/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT32161	N/A	N/A	N/A	N/A	N/A	911 21ST	205	PASO ROBLES	CA	93446	1001	00	06000	35.63623522	-120.6893646	San Luis Obispo County
330337	Ordering, Referring, Prescribing	N/A	1366694481	0	0	ONATE, NORMA C LCSW	12/14/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW24280	N/A	N/A	N/A	N/A	N/A	2101 COURAGE DR	MS 10-270	FAIRFIELD	CA	94533	6717	00	06000	38.23737478	-122.0676832	Solano County
330363	Ordering, Referring, Prescribing	N/A	1366748303	0	0	ORION, WALTER P LMFT	8/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT121030	N/A	N/A	N/A	N/A	N/A	9015 MURRAY AVE	100	GILROY	CA	95020	3675	00	06000	37.03080985	-121.5741639	Santa Clara County
330429	Ordering, Referring, Prescribing	N/A	1366848236	0	0	ORTIZ, ALAYN B LCSW	12/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW99110	N/A	N/A	N/A	N/A	N/A	4500 E PACIFIC COAST HWY	None	LONG BEACH	CA	90804	3275	00	06000	33.78808863	-118.1399827	Los Angeles County
330469	Ordering, Referring, Prescribing	N/A	1366905283	0	0	OKOREEH, MICHELLE MD	10/20/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A179618	N/A	N/A	N/A	N/A	N/A	820 E GILBERT STREET	None	SAN BERNARDINO	CA	92415	0942	00	06000	34.1268333	-117.2687417	San Bernardino County
330483	Ordering, Referring, Prescribing	N/A	1366930893	0	0	OLDACH, BENJAMIN R DO	2/10/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A16668	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
330491	Ordering, Referring, Prescribing	N/A	1366947244	0	0	OGINO, JAYME MD DO	1/13/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A17760	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
330527	Ordering, Referring, Prescribing	N/A	1376002600	0	0	O'BRIEN, MATTHEW MD	6/11/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180914	N/A	N/A	N/A	N/A	N/A	8019 COMPTON AVE	None	LOS ANGELES	CA	90001	3409	00	06000	33.9664185	-118.2477481	Los Angeles County
330636	Ordering, Referring, Prescribing	N/A	1376249979	0	0	OLLAR, PATRICK NP	9/16/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95032182	N/A	N/A	N/A	N/A	N/A	2433 MARCONI AVE	None	SACRAMENTO	CA	95821	4807	00	06000	38.619405	-121.4045595	Sacramento County
330665	Ordering, Referring, Prescribing	N/A	1376552141	0	0	OLAJIDE, BOLANLE A MD	6/9/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A69322	N/A	N/A	N/A	N/A	N/A	101 E BEVERLY BLVD	301	MONTEBELLO	CA	90640	4300	00	06000	34.01556395	-118.0983878	Los Angeles County
330729	Ordering, Referring, Prescribing	N/A	1376708602	0	0	ORTEGO, JOSEPH N MD	2/4/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A45241	N/A	N/A	N/A	N/A	N/A	5151 STATE UNIVERSITY DR	STUDENT HEALTH CENTER	LOS ANGELES	CA	90032	4226	00	06000	34.066206	-118.1683485	Los Angeles County
330789	Ordering, Referring, Prescribing	N/A	1376833186	0	0	ONGBONGAN, KRISCHEL T	12/2/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0794166	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
331004	Ordering, Referring, Prescribing	N/A	1386168763	0	0	OLIVARRIA, MARYSOL LMFT	7/6/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	126039	N/A	N/A	N/A	N/A	N/A	3478 BUSKIRK AVE	STE 1000	PLEASANT HILL	CA	94523	4378	00	06000	37.93963113	-122.0591644	Contra Costa County
331123	Ordering, Referring, Prescribing	N/A	1386426245	0	0	OWEN, DIANE LMFT	8/6/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	148660	N/A	N/A	N/A	N/A	N/A	547 UREN STREET	None	NEVADA CITY	CA	95959	2334	00	06000	39.26841435	-121.0124412	Nevada County
331152	Ordering, Referring, Prescribing	N/A	1386705218	0	0	ORME, ELIZABETH O LCSW	6/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW22791	N/A	N/A	N/A	N/A	N/A	10 DOUGLAS DR	SUITE 140	MARTINEZ	CA	94553	4077	00	06000	37.99546221	-122.1222474	Contra Costa County
331262	Ordering, Referring, Prescribing	N/A	1386907012	0	0	OLMEDA, LISA G LMFT	12/7/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100392	N/A	N/A	N/A	N/A	N/A	905 E 8TH STREET	None	LOS ANGELES	CA	90021	1805	00	06000	34.03639545	-118.2465917	Los Angeles County
331374	Ordering, Referring, Prescribing	N/A	1396123857	0	0	OWASHI, ERIC T MD	11/3/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A168041	N/A	N/A	N/A	N/A	N/A	42135 10TH STREET WEST	SUITE 101	LANCASTER	CA	93534	7099	00	06000	34.648533	-118.1477975	Los Angeles County
331388	Ordering, Referring, Prescribing	N/A	1396142956	0	0	OKOH, HELEN C MD	12/13/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A145301	N/A	N/A	N/A	N/A	N/A	37926 47TH STREET EAST	None	PALMDALE	CA	93552	3272	00	06000	34.57140358	-118.0449908	Los Angeles County
331421	Ordering, Referring, Prescribing	N/A	1396181897	0	0	OLER, GENE A LCSW	4/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW26282	N/A	N/A	N/A	N/A	N/A	1131 COMMUNITY PARKWAY	None	HOLLISTER	CA	95023	2800	00	06000	36.87274132	-121.3983499	San Benito County
331431	Ordering, Referring, Prescribing	N/A	1396198404	0	0	OCHOA, ARACELI LCSW	4/28/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW101296	N/A	N/A	N/A	N/A	N/A	14535 SHERMAN CIR	None	VAN NUYS	CA	91405	3087	00	06000	34.20064259	-118.450312	Los Angeles County
331519	Ordering, Referring, Prescribing	N/A	1396342416	0	0	ORTEGA-ENRIQUEZ, ELISA NP	8/26/2020	Taxonomy not applicable	NA	n/a	000	Unknown	95015278	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
331621	Ordering, Referring, Prescribing	N/A	1396813770	0	0	OAKES, JONATHAN E LMFT	1/13/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT46837	N/A	N/A	N/A	N/A	N/A	5325 BRODER BLVD	None	DUBLIN	CA	94568	3309	00	06000	37.71593563	-121.8841457	Alameda County
331657	Ordering, Referring, Prescribing	N/A	1396873766	0	0	ORELLANA, YANIRA LCSW	3/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW20830	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
331680	Ordering, Referring, Prescribing	N/A	1396893046	0	0	OKERBLOM, WILLIAM MD	4/9/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G49571	N/A	N/A	N/A	N/A	N/A	628 W MICHELTORENA ST	None	SANTA BARBARA	CA	93101	4131	00	06000	34.41910081	-119.7158618	Santa Barbara County
331713	Ordering, Referring, Prescribing	N/A	1396979597	0	0	OLAZARAN, GEORGINA P	3/2/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D58252	N/A	N/A	N/A	N/A	N/A	925 BEVINS CT	None	LAKEPORT	CA	95453	8778	00	06000	39.03772106	-122.9223338	Lake County
331727	Ordering, Referring, Prescribing	N/A	1407011224	0	0	OLIVO, CRYSTAL H LCSW	4/26/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	66044	N/A	N/A	N/A	N/A	N/A	2594 INDUSTRY WAY	None	LYNWOOD	CA	90262	4015	00	06000	33.92347498	-118.2266964	Los Angeles County
331743	Ordering, Referring, Prescribing	N/A	1407041759	0	0	ORDONEZ, KELLY PSYD	9/17/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	23732	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
331758	Ordering, Referring, Prescribing	N/A	1407089519	0	0	OJEDA, KISHA M LMFT	2/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	103340	N/A	N/A	N/A	N/A	N/A	500	None	SANTA MARIA	CA	93455	3620	00	06000	0	0	None
331855	Ordering, Referring, Prescribing	N/A	1407284383	0	0	ODDOU, SUSAN PHARMD	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58820	N/A	N/A	N/A	N/A	N/A	1446 BURROUGHS ST	None	OCEANSIDE	CA	92054	5431	00	06000	33.18512461	-117.3603059	San Diego County
331940	Ordering, Referring, Prescribing	N/A	1407396674	0	0	OHLER, MARCUS LMFT	6/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	119602	N/A	N/A	N/A	N/A	N/A	1560 MARKET ST.	None	REDDING	CA	96001	1023	00	06000	40.58346871	-122.390608	Shasta County
331955	Ordering, Referring, Prescribing	N/A	1407443328	0	0	OSBORNE, JULIA LCSW	10/16/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	118639	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DR	SUITE 210	OXNARD	CA	93036	0617	00	06000	34.219566	-119.1539365	Ventura County
331969	Ordering, Referring, Prescribing	N/A	1407496151	0	0	OURMAZDI, PARISA PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81796	N/A	N/A	N/A	N/A	N/A	1320 ENCINITAS BLVD	None	ENCINITAS	CA	92024	2844	00	06000	33.04600352	-117.2606488	San Diego County
331991	Ordering, Referring, Prescribing	N/A	1407566136	0	0	OZIOKO, BLESSING C	11/29/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95023456	N/A	N/A	N/A	N/A	N/A	3030 EXPLORER DRIVE	None	SACRAMENTO	CA	95827	2728	00	06000	38.563362	-121.332429	Sacramento County
332069	Ordering, Referring, Prescribing	N/A	1407984123	0	0	OLSON, MEGAN S LCSW	11/24/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	66344	N/A	N/A	N/A	N/A	N/A	323 N PRAIRIE AVE	150	INGLEWOOD	CA	90301	4502	00	06000	33.966333	-118.3439975	Los Angeles County
332107	Ordering, Referring, Prescribing	N/A	1417067257	0	0	OSAKUE, CLEMENT	2/4/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT36582	N/A	N/A	N/A	N/A	N/A	1126 N GRAND AVE	D	COVINA	CA	91724	1551	00	06000	34.100082	-117.8724825	Los Angeles County
332128	Ordering, Referring, Prescribing	N/A	1417087701	0	0	OLSON, CARLOS U LMFT	3/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	79593	N/A	N/A	N/A	N/A	N/A	2180 JOHNSON AVENUE	None	SAN LUIS OBISPO	CA	93401	4558	00	06000	35.27488974	-120.6468257	San Luis Obispo County
332236	Ordering, Referring, Prescribing	N/A	1417301482	0	0	OSSOWSKI, STEPHANIE MD	7/23/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A150580	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
332237	Ordering, Referring, Prescribing	N/A	1417298977	0	0	O'BRIEN, KELLY LCSW	8/10/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	103045	N/A	N/A	N/A	N/A	N/A	3680 E. IMPERIAL HWY	SUITE 220	LYNWOOD	CA	90262	2659	00	06000	33.93211641	-118.2011728	Los Angeles County
332269	Ordering, Referring, Prescribing	N/A	1417341934	0	0	OCHOA, ALMA D PHARMD	9/30/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62459	N/A	N/A	N/A	N/A	N/A	1212 N CALIFORNIA STREET	None	STOCKTON	CA	95202	9520	00	06000	37.96681769	-121.2881382	San Joaquin County
332425	Ordering, Referring, Prescribing	N/A	1417586082	0	0	OH, JANICE E MD	12/11/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180036	N/A	N/A	N/A	N/A	N/A	8405 BEVERLY BLVD.	None	LOS ANGELES	CA	90043	3401	00	06000	34.07607952	-118.373418	Los Angeles County
332446	Ordering, Referring, Prescribing	N/A	1417704032	0	0	OJELADE, DIVINE O NP	4/16/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95029823	N/A	N/A	N/A	N/A	N/A	24060 FIR AVE	A	MORENO VALLEY	CA	92553	2895	00	06000	33.93543049	-117.242604	Riverside County
332491	Ordering, Referring, Prescribing	N/A	1427087006	0	0	OBRIEN, KENT P MD	9/11/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	38993	N/A	N/A	N/A	N/A	N/A	10820 PARKSIDE DR	None	KNOXVILLE	TN	37934	1956	00	06000	35.90003918	-84.14416556	Knox County
332560	Ordering, Referring, Prescribing	N/A	1427219484	0	0	ODOM, GARY LCSW	1/7/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	71560	N/A	N/A	N/A	N/A	N/A	4510 E. PACIFIC COAST HW	600	LONG BEACH	CA	90804	3227	00	06000	33.78815204	-118.1400821	Los Angeles County
332622	Ordering, Referring, Prescribing	N/A	1427363100	0	0	OLIVEIRA, PENNY A LMFT	4/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT99739	N/A	N/A	N/A	N/A	N/A	1750 W WALNUT AVE	STE B	VISALIA	CA	93277	6233	00	06000	36.313335	-119.3114205	Tulare County
332667	Ordering, Referring, Prescribing	N/A	1427442649	0	0	OROZCO, ROSA M LMFT	9/18/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT128175	N/A	N/A	N/A	N/A	N/A	1303 W WALNUT PKWY	None	COMPTON	CA	90220	5030	00	06000	33.87724562	-118.2446904	Los Angeles County
332693	Ordering, Referring, Prescribing	N/A	1427482405	0	0	OU, SARAH J LCSW	7/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	79893	N/A	N/A	N/A	N/A	N/A	2000 EMBARCADERO COVE	SUITE 400	OAKLAND	CA	94606	5300	00	06000	37.78179304	-122.2428136	Alameda County
332742	Ordering, Referring, Prescribing	N/A	1427554385	0	0	OKUHARA, NATALIE A	12/27/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	104203	N/A	N/A	N/A	N/A	N/A	1807 BAY RD	None	EAST PALO ALTO	CA	94303	1312	00	06000	37.47199121	-122.1344629	San Mateo County
332765	Ordering, Referring, Prescribing	N/A	1427582832	0	0	OGBONNIA, IJEOMA CNP	5/23/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005390	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
332788	Ordering, Referring, Prescribing	N/A	1427630094	0	0	OLSON, JORDAN LMFT	12/28/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	152314	N/A	N/A	N/A	N/A	N/A	1161 BAY BLVD STE B	STE B	CHULA VISTA	CA	91911	2670	00	06000	32.6050811	-117.0922508	San Diego County
332918	Ordering, Referring, Prescribing	N/A	1437287646	0	0	ORPHANOS, MAUREEN C LCSW	3/17/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	18754	N/A	N/A	N/A	N/A	N/A	39155 LIBERTY STREET	G710	FREMONT	CA	94538	1525	00	06000	37.55123907	-121.9828956	Alameda County
332929	Ordering, Referring, Prescribing	N/A	1437308954	0	0	OSWALD, HOLLY PSYD	3/25/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	24160	N/A	N/A	N/A	N/A	N/A	1550 TREAT AVE	None	SAN FRANCISCO	CA	94110	5234	00	06000	37.74592266	-122.4125043	San Francisco County
332994	Ordering, Referring, Prescribing	N/A	1437430360	0	0	OGAS, ROSA LINDA LCSW	3/10/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	88878	N/A	N/A	N/A	N/A	N/A	9015 MURRAY AVENUE	100	GILROY	CA	95020	8107	00	06000	37.03080985	-121.5741639	Santa Clara County
333004	Ordering, Referring, Prescribing	N/A	1437433497	0	0	OFFILL, CHRISTINA I LCSW	3/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	80474	N/A	N/A	N/A	N/A	N/A	631 S. ORCHARD	None	UKIAH	CA	95482	5011	00	06000	39.14619517	-123.1986323	Mendocino County
333027	Ordering, Referring, Prescribing	N/A	1437470275	0	0	ONYEGBUCHULAM, CHARLES C	6/28/2022	Taxonomy not applicable	NA	n/a	000	Unknown	46761	N/A	N/A	N/A	N/A	N/A	3380 COACH LN	None	SHINGLE SPRINGS	CA	95682	8454	00	06000	38.65807602	-120.970776	El Dorado County
333100	Ordering, Referring, Prescribing	N/A	1437579133	0	0	OKPARA, SUSAN C MD	5/25/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A147066	N/A	N/A	N/A	N/A	N/A	1700 KEYSTONE PACIFIC PK	UNIT B	PATTERSON	CA	95363	8874	00	06000	37.47600952	-121.160718	Stanislaus County
333119	Ordering, Referring, Prescribing	N/A	1437598299	0	0	OFORI, ELLA LMFT	7/18/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	111798	N/A	N/A	N/A	N/A	N/A	1735 MISSION ST	None	SAN FRANCISCO	CA	94103	2417	00	06000	37.76957692	-122.4199811	San Francisco County
333161	Ordering, Referring, Prescribing	N/A	1437663895	0	0	OVERBEY, HEIDI ANN LMFT	4/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	118229	N/A	N/A	N/A	N/A	N/A	31760 CASINO DR	100	LAKE ELSINORE	CA	92530	2313	00	06000	33.65752351	-117.2961478	Riverside County
333179	Ordering, Referring, Prescribing	N/A	1437684248	0	0	ONYEAMA, SARA-JANE MD	1/16/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157126	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
333369	Ordering, Referring, Prescribing	N/A	1447414552	0	0	OH, JUNGYEOL NP	3/31/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	18183	N/A	N/A	N/A	N/A	N/A	1000 GOODRICH BLVD	None	COMMERCE	CA	90022	5103	00	06000	34.01730604	-118.1549572	Los Angeles County
333427	Ordering, Referring, Prescribing	N/A	1447535489	0	0	ORTIZ-GALLARDO, BERTHA A LMFT	3/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT83948	N/A	N/A	N/A	N/A	N/A	2000 ALAMEDA DE LAS PULG	None	SAN MATEO	CA	94403	1269	00	06000	37.54524373	-122.3205511	San Mateo County
333525	Ordering, Referring, Prescribing	N/A	1447706528	0	0	OLSON, EMMA NP	8/31/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95068047	N/A	N/A	N/A	N/A	N/A	3270 KERNER BLVD	None	SAN RAFAEL	CA	94901	4840	00	06000	37.96108677	-122.5017451	Marin County
333583	Ordering, Referring, Prescribing	N/A	1447791223	0	0	OELSCHLAEGER, LADONNA M PHARMD	11/18/2019	Taxonomy not applicable	NA	n/a	000	Unknown	58023	N/A	N/A	N/A	N/A	N/A	250 S G ST	None	SAN BERNARDINO	CA	92410	3320	00	06000	34.09693522	-117.2986838	San Bernardino County
333588	Ordering, Referring, Prescribing	N/A	1447817184	0	0	OZOKWERE, MARRESA C NP	3/3/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95010301	N/A	N/A	N/A	N/A	N/A	2200 TYDD ST	None	EUREKA	CA	95501	1284	00	06000	40.80241902	-124.1462268	Humboldt County
333605	Ordering, Referring, Prescribing	N/A	1447865753	0	0	OPARA, AGNES NP	9/17/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95013334	N/A	N/A	N/A	N/A	N/A	43322 GINGHAM AVE	None	LANCASTER	CA	93535	4576	00	06000	34.67013731	-118.1222748	Los Angeles County
333669	Ordering, Referring, Prescribing	N/A	1457082398	0	0	OLIVIER, KAREN LMFT	6/23/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	38039	N/A	N/A	N/A	N/A	N/A	720 SUNRISE AVE, SUITE C	None	ROSEVILLE	CA	95661	0000	00	06000	38.73466188	-121.2720532	Placer County
333702	Ordering, Referring, Prescribing	N/A	1457401473	0	0	ORTEGA, JULIA L PA	6/3/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA54197	N/A	N/A	N/A	N/A	N/A	855 E MADISON AVE	None	EL CAJON	CA	92020	3819	00	06000	32.80046744	-116.9522315	San Diego County
333772	Ordering, Referring, Prescribing	N/A	1457544249	0	0	OXENFORD, EVELYN K NP	10/30/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95139140	N/A	N/A	N/A	N/A	N/A	29632 HWY 299 EAST	None	ROUND MOUNTAIN	CA	96084	0228	00	06000	40.80385331	-121.9397745	Shasta County
333800	Ordering, Referring, Prescribing	N/A	1457617383	0	0	OLMEDO, BENJAMIN PA-C	5/22/2022	Taxonomy not applicable	NA	n/a	000	Unknown	52451	N/A	N/A	N/A	N/A	N/A	328 MCMURRAY RD	SUITE 102	BUELLTON	CA	93427	9688	00	06000	34.61233794	-120.1886714	Santa Barbara County
333821	Ordering, Referring, Prescribing	N/A	1457651820	0	0	ORTIZ, VANESSA L LMFT	1/18/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	137251	N/A	N/A	N/A	N/A	N/A	1221 E DYER RD.	SUITE 220	SANTA ANA	CA	92705	0705	00	06000	33.70872153	-117.857052	Orange County
333867	Ordering, Referring, Prescribing	N/A	1457727414	0	0	OMALLEY, AERIN ALEX LMFT	6/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT114059	N/A	N/A	N/A	N/A	N/A	776 S. STATE STREET	SUITE, 107	UKIAH	CA	95482	5847	00	06000	39.13987386	-123.2059844	Mendocino County
333881	Ordering, Referring, Prescribing	N/A	1457766453	0	0	ORTIZ, MARIO A LMFT	11/29/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT116555	N/A	N/A	N/A	N/A	N/A	21000 PLUMMER ST	None	CHATSWORTH	CA	91311	4903	00	06000	34.24271597	-118.5915861	Los Angeles County
333931	Ordering, Referring, Prescribing	N/A	1457824617	0	0	OLSON, KRISTOFFER ERIC S PHARMD	7/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80076	N/A	N/A	N/A	N/A	N/A	500 PARNASSUS AVE	J LEVEL RM MU-145	SAN FRANCISCO	CA	94143	2203	00	06000	37.76351054	-122.4579681	San Francisco County
333936	Ordering, Referring, Prescribing	N/A	1457828097	0	0	OFOEGBU, ANGELA NP	10/31/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95013147	N/A	N/A	N/A	N/A	N/A	2100 E ANAHEIM ST	STE B	LONG BEACH	CA	90804	3419	00	06000	33.7825725	-118.1663865	Los Angeles County
333959	Ordering, Referring, Prescribing	N/A	1457859738	0	0	OHIRI, UCHENNA M	5/28/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017446	N/A	N/A	N/A	N/A	N/A	150 PAULARINO AVE	D-182	COSTA MESA	CA	92626	3301	00	06000	33.68149891	-117.8763277	Orange County
334010	Ordering, Referring, Prescribing	N/A	1457937591	0	0	OSORIO SANCHEZ, NALLELY A LMFT	10/16/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	142149	N/A	N/A	N/A	N/A	N/A	10200 SUCCESS AVE	None	LOS ANGELES	CA	90002	3084	00	06000	33.9442167	-118.2490904	Los Angeles County
334013	Ordering, Referring, Prescribing	N/A	1457938250	0	0	OSORIO, JESSICA R MD	2/20/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A193984	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
334023	Ordering, Referring, Prescribing	N/A	1457963340	0	0	OUYANG, ALICE Y PHARMD	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79923	N/A	N/A	N/A	N/A	N/A	300 MONTGOMERY ST	None	SAN FRANCISCO	CA	94104	1902	00	06000	37.7923269	-122.4026145	San Francisco County
334072	Ordering, Referring, Prescribing	N/A	1467074328	0	0	OKODOGBE, FRANCIS NP	12/26/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NPF95014272	N/A	N/A	N/A	N/A	N/A	1908 N BEALE RD	SUITE E	MARYSVILLE	CA	95901	6937	00	06000	39.1278388	-121.5457994	Yuba County
334294	Ordering, Referring, Prescribing	N/A	1467808576	0	0	ORELLANA-LOPEZ, KATHERINE M LMFT	5/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	118744	N/A	N/A	N/A	N/A	N/A	5650 MOUNT ACKERLY DR	None	SAN DIEGO	CA	92111	4016	00	06000	32.80910151	-117.1793115	San Diego County
334372	Ordering, Referring, Prescribing	N/A	1467904987	0	0	OH, CHANGHYUN LAC	10/16/2023	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	17123	N/A	N/A	N/A	N/A	N/A	7065 INDIANA AVE	STE 110	RIVERSIDE	CA	92506	4167	00	06000	33.94000037	-117.3961722	Riverside County
334441	Ordering, Referring, Prescribing	N/A	1477001832	0	0	OYADOMARI, KENNETH H PA-C	12/2/2023	Taxonomy not applicable	NA	n/a	000	Unknown	53724	N/A	N/A	N/A	N/A	N/A	276 W COLLEGE ST	None	COVINA	CA	91723	1902	00	06000	34.08747441	-117.8941951	Los Angeles County
334538	Ordering, Referring, Prescribing	N/A	1477191070	0	0	OGANESYAN, KNARIK NP	8/29/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95013487	N/A	N/A	N/A	N/A	N/A	801 S CHEVY CHASE DR	250	GLENDALE	CA	91205	4431	00	06000	34.136757	-118.2396195	Los Angeles County
334574	Ordering, Referring, Prescribing	N/A	1477393098	0	0	OLUOHA, EVELYN U	8/19/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95026222	N/A	N/A	N/A	N/A	N/A	2542 HILGARD AVE	None	BERKELEY	CA	94709	1105	00	06000	37.87870672	-122.2601127	Alameda County
334605	Ordering, Referring, Prescribing	N/A	1477605038	0	0	ORLISS, MICAH J PHD	1/25/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY21027	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BL.	MS#53	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
334763	Ordering, Referring, Prescribing	N/A	1477907582	0	0	OGBONNAH, CHINONSO	6/4/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A162825	N/A	N/A	N/A	N/A	N/A	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	00	06000	37.97026329	-121.2890849	San Joaquin County
334807	Ordering, Referring, Prescribing	N/A	1477966646	0	0	OESTREICHER, JEANNIE R LMFT	3/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT100533	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
334811	Ordering, Referring, Prescribing	N/A	1477966265	0	0	OJEDA, SARAH LMFT	3/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	106055	N/A	N/A	N/A	N/A	N/A	19 EAST 6TH ST	None	TRACY	CA	95376	4107	00	06000	37.73489581	-121.425137	San Joaquin County
334926	Ordering, Referring, Prescribing	N/A	1487129144	0	0	OTLIN, STACEY LCSW	4/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW81254	N/A	N/A	N/A	N/A	N/A	2769 VALENCIA DR	None	APTOS	CA	95003	9616	00	06000	36.99342082	-121.8642485	Santa Cruz County
335050	Ordering, Referring, Prescribing	N/A	1487372447	0	0	ORR, STACIA RN BS	8/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95218217	N/A	N/A	N/A	N/A	N/A	1500 MEREDITH AVE	None	GUSTINE	CA	95322	1701	00	06000	37.24930699	-121.0111954	Merced County
335075	Ordering, Referring, Prescribing	N/A	1487606356	0	0	OH, JAEHOON MD	1/15/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G73752	N/A	N/A	N/A	N/A	N/A	520 S LA FAYETTE PARK PL	3RD FL	LOS ANGELES	CA	90057	5400	00	06000	34.06392003	-118.2826062	Los Angeles County
335220	Ordering, Referring, Prescribing	N/A	1487954855	0	0	OSBORNE, MISHA R PHARMD	3/21/2018	Taxonomy not applicable	NA	n/a	000	Unknown	51734	N/A	N/A	N/A	N/A	N/A	3900 BROAD ST	None	SAN LUIS OBISPO	CA	93401	7015	00	06000	35.24966646	-120.643747	San Luis Obispo County
335270	Ordering, Referring, Prescribing	N/A	1497034409	0	0	OCHOA, DELIA LMFT	1/23/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT137009	N/A	N/A	N/A	N/A	N/A	433 SALINAS ST.	None	SALINAS	CA	93901	2717	00	06000	36.6706468	-121.6557178	Monterey County
335362	Ordering, Referring, Prescribing	N/A	1497189658	0	0	OGAWA, MIMI Y MD	9/18/2014	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A127023	N/A	N/A	N/A	N/A	N/A	7601 HOSPITAL DR	STE 103	SACRAMENTO	CA	95823	5408	00	06000	38.464794	-121.415571	Sacramento County
335366	Ordering, Referring, Prescribing	N/A	1497188965	0	0	ORTIZ, JONATHAN M LCSW	3/8/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	88314	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
335382	Ordering, Referring, Prescribing	N/A	1497214936	0	0	OSUNA, MARIANA LCSW	9/27/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	126353	N/A	N/A	N/A	N/A	N/A	1420 S MILLIKEN AVE	SUITE 508	ONTARIO	CA	91761	2337	00	06000	34.047684	-117.55872	San Bernardino County
335386	Ordering, Referring, Prescribing	N/A	1497214993	0	0	OSUJI, CAROLINE C	7/8/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011094	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
335431	Ordering, Referring, Prescribing	N/A	1497303788	0	0	OQUINDO, NICOLE NP	9/1/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015326	N/A	N/A	N/A	N/A	N/A	1501 HUGHES WAY	150	LONG BEACH	CA	90810	1876	00	06000	33.82866146	-118.212984	Los Angeles County
335453	Ordering, Referring, Prescribing	N/A	1497352314	0	0	OLSON, LISA A RN	10/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	402746	N/A	N/A	N/A	N/A	N/A	302 N MIDWAY DR	None	ESCONDIDO	CA	92027	2708	00	06000	33.13619959	-117.0509061	San Diego County
335489	Ordering, Referring, Prescribing	N/A	1497405260	0	0	OWNBEY, JANICA L LCSW	9/25/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	126300	N/A	N/A	N/A	N/A	N/A	801 E MOUNTAIN VIEW ST	None	BARSTOW	CA	92311	3053	00	06000	34.89324445	-117.0177579	San Bernardino County
335664	Ordering, Referring, Prescribing	N/A	1508103201	0	0	OSTREM, FRANCINE M LMFT	6/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT39216	N/A	N/A	N/A	N/A	N/A	1266 14TH STREET	None	OAKLAND	CA	94607	2205	00	06000	37.81022696	-122.2887619	Alameda County
335729	Ordering, Referring, Prescribing	N/A	1508199605	0	0	OKABE-WONG, JAN PSYD	11/23/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY27666	N/A	N/A	N/A	N/A	N/A	323 N. PRARIE AVE.	None	INGLEWOOD	CA	90301	4500	00	06000	33.966333	-118.3439975	Los Angeles County
335752	Ordering, Referring, Prescribing	N/A	1508238213	0	0	OTTING, JUSTIN H PHARMD	8/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72356	N/A	N/A	N/A	N/A	N/A	1567 CITY CENTER ROAD	None	MCKINLEYVILLE	CA	95519	3600	00	06000	40.94311258	-124.1035874	Humboldt County
335881	Ordering, Referring, Prescribing	N/A	1508464538	0	0	ODEDRA, HARISH R	1/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	43972	N/A	N/A	N/A	N/A	N/A	2809 OLIVE HWY	160	OROVILLE	CA	95966	6131	00	06000	39.50386798	-121.5410203	Butte County
335921	Ordering, Referring, Prescribing	N/A	1508582677	0	0	ONEIL, KELSEY LCSW	11/30/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	119470	N/A	N/A	N/A	N/A	N/A	1910 OLYMPIC BLVD	SUITE 365	WALNUT CREEK	CA	94596	5096	00	06000	37.89453628	-122.0662326	Contra Costa County
336115	Ordering, Referring, Prescribing	N/A	1518194273	0	0	OGLESBY, SARADA E LMFT	1/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	83634	N/A	N/A	N/A	N/A	N/A	2310 FIRST ST.	None	NAPA	CA	94559	2239	00	06000	38.29806271	-122.2989388	Napa County
336121	Ordering, Referring, Prescribing	N/A	1518206598	0	0	ORANTES, VIRGINIA C LCSW	4/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW94712	N/A	N/A	N/A	N/A	N/A	66 HURLBUT ST	None	PASADENA	CA	91105	4025	00	06000	34.12993251	-118.1516625	Los Angeles County
336204	Ordering, Referring, Prescribing	N/A	1518359355	0	0	OKOH, LILIAN C NP	12/26/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002174	N/A	N/A	N/A	N/A	N/A	3631 CRENSHAW BLVD	SUITE 109	LOS ANGELES	CA	90016	4869	00	06000	34.023177	-118.3351475	Los Angeles County
336245	Ordering, Referring, Prescribing	N/A	1518415264	0	0	OSBURNE-ROTHSTEIN, REBECCA LCSW	3/26/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100774	N/A	N/A	N/A	N/A	N/A	2325 CLEMENT AVE.	STE A	ALAMEDA	CA	94501	7061	00	06000	37.77017367	-122.2389726	Alameda County
336258	Ordering, Referring, Prescribing	N/A	1518433507	0	0	OCHOA, ERIKA LMFT	8/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121085	N/A	N/A	N/A	N/A	N/A	3133 N MILLBROOK AVE	None	FRESNO	CA	93703	1425	00	06000	36.77841	-119.7635455	Fresno County
336279	Ordering, Referring, Prescribing	N/A	1518484773	0	0	OJEIKERE, OLA E LCSW	10/14/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	111085	N/A	N/A	N/A	N/A	N/A	11705 DEPUTY YAMAMOTO PL	None	LYNWOOD	CA	90262	4031	00	06000	33.92683343	-118.2284388	Los Angeles County
336289	Ordering, Referring, Prescribing	N/A	1518490028	0	0	OEUR, SAMNANG S NP	1/13/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95012724	N/A	N/A	N/A	N/A	N/A	8945 GOLF LINKS RD	None	OAKLAND	CA	94605	4124	00	06000	37.76047483	-122.157608	Alameda County
336415	Ordering, Referring, Prescribing	N/A	1528136496	0	0	OLSON, CONNIE PHARMD	3/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55797	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
336487	Ordering, Referring, Prescribing	N/A	1528307345	0	0	OGBE, CEE L LMFT	3/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	110365	N/A	N/A	N/A	N/A	N/A	10155 COLIMA ROAD	None	WHITTIER	CA	90603	2042	00	06000	33.94349601	-118.0106968	Los Angeles County
336586	Ordering, Referring, Prescribing	N/A	1528458817	0	0	OBANNON, TIFFANY LMFT	1/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	109685	N/A	N/A	N/A	N/A	N/A	515 COLUMBIA AVE FL 2	None	LOS ANGELES	CA	90017	1209	00	06000	34.05683109	-118.265995	Los Angeles County
336719	Ordering, Referring, Prescribing	N/A	1528695541	0	0	ONDRACEK, ANNIE M MD	9/29/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A187289	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
336777	Ordering, Referring, Prescribing	N/A	1528786795	0	0	OGAWA, JUSTIN S	10/13/2022	Taxonomy not applicable	NA	n/a	099	DENTIST	107770	N/A	N/A	N/A	N/A	N/A	1500-1530 S OLIVE ST	None	LOS ANGELES	CA	90015	3023	00	06000	34.03542552	-118.2652073	Los Angeles County
336789	Ordering, Referring, Prescribing	N/A	1538209572	0	0	OLEARY, PATRICK LMFT	2/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	27408	N/A	N/A	N/A	N/A	N/A	2640 BRESLAUER WAY	None	REDDING	CA	96001	4246	00	06000	40.5496754	-122.3791396	Shasta County
336939	Ordering, Referring, Prescribing	N/A	1538488754	0	0	OWUSU, YASMIN N MD	5/19/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A113351	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
336977	Ordering, Referring, Prescribing	N/A	1538546528	0	0	OHALLORAN, KATRINA MD	1/13/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A153615	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
337002	Ordering, Referring, Prescribing	N/A	1538582804	0	0	OH, SEUNG WHAN PHARMD	9/18/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH70628	N/A	N/A	N/A	N/A	N/A	2495 TRUXTUN ROAD	STE 100	SAN DIEGO	CA	92106	6159	00	06000	32.73722316	-117.2163815	San Diego County
337014	Ordering, Referring, Prescribing	N/A	1538595152	0	0	ORPHEY, KRISTIAN R LCSW	12/2/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	82626	N/A	N/A	N/A	N/A	N/A	1721 E 120TH ST	TRAILER 6	LOS ANGELES	CA	90059	3051	00	06000	33.92464172	-118.2429544	Los Angeles County
337231	Ordering, Referring, Prescribing	N/A	1548392392	0	0	OCHOA, JAIME C LCSW	10/31/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	26033	N/A	N/A	N/A	N/A	N/A	3605 HOSPITAL RD	None	ATWATER	CA	95301	5173	00	06000	37.36678073	-120.576731	Merced County
337290	Ordering, Referring, Prescribing	N/A	1548523509	0	0	OLSEN, GUNNER J	1/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66671	N/A	N/A	N/A	N/A	N/A	389 S MCDOWELL BLVD	None	PETALUMA	CA	94954	3507	00	06000	38.249586	-122.622516	Sonoma County
337363	Ordering, Referring, Prescribing	N/A	1548651482	0	0	OLSON, JUSTIN LMFT	5/10/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	90512	N/A	N/A	N/A	N/A	N/A	1590 DREW AVE	STE 200	DAVIS	CA	95618	7848	00	06000	38.5401831	-121.7270862	Yolo County
337371	Ordering, Referring, Prescribing	N/A	1548669807	0	0	ORIGEL, MARISA DDS	1/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	DDS63931	N/A	N/A	N/A	N/A	N/A	1828 E CESAR E CHAVEZ AV	SUITE 4100	LOS ANGELES	CA	90033	2400	00	06000	34.05023174	-118.2154927	Los Angeles County
337439	Ordering, Referring, Prescribing	N/A	1548784374	0	0	OWENS, VICTORIA E NP	9/21/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95063204	N/A	N/A	N/A	N/A	N/A	243 GEORGIA ST	STE B	VALLEJO	CA	94590	5905	00	06000	38.10111026	-122.2588175	Solano County
337632	Ordering, Referring, Prescribing	N/A	1558559351	0	0	OCHOA-VALLE, SUSANA LCSW	4/21/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101222	N/A	N/A	N/A	N/A	N/A	149 S. MEDNIK AVE., 201	None	LOS ANGELES	CA	90022	1616	00	06000	34.0354999	-118.1618625	Los Angeles County
337801	Ordering, Referring, Prescribing	N/A	1558872762	0	0	OXTON, ADRIENNE C LMFT	8/8/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	126578	N/A	N/A	N/A	N/A	N/A	1011 CACIQUE STREET	C	SANTA BARBARA	CA	93103	3478	00	06000	34.42113219	-119.6748724	Santa Barbara County
337815	Ordering, Referring, Prescribing	N/A	1558886754	0	0	OYERVIDEZ, LISETE LMFT	8/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	120625	N/A	N/A	N/A	N/A	N/A	3713 W HOWARD AVE	None	VISALIA	CA	93277	4027	00	06000	36.31797	-119.33199	Tulare County
337833	Ordering, Referring, Prescribing	N/A	1558924936	0	0	ORTEGA, LUIS M MD	7/29/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180886	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
337846	Ordering, Referring, Prescribing	N/A	1558951939	0	0	OLERT, MARY T LCSW	8/22/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	117639	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
337904	Ordering, Referring, Prescribing	N/A	1568079754	0	0	ORTIZ-MARMOLEJO, AILENE LCSW	7/9/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW123948	N/A	N/A	N/A	N/A	N/A	1801 PARK COURT PL	BUILDING H	SANTA ANA	CA	92701	5002	00	06000	33.74986153	-117.8429355	Orange County
337946	Ordering, Referring, Prescribing	N/A	1568199743	0	0	OROZCO, NATALIE PHARMD	8/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86385	N/A	N/A	N/A	N/A	N/A	543 SWEETWATER RD	None	SPRING VALLEY	CA	91977	5627	00	06000	32.708178	-117.008559	San Diego County
338125	Ordering, Referring, Prescribing	N/A	1568784635	0	0	OROZCO, PUJA P PA-C	3/2/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62453	N/A	N/A	N/A	N/A	N/A	6 WOODLAND RD	202	SAINT HELENA	CA	94574	9501	00	06000	38.54297115	-122.4754501	Napa County
338184	Ordering, Referring, Prescribing	N/A	1568864064	0	0	OJEDA, CLAUDIA LMFT	6/5/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	126343	N/A	N/A	N/A	N/A	N/A	8337 TELEGRAPH ROAD SUIT	None	PICO RIVERA	CA	90660	4957	00	06000	33.96454327	-118.1134473	Los Angeles County
338202	Ordering, Referring, Prescribing	N/A	1568885564	0	0	OKADA, LUSETTE LCSW	12/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW29661	N/A	N/A	N/A	N/A	N/A	801 GATEWAY BLVD., 4TH F	None	SSF	CA	94080	9817	00	06000	37.65950806	-122.3969233	San Mateo County
338203	Ordering, Referring, Prescribing	N/A	1568893741	0	0	OHASHI, KEIKO PHARMD	7/16/2023	Taxonomy not applicable	NA	n/a	000	Unknown	70037	N/A	N/A	N/A	N/A	N/A	361 E LELAND RD	None	PITTSBURG	CA	94565	9998	00	06000	38.01117823	-121.886514	Contra Costa County
338215	Ordering, Referring, Prescribing	N/A	1568902518	0	0	OFFOR, NGOZI G	7/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72655	N/A	N/A	N/A	N/A	N/A	2245 S EUCLID AVE	None	ONTARIO	CA	91762	6519	00	06000	34.032942	-117.6499755	San Bernardino County
338263	Ordering, Referring, Prescribing	N/A	1568994366	0	0	ORSULAK, MARY K MD	12/20/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157139	N/A	N/A	N/A	N/A	N/A	4600 BROADWAY	SUITE 1300	SACRAMENTO	CA	95820	1527	00	06000	38.546127	-121.452669	Sacramento County
338320	Ordering, Referring, Prescribing	N/A	1578083762	0	0	OROZCO, LIZETTE A LCSW	5/4/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	107558	N/A	N/A	N/A	N/A	N/A	525 CABRILLO PARK DR	SUITE 300	SANTA ANA	CA	92701	5017	00	06000	33.75047365	-117.8404984	Orange County
338493	Ordering, Referring, Prescribing	N/A	1578706404	0	0	OGLE, AYESHA CNP	7/13/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	650644	N/A	N/A	N/A	N/A	N/A	43322 GINGHAM AVE	None	LANCASTER	CA	93535	4576	00	06000	34.67013731	-118.1222748	Los Angeles County
338494	Ordering, Referring, Prescribing	N/A	1578705315	0	0	OROZCO, PATRICIA LCSW	10/24/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	65546	N/A	N/A	N/A	N/A	N/A	3605 HOSPITAL RD	None	ATWATER	CA	95301	5173	00	06000	37.36678073	-120.576731	Merced County
338511	Ordering, Referring, Prescribing	N/A	1578740916	0	0	ONWUKA, BRYAN C LCSW	5/27/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	76290	N/A	N/A	N/A	N/A	N/A	7200 BANCROFT	125-D	OAKLAND	CA	94605	2424	00	06000	37.768221	-122.17608	Alameda County
338538	Ordering, Referring, Prescribing	N/A	1578779120	0	0	OUNNIYOM, KHOM SAI J LMFT	2/26/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT98883	N/A	N/A	N/A	N/A	N/A	223 CARLISLE WAY	None	BENICIA	CA	94510	1528	00	06000	38.07354114	-122.1595808	Solano County
338545	Ordering, Referring, Prescribing	N/A	1578765137	0	0	ONUOHAH, DORIS E NP	8/9/2016	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	619129	N/A	N/A	N/A	N/A	N/A	4211 SOUTH AVALON BLVD	STE A	LOS ANGELES	CA	90011	5622	00	06000	34.007238	-118.2653065	Los Angeles County
338648	Ordering, Referring, Prescribing	N/A	1578927877	0	0	OATMAN, ANNALISE N LCSW	6/20/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	88254	N/A	N/A	N/A	N/A	N/A	18348 NEELEY ROAD	None	GUERNEVILLE	CA	95446	9798	00	06000	38.48518784	-123.0012414	Sonoma County
338697	Ordering, Referring, Prescribing	N/A	1588001242	0	0	OXFORD, TREY L C III MD	7/5/2016	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A135587	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
338753	Ordering, Referring, Prescribing	N/A	1588061501	0	0	ORTEGA, SALLY J PA	5/3/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA52165	N/A	N/A	N/A	N/A	N/A	4501 MISSION BAY DR	1C & D	SAN DIEGO	CA	92109	4923	00	06000	32.80307971	-117.2166446	San Diego County
338794	Ordering, Referring, Prescribing	N/A	1588117782	0	0	OWEN, MADEA LMFT	2/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	113188	N/A	N/A	N/A	N/A	N/A	941 EL DORADO AVENUE	None	SANTA CRUZ	CA	95062	2863	00	06000	36.96999814	-121.9899382	Santa Cruz County
338796	Ordering, Referring, Prescribing	N/A	1588120125	0	0	ODOM, THADEUS J MD	8/31/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A189838	N/A	N/A	N/A	N/A	N/A	2150 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1337	00	06000	38.557287	-121.461444	Sacramento County
338847	Ordering, Referring, Prescribing	N/A	1588207849	0	0	OYEKA, CASANDRA LCSW	6/24/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	114074	N/A	N/A	N/A	N/A	N/A	921 E COMPTON BLVD	None	COMPTON	CA	90221	3303	00	06000	33.89604551	-118.213137	Los Angeles County
338908	Ordering, Referring, Prescribing	N/A	1588398119	0	0	OH, CATLYN PA	8/14/2024	Taxonomy not applicable	NA	n/a	000	Unknown	64941	N/A	N/A	N/A	N/A	N/A	905 N LA BREA AVE	None	INGLEWOOD	CA	90302	2207	00	06000	33.9749861	-118.3577191	Los Angeles County
338977	Ordering, Referring, Prescribing	N/A	1588782593	0	0	O'SULLIVAN, GAVIN M LCSW	12/15/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW69682	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
339002	Ordering, Referring, Prescribing	N/A	1588825269	0	0	OLSON, LUCIA T	9/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50467	N/A	N/A	N/A	N/A	N/A	1922 THE ALAMEDA	STE 440	SAN JOSE	CA	95126	1462	00	06000	37.34128547	-121.9236047	Santa Clara County
339025	Ordering, Referring, Prescribing	N/A	1588867428	0	0	ORIOLI, ZAHIRA N NP	1/30/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	555956	N/A	N/A	N/A	N/A	N/A	12970 3RD STREET # L2	None	CHINO	CA	91710	3464	00	06000	34.01815857	-117.695635	San Bernardino County
339068	Ordering, Referring, Prescribing	N/A	1588960702	0	0	O'VALLE, MICHELLE C PA-C	12/4/2018	Taxonomy not applicable	NA	n/a	000	Unknown	21406	N/A	N/A	N/A	N/A	N/A	303 W LINCOLN AVE	105	ANAHEIM	CA	92805	2936	00	06000	33.83508976	-117.9177981	Orange County
339106	Ordering, Referring, Prescribing	N/A	1598007312	0	0	ONTIVEROS, EDGAR LMFT	12/19/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT86821	N/A	N/A	N/A	N/A	N/A	904 N. WILLOW AVE.	None	LA PUENTE	CA	91746	1696	00	06000	34.05300097	-117.9717721	Los Angeles County
339171	Ordering, Referring, Prescribing	N/A	1598105173	0	0	OBERLY, THALIA LMFT	10/29/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	150984	N/A	N/A	N/A	N/A	N/A	222 S. HARBOR BLVD	SUITE 650	ANAHEIM	CA	92805	3700	00	06000	33.83250163	-117.9188893	Orange County
339179	Ordering, Referring, Prescribing	N/A	1598114555	0	0	OZERAN-CHERMAN, SHERRI PHARMD	11/1/2019	Taxonomy not applicable	NA	n/a	000	Unknown	43551	N/A	N/A	N/A	N/A	N/A	12602-12604 VENTURA BLVD	None	STUDIO CITY	CA	91604	2414	00	06000	34.14358415	-118.4078173	Los Angeles County
339180	Ordering, Referring, Prescribing	N/A	1598113441	0	0	OLUSANYA, BUKOLA D NP	9/29/2022	Taxonomy not applicable	NA	n/a	000	Unknown	95004381	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
339415	Ordering, Referring, Prescribing	N/A	1598830630	0	0	OUIMET, CATHLEEN N LCSW	3/11/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	24437	N/A	N/A	N/A	N/A	N/A	18 COUNTY CENTER DR	None	OROVILLE	CA	95965	3335	00	06000	39.52683587	-121.5716851	Butte County
339433	Ordering, Referring, Prescribing	N/A	1598885162	0	0	OBRIEN, H R CHRISTOPHER PHARD	10/28/2017	Taxonomy not applicable	NA	n/a	000	Unknown	49570	N/A	N/A	N/A	N/A	N/A	2701 DEL PASO RD	130	SACRAMENTO	CA	95835	2305	00	06000	38.6568	-121.5224685	Sacramento County
339438	Ordering, Referring, Prescribing	N/A	1598906851	0	0	OSTERMAN, LISA D LMFT	3/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53688	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
339512	Ordering, Referring, Prescribing	N/A	1609063056	0	0	OSGOOD-COOPER, ISOBEL D LMFT	8/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50251	N/A	N/A	N/A	N/A	N/A	590 ANTELOPE BLVD	A40	RED BLUFF	CA	96080	2474	00	06000	40.18602075	-122.2057399	Tehama County
339602	Ordering, Referring, Prescribing	N/A	1609221852	0	0	ORME, EMILY I LMFT	9/20/2017	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100362	N/A	N/A	N/A	N/A	N/A	1261 CR-73	None	MYRTLE	MS	38650	9671	00	06000	34.55800036	-89.06930497	Union County
339660	Ordering, Referring, Prescribing	N/A	1609307016	0	0	OW, CAROL T NP	5/17/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023924	N/A	N/A	N/A	N/A	N/A	544 N GLENDALE AVE	None	GLENDALE	CA	91206	3311	00	06000	34.15454904	-118.2429872	Los Angeles County
339683	Ordering, Referring, Prescribing	N/A	1609351584	0	0	ORSI, CLAUDIA LMFT	9/23/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125561	N/A	N/A	N/A	N/A	N/A	3527 KITE ST.	None	SAN DIEGO	CA	92103	1177	00	06000	32.74271858	-117.1748983	San Diego County
339688	Ordering, Referring, Prescribing	N/A	1609359470	0	0	OROZCO, RIGOBERTO LMFT	11/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT123004	N/A	N/A	N/A	N/A	N/A	828 S BASCOM AVE	100	SAN JOSE	CA	95128	2651	00	06000	37.31225204	-121.9317854	Santa Clara County
339726	Ordering, Referring, Prescribing	N/A	1609416643	0	0	OKEKE, EKWY CNP	9/1/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95012607	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
339769	Ordering, Referring, Prescribing	N/A	1609510130	0	0	OO, CHOMYA CNP	3/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	95020380	N/A	N/A	N/A	N/A	N/A	41990 COOK ST	F-2002	PALM DESERT	CA	92211	6100	00	06000	33.748371	-116.356173	Riverside County
339980	Ordering, Referring, Prescribing	N/A	1619219037	0	0	O'CONNELL, JACQUELINE NP	3/14/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	22679	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
340029	Ordering, Referring, Prescribing	N/A	1619303039	0	0	OSTENDORF, SCOTT W LMFT	2/9/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	39430	N/A	N/A	N/A	N/A	N/A	1111 LAS GALLINAS AVE	None	SAN RAFAEL	CA	94903	1843	00	06000	38.01371572	-122.5495161	Marin County
340136	Ordering, Referring, Prescribing	N/A	1619466653	0	0	OKUZAWA-KASTE, JAMIE M	5/4/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55549	N/A	N/A	N/A	N/A	N/A	435 GRAND AVE	None	SOUTH SAN FRANCIS	CA	94080	3635	00	06000	37.65596966	-122.413882	San Mateo County
340192	Ordering, Referring, Prescribing	N/A	1619582749	0	0	ONG, GEOFFREY I PHARMD	4/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	83133	N/A	N/A	N/A	N/A	N/A	7300 N FRESNO ST	ONCOLOGY PHARMACY	FRESNO	CA	93720	2941	00	06000	36.84133078	-119.7824983	Fresno County
340240	Ordering, Referring, Prescribing	N/A	1619796141	0	0	O'DONNELL, MARGARET	11/4/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95032881	N/A	N/A	N/A	N/A	N/A	27800 MEDICAL CENTER RD	110	MISSION VIEJO	CA	92691	6410	00	06000	33.55952733	-117.6645199	Orange County
340305	Ordering, Referring, Prescribing	N/A	1629153465	0	0	ORTIZ PORTILLO, ELENA MD	11/30/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A84141	N/A	N/A	N/A	N/A	N/A	10605 BALBOA BLVD	100	GRANADA HILLS	CA	91344	6342	00	06000	34.263378	-118.5022965	Los Angeles County
340314	Ordering, Referring, Prescribing	N/A	1629170253	0	0	OURSLER, ABIGAIL L LMFT	6/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT31479	N/A	N/A	N/A	N/A	N/A	23119 COTTONWOOD AVE	A-110	MORENO VALLEY	CA	92553	9662	00	06000	33.92449451	-117.2602575	Riverside County
340339	Ordering, Referring, Prescribing	N/A	1629238894	0	0	ORTIZ-NANCE, IAN J PSYD	10/14/2022	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	33686	N/A	N/A	N/A	N/A	N/A	1810 S. CENTRAL ST.	SUITE A	VISALIA	CA	93277	4528	00	06000	36.314487	-119.3113485	Tulare County
340346	Ordering, Referring, Prescribing	N/A	1629260369	0	0	OKA, HIDEMI A	8/28/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	A91565	N/A	N/A	N/A	N/A	N/A	2710 MIDDLEFIELD RD	None	REDWOOD CITY	CA	94063	3404	00	06000	37.47644946	-122.2110919	San Mateo County
340362	Ordering, Referring, Prescribing	N/A	1629307202	0	0	OLUKOYA, FUNMI O	3/20/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017309	N/A	N/A	N/A	N/A	N/A	21802 SILVERPEAK CT	None	KATY	TX	77450	5622	00	06000	29.70741849	-95.76011778	Fort Bend County
340408	Ordering, Referring, Prescribing	N/A	1629361688	0	0	ONEIL, MICHELLE L DO	3/15/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A11683	N/A	N/A	N/A	N/A	N/A	13193 CENTRAL AVE	SUITE 100	MONTCLAIR	CA	91710	4179	00	06000	34.01406506	-117.6891684	San Bernardino County
340534	Ordering, Referring, Prescribing	N/A	1629582341	0	0	OVERLANDER, MARY C CNP	5/18/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95007490	N/A	N/A	N/A	N/A	N/A	30257 SAN MARTINEZ RD	None	VAL VERDE	CA	91384	2472	00	06000	34.44738769	-118.6644399	Los Angeles County
340561	Ordering, Referring, Prescribing	N/A	1629617345	0	0	OSBORNE, ELIZABETH A	11/19/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	109608	N/A	N/A	N/A	N/A	N/A	18144 SECO ST	None	JAMESTOWN	CA	95327	9498	00	06000	37.95208073	-120.4216785	Tuolumne County
340571	Ordering, Referring, Prescribing	N/A	1629631841	0	0	OCHOA, KARLA LCSW	12/19/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW119898	N/A	N/A	N/A	N/A	N/A	4200 ASHE RD	None	BAKERSFIELD	CA	93313	2029	00	06000	35.316864	-119.0744405	Kern County
340636	Ordering, Referring, Prescribing	N/A	1629828843	0	0	ONDERWYZER GOLD, ABIGAIL M MD	7/31/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL15136	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
340721	Ordering, Referring, Prescribing	N/A	1639361017	0	0	OSORIO, MIGUEL LCSW	3/30/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27692	N/A	N/A	N/A	N/A	N/A	3303 NORTH BROADWAY	200	LOS ANGELES	CA	90031	2803	00	06000	34.07380397	-118.20586	Los Angeles County
340732	Ordering, Referring, Prescribing	N/A	1639389919	0	0	OURSHANOOLGHI, SAMI DDS	4/2/2023	Taxonomy not applicable	NA	n/a	000	Unknown	44050	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
340733	Ordering, Referring, Prescribing	N/A	1639394836	0	0	OZA, SOWMYA MD	11/22/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C139970	N/A	N/A	N/A	N/A	N/A	43322 GINGHAM AVE	None	LANCASTER	CA	93535	4576	00	06000	34.67013731	-118.1222748	Los Angeles County
340806	Ordering, Referring, Prescribing	N/A	1639500713	0	0	OKAFOR, JODY PHARMD	3/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	70025	N/A	N/A	N/A	N/A	N/A	1408 MAURO PIETRO DR	APT 100	PETALUMA	CA	94954	7172	00	06000	38.2673505	-122.6545269	Sonoma County
340844	Ordering, Referring, Prescribing	N/A	1639553332	0	0	ONE, REBEKAH LMFT	4/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	107803	N/A	N/A	N/A	N/A	N/A	1501 HUGHES WAY	150	LONG BEACH	CA	90810	1876	00	06000	33.82866146	-118.212984	Los Angeles County
340976	Ordering, Referring, Prescribing	N/A	1639782501	0	0	OVSEPYAN, JACQUELINE NP	12/19/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95016443	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
340992	Ordering, Referring, Prescribing	N/A	1639813843	0	0	OLSON, KYLE C PT	7/23/2023	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT301810	N/A	N/A	N/A	N/A	N/A	640 MARKET STREET	SUITE B	COLUSA	CA	95932	0000	00	06000	39.21456168	-122.0101352	Colusa County
341003	Ordering, Referring, Prescribing	N/A	1639850423	0	0	OGLESBY, LAURA R	8/17/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95026731	N/A	N/A	N/A	N/A	N/A	3541 KENORA DR	B4	SPRING VALLEY	CA	91977	2905	00	06000	32.74367935	-116.9884207	San Diego County
341049	Ordering, Referring, Prescribing	N/A	1649245986	0	0	OLIVER, DAVID M MD	9/27/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A74435	N/A	N/A	N/A	N/A	N/A	2185 CITRACADO PKWY	None	ESCONDIDO	CA	92029	4159	00	06000	33.12123297	-117.1199417	San Diego County
341122	Ordering, Referring, Prescribing	N/A	1649422338	0	0	O'BRYAN-BECERRA, CARLOS MD	12/9/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A110745	N/A	N/A	N/A	N/A	N/A	518 GARDEN STREET	None	SANTA BARBARA	CA	93101	1606	00	06000	34.42054634	-119.6928135	Santa Barbara County
341225	Ordering, Referring, Prescribing	N/A	1649615311	0	0	OGSAEN, MISTY D LCSW	6/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	74061	N/A	N/A	N/A	N/A	N/A	2917 AQUAMARINE CIR	None	RESCUE	CA	95672	9338	00	06000	38.69884282	-121.0054425	El Dorado County
341281	Ordering, Referring, Prescribing	N/A	1649701608	0	0	ONG, DIANA K MD	10/24/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A159154	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
341402	Ordering, Referring, Prescribing	N/A	1649946385	0	0	OGBORO, KAREN NP	9/19/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95018463	N/A	N/A	N/A	N/A	N/A	8491 SANTA MONICA BLVD	None	LOS ANGELES	CA	90069	4218	00	06000	34.08988507	-118.3757716	Los Angeles County
341434	Ordering, Referring, Prescribing	N/A	1659033819	0	0	ONG, JOSHUA	12/27/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028532	N/A	N/A	N/A	N/A	N/A	265 S ANITA DR	None	ORANGE	CA	92868	3355	00	06000	33.78499409	-117.8811837	Orange County
341497	Ordering, Referring, Prescribing	N/A	1659425106	0	0	OH, JI-SOOK LCSW	2/15/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW24896	N/A	N/A	N/A	N/A	N/A	2425 BISSO LN	SUITE 100	CONCORD	CA	94520	4817	00	06000	37.98393807	-122.0466953	Contra Costa County
341604	Ordering, Referring, Prescribing	N/A	1659651271	0	0	OU, ELIZA K PHARMD	7/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54608	N/A	N/A	N/A	N/A	N/A	217 ALMA STREET	SUITE 200	PALO ALTO	CA	94301	0000	00	06000	37.44563438	-122.1673764	Santa Clara County
341647	Ordering, Referring, Prescribing	N/A	1659716389	0	0	OKPARA, IJEOMA C RN PNP	5/6/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	21153	N/A	N/A	N/A	N/A	N/A	6330 RUGBY AVENUE	None	HUNTINGTON PARK	CA	90255	4066	00	06000	33.98277323	-118.2265373	Los Angeles County
341890	Ordering, Referring, Prescribing	N/A	1669240438	0	0	OCCHIUTO, MANDI C NP	9/21/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95027358	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
342009	Ordering, Referring, Prescribing	N/A	1669743506	0	0	OBLITAS, PAULINE PA	12/21/2017	Taxonomy not applicable	NA	n/a	000	Unknown	19785	N/A	N/A	N/A	N/A	N/A	1975 VERDUGO BLVD	None	LA CANADA	CA	91011	3022	00	06000	34.20501855	-118.219857	Los Angeles County
342025	Ordering, Referring, Prescribing	N/A	1669773156	0	0	OROZCO, DIANA C LMFT	7/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT120574	N/A	N/A	N/A	N/A	N/A	12625 HEACOCK ST	None	MORENO VALLEY	CA	92553	0538	00	06000	33.936957	-117.2438195	Riverside County
342110	Ordering, Referring, Prescribing	N/A	1669922373	0	0	ORNELAS, MAYRA S LMFT	12/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT123653	N/A	N/A	N/A	N/A	N/A	11565 LAUREL CANYON BLVD	None	SAN FERNANDO	CA	91340	4168	00	06000	34.28018218	-118.4549135	Los Angeles County
342144	Ordering, Referring, Prescribing	N/A	1669989315	0	0	ONG, CHRISTOPHER K PHARMD	7/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH76554	N/A	N/A	N/A	N/A	N/A	25 POINT LOBOS AVE	None	SAN FRANCISCO	CA	94121	1530	00	06000	37.77965192	-122.503515	San Francisco County
342146	Ordering, Referring, Prescribing	N/A	1669993358	0	0	OBAFEMI, OLOLADE NP	10/16/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95005741	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
342188	Ordering, Referring, Prescribing	N/A	1679057368	0	0	OLAGUEZ, JASMINE LMFT	5/21/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT146988	N/A	N/A	N/A	N/A	N/A	302 CHERRY LN	201	MANTECA	CA	95337	4311	00	06000	37.8013889	-121.2310042	San Joaquin County
342217	Ordering, Referring, Prescribing	N/A	1679086979	0	0	OTERO, CINTHIA NP	12/11/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007970	N/A	N/A	N/A	N/A	N/A	1060 E 70TH ST	None	LONG BEACH	CA	90805	1008	00	06000	33.8818064	-118.1800311	Los Angeles County
342240	Ordering, Referring, Prescribing	N/A	1679126924	0	0	OLANUBI, OLABAMIDELE LPCC	5/22/2023	Taxonomy not applicable	NA	n/a	000	Unknown	LPCC13960	N/A	N/A	N/A	N/A	N/A	2655 CAMINO DEL RIO N	STE. 450	SAN DIEGO	CA	92108	1633	00	06000	32.77261373	-117.1347389	San Diego County
342395	Ordering, Referring, Prescribing	N/A	1679759773	0	0	OLIVER, RENE LMFT	3/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT97294	N/A	N/A	N/A	N/A	N/A	9412 BIG HORN BLVD	6	ELK GROVE	CA	95758	1101	00	06000	38.415861	-121.407957	Sacramento County
342398	Ordering, Referring, Prescribing	N/A	1679761092	0	0	OHAERI, FRANCES A LCSW	1/20/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	28818	N/A	N/A	N/A	N/A	N/A	1720 E 120TH ST	None	LOS ANGELES	CA	90059	3052	00	06000	33.92455929	-118.2423557	Los Angeles County
342512	Ordering, Referring, Prescribing	N/A	1679975304	0	0	OCHOA-ARGUETA, CYNTHIA LCSW	6/24/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW123486	N/A	N/A	N/A	N/A	N/A	658 E. BRIER	None	SAN BERNARDINO	CA	92408	2847	00	06000	34.07137738	-117.2702805	San Bernardino County
342564	Ordering, Referring, Prescribing	N/A	1689064107	0	0	OCAIN, KRISTEN M LMFT	6/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT103349	N/A	N/A	N/A	N/A	N/A	500 AIRPORT WAY	None	CAMARILLO	CA	93010	8500	00	06000	34.2075752	-119.0762641	Ventura County
342580	Ordering, Referring, Prescribing	N/A	1689091530	0	0	OLLAWA, JOSEPHINE O NP	5/5/2014	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN546226	N/A	N/A	N/A	N/A	N/A	400 W 30TH STREET	None	LOS ANGELES	CA	90007	3320	00	06000	34.0239409	-118.2755606	Los Angeles County
342609	Ordering, Referring, Prescribing	N/A	1689139727	0	0	O HOGAIN, BRI D	8/4/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017997	N/A	N/A	N/A	N/A	N/A	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	00	06000	34.42887662	-119.7237878	Santa Barbara County
342619	Ordering, Referring, Prescribing	N/A	1689153512	0	0	OPRIS, ELENA I	3/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77965	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
342658	Ordering, Referring, Prescribing	N/A	1689200644	0	0	ODEH, DEENA	1/29/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL4202	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
342739	Ordering, Referring, Prescribing	N/A	1689456311	0	0	ORBETA, KAREN	10/5/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95027591	N/A	N/A	N/A	N/A	N/A	3301 FONG RANCH RD	None	SACRAMENTO	CA	95834	1719	00	06000	38.628351	-121.4946855	Sacramento County
342839	Ordering, Referring, Prescribing	N/A	1689868754	0	0	OH, JANE PHD	3/3/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY26714	N/A	N/A	N/A	N/A	N/A	560 S ST LOUIS ST	None	LOS ANGELES	CA	90033	4320	00	06000	34.03924138	-118.2172475	Los Angeles County
342848	Ordering, Referring, Prescribing	N/A	1689911976	0	0	ORTA-RAMIREZ, REBECCA R LMFT	4/7/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	52122	N/A	N/A	N/A	N/A	N/A	4000 ORANGE ST	None	RIVERSIDE	CA	92501	3613	00	06000	33.97899555	-117.37481	Riverside County
342913	Ordering, Referring, Prescribing	N/A	1699031195	0	0	OSORIO, SALVADOR LCSW	3/17/2025	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW129255	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
342944	Ordering, Referring, Prescribing	N/A	1699076505	0	0	ONEILL, KATHLEEN A	3/26/2018	Taxonomy not applicable	NA	n/a	000	Unknown	43322	N/A	N/A	N/A	N/A	N/A	3375 JEFFERSON ST	None	NAPA	CA	94558	3437	00	06000	38.32158001	-122.2995836	Napa County
343097	Ordering, Referring, Prescribing	N/A	1699356550	0	0	ORTIZ, BRITTANY L LMFT	5/4/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125848	N/A	N/A	N/A	N/A	N/A	2085 RUSTIN AVE	None	RIVERSIDE	CA	92507	2498	00	06000	33.99323085	-117.3355363	Riverside County
343164	Ordering, Referring, Prescribing	N/A	1699516088	0	0	ORTIZ, FELICIA N PA-C	9/27/2024	Taxonomy not applicable	NA	n/a	000	Unknown	65128	N/A	N/A	N/A	N/A	N/A	190 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3658	00	06000	34.1360043	-117.2826788	San Bernardino County
343222	Ordering, Referring, Prescribing	N/A	1699841809	0	0	OGAMI, DAVID N MD	5/11/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G63399	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
343238	Ordering, Referring, Prescribing	N/A	1699884684	0	0	ORTIZ, CATHLEEN J PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52054	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
343259	Ordering, Referring, Prescribing	N/A	1699929042	0	0	OLABODE, JULIANAH A	5/12/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	17377	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
343363	Ordering, Referring, Prescribing	N/A	1700162252	0	0	OQUINN, YAZMIN	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH66335	N/A	N/A	N/A	N/A	N/A	3724 CRENSHAW BLVD	None	LOS ANGELES	CA	90016	5804	00	06000	34.01920721	-118.3350691	Los Angeles County
343371	Ordering, Referring, Prescribing	N/A	1700170982	0	0	OHARRA, RACHEL N LMFT	7/6/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT93945	N/A	N/A	N/A	N/A	N/A	2280 KENWOOD AVE	None	SAN JOSE	CA	95128	1332	00	06000	37.33265072	-121.9427961	Santa Clara County
343416	Ordering, Referring, Prescribing	N/A	1700232022	0	0	OLSON, DANIEL J MD	2/3/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A167655	N/A	N/A	N/A	N/A	N/A	2034 DE LA VINA ST.	None	SANTA BARBARA	CA	93105	3814	00	06000	34.4295686	-119.7179965	Santa Barbara County
343437	Ordering, Referring, Prescribing	N/A	1700264678	0	0	OSGOOD, GEOFFREY D MD	7/8/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A149034	N/A	N/A	N/A	N/A	N/A	963 BUTTE STREET	None	REDDING	CA	96001	0828	00	06000	40.58567535	-122.3853786	Shasta County
343513	Ordering, Referring, Prescribing	N/A	1700374600	0	0	ONYEPUNUKA, JUDITH PA	10/1/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55743	N/A	N/A	N/A	N/A	N/A	1005 E WASHINGTON BLVD	STE A	LOS ANGELES	CA	90021	3020	00	06000	34.02578238	-118.2530622	Los Angeles County
343517	Ordering, Referring, Prescribing	N/A	1700380417	0	0	OLDHAM, CAMERON L MD	3/16/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A163856	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2282	00	06000	38.555181	-121.4566785	Sacramento County
343534	Ordering, Referring, Prescribing	N/A	1700403615	0	0	OR, VIVIAN	5/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82936	N/A	N/A	N/A	N/A	N/A	17284 SLOVER AVE	None	FONTANA	CA	92337	7584	00	06000	34.065396	-117.4277475	San Bernardino County
343557	Ordering, Referring, Prescribing	N/A	1700444270	0	0	ORTEGA, ANGELICA M LCSW	8/12/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	125094	N/A	N/A	N/A	N/A	N/A	902 S MYRTLE AVE	None	MONROVIA	CA	91016	3427	00	06000	34.14233552	-118.0008646	Los Angeles County
343586	Ordering, Referring, Prescribing	N/A	1700528676	0	0	OGAN, TERESA C MSW LCSW	5/2/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW61674	N/A	N/A	N/A	N/A	N/A	1680 W SHAW AVE	202	FRESNO	CA	93711	3504	00	06000	36.80944505	-119.8241247	Fresno County
343602	Ordering, Referring, Prescribing	N/A	1700592672	0	0	OJEDA-RUIZ, VERONICA NP	5/2/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023792	N/A	N/A	N/A	N/A	N/A	363 E ALMOND AVE	105	MADERA	CA	93637	5752	00	06000	36.94556502	-120.0531318	Madera County
343603	Ordering, Referring, Prescribing	N/A	1700596996	0	0	OSTER, DOMINIQUE LMFT	4/8/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT146259	N/A	N/A	N/A	N/A	N/A	700 FREDERICK STREET	None	SANTA CRUZ	CA	95062	2239	00	06000	36.98031434	-122.004438	Santa Cruz County
343635	Ordering, Referring, Prescribing	N/A	1700880622	0	0	ONG, AGNES G	9/27/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D49383	N/A	N/A	N/A	N/A	N/A	525 ROBERTS LANE	None	BAKERSFIELD	CA	93308	4799	00	06000	35.40860151	-119.0317455	Kern County
343697	Ordering, Referring, Prescribing	N/A	1710015896	0	0	OSBORNE, SUSAN LMFT	3/26/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	39201	N/A	N/A	N/A	N/A	N/A	506 W. JACKMAN AVENUE	None	LANCASTER	CA	93534	2531	00	06000	34.70193469	-118.1377582	Los Angeles County
343715	Ordering, Referring, Prescribing	N/A	1710064456	0	0	OBATAKE, SHARON S PHARMD	3/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	43552	N/A	N/A	N/A	N/A	N/A	21318 KENT AVE	None	TORRANCE	CA	90503	5432	00	06000	33.83530523	-118.3586324	Los Angeles County
343791	Ordering, Referring, Prescribing	N/A	1710237342	0	0	OROZCO, MARTHA PSYD	12/14/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY30110	N/A	N/A	N/A	N/A	N/A	9119 HASKELL ST.	None	NORTH HILLS	CA	91343	3121	00	06000	34.236351	-118.476357	Los Angeles County
343806	Ordering, Referring, Prescribing	N/A	1710261185	0	0	ORTIZ, CASSANDRA M LMFT	12/17/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	104859	N/A	N/A	N/A	N/A	N/A	1303 W WALNUT PKWY	None	COMPTON	CA	90220	5030	00	06000	33.87724562	-118.2446904	Los Angeles County
343884	Ordering, Referring, Prescribing	N/A	1710374954	0	0	OTTINIANO, EMILY L DO	11/15/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A14764	N/A	N/A	N/A	N/A	N/A	4510 E PACIFIC COAST HWY	600	LONG BEACH	CA	90804	3279	00	06000	33.78815204	-118.1400821	Los Angeles County
343903	Ordering, Referring, Prescribing	N/A	1710403688	0	0	OHANYAN, NATALIE LMFT	6/20/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140104	N/A	N/A	N/A	N/A	N/A	1381 UNIVERSITY ST	None	HEALDSBURG	CA	95448	3314	00	06000	38.62729851	-122.8637785	Sonoma County
344035	Ordering, Referring, Prescribing	N/A	1710911763	0	0	ORSBERN, MARNI L PSYD	12/18/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY19377	N/A	N/A	N/A	N/A	N/A	4281 KATELLA AVE	#201	LOS ALAMITOS	CA	90720	3500	00	06000	33.80315853	-118.058328	Orange County
344127	Ordering, Referring, Prescribing	N/A	1720204357	0	0	OLAFSON, KRISTIN LCSW	9/21/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	29147	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
344145	Ordering, Referring, Prescribing	N/A	1720244528	0	0	OLIVARES, LOURDES K LMSW	3/1/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	60577	N/A	N/A	N/A	N/A	N/A	507 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	2621	00	06000	34.0269721	-118.1553658	Los Angeles County
344183	Ordering, Referring, Prescribing	N/A	1720320872	0	0	OAKEY, ZACK MD	3/4/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A134573	N/A	N/A	N/A	N/A	N/A	8577 HAVEN AVE # 208	None	RANCHO CUCAMONGA	CA	91730	4850	00	06000	34.09785087	-117.5756964	San Bernardino County
344225	Ordering, Referring, Prescribing	N/A	1720375579	0	0	OLIVA-PONCE, ROSEMARY LCSW	5/5/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	64166	N/A	N/A	N/A	N/A	N/A	14535 E. WHITTIER BLVD.	None	WHITTIER	CA	90605	2130	00	06000	33.9531254	-118.0149338	Los Angeles County
344255	Ordering, Referring, Prescribing	N/A	1720415391	0	0	OHTA, NATASHA K	6/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	23255	N/A	N/A	N/A	N/A	N/A	303 W LINCOLN AVE	#105	ANAHEIM	CA	92805	2936	00	06000	33.83508976	-117.9177981	Orange County
344358	Ordering, Referring, Prescribing	N/A	1720548530	0	0	OCHOA, CAROLANN	5/22/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95030223	N/A	N/A	N/A	N/A	N/A	18228 TOWN AVENUE	None	CARSON	CA	90746	0001	00	06000	33.86436191	-118.2679835	Los Angeles County
344460	Ordering, Referring, Prescribing	N/A	1720743479	0	0	OKONKWO, NIKKY N NP	1/18/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028747	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
344495	Ordering, Referring, Prescribing	N/A	1730154527	0	0	ORR, PAMELA A	5/8/2022	Taxonomy not applicable	NA	n/a	000	Unknown	22384	N/A	N/A	N/A	N/A	N/A	49169 ROAD 426	None	OAKHURST	CA	93644	8702	00	06000	37.3300998	-119.650508	Madera County
344500	Ordering, Referring, Prescribing	N/A	1730169855	0	0	OSTROM, RONALD J DO	10/31/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A7663	N/A	N/A	N/A	N/A	N/A	1081 N CHINA LAKE BLVD	None	RIDGECREST	CA	93555	3130	00	06000	35.640783	-117.6698475	Kern County
344540	Ordering, Referring, Prescribing	N/A	1730247990	0	0	OLSEN, MARTIN N DC	10/3/2021	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	20729	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
344544	Ordering, Referring, Prescribing	N/A	1730254715	0	0	OSWALD, RICHARD H DO	7/12/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A4382	N/A	N/A	N/A	N/A	N/A	22310 WARDHAM AVE	None	HAWAIIAN GARDENS	CA	90716	1740	00	06000	33.82667708	-118.0650149	Los Angeles County
344638	Ordering, Referring, Prescribing	N/A	1730471624	0	0	OKUDA BENAVIDES, MAYUMI MD	10/6/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A155506	N/A	N/A	N/A	N/A	N/A	1441 CONSTITUTION BLVD	BLDG 400 STE 200	SALINAS	CA	93906	3127	00	06000	36.696987	-121.633164	Monterey County
344677	Ordering, Referring, Prescribing	N/A	1730535626	0	0	OLSON, AMY LMFT	1/12/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT123980	N/A	N/A	N/A	N/A	N/A	5362 LEMEE LANE	None	MARIPOSA	CA	95338	9556	00	06000	37.499481	-119.984238	Mariposa County
344693	Ordering, Referring, Prescribing	N/A	1730557273	0	0	OROPEZA, STEPHANIE LCSW	2/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW100233	N/A	N/A	N/A	N/A	N/A	149 S. MEDNIK AVENUE	201	LOS ANGELES	CA	90022	1606	00	06000	34.0354999	-118.1618625	Los Angeles County
344819	Ordering, Referring, Prescribing	N/A	1730788670	0	0	ORTEGA, DIANA M	6/9/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	115709	N/A	N/A	N/A	N/A	N/A	828 W VENTURA ST	SUITE 240	FILLMORE	CA	93015	1876	00	06000	34.39581413	-118.9207744	Ventura County
344857	Ordering, Referring, Prescribing	N/A	1730942640	0	0	ONTIVEROS, CARLOS PT	12/12/2023	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT305326	N/A	N/A	N/A	N/A	N/A	7826 BROADWAY	None	LEMON GROVE	CA	91945	1801	00	06000	32.74280549	-117.029889	San Diego County
344994	Ordering, Referring, Prescribing	N/A	1740540756	0	0	OH, JOOHEE DDS	6/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	60741	N/A	N/A	N/A	N/A	N/A	2001 ZINFANDEL DR.	A2	RANCHO CORDOVA	CA	95670	4265	00	06000	38.611782	-121.271499	Sacramento County
345003	Ordering, Referring, Prescribing	N/A	1740560275	0	0	OLSEN, MICHAEL PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65641	N/A	N/A	N/A	N/A	N/A	4601 DALE RD	None	MODESTO	CA	95356	9718	00	06000	37.706508	-121.052457	Stanislaus County
345009	Ordering, Referring, Prescribing	N/A	1740565621	0	0	OLSEN, REBECCA M LCSW	5/1/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101354	N/A	N/A	N/A	N/A	N/A	1060 MANOR RD	None	EL SOBRANTE	CA	94803	1336	00	06000	37.98283758	-122.3044728	Contra Costa County
345117	Ordering, Referring, Prescribing	N/A	1740723592	0	0	OTERO, LORRAINE LCSW	2/3/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW64283	N/A	N/A	N/A	N/A	N/A	82934 CIVIC CENTER DR	None	INDIO	CA	92201	4308	00	06000	33.71864703	-116.2178997	Riverside County
345200	Ordering, Referring, Prescribing	N/A	1740841774	0	0	OJUKWU, COMFORT NP	10/6/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95011955	N/A	N/A	N/A	N/A	N/A	4425 S CENTRAL AVE	None	LOS ANGELES	CA	90011	3629	00	06000	34.003116	-118.2565185	Los Angeles County
345207	Ordering, Referring, Prescribing	N/A	1740882125	0	0	OROSCO, DANIELLE Q PHD	1/28/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	30706	N/A	N/A	N/A	N/A	N/A	2141 HIGH ST.	E	SELMA	CA	93662	3065	00	06000	36.57049208	-119.6139528	Fresno County
345302	Ordering, Referring, Prescribing	N/A	1750404190	0	0	OCHOA, BENJAMIN P PHARMD	6/18/2023	Taxonomy not applicable	NA	n/a	000	Unknown	RPH58786	N/A	N/A	N/A	N/A	N/A	1900 E SLAUSON AVE	RM 100	HUNTINGTON PARK	CA	90255	2725	00	06000	33.9891357	-118.2389609	Los Angeles County
345310	Ordering, Referring, Prescribing	N/A	1750412441	0	0	OJA, DENISE M LCSW	11/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW20183	N/A	N/A	N/A	N/A	N/A	8337 TELEGRAPH AVE. SUIT	None	PICO RIVERA	CA	90660	4826	00	06000	33.96454327	-118.1134473	Los Angeles County
345322	Ordering, Referring, Prescribing	N/A	1750429692	0	0	OSHER, LENA L MD	4/13/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A82256	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
345394	Ordering, Referring, Prescribing	N/A	1750614418	0	0	OH, ELAINE E LMFT	11/19/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	99222	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
345407	Ordering, Referring, Prescribing	N/A	1750658506	0	0	ORNELAS, AGUSTIN V LMFT	10/3/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	112881	N/A	N/A	N/A	N/A	N/A	1055 W. HENDERSON	2	PORTERVILLE	CA	93257	1490	00	06000	36.08036906	-119.0410926	Tulare County
345545	Ordering, Referring, Prescribing	N/A	1750860920	0	0	OKEKE, STELLA NP	8/1/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014500	N/A	N/A	N/A	N/A	N/A	1551 E SHAW AVE	128	FRESNO	CA	93710	8024	00	06000	36.80828196	-119.7589292	Fresno County
345645	Ordering, Referring, Prescribing	N/A	1760066039	0	0	OW, GARRETT PHARMD	5/15/2020	Taxonomy not applicable	NA	n/a	000	Unknown	61893	N/A	N/A	N/A	N/A	N/A	1719 E WALNUT ST	None	PASADENA	CA	91106	1611	00	06000	34.14957646	-118.115019	Los Angeles County
345740	Ordering, Referring, Prescribing	N/A	1760535603	0	0	ORNELAS, ROSE M	5/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	21728	N/A	N/A	N/A	N/A	N/A	4468 E KINGS CANYON RD	None	FRESNO	CA	93702	3605	00	06000	36.732339	-119.750688	Fresno County
345746	Ordering, Referring, Prescribing	N/A	1760545693	0	0	ODAY, JENNIFER A MD	2/26/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A92475	N/A	N/A	N/A	N/A	N/A	6001 CLARA ST	None	LONG BEACH	CA	90201	4723	00	06000	33.96259296	-118.1593487	Los Angeles County
345818	Ordering, Referring, Prescribing	N/A	1760718274	0	0	ORTEGA, BESSY LCSW	4/9/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW97592	N/A	N/A	N/A	N/A	N/A	5050 SAN BERNARDINO ST	None	MONTCLAIR	CA	91763	2326	00	06000	34.0776775	-117.694521	San Bernardino County
345876	Ordering, Referring, Prescribing	N/A	1760826572	0	0	ORTIZ, BEVERLY LMFT	8/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121355	N/A	N/A	N/A	N/A	N/A	2210 MESA DR	STE 300	OCEANSIDE	CA	92054	3707	00	06000	33.20786753	-117.3579677	San Diego County
345922	Ordering, Referring, Prescribing	N/A	1760871974	0	0	OHYE, ERICA N	5/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101624	N/A	N/A	N/A	N/A	N/A	233 S QUINTANA DR	None	ANAHEIM	CA	92807	4029	00	06000	33.85230249	-117.7739305	Orange County
345978	Ordering, Referring, Prescribing	N/A	1760951354	0	0	OFFHAUS, BROOKE A	2/27/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011289	N/A	N/A	N/A	N/A	N/A	16233 KING STREET	None	DELHI	CA	95315	9460	00	06000	37.43319758	-120.7809931	Merced County
346029	Ordering, Referring, Prescribing	N/A	1770043739	0	0	ODOM, ALEXANDRA	6/9/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A186889	N/A	N/A	N/A	N/A	N/A	2751 NAPA VALLEY CORPORA	BUILDING A	NAPA	CA	94558	6216	00	06000	38.24829023	-122.2745626	Napa County
346332	Ordering, Referring, Prescribing	N/A	1770959181	0	0	O'LEARY, ROSEMARY LMFT	2/8/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT124260	N/A	N/A	N/A	N/A	N/A	115 SOUTH CHURCH STREET	None	GRASS VALLEY	CA	95945	6422	00	06000	39.21870963	-121.0637152	Nevada County
346366	Ordering, Referring, Prescribing	N/A	1780007179	0	0	OBIENU, OBIDI A NP	2/12/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95000186	N/A	N/A	N/A	N/A	N/A	920 N LONG BEACH BLVD	STE 1	COMPTON	CA	90221	2260	00	06000	33.90236003	-118.2082841	Los Angeles County
346422	Ordering, Referring, Prescribing	N/A	1780101733	0	0	OXFORD, LAUREN S PT	6/22/2022	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT299467	N/A	N/A	N/A	N/A	N/A	85 SIERRA PARK ROAD	None	MAMMOTH LAKES	CA	93546	2073	00	06000	37.64575895	-118.9638914	Mono County
346451	Ordering, Referring, Prescribing	N/A	1780137109	0	0	ONG, MICHELLE LMFT	6/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	113209	N/A	N/A	N/A	N/A	N/A	51 MARINA BLVD	None	PITTSBURG	CA	94565	2068	00	06000	38.0354387	-121.8837345	Contra Costa County
346503	Ordering, Referring, Prescribing	N/A	1780268722	0	0	ODANI, SHOKO	3/12/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95016920	N/A	N/A	N/A	N/A	N/A	760 RENZ LN	None	GILROY	CA	95020	9584	00	06000	37.00466254	-121.5555242	Santa Clara County
346508	Ordering, Referring, Prescribing	N/A	1780286468	0	0	OZA, LUBNA OD	10/26/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	OPT34720	N/A	N/A	N/A	N/A	N/A	4001 HALLMARK PKWY	None	SAN BERNARDINO	CA	92407	1876	00	06000	34.16311738	-117.3353622	San Bernardino County
346568	Ordering, Referring, Prescribing	N/A	1780657288	0	0	OWENS, KRISTIA OD	5/8/2023	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	9331	N/A	N/A	N/A	N/A	N/A	1557 HEALDSBURG AVE	None	HEALDSBURG	CA	95448	3260	00	06000	38.63308509	-122.8734119	Sonoma County
346582	Ordering, Referring, Prescribing	N/A	1780700492	0	0	OWENS, KEISHA M LMFT	6/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT95022	N/A	N/A	N/A	N/A	N/A	1940 E DEERE AVE	None	SANTA ANA	CA	92705	5718	00	06000	33.70430421	-117.8482556	Orange County
346588	Ordering, Referring, Prescribing	N/A	1780706051	0	0	OCHOA DEL GAUDIO, GABRIELLA E PSYD	7/16/2017	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY24537	N/A	N/A	N/A	N/A	N/A	21380 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91350	3050	00	06000	34.41078438	-118.510775	Los Angeles County
346591	Ordering, Referring, Prescribing	N/A	1780708602	0	0	OLIVERI, JOHN C PHD	1/12/2022	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY11516	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
346905	Ordering, Referring, Prescribing	N/A	1790248300	0	0	OGBOZOR, MAY U NP	4/23/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95010109	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
346942	Ordering, Referring, Prescribing	N/A	1790304384	0	0	OMONTE YAWATA, EDUYNA ANDREA MD	6/19/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A187178	N/A	N/A	N/A	N/A	N/A	1745 N BROADWAY	STE 101	SANTA MARIA	CA	93454	1927	00	06000	34.971759	-120.4356175	Santa Barbara County
346987	Ordering, Referring, Prescribing	N/A	1790407492	0	0	OJELEYE, FUNMILOLA NP	11/15/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023335	N/A	N/A	N/A	N/A	N/A	23700 CAMINO DEL SOL	None	TORRANCE	CA	90505	0001	00	06000	33.8102385	-118.3441185	Los Angeles County
347012	Ordering, Referring, Prescribing	N/A	1790472371	0	0	ORNELAS, ELIZABETH A CCC-SLP	4/29/2022	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	23722	N/A	N/A	N/A	N/A	N/A	324 S LINCOLN ST	None	FORT BRAGG	CA	95437	4416	00	06000	39.43754003	-123.7955415	Mendocino County
347056	Ordering, Referring, Prescribing	N/A	1790816098	0	0	OCHOA, CLAUDIA	12/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99321	N/A	N/A	N/A	N/A	N/A	14624 SHERMAN WAY	508	VAN NUYS	CA	91405	2212	00	06000	34.20078354	-118.450843	Los Angeles County
347067	Ordering, Referring, Prescribing	N/A	1790840304	0	0	OVERBY, AMY R LMFT	5/26/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT43553	N/A	N/A	N/A	N/A	N/A	5575 CAPISTRANO AVE	None	ATASCADERO	CA	93422	4264	00	06000	35.49223909	-120.663796	San Luis Obispo County
347197	Ordering, Referring, Prescribing	N/A	1801103718	0	0	OCAMPO, RACHEL E LMFT	12/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT99195	N/A	N/A	N/A	N/A	N/A	114 E SHAW AVE	201	FRESNO	CA	93710	7621	00	06000	36.80926363	-119.7876595	Fresno County
347202	Ordering, Referring, Prescribing	N/A	1801108675	0	0	OMAR, ALI	12/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56627	N/A	N/A	N/A	N/A	N/A	29315 CENTRAL AVE	None	LAKE ELSINORE	CA	92532	2212	00	06000	33.696405	-117.339786	Riverside County
347304	Ordering, Referring, Prescribing	N/A	1801269568	0	0	OGUELI, IFEANYI G PHARMD	7/12/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62134	N/A	N/A	N/A	N/A	N/A	4211 AVALON BLVD	None	LOS ANGELES	CA	90011	0000	00	06000	34.007238	-118.2653065	Los Angeles County
347319	Ordering, Referring, Prescribing	N/A	1801282116	0	0	OGLESBY-MCCOWAN, KIMBERLY A RN CPNP	10/4/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002183	N/A	N/A	N/A	N/A	N/A	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	00	06000	34.42887662	-119.7237878	Santa Barbara County
347337	Ordering, Referring, Prescribing	N/A	1801311196	0	0	OROZCO SOLORZANO, LUISA LMFT	8/3/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140737	N/A	N/A	N/A	N/A	N/A	200 24TH ST	None	RICHMOND	CA	94804	1804	00	06000	37.93439778	-122.3465322	Contra Costa County
347362	Ordering, Referring, Prescribing	N/A	1801336128	0	0	OCONNOR, JOCELYNE R NP	3/14/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95006277	N/A	N/A	N/A	N/A	N/A	4341A GOLDEN CENTER DR	BUILDING A	PLACERVILLE	CA	95667	6260	00	06000	38.70594583	-120.8270239	El Dorado County
347411	Ordering, Referring, Prescribing	N/A	1801440292	0	0	OBANA, BRENDA V NP	4/26/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014138	N/A	N/A	N/A	N/A	N/A	18601 VALLEY BLVD	None	BLOOMINGTON	CA	92316	1831	00	06000	34.07045653	-117.3982455	San Bernardino County
347434	Ordering, Referring, Prescribing	N/A	1801484894	0	0	OBREGON, NATALIA A	10/10/2023	Taxonomy not applicable	NA	n/a	000	Unknown	105824	N/A	N/A	N/A	N/A	N/A	229 7TH ST	None	SAN FRANCISCO	CA	94103	4003	00	06000	37.77745513	-122.4086852	San Francisco County
347438	Ordering, Referring, Prescribing	N/A	1801493671	0	0	OBI, JUSTINA O NP	8/2/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017391	N/A	N/A	N/A	N/A	N/A	22675 ALESSANDRO BLVD	None	MORENO VALLEY	CA	92553	8506	00	06000	33.91695337	-117.2672536	Riverside County
347452	Ordering, Referring, Prescribing	N/A	1801534581	0	0	OROCIO-RUIZ, CYNTHIA OT	4/22/2022	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	23595	N/A	N/A	N/A	N/A	N/A	438 N WHITE RD	None	SAN JOSE	CA	95127	1439	00	06000	37.3776149	-121.8374887	Santa Clara County
347454	Ordering, Referring, Prescribing	N/A	1801535471	0	0	OSBY, ALEXIS PA	5/15/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA61446	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
347479	Ordering, Referring, Prescribing	N/A	1801820832	0	0	OGANESSIAN, JANNA MD	12/26/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A79854	N/A	N/A	N/A	N/A	N/A	13739 RIVERSIDE DR	STE B	SHERMAN OAKS	CA	91423	2417	00	06000	34.15762846	-118.4325525	Los Angeles County
347506	Ordering, Referring, Prescribing	N/A	1801930409	0	0	OROZCO, ARACELY L LCSW	2/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	59745	N/A	N/A	N/A	N/A	N/A	1126 N GRAND AVE	SUITE D	COVINA	CA	91724	1551	00	06000	34.100082	-117.8724825	Los Angeles County
347528	Ordering, Referring, Prescribing	N/A	1801994892	0	0	OAK, SARA J	5/13/2011	Taxonomy not applicable	NA	n/a	099	DENTIST	D54380	N/A	N/A	N/A	N/A	N/A	1807 BAY RD	None	EAST PALO ALTO	CA	94303	1312	00	06000	37.47199121	-122.1344629	San Mateo County
347679	Ordering, Referring, Prescribing	N/A	1811279979	0	0	OKEKE, IFEYINWA U PHARMD	7/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH57818	N/A	N/A	N/A	N/A	N/A	11930 STUDEBAKER RD	None	NORWALK	CA	90650	7548	00	06000	33.92251077	-118.0991696	Los Angeles County
347734	Ordering, Referring, Prescribing	N/A	1811375702	0	0	OLTON, VANESSA C MD	8/13/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A148183	N/A	N/A	N/A	N/A	N/A	1329 NORTH H STREET	None	SAN BERNARDINO	CA	92405	5039	00	06000	34.123851	-117.300894	San Bernardino County
347819	Ordering, Referring, Prescribing	N/A	1811502164	0	0	OLMEDO, DARLENE S LCSW	7/25/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW124540	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
347918	Ordering, Referring, Prescribing	N/A	1821001819	0	0	OWEKA, MICHELLE F LCSW	11/17/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	20506	N/A	N/A	N/A	N/A	N/A	2308 J STREET	SUITE D	SACRAMENTO	CA	95816	4718	00	06000	38.575188	-121.475565	Sacramento County
347953	Ordering, Referring, Prescribing	N/A	1821126376	0	0	ORME, EVELYN C LMFT	6/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	114186	N/A	N/A	N/A	N/A	N/A	9343 TECH CENTER DR	200	SACRAMENTO	CA	95826	2563	00	06000	38.564091	-121.3509285	Sacramento County
347977	Ordering, Referring, Prescribing	N/A	1821161373	0	0	OTA, DOUGLAS M PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	36339	N/A	N/A	N/A	N/A	N/A	200 MUIR RD	BRIONES BUILDING	MARTINEZ	CA	94553	4614	00	06000	37.99430233	-122.1107194	Contra Costa County
347982	Ordering, Referring, Prescribing	N/A	1821138405	0	0	OLIVARES, GISELLA V DO	12/13/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A8664	N/A	N/A	N/A	N/A	N/A	4816 E 3RD ST	None	LOS ANGELES	CA	90022	1602	00	06000	34.03327647	-118.16037	Los Angeles County
348129	Ordering, Referring, Prescribing	N/A	1821446915	0	0	OLIVER, JESSE J NP	2/21/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95092806	N/A	N/A	N/A	N/A	N/A	805 E MOUNTAIN VIEW ST	None	BARSTOW	CA	92311	3033	00	06000	34.89343047	-117.0171832	San Bernardino County
348155	Ordering, Referring, Prescribing	N/A	1821478710	0	0	ONTIVEROS, GLENN LMFT	3/15/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT124939	N/A	N/A	N/A	N/A	N/A	170 S SPRUCE AVE	STE 200	SOUTH SAN FRANCIS	CA	94080	4557	00	06000	37.64883531	-122.4187311	San Mateo County
348175	Ordering, Referring, Prescribing	N/A	1821523069	0	0	ONG, CHAU PHARMD	7/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH74134	N/A	N/A	N/A	N/A	N/A	745 E DUNNE AVE	None	MORGAN HILL	CA	95037	4601	00	06000	37.12976072	-121.6383326	Santa Clara County
348216	Ordering, Referring, Prescribing	N/A	1821581380	0	0	ODUCA, EDRIC PHARMD	9/24/2023	Taxonomy not applicable	NA	n/a	000	Unknown	77282	N/A	N/A	N/A	N/A	N/A	580 FOREST SHADE RD	None	CRESTLINE	CA	92325	0677	00	06000	34.24265206	-117.2780226	San Bernardino County
348226	Ordering, Referring, Prescribing	N/A	1821603614	0	0	ORR, HEATHER	2/22/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145264	N/A	N/A	N/A	N/A	N/A	930 EXECUTIVE WAY	STE 125	REDDING	CA	96002	0634	00	06000	40.57621989	-122.3550841	Shasta County
348396	Ordering, Referring, Prescribing	N/A	1831351162	0	0	OLVERA, JOSEPH P	1/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	116287	N/A	N/A	N/A	N/A	N/A	265 SAN JACINTO RIVER RD	107	LAKE ELSINORE	CA	92530	4419	00	06000	33.66201142	-117.3001906	Riverside County
348408	Ordering, Referring, Prescribing	N/A	1831386176	0	0	OH, JENNIFER Y LCSW	5/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW68082	N/A	N/A	N/A	N/A	N/A	3727 W. 6TH ST.	None	LOS ANGELES	CA	90020	5108	00	06000	34.06358655	-118.3037656	Los Angeles County
348475	Ordering, Referring, Prescribing	N/A	1831521939	0	0	O'CONNOR, LINDA LCSW	11/23/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	15611	N/A	N/A	N/A	N/A	N/A	323 N PRAIRIE AVE	None	INGLEWOOD	CA	90301	4502	00	06000	33.966333	-118.3439975	Los Angeles County
348476	Ordering, Referring, Prescribing	N/A	1831520972	0	0	ORNELLAS, SARAH E LCSW	1/7/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW65453	N/A	N/A	N/A	N/A	N/A	165 8TH STREET	None	SAN FRANCISCO	CA	94103	2726	00	06000	37.77674401	-122.4121297	San Francisco County
348520	Ordering, Referring, Prescribing	N/A	1831581982	0	0	OCAMPO, FABIOLA L LMFT	1/6/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	103841	N/A	N/A	N/A	N/A	N/A	5150 E PACIFIC COAST HWY	SUITE 100	LONG BEACH	CA	90804	3312	00	06000	33.7831762	-118.1333125	Los Angeles County
348593	Ordering, Referring, Prescribing	N/A	1831684786	0	0	OFOEGBU, HENRIETTA O NP	1/27/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95008621	N/A	N/A	N/A	N/A	N/A	14371 CLARK AVE	None	BELLFLOWER	CA	90706	2901	00	06000	33.90323754	-118.134141	Los Angeles County
348640	Ordering, Referring, Prescribing	N/A	1831749290	0	0	O'BRIEN, KISSTEN LCSW	12/8/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW117789	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
348732	Ordering, Referring, Prescribing	N/A	1841275542	0	0	ORNELAS KNIGHT, MICHELE M PSYD	10/26/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY17738	N/A	N/A	N/A	N/A	N/A	3671 BUSINESS DRIVE	STE. 100	SACRAMENTO	CA	95820	2165	00	06000	38.54133	-121.41891	Sacramento County
348764	Ordering, Referring, Prescribing	N/A	1841345626	0	0	OBENG, DU-SHEER PA	5/11/2019	Taxonomy not applicable	NA	n/a	000	Unknown	16638	N/A	N/A	N/A	N/A	N/A	2100 E. ANAHEIM ST.	STE B	LONG BEACH	CA	90804	3419	00	06000	33.7825725	-118.1663865	Los Angeles County
348774	Ordering, Referring, Prescribing	N/A	1841372430	0	0	OKOHIRA, DEANA H PHARMD	3/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	46662	N/A	N/A	N/A	N/A	N/A	3280 E FOOTHILL BLVD	None	ARCADIA	CA	91006	0000	00	06000	34.15004066	-118.08327	Los Angeles County
348839	Ordering, Referring, Prescribing	N/A	1841493079	0	0	ORNELAS, TANYA N	2/22/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	19126	N/A	N/A	N/A	N/A	N/A	507 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	2621	00	06000	34.0269721	-118.1553658	Los Angeles County
348859	Ordering, Referring, Prescribing	N/A	1841532736	0	0	ODELL, DEBORAH LMFT	5/15/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	146921	N/A	N/A	N/A	N/A	N/A	340 LORTON AVE	205	BURLINGAME	CA	94010	4151	00	06000	37.57990909	-122.3467938	San Mateo County
348904	Ordering, Referring, Prescribing	N/A	1841580032	0	0	OZANICK, KRYSTAL A MD	6/1/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A131159	N/A	N/A	N/A	N/A	N/A	1005 ATLANTIC AVE	None	ALAMEDA	CA	94501	1148	00	06000	37.78080326	-122.2676078	Alameda County
348925	Ordering, Referring, Prescribing	N/A	1841623493	0	0	O' LEARY, LINDSEY	12/1/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	91083	N/A	N/A	N/A	N/A	N/A	14826 KIT CARSON DR	None	MARINA	CA	93933	0000	00	06000	36.6531937	-121.7358897	Monterey County
348937	Ordering, Referring, Prescribing	N/A	1841638491	0	0	ORABI, MAIA A MD	12/28/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A136313	N/A	N/A	N/A	N/A	N/A	201 S HARBOR BLVD	None	LA HABRA	CA	90631	5654	00	06000	33.93029897	-117.9331306	Orange County
349045	Ordering, Referring, Prescribing	N/A	1841797891	0	0	OPOKU-BOATENG, AKOSUA A MD	9/23/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A175009	N/A	N/A	N/A	N/A	N/A	445 11TH ST.	None	ORANGE COVE	CA	93646	2211	00	06000	36.62723052	-119.319103	Fresno County
349112	Ordering, Referring, Prescribing	N/A	1841994720	0	0	OLSEN, ISSAK MD	11/21/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A200091	N/A	N/A	N/A	N/A	N/A	4601 DALE RD	None	MODESTO	CA	95356	9718	00	06000	37.706508	-121.052457	Stanislaus County
349302	Ordering, Referring, Prescribing	N/A	1851657969	0	0	ORDAZ, CINTHIA LMFT	9/23/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	114729	N/A	N/A	N/A	N/A	N/A	2000 W BRIGGSMORE AVE	SUITE I	MODESTO	CA	95350	3839	00	06000	37.67139252	-121.0281273	Stanislaus County
349323	Ordering, Referring, Prescribing	N/A	1851687594	0	0	ORE, KELVIN PSYD	3/30/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY26858	N/A	N/A	N/A	N/A	N/A	3208 ROSEMEAD BLVD	100	EL MONTE	CA	91731	2830	00	06000	34.06580258	-118.0676162	Los Angeles County
349409	Ordering, Referring, Prescribing	N/A	1851801724	0	0	OSTROVSKY, ANNA LMFT	9/8/2018	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT99025	N/A	N/A	N/A	N/A	N/A	4000 MACARTHUR BLVD.	STE 600C	NEWPORT BEACH	CA	92660	2558	00	06000	33.66002304	-117.8629957	Orange County
349453	Ordering, Referring, Prescribing	N/A	1851872378	0	0	O'BRIEN, JONATHAN G PA-C	5/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	57662	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
349471	Ordering, Referring, Prescribing	N/A	1851890131	0	0	ONWULI, CHINYERE J	2/27/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95008050	N/A	N/A	N/A	N/A	N/A	1500 2S1T STREET	None	SACRAMENTO	CA	95811	5216	00	06000	38.56856122	-121.4954473	Sacramento County
349499	Ordering, Referring, Prescribing	N/A	1851950687	0	0	OCAMPO, ROSA A LPCC	5/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	LPCC11595	N/A	N/A	N/A	N/A	N/A	3208 ROSEMEAD BOULEVARD	SUITE 100	EL MONTE	CA	91731	2830	00	06000	34.06580258	-118.0676162	Los Angeles County
349517	Ordering, Referring, Prescribing	N/A	1861010902	0	0	OSIAS, CANDIDA LMFT	3/13/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145775	N/A	N/A	N/A	N/A	N/A	3576 ARLINGTON AVE	100	RIVERSIDE	CA	92506	3943	00	06000	33.94625192	-117.3913739	Riverside County
349524	Ordering, Referring, Prescribing	N/A	1861029183	0	0	O'BRIEN, MEGAN E MD	11/10/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL4648	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
349571	Ordering, Referring, Prescribing	N/A	1861162570	0	0	OBEROI, RAKSHIT R DDS PC	9/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	DDS106957	N/A	N/A	N/A	N/A	N/A	300 PROSPERITY BLVD	None	CHOWCHILLA	CA	93610	8498	00	06000	37.12533191	-120.2539247	Madera County
349682	Ordering, Referring, Prescribing	N/A	1861689325	0	0	OLMOS, ELIDIA LCSW	7/9/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW21030	N/A	N/A	N/A	N/A	N/A	23501 CINEMA DR. STE.200	None	VALENCIA	CA	91355	5428	00	06000	34.42039699	-118.5463513	Los Angeles County
349735	Ordering, Referring, Prescribing	N/A	1861774747	0	0	OSHIMA, BRITNIE M PHARMD	6/23/2022	Taxonomy not applicable	NA	n/a	000	Unknown	62493	N/A	N/A	N/A	N/A	N/A	2300 OTIS DR	None	ALAMEDA	CA	94501	5722	00	06000	37.75772853	-122.2487248	Alameda County
349761	Ordering, Referring, Prescribing	N/A	1861809923	0	0	O'NEILL, CORI M NP	8/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95016930	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
349821	Ordering, Referring, Prescribing	N/A	1861895773	0	0	OSAGHAE, IMADE I PA-C	10/1/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA52013	N/A	N/A	N/A	N/A	N/A	1350 S ORANGE AVE	None	FRESNO	CA	93702	3463	00	06000	36.728883	-119.763677	Fresno County
349836	Ordering, Referring, Prescribing	N/A	1861923419	0	0	ONG, CHAU D PHARMD	9/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	75056	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
350119	Ordering, Referring, Prescribing	N/A	1871671602	0	0	OBLER, MARTA B MD	3/8/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A52318	N/A	N/A	N/A	N/A	N/A	4441 E KINGS CANYON RD	None	FRESNO	CA	93702	3604	00	06000	36.738144	-119.753361	Fresno County
350134	Ordering, Referring, Prescribing	N/A	1871727008	0	0	OSOSKE, JULIE A	12/12/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	683032	N/A	N/A	N/A	N/A	N/A	50 PHELAN AVE	HC 100	SAN FRANCISCO	CA	94112	1821	00	06000	37.72393451	-122.4522812	San Francisco County
350148	Ordering, Referring, Prescribing	N/A	1871742965	0	0	OH, IN DDS	6/26/2023	Taxonomy not applicable	NA	n/a	000	Unknown	DDS57534	N/A	N/A	N/A	N/A	N/A	625 34TH STRETE	SUITE 100	BAKERSFIELD	CA	93301	2305	00	06000	35.39046051	-119.0092725	Kern County
350159	Ordering, Referring, Prescribing	N/A	1871765651	0	0	OJIMBA, DORATHY A NP	8/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95013953	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
350334	Ordering, Referring, Prescribing	N/A	1881036390	0	0	OHANIAN, ELINA OD	8/22/2022	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	14747	N/A	N/A	N/A	N/A	N/A	1101 GLENDALE GALLERIA	None	GLENDALE	CA	91210	1301	00	06000	34.144848	-118.2596735	Los Angeles County
350356	Ordering, Referring, Prescribing	N/A	1881061992	0	0	OSBORNE, NATALIE N LCSW	9/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW97283	N/A	N/A	N/A	N/A	N/A	3602 KENORA DR	None	SPRING VALLEY	CA	91977	2926	00	06000	32.745321	-116.9884565	San Diego County
350359	Ordering, Referring, Prescribing	N/A	1881066041	0	0	OLKOWSKI-LAETZ, MAX LCSW	1/20/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW120543	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
350377	Ordering, Referring, Prescribing	N/A	1881078798	0	0	OSAGHAE, ENOWOGHOMWENMA PSYD	4/4/2024	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	34976	N/A	N/A	N/A	N/A	N/A	1615 POLK ST	STE 3	SAN FRANCISCO	CA	94109	3697	00	06000	37.79168181	-122.4209371	San Francisco County
350380	Ordering, Referring, Prescribing	N/A	1881083517	0	0	ORTEGA, ROCIO P LMFT	3/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT114692	N/A	N/A	N/A	N/A	N/A	6635 FLORENCE AVE	STE 101	BELL GARDENS	CA	90201	4968	00	06000	33.96212715	-118.1462995	Los Angeles County
350383	Ordering, Referring, Prescribing	N/A	1881079119	0	0	OLSON, ROBERT M MD	8/6/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G56043	N/A	N/A	N/A	N/A	N/A	2112 E 4TH ST	100	SANTA ANA	CA	92705	3816	00	06000	33.74808054	-117.836595	Orange County
350406	Ordering, Referring, Prescribing	N/A	1881125755	0	0	ORDON, SHANNON L MD	12/29/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A159876	N/A	N/A	N/A	N/A	N/A	905 E. 8TH STREET	None	LOS ANGELES	CA	90021	1805	00	06000	34.03639545	-118.2465917	Los Angeles County
350430	Ordering, Referring, Prescribing	N/A	1881171148	0	0	ORDAZ-CHAVEZ, FRANCISCO MD	11/29/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A166802	N/A	N/A	N/A	N/A	N/A	900 MAIN ST	None	BRAWLEY	CA	92227	2737	00	06000	32.9785797	-115.5285802	Imperial County
350467	Ordering, Referring, Prescribing	N/A	1881235968	0	0	OPOKU, ESTHER PA-C	6/11/2023	Taxonomy not applicable	NA	n/a	000	Unknown	58968	N/A	N/A	N/A	N/A	N/A	8530 FIRESTONE BLVD	None	DOWNEY	CA	90241	4926	00	06000	33.93782301	-118.1288691	Los Angeles County
350607	Ordering, Referring, Prescribing	N/A	1881783934	0	0	OSAGIEDE, EKHATOR L PA-C	11/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	PA16227	N/A	N/A	N/A	N/A	N/A	13193 CENTRAL AVE	STE 100	CHINO	CA	91710	4179	00	06000	34.01406506	-117.6891684	San Bernardino County
350620	Ordering, Referring, Prescribing	N/A	1881826493	0	0	OATES, STEPHEN M DDS	6/21/2023	Taxonomy not applicable	NA	n/a	000	Unknown	107113	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
350852	Ordering, Referring, Prescribing	N/A	1891236063	0	0	OCHRYM, LOIS C LCSW	7/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW71296	N/A	N/A	N/A	N/A	N/A	2659 STATE ST	SUITE 100 #PMB 1017	CARLSBAD	CA	92008	1627	00	06000	33.16302546	-117.3515801	San Diego County
350942	Ordering, Referring, Prescribing	N/A	1891441135	0	0	OTSUKA, KRISTYN T LCSW	1/15/2025	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW128173	N/A	N/A	N/A	N/A	N/A	5472 EL CAJON BLVD	#101	SAN DIEGO	CA	92115	3627	00	06000	32.75822774	-117.0768721	San Diego County
351034	Ordering, Referring, Prescribing	N/A	1891894275	0	0	ODEGARD, ERIC PT	12/23/2018	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT14751	N/A	N/A	N/A	N/A	N/A	3710 HIGHWAY 45	None	COLUSA	CA	95932	0000	00	06000	39.25060345	-122.0314303	Colusa County
351042	Ordering, Referring, Prescribing	N/A	1891929485	0	0	OLIVA, STEPHANIE M LMFT	4/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53713	N/A	N/A	N/A	N/A	N/A	1350 E GRAND AVE	None	ARROYO GRANDE	CA	93420	2422	00	06000	35.12076617	-120.6044977	San Luis Obispo County
351109	Ordering, Referring, Prescribing	N/A	1902079734	0	0	O ROURKE, DIANE LMFT	6/28/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	32808	N/A	N/A	N/A	N/A	N/A	430 N PILGRIM ST	None	STOCKTON	CA	95205	4428	00	06000	37.95964768	-121.2766746	San Joaquin County
351115	Ordering, Referring, Prescribing	N/A	1902087877	0	0	OLIVER, BARNEY A LMFT	2/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	46798	N/A	N/A	N/A	N/A	N/A	209 E 7TH ST	None	MADERA	CA	93638	3780	00	06000	36.96069768	-120.0559841	Madera County
351454	Ordering, Referring, Prescribing	N/A	1912021080	0	0	OCHOA, JENNIFER M PSYD	3/22/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	22366	N/A	N/A	N/A	N/A	N/A	2525 N CHESTER AVE	None	BAKERSFIELD	CA	93308	1770	00	06000	35.429463	-119.0213795	Kern County
351471	Ordering, Referring, Prescribing	N/A	1912044736	0	0	ORTEGA, FRANCINE N LCSW	11/24/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW24571	N/A	N/A	N/A	N/A	N/A	1339 20TH ST	None	SANTA MONICA	CA	90404	2033	00	06000	34.02917949	-118.4805651	Los Angeles County
351481	Ordering, Referring, Prescribing	N/A	1912060419	0	0	OCOMEN, MARIEFEL G LCSW	6/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	26796	N/A	N/A	N/A	N/A	N/A	414 GOUGH ST.	SUITE 3	SAN FRANCISCO	CA	94102	4474	00	06000	37.7772453	-122.4230146	San Francisco County
351495	Ordering, Referring, Prescribing	N/A	1912093774	0	0	OSBORN, FELICIA N NP	9/29/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP9777	N/A	N/A	N/A	N/A	N/A	3861 SEPULVEDA BLVD	None	CULVER CITY	CA	90230	4605	00	06000	34.01133074	-118.4159833	Los Angeles County
351578	Ordering, Referring, Prescribing	N/A	1912273327	0	0	ODDIE, PATRICIA NP	6/27/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	19604	N/A	N/A	N/A	N/A	N/A	1625 E 4TH ST	None	LOS ANGELES	CA	90033	4201	00	06000	34.04297786	-118.2220181	Los Angeles County
351643	Ordering, Referring, Prescribing	N/A	1912357815	0	0	OSUNA SALAZAR, ELVA MD	11/4/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A159120	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
351735	Ordering, Referring, Prescribing	N/A	1912483165	0	0	OJUKWU, JULIANA U MD	10/7/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A50471	N/A	N/A	N/A	N/A	N/A	18833 S WILMINGTON AVE	None	COMPTON	CA	90220	0000	00	06000	33.85966337	-118.2351673	Los Angeles County
351770	Ordering, Referring, Prescribing	N/A	1912546029	0	0	OKINE, MOSES PHARMD	7/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80834	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
351787	Ordering, Referring, Prescribing	N/A	1912587726	0	0	OSTRER, ISABEL R MD	12/15/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A192326	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVE	1M	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
351865	Ordering, Referring, Prescribing	N/A	1922123710	0	0	OLIVAS, DINA A	5/28/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW24516	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DRIVE	STE. 210	OXNARD	CA	93036	0673	00	06000	34.219566	-119.1539365	Ventura County
352083	Ordering, Referring, Prescribing	N/A	1922510171	0	0	OJEDA, JANEL PA	11/2/2017	Taxonomy not applicable	NA	n/a	000	Unknown	55100	N/A	N/A	N/A	N/A	N/A	1901 W KETTLEMAN LN	STE 200	LODI	CA	95242	4337	00	06000	38.11558533	-121.2964501	San Joaquin County
352123	Ordering, Referring, Prescribing	N/A	1922575190	0	0	ONEAL, CORY L LMFT	8/4/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121993	N/A	N/A	N/A	N/A	N/A	1010 WHEATLAND ROAD	None	WHEATLAND	CA	95692	9798	00	06000	39.00756737	-121.4313596	Yuba County
352131	Ordering, Referring, Prescribing	N/A	1922584226	0	0	ORTEGA OREJEL, ZAIRA Y MD	4/5/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A173408	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
352152	Ordering, Referring, Prescribing	N/A	1922622174	0	0	OSBORN, STEPHEN W MSW LCSW	6/16/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	79519	N/A	N/A	N/A	N/A	N/A	1850 SPRING RIDGE DRIVE	None	SUSANVILLE	CA	96130	6100	00	06000	40.43814074	-120.6259249	Lassen County
352157	Ordering, Referring, Prescribing	N/A	1922656537	0	0	OROPEZA, BREEANNA LCSW	9/27/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	118322	N/A	N/A	N/A	N/A	N/A	3545 LONG BEACH BLVD	None	LONG BEACH	CA	90807	3941	00	06000	33.82086796	-118.18938	Los Angeles County
352161	Ordering, Referring, Prescribing	N/A	1922661370	0	0	OLAGUE, MARIA LMFT	1/2/2025	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	152421	N/A	N/A	N/A	N/A	N/A	1900 N. ROYALTY DR.	STE 180	POMONA	CA	91767	3046	00	06000	34.07754346	-117.7463466	Los Angeles County
352185	Ordering, Referring, Prescribing	N/A	1922760321	0	0	ONUMAJURU, RUFINA C NP	1/19/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015559	N/A	N/A	N/A	N/A	N/A	4600 PANAMA LN	102B	BAKERSFIELD	CA	93313	3509	00	06000	35.29596129	-119.0543102	Kern County
352238	Ordering, Referring, Prescribing	N/A	1932221173	0	0	OLIVER SCHULTZ, CARMEN A LMFT	1/22/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124130	N/A	N/A	N/A	N/A	N/A	12099 W WASHINGTON BLVD	200	LOS ANGELES	CA	90066	5882	00	06000	33.99748876	-118.4239234	Los Angeles County
352258	Ordering, Referring, Prescribing	N/A	1932255825	0	0	OLIVEROS, LOURDES	10/15/2017	Taxonomy not applicable	NA	n/a	000	Unknown	13566	N/A	N/A	N/A	N/A	N/A	324 N VERMONT AVE	None	DINUBA	CA	93618	1631	00	06000	36.54780049	-119.3894155	Tulare County
352282	Ordering, Referring, Prescribing	N/A	1932306248	0	0	OCONNOR, ANNA K LCSW	7/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW78449	N/A	N/A	N/A	N/A	N/A	1340 ARNOLD DRIVE	200	MARTINEZ	CA	94553	4189	00	06000	37.99250264	-122.0983907	Contra Costa County
352330	Ordering, Referring, Prescribing	N/A	1932429560	0	0	OZUNA, ARMANDO LMFT	6/4/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT147212	N/A	N/A	N/A	N/A	N/A	1600 E BELLE TER	None	BAKERSFIELD	CA	93307	3871	00	06000	35.34672702	-118.9837495	Kern County
352355	Ordering, Referring, Prescribing	N/A	1932480118	0	0	ONG, CHAU PHARMD	9/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61908	N/A	N/A	N/A	N/A	N/A	1440 EL PASEO DE SARATOG	None	SAN JOSE	CA	95130	1633	00	06000	37.2901612	-121.9932186	Santa Clara County
352500	Ordering, Referring, Prescribing	N/A	1932702214	0	0	OKERE, MAUREEN C NP	10/5/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015611	N/A	N/A	N/A	N/A	N/A	43322 GINGHAM AVE	None	LANCASTER	CA	93535	4576	00	06000	34.67013731	-118.1222748	Los Angeles County
352606	Ordering, Referring, Prescribing	N/A	1942225156	0	0	OWENS, KAMEREN J NP	5/2/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	15943	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
352654	Ordering, Referring, Prescribing	N/A	1942363684	0	0	O'TOOLE, TERRANCE	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	45034	N/A	N/A	N/A	N/A	N/A	4531 PESCADERO AVE	None	SAN DIEGO	CA	92107	3536	00	06000	32.73514571	-117.2488392	San Diego County
352696	Ordering, Referring, Prescribing	N/A	1942467519	0	0	O'HAIR, THERESA A NP	2/26/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	18067	N/A	N/A	N/A	N/A	N/A	2145 FIFTH AVE	None	OROVILLE	CA	95965	5870	00	06000	39.50368243	-121.5646958	Butte County
352744	Ordering, Referring, Prescribing	N/A	1942574488	0	0	ORTA, KIMBERLY NP	6/26/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007009	N/A	N/A	N/A	N/A	N/A	824 PINE ST	None	MOUNT SHASTA	CA	96067	2137	00	06000	41.31718861	-122.3207167	Siskiyou County
352791	Ordering, Referring, Prescribing	N/A	1942639034	0	0	OBRIEN, MICHELE LCSW	6/28/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	85143	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
352815	Ordering, Referring, Prescribing	N/A	1942676358	0	0	ORELLANA, JESSICA N LMFT	2/12/2025	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT153165	N/A	N/A	N/A	N/A	N/A	3845 SPRING DR	None	SPRING VALLEY	CA	91977	1030	00	06000	32.74889129	-117.0031816	San Diego County
352834	Ordering, Referring, Prescribing	N/A	1942700232	0	0	OKUNYAN, ARMEN NP	2/28/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95008610	N/A	N/A	N/A	N/A	N/A	732 MOTT ST	100-110	SAN FERNANDO	CA	91340	4237	00	06000	34.27661761	-118.4442372	Los Angeles County
352973	Ordering, Referring, Prescribing	N/A	1952016073	0	0	OLSON, INEZ PA	3/22/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA64297	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
352992	Ordering, Referring, Prescribing	N/A	1952081754	0	0	ORTEGA, SANTIAGO PT	10/24/2022	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT302647	N/A	N/A	N/A	N/A	N/A	525 E MAIN ST	None	EL CAJON	CA	92020	4007	00	06000	32.79492347	-116.955981	San Diego County
353064	Ordering, Referring, Prescribing	N/A	1952477937	0	0	O'SHEA, KATHY LMFT	3/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	MFT31094	N/A	N/A	N/A	N/A	N/A	590 MIRAMAR DRIVE	OPTIONAL	HALF MOON BAY	CA	94019	5133	00	06000	37.49673748	-122.4513428	San Mateo County
353067	Ordering, Referring, Prescribing	N/A	1952478570	0	0	ORKIN, ROBERT PSYD	6/6/2018	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	19703	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
353095	Ordering, Referring, Prescribing	N/A	1952562639	0	0	OLIVE, YVONNE J NP	1/29/2016	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	458011	N/A	N/A	N/A	N/A	N/A	11110 ALONDRA BLVD	None	NORWALK	CA	90650	6248	00	06000	33.885675	-118.097631	Los Angeles County
353105	Ordering, Referring, Prescribing	N/A	1952573479	0	0	OCHOA LEWIS, ANJELICA T LCSW	4/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27994	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
353174	Ordering, Referring, Prescribing	N/A	1952726135	0	0	OCHOA, RODRIGO LMFT	2/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT110315	N/A	N/A	N/A	N/A	N/A	600 W. SANTA ANA BLVD.	SUITE 600	SANTA ANA	CA	92701	4558	00	06000	33.74804119	-117.874111	Orange County
353214	Ordering, Referring, Prescribing	N/A	1952774614	0	0	OCHOA, ANNA J LMFT	8/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121009	N/A	N/A	N/A	N/A	N/A	849 E 6TH ST	None	LOS ANGELES	CA	90021	1026	00	06000	34.03994957	-118.2414778	Los Angeles County
353281	Ordering, Referring, Prescribing	N/A	1952866691	0	0	OKAFOR, BLESSING C CNP	11/7/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95008924	N/A	N/A	N/A	N/A	N/A	3737 MARTIN LUTHER KING	STE 105	LYNWOOD	CA	90262	3523	00	06000	33.92872742	-118.2006921	Los Angeles County
353345	Ordering, Referring, Prescribing	N/A	1962002741	0	0	OHLWILER, HAYLEY M	5/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95016343	N/A	N/A	N/A	N/A	N/A	22481 ASPAN ST	None	LAKE FOREST	CA	92630	1651	00	06000	33.63584653	-117.7125462	Orange County
353349	Ordering, Referring, Prescribing	N/A	1962018085	0	0	OLEA, MICHELLE LMFT	10/19/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	142226	N/A	N/A	N/A	N/A	N/A	23461 S POINTE DRIVE,	SUITE 100	LAGUNA HILLS	CA	92653	1523	00	06000	33.62535142	-117.7206568	Orange County
353360	Ordering, Referring, Prescribing	N/A	1962041939	0	0	OKORO, CHIOMA F NP	8/25/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	786874	N/A	N/A	N/A	N/A	N/A	1402 BAILEY AVE	None	NEEDLES	CA	92363	3104	00	06000	34.832781	-114.618349	San Bernardino County
353397	Ordering, Referring, Prescribing	N/A	1962128413	0	0	O'SULLIVAN, GERALDINE LCSW	10/17/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	79293	N/A	N/A	N/A	N/A	N/A	302 N MIDWAY DR	None	ESCONDIDO	CA	92027	2708	00	06000	33.13619959	-117.0509061	San Diego County
353439	Ordering, Referring, Prescribing	N/A	1962456178	0	0	OYEJIDE, CATHERINE O MD	12/14/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A72914	N/A	N/A	N/A	N/A	N/A	OLDER ADULTS MENTAL HEAL	14320 PALM DRIVE	DESERT HOT SPRING	CA	92240	6874	00	06000	0	0	None
353575	Ordering, Referring, Prescribing	N/A	1962759449	0	0	OKLAN, ARI PSYD	3/4/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY30350	N/A	N/A	N/A	N/A	N/A	136 VALDIVIA CIR	None	SAN RAMON	CA	94583	2228	00	06000	37.76436238	-121.9697546	Contra Costa County
353626	Ordering, Referring, Prescribing	N/A	1962819268	0	0	OAKS, ALEXANDRIA PHARMD	9/6/2019	Taxonomy not applicable	NA	n/a	000	Unknown	80757	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
353633	Ordering, Referring, Prescribing	N/A	1962826289	0	0	OWRAGHI, MIELAD LMFT	2/22/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124484	N/A	N/A	N/A	N/A	N/A	6711 ARLINGTON AVE	SUITE B	RIVERSIDE	CA	92504	1955	00	06000	33.9459035	-117.442989	Riverside County
353741	Ordering, Referring, Prescribing	N/A	1962998831	0	0	OLOSUNDE, ALEXANDRIA N LMFT	7/9/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	2200255	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
353766	Ordering, Referring, Prescribing	N/A	1972032514	0	0	ONG, BRIAN PHARMD	8/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	50447	N/A	N/A	N/A	N/A	N/A	2424 MISSION STREET	None	SAN FRANCISCO	CA	94110	2415	00	06000	37.75816928	-122.4190376	San Francisco County
353775	Ordering, Referring, Prescribing	N/A	1972042794	0	0	OLCESE, HENRY LMFT	10/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122633	N/A	N/A	N/A	N/A	N/A	1260 NORTH DUTTON AVENUE	SUITE #105	SANTA ROSA	CA	95401	4659	00	06000	38.449197	-122.7320775	Sonoma County
353848	Ordering, Referring, Prescribing	N/A	1972195840	0	0	OKOLI, NKEM NP	2/28/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95019824	N/A	N/A	N/A	N/A	N/A	2122 S EL CAMINO REAL	SUITE 102	OCEANSIDE	CA	92054	6208	00	06000	33.18964194	-117.3280508	San Diego County
353907	Ordering, Referring, Prescribing	N/A	1972615367	0	0	OKEMAH, JOHN L MD	10/1/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C151389	N/A	N/A	N/A	N/A	N/A	706 PEACH ST	None	CORNING	CA	96021	3352	00	06000	39.928689	-122.174397	Tehama County
353914	Ordering, Referring, Prescribing	N/A	1972630135	0	0	OLIVA, ARTEMISA LCSW	12/18/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW19939	N/A	N/A	N/A	N/A	N/A	11429 VALLEY BLVD	None	EL MONTE	CA	91731	3229	00	06000	34.06953065	-118.0288485	Los Angeles County
353964	Ordering, Referring, Prescribing	N/A	1972721959	0	0	OHASHI, MICHAEL A PHARMD	12/17/2018	Taxonomy not applicable	NA	n/a	000	Unknown	46182	N/A	N/A	N/A	N/A	N/A	1825 ACADEMY AVE	None	SANGER	CA	93657	3705	00	06000	36.69100389	-119.5544688	Fresno County
353972	Ordering, Referring, Prescribing	N/A	1972736379	0	0	ONG, MATTHEW G LMFT	6/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	85039	N/A	N/A	N/A	N/A	N/A	5275 CLAREMONT AVENUE	None	OAKLAND	CA	94618	1032	00	06000	37.8391822	-122.260841	Alameda County
353994	Ordering, Referring, Prescribing	N/A	1972774040	0	0	ONSTOTT, JAMIE L LMFT	4/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT47399	N/A	N/A	N/A	N/A	N/A	711 N COURT ST	STE B	VISALIA	CA	93291	3638	00	06000	36.336384	-119.292543	Tulare County
354048	Ordering, Referring, Prescribing	N/A	1972872828	0	0	OMOTOSHO, OLUWAFOLAKE PHARMD	8/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66264	N/A	N/A	N/A	N/A	N/A	33060 ANTELOPE RD	None	MURRIETA	CA	92563	2409	00	06000	33.64097399	-117.1680516	Riverside County
354118	Ordering, Referring, Prescribing	N/A	1972958668	0	0	ONG, KEN Q PHARMD	3/22/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH56061	N/A	N/A	N/A	N/A	N/A	23072 ALICIA PARKWAY	None	MISSION VIEJO	CA	92692	4033	00	06000	33.62803407	-117.636481	Orange County
354330	Ordering, Referring, Prescribing	N/A	1982340048	0	0	O'CONNOR, KATELYN PA-C	6/7/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61203	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
354370	Ordering, Referring, Prescribing	N/A	1982705133	0	0	ORTIZ, ANA R	3/25/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	D42493	N/A	N/A	N/A	N/A	N/A	1845 N FAIR OAKS AVE	None	PASADENA	CA	91103	1620	00	06000	34.177806	-118.1507985	Los Angeles County
354394	Ordering, Referring, Prescribing	N/A	1982736179	0	0	OHARE, COLLEEN F LCSW	1/14/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27629	N/A	N/A	N/A	N/A	N/A	1540 FLORIDA AVE	None	MODESTO	CA	95350	4408	00	06000	37.667115	-120.9962205	Stanislaus County
354421	Ordering, Referring, Prescribing	N/A	1982789947	0	0	OBETSANOV, DAISY PHD	6/29/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY31418	N/A	N/A	N/A	N/A	N/A	14112 S KINGSLEY DR	None	GARDENA	CA	90249	3018	00	06000	33.902901	-118.304243	Los Angeles County
354524	Ordering, Referring, Prescribing	N/A	1982983136	0	0	OGUNDELE, TRACY M PSYD	2/16/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY29394	N/A	N/A	N/A	N/A	N/A	16350 FILBERT ST	None	SYLMAR	CA	91342	1002	00	06000	34.31595736	-118.4853828	Los Angeles County
354529	Ordering, Referring, Prescribing	N/A	1982989380	0	0	OPOKU, EDWARD N DO	8/27/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A11418	N/A	N/A	N/A	N/A	N/A	1039 W. FLORENCE AVE	None	LOS ANGELES	CA	90044	2441	00	06000	33.97463885	-118.2933327	Los Angeles County
354565	Ordering, Referring, Prescribing	N/A	1992047138	0	0	ORIJA, ADEBISI M	6/28/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0783615	N/A	N/A	N/A	N/A	N/A	1873 S COMMERCE CENTER W	None	SAN BERNARDINO	CA	92408	3303	00	06000	34.07877265	-117.5773884	San Bernardino
354600	Ordering, Referring, Prescribing	N/A	1992106850	0	0	OMOTO, AYUMI K LCSW	12/29/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	20112	N/A	N/A	N/A	N/A	N/A	515 COLUMBIA AVE.	#100	LOS ANGELES	CA	90017	1295	00	06000	34.05683109	-118.265995	Los Angeles County
354705	Ordering, Referring, Prescribing	N/A	1992289581	0	0	OBID, RAHIJ M	6/10/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	103167	N/A	N/A	N/A	N/A	N/A	66675 PIERSON BLVD	None	DSRT HOT SPGS	CA	92240	3737	00	06000	33.96138951	-116.498223	Riverside County
354883	Ordering, Referring, Prescribing	N/A	1992902639	0	0	O'KANE, MEGAN E LMFT	4/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	82948	N/A	N/A	N/A	N/A	N/A	1936 CARLOTTA DR	None	CONCORD	CA	94519	1358	00	06000	37.98614491	-122.0061167	Contra Costa County
354918	Ordering, Referring, Prescribing	N/A	1992983787	0	0	OKOH, PERPETUA E	1/14/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	20889	N/A	N/A	N/A	N/A	N/A	8835 VANS ST	None	PARAMOUNT	CA	90723	4656	00	06000	33.89195134	-118.1440256	Los Angeles County
354924	Ordering, Referring, Prescribing	N/A	1992998728	0	0	OH, MARIA Y PHD	9/8/2021	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	19884	N/A	N/A	N/A	N/A	N/A	448 SOUTH MARENGO AVE.	None	PASADENA	CA	91101	3113	00	06000	34.138512	-118.1458425	Los Angeles County