Table: enrolled_medi_cal_fee_for_service_ffs_providers , legal_name like U*

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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
341	Fee-for-Service	1871877217	1871877217	1	1	UNIVERSAL HOSPICE, INC	7/28/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	151 N SAN VICENTE BLVD	SUITE 209	BEVERLY HILLS	CA	90211	2323	19	06037	34.06838129	-118.3748976	Los Angeles County
629	Fee-for-Service	1871877217	1871877217	1	1	UNIVERSAL HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	151 N SAN VICENTE BLVD	SUITE 209	BEVERLY HILLS	CA	90211	2323	19	06037	34.06838129	-118.3748976	Los Angeles County
783	Fee-for-Service	1710358320	1710358320	1	1	UNITED HEARTS HOSPICE HEALTH	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	2139 TAPO ST	SUITE 219	SIMI VALLEY	CA	93063	3478	56	06111	34.27388603	-118.7089725	Ventura County
1069	Fee-for-Service	1710358320	1710358320	1	1	UNITED HEARTS HOSPICE HEALTH	9/18/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	2139 TAPO ST	SUITE 219	SIMI VALLEY	CA	93063	3478	56	06111	34.27388603	-118.7089725	Ventura County
1377	Fee-for-Service	1306057732	1306057732	1	1	URBINA, RICHARD A DO	4/25/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	70	Clinic (mixed specialty)	1	Border provider	None	5330 S HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
1539	Fee-for-Service	1174648414	1174648414	1	1	URQUIZU, LAURA LCSW	6/14/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
1665	Fee-for-Service	1306057732	1306057732	1	1	URBINA, RICHARD A DO	4/25/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	5330 S HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
1905	Fee-for-Service	1013957190	1013957190	1	1	UPADHYAYA, GARGI H MD	12/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	49787	78	Neoplastic Diseases/Oncology	0	In state provider	None	935 S SUNSET AVE	None	WEST COVINA	CA	91790	3408	19	06037	34.06431388	-117.9431184	Los Angeles County
1996	Fee-for-Service	1861920761	1861920761	1	1	UNITED MEDICAL IMAGING HEALT	6/3/2021	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	D-WILSHIRE	6310 SAN VICENTE BLVD	SUITE 102	LOS ANGELES	CA	90048	5426	19	06037	34.06093425	-118.3673115	Los Angeles County
2188	Fee-for-Service	1013957190	1013957190	1	1	UPADHYAYA, GARGI H MD	12/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	49787	41	Internal Medicine	0	In state provider	None	935 S SUNSET AVE	None	WEST COVINA	CA	91790	3408	19	06037	34.06431388	-117.9431184	Los Angeles County
2286	Fee-for-Service	1114269248	1114269248	1	1	ULLOA, ERLINDA R MD	1/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147343	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
2818	Fee-for-Service	1508826868	1508826868	1	1	UNITED MEDICAL SUPP INC	1/9/1998	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	BETH, RAQUEL A	8811 SHIRLEY AVE	None	NORTHRIDGE	CA	91324	3412	19	06037	34.230366	-118.5579985	Los Angeles County
2927	Fee-for-Service	1184280513	1184280513	1	1	ULYSSE, EL-JONAI MD	10/27/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	181673	None	None	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
2968	Fee-for-Service	1992234165	1992234165	1	1	UMANZOR, JEANNIE NP	3/6/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
3394	Fee-for-Service	1992993786	1992993786	1	1	UNITED CARE HOMES INC	5/15/2007	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	15924 GLAZEBROOK DR	None	LA MIRADA	CA	90638	2646	19	06037	33.91172141	-117.9923015	Los Angeles County
3425	Fee-for-Service	1972734192	1972734192	1	1	UMAIR, NAUSHEEN MD	11/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	110245	01	General Practice	0	In state provider	None	190 LEAVESLEY RD	None	GILROY	CA	95020	3635	43	06085	37.01991719	-121.5728065	Santa Clara County
3469	Fee-for-Service	1255081329	1255081329	1	2	UBD PARTNERS, LLC	11/14/2022	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	16364 BEACH BLVD	None	WESTMINSTER	CA	92683	7857	30	06059	33.72576062	-117.989034	Orange County
3604	Fee-for-Service	1619256039	1619256039	1	1	URBAN, LUKASZ PSYD	9/1/2018	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	EALTH	5252 BALBOA AVE	1004	SAN DIEGO	CA	92117	6651	37	06073	32.81892468	-117.1833243	San Diego County
3607	Fee-for-Service	1619351160	1619351160	1	1	UCHEALTH GRANDVIEW HOSPITAL	10/9/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5623 PULPIT PEAK VW	None	COLORADO SPRINGS	CO	80918	3954	00	None	38.91043035	-104.8172105	El Paso County
3896	Fee-for-Service	1619351160	1619351160	1	1	UCHEALTH GRANDVIEW HOSPITAL	10/9/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5623 PULPIT PEAK VW	None	COLORADO SPRINGS	CO	80918	3954	00	None	38.91043035	-104.8172105	El Paso County
4108	Fee-for-Service	1801276209	1801276209	1	1	UGBOH, FLORENCE N MD	4/2/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	156973	None	None	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
4211	Fee-for-Service	1023616240	1023616240	1	2	UNIVERSAL POINT CLINICS CORP	12/2/2021	2083X0100X	NA	Adult Primary Care	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ORATION	1236 BROOKS ST	None	ONTARIO	CA	91762	3608	36	06071	34.062066	-117.6737715	San Bernardino County
4364	Fee-for-Service	1356523153	1356523153	1	1	UNIVERSITY HEAD & NECK SURGE	7/1/2000	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ONS	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
4453	Fee-for-Service	1265479612	1265479612	1	1	UBA, GRANT W MD	2/10/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	63861	01	General Practice	0	In state provider	None	3601 ELM AVE	None	LONG BEACH	CA	90807	4003	19	06037	33.822162	-118.1880065	Los Angeles County
4498	Fee-for-Service	1023616240	1023616240	1	2	UNIVERSAL POINT CLINICS CORP	12/2/2021	2083X0100X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ORATION	1236 BROOKS ST	None	ONTARIO	CA	91762	3608	36	06071	34.062066	-117.6737715	San Bernardino County
4759	Fee-for-Service	1952937559	1952937559	1	2	UNITED HEALTH CENTERS OF THE	3/4/2021	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	650 S ZEDIKER AVE	None	PARLIER	CA	93648	2666	10	06019	36.60500164	-119.5210273	Fresno County
4837	Fee-for-Service	1144397134	1144397134	2	1	UCH-MHS	8/3/2015	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1400 E BOULDER STREET	None	COLORADO SPRINGS	CO	80909	5533	00	None	38.8388119	-104.7995065	El Paso County
4841	Fee-for-Service	1245251107	1245251107	1	1	UTZURRUM, FRANK D MD	11/1/1978	207RP1001X	NA	Pulmonology	026	PHYSICIANS	31438	41	Internal Medicine	0	In state provider	INC	99 N SN ANTONIO AVE	STE 370	UPLAND	CA	91786	4579	36	06071	34.095078	-117.660769	San Bernardino County
4864	Fee-for-Service	1043306863	1043306863	1	1	UMNAS, GILBERT G	3/1/1999	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	64719	40	Pediatrics	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
5079	Fee-for-Service	1497919872	1497919872	1	1	UNDERWOOD, SHIRLEY L DO	9/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11781	40	Pediatrics	0	In state provider	None	3291 LOMA VISTA ROAD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
5123	Fee-for-Service	1144397134	1144397134	2	1	UCH-MHS	8/3/2015	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1400 E BOULDER STREET	None	COLORADO SPRINGS	CO	80909	5533	00	None	38.8388119	-104.7995065	El Paso County
5129	Fee-for-Service	1245251107	1245251107	1	1	UTZURRUM, FRANK D MD	11/1/1978	207RP1001X	NA	Pulmonology	026	PHYSICIANS	31438	29	Pulmonary Diseases (M.D. only)	0	In state provider	INC	99 N SN ANTONIO AVE	STE 370	UPLAND	CA	91786	4579	36	06071	34.095078	-117.660769	San Bernardino County
5195	Fee-for-Service	1558312405	1558312405	1	1	UYAN, SENEN T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	41010	05	Anesthesiology	0	In state provider	None	3751 KATELLA AVE	None	LOS ALAMITOS	CA	90720	3101	30	06059	33.80318353	-118.0666665	Orange County
5600	Fee-for-Service	1790190437	1790190437	1	1	UCHINO, CATHERINE A MD	6/15/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	141608	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
5614	Fee-for-Service	1386039931	1386039931	1	1	UDOH, KENECHUKWU B MD	1/6/2020	207L00000X	NA	Other	026	PHYSICIANS	166463	05	Anesthesiology	0	In state provider	None	38600 MEDICAL CENTER DR	None	PALMDALE	CA	93551	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
5671	Fee-for-Service	1366817033	1366817033	1	1	UNIFIED HOSPICE CARE LLC	6/10/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	7077 ORANGEWOOD AVE	SUITE 120	GARDEN GROVE	CA	92841	1439	30	06059	33.79560048	-118.0096611	Orange County
5958	Fee-for-Service	1366817033	1366817033	1	1	UNIFIED HOSPICE CARE LLC	6/10/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	7077 ORANGEWOOD AVE	SUITE 120	GARDEN GROVE	CA	92841	1439	30	06059	33.79560048	-118.0096611	Orange County
6075	Fee-for-Service	1316912439	1316912439	1	1	UNIVERSITY OF CALIFORNIA	3/1/1987	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	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
7049	Fee-for-Service	1821440371	1821440371	1	2	UNITED INDIAN HEALTH	6/12/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	241 SALMON AVENUE	None	KLAMATH	CA	95548	0000	08	06015	41.53249382	-124.0420529	Del Norte County
7118	Fee-for-Service	1548887375	1548887375	1	1	UNI HEALTH INC	8/10/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	135 MACAW LN	SUITE 120	SIMI VALLEY	CA	93065	3153	56	06111	34.25962873	-118.7946585	Ventura County
7203	Fee-for-Service	1982402194	1982402194	1	1	URIZ, TARA PT	4/1/2025	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2500 MILVIA ST.	None	BERKELEY	CA	94704	2636	01	06001	37.86338897	-122.2698455	Alameda County
7206	Fee-for-Service	1457133795	1457133795	1	1	UMPHREY, NATALIE RCP	2/19/2024	2279P1006X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	270 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
7311	Fee-for-Service	1033183892	1033183892	1	1	UDDIN, MESKATH MD	8/4/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	146600	41	Internal Medicine	0	In state provider	None	7777 SUNRISE BLVD	STE 2500	CITRUS HEIGHTS	CA	95610	2372	34	06067	38.706561	-121.2731145	Sacramento County
7326	Fee-for-Service	1942218524	1942218524	1	1	UPTON, JANICE C MD	7/27/2004	208600000X	NA	General Surgery	026	PHYSICIANS	82360	02	General Surgery	0	In state provider	None	8008 FROST ST	SUITE 406	SAN DIEGO	CA	92123	4209	37	06073	32.80027859	-117.1524832	San Diego County
7337	Fee-for-Service	1821440371	1821440371	1	2	UNITED INDIAN HEALTH	6/12/2017	No Taxonomy Provided	NA	None	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	241 SALMON AVENUE	None	KLAMATH	CA	95548	0000	08	06015	41.53249382	-124.0420529	Del Norte County
7494	Fee-for-Service	1679652598	1679652598	1	1	UCSF ORAL MAXILLOFACIAL	10/10/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	84	Surgery-Head and Neck	0	In state provider	SURGERY FACULTY PRACTICE	513 PARNASSUS AVE	# S738	SAN FRANCISCO	CA	94143	2205	38	06075	37.76344756	-122.4581992	San Francisco County
7781	Fee-for-Service	1679652598	1679652598	1	1	UCSF ORAL MAXILLOFACIAL	10/10/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	SURGERY FACULTY PRACTICE	513 PARNASSUS AVE	# S738	SAN FRANCISCO	CA	94143	2205	38	06075	37.76344756	-122.4581992	San Francisco County
8323	Fee-for-Service	1700817756	1700817756	2	1	UNIVERSITY OF CALIFORNIA	3/27/2024	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1301 N ROSE DR	None	PLACENTIA	CA	92870	3802	30	06059	33.8868003	-117.8420447	Orange County
8412	Fee-for-Service	1346236015	1346236015	1	1	UHS CORONA INC	1/1/2014	No Taxonomy Provided	NA	None	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	800 S MAIN STREET	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
8559	Fee-for-Service	1750323119	1750323119	1	1	UROGYNECOLOGY CONSULTANTS ME	7/12/2006	2088F0040X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2801 K STREET	SUITE 200	SACRAMENTO	CA	95816	9582	34	06067	38.572947	-121.46904	Sacramento County
8612	Fee-for-Service	1700817756	1700817756	2	1	UNIVERSITY OF CALIFORNIA	3/27/2024	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1301 N ROSE DR	None	PLACENTIA	CA	92870	3802	30	06059	33.8868003	-117.8420447	Orange County
8652	Fee-for-Service	1720270200	1720270200	1	1	URENA, MONICA MD	3/19/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	116210	None	None	0	In state provider	None	1524 MCHENRY AVE	STE 100	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
8959	Fee-for-Service	1629080908	1629080908	1	2	UROLITHIASIS LABORATORY INC	3/5/2018	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	9525 KATY FWY	SUITE 222	HOUSTON	TX	77024	1414	00	None	29.7838015	-95.528007	Harris County
8988	Fee-for-Service	1336249218	1336249218	1	1	UYEMURA, KAREN M NP	5/2/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	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
9350	Fee-for-Service	1477531580	1477531580	1	2	UNIVERSITY OF COLORADO	7/25/2016	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL AUTHORITY	12605 E 16TH AVE	None	AURORA	CO	80045	2545	00	None	39.742182	-104.8408515	Adams County
9364	Fee-for-Service	1225129281	1225129281	1	1	URBINA, MARVIN MD	10/23/2001	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	71133	08	Family Practice	0	In state provider	None	647 E ARROW HWY	None	AZUSA	CA	91702	5802	19	06037	34.1068263	-117.8982008	Los Angeles County
9454	Fee-for-Service	1346885423	1346885423	1	1	UNITED MEDICAL IMAGING HEALT	7/23/2024	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MMERCE	4916 WHITTIER BLVD	None	LOS ANGELES	CA	90022	3115	19	06037	34.02163273	-118.1631725	Los Angeles County
9639	Fee-for-Service	1477531580	1477531580	1	2	UNIVERSITY OF COLORADO	7/25/2016	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL AUTHORITY	12605 E 16TH AVE	None	AURORA	CO	80045	2545	00	None	39.742182	-104.8408515	Adams County
10006	Fee-for-Service	1497773444	1497773444	1	1	UNILAB CORPORATION	8/5/2003	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	4204 RIVERWALK PARKWAY	SUITE 340	RIVERSIDE	CA	92505	3391	33	06065	33.90151404	-117.4947994	Riverside County
10286	Fee-for-Service	1740886274	1740886274	1	1	UBONSIE DIALYSIS LLC	4/13/2021	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	785 ORANGE DR	None	VACAVILLE	CA	95687	3133	48	06095	38.3846085	-121.9352667	Solano County
10326	Fee-for-Service	1285655902	1285655902	1	1	ULRICH, SKYLAR S MD	10/19/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	73335	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2151 APPIAN WAY	None	PINOLE	CA	94564	2514	07	06013	37.99738125	-122.3013414	Contra Costa County
10343	Fee-for-Service	1831223247	1831223247	1	1	UNION OF PAN ASIAN COMMUNITI	8/23/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	RECOVERY CENTER	3288 EL CAJON BLVD.	SUITES 1A, 1B, 2, 3, 5,	SAN DIEGO	CA	92104	1430	37	06073	32.75537145	-117.1228095	San Diego County
10479	Fee-for-Service	1457588758	1457588758	1	2	URAYENEZA, OLIVIER MD PC	5/3/2023	208600000X	NA	General Surgery	026	PHYSICIANS	133496	None	None	0	In state provider	None	1401 SOUTH GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
10686	Fee-for-Service	1548827819	1548827819	1	2	UNEXPECTED POSSIBILITIES, IN	4/13/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	DBA POSSIBILTIES MEDICA	1015 EL CAJON BLVD	A	EL CAJON	CA	92020	5718	37	06073	32.78357729	-116.9786542	San Diego County
11248	Fee-for-Service	1306811930	1306811930	1	1	UNIVERSITY OF CALIFORNIA	1/1/1979	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	38	Geriatrics	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
11274	Fee-for-Service	1598861817	1598861817	1	1	UNDERWOOD, DONALD A MD	12/1/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	4681	-	NOT APPLICABLE	0	In state provider	None	1070 E RAMSEY STREET	None	BANNING	CA	92220	5924	33	06065	33.92534349	-116.8644555	Riverside County
11487	Fee-for-Service	1700361029	1700361029	1	1	UNIMED HEALTH CENTER GROUP I	2/16/2021	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	NC	4065 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2556	19	06037	34.02396048	-118.18395	Los Angeles County
11537	Fee-for-Service	1306811930	1306811930	1	1	UNIVERSITY OF CALIFORNIA	7/25/2018	207PT0002X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
11726	Fee-for-Service	1043777089	1043777089	1	1	UNICARE COMMUNITY HEALTH	1/18/2022	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	5549 VAN BUREN BLVD	None	RIVERSIDE	CA	92503	2068	33	06065	33.939216	-117.453893	Riverside County
11822	Fee-for-Service	1306811930	1306811930	1	1	UNIVERSITY OF CALIFORNIA	1/1/1979	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
12014	Fee-for-Service	1043777089	1043777089	1	1	UNICARE COMMUNITY HEALTH	2/5/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	5549 VAN BUREN BLVD	None	RIVERSIDE	CA	92503	2068	33	06065	33.939216	-117.453893	Riverside County
12113	Fee-for-Service	1306811930	1306811930	1	1	UNIVERSITY OF CALIFORNIA	1/1/1979	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
12221	Fee-for-Service	1750493839	1750493839	1	1	UYEKI, TIMOTHY M MD	2/25/1992	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	50491	40	Pediatrics	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
12304	Fee-for-Service	1043777089	1043777089	1	1	UNICARE COMMUNITY HEALTH	2/5/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	5549 VAN BUREN BLVD	None	RIVERSIDE	CA	92503	2068	33	06065	33.939216	-117.453893	Riverside County
12399	Fee-for-Service	1306811930	1306811930	1	1	UNIVERSITY OF CALIFORNIA	7/5/2023	207PT0002X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
12749	Fee-for-Service	1144615550	1144615550	1	1	UNIVERSITY OF SOUTHERN CALIF	4/12/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	AL PHARMACY	1808 VERDUGO BLVD.	SUITE 111	GLENDALE	CA	91208	1477	19	06037	34.2056211	-118.2154553	Los Angeles County
12772	Fee-for-Service	1386619419	1386619419	1	3	UNIVERSITY OF CALIFORNIA	9/24/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	SFGH	1001 POTRERO AVE	BLDG 80 WARD 83	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
12845	Fee-for-Service	1124665468	1124665468	1	1	UMOREN, FUNMILOLA CNP	11/18/2021	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2540 EAST ST	None	CONCORD	CA	94520	1906	07	06013	37.98292379	-122.0341876	Contra Costa County
13141	Fee-for-Service	1033716147	1033716147	1	2	USC VERDUGO HILLS HOSPITAL	10/4/2022	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1818 VERDUGO BLVD	STE 407	GLENDALE	CA	91204	1446	19	06037	34.20560177	-118.216054	Los Angeles County
13428	Fee-for-Service	1972686939	1972686939	1	1	UCSF STANFORD HLTH CARE	11/1/1997	261QE0700X	NA	Other	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	UCSF/MOUNT ZION	1600 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3010	38	06075	37.78475261	-122.43973	San Francisco County
13500	Fee-for-Service	1467159590	1467159590	1	1	UHUNMWANGHO, OGHOGHO NP	7/17/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	520 WEST I ST	None	LOS BANOS	CA	95616	6201	24	06047	37.06346603	-120.8593647	Merced County
13553	Fee-for-Service	1427399146	1427399146	1	1	URBAN 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	2161 COLORADO BLVD	STE 206	LOS ANGELES	CA	90041	1251	19	06037	34.13915884	-118.2133958	Los Angeles County
13565	Fee-for-Service	1114043783	1114043783	1	1	URQUIZU, JANET PSYD	5/6/2019	1041C0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	6700 FALLBROOK AVE	SUITE 111B	WEST HILLS	CA	91307	3540	19	06037	34.192332	-118.623381	Los Angeles County
13808	Fee-for-Service	1972688455	1972688455	1	1	UNITED SERVICES PLUS,INC	9/24/2003	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	21031 VENTURA BLVD	STE 103	WOODLAND HILLS	CA	91364	2210	19	06037	34.16839015	-118.5912235	Los Angeles County
13841	Fee-for-Service	1427399146	1427399146	1	1	URBAN HOSPICE CARE, INC	4/13/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2161 COLORADO BLVD	STE 206	LOS ANGELES	CA	90041	1251	19	06037	34.13915884	-118.2133958	Los Angeles County
14142	Fee-for-Service	1982814562	1982814562	1	1	UNITED PARENTS	4/29/2025	No Taxonomy Provided	NA	None	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	333 N LANTANA ST	SUITE 259	CAMARILLO	CA	93010	9008	56	06111	34.219503	-119.055108	Ventura County
14371	Fee-for-Service	1306282975	1306282975	1	1	UNIVERSITY OF CALIFORNIA SFG	3/7/2020	2086S0102X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	ARE	1001 POTRERO AVE	RM. 3A35	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
14375	Fee-for-Service	1982240321	1982240321	1	1	UNITED CARE FOUNDATION	10/23/2020	261QR0200X	NA	Mammography/MRI Provider	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	1765 CHALLENGE WAY	SUITE 130	SACRAMENTO	CA	95815	5098	34	06067	38.597544	-121.4264295	Sacramento County
14657	Fee-for-Service	1306282975	1306282975	1	1	UNIVERSITY OF CALIFORNIA SFG	3/7/2020	2086S0102X	NA	General Surgery	022	PHYSICIANS GROUP	-	89	Surgery-Traumatic	0	In state provider	ARE	1001 POTRERO AVE	RM. 3A35	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
14722	Fee-for-Service	1033298617	1033298617	1	1	UCSF	6/1/1999	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	UCSF DERMATOLOGY GROUP	350 PARNASSUS AVE	None	SAN FRANCISCO	CA	94117	3608	38	06075	37.76403932	-122.4561371	San Francisco County
14776	Fee-for-Service	1780347955	1780347955	1	1	UGWUEDE, AMENAGHAWON A NP	4/26/2024	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
15521	Fee-for-Service	1285646414	1285646414	1	1	USHIGOME, MAE M MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67480	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
15712	Fee-for-Service	1902482938	1902482938	1	1	USMAN, NORINA MD	9/23/2024	208M00000X	NA	Other	026	PHYSICIANS	188512	41	Internal Medicine	0	In state provider	None	975 S FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
15767	Fee-for-Service	1508896556	1508896556	1	1	UBER-ZAK, LORI D DO	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	7117	13	Neurology (M.D. only)	0	In state provider	None	11370 ANDERSON ST	STE 2400	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
15831	Fee-for-Service	1144517327	1144517327	1	1	USMAN, NUDRAT MD	12/31/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117296	41	Internal Medicine	0	In state provider	None	520 N PROSPECT AVE	STE 103	REDONDO BEACH	CA	90277	3033	19	06037	33.8529819	-118.3802954	Los Angeles County
15875	Fee-for-Service	1114040441	1114040441	1	1	URBANIA, THOMAS H MD	4/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	95378	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
16096	Fee-for-Service	1861792343	1861792343	1	1	ULTIMATE GREAT CARE HOSPICE	8/4/2011	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	1174 AMAZON WAY	STE B	SIMI VALLEY	CA	93065	3156	56	06111	34.26011564	-118.7949051	Ventura County
16383	Fee-for-Service	1861792343	1861792343	1	1	ULTIMATE GREAT CARE HOSPICE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	1174 AMAZON WAY	STE B	SIMI VALLEY	CA	93065	3156	56	06111	34.26011564	-118.7949051	Ventura County
16570	Fee-for-Service	1013061464	1013061464	1	1	UNILAB CORPORATION	7/13/2015	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	6985 ARLINGTON AVE	STE A	RIVERSIDE	CA	92503	1516	33	06065	33.9458738	-117.4472592	Riverside County
16804	Fee-for-Service	1154365435	1154365435	1	1	UNRUH, DONALD L PHD	5/8/1996	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	415 W ALOSTA AVE	STE 202	GLENDORA	CA	91740	4335	19	06037	34.1288673	-117.8699632	Los Angeles County
16935	Fee-for-Service	1396106316	1396106316	1	1	UNIQUE TOUCH HOME HEALTHCARE	6/27/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	6320 VAN NUYS BLVD	SUITE 508	VAN NUYS	CA	91401	6320	19	06037	34.18545203	-118.4487091	Los Angeles County
16945	Fee-for-Service	1033716147	1033716147	1	1	USC VERDUGO HILLS HOSPITAL	1/1/2021	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1812 VERDUGO BLVD	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
17103	Fee-for-Service	1578825824	1578825824	1	1	UNAL, ERSIN S MD	10/8/2019	207RH0003X	NA	Oncology	026	PHYSICIANS	163760	68	Hematology	0	In state provider	None	3650 S ST	STE 212	LAKEWOOD	CA	90712	1528	19	06037	0	0	None
17232	Fee-for-Service	1033716147	1033716147	1	1	USC VERDUGO HILLS HOSPITAL	1/1/2021	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1812 VERDUGO BLVD	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
17391	Fee-for-Service	1457976466	1457976466	1	1	USCANGA, ANGEL E LMFT	2/18/2025	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
17446	Fee-for-Service	1417126665	1417126665	1	1	UNTERSEHER, RALEIGH MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	58581	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ESPLANADE WOMEN'S CARE	1315 THE ESPLANADE	None	CHICO	CA	95926	3330	04	06007	39.74016138	-121.8476519	Butte County
17470	Fee-for-Service	1619106242	1619106242	1	1	UMSTEAD, ERIC C MD	11/17/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	174670	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
18366	Fee-for-Service	1417968538	1417968538	1	1	UMPHLETT, DERRICK C MD	11/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
18535	Fee-for-Service	1043642390	1043642390	1	1	URBAN, TRAVIS PT	3/13/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	116 S LASSEN ST	None	WILLOWS	CA	95988	3009	11	06021	39.52027795	-122.1995617	Glenn County
18667	Fee-for-Service	1073589982	1073589982	1	1	UD ALPHA PHARMACY INC	1/1/2000	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	ALPHA PHARMACY	515 S BEACH BLVD	# AB	ANAHEIM	CA	92804	1812	30	06059	33.82559703	-117.9934832	Orange County
18672	Fee-for-Service	1801332770	1801332770	1	1	UNITED MEDICAL IMAGING HEALT	3/1/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	NTA CLARITA	24036 LYONS AVE	None	NEWHALL	CA	91321	2446	19	06037	34.37881884	-118.5555155	Los Angeles County
18760	Fee-for-Service	1982859021	1982859021	1	1	UNITED THERAPY NETWORK, INCO	3/31/2020	225X00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RPORATED	10470 FOOTHILL BLVD	SUITE 101	RANCHO CUCAMONGA	CA	91730	3754	36	06071	34.10659649	-117.576603	San Bernardino County
18883	Fee-for-Service	1912391632	1912391632	1	1	URREGO-VALLOWE, VICTOR LCSW	11/30/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6 GODELLO CT	None	SACRAMENTO	CA	95833	4400	34	06067	38.627496	-121.528413	Sacramento County
19049	Fee-for-Service	1982859021	1982859021	1	1	UNITED THERAPY NETWORK, INCO	3/31/2020	225X00000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	RPORATED	10470 FOOTHILL BLVD	SUITE 101	RANCHO CUCAMONGA	CA	91730	3754	36	06071	34.10659649	-117.576603	San Bernardino County
19339	Fee-for-Service	1982859021	1982859021	1	1	UNITED THERAPY NETWORK, INCO	3/31/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RPORATED	10470 FOOTHILL BLVD	SUITE 101	RANCHO CUCAMONGA	CA	91730	3754	36	06071	34.10659649	-117.576603	San Bernardino County
19555	Fee-for-Service	1386910552	1386910552	1	1	URREA, ERICA M OD	8/25/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	425 W BONITA AVE	SUITE 110 B	SAN DIMAS	CA	91773	2543	19	06037	34.10669347	-117.814932	Los Angeles County
19885	Fee-for-Service	1962567115	1962567115	1	1	UGO, NKEIRUKA E RN	2/8/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2250 HAYES ST	None	SAN FRANCISCO	CA	94117	1078	38	06075	37.77302042	-122.45342	San Francisco County
19911	Fee-for-Service	1023047412	1023047412	1	1	UNGER, KELLY F MD	3/13/2008	207P00000X	NA	Other	026	PHYSICIANS	100804	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7901 WALKER ST	None	LA PALMA	CA	90623	1722	30	06059	33.84755382	-118.0373024	Orange County
20214	Fee-for-Service	1992164420	1992164420	1	1	URRIQUIA, KENNETH H OD	2/2/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	911 N GRAND AVE	None	COVINA	CA	91724	2046	19	06037	34.09685628	-117.8727243	Los Angeles County
20355	Fee-for-Service	1760695159	1760695159	1	1	UNIVERSITY OF CALIFORNIA SAN	10/21/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	DIEGO	140 ARBOR DRIVE	None	SAN DIEGO	CA	92103	2007	37	06073	32.75382424	-117.1635451	San Diego County
20478	Fee-for-Service	1124118492	1124118492	1	1	UNITED MEDICAL IMAGING HEALT	2/26/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ENA PARK	6131 ORANGETHORPE AVE	SUITE # 130	BUENA PARK	CA	90620	1315	30	06059	33.8588521	-118.0243537	Orange County
20498	Fee-for-Service	1598265464	1598265464	1	1	UPSHAW, DARICE LMFT	2/23/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4849 RONSON CT	SUITE 207	SAN DIEGO	CA	92111	1805	37	06073	32.83028739	-117.1459009	San Diego County
20657	Fee-for-Service	1679644256	1679644256	1	1	UCSF	6/1/1999	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	UCSF DERMATOLOGY	1701 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3011	38	06075	37.78553106	-122.4399475	San Francisco County
20693	Fee-for-Service	1710972062	1710972062	1	1	UNITED CONVALESCENT	3/23/1992	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	FACILITIES, INC	2625 MAPLE AVE	None	LOS ANGELES	CA	90011	1431	19	06037	34.02281116	-118.2658732	Los Angeles County
21276	Fee-for-Service	1073803722	1073803722	1	1	ULLAL, ASHMI S MD	2/6/2017	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	133351	01	General Practice	0	In state provider	None	34 MARK WEST SPRINGS RD	2ND FL	SANTA ROSA	CA	95403	1436	49	06097	38.49639719	-122.7501553	Sonoma County
21404	Fee-for-Service	1275041899	1275041899	1	1	UNION OF PAN ASIAN COMMUNITI	8/20/2018	251S00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	R	3998 VISTA WAY	SUITE E	OCEANSIDE	CA	92056	4514	37	06073	33.18370179	-117.292963	San Diego County
21437	Fee-for-Service	1235234857	1235234857	1	1	URATA, MARK M MD	8/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	64497	24	Plastic 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
21957	Fee-for-Service	1407114515	1407114515	1	1	UBHAYAKAR, NITIN D MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135630	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1720 CESAR E CHAVEZ AVE	None	LOS ANGELES	CA	90033	2414	19	06037	34.04925	-118.2177405	Los Angeles County
21986	Fee-for-Service	1932679149	1932679149	1	1	UNIVERSAL HOSPICE CARE LLC	8/20/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	44240 FREMONT BLVD	SUITE A	FREMONT	CA	94538	6000	01	06001	37.50635976	-121.9492493	Alameda County
22018	Fee-for-Service	1710078654	1710078654	1	1	UNCINI, 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	750 E 34TH STREET	None	HIBBING	MN	55746	2341	00	None	47.41000349	-92.92875548	St. Louis County
22275	Fee-for-Service	1932679149	1932679149	1	1	UNIVERSAL HOSPICE CARE LLC	8/20/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	44240 FREMONT BLVD	SUITE A	FREMONT	CA	94538	6000	01	06001	37.50635976	-121.9492493	Alameda County
22334	Fee-for-Service	1417928458	1417928458	1	1	UNITED CARE PROVIDER INC	1/16/1991	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	4710 KENMORE AVE	None	BALDWIN PARK	CA	91706	2309	19	06037	34.09794638	-117.9746476	Los Angeles County
22476	Fee-for-Service	1194741595	1194741595	1	1	UMPHRESS, JASON L MD	12/1/1998	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	64129	41	Internal Medicine	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
22487	Fee-for-Service	1326236522	1326236522	1	1	UNI HEALTHCARE INC	6/21/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	25129 THE OLD ROAD	SUITE 204	STEVENSON RANCH	CA	91381	2274	19	06037	34.3752041	-118.5639379	Los Angeles County
22524	Fee-for-Service	1477627537	1477627537	1	1	UCSF	10/21/2020	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	DEPT OF SURGERY	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
22664	Fee-for-Service	1639627433	1639627433	1	1	UNITED HOME HEALTH CARE LLC	8/6/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1717 30TH ST	None	BAKERSFIELD	CA	93301	1909	15	06029	35.38668952	-119.021931	Kern County
22764	Fee-for-Service	1194741595	1194741595	1	1	UMPHRESS, JASON L MD	12/1/1998	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	64129	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
22779	Fee-for-Service	1902173248	1902173248	1	1	ULTRASOUND LABORATORIES INC	2/10/2012	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	305 SOUTH DRIVE	SUITE 7	MOUNTAIN VIEW	CA	94040	4207	43	06085	37.36724311	-122.0815284	Santa Clara County
22812	Fee-for-Service	1477627537	1477627537	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	DEPT OF SURGERY	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
22965	Fee-for-Service	1295891554	1295891554	1	1	UNILAB CORPORATION	4/16/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	7060 N RECREATION AVE	STE 106	FRESNO	CA	93720	8022	10	06019	36.8388	-119.7404335	Fresno County
22987	Fee-for-Service	1083764807	1083764807	1	1	URBANO, BERNABE F MD	9/5/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50556	40	Pediatrics	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
23046	Fee-for-Service	1831453836	1831453836	1	1	UY, JACQUELINE M MD	9/20/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	131845	01	General Practice	0	In state provider	None	815 DR MARTIN LUTHER KIN	None	BAKERSFIELD	CA	93307	1365	15	06029	35.3655	-118.985202	Kern County
23099	Fee-for-Service	1477627537	1477627537	1	1	UCSF	6/5/2017	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	DEPT OF SURGERY	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
23110	Fee-for-Service	1811185259	1811185259	1	1	URBAN INDIAN HEALTH BOARD	4/9/1992	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	160 CAPP ST	None	SAN FRANCISCO	CA	94110	1210	38	06075	37.76405528	-122.4186219	San Francisco County
23122	Fee-for-Service	1154330488	1154330488	1	1	UMBER A. SALMAN, M.D.	5/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4502 MEDICAL DR	None	SAN ANTONIO	TX	78229	4402	00	None	29.508012	-98.578683	Bexar County
23400	Fee-for-Service	1811185259	1811185259	1	1	URBAN INDIAN HEALTH BOARD	4/9/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	160 CAPP ST	None	SAN FRANCISCO	CA	94110	1210	38	06075	37.76405528	-122.4186219	San Francisco County
23485	Fee-for-Service	1376614016	1376614016	1	1	UCSF	10/22/2018	207RG0100X	NA	Gastroenterology	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	PEDIATRIC ASSOCIATES	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
23679	Fee-for-Service	1245357037	1245357037	2	1	U S MEDICAL GROUP INC	9/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	6226 E SPRING ST	STE 380	LONG BEACH	CA	90815	1444	19	06037	33.81040053	-118.1102715	Los Angeles County
23774	Fee-for-Service	1376614016	1376614016	1	1	UCSF	8/1/2017	207RG0100X	NA	Gastroenterology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	PEDIATRIC ASSOCIATES	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
23966	Fee-for-Service	1245357037	1245357037	2	1	U S MEDICAL GROUP INC	9/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	6226 E SPRING ST	STE 380	LONG BEACH	CA	90815	1444	19	06037	33.81040053	-118.1102715	Los Angeles County
23980	Fee-for-Service	1679608301	1679608301	1	1	UHRIG, SANDRA L RN	2/8/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3865 JACKSON ST	None	RIVERSIDE	CA	92503	9699	33	06065	33.92617009	-117.4404151	Riverside County
24048	Fee-for-Service	1326084419	1326084419	1	1	UPPAL, HARTEJ S MD	3/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	78671	41	Internal Medicine	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
24063	Fee-for-Service	1376614016	1376614016	1	1	UCSF	12/21/2017	207RG0100X	NA	Gastroenterology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	PEDIATRIC ASSOCIATES	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
24349	Fee-for-Service	1376614016	1376614016	1	1	UCSF	6/1/1999	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	PEDIATRIC ASSOCIATES	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
24546	Fee-for-Service	1982782256	1982782256	1	1	UNITED INDIAN HEALTH	4/1/2002	261QP2300X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	UNTD INDN HLTH SERV PHAR	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	12	06023	40.89808837	-124.0923819	Humboldt County
24597	Fee-for-Service	1144570300	1144570300	1	1	UNGERER, TIMOTHY D DO	4/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	14869	05	Anesthesiology	0	In state provider	None	1165 MONTGOMERY DRIVE	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
24639	Fee-for-Service	1376614016	1376614016	1	1	UCSF	8/15/2017	207RG0100X	NA	Gastroenterology	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	PEDIATRIC ASSOCIATES	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
24649	Fee-for-Service	1881785764	1881785764	1	5	UROLOGY ASSOCIATES OF	11/1/2010	208800000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SAN LUIS OBISPO	35 CASA ST	STE 370	SAN LUIS OBISPO	CA	93405	5803	40	06079	35.29359615	-120.6654304	San Luis Obispo County
24758	Fee-for-Service	1710441449	1710441449	1	1	UMUGBE, BLESSING E CNP	6/17/2021	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
24925	Fee-for-Service	1376614016	1376614016	1	1	UCSF	12/6/2024	207RG0100X	NA	Gastroenterology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	PEDIATRIC ASSOCIATES	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
25162	Fee-for-Service	1578632857	1578632857	1	1	UCSF	6/1/1999	207T00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UCSF NEUROSURGERY	400 PARNASSUS AVE	RM A808	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
25231	Fee-for-Service	1033803440	1033803440	1	1	UNITY MEMORY CARE INC	11/14/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	8161 CHIMANGO COURT	None	ANTELOPE	CA	95843	5332	34	06067	38.718198	-121.350321	Sacramento County
25397	Fee-for-Service	1376815647	1376815647	1	1	UPADHYAY, SHIVANCK MD	3/11/2025	207R00000X	NA	Other	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
25604	Fee-for-Service	1851446330	1851446330	1	1	UZUNYAN, MERUJAN Y MD	6/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	50525	40	Pediatrics	0	In state provider	None	1200 N STATE ST	None	LOS ANGELES	CA	90033	1083	19	06037	34.05855992	-118.209755	Los Angeles County
25685	Fee-for-Service	1376815647	1376815647	1	1	UPADHYAY, SHIVANCK MD	3/11/2025	207R00000X	NA	Other	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
25902	Fee-for-Service	1467649657	1467649657	1	2	UNIVERSITY PAIN CONSULTANTS	10/1/2018	207LP2900X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	INC	6900 BROCKTON AVE	STE 103	RIVERSIDE	CA	92506	3817	33	06065	33.94872	-117.3967215	Riverside County
26292	Fee-for-Service	1598741233	1598741233	1	1	UKAOMA, CHARLES LPCC	9/28/2021	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	74710 HIGHWAY 111	102	PALM DESERT	CA	92260	3820	33	06065	33.72136847	-116.3616075	Riverside County
26321	Fee-for-Service	1447340344	1447340344	1	1	UNIQUE MED EQUIPMENT CO	3/5/2002	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	13301 1/2 SAN ANTONIO DR	None	NORWALK	CA	90650	2970	19	06037	33.91018747	-118.0751923	Los Angeles County
26463	Fee-for-Service	1821440371	1821440371	1	1	UNITED INDIAN HEALTH	6/12/2017	No Taxonomy Provided	NA	None	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	501 NORTH INDIAN ROAD	None	SMITH RIVER	CA	95567	9509	08	06015	41.95702601	-124.2045614	Del Norte County
26657	Fee-for-Service	1023055191	1023055191	1	1	UNIVERSITY OF SO ALABAMA	8/20/2007	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1700 CENTER ST	None	MOBILE	AL	36604	3301	00	None	30.69641991	-88.07838511	Mobile County
26749	Fee-for-Service	1821440371	1821440371	1	1	UNITED INDIAN HEALTH	6/12/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	501 NORTH INDIAN ROAD	None	SMITH RIVER	CA	95567	9509	08	06015	41.95702601	-124.2045614	Del Norte County
26769	Fee-for-Service	1649556200	1649556200	1	1	UNM SANDOVAL REGIONAL	3/7/2014	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER INC	3001 BROADMOOR BLVD NE	None	RIO RANCHO	NM	87144	2100	00	None	35.308845	-106.6799565	Sandoval County
26945	Fee-for-Service	1881785764	1881785764	1	2	UROLOGY ASSOCIATES OF	5/31/1991	208800000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SAN LUIS OBISPO	921 OAK PARK BLVD	STE 202	PISMO BEACH	CA	93449	3400	40	06079	35.13600697	-120.6045995	San Luis Obispo County
26946	Fee-for-Service	1023055191	1023055191	1	1	UNIVERSITY OF SO ALABAMA	1/1/2004	282NC2000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1700 CENTER ST	None	MOBILE	AL	36604	3301	00	None	30.69641991	-88.07838511	Mobile County
27056	Fee-for-Service	1649556200	1649556200	1	1	UNM SANDOVAL REGIONAL	3/7/2014	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER INC	3001 BROADMOOR BLVD NE	None	RIO RANCHO	NM	87144	2100	00	None	35.308845	-106.6799565	Sandoval County
27183	Fee-for-Service	1649641887	1649641887	1	1	UNIVERSITY AUDIOLOGIC INC	9/21/2015	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1325 HOWE AVE	STE 101	SACRAMENTO	CA	95825	3364	34	06067	38.590191	-121.416624	Sacramento County
27298	Fee-for-Service	1003864174	1003864174	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLERGY/IMMUNOLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
27319	Fee-for-Service	1184945164	1184945164	1	1	URBIZTONDO, NED G MD	3/23/2020	207L00000X	NA	Other	026	PHYSICIANS	161381	05	Anesthesiology	0	In state provider	None	1205 E NORTH ST	None	MANTECA	CA	95336	4932	39	06077	37.80110374	-121.1974853	San Joaquin County
27456	Fee-for-Service	1356696074	1356696074	1	1	UENO, RIE MD	8/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135463	77	Infectious Disease	0	In state provider	None	1500 21ST ST	None	SACRAMENTO	CA	95811	5216	34	06067	38.570553	-121.481325	Sacramento County
27832	Fee-for-Service	1396110953	1396110953	1	1	URBANO, CHLOE OT	4/28/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2625 TOWNSGATE RD	102	THOUSAND OAKS	CA	91361	5726	56	06111	34.15794856	-118.8297275	Ventura County
27916	Fee-for-Service	1558530352	1558530352	1	1	UMPHREY, ALBERT C MD	10/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92557	25	Physical Medicine and Rehabilitation	0	In state provider	None	260 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
28501	Fee-for-Service	1235198631	1235198631	1	1	UNG, LYLY OD	12/1/1997	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	940 GENEVA AVE	None	SAN FRANCISCO	CA	94112	3403	38	06075	37.71612582	-122.4404796	San Francisco County
28531	Fee-for-Service	1255340956	1255340956	1	1	UBRICK, SCOTT A	1/30/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
29188	Fee-for-Service	1871515098	1871515098	1	1	UOTA, KATRINA A PT	2/8/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	611 ABBOTT ST	100	SALINAS	CA	93901	4389	27	06053	36.66192801	-121.6413283	Monterey County
29860	Fee-for-Service	1265046718	1265046718	1	1	UEMURA, KAYLA PT	12/1/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	60 PENNY LANE	None	WATSONVILLE	CA	95076	3079	44	06087	36.93074806	-121.7788515	Santa Cruz County
29866	Fee-for-Service	1063891901	1063891901	1	1	UDDIN, DEEBAH A MD	8/2/2024	207R00000X	NA	Other	026	PHYSICIANS	None	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
30052	Fee-for-Service	1053480731	1053480731	1	1	UCSF	6/1/1999	207LP2900X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	MT. ZION ANESTHESIA PAIN	2255 POST ST	None	SAN FRANCISCO	CA	94115	3427	38	06075	37.78438396	-122.4389269	San Francisco County
30201	Fee-for-Service	1386051670	1386051670	1	1	UNISYS HOSPICE CARE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	7200 VINELAND AVE	SUITE 204	SUN VALLEY	CA	91352	5002	19	06037	34.2016328	-118.3703012	Los Angeles County
30325	Fee-for-Service	1194806885	1194806885	1	1	UY, LEO R MD	8/28/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	81681	41	Internal Medicine	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
30399	Fee-for-Service	1376724815	1376724815	1	1	UGLESICH, MICHELE A LCSW	4/24/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	27205	-	NOT APPLICABLE	0	In state provider	None	808 W 58TH ST	None	LOS ANGELES	CA	90037	3632	19	06037	33.98965917	-118.287673	Los Angeles County
30492	Fee-for-Service	1386051670	1386051670	1	1	UNISYS HOSPICE CARE	5/3/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	7200 VINELAND AVE	SUITE 204	SUN VALLEY	CA	91352	5002	19	06037	34.2016328	-118.3703012	Los Angeles County
30590	Fee-for-Service	1588736391	1588736391	1	1	UMPHREY, CHRISTINA P MD	11/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91605	01	General Practice	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
30917	Fee-for-Service	1104888155	1104888155	1	1	UPADHYAY, AJAY K MD	7/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	53488	01	General Practice	0	In state provider	None	365 HAWTHORNE AVE	STE 101	OAKLAND	CA	94609	3115	01	06001	37.82079728	-122.2633226	Alameda County
31078	Fee-for-Service	1700281102	1700281102	1	1	UNITEDCARE HOSPICE INC	7/12/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11080 ARTESIA BLVD	STE D	CERRITOS	CA	90703	7743	19	06037	33.87285398	-118.0977231	Los Angeles County
31368	Fee-for-Service	1700281102	1700281102	1	1	UNITEDCARE HOSPICE INC	7/12/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11080 ARTESIA BLVD	STE D	CERRITOS	CA	90703	7743	19	06037	33.87285398	-118.0977231	Los Angeles County
31399	Fee-for-Service	1902115520	1902115520	1	1	UBEROI, ABHIMANYU MD	4/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113371	41	Internal Medicine	0	In state provider	None	222 WEST 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
31816	Fee-for-Service	1689292799	1689292799	1	1	UNITED EFFORT PHYSICAL THERA	10/18/2022	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	PY PC	20657 GOLDEN SPRINGS DR.	STE 113	DIAMOND BAR	CA	91789	3898	19	06037	33.997452	-117.8535184	Los Angeles County
32021	Fee-for-Service	1558611954	1558611954	1	1	URIARTE, ROSAURA B	12/7/2021	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - 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
32150	Fee-for-Service	1154500510	1154500510	1	1	UNIVERSITY OF CA IRVINE	1/1/1995	273R00000X	NA	Other	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	0	In state provider	MEDICAL CENTER	101 THE CITY DRIVE SOUTH	BUILDING 3	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
32165	Fee-for-Service	1073931028	1073931028	1	1	UNITED AMBULANCE SERVICES	7/18/2014	341600000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	LLC	7579 CONVOY CT	None	SAN DIEGO	CA	92111	1113	37	06073	32.83470849	-117.156339	San Diego County
32261	Fee-for-Service	1548620842	1548620842	1	1	URIBE, MARIBEL RCP	4/1/2022	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	905 MAPLE ST	None	REDWOOD CITY	CA	94063	0000	41	06081	37.48767797	-122.223049	San Mateo County
32479	Fee-for-Service	1568514610	1568514610	1	1	UNWALLA, KHUSHRO B MD	9/10/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	56445	36	Psychiatry	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
33366	Fee-for-Service	1780031211	1780031211	1	1	UNITED MEDICAL IMAGING	8/21/2017	261QR0206X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	HEALTHCARE INC	1040 ELM AVE	STE 102	LONG BEACH	CA	90813	3265	19	06037	33.779799	-118.1879535	Los Angeles County
33484	Fee-for-Service	1043777089	1043777089	1	2	UNICARE COMMUNITY HEALTH	4/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	123 WEST E STREET	None	ONTARIO	CA	91762	3400	36	06071	34.067898	-117.651933	San Bernardino County
33779	Fee-for-Service	1043777089	1043777089	1	2	UNICARE COMMUNITY HEALTH	4/1/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	123 WEST E STREET	None	ONTARIO	CA	91762	3400	36	06071	34.067898	-117.651933	San Bernardino County
33811	Fee-for-Service	1588386429	1588386429	1	1	UNITED AND GUIDED	5/8/2024	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	34	06067	0	0	None
34299	Fee-for-Service	1588815971	1588815971	1	1	UNGER, CYNTHIA T NP	10/24/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
34552	Fee-for-Service	1710118906	1710118906	1	1	URSALES, ANNA LEIGH CHRISTIN	3/1/2021	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	146361	None	None	0	In state provider	E O MD	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
34681	Fee-for-Service	1457561789	1457561789	1	1	UPTON, BRANDI E MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	116305	02	General Surgery	0	In state provider	None	1860 PENNSYLVANIA AVE	STE 110	FAIRFIELD	CA	94533	3550	48	06095	38.261952	-122.0498745	Solano County
34824	Fee-for-Service	1295765196	1295765196	1	1	ULMA, GEORGE A MD	3/31/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	85669	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
35911	Fee-for-Service	1306913272	1306913272	1	1	URBAN, KARL H MD	8/31/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	55052	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
35928	Fee-for-Service	1194720730	1194720730	1	1	UROLOGY ASSOCIATES OF	2/8/1999	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTRAL CALIFORNIA INC	7014 N WHITNEY AVE	STE B	FRESNO	CA	93720	0155	10	06019	36.83834474	-119.7423213	Fresno County
36233	Fee-for-Service	1902025307	1902025307	1	1	UNITED THERAPY NETWORK, A PH	1/13/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RPORATED	100 BARRANCA	380	WEST COVINA	CA	91791	1637	19	06037	34.073073	-117.8812535	Los Angeles County
36238	Fee-for-Service	1679149876	1679149876	1	1	ULLAH, SHAKIR MD	7/22/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	18600 SOUTH FIGUEROA ST	None	GARDENA	CA	90248	4505	19	06037	33.861339	-118.281473	Los Angeles County
36348	Fee-for-Service	1285798918	1285798918	1	1	UNIVERSITY OF TEXAS SOUTHWES	7/24/2023	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	OSPITAL	6201 HARRY HINES BLVD	None	DALLAS	TX	75390	9201	00	None	32.81961869	-96.84698564	Dallas County
36396	Fee-for-Service	1679665681	1679665681	1	1	UNICARE ADULT DAY HEALTH	7/19/1999	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	9736 GARVEY AVE	None	SOUTH EL MONTE	CA	91733	1226	19	06037	34.06270447	-118.056816	Los Angeles County
36407	Fee-for-Service	1841756905	1841756905	1	1	UNIHEALTH HOME CARE INC	5/8/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2670 S WHITE RD	STE 262	SAN JOSE	CA	95148	2086	43	06085	37.32892524	-121.7982851	Santa Clara County
36522	Fee-for-Service	1902025307	1902025307	1	1	UNITED THERAPY NETWORK, A PH	11/8/2016	225X00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RPORATED	100 BARRANCA	380	WEST COVINA	CA	91791	1637	19	06037	34.073073	-117.8812535	Los Angeles County
36633	Fee-for-Service	1285798918	1285798918	1	1	UNIVERSITY OF TEXAS SOUTHWES	7/24/2023	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	OSPITAL	6201 HARRY HINES BLVD	None	DALLAS	TX	75390	9201	00	None	32.81961869	-96.84698564	Dallas County
36810	Fee-for-Service	1902025307	1902025307	1	1	UNITED THERAPY NETWORK, A PH	9/14/2016	225X00000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	RPORATED	100 BARRANCA	380	WEST COVINA	CA	91791	1637	19	06037	34.073073	-117.8812535	Los Angeles County
37112	Fee-for-Service	1497732630	1497732630	1	1	UCLA PATHOLOGY AND LABORATOR	8/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	LABORATORY MEDICINE GRP	10833 LE CONTE AVE	RM B186	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
37198	Fee-for-Service	1336350438	1336350438	1	1	UNITED HEALTH CENTERS-	3/1/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	93646	2211	10	06019	36.62723052	-119.319103	Fresno County
37358	Fee-for-Service	1487251401	1487251401	1	1	USC VERDUGO HILLS HOSPITAL	1/1/2021	No Taxonomy Provided	NA	None	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1812 VERDUGO BLVD	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
37463	Fee-for-Service	1386619419	1386619419	1	2	UNIVERSITY OF CALIFORNIA	10/16/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1001 POTRERO AVE	BUILDING 80,6TH FLOOR	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
37706	Fee-for-Service	1851390967	1851390967	2	1	UHS OF TEXOMA INC	1/21/2015	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5016 SOUTH US HWY 75	None	DENISON	TX	75020	4584	00	None	33.710211	-96.584958	Grayson County
37974	Fee-for-Service	1659427649	1659427649	1	1	UAJE, MICHELLE B MD	6/4/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	98238	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	15107 VANOWEN STREET	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
37995	Fee-for-Service	1851390967	1851390967	2	1	UHS OF TEXOMA INC	1/21/2015	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5016 SOUTH US HWY 75	None	DENISON	TX	75020	4584	00	None	33.710211	-96.584958	Grayson County
38072	Fee-for-Service	1952895658	1952895658	1	1	ULLAH, FAUZIA MD	11/4/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
38135	Fee-for-Service	1568691772	1568691772	1	1	UDOETUK, JOSHUA D MD	8/21/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120393	18	Ophthalmology	0	In state provider	None	200 STEIN PLAZA	RM 1-340	LOS ANGELES	CA	90095	0001	19	06037	34.06482757	-118.4443441	Los Angeles County
38658	Fee-for-Service	1912267014	1912267014	1	1	UONG, PETER M MD	10/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149486	43	Pediatric Allergy	0	In state provider	None	1263 E ARQUES AVENUE	None	SUNNYVALE	CA	94085	4701	43	06085	37.38060846	-121.9896672	Santa Clara County
39024	Fee-for-Service	1841217817	1841217817	1	1	UNIVERSITY ANESTHESIOLOGY	4/5/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	2	Out of state provider	ASSOCIATES LLC	3181 SW SAM JACKSON PARK	None	PORTLAND	OR	97239	3011	00	None	45.49936609	-122.6856232	Multnomah County
39126	Fee-for-Service	1053050104	1053050104	1	1	UPPER LAKE UNIFIED SCHOOL	1/1/2023	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	675 CLOVER VALLEY RD	None	UPPER LAKE	CA	95485	9220	17	06033	39.16501887	-122.9026424	Lake County
39146	Fee-for-Service	1619074838	1619074838	1	2	URREA, PAUL T MD MPH INC	3/8/1991	152W00000X	NA	Other	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	4560 E CESAR E CHAVEZ	None	LOS ANGELES	CA	90022	1117	19	06037	34.04057653	-118.167318	Los Angeles County
39319	Fee-for-Service	1568771988	1568771988	1	1	UMAPATHY, KAVIPRIYA MD	12/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114156	40	Pediatrics	0	In state provider	None	7520 ARROYO CR	None	GILROY	CA	95020	7303	43	06085	37.01225317	-121.5604444	Santa Clara County
39434	Fee-for-Service	1619074838	1619074838	1	2	URREA, PAUL T MD MPH INC	1/31/1997	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4560 E CESAR E CHAVEZ	None	LOS ANGELES	CA	90022	1117	19	06037	34.04057653	-118.167318	Los Angeles County
39571	Fee-for-Service	1184828055	1184828055	1	1	UNAKA, NDIDI I MD	11/22/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	None	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
39642	Fee-for-Service	1144508094	1144508094	1	1	URBAN, AMY N LMFT	4/27/2020	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
39880	Fee-for-Service	1720540149	1720540149	1	1	URBANO, MARISSA MD	3/4/2025	2084N0400X	NA	Neurology	026	PHYSICIANS	182210	13	Neurology (M.D. only)	0	In state provider	None	7257 FRESNO	FIRST FLOOR	FRESNO	CA	93720	2950	10	06019	36.84225164	-119.7833937	Fresno County
39989	Fee-for-Service	1528431673	1528431673	1	1	UHRINAK, ABBY N MD	7/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	139227	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	11303 WASHINGTON BLVD	STE 100	LOS ANGELES	CA	90095	6003	19	06037	34.00408212	-118.4147433	Los Angeles County
40136	Fee-for-Service	1518283787	1518283787	1	1	UNGERLEIDER, SHOSHANA R MD	9/9/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	121852	41	Internal Medicine	0	In state provider	None	1220 ROSSMOOR PKWY	None	WALNUT CREEK	CA	94595	2501	07	06013	37.87825259	-122.0703705	Contra Costa County
40498	Fee-for-Service	1629693619	1629693619	1	1	UNITED THERAPY NETWORK INCOR	7/22/2020	225X00000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	PORATED	3400 CENTRAL AVE	145	RIVERSIDE	CA	92506	2161	33	06065	33.95355249	-117.385407	Riverside County
40517	Fee-for-Service	1760738066	1760738066	2	1	UNITED FAMILY PHYSICIANS, IN	12/10/2018	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	C.	210 S GRAND AVE	SUITE 415	GLENDORA	CA	91741	4292	19	06037	34.133859	-117.872523	Los Angeles County
40784	Fee-for-Service	1629693619	1629693619	1	1	UNITED THERAPY NETWORK INCOR	7/22/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	PORATED	3400 CENTRAL AVE	145	RIVERSIDE	CA	92506	2161	33	06065	33.95355249	-117.385407	Riverside County
40910	Fee-for-Service	1316923998	1316923998	1	1	UNTAL, CARLOS L MD	5/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90379	None	None	0	In state provider	None	770 MASON ST	None	VACAVILLE	CA	95688	4646	48	06095	38.35504697	-121.983852	Solano County
40982	Fee-for-Service	1295392686	1295392686	1	1	URAIZEE, FAISAL V MD	1/4/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	179992	None	None	0	In state provider	None	2490 HONOLULU AVE	128	MONTROSE	CA	91020	1800	19	06037	34.20724586	-118.2331114	Los Angeles County
41016	Fee-for-Service	1376125971	1376125971	1	1	UFFENHEIMER, MEKA A 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
41153	Fee-for-Service	1740555317	1740555317	1	1	URSEM, CARLING J MD	6/29/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	129860	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
41338	Fee-for-Service	1730388141	1730388141	1	2	ULLAH, SABRINA LCSW	9/19/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
41442	Fee-for-Service	1740555317	1740555317	1	1	URSEM, CARLING J MD	6/29/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	129860	78	Neoplastic Diseases/Oncology	0	In state provider	None	400 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
41469	Fee-for-Service	1508956509	1508956509	1	1	UNIVERSITY OF CHICAGO	9/24/2008	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5841 S MARYLAND AVE	None	CHICAGO	IL	60637	1447	00	None	41.788431	-87.60489252	Cook County
41577	Fee-for-Service	1336114487	1336114487	2	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207RR0500X	NA	Other	022	PHYSICIANS GROUP	-	83	Rheumatology	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
41728	Fee-for-Service	1740555317	1740555317	1	1	URSEM, CARLING J MD	6/29/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	129860	68	Hematology	0	In state provider	None	400 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
41760	Fee-for-Service	1508956509	1508956509	1	1	UNIVERSITY OF CHICAGO	7/23/2002	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5841 S MARYLAND AVE	None	CHICAGO	IL	60637	1447	00	None	41.788431	-87.60489252	Cook County
41799	Fee-for-Service	1275515611	1275515611	1	1	UYTANA, VINSON L MD	3/22/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	75941	30	Radiology	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
41859	Fee-for-Service	1871865725	1871865725	1	1	UZUNCAN, TEMRE A PHD	4/13/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
41910	Fee-for-Service	1588386429	1588386429	1	2	UNITED AND GUIDED	5/30/2024	171M00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	3701 POWER INN RD	3100	SACRAMENTO	CA	95826	4329	34	06067	38.541213	-121.4077725	Sacramento County
41955	Fee-for-Service	1740335678	1740335678	1	1	UNITED AMERICAN INDIAN	3/22/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INVOLVEMENT	1453 WEST TEMPLE STREET	None	LOS ANGELES	CA	90026	5648	19	06037	34.06757953	-118.2579864	Los Angeles County
42012	Fee-for-Service	1225481724	1225481724	1	1	UNIVERSAL CLINICAL LABORATOR	12/17/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	IES LLC	87 S COMMERCE WAY	STE 700	BETHLEHEM	PA	18017	8928	00	None	40.67310054	-75.3821179	Northampton County
42093	Fee-for-Service	1467020743	1467020743	1	1	UNICAHC, LLC	7/1/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2278 NICE AVENUE	None	MENTONE	CA	92359	9655	36	06071	34.06599148	-117.1059075	San Bernardino County
42177	Fee-for-Service	1386619419	1386619419	1	1	UNIVERSITY OF CALIFORNIA	4/1/1994	207RX0202X	NA	Oncology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICINE	995 POTRERO AVE	RM WD84	SAN FRANCISCO	CA	94110	2859	38	06075	37.75729541	-122.4066641	San Francisco County
42232	Fee-for-Service	1588656870	1588656870	1	1	UNIV OF UTAH HOSPITAL	1/1/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	50 N MEDICAL DR	None	SALT LAKE CTY	UT	84132	0001	00	None	40.77197161	-111.8352608	Salt Lake County
42244	Fee-for-Service	1740335678	1740335678	1	1	UNITED AMERICAN INDIAN	9/1/2024	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INVOLVEMENT	1453 WEST TEMPLE STREET	None	LOS ANGELES	CA	90026	5648	19	06037	34.06757953	-118.2579864	Los Angeles County
42519	Fee-for-Service	1588656870	1588656870	1	1	UNIV OF UTAH HOSPITAL	7/10/2007	3416A0800X	NA	Other	038	AIR AMBULANCE TRANSPORTATION SERVICES	-	-	NOT APPLICABLE	2	Out of state provider	None	50 N MEDICAL DR	None	SALT LAKE CTY	UT	84132	0001	00	None	40.77197161	-111.8352608	Salt Lake County
42672	Fee-for-Service	1639285059	1639285059	1	1	UKISHIMA, CHI D MD	11/15/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	112393	05	Anesthesiology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
42805	Fee-for-Service	1588656870	1588656870	1	1	UNIV OF UTAH HOSPITAL	2/6/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	50 N MEDICAL DR	None	SALT LAKE CTY	UT	84132	0001	00	None	40.77197161	-111.8352608	Salt Lake County
42811	Fee-for-Service	1881785764	1881785764	1	1	UROLOGY ASSOCIATES OF	1/1/1990	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	SAN LUIS OBISPO	71310 LAS TABLAS RD	STE 201	TEMPLETON	CA	93465	9747	40	06079	35.55467121	-120.7273031	San Luis Obispo County
43173	Fee-for-Service	1578224077	1578224077	1	1	USSMART HOME HEALTH CARE	3/6/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1700 W GLENOAKS BLVD	UNIT F	GLENDALE	CA	91201	1750	19	06037	34.17124961	-118.2900542	Los Angeles County
43286	Fee-for-Service	1023616240	1023616240	1	1	UNIVERSAL POINT CLINICS CORP	3/24/2021	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	ORATION	1236 BROOKS ST	None	ONTARIO	CA	91762	3608	36	06071	34.062066	-117.6737715	San Bernardino County
43358	Fee-for-Service	1730388141	1730388141	1	1	ULLAH, SABRINA LCSW	9/19/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	27361	-	NOT APPLICABLE	0	In state provider	None	265 SOUTH ANITA DRIVE	SUITES 202, 301, 302	ORANGE	CA	92868	3355	30	06059	33.78499409	-117.8811837	Orange County
43364	Fee-for-Service	1396256939	1396256939	1	1	UNIVERSAL CARE GROUP INC	5/9/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1516 W GLENOAKS BLVD	SUITE C	GLENDALE	CA	91201	9421	19	06037	34.16866759	-118.286515	Los Angeles County
43403	Fee-for-Service	1659929107	1659929107	1	1	URLIK, BRADLEY OD	6/15/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
43434	Fee-for-Service	1821330325	1821330325	1	1	UNIVERSAL HEALTH NET	5/6/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2099 S STATE COLLEGE	SUITE 330	ANAHEIM	CA	92806	5955	30	06059	33.79651734	-117.889337	Orange County
43446	Fee-for-Service	1831853266	1831853266	1	1	UNITED PREMIER PHYSICIANS IN	3/4/2022	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	C	312 N GARFIELD AVE	None	MONTEREY PARK	CA	91754	1707	19	06037	34.06547381	-118.1228478	Los Angeles County
43728	Fee-for-Service	1821330325	1821330325	1	1	UNIVERSAL HEALTH NET	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2099 S STATE COLLEGE	SUITE 330	ANAHEIM	CA	92806	5955	30	06059	33.79651734	-117.889337	Orange County
44076	Fee-for-Service	1215424965	1215424965	1	1	UNITED MEDICAL IMAGING HEALT	8/27/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	ST LONG BEACH	2600 REDONDO AVE	STE. 101	LONG BEACH	CA	90806	2325	19	06037	33.806097	-118.151378	Los Angeles County
44349	Fee-for-Service	1194801761	1194801761	1	1	UYEDA, K LEO OD	9/30/1980	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	14820 BEACH BLVD	None	LA MIRADA	CA	90638	4251	19	06037	33.89656783	-117.9869169	Los Angeles County
44546	Fee-for-Service	1982781183	1982781183	1	1	UNG, ALVIN W	10/1/2010	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	4760 SUNSET BLVD	None	LOS ANGELES	CA	90027	6063	19	06037	34.09811852	-118.293408	Los Angeles County
44597	Fee-for-Service	1437916020	1437916020	1	1	ULLOA, NELIDA C BIRTH DOULA	2/8/2024	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	38	06075	0	0	None
44658	Fee-for-Service	1710527379	1710527379	1	1	ULLAL, ADITYA J MD	9/15/2022	208M00000X	NA	Other	026	PHYSICIANS	179004	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
44694	Fee-for-Service	1497705867	1497705867	1	1	UJKIC, PIERRE DO	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	7747	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
44729	Fee-for-Service	1174700157	1174700157	1	1	URIBE, MARIA N OD	1/29/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
44989	Fee-for-Service	1295493310	1295493310	1	1	UNIVERSAL COMMUNITY HEALTH	2/8/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1021 W MARTIN LUTHER KIN	None	LOS ANGELES	CA	90037	1816	19	06037	34.01089347	-118.292526	Los Angeles County
45276	Fee-for-Service	1295493310	1295493310	1	1	UNIVERSAL COMMUNITY HEALTH	2/8/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1021 W MARTIN LUTHER KIN	None	LOS ANGELES	CA	90037	1816	19	06037	34.01089347	-118.292526	Los Angeles County
45364	Fee-for-Service	1417907379	1417907379	1	1	UCI PHYSICAL MEDICINE & REHA	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CALIFORNIA	101 CITY DR S	None	ORANGE	CA	92868	0000	30	06059	33.78674051	-117.8888713	Orange County
45523	Fee-for-Service	1669715363	1669715363	1	1	UNGAR FISHMAN, JUDY S	8/22/2014	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3699 WILSHIRE BLVD	None	LOS ANGELES	CA	90010	2718	19	06037	34.06175152	-118.306215	Los Angeles County
45695	Fee-for-Service	1467990390	1467990390	1	1	UNIAT, JONATHAN MD	6/8/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	146515	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
45713	Fee-for-Service	1659344513	1659344513	1	1	UEBELHOER, NATHAN S DO	10/21/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	9328	07	Dermatology	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
45815	Fee-for-Service	1730253469	1730253469	1	1	UPPAL, INDRA MD	7/31/1979	207VG0400X	NA	Obstetrics & Gynecology	026	PHYSICIANS	35162	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	P O BOX 1150	103 FAIR DR	None	SUSANVILLE	CA	96130	4201	18	06035	40.41378774	-120.6380058	Lassen County
45965	Fee-for-Service	1760572036	1760572036	1	1	UNITED MEDICAL IMAGING	8/21/2017	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTH	11411 BROOKSHIRE AVE	STE 101	DOWNEY	CA	90241	5008	19	06037	33.93667091	-118.1309273	Los Angeles County
46070	Fee-for-Service	1518623446	1518623446	1	1	UNBEATABLE HOME CARE INC	5/5/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14545 FRIAR STREET	SUITE 218	VAN NUYS	CA	91411	4719	19	06037	34.18570347	-118.450386	Los Angeles County
46071	Fee-for-Service	1356316418	1356316418	1	1	UNIVERSITY OF CALIFORNIA SFG	11/30/2022	2084P0800X	NA	Psychiatry	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	OF PSYCHIATRY	1001 POTRERO AVE	RM 7M	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
46356	Fee-for-Service	1356316418	1356316418	1	1	UNIVERSITY OF CALIFORNIA SFG	1/23/2020	2084P0800X	NA	Psychiatry	022	PHYSICIANS GROUP	-	27	Psychiatry Neurology (D.O. only)	0	In state provider	OF PSYCHIATRY	1001 POTRERO AVE	RM 7M	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
46410	Fee-for-Service	1679930119	1679930119	1	1	UNITY HOME HEALTH PROVIDERS	4/11/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	1415 W MAGNOLIA BLVD	SUITE 102	BURBANK	CA	91506	1882	19	06037	34.17552929	-118.3243287	Los Angeles County
46508	Fee-for-Service	1285639377	1285639377	1	1	UPPAL, RENNY R MD	1/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	20	Orthopedic Surgery	1	Border provider	None	555 N ARLINGTON AVE	None	RENO	NV	89503	4724	00	None	39.53124039	-119.8188498	Washoe County
46567	Fee-for-Service	1891882221	1891882221	2	1	UWEDJOJEVWE, LETICIA MD	2/3/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	80329	41	Internal Medicine	0	In state provider	None	340 4TH AVE	STE 8A	CHULA VISTA	CA	91910	3813	37	06073	32.63831293	-117.0833536	San Diego County
46610	Fee-for-Service	1528006855	1528006855	1	1	ULLER, JEFFREY K	10/1/2000	207P00000X	NA	Other	026	PHYSICIANS	66548	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1141 ROSE AVE	None	SELMA	CA	93662	3241	10	06019	36.56881144	-119.5985344	Fresno County
46643	Fee-for-Service	1356316418	1356316418	1	1	UNIVERSITY OF CALIFORNIA SFG	2/4/2021	2084P0800X	NA	Psychiatry	031	PSYCHOLOGISTS	-	None	None	0	In state provider	OF PSYCHIATRY	1001 POTRERO AVE	RM 7M	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
47285	Fee-for-Service	1023080686	1023080686	1	1	UNDERWOOD, DAVID J MD	9/30/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	75458	30	Radiology	0	In state provider	None	740 E ARROW HWY	STE A	COVINA	CA	91722	2144	19	06037	34.10550087	-117.8764722	Los Angeles County
47360	Fee-for-Service	1528025558	1528025558	1	1	URSTEIN, SUSAN MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	69962	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
47395	Fee-for-Service	1285639922	1285639922	1	1	UPPAL, GURVINDER S MD	4/30/1992	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	70650	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
47428	Fee-for-Service	1073267746	1073267746	1	1	UBADIKE, IFEOMA A CNP	2/14/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7096 N WEST AVE	None	FRESNO	CA	93711	0462	10	06019	36.83875103	-119.8262343	Fresno County
47554	Fee-for-Service	1225062490	1225062490	1	1	UNIVERSITY VASCULAR	3/16/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1082 GLENDON AVE	None	LOS ANGELES	CA	90024	2908	19	06037	34.06109265	-118.4443071	Los Angeles County
47651	Fee-for-Service	1417993452	1417993452	1	1	UCSD NEUROSURGERY	9/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
47843	Fee-for-Service	1255327813	1255327813	1	1	UNGERER, RONALD G MD	6/1/1998	207RP1001X	NA	Pulmonology	026	PHYSICIANS	37435	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2403 CASTILLO ST	STE 206	SANTA BARBARA	CA	93105	5316	42	06083	34.43053648	-119.7243139	Santa Barbara County
47912	Fee-for-Service	1013235605	1013235605	1	1	UNG, WU FEEI FEEI MD	1/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	112193	None	None	0	In state provider	None	742 W HIGHLAND AVE	None	SAN BERNARDINO	CA	92405	3839	36	06071	34.13604853	-117.29952	San Bernardino County
48083	Fee-for-Service	1821500729	1821500729	1	1	UPADHYAY, VIPRA N PT	5/25/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12562 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92843	1907	30	06059	33.77431052	-117.913446	Orange County
48210	Fee-for-Service	1669550471	1669550471	1	1	UDEKWU, MARIE IJEOMA MD	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50757	None	None	0	In state provider	None	7255 SARONI DR	None	OAKLAND	CA	94611	1422	01	06001	37.83698829	-122.1935025	Alameda County
48368	Fee-for-Service	1588286306	1588286306	1	1	UPWM HEALTHCARE LLC	8/17/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2372 MORSE AVENUE	SUITE 384	IRVINE	CA	92614	6234	30	06059	33.68143383	-117.8487181	Orange County
48382	Fee-for-Service	1972117158	1972117158	1	1	USA VALLEY HOSPICE INC	7/15/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	12501 CHANDLER BLVD	106	VALLEY VILLAGE	CA	91607	1954	19	06037	34.16870346	-118.4056065	Los Angeles County
48392	Fee-for-Service	1811936693	1811936693	1	1	UHL, BARRY M MD	6/5/2000	2085R0001X	NA	Other	026	PHYSICIANS	71969	30	Radiology	0	In state provider	None	5555 GROSSMONT CENTER DR	STE 1A	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
48648	Fee-for-Service	1801823521	1801823521	1	1	UEMURA, DEREK T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	THE EMERGENCY GROUP INC	1301 PUNCHBOWL ST	None	HONOLULU	HI	96813	2402	00	None	21.30800017	-157.8550765	Honolulu County
48655	Fee-for-Service	1588286306	1588286306	1	1	UPWM HEALTHCARE LLC	8/17/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2372 MORSE AVENUE	SUITE 384	IRVINE	CA	92614	6234	30	06059	33.68143383	-117.8487181	Orange County
48669	Fee-for-Service	1972117158	1972117158	1	1	USA VALLEY HOSPICE INC	7/15/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	12501 CHANDLER BLVD	106	VALLEY VILLAGE	CA	91607	1954	19	06037	34.16870346	-118.4056065	Los Angeles County
48677	Fee-for-Service	1811936693	1811936693	1	1	UHL, BARRY M MD	6/5/2000	2085R0001X	NA	Other	026	PHYSICIANS	71969	78	Neoplastic Diseases/Oncology	0	In state provider	None	5555 GROSSMONT CENTER DR	STE 1A	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
48726	Fee-for-Service	1619418480	1619418480	1	1	UYBUN, ALVIN V NP	6/28/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
48837	Fee-for-Service	1841344918	1841344918	1	1	UNITED CARE HOMES INC	12/30/1996	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	KINBRAE ICF/DDN	1160 KINBRAE AVE	None	HACIENDA HEIGHTS	CA	91745	2023	19	06037	34.01543379	-117.9815786	Los Angeles County
48959	Fee-for-Service	1508981556	1508981556	1	1	UDREA, DELIA C LMFT	3/24/2021	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
49031	Fee-for-Service	1164153003	1164153003	1	1	UY, RHONALEE CNP	9/27/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7740 RANCHO SANTA FE RD	None	CARLSBAD	CA	92009	8685	37	06073	33.08100093	-117.2372485	San Diego County
49355	Fee-for-Service	1588077960	1588077960	1	1	URESTE, PETER J MD	11/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	130535	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
49417	Fee-for-Service	1497732630	1497732630	1	3	UCLA PATHOLOGY AND LABORATOR	6/27/2019	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INE GROUP	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
49495	Fee-for-Service	1427156454	1427156454	1	1	UCLA MEDICAL CENTER	11/10/1992	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MEDICAL PLAZA LEVEL 4	200 UCLA MEDICAL PLZ	STE 135	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
50074	Fee-for-Service	1114457116	1114457116	1	1	UGUCCIONI, GINA CRNA	9/10/2019	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
50085	Fee-for-Service	1952937559	1952937559	1	1	UNITED HEALTH CENTERS OF THE	10/25/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	300 WESTGATE WAY	None	DINUBA	CA	93618	9693	54	06107	36.544518	-119.4084545	Tulare County
50120	Fee-for-Service	1417939968	1417939968	1	1	UNITED HEALTH CENTERS-	11/1/1992	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	476 E WASHINGTON AVE	None	EARLIMART	CA	93219	0000	54	06107	35.88434376	-119.2716517	Tulare County
50376	Fee-for-Service	1952937559	1952937559	1	1	UNITED HEALTH CENTERS OF THE	3/4/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	300 WESTGATE WAY	None	DINUBA	CA	93618	9693	54	06107	36.544518	-119.4084545	Tulare County
50410	Fee-for-Service	1417939968	1417939968	1	1	UNITED HEALTH CENTERS-	11/1/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	476 E WASHINGTON AVE	None	EARLIMART	CA	93219	0000	54	06107	35.88434376	-119.2716517	Tulare County
50663	Fee-for-Service	1952937559	1952937559	1	1	UNITED HEALTH CENTERS OF THE	3/4/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	300 WESTGATE WAY	None	DINUBA	CA	93618	9693	54	06107	36.544518	-119.4084545	Tulare County
50698	Fee-for-Service	1417939968	1417939968	1	1	UNITED HEALTH CENTERS-	8/15/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	476 E WASHINGTON AVE	None	EARLIMART	CA	93219	0000	54	06107	35.88434376	-119.2716517	Tulare County
50847	Fee-for-Service	1467467076	1467467076	2	1	UNITED PHARMACEUTICAL CORP	7/19/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10495 BOLSA AVENUE	STE 102	WESTMINSTER	CA	92683	0000	30	06059	33.74509077	-117.9464853	Orange County
50906	Fee-for-Service	1942456108	1942456108	1	1	UDDHANDI, NAGARAJ MD	4/2/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	145952	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
50951	Fee-for-Service	1952937559	1952937559	1	1	UNITED HEALTH CENTERS OF THE	10/25/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	300 WESTGATE WAY	None	DINUBA	CA	93618	9693	54	06107	36.544518	-119.4084545	Tulare County
51024	Fee-for-Service	1508905829	1508905829	1	1	UNILAB CORPORATION	6/24/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	9500 STOCKDALE HWY	STE 107	BAKERSFIELD	CA	93311	3621	15	06029	35.35452448	-119.1074625	Kern County
51216	Fee-for-Service	1649256793	1649256793	1	1	UYESUGI, KEN H OD	2/7/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3851 SHAW RIDGE RD	None	SAN DIEGO	CA	92130	2807	37	06073	32.93516088	-117.2297377	San Diego County
51657	Fee-for-Service	1063909042	1063909042	1	1	UNITED HOME HEALTH CARE	4/12/2022	251E00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	GROUP	21700 OXNARD ST	SUITE 1295	WOODLAND HILLS	CA	91367	3724	19	06037	34.17913947	-118.6020135	Los Angeles County
51693	Fee-for-Service	1326013442	1326013442	2	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207RH0000X	NA	Hematology	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
51718	Fee-for-Service	1538164090	1538164090	1	1	UNIVERSITY HEALTH SYSTEM	11/2/2003	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	1924 ALCOA HWY	None	KNOXVILLE	TN	37920	1511	00	None	35.94015	-83.944107	Knox County
51868	Fee-for-Service	1316970171	1316970171	1	1	URADOMO, LANCE T MD	7/19/2022	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	180512	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
52006	Fee-for-Service	1538164090	1538164090	1	1	UNIVERSITY HEALTH SYSTEM	6/7/2010	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	1924 ALCOA HWY	None	KNOXVILLE	TN	37920	1511	00	None	35.94015	-83.944107	Knox County
52292	Fee-for-Service	1851642771	1851642771	1	1	UGIYAMA, DAVID K MD	12/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	130684	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
52745	Fee-for-Service	1407806904	1407806904	1	1	UNIVERSITY SURGEONS OF ORANG	1/9/1992	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	E	101 CITY DR S	# B10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
52768	Fee-for-Service	1760457816	1760457816	1	1	UNIVERSITY OF CALIFORNIA	5/12/2017	207X00000X	NA	Orthopedic Surgery	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 3A36	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
52981	Fee-for-Service	1043713217	1043713217	1	1	UDOH, CHINENYE DEBORAH	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	11801 LA SERNA DR	None	WHITTIER	CA	90604	3250	19	06037	33.92543014	-118.0014052	Los Angeles County
53033	Fee-for-Service	1407806904	1407806904	1	1	UNIVERSITY SURGEONS OF ORANG	10/14/2021	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	E	101 CITY DR S	# B10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
53056	Fee-for-Service	1760457816	1760457816	1	1	UNIVERSITY OF CALIFORNIA	8/28/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 3A36	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
53120	Fee-for-Service	1851394928	1851394928	1	1	ULTIMATE HME INC	6/1/2005	332BX2000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1807 CARNEGIE AVE	None	SANTA ANA	CA	92705	5502	30	06059	33.71187379	-117.8452909	Orange County
53270	Fee-for-Service	1043713217	1043713217	1	1	UDOH, CHINENYE DEBORAH	1/12/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	11801 LA SERNA DR	None	WHITTIER	CA	90604	3250	19	06037	33.92543014	-118.0014052	Los Angeles County
53319	Fee-for-Service	1407806904	1407806904	1	1	UNIVERSITY SURGEONS OF ORANG	5/5/1992	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	E	101 CITY DR S	# B10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
53344	Fee-for-Service	1760457816	1760457816	1	1	UNIVERSITY OF CALIFORNIA	7/1/1986	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 3A36	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
53370	Fee-for-Service	1801983473	1801983473	1	1	UZCATEGUI, NICHOLAS MD	6/8/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	72027	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
53723	Fee-for-Service	1609915131	1609915131	1	1	UNILAB CORPORATION	4/16/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	2510 AIRPARK DR	STE 202	REDDING	CA	96001	2461	45	06089	40.57119566	-122.4016582	Shasta County
53868	Fee-for-Service	1447663166	1447663166	1	1	UNG, TERESA C OD	6/2/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	17801 PIONEER BLVD	SUITE F	ARTESIA	CA	90701	3962	19	06037	33.8693187	-118.0823685	Los Angeles County
54590	Fee-for-Service	1831976398	1831976398	1	1	UMITEN, KRISTINE	4/30/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	39159 PASEO PADRE PKWY	STE 121	FREMONT	CA	94538	1600	01	06001	37.5531875	-121.9805141	Alameda County
55155	Fee-for-Service	1295552255	1295552255	1	1	URIBE, YSABEL BIRTH DOULA	11/13/2024	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	47	06093	0	0	None
55274	Fee-for-Service	1710371315	1710371315	1	1	ULLAL, MONISH MD	8/29/2018	207R00000X	NA	Other	026	PHYSICIANS	144996	41	Internal Medicine	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
55684	Fee-for-Service	1902451784	1902451784	1	1	URQUIETA ORTEGA, SANTA CLARA	8/19/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1542 E ANDREWS AVE	None	FRESNO	CA	93704	5129	10	06019	36.78037247	-119.791809	Fresno County
55907	Fee-for-Service	1205162310	1205162310	1	1	URISMAN, ANATOLY MD	6/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	111847	22	Pathology (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
55974	Fee-for-Service	1902451784	1902451784	1	1	URQUIETA ORTEGA, SANTA CLARA	8/19/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1542 E ANDREWS AVE	None	FRESNO	CA	93704	5129	10	06019	36.78037247	-119.791809	Fresno County
56169	Fee-for-Service	1518163443	1518163443	1	1	UHDE, JANET C MD	2/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134671	None	None	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
56240	Fee-for-Service	1346496155	1346496155	1	1	URIBE, LISA M LMFT	8/24/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	53518	-	NOT APPLICABLE	0	In state provider	None	101 CIRBY HILLS DRIVE	None	ROSEVILLE	CA	95678	4360	31	06061	38.7303989	-121.2872592	Placer County
56901	Fee-for-Service	1205013380	1205013380	1	1	UMEN, ILENE	11/4/2005	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
57122	Fee-for-Service	1477385409	1477385409	1	1	UNVER, DIDEM K NP	4/16/2025	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
57346	Fee-for-Service	1316562333	1316562333	1	1	UBUNTU HEALTH ADVOCATES	12/1/2020	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	560 N ARROWHEAD AVE	2B	SAN BERNARDINO	CA	92404	4234	36	06071	34.109496	-117.289667	San Bernardino County
57361	Fee-for-Service	1457659583	1457659583	1	1	UP & MOVIN PEDIATRIC	5/13/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	PHYSICAL THERAPY PC	6180 BROCKTON AVE	#202	RIVERSIDE	CA	92506	2233	33	06065	33.958692	-117.3967415	Riverside County
57556	Fee-for-Service	1790160273	1790160273	1	1	UNIVERSITY OF SOUTHERN	2/5/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	1000 SOUTH FREMONT AVE	STE 10150	ALHAMBRA	CA	91803	8800	19	06037	34.081452	-118.1518515	Los Angeles County
57630	Fee-for-Service	1316562333	1316562333	1	1	UBUNTU HEALTH ADVOCATES	6/30/2021	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	560 N ARROWHEAD AVE	2B	SAN BERNARDINO	CA	92404	4234	36	06071	34.109496	-117.289667	San Bernardino County
57920	Fee-for-Service	1316562333	1316562333	1	1	UBUNTU HEALTH ADVOCATES	6/30/2021	106H00000X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	560 N ARROWHEAD AVE	2B	SAN BERNARDINO	CA	92404	4234	36	06071	34.109496	-117.289667	San Bernardino County
57956	Fee-for-Service	1881785764	1881785764	1	4	UROLOGY ASSOCIATES OF	4/10/1993	208800000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SAN LUIS OBISPO	1310 LAS TABLAS RD	STE 201	TEMPLETON	CA	93465	9747	40	06079	35.55442349	-120.722643	San Luis Obispo County
58205	Fee-for-Service	1316562333	1316562333	1	1	UBUNTU HEALTH ADVOCATES	2/16/2021	106H00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	None	560 N ARROWHEAD AVE	2B	SAN BERNARDINO	CA	92404	4234	36	06071	34.109496	-117.289667	San Bernardino County
58263	Fee-for-Service	1164497285	1164497285	2	1	UNIVERSITY OF CALIFORNIA	12/18/2017	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	None	1001 POTRERO AVE BLDG 90	WARD 92, RM 224	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
58529	Fee-for-Service	1265999296	1265999296	1	1	UNICARE COMMUNITY HEALTH	2/19/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	107 N MCKINLEY ST	None	CORONA	CA	92879	6561	33	06065	33.88230027	-117.5145319	Riverside County
58629	Fee-for-Service	1245672013	1245672013	2	1	UMOJA COUNSELING AND CONSULT	11/12/2019	101YM0800X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	ING SERVICES, KAREN J.	2643 APPIAN WAY	SUITE E	PINOLE	CA	94564	2263	07	06013	37.98860818	-122.2989385	Contra Costa County
58779	Fee-for-Service	1851349963	1851349963	1	1	UCI-PBG SURGERY	1/1/1992	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	UCI-PBG SURGERY	101 THE CITY DR S	BLDG 10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
58787	Fee-for-Service	1528484557	1528484557	1	1	ULRICH, JESSICA A N NP	5/26/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
58818	Fee-for-Service	1265999296	1265999296	1	1	UNICARE COMMUNITY HEALTH	2/19/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	107 N MCKINLEY ST	None	CORONA	CA	92879	6561	33	06065	33.88230027	-117.5145319	Riverside County
58830	Fee-for-Service	1346298528	1346298528	1	1	UC REGENTS	10/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
58949	Fee-for-Service	1093959108	1093959108	2	1	UDANI, VIKRAM M MD	8/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	104381	None	None	0	In state provider	None	6645 ALVARADO RD	SUITE 4000	SAN DIEGO	CA	92120	5208	37	06073	32.7772577	-117.0575222	San Diego County
58994	Fee-for-Service	1417544909	1417544909	1	1	UNITED HOME HEALTH, INC	3/3/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3800 LA CRESCENTA AVE	STE 209	LA CRESCENTA	CA	91214	3948	19	06037	34.2115128	-118.2399309	Los Angeles County
59106	Fee-for-Service	1265999296	1265999296	1	1	UNICARE COMMUNITY HEALTH	9/27/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	107 N MCKINLEY ST	None	CORONA	CA	92879	6561	33	06065	33.88230027	-117.5145319	Riverside County
59142	Fee-for-Service	1154386209	1154386209	1	1	UNIVERSAL PRIMARY CARE	8/15/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1560 E CHEVY CHASE DR	STE 245	GLENDALE	CA	91206	4158	19	06037	34.15290734	-118.2302295	Los Angeles County
59149	Fee-for-Service	1194313734	1194313734	1	1	UNIFIED HOSPICE SERVICES INC	3/20/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4730 WOODMAN AVE	SUITE 440B	SHERMAN OAKS	CA	91423	2400	19	06037	34.156701	-118.4312045	Los Angeles County
59437	Fee-for-Service	1194313734	1194313734	1	1	UNIFIED HOSPICE SERVICES INC	3/20/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	4730 WOODMAN AVE	SUITE 440B	SHERMAN OAKS	CA	91423	2400	19	06037	34.156701	-118.4312045	Los Angeles County
59470	Fee-for-Service	1205337508	1205337508	1	1	USMANI, KUDRET I MD	7/9/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	None	1001 POTRERO AVE	RM 3A36	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
59514	Fee-for-Service	1417121047	1417121047	1	1	URANGA, JOE A MD	3/8/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	153123	40	Pediatrics	0	In state provider	None	3900 LAKEVILLE HIGHWAY	None	PETALUMA	CA	94954	5698	49	06097	38.2304311	-122.5827918	Sonoma County
59683	Fee-for-Service	1437476223	1437476223	1	1	UCHIYAMA, MAKOTO DO	7/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	16274	01	General Practice	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
59738	Fee-for-Service	1275591802	1275591802	1	1	UC REGENTS	3/16/2012	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
60027	Fee-for-Service	1275591802	1275591802	1	1	UC REGENTS	11/1/2000	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	47	Miscellaneous	0	In state provider	None	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	3414	19	06037	34.02564555	-118.477319	Los Angeles County
60028	Fee-for-Service	1629599535	1629599535	1	1	UNITED HEALTH CENTERS OF THE	2/28/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1570 7TH STREET	None	SANGER	CA	93657	9405	10	06019	36.70608966	-119.5596086	Fresno County
60230	Fee-for-Service	1225175227	1225175227	1	1	UM, PATRICK MD	7/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	103916	66	Emergency Medicine (Urgent Care)	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6263	54	06107	36.327888	-119.294919	Tulare County
60317	Fee-for-Service	1629599535	1629599535	1	1	UNITED HEALTH CENTERS OF THE	11/13/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1570 7TH STREET	None	SANGER	CA	93657	9405	10	06019	36.70608966	-119.5596086	Fresno County
60466	Fee-for-Service	1043605256	1043605256	1	1	UTSCHIG, EMILY E DO	4/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15065	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
60604	Fee-for-Service	1629599535	1629599535	1	1	UNITED HEALTH CENTERS OF THE	12/11/2019	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1570 7TH STREET	None	SANGER	CA	93657	9405	10	06019	36.70608966	-119.5596086	Fresno County
60891	Fee-for-Service	1629599535	1629599535	1	1	UNITED HEALTH CENTERS OF THE	2/28/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1570 7TH STREET	None	SANGER	CA	93657	9405	10	06019	36.70608966	-119.5596086	Fresno County
60961	Fee-for-Service	1629201561	1629201561	1	1	URSU, STEFAN MD	10/4/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	124650	None	None	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
60982	Fee-for-Service	1265540488	1265540488	1	1	UNION COUNTY HOSPITAL	1/6/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	517 N MAIN ST	None	ANNA	IL	62906	1663	00	None	37.464948	-89.24503751	Union County
61111	Fee-for-Service	1477612190	1477612190	1	1	UTTAYAYA, PONPHEN OD	2/7/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	11001 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1413	19	06037	34.26991066	-118.4671653	Los Angeles County
61165	Fee-for-Service	1114602406	1114602406	1	1	UNIVERSITY MUSLIM MEDICAL	6/3/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	10110 JUNIPER STREET	None	LOS ANGELES	CA	90002	3166	19	06037	33.9438807	-118.2326442	Los Angeles County
61215	Fee-for-Service	1013407865	1013407865	1	1	UNIVERSITY OF COLORADO HOSPI	7/19/2022	261QE0002X	NA	Other	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	VADA	9505 RALSTON RD.	None	ARVADA	CO	80002	2027	00	None	39.8021343	-105.1027862	Jefferson County
61452	Fee-for-Service	1114602406	1114602406	1	1	UNIVERSITY MUSLIM MEDICAL	6/3/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	10110 JUNIPER STREET	None	LOS ANGELES	CA	90002	3166	19	06037	33.9438807	-118.2326442	Los Angeles County
61505	Fee-for-Service	1013407865	1013407865	1	1	UNIVERSITY OF COLORADO HOSPI	7/19/2022	261QE0002X	NA	Other	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	VADA	9505 RALSTON RD.	None	ARVADA	CO	80002	2027	00	None	39.8021343	-105.1027862	Jefferson County
61759	Fee-for-Service	1114027851	1114027851	1	1	UNGER, PHILLIP MD	1/1/1982	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	18919	30	Radiology	0	In state provider	None	301 W BASTANCHURY RD	None	FULLERTON	CA	92835	3419	30	06059	33.89397383	-117.9316737	Orange County
61818	Fee-for-Service	1124518113	1124518113	1	1	UCH-MHS	9/19/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	WERS	2770 N POWERS BLVD	None	COLORADO SPRINGS	CO	80922	2802	00	None	38.87335988	-104.7201535	El Paso County
61903	Fee-for-Service	1346631397	1346631397	1	1	UNITED CARE FACILITIES LLC	2/1/2016	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3850 PELONA VISTA DRIVE	None	LANCASTER	CA	93536	8393	19	06037	34.67021055	-118.200565	Los Angeles County
61976	Fee-for-Service	1184273609	1184273609	1	1	UY, JOHN CONRAD C NP	6/20/2023	363LC0200X	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
62106	Fee-for-Service	1124518113	1124518113	1	1	UCH-MHS	9/19/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	WERS	2770 N POWERS BLVD	None	COLORADO SPRINGS	CO	80922	2802	00	None	38.87335988	-104.7201535	El Paso County
62212	Fee-for-Service	1043216021	1043216021	1	1	UNITED INDIAN HEALTH	10/29/2003	261QC1500X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	1675 NORTHCREST DR	None	CRESCENT CITY	CA	95531	8928	08	06015	41.77547021	-124.1998045	Del Norte County
62286	Fee-for-Service	1932287018	1932287018	1	1	URVA, SUREKHA MD	2/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	60822	41	Internal Medicine	0	In state provider	None	5600 STONERIDGE MALL RD	None	PLEASANTON	CA	94588	2820	01	06001	37.6921981	-121.9276072	Alameda County
62480	Fee-for-Service	1346891389	1346891389	1	1	UNITED MEDICAL IMAGING HEALT	3/27/2020	261Q00000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	ENDALE	624 S CENTRAL AVE	None	GLENDALE	CA	91204	2009	19	06037	34.13847846	-118.2578377	Los Angeles County
62493	Fee-for-Service	1043216021	1043216021	1	1	UNITED INDIAN HEALTH	9/1/2002	261QC1500X	NA	Other	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	1675 NORTHCREST DR	None	CRESCENT CITY	CA	95531	8928	08	06015	41.77547021	-124.1998045	Del Norte County
62635	Fee-for-Service	1255728317	1255728317	1	1	UBER, LUCILLE MD	6/1/2019	207PP0204X	NA	Other	026	PHYSICIANS	156691	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
62733	Fee-for-Service	1013426139	1013426139	1	1	UNITY HOSPICE CARE INC	11/22/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	255 N D STREET	STE 215	SAN BERNARDINO	CA	92401	1713	36	06071	34.1036709	-117.291874	San Bernardino County
62788	Fee-for-Service	1043216021	1043216021	1	1	UNITED INDIAN HEALTH	9/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	1675 NORTHCREST DR	None	CRESCENT CITY	CA	95531	8928	08	06015	41.77547021	-124.1998045	Del Norte County
62951	Fee-for-Service	1821619131	1821619131	1	1	URGENT HELP HOSPICE INC	9/18/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	500 N BRAND BLVD	STE 2000	GLENDALE	CA	91203	3304	19	06037	34.153983	-118.254973	Los Angeles County
63021	Fee-for-Service	1013426139	1013426139	1	1	UNITY HOSPICE CARE INC	11/22/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	255 N D STREET	STE 215	SAN BERNARDINO	CA	92401	1713	36	06071	34.1036709	-117.291874	San Bernardino County
63042	Fee-for-Service	1144248402	1144248402	1	1	URE, HERBERT MD	7/28/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	43345	08	Family Practice	0	In state provider	None	3466 MT DIABLO BLVD	STE C104	LAFAYETTE	CA	94549	3952	07	06013	37.89256947	-122.1150289	Contra Costa County
63241	Fee-for-Service	1821619131	1821619131	1	1	URGENT HELP HOSPICE INC	9/18/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	500 N BRAND BLVD	STE 2000	GLENDALE	CA	91203	3304	19	06037	34.153983	-118.254973	Los Angeles County
63693	Fee-for-Service	1245401561	1245401561	1	1	UPPER SAN JUAN HEALTH	7/5/2010	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SERVICE DISTRICT	95 SOUTH PAGOSA BLVD	None	PAGOSA SPRINGS	CO	81147	8329	00	None	37.25234518	-107.0771155	Archuleta County
63950	Fee-for-Service	1427370709	1427370709	1	1	UNITED GROUP MEDICAL	1/18/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SUPPLIES INC	2003 W BURBANK BLVD	None	LOS ANGELES	CA	91506	1318	19	06037	34.18056905	-118.3327417	Los Angeles
64274	Fee-for-Service	1750604948	1750604948	1	1	UROLOGY CENTER OF SOUTHERN	12/10/2010	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	CALIFORNIA MEDICAL GROUP	29826 HAUN ROAD	#200	SUN CITY	CA	92586	6547	33	06065	33.68719818	-117.1748757	Riverside County
64351	Fee-for-Service	1093753485	1093753485	1	1	UPLAND ANESTHESIA MED	11/13/1986	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	GROUP	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
64385	Fee-for-Service	1528297918	1528297918	1	1	UTTABURANONT, MICHELLE MD	9/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125726	41	Internal Medicine	0	In state provider	None	28780 SINGLE OAK DR	STE 160	TEMECULA	CA	92590	5528	33	06065	33.49890392	-117.1612965	Riverside County
64426	Fee-for-Service	1528486727	1528486727	1	1	URIOSTEGUI, RICARDO MD	8/22/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148221	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
64712	Fee-for-Service	1043443393	1043443393	1	1	UHART, MAGDALENA MD	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121612	67	Endocrinology	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
64789	Fee-for-Service	1720571789	1720571789	1	1	UNICARE COMMUNITY HEALTH	11/10/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	741 S ALVARADO ST	None	LOS ANGELES	CA	90057	2903	19	06037	34.05538113	-118.2775582	Los Angeles County
64817	Fee-for-Service	1225615701	1225615701	1	1	UDD-GARNICA, KYLE A MD	4/9/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	SUITE 420	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
64924	Fee-for-Service	1043216021	1043216021	1	2	UNITED INDIAN HEALTH	12/11/2023	No Taxonomy Provided	NA	None	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1675 NORTHCREST DR	None	CRESCENT CITY	CA	95531	8928	08	06015	41.77547021	-124.1998045	Del Norte County
65080	Fee-for-Service	1720571789	1720571789	1	1	UNICARE COMMUNITY HEALTH	12/28/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	741 S ALVARADO ST	None	LOS ANGELES	CA	90057	2903	19	06037	34.05538113	-118.2775582	Los Angeles County
65212	Fee-for-Service	1043216021	1043216021	1	2	UNITED INDIAN HEALTH	12/11/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1675 NORTHCREST DR	None	CRESCENT CITY	CA	95531	8928	08	06015	41.77547021	-124.1998045	Del Norte County
65308	Fee-for-Service	1700425535	1700425535	1	1	USA HOSPICE INC	9/11/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	120 N VICTORY BLVD	SUITE 305	BURBANK	CA	91502	0001	19	06037	34.17426705	-118.3168333	Los Angeles County
65324	Fee-for-Service	1265782932	1265782932	1	1	ULEIA, SIMONA A NP	8/11/2017	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
65368	Fee-for-Service	1720571789	1720571789	1	1	UNICARE COMMUNITY HEALTH	11/10/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	741 S ALVARADO ST	None	LOS ANGELES	CA	90057	2903	19	06037	34.05538113	-118.2775582	Los Angeles County
65595	Fee-for-Service	1700425535	1700425535	1	1	USA HOSPICE INC	9/11/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	120 N VICTORY BLVD	SUITE 305	BURBANK	CA	91502	0001	19	06037	34.17426705	-118.3168333	Los Angeles County
66024	Fee-for-Service	1538574470	1538574470	1	1	UNZUETA, CRYSTAL MD	1/18/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	142631	01	General Practice	0	In state provider	None	2801 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	19	06037	34.01966657	-118.2625434	Los Angeles County
66235	Fee-for-Service	1477624104	1477624104	1	3	UCSF MEDICAL GROUP BUSINESS	12/17/2024	207N00000X	NA	Dermatology	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
66403	Fee-for-Service	1720177223	1720177223	1	1	UNIVERSAL CARE MED GRP	9/30/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	14600 SHERMAN WAY	FL 1	VAN NUYS	CA	91405	2283	19	06037	34.20025916	-118.4500763	Los Angeles County
66520	Fee-for-Service	1477624104	1477624104	1	3	UCSF MEDICAL GROUP BUSINESS	1/6/2025	207N00000X	NA	Dermatology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
66534	Fee-for-Service	1295484863	1295484863	1	1	ULTIMATE CARE PHARMACY	3/16/2023	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11741 STERLING AVE	D2	RIVERSIDE	CA	92503	4954	33	06065	33.89472302	-117.4879737	Riverside County
66579	Fee-for-Service	1699279802	1699279802	1	1	USUI, JEFFREY MD	7/1/2021	207P00000X	NA	Other	026	PHYSICIANS	165010	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
66720	Fee-for-Service	1154499556	1154499556	1	1	UKEJE, DINOBI A MD	10/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69010	None	None	0	In state provider	None	333 N PRAIRIE AVE	None	INGLEWOOD	CA	90301	4501	19	06037	33.9670722	-118.3439911	Los Angeles County
66794	Fee-for-Service	1457772030	1457772030	1	1	UNIVERSAL HOSPICE CARE INC	7/14/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	3171 LOS FELIZ BLVD	SUITE 207	LOS ANGELES	CA	90039	1500	19	06037	34.12369709	-118.2682266	Los Angeles County
66810	Fee-for-Service	1477624104	1477624104	1	3	UCSF MEDICAL GROUP BUSINESS	1/28/2025	207N00000X	NA	Dermatology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
67019	Fee-for-Service	1164059721	1164059721	1	1	URIBE, JESUS MD	10/1/2023	390200000X	NA	Other	026	PHYSICIANS	177169	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
67082	Fee-for-Service	1457772030	1457772030	1	1	UNIVERSAL 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	3171 LOS FELIZ BLVD	SUITE 207	LOS ANGELES	CA	90039	1500	19	06037	34.12369709	-118.2682266	Los Angeles County
67098	Fee-for-Service	1477624104	1477624104	1	3	UCSF MEDICAL GROUP BUSINESS	2/21/2025	207N00000X	NA	Dermatology	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
67116	Fee-for-Service	1811905722	1811905722	1	1	ULSHAFER, GAYLE L CRNA	11/1/1998	163W00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	7011 NORTH AVE	None	COLUSA	CA	95932	9721	06	06011	39.22316055	-122.0209499	Colusa County
67387	Fee-for-Service	1477624104	1477624104	1	3	UCSF MEDICAL GROUP BUSINESS	7/19/2024	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
67534	Fee-for-Service	1528593431	1528593431	1	1	UYESUGI, ARTHUR Y MD	9/21/2022	193200000X	NA	Other	026	PHYSICIANS	177278	None	None	0	In state provider	None	25150 HANCOCK AVE	STE 206	MURRIETA	CA	92562	5989	33	06065	33.56635084	-117.1823956	Riverside County
67594	Fee-for-Service	1376549667	1376549667	1	1	UGLUM, ELSE MD	8/20/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78094	40	Pediatrics	0	In state provider	None	10956 DONNER PASS RD	STE 130	TRUCKEE	CA	96161	4860	29	06057	39.32625521	-120.2012059	Nevada County
67674	Fee-for-Service	1477624104	1477624104	1	3	UCSF MEDICAL GROUP BUSINESS	1/22/2025	207N00000X	NA	Dermatology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
68533	Fee-for-Service	1992731335	1992731335	2	1	UPSHAW, BRADLEY G OD	10/14/2010	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	671 PARKER AVE	None	RODEO	CA	94572	1434	07	06013	38.02854592	-122.2659181	Contra Costa County
68682	Fee-for-Service	1487730156	1487730156	1	1	URREGO, FERNANDO A MD	12/2/2022	2080P0214X	NA	Pulmonology	026	PHYSICIANS	183383	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
68988	Fee-for-Service	1619965993	1619965993	1	1	UNIPHARMA, INC	6/1/2004	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10437 LOS ALAMITOS BLVD	None	LOS ALAMITOS	CA	90720	2111	30	06059	33.811218	-118.0719285	Orange County
69247	Fee-for-Service	1578806691	1578806691	1	1	UZGIL, BESIM O	6/19/2018	2084N0400X	NA	Neurology	026	PHYSICIANS	135142	79	Neurology-Child	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
69257	Fee-for-Service	1649328436	1649328436	1	1	UDEANI, JOHN C MD	10/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68448	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
69314	Fee-for-Service	1497847552	1497847552	1	1	UCSF MEDICAL CENTER	7/1/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	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
69377	Fee-for-Service	1225869019	1225869019	1	1	URCIA, CHARLIE ANNE 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
69489	Fee-for-Service	1740806561	1740806561	1	1	UPADHYAYA, ANAND H MD	7/18/2023	208M00000X	NA	Other	026	PHYSICIANS	187529	None	None	0	In state provider	None	1250 16TH STREET	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
69524	Fee-for-Service	1346516739	1346516739	1	1	UJIMA FAMILY RECOVERY	1/31/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	2975 TREAT BLVD	SUITE B-5	CONCORD	CA	94518	3687	07	06013	37.93808829	-122.0263617	Contra Costa County
69638	Fee-for-Service	1215254750	1215254750	1	1	ULVILA, DEREK D MD	4/17/2022	208200000X	NA	General Surgery	026	PHYSICIANS	119052	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
70295	Fee-for-Service	1497732630	1497732630	1	2	UCLA PATHOLOGY AND LABORATOR	6/27/2019	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INE GROUP	1250 16TH ST	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
70332	Fee-for-Service	1639669617	1639669617	1	1	UCH-MHS	11/4/2021	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ADOWGRASS	13510 MEADOWGRASS DR	None	COLORADO SPRINGS	CO	80921	3056	00	None	39.02782916	-104.8227307	El Paso County
70575	Fee-for-Service	1104467190	1104467190	1	1	ULLTJAERN, KARIN CECILIA NP	7/1/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1686 BARTON ROAD	None	REDLANDS	CA	92373	7761	36	06071	34.04833901	-117.2120103	San Bernardino County
70577	Fee-for-Service	1023013448	1023013448	1	1	UNITED REGIONAL HEALTH	3/21/2006	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CARE SYSTEM	1600 11TH STREET	None	WICHITA FALLS	TX	76301	3108	00	None	33.90233058	-98.50146852	Wichita County
70617	Fee-for-Service	1639669617	1639669617	1	1	UCH-MHS	11/4/2021	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ADOWGRASS	13510 MEADOWGRASS DR	None	COLORADO SPRINGS	CO	80921	3056	00	None	39.02782916	-104.8227307	El Paso County
70648	Fee-for-Service	1922124866	1922124866	1	4	UCSF HEALTH MEDICAL FOUNDATI	9/20/2017	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	5730 TELEGRAPH AVENUE	117	OAKLAND	CA	94609	1710	01	06001	37.84360608	-122.2614314	Alameda County
70734	Fee-for-Service	1346631397	1346631397	1	4	UNITED CARE FACILITIES LLC	11/13/2019	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3005 MINFORD STREET	None	BAKERSFIELD	CA	93536	8393	19	06037	34.69395631	-118.1842373	Los Angeles County
70768	Fee-for-Service	1477552164	1477552164	1	1	UNITED COM-SERVE	8/20/1990	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	THE FOUNTAINS	1260 WILLIAMS WAY	None	YUBA CITY	CA	95991	2400	51	06101	39.15080153	-121.632615	Sutter County
70864	Fee-for-Service	1023013448	1023013448	1	1	UNITED REGIONAL HEALTH	12/1/2001	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CARE SYSTEM	1600 11TH STREET	None	WICHITA FALLS	TX	76301	3108	00	None	33.90233058	-98.50146852	Wichita County
70876	Fee-for-Service	1740633957	1740633957	1	1	UY, LINDA MD	9/26/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	157823	08	Family Practice	0	In state provider	None	4502 EAST AVE S	None	PALMDALE	CA	93552	4480	19	06037	34.55800153	-118.0488825	Los Angeles County
71093	Fee-for-Service	1720178098	1720178098	1	1	UNITED MEDICAL IMAGING	2/3/2017	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTHCARE INC	16161 GOTHARD ST	SUITE C	HUNTINGTON BEACH	CA	92647	3603	30	06059	33.72753588	-118.0002878	Orange County
71098	Fee-for-Service	1891767240	1891767240	1	1	UEBELACKER, CAROL J MD	1/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139742	01	General Practice	0	In state provider	None	11333 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1116	19	06037	34.27684353	-118.4684024	Los Angeles County
71103	Fee-for-Service	1841766649	1841766649	1	1	UNITED MED TRANSPORTATION IN	12/6/2019	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	C	2711 HILLCREST AVE	208	ANTIOCH	CA	94531	6370	07	06013	37.994625	-121.781466	Contra Costa County
71270	Fee-for-Service	1962168104	1962168104	1	1	UNITED HEALTH CENTERS OF THE	8/8/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1545 MALL DRIVE	None	HANFORD	CA	93230	5792	16	06031	36.32321227	-119.669854	Kings County
71335	Fee-for-Service	1871166082	1871166082	1	1	USHAKOVA, OXANA	7/22/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
71372	Fee-for-Service	1972936813	1972936813	1	1	UNGER, LINDSEY A	12/28/2018	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
71558	Fee-for-Service	1962168104	1962168104	1	1	UNITED HEALTH CENTERS OF THE	8/8/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1545 MALL DRIVE	None	HANFORD	CA	93230	5792	16	06031	36.32321227	-119.669854	Kings County
71627	Fee-for-Service	1306005277	1306005277	1	1	URDANETA, ALFREDO E MD	11/30/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	104032	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
71808	Fee-for-Service	1518492552	1518492552	1	1	UGURIAN, MICHAEL MD	7/26/2021	207R00000X	NA	Other	026	PHYSICIANS	164943	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
71839	Fee-for-Service	1235187311	1235187311	2	1	UC REGENTS UCI DEPT OF PEDIA	12/18/2018	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
71849	Fee-for-Service	1962168104	1962168104	1	1	UNITED HEALTH CENTERS OF THE	9/27/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1545 MALL DRIVE	None	HANFORD	CA	93230	5792	16	06031	36.32321227	-119.669854	Kings County
72122	Fee-for-Service	1235187311	1235187311	2	1	UC REGENTS UCI DEPT OF PEDIA	8/1/2019	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
72137	Fee-for-Service	1962168104	1962168104	1	1	UNITED HEALTH CENTERS OF THE	6/20/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1545 MALL DRIVE	None	HANFORD	CA	93230	5792	16	06031	36.32321227	-119.669854	Kings County
72180	Fee-for-Service	1235332362	1235332362	1	1	URQUICO, JEANNIE MD	8/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100182	40	Pediatrics	0	In state provider	None	6555 COYLE AVE	STE 200	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
72416	Fee-for-Service	1235187311	1235187311	2	1	UC REGENTS UCI DEPT OF PEDIA	12/13/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	CALIFORNIA	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
72621	Fee-for-Service	1366932162	1366932162	1	1	UNIVERSITY OF COLORADO HOSPI	8/10/2022	261QE0002X	NA	Other	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ORNTON	12020 COLORADO BLVD	None	THORNTON	CO	80241	3562	00	None	39.914856	-104.940241	Adams County
72703	Fee-for-Service	1235187311	1235187311	2	1	UC REGENTS UCI DEPT OF PEDIA	7/12/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	CALIFORNIA	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
72768	Fee-for-Service	1013363035	1013363035	1	1	UNION OF PAN ASIAN COMMUNITI	5/20/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	DRUG TREATMENT PROGRAM	1405 PARK BLVD	None	SAN DIEGO	CA	92101	4722	37	06073	32.71956756	-117.153661	San Diego County
72829	Fee-for-Service	1083623664	1083623664	1	1	UNIVERSITY PEDIATRIC CENTER	1/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	MEDICAL	1100 OLIVEWOOD DR	None	MERCED	CA	95348	1210	24	06047	37.31799103	-120.4869437	Merced County
72840	Fee-for-Service	1437117595	1437117595	1	1	URSELL, PHILIP C MD	3/16/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	72905	22	Pathology (M.D. only)	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
72909	Fee-for-Service	1366932162	1366932162	1	1	UNIVERSITY OF COLORADO HOSPI	8/10/2022	261QE0002X	NA	Other	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ORNTON	12020 COLORADO BLVD	None	THORNTON	CO	80241	3562	00	None	39.914856	-104.940241	Adams County
72992	Fee-for-Service	1235187311	1235187311	2	1	UC REGENTS UCI DEPT OF PEDIA	12/7/2018	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
73129	Fee-for-Service	1437117595	1437117595	1	1	URSELL, PHILIP C MD	3/16/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	72905	90	Pathology-Forensic	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
73278	Fee-for-Service	1235187311	1235187311	2	1	UC REGENTS UCI DEPT OF PEDIA	6/1/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	CALIFORNIA	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
73428	Fee-for-Service	1740372762	1740372762	1	1	UYTINGCO, RUFINO MD, APC	6/1/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73254	08	Family Practice	0	In state provider	None	1145 GEER RD	STE A	TURLOCK	CA	95380	3381	50	06099	37.503729	-120.848988	Stanislaus County
73516	Fee-for-Service	1164817789	1164817789	1	1	UNVERFERTH, KATHERINE MD	9/5/2019	2084P0800X	NA	Psychiatry	026	PHYSICIANS	149627	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
73745	Fee-for-Service	1548261225	1548261225	1	1	URE, KEITH JEFFERY MD	9/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	41937	20	Orthopedic Surgery	0	In state provider	None	635 LASSEN LN	None	MOUNT SHASTA	CA	96067	9003	47	06093	41.31928889	-122.3275083	Siskiyou County
74048	Fee-for-Service	1831328616	1831328616	1	1	UDOWENKO, MARINA DO	7/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14136	01	General Practice	0	In state provider	None	2001 FOURTH AVENUE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
74098	Fee-for-Service	1215494257	1215494257	1	1	UNICARE COMMUNITY HEALTH	9/25/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1151 E WALNUT ST	None	ONTARIO	CA	91761	6155	36	06071	34.026975	-117.6303375	San Bernardino County
74101	Fee-for-Service	1346496155	1346496155	1	2	URIBE, LISA M LMFT	5/27/2020	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
74384	Fee-for-Service	1215494257	1215494257	1	1	UNICARE COMMUNITY HEALTH	4/6/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1151 E WALNUT ST	None	ONTARIO	CA	91761	6155	36	06071	34.026975	-117.6303375	San Bernardino County
74483	Fee-for-Service	1386021509	1386021509	1	1	UNACHUKWU, EMMANUEL O MD	11/30/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150606	40	Pediatrics	0	In state provider	None	7965 SIERRA AVE	STE E	FONTANA	CA	92336	3329	36	06071	34.109001	-117.4357835	San Bernardino County
74502	Fee-for-Service	1114331196	1114331196	1	1	USMAN, OMAR A MD	4/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	149253	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
74633	Fee-for-Service	1700584968	1700584968	1	1	UH, JINSOL CCC-SP	8/29/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
74674	Fee-for-Service	1215494257	1215494257	1	1	UNICARE COMMUNITY HEALTH	9/25/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1151 E WALNUT ST	None	ONTARIO	CA	91761	6155	36	06071	34.026975	-117.6303375	San Bernardino County
74697	Fee-for-Service	1043592678	1043592678	1	1	UNDERWOOD, SCOTT R DO	9/14/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11780	41	Internal Medicine	0	In state provider	None	3291 LOMA VISTA ROAD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
74858	Fee-for-Service	1922124866	1922124866	1	6	UCSF HEALTH MEDICAL FOUNDATI	12/19/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
74946	Fee-for-Service	1740204197	1740204197	1	1	U S DE SILVA MD, AMC	11/19/2007	207L00000X	NA	Other	026	PHYSICIANS	48836	05	Anesthesiology	0	In state provider	None	623 WEST AVE Q	SUITE A	PALMDALE	CA	93551	3890	19	06037	34.58716061	-118.1417509	Los Angeles County
74952	Fee-for-Service	1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	4/6/2012	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1000 CHITTENDEN AVE	None	CORCORAN	CA	93213	2407	16	06031	36.099243	-119.559736	Kings County
75085	Fee-for-Service	1770704892	1770704892	1	1	UPPAL, SATNAM S MD	2/11/2019	207R00000X	NA	Other	026	PHYSICIANS	31940	10	Gastroenterology (M.D. only)	0	In state provider	None	650 W OLIVE AVE	None	MERCED	CA	95348	2423	24	06047	37.31918551	-120.479715	Merced County
75146	Fee-for-Service	1922124866	1922124866	1	6	UCSF HEALTH MEDICAL FOUNDATI	12/19/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
75241	Fee-for-Service	1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	4/6/2012	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1000 CHITTENDEN AVE	None	CORCORAN	CA	93213	2407	16	06031	36.099243	-119.559736	Kings County
75374	Fee-for-Service	1619974201	1619974201	1	1	URICCHIO, BRADFORD R MD	11/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	88767	None	None	0	In state provider	None	1415 ROSS AVE	None	EL CENTRO	CA	92243	4398	13	06025	32.78144947	-115.568541	Imperial County
75422	Fee-for-Service	1477624104	1477624104	1	4	UCSF MEDICAL GROUP BUSINESS	1/6/2025	207N00000X	NA	Dermatology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
75433	Fee-for-Service	1922124866	1922124866	1	6	UCSF HEALTH MEDICAL FOUNDATI	12/19/2018	261QM1300X	NA	Other	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
75444	Fee-for-Service	1407823933	1407823933	1	1	UNDERWOOD, LANCE E OD	4/27/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
75485	Fee-for-Service	1447396684	1447396684	1	1	UCSF	6/1/1999	207ZP0101X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	MZH PATHOLOGY LAB DEPT	1600 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3010	38	06075	37.78475261	-122.43973	San Francisco County
75529	Fee-for-Service	1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	9/4/2013	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1000 CHITTENDEN AVE	None	CORCORAN	CA	93213	2407	16	06031	36.099243	-119.559736	Kings County
75710	Fee-for-Service	1477624104	1477624104	1	4	UCSF MEDICAL GROUP BUSINESS	7/19/2024	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
75816	Fee-for-Service	1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	4/6/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1000 CHITTENDEN AVE	None	CORCORAN	CA	93213	2407	16	06031	36.099243	-119.559736	Kings County
75999	Fee-for-Service	1477624104	1477624104	1	4	UCSF MEDICAL GROUP BUSINESS	2/21/2025	207N00000X	NA	Dermatology	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
76103	Fee-for-Service	1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	4/6/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1000 CHITTENDEN AVE	None	CORCORAN	CA	93213	2407	16	06031	36.099243	-119.559736	Kings County
76195	Fee-for-Service	1346744737	1346744737	1	1	UNCANIN, NEDELJKO J MD	3/11/2025	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	163523	30	Radiology	0	In state provider	None	317 WEST PUEBLO ST	None	SANTA BARBARA	CA	93105	4365	42	06083	34.42967671	-119.7228362	Santa Barbara County
76219	Fee-for-Service	1366980906	1366980906	1	1	UNG, NATHALIE M CRNA	6/23/2017	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
76290	Fee-for-Service	1477624104	1477624104	1	4	UCSF MEDICAL GROUP BUSINESS	1/28/2025	207N00000X	NA	Dermatology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
76295	Fee-for-Service	1689828105	1689828105	1	1	UY, CARMELITA L MD INC	11/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	50548	40	Pediatrics	0	In state provider	LABODA PEDIATRIC CENTER	2340 EAST 8TH STREET	SUITE E	NATIONAL CITY	CA	91950	2870	37	06073	32.6824287	-117.0833043	San Diego County
76315	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	2/25/2022	207N00000X	NA	Dermatology	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
76578	Fee-for-Service	1477624104	1477624104	1	4	UCSF MEDICAL GROUP BUSINESS	1/22/2025	207N00000X	NA	Dermatology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
76609	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	10/13/2021	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
76893	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	3/15/2022	207N00000X	NA	Dermatology	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
77178	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	6/16/2022	207N00000X	NA	Dermatology	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
77293	Fee-for-Service	1053490094	1053490094	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	UCSF OB/GYN GROUP	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
77357	Fee-for-Service	1316344104	1316344104	1	1	UNIVERSITY OF THE PACIFIC	3/15/2016	193400000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	155 5TH STREET	SUITE 250	SAN FRANCISCO	CA	94103	2919	38	06075	37.78207387	-122.405581	San Francisco County
77432	Fee-for-Service	1750368999	1750368999	1	1	UC REGENTS	12/31/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	ORAL HEALTH	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
77470	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	10/13/2021	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
77595	Fee-for-Service	1124041272	1124041272	1	1	UCI FAMILY HLTH CTR PHAR	12/7/1995	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
77724	Fee-for-Service	1750368999	1750368999	1	1	UC REGENTS	2/2/2018	No Taxonomy Provided	NA	None	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ORAL HEALTH	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
77759	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	2/8/2022	207N00000X	NA	Dermatology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
77916	Fee-for-Service	1194269993	1194269993	1	1	UDEH, NDIDIAMAKA M NP	10/30/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	43839 15TH ST WEST	None	LANCASTER	CA	93534	4759	19	06037	34.678791	-118.156867	Los Angeles County
77941	Fee-for-Service	1225319742	1225319742	1	1	UNDERWOOD, LISA C DO	8/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11865	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3750 CONVOY ST	#312	SAN DIEGO	CA	92111	3741	37	06073	32.81201122	-117.1531108	San Diego County
78009	Fee-for-Service	1750368999	1750368999	1	1	UC REGENTS	12/1/1997	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ORAL HEALTH	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
78048	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	3/18/2022	207N00000X	NA	Dermatology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
78104	Fee-for-Service	1922124866	1922124866	1	1	UCSF HEALTH MEDICAL FOUNDATI	3/12/2008	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
78184	Fee-for-Service	1265854061	1265854061	1	1	UNICARE COMMUNITY HEALTH	8/1/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	570 S MT VERNON AVE	STE G	SAN BERNARDINO	CA	92410	2737	36	06071	34.090776	-117.3138565	San Bernardino County
78262	Fee-for-Service	1689684698	1689684698	1	1	UMEH, IFEANYI C MD	11/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89280	08	Family Practice	0	In state provider	None	210 CANAL ST	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
78295	Fee-for-Service	1750368999	1750368999	1	1	UC REGENTS	10/10/2007	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	ORAL HEALTH	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
78334	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	3/15/2024	207N00000X	NA	Dermatology	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
78474	Fee-for-Service	1265854061	1265854061	1	1	UNICARE COMMUNITY HEALTH	8/1/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	570 S MT VERNON AVE	STE G	SAN BERNARDINO	CA	92410	2737	36	06071	34.090776	-117.3138565	San Bernardino County
78572	Fee-for-Service	1912972027	1912972027	1	1	UNIVERSITY OF CALIFORNIA	1/31/1990	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	1001 POTRERO AVE	RM 4M62	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
78582	Fee-for-Service	1750368999	1750368999	1	1	UC REGENTS	12/31/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	47	Miscellaneous	0	In state provider	ORAL HEALTH	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
78634	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	3/15/2022	207N00000X	NA	Dermatology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
78754	Fee-for-Service	1265854061	1265854061	1	1	UNICARE COMMUNITY HEALTH	8/26/2015	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	570 S MT VERNON AVE	STE G	SAN BERNARDINO	CA	92410	2737	36	06071	34.090776	-117.3138565	San Bernardino County
78821	Fee-for-Service	1750670428	1750670428	1	1	UNITED MEDICAL IMAGING HEALT	2/26/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UNTAIN VALLEY	11160 WARNER AVE	SUITE 105	FOUNTAIN VALLEY	CA	92708	4008	30	06059	33.71630854	-117.934317	Orange County
78872	Fee-for-Service	1750368999	1750368999	1	1	UC REGENTS	3/14/2018	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	ORAL HEALTH	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
78892	Fee-for-Service	1669437075	1669437075	1	1	UNIVERSITY HEAD & NECK SURGE	12/13/2017	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	101 CITY DR S	BLDG 25	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
78902	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	5/6/2022	207N00000X	NA	Dermatology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
79044	Fee-for-Service	1629621651	1629621651	1	1	UNITED HEALTH CENTERS OF THE	10/25/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	17008 13TH STREET	None	HURON	CA	93234	9997	10	06019	36.20838442	-120.1008527	Fresno County
79182	Fee-for-Service	1669437075	1669437075	1	1	UNIVERSITY HEAD & NECK SURGE	8/9/1988	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CALIFORNIA	101 CITY DR S	BLDG 25	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
79195	Fee-for-Service	1477624104	1477624104	1	2	UCSF MEDICAL GROUP BUSINESS	4/5/2022	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	675 18TH STREET	None	SAN FRANCISCO	CA	94143	0984	38	06075	37.76085391	-122.4356007	San Francisco County
79311	Fee-for-Service	1881624492	1881624492	1	1	UNDERWOOD, DEBORAH G LMFT	7/20/2018	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	565 BRUNSWICK ROAD	STE 10	GRASS VALLEY	CA	95945	9529	29	06057	39.23341432	-121.0294421	Nevada County
79332	Fee-for-Service	1629621651	1629621651	1	1	UNITED HEALTH CENTERS OF THE	5/3/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	17008 13TH STREET	None	HURON	CA	93234	9997	10	06019	36.20838442	-120.1008527	Fresno County
79353	Fee-for-Service	1780220822	1780220822	1	1	UNITED HEALTH CENTERS OF THE	4/17/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	6810 N MILBURN AVE	None	FRESNO	CA	93722	2102	10	06019	36.83655963	-119.8788638	Fresno County
79423	Fee-for-Service	1801287560	1801287560	1	1	UNITED MEDICAL IMAGING HEALT	4/2/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	NTRAL LONG BEACH	701 E 28TH ST	SUITE 318	LONG BEACH	CA	90806	2759	19	06037	33.80803441	-118.1847137	Los Angeles County
79622	Fee-for-Service	1629621651	1629621651	1	1	UNITED HEALTH CENTERS OF THE	10/26/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	17008 13TH STREET	None	HURON	CA	93234	9997	10	06019	36.20838442	-120.1008527	Fresno County
79642	Fee-for-Service	1780220822	1780220822	1	1	UNITED HEALTH CENTERS OF THE	10/26/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	6810 N MILBURN AVE	None	FRESNO	CA	93722	2102	10	06019	36.83655963	-119.8788638	Fresno County
79862	Fee-for-Service	1851515845	1851515845	1	1	UYENO, LORI A MD	1/15/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	83029	None	None	0	In state provider	None	9961 SIERA AVENUE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
79911	Fee-for-Service	1629621651	1629621651	1	1	UNITED HEALTH CENTERS OF THE	5/3/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	17008 13TH STREET	None	HURON	CA	93234	9997	10	06019	36.20838442	-120.1008527	Fresno County
79925	Fee-for-Service	1760843502	1760843502	1	1	US HEALTHCARE INC	6/10/2016	207R00000X	NA	Other	026	PHYSICIANS	100770	41	Internal Medicine	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
79929	Fee-for-Service	1780220822	1780220822	1	1	UNITED HEALTH CENTERS OF THE	4/17/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	6810 N MILBURN AVE	None	FRESNO	CA	93722	2102	10	06019	36.83655963	-119.8788638	Fresno County
80184	Fee-for-Service	1497128557	1497128557	1	1	UNITED NEUROSCIENCE, INC	1/21/2020	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	3838 SAN DIMAS ST	SUITE A250	BAKERSFIELD	CA	93301	2284	15	06029	35.3946385	-119.008203	Kern County
80217	Fee-for-Service	1780220822	1780220822	1	1	UNITED HEALTH CENTERS OF THE	10/25/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	6810 N MILBURN AVE	None	FRESNO	CA	93722	2102	10	06019	36.83655963	-119.8788638	Fresno County
81357	Fee-for-Service	1053321919	1053321919	1	1	UNIVERSITY COMMUNITY	9/9/2011	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	3100 E FLETCHER AVE	None	TAMPA	FL	33613	4613	00	None	28.0692255	-82.4232715	Hillsborough County
81512	Fee-for-Service	1659441434	1659441434	1	1	UGALDE, RAUL OD	6/1/1996	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8464 CALIFORNIA AVE	None	SOUTH GATE	CA	90280	2414	19	06037	33.95821465	-118.2054274	Los Angeles County
81645	Fee-for-Service	1053321919	1053321919	1	1	UNIVERSITY COMMUNITY	6/12/2012	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	3100 E FLETCHER AVE	None	TAMPA	FL	33613	4613	00	None	28.0692255	-82.4232715	Hillsborough County
81648	Fee-for-Service	1700120243	1700120243	1	1	UROLOGY SPECIALISTS OF SANTA	11/3/2014	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	BARBARA	504 W PUEBLO ST	STE 102	SANTA BARBARA	CA	93105	6211	42	06083	34.42829882	-119.7243868	Santa Barbara County
81884	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	8/18/2017	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
82119	Fee-for-Service	1780285205	1780285205	1	1	UTAH DIABETIC SUPPLY LLC	9/13/2024	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	114 W WINCHESTER ST	STE 201	MURRAY	UT	84107	7710	00	None	40.633272	-111.8949255	Salt Lake County
82172	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	12/9/2021	207N00000X	NA	Dermatology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
82187	Fee-for-Service	1245345214	1245345214	1	1	UNDERWOOD, MATTHEW B MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	77186	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
82212	Fee-for-Service	1003864182	1003864182	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RHEUMATOLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
82302	Fee-for-Service	1083822738	1083822738	1	1	UNITED HEALTH CENTERS	7/1/1994	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HURON	16928 11TH ST	None	HURON	CA	93234	0000	10	06019	36.20532278	-120.1027083	Fresno County
82461	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	4/27/2018	207N00000X	NA	Dermatology	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
82607	Fee-for-Service	1861498578	1861498578	1	1	UGOL,LEE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	16601 N 40TH ST	STE 204	None	PHOENIX	AZ	85032	0000	00	None	0	0	None
82649	Fee-for-Service	1689671950	1689671950	1	1	ULLMAN, HENRY E MD	3/31/1986	207W00000X	NA	Ophthalmology	026	PHYSICIANS	48735	18	Ophthalmology	0	In state provider	None	8920 WILSHIRE BLVD	STE 303	BEVERLY HILLS	CA	90211	2003	19	06037	34.06703599	-118.3863456	Los Angeles County
82715	Fee-for-Service	1922049279	1922049279	1	1	URIBE, DANIEL MD	6/30/1991	207R00000X	NA	Other	026	PHYSICIANS	42095	08	Family Practice	0	In state provider	None	121 N EUCLID ST	None	LA HABRA	CA	90631	4614	30	06059	33.932646	-117.946156	Orange County
82747	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	10/25/2018	207N00000X	NA	Dermatology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
82963	Fee-for-Service	1134652118	1134652118	1	1	UGARTE, SHANNON MD	6/30/2021	390200000X	NA	Other	026	PHYSICIANS	165784	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
83034	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	9/27/2021	207N00000X	NA	Dermatology	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
83122	Fee-for-Service	1669408928	1669408928	1	1	UHS SAHARA, INC	6/7/2024	283Q00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	None	5460 W SAHARA AVE	None	LAS VEGAS	NV	89146	3307	00	None	36.14451745	-115.215804	Clark County
83160	Fee-for-Service	1366534901	1366534901	1	1	UGWU-OJU, CHARLES E MD	8/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	50187	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	840 E ALMOND AVE	None	MADERA	CA	93637	5603	20	06039	36.94546084	-120.0481618	Madera County
83291	Fee-for-Service	1881854503	1881854503	1	1	UCCELLI, JOSEPH R MD	3/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	89	Surgery-Traumatic	1	Border provider	None	1155 MILL STREET	None	RENO	NV	89502	1476	00	None	39.52483792	-119.7968314	Washoe County
83324	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	6/1/1999	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
83412	Fee-for-Service	1669408928	1669408928	1	1	UHS SAHARA, INC	6/7/2024	283Q00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	None	5460 W SAHARA AVE	None	LAS VEGAS	NV	89146	3307	00	None	36.14451745	-115.215804	Clark County
83614	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	6/5/2017	207N00000X	NA	Dermatology	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
83679	Fee-for-Service	1144373507	1144373507	1	1	UNDERHILL, ELIZABETH Z PT	10/15/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4201 TORRANCE BLVD	SUITE 200	TORRANCE	CA	90503	4504	19	06037	33.8375955	-118.358748	Los Angeles County
83708	Fee-for-Service	1083640577	1083640577	1	1	UYEI, ANNE R MD	9/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	77860	68	Hematology	0	In state provider	None	50 E HAMILTON AVE	STE 200	CAMPBELL	CA	95008	0251	43	06085	37.29415254	-121.948758	Santa Clara County
83793	Fee-for-Service	1699279588	1699279588	1	1	U.S. DIAGNOSTIC MANAGEMENT I	1/28/2020	2085U0001X	NA	Other	028	PORTABLE X-RAY	-	-	NOT APPLICABLE	0	In state provider	NC	2829 W BURBANK BLVD STE	SUITE 202	BURBANK	CA	91505	2300	19	06037	34.17733959	-118.3423681	Los Angeles County
83853	Fee-for-Service	1194743146	1194743146	1	1	UNILAB CORPORATION	5/31/2006	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	245 TERRACINA BLVD	STE 104B	REDLANDS	CA	92373	4879	36	06071	34.03858912	-117.2066515	San Bernardino County
83900	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	10/6/2017	207N00000X	NA	Dermatology	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
83999	Fee-for-Service	1083640577	1083640577	1	1	UYEI, ANNE R MD	9/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	77860	78	Neoplastic Diseases/Oncology	0	In state provider	None	50 E HAMILTON AVE	STE 200	CAMPBELL	CA	95008	0251	43	06085	37.29415254	-121.948758	Santa Clara County
84103	Fee-for-Service	1861925679	1861925679	1	1	UNICARE COMMUNITY HEALTH	1/22/2020	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	2409 N BROADWAY	None	LOS ANGELES	CA	90031	2218	19	06037	34.07365452	-118.216595	Los Angeles County
84188	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	11/6/2018	207N00000X	NA	Dermatology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
84271	Fee-for-Service	1043711476	1043711476	1	1	ULTRACARE HOSPICE &	9/19/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	970 N TUSTIN AVE	STE 101	ANAHEIM	CA	92807	1761	30	06059	33.85034937	-117.8379335	Orange County
84306	Fee-for-Service	1265877443	1265877443	1	1	UONG, HELEN S MD	9/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	133976	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
84392	Fee-for-Service	1861925679	1861925679	1	1	UNICARE COMMUNITY HEALTH	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	2409 N BROADWAY	None	LOS ANGELES	CA	90031	2218	19	06037	34.07365452	-118.216595	Los Angeles County
84477	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	5/17/2017	207N00000X	NA	Dermatology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
84507	Fee-for-Service	1821014374	1821014374	1	1	UCSF FRESNO MED EDU PROG	11/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	UCSF FRESNO MED GRP	3313 N HILLIARD LANE	None	FRESNO	CA	93726	5854	10	06019	36.78043447	-119.7662591	Fresno County
84560	Fee-for-Service	1043711476	1043711476	1	1	ULTRACARE HOSPICE &	9/19/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	970 N TUSTIN AVE	STE 101	ANAHEIM	CA	92807	1761	30	06059	33.85034937	-117.8379335	Orange County
84571	Fee-for-Service	1487470621	1487470621	1	1	UDENGWU, KRYSTLE LCSW	12/6/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	21125 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91355	1356	19	06037	34.41164827	-118.5053439	Los Angeles County
84605	Fee-for-Service	1427122290	1427122290	1	1	UNITED OXYGEN SERVICE	1/1/1987	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC.	74304 HIGHWAY 111	None	PALM DESERT	CA	92260	4140	33	06065	33.72153189	-116.3683227	Riverside County
84679	Fee-for-Service	1861925679	1861925679	1	1	UNICARE COMMUNITY HEALTH	10/11/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	2409 N BROADWAY	None	LOS ANGELES	CA	90031	2218	19	06037	34.07365452	-118.216595	Los Angeles County
84763	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	3/15/2024	207N00000X	NA	Dermatology	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
84843	Fee-for-Service	1972523348	1972523348	1	1	UNIVERSITY HOSPITAL AT STONY	4/6/2007	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	BROOK	100 NICOLLS ROAD	None	STONY BROOK	NY	11794	9112	00	None	40.914225	-73.1163195	Suffolk County
84880	Fee-for-Service	1740225473	1740225473	1	1	USMANOVA, YELENA V MD	4/2/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	170996	None	None	0	In state provider	None	6555 COYLE AVENUE	SUITE 280	CARMICHAEL	CA	95608	0302	34	06067	38.66859	-121.3118055	Sacramento County
84890	Fee-for-Service	1437100864	1437100864	1	1	UROLOGICAL MEDICAL ASSOC	3/26/1986	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	SUITE 911	8540 S SEPULVEDA BLVD	None	LOS ANGELES	CA	90045	3807	19	06037	33.96022076	-118.3961982	Los Angeles County
84899	Fee-for-Service	1982631412	1982631412	1	2	UROLOGY CENTER OF SOUTHERN C	3/9/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MED GRP INC	3900 SHERMAN DR	STE E	RIVERSIDE	CA	92503	4005	33	06065	33.92756479	-117.4375031	Riverside County
84944	Fee-for-Service	1376621987	1376621987	1	1	UDOVIC-CONSTANT, SHANNON	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70514	40	Pediatrics	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
85050	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	10/3/2017	207N00000X	NA	Dermatology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
85071	Fee-for-Service	1952495988	1952495988	1	1	UNITED ACTIONS, INC	3/1/1998	320600000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7119 BERYL STREET	None	RANCHO CUCAMONGA	CA	91701	5621	36	06071	34.12489408	-117.6071649	San Bernardino County
85133	Fee-for-Service	1972523348	1972523348	1	1	UNIVERSITY HOSPITAL AT STONY	4/6/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	BROOK	100 NICOLLS ROAD	None	STONY BROOK	NY	11794	9112	00	None	40.914225	-73.1163195	Suffolk County
85305	Fee-for-Service	1669146452	1669146452	1	1	ULTIMATE HOME CARE LLC	7/1/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	616 E GLENOAKS BLVD	SUITE 204	GLENDALE	CA	91207	1778	19	06037	34.15825486	-118.2482587	Los Angeles County
85339	Fee-for-Service	1477624104	1477624104	1	1	UCSF MEDICAL GROUP BUSINESS	6/23/2017	207N00000X	NA	Dermatology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	UCSF ORTHOPEDIC SURGERY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
85754	Fee-for-Service	1659376630	1659376630	1	1	UPSON COUNTY HOSPITAL	4/15/2013	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	801 W GORDON ST	None	THOMASTON	GA	30286	3426	00	None	32.88719566	-84.33651108	Upson County
85759	Fee-for-Service	1568234474	1568234474	1	1	UNITED MEDICAL IMAGING HEALT	7/11/2024	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	SSION VIEJO	26522 LA ALAMEDA	STE #170	MISSION VIEJO	CA	92691	6393	30	06059	33.56418834	-117.6673172	Orange County
85877	Fee-for-Service	1689835563	1689835563	2	2	URGENTPOINT MEDICAL GROUP PC	3/20/2023	174400000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2150 N WATERMAN AVE	300	SAN BERNARDINO	CA	92404	4811	36	06071	34.134705	-117.2787865	San Bernardino County
86166	Fee-for-Service	1689835563	1689835563	2	2	URGENTPOINT MEDICAL GROUP PC	5/31/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	2150 N WATERMAN AVE	300	SAN BERNARDINO	CA	92404	4811	36	06071	34.134705	-117.2787865	San Bernardino County
86453	Fee-for-Service	1689835563	1689835563	2	2	URGENTPOINT MEDICAL GROUP PC	5/31/2019	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2150 N WATERMAN AVE	300	SAN BERNARDINO	CA	92404	4811	36	06071	34.134705	-117.2787865	San Bernardino County
86489	Fee-for-Service	1336371392	1336371392	1	1	USTABAS, SARA V LCSW	7/6/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
86755	Fee-for-Service	1689835563	1689835563	2	2	URGENTPOINT MEDICAL GROUP PC	6/30/2020	174400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	2150 N WATERMAN AVE	300	SAN BERNARDINO	CA	92404	4811	36	06071	34.134705	-117.2787865	San Bernardino County
86757	Fee-for-Service	1437228400	1437228400	1	1	UDOH, NNAEMEKA MD	1/1/1984	208600000X	NA	General Surgery	026	PHYSICIANS	30452	02	General Surgery	0	In state provider	None	3314 W VERNON AVE	None	LOS ANGELES	CA	90008	5230	19	06037	34.0036305	-118.3298985	Los Angeles County
87015	Fee-for-Service	1508183518	1508183518	1	1	UNITED THERAPY NETWORK INC	9/14/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1845 BUSINESS CENTER DR	SUITE 127	SAN BERNARDINO	CA	92408	3434	36	06071	34.06865027	-117.2832038	San Bernardino County
87057	Fee-for-Service	1922124866	1922124866	1	2	UCSF HEALTH MEDICAL FOUNDATI	5/23/2023	193400000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1555 DOOLITTLE DRIVE	None	SAN LEANDRO	CA	94577	2239	01	06001	37.71160019	-122.184628	Alameda County
87178	Fee-for-Service	1346543865	1346543865	2	1	UNIQUE HOSPICE AND	2/15/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	711 W CAMINO REAL AVE	#205	ARCADIA	CA	91007	9325	19	06037	34.12214338	-118.0557376	Los Angeles County
87301	Fee-for-Service	1508183518	1508183518	1	1	UNITED THERAPY NETWORK INC	9/14/2016	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1845 BUSINESS CENTER DR	SUITE 127	SAN BERNARDINO	CA	92408	3434	36	06071	34.06865027	-117.2832038	San Bernardino County
87344	Fee-for-Service	1922124866	1922124866	1	2	UCSF HEALTH MEDICAL FOUNDATI	10/1/2016	193400000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	1555 DOOLITTLE DRIVE	None	SAN LEANDRO	CA	94577	2239	01	06001	37.71160019	-122.184628	Alameda County
87467	Fee-for-Service	1346543865	1346543865	2	1	UNIQUE HOSPICE AND	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	711 W CAMINO REAL AVE	#205	ARCADIA	CA	91007	9325	19	06037	34.12214338	-118.0557376	Los Angeles County
87478	Fee-for-Service	1003545666	1003545666	1	1	UNITY THERAPY SERVICES, INC.	6/17/2022	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	32605 TEMECULA PKWY	STE 202	TEMECULA	CA	92592	6838	33	06065	33.48367403	-117.088031	Riverside County
87633	Fee-for-Service	1922124866	1922124866	1	2	UCSF HEALTH MEDICAL FOUNDATI	7/11/2022	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1555 DOOLITTLE DRIVE	None	SAN LEANDRO	CA	94577	2239	01	06001	37.71160019	-122.184628	Alameda County
87759	Fee-for-Service	1639132772	1639132772	1	1	USC-DAVITA DIALYSIS	10/1/2005	261QE0700X	NA	Other	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	2310 ALCAZAR ST	None	LOS ANGELES	CA	90033	5327	19	06037	34.0626047	-118.1986213	Los Angeles County
87884	Fee-for-Service	1528442357	1528442357	1	1	UCHEALTH BROOMFIELD HOSPITAL	7/1/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	11820 DESTINATION DR	None	BROOMFIELD	CO	80021	2518	00	None	39.91042936	-105.0932462	Broomfield County
87893	Fee-for-Service	1205967429	1205967429	1	1	UFANO-LEON, JEREMEE M LCSW	8/16/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	27955 SMYTH DR	101	VALENCIA	CA	91355	4035	19	06037	34.44222724	-118.5700483	Los Angeles County
87940	Fee-for-Service	1639463946	1639463946	2	1	UNITED CARE, LLC	8/1/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1811 WEST KATELLA AVENUE	SUITE 245	ANAHEIM	CA	92804	6658	30	06059	33.80322346	-117.9464535	Orange County
88089	Fee-for-Service	1720853096	1720853096	1	1	URIBE, ANA	3/1/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
88176	Fee-for-Service	1528442357	1528442357	1	1	UCHEALTH BROOMFIELD HOSPITAL	7/1/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	11820 DESTINATION DR	None	BROOMFIELD	CO	80021	2518	00	None	39.91042936	-105.0932462	Broomfield County
88312	Fee-for-Service	1770588485	1770588485	1	1	UREY, JOHN C OD	3/23/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	613 E GRAND AVE	None	ESCONDIDO	CA	92025	4402	37	06073	33.1245479	-117.0739933	San Diego County
89365	Fee-for-Service	1881785764	1881785764	1	3	UROLOGY ASSOCIATES OF	5/31/1995	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	SAN LUIS OBISPO	525 EAST PLAZA DR	STE 304	SANTA MARIA	CA	93465	9747	42	06083	34.9373822	-120.4296004	Santa Barbara County
89456	Fee-for-Service	1538489810	1538489810	1	2	UPPALAPATI, SRI VENKATA SURY	1/22/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	170376	36	Psychiatry	0	In state provider	A MD	4664 AMERICAN AVE	STE B	BAKERSFIELD	CA	93309	4017	15	06029	35.34068389	-119.0546534	Kern County
89800	Fee-for-Service	1134725468	1134725468	1	1	UNITED ANGELS HOSPICE INC	6/16/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	25 WHEELER AVE	STE K	ARCADIA	CA	91006	3272	19	06037	34.14120547	-118.0301953	Los Angeles County
90002	Fee-for-Service	1730147372	1730147372	1	2	UCLA ASSOCIATED GENERAL SURG	1/24/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	EONS	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
90086	Fee-for-Service	1134725468	1134725468	1	1	UNITED ANGELS HOSPICE INC	6/16/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	25 WHEELER AVE	STE K	ARCADIA	CA	91006	3272	19	06037	34.14120547	-118.0301953	Los Angeles County
90133	Fee-for-Service	1265587174	1265587174	1	1	UNILAB CORPORATION	2/28/2003	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	2065 SPERRY AVE	SUITE A	VENTURA	CA	93003	7451	56	06111	34.25375154	-119.2177758	Ventura County
90509	Fee-for-Service	1982271573	1982271573	1	1	USC CARE MEDICAL GROUP, INC	8/4/2021	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	ABORATORY	1441 EASTLAKE AVENUE	5409	LOS ANGELES	CA	90089	1019	19	06037	34.06169385	-118.2044698	Los Angeles County
90955	Fee-for-Service	1871797209	1871797209	1	1	UMAPATHY, KRISHNAMURTHY MD	9/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113119	41	Internal Medicine	0	In state provider	None	225 NORTH JACKSON AVENUE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
90983	Fee-for-Service	1639669435	1639669435	1	1	UNIVERSITY OF COLORADO HOSPI	8/15/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	EEN VALLEY RANCH	18610 GREEN VALLEY RANCH	None	DENVER	CO	80249	6841	00	None	39.7836027	-104.7692793	Denver County
91272	Fee-for-Service	1639669435	1639669435	1	1	UNIVERSITY OF COLORADO HOSPI	8/15/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	EEN VALLEY RANCH	18610 GREEN VALLEY RANCH	None	DENVER	CO	80249	6841	00	None	39.7836027	-104.7692793	Denver County
91349	Fee-for-Service	1538691589	1538691589	1	1	URENA, JONATHAN J MD	11/24/2020	207R00000X	NA	Other	026	PHYSICIANS	162776	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
91378	Fee-for-Service	1235398686	1235398686	1	1	UIHLEIN, LILY C MD	8/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145684	07	Dermatology	0	In state provider	None	3900 LAKEVILLE HWY	None	PETALUMA	CA	94954	5698	49	06097	38.2304311	-122.5827918	Sonoma County
91652	Fee-for-Service	1972158772	1972158772	1	1	ULTIMATE FAMILY ORTHOPAEDIS	7/22/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	None	None	0	In state provider	(UFO) INC.	8307 BRIMHALL RD	SUITE #1706	BAKERSFIELD	CA	93312	4343	15	06029	35.366481	-119.0948445	Kern County
91983	Fee-for-Service	1063479038	1063479038	1	1	UC REGENTS UCLA DMPG	6/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SANTA MONICA GI	1245 16TH ST	STE 204	SANTA MONICA	CA	90404	1240	19	06037	34.02726451	-118.4857138	Los Angeles County
92060	Fee-for-Service	1942313754	1942313754	1	1	UNIVERSAL ADULT DAY	6/14/2007	311ZA0620X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE CENTER	3847 GRAND VIEW BLVD	None	LOS ANGELES	CA	90066	4414	19	06037	34.0036054	-118.4302667	Los Angeles County
92159	Fee-for-Service	1497117626	1497117626	1	1	USSEF, NAJIB MD	2/21/2022	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	170766	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
92281	Fee-for-Service	1558759282	1558759282	1	1	UTSTEIN, STEVEN A CRNA	9/16/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1425 S MAIN STREET	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
92409	Fee-for-Service	1285079608	1285079608	1	1	UNAL, BERKAY MD	11/1/2021	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	125394	None	None	0	In state provider	None	117 BUNNY AVE	None	SANTA MARIA	CA	93458	2805	42	06083	34.96327701	-120.4368111	Santa Barbara County
92540	Fee-for-Service	1659346708	1659346708	1	1	UNIVERSITY CALIF OF S F	2/14/2023	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1001 POTRERO AVE	6E/6D37	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
92679	Fee-for-Service	1699853416	1699853416	1	1	ULLOA, OLGA MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	69793	08	Family Practice	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	0000	39	06077	37.88652418	-121.2820956	San Joaquin County
92822	Fee-for-Service	1871090449	1871090449	1	1	UHM, HEUI S MD	7/1/2021	390200000X	NA	Other	026	PHYSICIANS	164173	None	None	0	In state provider	None	1716 W MEDICAL CENTER DR	None	ANAHEIM	CA	92801	1801	30	06059	33.85174853	-117.9427275	Orange County
92829	Fee-for-Service	1659346708	1659346708	1	1	UNIVERSITY CALIF OF S F	5/17/2023	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	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
93033	Fee-for-Service	1649315821	1649315821	1	1	UNILAB CORPORATION	6/17/2004	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	2291 W MARCH LN	STE F145	STOCKTON	CA	95207	6664	39	06077	37.98597497	-121.3344334	San Joaquin County
93117	Fee-for-Service	1659346708	1659346708	1	1	UNIVERSITY CALIF OF S F	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	1001 POTRERO AVE	6E/6D37	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
93162	Fee-for-Service	1922273580	1922273580	1	1	ULLOA, ERIN M MD	7/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147139	40	Pediatrics	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
93287	Fee-for-Service	1730167396	1730167396	1	1	ULLERY, MICHAEL C MD	7/31/1988	174400000X	NA	Other	026	PHYSICIANS	65413	41	Internal Medicine	0	In state provider	None	2801 K ST	STE 520	SACRAMENTO	CA	95816	5119	34	06067	38.572947	-121.46904	Sacramento County
93449	Fee-for-Service	1639173974	1639173974	2	1	URLAUB, BERNARD J MD	9/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	33988	33	Thoracic Surgery	0	In state provider	None	5555 RESERVOIR DR	STE 206	SAN DIEGO	CA	92120	5101	37	06073	32.77628471	-117.0563688	San Diego County
93494	Fee-for-Service	1376544320	1376544320	1	1	UNIVERSITY OF IOWA HOSP	7/9/2002	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	200 HAWKINS DR	None	IOWA CITY	IA	52242	1009	00	None	41.659929	-91.548099	Johnson County
93628	Fee-for-Service	1275516171	1275516171	1	1	UMUTYAN, ARI MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76240	None	None	0	In state provider	None	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	34	06067	38.556288	-121.458474	Sacramento County
93647	Fee-for-Service	1528272580	1528272580	1	1	URBANO, WIVINA T MD INC	8/11/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	68692	40	Pediatrics	0	In state provider	None	4600 S TRACY BLVD	STE 110	TRACY	CA	95377	8105	39	06077	37.698111	-121.4345315	San Joaquin County
93718	Fee-for-Service	1730581430	1730581430	1	1	URENA, CYNTHIA NP	11/16/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8250 WOODMAN AVE	None	PANORAMA CITY	CA	91402	5427	19	06037	34.22078654	-118.4326211	Los Angeles County
93737	Fee-for-Service	1639173974	1639173974	2	1	URLAUB, BERNARD J MD	9/30/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	33988	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5555 RESERVOIR DR	STE 206	SAN DIEGO	CA	92120	5101	37	06073	32.77628471	-117.0563688	San Diego County
93778	Fee-for-Service	1518132901	1518132901	1	1	UNIVERSITY CITY PHYSICAL	10/8/2012	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5190 GOVERNOR DR	STE 107	SAN DIEGO	CA	92122	2848	37	06073	32.85681284	-117.1855521	San Diego County
93780	Fee-for-Service	1376544320	1376544320	1	1	UNIVERSITY OF IOWA HOSP	7/9/2002	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	200 HAWKINS DR	None	IOWA CITY	IA	52242	1009	00	None	41.659929	-91.548099	Johnson County
94252	Fee-for-Service	1457773277	1457773277	1	1	UNHWA PHARMACY INC	4/7/2014	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2999 W 6TH ST	STE 103	LOS ANGELES	CA	90020	1256	19	06037	34.06375438	-118.2867225	Los Angeles County
94316	Fee-for-Service	1174069181	1174069181	1	1	UNITED MEDICAL IMAGING HEALT	3/20/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RTHRIDGE	18250 ROSCOE BLVD	SUITE 135	NORTHRIDGE	CA	91325	4226	19	06037	34.22076142	-118.5313223	Los Angeles County
95000	Fee-for-Service	1689835563	1689835563	2	1	URGENTPOINT MEDICAL GROUP PC	3/20/2023	193200000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	15030 7TH ST.	None	VICTORVILLE	CA	92395	3811	36	06071	34.52471945	-117.3042336	San Bernardino County
95059	Fee-for-Service	1194952218	1194952218	1	1	USTRZYNSKI, SAM NP	12/2/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 WEST ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
95178	Fee-for-Service	1174106231	1174106231	1	1	UPLAND RHEUMATOLOGY CENTER	7/21/2021	207RR0500X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	886 W FOOTHILL BLVD STE	None	UPLAND	CA	91786	3780	36	06071	34.10666432	-117.6628171	San Bernardino County
95288	Fee-for-Service	1689835563	1689835563	2	1	URGENTPOINT MEDICAL GROUP PC	2/21/2019	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	15030 7TH ST.	None	VICTORVILLE	CA	92395	3811	36	06071	34.52471945	-117.3042336	San Bernardino County
95343	Fee-for-Service	1568082774	1568082774	1	3	URGENT CARE PLUS TELEHEALTH	2/1/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	2360 1ST ST	None	NAPA	CA	94559	2239	28	06055	38.29811825	-122.2993668	Napa County
95455	Fee-for-Service	1104951912	1104951912	1	1	UNILAB CORPORATION	2/28/2003	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	1550 PROFESSIONAL DR	STE B	PETALUMA	CA	94954	6655	49	06097	38.25631812	-122.6300782	Sonoma County
95574	Fee-for-Service	1689835563	1689835563	2	1	URGENTPOINT MEDICAL GROUP PC	2/21/2019	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	15030 7TH ST.	None	VICTORVILLE	CA	92395	3811	36	06071	34.52471945	-117.3042336	San Bernardino County
95865	Fee-for-Service	1689835563	1689835563	2	1	URGENTPOINT MEDICAL GROUP PC	6/30/2020	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	15030 7TH ST.	None	VICTORVILLE	CA	92395	3811	36	06071	34.52471945	-117.3042336	San Bernardino County
96059	Fee-for-Service	1437526209	1437526209	1	1	UNIHEALTH, LICENSED CLINICAL	9/7/2019	251S00000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	SOCIAL WORKER, PROFESSI	3150 18TH ST	SUITE 350	SAN FRANCISCO	CA	94110	2077	38	06075	37.76218347	-122.4141845	San Francisco County
96347	Fee-for-Service	1437526209	1437526209	1	1	UNIHEALTH, LICENSED CLINICAL	8/7/2023	1041C0700X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	SOCIAL WORKER, PROFESSI	3150 18TH ST	SUITE 350	SAN FRANCISCO	CA	94110	2077	38	06075	37.76218347	-122.4141845	San Francisco County
96405	Fee-for-Service	1366521494	1366521494	1	1	UDOFFIA, CAMILLUS O MD	8/1/1993	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	33980	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
96715	Fee-for-Service	1265526149	1265526149	1	1	UNGER, KATHERINE M MD	10/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	62724	22	Pathology (M.D. only)	0	In state provider	None	1207 FAIRCHILD COURT	None	WOODLAND	CA	95695	4321	57	06113	38.6657551	-121.7922645	Yolo County
96840	Fee-for-Service	1003443060	1003443060	1	1	ULSH, LAUREN M MD	6/20/2023	207R00000X	NA	Other	026	PHYSICIANS	185415	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
97360	Fee-for-Service	1508028440	1508028440	1	1	UGARTE, KATHERINE J	9/3/2009	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 W PROVIDENCE AVE	None	ORANGE	CA	92868	3808	30	06059	33.78142951	-117.866583	Orange County
97772	Fee-for-Service	1285165183	1285165183	1	1	UNSDORFER, KYLE M MD	6/23/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	178183	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
97784	Fee-for-Service	1154085694	1154085694	1	1	UNITARY HEALTH MEDICAL GROUP	2/3/2023	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	741 S ORANGE AVE	None	WEST COVINA	CA	91790	2662	19	06037	34.07079634	-117.9445034	Los Angeles County
97798	Fee-for-Service	1255396602	1255396602	1	1	UC REGENTS PLASTIC SURG	2/2/2005	193200000X	NA	Other	022	PHYSICIANS GROUP	-	24	Plastic Surgery	0	In state provider	None	200 MEDICAL PLAZA STE 46	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
97840	Fee-for-Service	1275131765	1275131765	1	1	UWAKAH, UZOMA NP	9/21/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1225 W 190TH ST	SUITE 280	GARDENA	CA	90248	4305	19	06037	33.85835623	-118.2987754	Los Angeles County
97942	Fee-for-Service	1780748087	1780748087	1	1	UEDA, STEFANIE M MD	6/16/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	96341	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
98045	Fee-for-Service	1447604582	1447604582	1	1	UNICARE COMMUNITY HEALTH	9/14/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	308 N LA CADENA DR	None	COLTON	CA	92324	2946	36	06071	34.06815282	-117.3240225	San Bernardino County
98265	Fee-for-Service	1124553342	1124553342	1	1	URICHECK, JAMES MD	1/13/2024	207RC0200X	NA	Other	026	PHYSICIANS	187139	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
98334	Fee-for-Service	1447604582	1447604582	1	1	UNICARE COMMUNITY HEALTH	9/14/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	308 N LA CADENA DR	None	COLTON	CA	92324	2946	36	06071	34.06815282	-117.3240225	San Bernardino County
98521	Fee-for-Service	1407267230	1407267230	1	1	UNDERWOOD, MICHELLE	2/13/2015	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1045 W. OLIVE STREET	None	SAN BERNARDINO	CA	92411	2323	36	06071	34.11858689	-117.3066146	San Bernardino County
98636	Fee-for-Service	1538358650	1538358650	1	1	UYBICO, STACY J MD	6/23/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	102871	30	Radiology	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
98712	Fee-for-Service	1255680716	1255680716	1	1	URRUTIA, MELISSA M	3/29/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1526 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
98809	Fee-for-Service	1407267230	1407267230	1	1	UNDERWOOD, MICHELLE	2/13/2015	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1045 W. OLIVE STREET	None	SAN BERNARDINO	CA	92411	2323	36	06071	34.11858689	-117.3066146	San Bernardino County
98908	Fee-for-Service	1922124866	1922124866	1	3	UCSF HEALTH MEDICAL FOUNDATI	7/11/2022	261QM1300X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	2970 HILLTOP MALL ROAD	305	RICHMOND	CA	94806	1947	07	06013	37.97819764	-122.329244	Contra Costa County
99069	Fee-for-Service	1972174118	1972174118	1	1	URBINA, MD. & GARCIA, PA, PC	3/6/2025	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	NIC	195 FOOTHILL BLVD	None	RIALTO	CA	92376	5165	36	06071	34.1067027	-117.3680972	San Bernardino County
99195	Fee-for-Service	1922124866	1922124866	1	3	UCSF HEALTH MEDICAL FOUNDATI	5/23/2023	261QM1300X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	2970 HILLTOP MALL ROAD	305	RICHMOND	CA	94806	1947	07	06013	37.97819764	-122.329244	Contra Costa County
99217	Fee-for-Service	1205884392	1205884392	1	1	UC REGENTS UCI DEPT OF MEDIC	8/7/2020	193200000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	INTERNAL MEDICINE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
99257	Fee-for-Service	1083343479	1083343479	1	1	UNG, CINDY	1/31/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
99481	Fee-for-Service	1922124866	1922124866	1	3	UCSF HEALTH MEDICAL FOUNDATI	9/11/2017	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	2970 HILLTOP MALL ROAD	305	RICHMOND	CA	94806	1947	07	06013	37.97819764	-122.329244	Contra Costa County
99503	Fee-for-Service	1205884392	1205884392	1	1	UC REGENTS UCI DEPT OF MEDIC	1/5/2023	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	INTERNAL MEDICINE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
99731	Fee-for-Service	1134522162	1134522162	1	1	UYANWUNE, CHITO NP	10/19/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	275 N EL CIELO RD	None	PALM SPRINGS	CA	92262	6972	33	06065	33.82736911	-116.5109632	Riverside County
99792	Fee-for-Service	1205884392	1205884392	1	1	UC REGENTS UCI DEPT OF MEDIC	6/26/2020	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	INTERNAL MEDICINE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
100071	Fee-for-Service	1730279001	1730279001	1	1	UNITED MEDICAL IMAGING	4/28/2016	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTHCARE INC	12665 GARDEN GROVE BLVD	STE 103	GARDEN GROVE	CA	92843	1901	30	06059	33.77450141	-117.9123364	Orange County
100082	Fee-for-Service	1205884392	1205884392	1	1	UC REGENTS UCI DEPT OF MEDIC	12/11/2018	193200000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	INTERNAL MEDICINE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
100366	Fee-for-Service	1205884392	1205884392	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	INTERNAL MEDICINE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
100471	Fee-for-Service	1114339041	1114339041	1	1	UNIQUE CARE LOS ANGELES HOSP	9/23/2021	251G00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	ICE, INC.	30423 CANWOOD	226	AGOURA HILLS	CA	91301	2082	19	06037	34.14710182	-118.7842501	Los Angeles County
100489	Fee-for-Service	1891914289	1891914289	1	1	UNITED THERAPY NETWORK, INCO	12/12/2018	225X00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RPORATED	500 N CENTRAL AVE	850	GLENDALE	CA	91203	3905	19	06037	34.15321627	-118.2578985	Los Angeles County
100604	Fee-for-Service	1174834337	1174834337	1	1	UCSF PEDIATRICS ASSOCIATES	4/12/2019	363LF0000X	NA	Nurse Practitioner	022	PHYSICIANS GROUP	-	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
100773	Fee-for-Service	1891914289	1891914289	1	1	UNITED THERAPY NETWORK, INCO	10/7/2016	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RPORATED	500 N CENTRAL AVE	850	GLENDALE	CA	91203	3905	19	06037	34.15321627	-118.2578985	Los Angeles County
100890	Fee-for-Service	1174834337	1174834337	1	1	UCSF PEDIATRICS ASSOCIATES	8/30/2010	363LF0000X	NA	Nurse Practitioner	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	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
100997	Fee-for-Service	1649252198	1649252198	1	1	UNITED HEALTH CENTERS-	11/1/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	93646	2211	10	06019	36.62723052	-119.319103	Fresno County
101061	Fee-for-Service	1891914289	1891914289	1	1	UNITED THERAPY NETWORK, INCO	10/7/2016	225X00000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	RPORATED	500 N CENTRAL AVE	850	GLENDALE	CA	91203	3905	19	06037	34.15321627	-118.2578985	Los Angeles County
101180	Fee-for-Service	1174834337	1174834337	1	1	UCSF PEDIATRICS ASSOCIATES	4/12/2019	363LF0000X	NA	Nurse Practitioner	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
101283	Fee-for-Service	1649252198	1649252198	1	1	UNITED HEALTH CENTERS-	11/1/1992	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	93646	2211	10	06019	36.62723052	-119.319103	Fresno County
101564	Fee-for-Service	1053552083	1053552083	1	1	UC2020 OPTOMETRY PC	4/6/2009	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3000 E ANAHEIM STREET	None	LONG BEACH	CA	90804	3802	19	06037	33.7825695	-118.1566035	Los Angeles County
101572	Fee-for-Service	1649252198	1649252198	1	1	UNITED HEALTH CENTERS-	8/15/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	93646	2211	10	06019	36.62723052	-119.319103	Fresno County
101624	Fee-for-Service	1881678704	1881678704	1	1	UNION GENERAL HOSP	5/20/2010	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	901 JAMES AVE	None	FARMERVILLE	LA	71241	0000	00	None	32.78648968	-92.39304013	Union Parish
101656	Fee-for-Service	1417288952	1417288952	1	1	ULRICH, ANGELA D LMFT	2/20/2019	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	510 DOYLE PARK DR	None	SANTA ROSA	CA	95405	4570	49	06097	38.442618	-122.6984265	Sonoma County
101668	Fee-for-Service	1851534457	1851534457	1	1	UNOLD, DAVID MD	7/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	131802	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
101695	Fee-for-Service	1326118043	1326118043	1	1	UCSF	6/1/1999	207RX0202X	NA	Oncology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	UCSF OB/GYN	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
101931	Fee-for-Service	1295210029	1295210029	1	1	UNITED UROLOGY CONSULTANTS	10/11/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PC	751 MEDICAL CENTER CT	None	CHULA VISTA	CA	91911	6617	37	06073	32.61822301	-117.0234938	San Diego County
101948	Fee-for-Service	1801878350	1801878350	1	1	UNITED HEALTH CENTERS-	11/1/1992	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	PARLIER	650 S ZEDIKER AVE	None	PARLIER	CA	93648	2639	10	06019	36.60500164	-119.5210273	Fresno County
101951	Fee-for-Service	1629257191	1629257191	1	1	UY, EDUARDO S MD INC	11/4/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	53016	40	Pediatrics	0	In state provider	None	9717 SIERRA AVE	None	FONTANA	CA	92335	6716	36	06071	34.07725718	-117.4356118	San Bernardino County
102027	Fee-for-Service	1386634202	1386634202	1	1	UYESUGI, WALTER Y DO	5/26/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	10585	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
102123	Fee-for-Service	1376709535	1376709535	1	1	UNIVERSITY PROFESSIONAL	2/15/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	47	Miscellaneous	2	Out of state provider	SERVICES	3181 SW SAM JACKSON PARK	RD	PORTLAND	OR	97239	3011	00	None	45.49936609	-122.6856232	Multnomah County
102130	Fee-for-Service	1104916477	1104916477	1	1	UNITED MEDICAL IMAGING HEALT	2/14/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	RDENA	1141 W REDONDO BEACH BLV	SUITE # 105	GARDENA	CA	90247	3586	19	06037	33.89247036	-118.2941482	Los Angeles County
102235	Fee-for-Service	1801878350	1801878350	1	1	UNITED HEALTH CENTERS-	11/1/1992	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	PARLIER	650 S ZEDIKER AVE	None	PARLIER	CA	93648	2639	10	06019	36.60500164	-119.5210273	Fresno County
102242	Fee-for-Service	1629257191	1629257191	1	2	UY, EDUARDO S MD INC	7/2/2010	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	53016	40	Pediatrics	0	In state provider	None	595 W HIGHLAND AVE	None	SAN BERNARDINO	CA	92405	3811	36	06071	34.13598078	-117.2961958	San Bernardino County
102295	Fee-for-Service	1184764078	1184764078	1	1	URRUNAGA, JULIE J MD	1/1/2002	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
102523	Fee-for-Service	1801878350	1801878350	1	1	UNITED HEALTH CENTERS-	8/9/2012	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	PARLIER	650 S ZEDIKER AVE	None	PARLIER	CA	93648	2639	10	06019	36.60500164	-119.5210273	Fresno County
102669	Fee-for-Service	1871635243	1871635243	1	1	UYANNE, JOHN A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	70516	41	Internal Medicine	0	In state provider	None	22308 HAWTHORNE BLVD	None	TORRANCE	CA	90505	2506	19	06037	33.824763	-118.350914	Los Angeles County
102712	Fee-for-Service	1174984041	1174984041	1	1	UNICARE COMMUNITY HEALTH	9/15/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER, INC	16127 FOOTHILL BLVD	None	FONTANA	CA	92335	3374	36	06071	34.10650281	-117.4531156	San Bernardino County
102734	Fee-for-Service	1659864247	1659864247	1	1	UC SAN DIEGO HEALTH COMMUNIT	11/20/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	Y GROUP	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
102957	Fee-for-Service	1871635243	1871635243	1	1	UYANNE, JOHN A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	70516	01	General Practice	0	In state provider	None	22308 HAWTHORNE BLVD	None	TORRANCE	CA	90505	2506	19	06037	33.824763	-118.350914	Los Angeles County
102999	Fee-for-Service	1174984041	1174984041	1	1	UNICARE COMMUNITY HEALTH	9/15/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER, INC	16127 FOOTHILL BLVD	None	FONTANA	CA	92335	3374	36	06071	34.10650281	-117.4531156	San Bernardino County
103022	Fee-for-Service	1659864247	1659864247	1	1	UC SAN DIEGO HEALTH COMMUNIT	4/1/2019	193200000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	Y GROUP	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
103288	Fee-for-Service	1174984041	1174984041	1	1	UNICARE COMMUNITY HEALTH	4/9/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER, INC	16127 FOOTHILL BLVD	None	FONTANA	CA	92335	3374	36	06071	34.10650281	-117.4531156	San Bernardino County
103311	Fee-for-Service	1659864247	1659864247	1	1	UC SAN DIEGO HEALTH COMMUNIT	4/29/2019	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	Y GROUP	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
103599	Fee-for-Service	1659864247	1659864247	1	1	UC SAN DIEGO HEALTH COMMUNIT	3/25/2019	193200000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	Y GROUP	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
103888	Fee-for-Service	1659864247	1659864247	1	1	UC SAN DIEGO HEALTH COMMUNIT	3/13/2019	193200000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	Y GROUP	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
103937	Fee-for-Service	1780787283	1780787283	1	1	UNGUEZ, ROBERTO T MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	11040	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	22617 HAWTHORNE BLVD	None	TORRANCE	CA	90505	2510	19	06037	33.822666	-118.3512275	Los Angeles County
104038	Fee-for-Service	1356316475	1356316475	2	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
104146	Fee-for-Service	1659561488	1659561488	1	1	UY, JIMMY T MD INC	6/30/1987	193400000X	NA	Other	026	PHYSICIANS	40328	40	Pediatrics	0	In state provider	None	2011 BEVERLY BLVD	None	LOS ANGELES	CA	90057	2403	19	06037	34.06619667	-118.2692031	Los Angeles County
104175	Fee-for-Service	1659864247	1659864247	1	1	UC SAN DIEGO HEALTH COMMUNIT	4/15/2019	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	Y GROUP	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
104225	Fee-for-Service	1780787283	1780787283	1	1	UNGUEZ, ROBERTO T MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	11040	41	Internal Medicine	0	In state provider	None	22617 HAWTHORNE BLVD	None	TORRANCE	CA	90505	2510	19	06037	33.822666	-118.3512275	Los Angeles County
104434	Fee-for-Service	1659561488	1659561488	1	1	UY, JIMMY T MD INC	6/30/1987	193400000X	NA	Other	026	PHYSICIANS	40328	01	General Practice	0	In state provider	None	2011 BEVERLY BLVD	None	LOS ANGELES	CA	90057	2403	19	06037	34.06619667	-118.2692031	Los Angeles County
104462	Fee-for-Service	1609074517	1609074517	1	1	ULLMER, ELKE R MFT	9/21/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	50588	-	NOT APPLICABLE	0	In state provider	None	2323 HEARST AVE	None	BERKELEY	CA	94709	1319	01	06001	37.87476797	-122.2628697	Alameda County
104472	Fee-for-Service	1467889899	1467889899	1	1	URTECHO, SIGFRIDO LMFT	8/21/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
104506	Fee-for-Service	1639278369	1639278369	1	1	UCSF MEDICAL CENTER	4/1/2000	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	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
104590	Fee-for-Service	1295464600	1295464600	1	1	UHS OF MADERA INC	6/27/2023	No Taxonomy Provided	NA	None	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	40886 GOODWIN WAY	None	MADERA	CA	93636	9900	20	06039	36.88587001	-119.8031163	Madera County
104879	Fee-for-Service	1295464600	1295464600	1	1	UHS OF MADERA INC	2/14/2024	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	40886 GOODWIN WAY	None	MADERA	CA	93636	9900	20	06039	36.88587001	-119.8031163	Madera County
104950	Fee-for-Service	1144276684	1144276684	1	1	UNGER, RANDALL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	12040 NE 128TH ST	None	KIRKLAND	WA	98034	3013	00	None	47.71493427	-122.1792761	King County
105118	Fee-for-Service	1932738705	1932738705	1	1	UNIQUE CARE PLUS INC	9/21/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	18747 SHERMAN WAY	STE 214	RESEDA	CA	91335	4000	19	06037	34.2011975	-118.5419835	Los Angeles County
105488	Fee-for-Service	1568082774	1568082774	1	1	URGENT CARE PLUS TELEHEALTH	10/13/2023	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC.	1387 E 2ND ST	None	BENICIA	CA	94510	2836	48	06095	38.05445908	-122.1525476	Solano County
105597	Fee-for-Service	1790004943	1790004943	1	1	UBBAONU, CHIMEZIE D MD	6/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132171	None	None	0	In state provider	None	555 TACHEVAH DRIVE	2E107	PALM SPRINGS	CA	92262	5752	33	06065	33.83753681	-116.5424435	Riverside County
105817	Fee-for-Service	1568082774	1568082774	1	4	URGENT CARE PLUS TELEHEALTH	12/10/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC.	440 E WASHINGTON ST	None	PETALUMA	CA	94952	5923	49	06097	38.23881339	-122.6353623	Sonoma County
106141	Fee-for-Service	1891841474	1891841474	1	1	ULRICH, MARY O MD	1/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	105443	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3838 CALIFORNIA ST	#510	SAN FRANCISCO	CA	94118	1507	38	06075	37.78591809	-122.4575439	San Francisco County
106177	Fee-for-Service	1841591062	1841591062	1	1	UNITED NURSING PERSONAL CARE	6/17/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	14070 HESPERIA RD	SUITE C	VICTORVILLE	CA	92395	4510	36	06071	34.50721583	-117.2966525	San Bernardino County
106227	Fee-for-Service	1972077899	1972077899	1	1	UNION OF PAN ASIAN COMMUNITI	10/18/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	R SOUTH	865 THIRD AVENUE	112	CHULA VISTA	CA	91911	9191	37	06073	32.62189562	-117.0722453	San Diego County
106411	Fee-for-Service	1528011020	1528011020	1	1	URIOSTE, ALEXANDER S MD	8/23/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78795	None	None	0	In state provider	None	7777 ALVARADO ROAD	SUITE 108	LA MESA	CA	91941	3645	37	06073	32.7725521	-117.0315402	San Diego County
106440	Fee-for-Service	1740212703	1740212703	1	1	UTTAM, JAI MD	6/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	84812	05	Anesthesiology	0	In state provider	None	FRESNO & R ST	None	FRESNO	CA	93721	0000	10	06019	36.741663	-119.7841005	Fresno County
106474	Fee-for-Service	1972709798	1972709798	1	1	UDDIN, MUHAMMAD Z MD	12/3/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	112945	13	Neurology (M.D. only)	0	In state provider	None	1333 HOWE AVE	STE 107	SACRAMENTO	CA	95825	3362	34	06067	38.590191	-121.416624	Sacramento County
106481	Fee-for-Service	1174913776	1174913776	1	2	UNIVERSAL COMMUNITY HEALTH	4/12/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2801 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	19	06037	34.01966657	-118.2625434	Los Angeles County
106506	Fee-for-Service	1396940359	1396940359	1	1	ULTIMATE MED SUPPLY INC	7/3/2008	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	2975 WILSHIRE BLVD	# Q	LOS ANGELES	CA	90010	1124	19	06037	34.06183451	-118.286712	Los Angeles County
106622	Fee-for-Service	1821001157	1821001157	1	1	USAMA HASSAN MABROUK MD	3/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2301 HOLMES ST	None	KANSAS CITY	MO	64108	2602	00	None	39.08455286	-94.57578107	Jackson County
106684	Fee-for-Service	1578661930	1578661930	1	1	UMEMOTO, LARA M OD	8/18/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	26506 BOUQUET CANYON RD	None	SAUGUS	CA	91350	2353	19	06037	34.42742329	-118.5368396	Los Angeles County
106761	Fee-for-Service	1972709798	1972709798	1	1	UDDIN, MUHAMMAD Z MD	12/3/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	112945	36	Psychiatry	0	In state provider	None	1333 HOWE AVE	STE 107	SACRAMENTO	CA	95825	3362	34	06067	38.590191	-121.416624	Sacramento County
106769	Fee-for-Service	1174913776	1174913776	1	2	UNIVERSAL COMMUNITY HEALTH	4/12/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2801 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	19	06037	34.01966657	-118.2625434	Los Angeles County
106978	Fee-for-Service	1225690449	1225690449	1	1	UMEH, JEREMIAH	10/9/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	13747 WOODRUFF AVE	SUITE A	BELLFLOWER	CA	90706	2649	19	06037	33.906087	-118.116926	Los Angeles County
107058	Fee-for-Service	1174913776	1174913776	1	2	UNIVERSAL COMMUNITY HEALTH	8/31/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2801 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	19	06037	34.01966657	-118.2625434	Los Angeles County
107268	Fee-for-Service	1225690449	1225690449	1	1	UMEH, JEREMIAH	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	13747 WOODRUFF AVE	SUITE A	BELLFLOWER	CA	90706	2649	19	06037	33.906087	-118.116926	Los Angeles County
107315	Fee-for-Service	1063630515	1063630515	1	1	URBAN, FELICE A LCSW	6/13/1999	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	5567 MEDEA VALLEY DR	None	AGOURA HILLS	CA	91301	4515	19	06037	34.15169592	-118.7558991	Los Angeles County
107362	Fee-for-Service	1699161315	1699161315	1	1	UPADHYAY, VAIBHAV MD	5/4/2022	207RP1001X	NA	Pulmonology	026	PHYSICIANS	145995	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
107534	Fee-for-Service	1922124866	1922124866	1	5	UCSF HEALTH MEDICAL FOUNDATI	12/19/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2920 TELEGRAPH AVE	None	BERKELEY	CA	94705	2031	01	06001	37.85686573	-122.2596307	Alameda County
107632	Fee-for-Service	1881001741	1881001741	1	1	UNICARE HOSPICE PROVIDER INC	12/12/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	870 N MOUNTAIN AVE	SUITE #208	UPLAND	CA	91786	4340	36	06071	34.10479735	-117.6701484	San Bernardino County
107661	Fee-for-Service	1346607603	1346607603	1	1	UNIFIED CARE MEDICAL GROUP,	4/12/2016	261QP2300X	NA	Other	026	PHYSICIANS	20957	None	None	0	In state provider	INC	2040 PACIFIC COAST HWY	UNIT S	LOMITA	CA	90717	2660	19	06037	33.78948351	-118.316493	Los Angeles County
107670	Fee-for-Service	1598792434	1598792434	1	1	UC DAVIS HOSPICE PROGRAM	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	3630 BUSINESS DR	None	SACRAMENTO	CA	95820	2163	34	06067	38.541852	-121.419702	Sacramento County
107727	Fee-for-Service	1598199630	1598199630	1	1	ULIBARRI, JAZMINE O	1/30/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	595 E COLORADO BLVD	412	PASADENA	CA	91101	2039	19	06037	34.14588202	-118.1380722	Los Angeles County
107801	Fee-for-Service	1497751572	1497751572	1	1	UNITED INDIAN HEALTH SERVICE	10/13/2022	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	12	06023	40.89808837	-124.0923819	Humboldt County
107822	Fee-for-Service	1922124866	1922124866	1	5	UCSF HEALTH MEDICAL FOUNDATI	12/19/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2920 TELEGRAPH AVE	None	BERKELEY	CA	94705	2031	01	06001	37.85686573	-122.2596307	Alameda County
107845	Fee-for-Service	1639132608	1639132608	1	1	UNION CITY DIALYSIS CTR	3/1/1996	261QE0700X	NA	Other	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	32930 ALVARADO NILES RD	STE 300	UNION CITY	CA	94587	8101	01	06001	37.59419675	-122.0462794	Alameda County
107853	Fee-for-Service	1659518207	1659518207	1	1	UGOH, CHIOMA O MD	6/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106459	41	Internal Medicine	0	In state provider	None	2215 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
107923	Fee-for-Service	1881001741	1881001741	1	1	UNICARE HOSPICE PROVIDER INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	870 N MOUNTAIN AVE	SUITE #208	UPLAND	CA	91786	4340	36	06071	34.10479735	-117.6701484	San Bernardino County
107945	Fee-for-Service	1346607603	1346607603	1	1	UNIFIED CARE MEDICAL GROUP,	2/9/2022	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	2040 PACIFIC COAST HWY	UNIT S	LOMITA	CA	90717	2660	19	06037	33.78948351	-118.316493	Los Angeles County
107957	Fee-for-Service	1598792434	1598792434	1	1	UC DAVIS HOSPICE PROGRAM	12/15/1989	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	3630 BUSINESS DR	None	SACRAMENTO	CA	95820	2163	34	06067	38.541852	-121.419702	Sacramento County
108063	Fee-for-Service	1821206020	1821206020	1	1	UPSHAW, BRADLEY OD INC	6/1/2002	193400000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	671 PARKER AVE	None	RODEO	CA	94572	1434	07	06013	38.02854592	-122.2659181	Contra Costa County
108088	Fee-for-Service	1497751572	1497751572	1	1	UNITED INDIAN HEALTH SERVICE	9/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	12	06023	40.89808837	-124.0923819	Humboldt County
108099	Fee-for-Service	1629432968	1629432968	2	1	UKIAH ADVENTIST HOSPITAL	2/16/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MACY	3 MARCELA DR	STE B	WILLITS	CA	95490	5769	23	06045	39.38994445	-123.3393497	Mendocino County
108111	Fee-for-Service	1922124866	1922124866	1	5	UCSF HEALTH MEDICAL FOUNDATI	12/19/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	2920 TELEGRAPH AVE	None	BERKELEY	CA	94705	2031	01	06001	37.85686573	-122.2596307	Alameda County
108133	Fee-for-Service	1578105417	1578105417	1	1	UP TO THE HILLS ANESTHESIA I	9/20/2022	207L00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	NC	3700 E SOUTH ST	None	LAKEWOOD	CA	90712	1419	19	06037	33.8601747	-118.148313	Los Angeles County
108179	Fee-for-Service	1730421330	1730421330	1	1	UNIVERSITY MUSLIM MEDICAL	4/15/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATION INC	7821 AVALON BLVD	None	LOS ANGELES	CA	90003	2358	19	06037	33.969393	-118.265197	Los Angeles County
108336	Fee-for-Service	1346631397	1346631397	1	2	UNITED CARE FACILITIES LLC	11/13/2019	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	2207 MACAU STREET	None	BAKERSFIELD	CA	93313	5588	15	06029	35.27770952	-119.027349	Kern County
108376	Fee-for-Service	1497751572	1497751572	1	1	UNITED INDIAN HEALTH SERVICE	8/18/2003	261QC1500X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	12	06023	40.89808837	-124.0923819	Humboldt County
108446	Fee-for-Service	1013903806	1013903806	1	1	USHKOW, BRUCE MD	7/7/2023	207P00000X	NA	Other	026	PHYSICIANS	182625	None	None	0	In state provider	None	1205 E NORTH ST	None	MANTECA	CA	95336	4900	39	06077	37.80110374	-121.1974853	San Joaquin County
108468	Fee-for-Service	1730421330	1730421330	1	1	UNIVERSITY MUSLIM MEDICAL	4/15/2014	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATION INC	7821 AVALON BLVD	None	LOS ANGELES	CA	90003	2358	19	06037	33.969393	-118.265197	Los Angeles County
108568	Fee-for-Service	1366586992	1366586992	1	1	USC FAMILY MEDICINE INC	7/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1350 N ALTADENA DR	STE 100	PASADENA	CA	91107	1488	19	06037	34.16938442	-118.0982267	Los Angeles County
108664	Fee-for-Service	1497751572	1497751572	1	1	UNITED INDIAN HEALTH SERVICE	9/1/2002	261QC1500X	NA	Other	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	None	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	12	06023	40.89808837	-124.0923819	Humboldt County
108687	Fee-for-Service	1730147372	1730147372	1	1	UCLA ASSOCIATED GENERAL SURG	1/31/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	EONS	200 MEDICAL PLAZA	STE 214	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
108755	Fee-for-Service	1730421330	1730421330	1	1	UNIVERSITY MUSLIM MEDICAL	4/15/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATION INC	7821 AVALON BLVD	None	LOS ANGELES	CA	90003	2358	19	06037	33.969393	-118.265197	Los Angeles County
109047	Fee-for-Service	1306189972	1306189972	1	1	URIBE, VANESSA LMFT	12/20/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	43112 N 15TH ST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
109205	Fee-for-Service	1225365927	1225365927	1	1	UMA M R MOTAPOTHULA	3/3/2021	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
109210	Fee-for-Service	1245221050	1245221050	1	5	UNIVERSAL HEALTH SERVICES OF	11/7/2020	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	RANCHO SPRINGS INC	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
109259	Fee-for-Service	1194315531	1194315531	1	1	UPTON, DIANE K CNM	6/14/2021	176B00000X	NA	Licensed Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	101 LAGUNA RD	STE 100	FULLERTON	CA	92835	3634	30	06059	33.89326085	-117.9300987	Orange County
109471	Fee-for-Service	1427068345	1427068345	1	1	UNIVERSITY COMMUNITY	6/19/2012	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL INC	7171 N DALE MABRY HWY	None	TAMPA	FL	33613	2665	00	None	28.01365341	-82.50497461	Hillsborough County
109500	Fee-for-Service	1245221050	1245221050	1	5	UNIVERSAL HEALTH SERVICES OF	11/7/2020	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	RANCHO SPRINGS INC	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
109686	Fee-for-Service	1659746543	1659746543	1	1	URIBE, ERIKA V F MD	5/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	138970	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1500 SAN PABLO STREET	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
109762	Fee-for-Service	1427068345	1427068345	1	1	UNIVERSITY COMMUNITY	6/19/2012	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL INC	7171 N DALE MABRY HWY	None	TAMPA	FL	33613	2665	00	None	28.01365341	-82.50497461	Hillsborough County
109993	Fee-for-Service	1689835563	1689835563	2	3	URGENTPOINT MEDICAL GROUP PC	3/20/2023	174400000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	38920 TRADE CENTER DR.	None	PALMDALE	CA	93551	3715	19	06037	34.58884303	-118.1430688	Los Angeles County
110281	Fee-for-Service	1689835563	1689835563	2	3	URGENTPOINT MEDICAL GROUP PC	6/30/2020	174400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	38920 TRADE CENTER DR.	None	PALMDALE	CA	93551	3715	19	06037	34.58884303	-118.1430688	Los Angeles County
110484	Fee-for-Service	1548393127	1548393127	1	1	UNIVERSITY MED CTR OF	7/1/1984	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	SO NEVADA, PATIENT ACCTS	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
110571	Fee-for-Service	1689835563	1689835563	2	3	URGENTPOINT MEDICAL GROUP PC	9/3/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	38920 TRADE CENTER DR.	None	PALMDALE	CA	93551	3715	19	06037	34.58884303	-118.1430688	Los Angeles County
110621	Fee-for-Service	1760040059	1760040059	1	1	UMHOEFER, KATHERINE D MD	8/15/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	181002	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
110645	Fee-for-Service	1346631397	1346631397	1	3	UNITED CARE FACILITIES LLC	11/13/2019	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	4701 BASQUE STREET	None	BAKERSFIELD	CA	93313	2176	15	06029	35.28375148	-119.054853	Kern County
110724	Fee-for-Service	1376569657	1376569657	1	1	UPLAND SURGICAL ASSOCIATES	10/28/1993	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	510 N 13TH AVE	SUITE 204	UPLAND	CA	91786	4965	36	06071	34.10012785	-117.6334399	San Bernardino County
110768	Fee-for-Service	1548393127	1548393127	1	1	UNIVERSITY MED CTR OF	12/1/1977	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	SO NEVADA, PATIENT ACCTS	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
110793	Fee-for-Service	1992871180	1992871180	1	1	UWAEZUOKE, JUDE I	4/3/2003	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SPEEDY-CARE MEDICAL DIST	8955 S WESTERN AVE	None	LOS ANGELES	CA	90047	3549	19	06037	33.954705	-118.3090475	Los Angeles County
110863	Fee-for-Service	1689835563	1689835563	2	3	URGENTPOINT MEDICAL GROUP PC	9/3/2019	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	38920 TRADE CENTER DR.	None	PALMDALE	CA	93551	3715	19	06037	34.58884303	-118.1430688	Los Angeles County
110934	Fee-for-Service	1558796854	1558796854	1	1	UPPENDAHL, COURTNEY J LMFT	1/16/2024	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
111192	Fee-for-Service	1871523548	1871523548	1	1	UPSHAW, MORSE K DPM	7/31/1978	213ES0131X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	2142 S FREMONT AVE	None	ALHAMBRA	CA	91803	4315	19	06037	34.06789606	-118.1494419	Los Angeles County
111541	Fee-for-Service	1023103967	1023103967	1	1	UWEDJOJEVWE, LETICIA MD	2/3/2017	193400000X	NA	Other	026	PHYSICIANS	80329	41	Internal Medicine	0	In state provider	MEDICAL CORPORATION	340 4TH AVE	STE 8A	CHULA VISTA	CA	91910	3813	37	06073	32.63831293	-117.0833536	San Diego County
112001	Fee-for-Service	1053928291	1053928291	1	1	UDO, PATRICE A OT	4/9/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1902 ROYALTY DRIVE	SUITE 220	POMONA	CA	91767	3056	19	06037	34.07791925	-117.746146	Los Angeles County
112515	Fee-for-Service	1760523021	1760523021	2	1	UCSF MEDICAL GROUP BUSINESS	10/28/2015	332B00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	SERVICES	400 PARNASSUS AVE	LEVEL B1, RM A096	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
112546	Fee-for-Service	1114945169	1114945169	1	1	UNILAB COPORATION	5/31/2006	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	7000 BOULDER AVE	None	HIGHLAND	CA	92346	3348	36	06071	34.12632952	-117.1956652	San Bernardino County
112648	Fee-for-Service	1568702249	1568702249	1	1	URBAN, SHANA E	8/4/2014	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
112680	Fee-for-Service	1750556346	1750556346	1	1	UNGER, JEFFREY R MD INC	3/9/2012	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	45569	08	Family Practice	0	In state provider	None	9220 HAVEN AVE	None	RANCHO CUCAMONGA	CA	91730	8551	36	06071	34.08525	-117.5758875	San Bernardino County
113011	Fee-for-Service	1427148790	1427148790	1	1	UNITED MEDICAL IMAGING HEALT	2/26/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RRANCE	3640 LOMITA BLVD	SUITE 105	TORRANCE	CA	90505	3927	19	06037	33.81475516	-118.3486533	Los Angeles County
113053	Fee-for-Service	1265798383	1265798383	1	1	UMETSU, SARAH E MD	6/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129209	22	Pathology (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
113169	Fee-for-Service	1780655720	1780655720	1	1	UNITED CARE PROVIDER	8/5/1992	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	ST FRANCIS HOME	12842 GLENMERE DR	None	MORENO VALLEY	CA	92553	5985	33	06065	33.93377891	-117.2542223	Riverside County
113256	Fee-for-Service	1528466331	1528466331	1	1	USRC TORRANCE HOME PROGRAM	4/1/2016	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	23441 MADISON ST	STE 320	TORRANCE	CA	90505	4735	19	06037	33.81240248	-118.3477463	Los Angeles County
113276	Fee-for-Service	1588197396	1588197396	1	1	URENO GARCIA, EDGAR MD	8/10/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	161676	08	Family Practice	0	In state provider	None	722 BAKER ST	None	COSTA MESA	CA	92626	4385	30	06059	33.68016047	-117.886563	Orange County
113400	Fee-for-Service	1710336045	1710336045	1	1	UNICORN HOME HEALTH INC	3/18/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	400 S GLENDALE AVENUE	SUITE J	GLENDALE	CA	91205	2285	19	06037	34.14160575	-118.2497584	Los Angeles County
113429	Fee-for-Service	1043623861	1043623861	1	1	UMAPATHY, KRISHNAMURTHY MD	10/14/2014	207RC0200X	NA	Other	026	PHYSICIANS	113119	66	Emergency Medicine (Urgent Care)	0	In state provider	A MEDICAL CORPORATION	6001 NORRIS CANYON RD	None	SAN RAMON	CA	94583	5400	07	06013	37.7755858	-121.958923	Contra Costa County
113447	Fee-for-Service	1225612864	1225612864	1	1	UNITED MEDICAL IMAGING HEALT	12/20/2021	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	OF LOS ANGELES	1127 WILSHIRE BLVD.	SUITE 202	LOS ANGELES	CA	90017	3903	19	06037	34.05270508	-118.2641005	Los Angeles County
113637	Fee-for-Service	1528176641	1528176641	1	1	UNGAB, GILANTHONY D MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	65734	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
113709	Fee-for-Service	1851702088	1851702088	1	1	UNGAR, LEO DANIEL JOSEPH MD	8/28/2023	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	139457	None	None	0	In state provider	None	625 S FAIR OAKS AVE	STE 215	PASADENA	CA	91105	2613	19	06037	34.134894	-118.1504155	Los Angeles County
113921	Fee-for-Service	1528176641	1528176641	1	1	UNGAB, GILANTHONY D MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	65734	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
113953	Fee-for-Service	1982631412	1982631412	1	3	UROLOGY CENTER OF SOUTHERN C	8/2/2023	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	RN CALIFORNIA	28078 BAXTER RD	450	MURRIETA	CA	92563	1402	33	06065	33.615	-117.1670265	Riverside County
114140	Fee-for-Service	1821002007	1821002007	2	2	UNIVERSITY OF CALIFORNIA	3/27/2024	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	11250 WARNER AVE	None	FOUNTAIN VALLEY	CA	92708	4116	30	06059	33.713253	-117.932346	Orange County
114164	Fee-for-Service	1053331660	1053331660	1	1	UMEH, OBIAMIWE MD	11/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79717	41	Internal Medicine	0	In state provider	None	1399 ROXBURY DR	STE 100	LOS ANGELES	CA	90035	4709	19	06037	34.05424495	-118.4023816	Los Angeles County
114191	Fee-for-Service	1922049279	1922049279	1	2	URIBE, DANIEL MD	6/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	42095	08	Family Practice	0	In state provider	None	13307 SAN ANTONIO DR	None	NORWALK	CA	90650	2970	19	06037	33.91001328	-118.0753281	Los Angeles County
114212	Fee-for-Service	1669691051	1669691051	1	1	UNITED THERAPY NETWORK INC	9/14/2016	225X00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	802 MAGNOLIA AVENUE	SUITE 107	CORONA	CA	92879	3125	33	06065	33.8596449	-117.5529774	Riverside County
114335	Fee-for-Service	1508080748	1508080748	1	1	UCSF	6/1/1999	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	UCSF PROCTOR FOUNDATION	95 KIRKHAM ST	None	SAN FRANCISCO	CA	94122	3814	38	06075	37.76047529	-122.4616058	San Francisco County
114425	Fee-for-Service	1821002007	1821002007	2	2	UNIVERSITY OF CALIFORNIA	3/27/2024	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	11250 WARNER AVE	None	FOUNTAIN VALLEY	CA	92708	4116	30	06059	33.713253	-117.932346	Orange County
114449	Fee-for-Service	1053331660	1053331660	1	1	UMEH, OBIAMIWE MD	11/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79717	77	Infectious Disease	0	In state provider	None	1399 ROXBURY DR	STE 100	LOS ANGELES	CA	90035	4709	19	06037	34.05424495	-118.4023816	Los Angeles County
114502	Fee-for-Service	1669691051	1669691051	1	1	UNITED THERAPY NETWORK INC	9/14/2016	225X00000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	802 MAGNOLIA AVENUE	SUITE 107	CORONA	CA	92879	3125	33	06065	33.8596449	-117.5529774	Riverside County
114662	Fee-for-Service	1568433696	1568433696	1	1	UDALL, DON N MD	11/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	96787	30	Radiology	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
114669	Fee-for-Service	1467205211	1467205211	1	1	UNITED MEDICAL IMAGING HEALT	7/11/2024	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	OF MISSION VIEJO	26522 LA ALAMEDA	STE 280	MISSION VIEJO	CA	92691	8574	30	06059	33.56418834	-117.6673172	Orange County
114787	Fee-for-Service	1669691051	1669691051	1	1	UNITED THERAPY NETWORK INC	9/14/2016	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	802 MAGNOLIA AVENUE	SUITE 107	CORONA	CA	92879	3125	33	06065	33.8596449	-117.5529774	Riverside County
115107	Fee-for-Service	1386110484	1386110484	1	1	UNISON WELLNESS INC	10/9/2020	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	440 W ANAHEIM STREET	None	LONG BEACH	CA	90813	0000	19	06037	33.78257351	-118.1968605	Los Angeles County
115248	Fee-for-Service	1437367422	1437367422	1	1	UNITED HLTH CTRS-KERMAN	3/1/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	275 S MADERA AVE	None	KERMAN	CA	93630	1403	10	06019	36.73165922	-120.0602617	Fresno County
115506	Fee-for-Service	1013383504	1013383504	1	1	URIARTE, MICHAEL R PT	1/8/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	11930 HERITAGE OAK PL	STE 8 & 9	AUBURN	CA	95603	2458	31	06061	38.94059662	-121.0995593	Placer County
115580	Fee-for-Service	1609331834	1609331834	1	1	UKPE, NSISONG A NP	5/10/2021	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
116019	Fee-for-Service	1336101583	1336101583	1	1	UCSF ORAL PATHOLOGY LAB	3/1/2004	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	513 PARNASSUS AVE	# S512	SAN FRANCISCO	CA	94143	2205	38	06075	37.76344756	-122.4581992	San Francisco County
116191	Fee-for-Service	1386695625	1386695625	1	1	UCHIYAMA, CHRISTOPHER M	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	84830	14	Neurological Surgery	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
116686	Fee-for-Service	1245221050	1245221050	1	1	UNIVERSAL HEALTH SERVICES OF	1/12/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	RANCHO SPRINGS INC	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
116747	Fee-for-Service	1881059020	1881059020	1	1	UNITED RIDE MEDICAL TRANSPOR	11/16/2018	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	TATION INC.	1337 EAST COLORADO ST	B	GLENDALE	CA	91205	1462	19	06037	34.14274439	-118.2359635	Los Angeles County
116905	Fee-for-Service	1790389211	1790389211	1	1	UNICAL HOME HEALTHCARE INC	2/22/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1329 N HOLLYWOOD WAY	UNIT #200	BURBANK	CA	91505	2228	19	06037	34.1740802	-118.3493943	Los Angeles County
116971	Fee-for-Service	1245221050	1245221050	1	1	UNIVERSAL HEALTH SERVICES OF	1/12/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	RANCHO SPRINGS INC	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
117171	Fee-for-Service	1265553465	1265553465	1	1	UJIMA FAMILY RECOVERY SERVIC	1/31/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	M	535 MARINA BLVD	None	PITTSBURG	CA	94565	2102	07	06013	38.03244075	-121.8853758	Contra Costa County
117200	Fee-for-Service	1740881457	1740881457	1	1	URGENT CARE NOW INC, A CALIF	1/13/2022	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4345 ARDEN WAY	None	SACRAMENTO	CA	95864	3102	34	06067	38.596149	-121.3627365	Sacramento County
117290	Fee-for-Service	1740881457	1740881457	1	2	URGENT CARE NOW INC, A CALIF	9/7/2022	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6651 MADISON AVE	None	CARMICHAEL	CA	95608	0602	34	06067	38.6636883	-121.308982	Sacramento County
117296	Fee-for-Service	1760790398	1760790398	2	1	UNIVERSITY OF CALIFORNIA	3/25/2024	204E00000X	NA	Dental Provider	022	PHYSICIANS GROUP	-	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
117539	Fee-for-Service	1295210029	1295210029	1	3	UNITED UROLOGY CONSULTANTS	10/11/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PC	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
117596	Fee-for-Service	1568082774	1568082774	1	2	URGENT CARE PLUS TELEHEALTH	1/18/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC.	446 NAPA ST	None	SONOMA	CA	95476	6519	49	06097	38.29281829	-122.4667845	Sonoma County
117668	Fee-for-Service	1215992672	1215992672	1	1	UNER, ATILLA B MD	8/1/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	54257	66	Emergency Medicine (Urgent Care)	0	In state provider	None	215 N CRESPI AVE	None	EXETER	CA	93221	1303	54	06107	36.29970497	-119.1324734	Tulare County
118175	Fee-for-Service	1093905333	1093905333	1	1	UNIVERSITY OF CALIFORNIA SAN	1/13/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	FRANCISCO	1930 MARKET STREET	None	SAN FRANCISCO	CA	94102	6228	38	06075	37.77037155	-122.4255051	San Francisco County
118214	Fee-for-Service	1811035595	1811035595	1	1	UNGER,EVAN 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	1501 N CAMPBELL	None	TUCSON	AZ	85724	0002	00	None	32.240493	-110.9460825	Pima County
118321	Fee-for-Service	1699224808	1699224808	1	1	UC REGENTS	1/19/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
118595	Fee-for-Service	1619438363	1619438363	1	1	UNG, HOAMENG W	6/25/2024	2084N0400X	NA	Neurology	026	PHYSICIANS	180271	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
118609	Fee-for-Service	1699224808	1699224808	1	1	UC REGENTS	10/12/2017	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
118661	Fee-for-Service	1154078756	1154078756	1	1	USRC COMPTON LLC	2/8/2023	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	2600 N WILMINGTON AVE	None	COMPTON	CA	90222	2005	19	06037	33.915429	-118.2390005	Los Angeles County
118729	Fee-for-Service	1861989766	1861989766	1	1	UNG, NOLAN R MD	5/9/2024	2084P0804X	NA	Psychiatry	026	PHYSICIANS	163403	36	Psychiatry	0	In state provider	None	727 WEST RD	None	LA HABRA HEIGHTS	CA	90631	8055	30	06059	33.95549742	-117.9707168	Los Angeles County
118750	Fee-for-Service	1609966977	1609966977	1	1	UNITED MEDICAL IMAGING	4/28/2016	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTHCARE INC	4316 E SLAUSON AVE	None	MAYWOOD	CA	90270	2838	19	06037	33.98746055	-118.1892788	Los Angeles County
118805	Fee-for-Service	1235537283	1235537283	1	1	UNIVERSITY FACULTY	5/21/2015	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	ASSOCIATES INC	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
118947	Fee-for-Service	1396408985	1396408985	1	1	UNITED MEDICAL IMAGING HEALT	5/11/2022	261QR0206X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	5427 WHITTIER BLVD	STE# RADIOLOGY	LOS ANGELES	CA	90022	4101	19	06037	34.01966132	-118.1536008	Los Angeles County
118963	Fee-for-Service	1215374210	1215374210	1	1	UNTERBERG, STEPHEN H MD	3/25/2021	208800000X	NA	Other	026	PHYSICIANS	133758	None	None	0	In state provider	None	4060 FOURTH AVE	SUITE 310	SAN DIEGO	CA	92103	2120	37	06073	32.75053673	-117.1616539	San Diego County
118971	Fee-for-Service	1386603504	1386603504	1	2	USA HOME HEALTH, INC.	5/24/2022	251E00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	1415 E. COLORADO STREET	STE 206	GLENDALE	CA	91205	1533	19	06037	34.14279663	-118.2333245	Los Angeles County
119272	Fee-for-Service	1114094034	1114094034	1	1	UDOKWU, ADAOBI N	4/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	80544	38	Geriatrics	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
119520	Fee-for-Service	1013359462	1013359462	1	1	UCSD MEDICAL CENTER	10/24/2013	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	N HOSPITAL	9300 CAMPUS POINT DR	ROOM LL-463	LA JOLLA	CA	92037	1300	37	06073	32.877999	-117.225891	San Diego County
119561	Fee-for-Service	1114094034	1114094034	1	1	UDOKWU, ADAOBI N	4/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	80544	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
119796	Fee-for-Service	1881838605	1881838605	1	1	UBHAYAKAR, KIRAN M MD	2/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	146047	41	Internal Medicine	0	In state provider	None	2299 BACON ST	STE 2	CONCORD	CA	94520	2045	07	06013	37.98199042	-122.0349518	Contra Costa County
119823	Fee-for-Service	1306333166	1306333166	1	1	UNITED MEDICAL IMAGING HEALT	10/8/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	19066 MAGNOLIA ST.	None	HUNTINGTON BEACH	CA	92646	2232	30	06059	33.68568661	-117.9714001	Orange County
119877	Fee-for-Service	1447758537	1447758537	1	1	UNZUETA, ARTHUR PHD	12/2/2019	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	19330 JESSE LN	STE 280	RIVERSIDE	CA	92508	5091	33	06065	33.90484164	-117.3254297	Riverside County
120084	Fee-for-Service	1881838605	1881838605	1	1	UBHAYAKAR, KIRAN M MD	2/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	146047	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2299 BACON ST	STE 2	CONCORD	CA	94520	2045	07	06013	37.98199042	-122.0349518	Contra Costa County
120130	Fee-for-Service	1679581565	1679581565	1	1	URUSOVA, IRINA A MD	9/1/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	67479	67	Endocrinology	0	In state provider	None	5901 W OLYMPIC BLVD	STE 207	LOS ANGELES	CA	90036	4659	19	06037	34.05764121	-118.3603115	Los Angeles County
120419	Fee-for-Service	1245347350	1245347350	1	1	USAINSKY, JULIA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	945 N 12TH ST	STE 3506	MILWAUKEE	WI	53233	1305	00	None	43.042428	-87.92718546	Milwaukee County
120658	Fee-for-Service	1457641615	1457641615	1	1	UYENISHI, JILL J MD	12/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	138768	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3555 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
120780	Fee-for-Service	1518255454	1518255454	1	1	UCHIYAMA, MERRY E MD	9/28/2018	208G00000X	NA	General Surgery	026	PHYSICIANS	137205	70	Clinic (mixed specialty)	0	In state provider	None	1320 EL CAPITAN DR	120	DANVILLE	CA	94526	6260	07	06013	37.78476866	-121.9658691	Contra Costa County
121000	Fee-for-Service	1528221660	1528221660	1	1	UM, SCOTT S MD	5/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115560	02	General Surgery	0	In state provider	None	200 MEDICAL PLAZA	#214	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
121289	Fee-for-Service	1306292321	1306292321	1	1	UNION OF PAN ASIAN COMMUNITI	5/20/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	DRUG TREATMENT PROGRAM	4474 EL CAJON BLVD	None	SAN DIEGO	CA	92115	4312	37	06073	32.755287	-117.0978858	San Diego County
121377	Fee-for-Service	1689203531	1689203531	1	1	UCAR, ARI MD	6/28/2023	193400000X	NA	Other	026	PHYSICIANS	185901	None	None	0	In state provider	None	1420 S. CENTRAL AVENUE	None	GLENDALE	CA	91204	2508	19	06037	34.12811155	-118.2577764	Los Angeles County
121492	Fee-for-Service	1922483668	1922483668	1	1	UTLEY, CHAITI D CNP	12/11/2018	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
121533	Fee-for-Service	1457687295	1457687295	1	1	UTERINE TRANSPLANT INC	1/13/2010	284300000X	NA	Hospitals	026	PHYSICIANS	101638	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1700 N ROSE AVE	SUITE 360	OXNARD	CA	93030	7659	56	06111	34.21746	-119.155545	Ventura County
121666	Fee-for-Service	1497751572	1497751572	1	2	UNITED INDIAN HEALTH SERVICE	9/1/2002	261QC1500X	NA	Other	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2505 LUCAS ST	A	EUREKA	CA	95501	3340	12	06023	40.79130448	-124.139304	Humboldt County
121788	Fee-for-Service	1851325906	1851325906	1	1	UNIVERSITY OF CA IRVINE	7/1/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	UCI FAMILY HEALTH CTR	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
121812	Fee-for-Service	1003234592	1003234592	1	1	UDDIN, AHMED M MD	12/1/2021	207L00000X	NA	Other	026	PHYSICIANS	170763	None	None	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
121955	Fee-for-Service	1497751572	1497751572	1	2	UNITED INDIAN HEALTH SERVICE	9/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2505 LUCAS ST	A	EUREKA	CA	95501	3340	12	06023	40.79130448	-124.139304	Humboldt County
122074	Fee-for-Service	1851325906	1851325906	1	1	UNIVERSITY OF CA IRVINE	7/1/1993	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	UCI FAMILY HEALTH CTR	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
122365	Fee-for-Service	1851325906	1851325906	1	1	UNIVERSITY OF CA IRVINE	7/1/1994	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	UCI FAMILY HEALTH CTR	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
122433	Fee-for-Service	1326138686	1326138686	1	1	UNITED MEDICAL IMAGING HEALT	5/24/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	EA	380 W CENTRAL AVE	SUITE 210	BREA	CA	92821	3066	30	06059	33.93197087	-117.901779	Orange County
122506	Fee-for-Service	1235273749	1235273749	1	1	USMAN, DAVE NP	7/26/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2700 W 120TH ST	None	HAWTHORNE	CA	90250	3388	19	06037	33.921918	-118.32138	Los Angeles County
122652	Fee-for-Service	1851325906	1851325906	1	1	UNIVERSITY OF CA IRVINE	7/1/1993	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	UCI FAMILY HEALTH CTR	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
123035	Fee-for-Service	1619925153	1619925153	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ENDOCRINOLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
123358	Fee-for-Service	1194803882	1194803882	1	1	UNGER, RUSSELL W MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	48530	08	Family Practice	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
123574	Fee-for-Service	1972273936	1972273936	1	1	UNDERWOOD, LAUREN M PT	11/4/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8805 HAVEN AVE	SUITE 110	RANCHO CUCAMONGA	CA	91730	5149	36	06071	34.09424614	-117.5756838	San Bernardino County
123712	Fee-for-Service	1902846306	1902846306	1	40	USC CARE MEDICAL GROUP, INC	10/4/2022	208800000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	415 E ROLLING OAKS DR	STE 260	THOUSAND OAKS	CA	91361	1033	56	06111	34.17439717	-118.8691161	Ventura County
123929	Fee-for-Service	1467541615	1467541615	1	2	UNIVERSAL CARE MED GRP	9/30/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1001 W CARSON ST	STE E	TORRANCE	CA	90502	2051	19	06037	33.83160647	-118.2928635	Los Angeles County
124000	Fee-for-Service	1336437557	1336437557	1	1	UNION ANESTHESIA SERVICES	9/2/2015	193400000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	PC	726 4TH ST	None	MARYSVILLE	CA	95901	5656	58	06115	39.13872267	-121.5944372	Yuba County
124020	Fee-for-Service	1326426016	1326426016	1	1	ULOKO, MARIA I MD	8/17/2021	208800000X	NA	Other	026	PHYSICIANS	166093	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
124385	Fee-for-Service	1417670688	1417670688	1	1	UCSD MEDICAL CENTER	11/4/2022	3336S0011X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9610 RIDGEHAVEN COURT	SUITE C	SAN DIEGO	CA	92123	5603	37	06073	32.82091938	-117.1223465	San Diego County
124418	Fee-for-Service	1679582225	1679582225	1	1	UNG, SUSAN K OD	7/10/2003	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2438 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	3041	19	06037	34.01444327	-118.1285335	Los Angeles County
124839	Fee-for-Service	1730898255	1730898255	1	1	UNION OF PAN ASIAN COMMUNITI	3/21/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3539 COLLEGE AVE	100,110,115,120,125,130,	SAN DIEGO	CA	92115	7032	37	06073	32.745315	-117.0565311	San Diego County
124938	Fee-for-Service	1154435824	1154435824	1	1	UNIVERSITY OF ALABAMA	5/1/1999	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	AT BIRMINGHAM	619 19TH ST S	None	BIRMINGHAM	AL	35249	1900	00	None	33.50616912	-86.80184271	Jefferson County
125227	Fee-for-Service	1154435824	1154435824	1	1	UNIVERSITY OF ALABAMA	12/29/2003	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	AT BIRMINGHAM	619 19TH ST S	None	BIRMINGHAM	AL	35249	1900	00	None	33.50616912	-86.80184271	Jefferson County
125355	Fee-for-Service	1710912175	1710912175	1	1	UCAR, KALUST MD	1/31/1993	207RX0202X	NA	Oncology	026	PHYSICIANS	49259	68	Hematology	0	In state provider	None	200 MED PLAZA	STE 365	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
125439	Fee-for-Service	1598152183	1598152183	1	1	ULRICH, MICHAEL T MD	7/10/2018	207R00000X	NA	Other	026	PHYSICIANS	144168	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
125632	Fee-for-Service	1710912175	1710912175	1	1	UCAR, KALUST MD	1/31/1993	207RX0202X	NA	Oncology	026	PHYSICIANS	49259	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 MED PLAZA	STE 365	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
125779	Fee-for-Service	1316968399	1316968399	1	1	UCSD MEDICAL CENTER	1/30/2002	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4168 FRONT ST	None	SAN DIEGO	CA	92103	2030	37	06073	32.75323849	-117.1650141	San Diego County
125897	Fee-for-Service	1124176029	1124176029	1	1	UEHARA, PAULINE OD	2/3/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6 WILLARD	None	IRVINE	CA	92604	4694	30	06059	33.67534801	-117.7900415	Orange County
125994	Fee-for-Service	1417034406	1417034406	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	UCSF ANATOMIC PATHOLOGY	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
126014	Fee-for-Service	1568753606	1568753606	1	1	UDIT AGARWAL	9/12/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	300 N 7TH ST	None	BISMARCK	ND	58501	4439	00	None	46.808109	-100.782261	Burleigh County
126282	Fee-for-Service	1417034406	1417034406	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	90	Pathology-Forensic	0	In state provider	UCSF ANATOMIC PATHOLOGY	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
126289	Fee-for-Service	1902846306	1902846306	1	44	USC CARE MEDICAL GROUP, INC	8/6/2020	207R00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	520 SUPERIOR AVE	SUITE 300	NEWPORT BEACH	CA	92663	3668	30	06059	33.628914	-117.9276525	Orange County
126291	Fee-for-Service	1902846306	1902846306	1	58	USC CARE MEDICAL GROUP, INC	8/6/2020	207X00000X	NA	Orthopedic Surgery	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1033 GAYLEY AVE	SUITE 104	LOS ANGELES	CA	90024	3417	19	06037	34.06135763	-118.447479	Los Angeles County
126307	Fee-for-Service	1003233933	1003233933	1	1	ULLAL, AJAYRAM V MD	8/28/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	148330	41	Internal Medicine	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
126583	Fee-for-Service	1902846306	1902846306	1	58	USC CARE MEDICAL GROUP, INC	11/10/2015	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1033 GAYLEY AVE	SUITE 104	LOS ANGELES	CA	90024	3417	19	06037	34.06135763	-118.447479	Los Angeles County
126608	Fee-for-Service	1710232319	1710232319	1	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	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
126666	Fee-for-Service	1619048261	1619048261	1	1	UMANSKY, WILLIAM S MD	2/8/2015	208200000X	NA	General Surgery	026	PHYSICIANS	67858	24	Plastic Surgery	0	In state provider	None	4150 REGENTS PARK ROW	STE 260	LA JOLLA	CA	92037	1417	37	06073	32.87272099	-117.2175656	San Diego County
126882	Fee-for-Service	1598790529	1598790529	1	3	UNIVERSITY OF CA IRVINE	8/31/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2441 W LA PALMA AVE	None	ANAHEIM	CA	92801	2658	30	06059	33.84691193	-117.9697045	Orange County
127158	Fee-for-Service	1982014981	1982014981	1	1	UCHE, AN MD	7/31/2020	390200000X	NA	Other	026	PHYSICIANS	141841	68	Hematology	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
127169	Fee-for-Service	1598790529	1598790529	1	3	UNIVERSITY OF CA IRVINE	5/17/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2441 W LA PALMA AVE	None	ANAHEIM	CA	92801	2658	30	06059	33.84691193	-117.9697045	Orange County
127194	Fee-for-Service	1679553291	1679553291	1	1	UKOHA, IGWE MD	9/30/1996	207RN0300X	NA	Nephrology	026	PHYSICIANS	51780	41	Internal Medicine	0	In state provider	None	9400 BRIGHTON WAY	STE 301	BEVERLY HILLS	CA	90210	4710	19	06037	34.07043476	-118.4011952	Los Angeles County
127445	Fee-for-Service	1982014981	1982014981	1	1	UCHE, AN MD	7/31/2020	390200000X	NA	Other	026	PHYSICIANS	141841	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
127456	Fee-for-Service	1598790529	1598790529	1	3	UNIVERSITY OF CA IRVINE	9/3/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2441 W LA PALMA AVE	None	ANAHEIM	CA	92801	2658	30	06059	33.84691193	-117.9697045	Orange County
127482	Fee-for-Service	1679553291	1679553291	1	1	UKOHA, IGWE MD	9/30/1996	207RN0300X	NA	Nephrology	026	PHYSICIANS	51780	45	Nephrology (Renal-Kidney)	0	In state provider	None	9400 BRIGHTON WAY	STE 301	BEVERLY HILLS	CA	90210	4710	19	06037	34.07043476	-118.4011952	Los Angeles County
127488	Fee-for-Service	1760911978	1760911978	1	1	UNAL, BERKAY MD PC	3/23/2018	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	125394	20	Orthopedic Surgery	0	In state provider	None	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
127573	Fee-for-Service	1467789446	1467789446	1	1	UY-SMITH, ELIZABETH L MD	8/15/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113785	08	Family Practice	0	In state provider	None	1001 POTRERO AVE	RM 4F	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
127601	Fee-for-Service	1295210029	1295210029	1	2	UNITED UROLOGY CONSULTANTS	10/11/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PC	8851 CENTER DR	STE 600	LA MESA	CA	91942	3061	37	06073	32.78189749	-117.0075062	San Diego County
127622	Fee-for-Service	1154415982	1154415982	1	1	UNIVERSITY DIALYSIS CENTER	5/1/2006	261QE0700X	NA	Other	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	333 UNIVERSITY AVE	SUITE 100	SACRAMENTO	CA	95825	6533	34	06067	38.570976	-121.416651	Sacramento County
127743	Fee-for-Service	1598790529	1598790529	1	3	UNIVERSITY OF CA IRVINE	8/31/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2441 W LA PALMA AVE	None	ANAHEIM	CA	92801	2658	30	06059	33.84691193	-117.9697045	Orange County
127795	Fee-for-Service	1265664809	1265664809	1	2	UNITED NURSING SOLUTIONS	2/8/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	12241 INDUSTRIAL BLVD	STE 204	VICTORVILLE	CA	92395	7794	36	06071	34.473357	-117.282883	San Bernardino County
128037	Fee-for-Service	1902846306	1902846306	1	66	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1450 SAN PABLO ST	STE 2500	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
128164	Fee-for-Service	1851357941	1851357941	1	1	UCLA PEDIATRIC SURGERY	7/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	85	Surgery-Pediatric	0	In state provider	ASSOCIATES	200 MEDICAL PLAZA	SUITE 526	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
128324	Fee-for-Service	1902846306	1902846306	1	66	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO ST	STE 2500	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
128399	Fee-for-Service	1093060691	1093060691	1	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	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
128693	Fee-for-Service	1194720722	1194720722	1	1	UROLOGY ASSOCIATES OF	12/1/1997	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CENTRAL CALIF MED GROUP	7014 N WHITNEY AVE	None	FRESNO	CA	93720	0155	10	06019	36.83834474	-119.7423213	Fresno County
128941	Fee-for-Service	1205957057	1205957057	1	2	UJIMA FAMILY RECOVERY	9/1/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	904 MELLUS STREET	None	MARTINEZ	CA	94553	1745	07	06013	38.01587627	-122.1328824	Contra Costa County
129126	Fee-for-Service	1780758573	1780758573	1	1	UHRICH, KRISTY K PT	2/8/2020	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
129207	Fee-for-Service	1073757290	1073757290	1	1	UNLIMITED HOME HELATH CENTER	4/6/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	1050 SPIRE	SUITE F	PRESCOTT	AZ	86305	6748	00	None	34.606476	-112.457439	Yavapai County
129282	Fee-for-Service	1730177866	1730177866	1	1	UGBANA, OBIAGHANWA S MD	8/3/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	180433	None	None	0	In state provider	None	2975 NORTH SYCAMORE DR	None	SIMI VALLEY	CA	93065	1201	56	06111	34.28924598	-118.7439214	Ventura County
129607	Fee-for-Service	1982631412	1982631412	1	1	UROLOGY CENTER OF SOUTHERN C	8/1/2001	208800000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MED GRP, INC	36243 INLAND VALLEY DR	#250	WILDOMAR	CA	92595	9598	33	06065	33.591528	-117.2393325	Riverside County
130055	Fee-for-Service	1902846306	1902846306	1	4	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1300 N VERMONT AVE	STE 301	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
130332	Fee-for-Service	1023040714	1023040714	1	1	UNZUETA, MIGUEL A MD	9/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	87565	18	Ophthalmology	0	In state provider	None	23600 TELO AVE	STE 210	TORRANCE	CA	90505	4039	19	06037	33.81215054	-118.3384029	Los Angeles County
130902	Fee-for-Service	1902846306	1902846306	1	23	USC CARE MEDICAL GROUP, INC	4/20/2010	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	637 LUCAS AVE	None	LOS ANGELES	CA	90017	1912	19	06037	34.05351827	-118.2646017	Los Angeles County
130972	Fee-for-Service	1902846306	1902846306	1	49	USC CARE MEDICAL GROUP, INC	1/22/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1809 VERDUGO BLVD	SUITE 350	GLENDALE	CA	91208	1476	19	06037	34.20568088	-118.2154356	Los Angeles County
131187	Fee-for-Service	1477589406	1477589406	1	1	UEDA, ROBERT K MD	11/28/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	94410	30	Radiology	0	In state provider	None	1509 WILSON TERRACE	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
131193	Fee-for-Service	1902846306	1902846306	1	23	USC CARE MEDICAL GROUP, INC	10/4/2022	2084N0400X	NA	Neurology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	637 LUCAS AVE	None	LOS ANGELES	CA	90017	1912	19	06037	34.05351827	-118.2646017	Los Angeles County
131272	Fee-for-Service	1972199693	1972199693	1	1	UNITED MEDICAL IMAGING HEALT	5/5/2021	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	LLFLOWER	10230 ARTESIA BLVD	STE. 100	BELLFLOWER	CA	90706	6763	19	06037	33.8728276	-118.1160403	Los Angeles County
131305	Fee-for-Service	1184601239	1184601239	1	1	UNIVERSITY OF NEVADA	4/24/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	77	Infectious Disease	1	Border provider	SCHOOL OF MEDICINE	3006 S MARYLAND-PKWY	STE 315	LAS VEGAS	NV	89109	6205	00	None	36.135288	-115.1368705	Clark County
131359	Fee-for-Service	1184638942	1184638942	1	1	UPPER VALLEY MED CTR HOS	8/28/2001	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3130 N. COUNTY ROAD	STE 25A	TROY	OH	45373	0000	00	None	0	0	None
131596	Fee-for-Service	1184601239	1184601239	1	1	UNIVERSITY OF NEVADA	4/24/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	67	Endocrinology	1	Border provider	SCHOOL OF MEDICINE	3006 S MARYLAND-PKWY	STE 315	LAS VEGAS	NV	89109	6205	00	None	36.135288	-115.1368705	Clark County
131729	Fee-for-Service	1245396605	1245396605	1	1	UNILAB CORPORATION	4/16/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	670 RIO LINDA AVE	STE 500	CHICO	CA	95926	1830	04	06007	39.75339021	-121.847691	Butte County
131827	Fee-for-Service	1770042079	1770042079	1	1	UNDERWOOD BROWN, MAHDIKA K D	1/15/2025	2080P0204X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	O	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
131881	Fee-for-Service	1184601239	1184601239	1	1	UNIVERSITY OF NEVADA	4/24/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	1	Border provider	SCHOOL OF MEDICINE	3006 S MARYLAND-PKWY	STE 315	LAS VEGAS	NV	89109	6205	00	None	36.135288	-115.1368705	Clark County
132050	Fee-for-Service	1265577761	1265577761	1	1	UYEMURA, ALAN OD	2/21/1983	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3855 N WEST AVE	STE 103	FRESNO	CA	93705	2759	10	06019	36.78782638	-119.8265069	Fresno County
132403	Fee-for-Service	1457724924	1457724924	1	1	UNITED HEALTH CENTERS	11/14/2016	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	OF THE SAN JOAQUIN VLY	2848 W ASHLAN AVE	None	FRESNO	CA	93705	1757	10	06019	36.79382334	-119.8437592	Fresno County
132562	Fee-for-Service	1801043880	1801043880	1	1	UIHLEIN, ALEXANDER V MD	10/25/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	146378	67	Endocrinology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
132601	Fee-for-Service	1780183145	1780183145	1	1	UCHEALTH GREELEY HOSPITAL	11/11/2019	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6767 WEST 29TH STREET	None	GREELEY	CO	80634	5474	00	None	40.38989874	-104.7898267	Weld County
132654	Fee-for-Service	1295746949	1295746949	1	1	UNIQUE HEALTHCARE FOR WOMEN	7/1/2002	207VG0400X	NA	Obstetrics & Gynecology	026	PHYSICIANS	72235	None	None	0	In state provider	None	891 KUHN DRIVE	STE. 111	CHULA VISTA	CA	91950	2995	37	06073	32.65163378	-116.9654937	San Diego County
132691	Fee-for-Service	1457724924	1457724924	1	1	UNITED HEALTH CENTERS	5/3/2016	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	OF THE SAN JOAQUIN VLY	2848 W ASHLAN AVE	None	FRESNO	CA	93705	1757	10	06019	36.79382334	-119.8437592	Fresno County
132748	Fee-for-Service	1518194646	1518194646	1	1	USAMI, CHIHIRO LMFT	2/9/2023	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
132830	Fee-for-Service	1700889227	1700889227	1	1	UNITED STATES MEDICAL SUPPLY	8/24/2012	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	INC	8200 NW 33RD ST	STE 200	MIAMI	FL	33122	1942	00	None	25.80428154	-80.3300625	Miami-Dade County
132837	Fee-for-Service	1013043264	1013043264	1	1	UTZ, PAUL J MD	4/7/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	85684	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
132892	Fee-for-Service	1780183145	1780183145	1	1	UCHEALTH GREELEY HOSPITAL	11/11/2019	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6767 WEST 29TH STREET	None	GREELEY	CO	80634	5474	00	None	40.38989874	-104.7898267	Weld County
132978	Fee-for-Service	1457724924	1457724924	1	1	UNITED HEALTH CENTERS	1/26/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	OF THE SAN JOAQUIN VLY	2848 W ASHLAN AVE	None	FRESNO	CA	93705	1757	10	06019	36.79382334	-119.8437592	Fresno County
133126	Fee-for-Service	1013043264	1013043264	1	1	UTZ, PAUL J MD	4/7/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	85684	83	Rheumatology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
133266	Fee-for-Service	1457724924	1457724924	1	1	UNITED HEALTH CENTERS	1/26/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	OF THE SAN JOAQUIN VLY	2848 W ASHLAN AVE	None	FRESNO	CA	93705	1757	10	06019	36.79382334	-119.8437592	Fresno County
133293	Fee-for-Service	1427819556	1427819556	1	1	UPTOWN PHARMACY INC	6/12/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1940 HUBBARD ST	None	SIMI VALLEY	CA	93065	3422	56	06111	34.271145	-118.7701115	Ventura County
133506	Fee-for-Service	1962432039	1962432039	1	1	UPADYAY, MANISH MD	8/11/2008	207R00000X	NA	Other	026	PHYSICIANS	52329	41	Internal Medicine	0	In state provider	None	4860 Y STREET	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
133588	Fee-for-Service	1902846306	1902846306	1	69	USC CARE MEDICAL GROUP, INC	9/2/2016	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	38660 MEDICAL CENTER DR	STE A380	PALMDALE	CA	93551	4385	19	06037	34.5838593	-118.1445275	Los Angeles County
134349	Fee-for-Service	1952471542	1952471542	1	1	UKIAH ADVENTIST HOSPITAL	4/1/2006	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	260 HOSPITAL DRIVE	None	UKIAH	CA	95482	4533	23	06045	39.15349918	-123.2039443	Mendocino County
134487	Fee-for-Service	1497751572	1497751572	1	5	UNITED INDIAN HEALTH SERVICE	9/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2121 MYRTLE AVENUE	None	EUREKA	CA	95501	3323	12	06023	40.78843084	-124.1330112	Humboldt County
134638	Fee-for-Service	1952471542	1952471542	1	1	UKIAH ADVENTIST HOSPITAL	4/1/2006	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	260 HOSPITAL DRIVE	None	UKIAH	CA	95482	4533	23	06045	39.15349918	-123.2039443	Mendocino County
134661	Fee-for-Service	1194803809	1194803809	1	1	UYENO, DAVID Y MD	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	60466	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
134775	Fee-for-Service	1497751572	1497751572	1	5	UNITED INDIAN HEALTH SERVICE	9/1/2023	No Taxonomy Provided	NA	None	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2121 MYRTLE AVENUE	None	EUREKA	CA	95501	3323	12	06023	40.78843084	-124.1330112	Humboldt County
134802	Fee-for-Service	1952493868	1952493868	1	1	UBA, ALAN K MD	1/1/1990	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	67612	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
135311	Fee-for-Service	1316261910	1316261910	1	1	UGORJI, CHINEMEREM Y MD	7/30/2024	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
135544	Fee-for-Service	1689828105	1689828105	1	2	UY, CARMELITA L MD INC	10/30/2007	173000000X	NA	Other	026	PHYSICIANS	50548	40	Pediatrics	0	In state provider	None	2036 DAIRY MART RD	STE 129	SAN YSIDRO	CA	92173	1883	37	06073	32.560722	-117.0624655	San Diego County
135556	Fee-for-Service	1306847744	1306847744	1	1	UY, BUENAFLOR R MD	1/1/1996	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	52237	40	Pediatrics	0	In state provider	None	21001 SHERMAN WAY	STE 15	CANOGA PARK	CA	91303	3678	19	06037	34.20113553	-118.5912126	Los Angeles County
135744	Fee-for-Service	1487647590	1487647590	1	1	UPMC HAMOT	3/9/2018	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	201 STATE STREET	None	ERIE	PA	16550	0001	00	None	42.13371171	-80.08805022	Erie County
136033	Fee-for-Service	1487647590	1487647590	1	1	UPMC HAMOT	3/9/2018	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	201 STATE STREET	None	ERIE	PA	16550	0001	00	None	42.13371171	-80.08805022	Erie County
136490	Fee-for-Service	1861438608	1861438608	1	1	UNILAB CORPORATION	2/28/2003	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	2369 BERING DRIVE	None	SAN JOSE	CA	95131	1125	43	06085	37.38165963	-121.9206397	Santa Clara County
136585	Fee-for-Service	1811194814	1811194814	1	1	UNEMORI, PATRICK M MD	1/7/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	100018	01	General Practice	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
136639	Fee-for-Service	1922144294	1922144294	1	1	ULTRA CARE PLUS	9/10/1999	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	38424 10TH STREET EAST	#A	PALMDALE	CA	93550	3829	19	06037	34.58047358	-118.1118518	Los Angeles County
136656	Fee-for-Service	1902846306	1902846306	1	1	USC CARE MEDICAL GROUP, INC	1/22/2015	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	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
136876	Fee-for-Service	1811194814	1811194814	1	1	UNEMORI, PATRICK M MD	1/7/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	100018	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
136945	Fee-for-Service	1902846306	1902846306	1	1	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	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
136965	Fee-for-Service	1457738767	1457738767	1	1	URRUTIA MEDICAL ASSOCIATES	10/17/2016	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	355 CAMPUS DR	SUITE A	HANFORD	CA	93230	4311	16	06031	36.3271295	-119.6633596	Kings County
137144	Fee-for-Service	1891435897	1891435897	1	1	UNSEEN FACES FOUNDATION INC	4/26/2022	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	5757 CENTURY BLVD	700-61	LOS ANGELES	CA	90045	6417	19	06037	33.94561146	-118.382661	Los Angeles County
137232	Fee-for-Service	1902846306	1902846306	1	1	USC CARE MEDICAL GROUP, INC	1/8/2021	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	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
137394	Fee-for-Service	1427154103	1427154103	1	1	USEM, MICHAEL N MD	8/1/1995	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	61575	40	Pediatrics	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
137520	Fee-for-Service	1699226084	1699226084	1	1	UMANA COBAR, EDUARDO	8/27/2021	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3200 E GUASTI RD	STE 178B	ONTARIO	CA	91761	8660	36	06071	34.06518	-117.5822055	San Bernardino County
137523	Fee-for-Service	1902846306	1902846306	1	1	USC CARE MEDICAL GROUP, INC	5/8/2020	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	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
137649	Fee-for-Service	1497913735	1497913735	1	1	UDOH-ESOMONU, CHIKA P MD	2/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	104151	05	Anesthesiology	0	In state provider	None	3555 CESAR CHAVEZ	None	SAN FRANCISCO	CA	94110	4403	38	06075	37.74802705	-122.4207367	San Francisco County
137698	Fee-for-Service	1740422997	1740422997	1	1	URBAND, LINDSEY S MD	8/17/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	137350	20	Orthopedic Surgery	0	In state provider	None	7901 FROST STREET	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
137980	Fee-for-Service	1003215518	1003215518	1	1	UNI CARE HOME CARE INC	10/1/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1594 S IMPERIAL AVENUE	None	EL CENTRO	CA	92243	4241	13	06025	32.7798	-115.5697791	Imperial County
138251	Fee-for-Service	1770670838	1770670838	1	1	UNIVERSAL MED SUP INC	7/6/2005	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	15422 DEVONSHIRE ST	None	MISSION HILLS	CA	91345	2619	19	06037	34.25728052	-118.468332	Los Angeles County
138939	Fee-for-Service	1043071087	1043071087	1	1	URENA, LILIYA NP	3/14/2024	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
139236	Fee-for-Service	1639582786	1639582786	1	1	UDELSMAN, BROOKS MD	10/10/2023	208G00000X	NA	General Surgery	026	PHYSICIANS	190649	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
139309	Fee-for-Service	1518911338	1518911338	1	1	UNIVERSITY OF KENTUCKY	6/1/1997	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSP	800 ROSE ST	None	LEXINGTON	KY	40536	0001	00	None	38.031057	-84.507606	Fayette County
139862	Fee-for-Service	1891259420	1891259420	1	1	UGRADAR, SOHEAB MD	10/28/2020	207W00000X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	None	300 STEIN PLZ	420	LOS ANGELES	CA	90095	0001	19	06037	34.06482846	-118.4443432	Los Angeles County
139877	Fee-for-Service	1730590027	1730590027	1	1	UPADHYAYA, DARSHNABEN	8/25/2017	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
139930	Fee-for-Service	1548311350	1548311350	1	1	URUETA, WILFRIDO MD	11/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
140233	Fee-for-Service	1821002007	1821002007	2	1	UNIVERSITY OF CALIFORNIA	3/27/2024	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
140520	Fee-for-Service	1821002007	1821002007	2	1	UNIVERSITY OF CALIFORNIA	3/27/2024	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
140932	Fee-for-Service	1598773566	1598773566	1	1	UNIVERSITY COMPOUNDING	7/1/2003	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	UNIVERSITY COMPOUNDING	1875 3RD AVE	None	SAN DIEGO	CA	92101	2604	37	06073	32.724828	-117.162053	San Diego County
140944	Fee-for-Service	1356763155	1356763155	1	1	UNICARE COMMUNITY HEALTH	8/1/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	1501 E HOLT AVENUE	STE A	POMONA	CA	91767	5823	19	06037	34.06321709	-117.7205804	Los Angeles County
141006	Fee-for-Service	1902846306	1902846306	1	54	USC CARE MEDICAL GROUP, INC	12/16/2019	207Y00000X	NA	ENT/Otolaryngology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1370 FOOTHILL BLVD	STE 100	LA CANADA	CA	91011	2100	19	06037	34.20801303	-118.2080671	Los Angeles County
141084	Fee-for-Service	1700559077	1700559077	1	1	UNITED HOME HEALTH	10/17/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	415 N MAIN STREET	STE 1A	MANTECA	CA	95336	3950	39	06077	37.80338363	-121.2167517	San Joaquin County
141209	Fee-for-Service	1588080493	1588080493	1	1	USMAN, ADRIENNE K LMFT	7/28/2020	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
141234	Fee-for-Service	1356763155	1356763155	1	1	UNICARE COMMUNITY HEALTH	8/1/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	1501 E HOLT AVENUE	STE A	POMONA	CA	91767	5823	19	06037	34.06321709	-117.7205804	Los Angeles County
141267	Fee-for-Service	1497751572	1497751572	1	6	UNITED INDIAN HEALTH SERVICE	4/10/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	525 7TH STREET	None	EUREKA	CA	95501	6806	12	06023	40.80040613	-124.1649982	Humboldt County
141296	Fee-for-Service	1902846306	1902846306	1	54	USC CARE MEDICAL GROUP, INC	8/6/2020	207Y00000X	NA	ENT/Otolaryngology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1370 FOOTHILL BLVD	STE 100	LA CANADA	CA	91011	2100	19	06037	34.20801303	-118.2080671	Los Angeles County
141313	Fee-for-Service	1942049242	1942049242	1	1	USA IMPERIAL HEALTH CORP	10/1/2024	207RG0300X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1665 S IMPERIAL AVE	SUITE C	EL CENTRO	CA	92243	4247	13	06025	32.77860065	-115.5695241	Imperial County
141383	Fee-for-Service	1497751572	1497751572	1	4	UNITED INDIAN HEALTH SERVICE	10/1/2022	No Taxonomy Provided	NA	None	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	434 7TH ST	None	EUREKA	CA	95501	1803	12	06023	40.80022571	-124.1658967	Humboldt County
141520	Fee-for-Service	1356763155	1356763155	1	1	UNICARE COMMUNITY HEALTH	8/26/2015	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	1501 E HOLT AVENUE	STE A	POMONA	CA	91767	5823	19	06037	34.06321709	-117.7205804	Los Angeles County
141554	Fee-for-Service	1497751572	1497751572	1	6	UNITED INDIAN HEALTH SERVICE	4/10/2024	No Taxonomy Provided	NA	None	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	525 7TH STREET	None	EUREKA	CA	95501	6806	12	06023	40.80040613	-124.1649982	Humboldt County
141597	Fee-for-Service	1942049242	1942049242	1	1	USA IMPERIAL HEALTH CORP	10/1/2024	207RG0300X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	38	Geriatrics	0	In state provider	None	1665 S IMPERIAL AVE	SUITE C	EL CENTRO	CA	92243	4247	13	06025	32.77860065	-115.5695241	Imperial County
141660	Fee-for-Service	1841232188	1841232188	1	1	UNIVERSAL HOME CARE INC	6/27/2019	No Taxonomy Provided	NA	None	093	CARE COORDINATOR AGENCIES (CCA)	-	-	NOT APPLICABLE	0	In state provider	None	151 N SAN VICENTE BLVD	STE 200	BEVERLY HILLS	CA	90211	2323	19	06037	34.06838129	-118.3748976	Los Angeles County
141668	Fee-for-Service	1497751572	1497751572	1	4	UNITED INDIAN HEALTH SERVICE	10/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	434 7TH ST	None	EUREKA	CA	95501	1803	12	06023	40.80022571	-124.1658967	Humboldt County
141870	Fee-for-Service	1437584950	1437584950	1	1	UDELL, ALEXANDER R DO	9/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	3186 S MARYLAND PARKWAY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
141972	Fee-for-Service	1841232188	1841232188	1	1	UNIVERSAL HOME CARE INC	3/6/1996	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	151 N SAN VICENTE BLVD	STE 200	BEVERLY HILLS	CA	90211	2323	19	06037	34.06838129	-118.3748976	Los Angeles County
142173	Fee-for-Service	1215914429	1215914429	1	1	UNKENHOLZ, KARL M MD	8/10/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	53154	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2700 DOLBEER STREET	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
142459	Fee-for-Service	1184108797	1184108797	1	1	UTNEHMER, PATRICK W A	12/10/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL CORPORATION	41493 MARGARITA RD	G109	TEMECULA	CA	92591	5570	33	06065	33.5226186	-117.1503846	Riverside County
143024	Fee-for-Service	1902846306	1902846306	1	72	USC CARE MEDICAL GROUP, INC	7/25/2024	225X00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1031 W 34TH ST	SUITE 452	LOS ANGELES	CA	90089	3602	19	06037	34.024005	-118.2895875	Los Angeles County
143067	Fee-for-Service	1073911137	1073911137	1	4	UNIVERSITY FACULTY ASSOCIATE	5/20/2015	213E00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2550 MERCED STREET	None	FRESNO	CA	93721	1812	10	06019	36.7410967	-119.7875046	Fresno County
143160	Fee-for-Service	1457775736	1457775736	1	1	UNICARE PHARMACY & SUPPLY	11/26/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC	301 S FAIR OAKS AVE	STE 104	PASADENA	CA	91105	2536	19	06037	34.140348	-118.1504565	Los Angeles County
143338	Fee-for-Service	1508405358	1508405358	1	1	UPTON, RYAN M PT	8/6/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	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
143355	Fee-for-Service	1073911137	1073911137	1	4	UNIVERSITY FACULTY ASSOCIATE	5/20/2015	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	2550 MERCED STREET	None	FRESNO	CA	93721	1812	10	06019	36.7410967	-119.7875046	Fresno County
143862	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
144111	Fee-for-Service	1457317554	1457317554	1	1	USOWICZ, ANNA G MD	7/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	36956	40	Pediatrics	0	In state provider	None	747 52ND STREET	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
144148	Fee-for-Service	1902846306	1902846306	1	45	USC CARE MEDICAL GROUP, INC	6/30/2014	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	1808 VERDUGO BLVD	STE 318	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
144200	Fee-for-Service	1316358930	1316358930	1	1	UNI CARE HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1510 S ESCONDIDO BLVD	SUITE 104	ESCONDIDO	CA	92025	6017	37	06073	33.10754723	-117.0751207	San Diego County
144434	Fee-for-Service	1902846306	1902846306	1	45	USC CARE MEDICAL GROUP, INC	6/30/2014	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1808 VERDUGO BLVD	STE 318	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
144449	Fee-for-Service	1770653743	1770653743	1	1	URREGO MARROQUIN, DANIEL	6/18/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	8187	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
144489	Fee-for-Service	1316358930	1316358930	1	1	UNI CARE HOSPICE INC	10/26/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1510 S ESCONDIDO BLVD	SUITE 104	ESCONDIDO	CA	92025	6017	37	06073	33.10754723	-117.0751207	San Diego County
144721	Fee-for-Service	1902846306	1902846306	1	45	USC CARE MEDICAL GROUP, INC	11/6/2020	207Q00000X	NA	Adult Primary Care	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1808 VERDUGO BLVD	STE 318	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
144788	Fee-for-Service	1598282584	1598282584	1	1	UNREIN, DANIELLE B NP	10/17/2018	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1101 BRYAN AVE	STE E	TUSTIN	CA	92780	4401	30	06059	33.74272355	-117.8149529	Orange County
144880	Fee-for-Service	1679562714	1679562714	1	1	UGLIETTA, JOHN P MD	6/22/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	89061	None	None	0	In state provider	None	1180 POST ST	None	SAN FRANCISCO	CA	94109	5505	38	06075	37.78672984	-122.4209381	San Francisco County
145015	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	5/9/2016	103TC0700X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
145048	Fee-for-Service	1568595684	1568595684	1	1	UNIVERSITY OF SOUTHERN	12/19/2012	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	1441 EASTLAKE AVE	SUITE 5409	LOS ANGELES	CA	90089	0112	19	06037	34.06169385	-118.2044698	Los Angeles County
145302	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	2/20/2018	103TC0700X	NA	Mental Health Outpatient Services	018	NURSE ANESTHETISTS	-	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
145401	Fee-for-Service	1902846306	1902846306	1	17	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	40055 BOB HOPE ST	STE J	RANCHO MIRAGE	CA	92270	3937	33	06065	33.75735051	-116.4082747	Riverside County
145477	Fee-for-Service	1982667663	1982667663	1	3	UC REGENTS	5/9/2019	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RACTICE	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
145587	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	12/16/2019	103TC0700X	NA	Mental Health Outpatient Services	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
145688	Fee-for-Service	1902846306	1902846306	1	17	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	40055 BOB HOPE ST	STE J	RANCHO MIRAGE	CA	92270	3937	33	06065	33.75735051	-116.4082747	Riverside County
145894	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	5/9/2016	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
146186	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	5/9/2016	207L00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
146187	Fee-for-Service	1073911137	1073911137	1	9	UNIVERSITY FACULTY ASSOCIATE	7/30/2015	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	2335 E KASHIAN LANE	STE 240	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
146404	Fee-for-Service	1063703064	1063703064	1	1	UZOSIKE, EZECHINYEREM D MD	9/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136838	01	General Practice	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
146473	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	5/9/2016	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
146476	Fee-for-Service	1073911137	1073911137	1	9	UNIVERSITY FACULTY ASSOCIATE	7/30/2015	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2335 E KASHIAN LANE	STE 240	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
146760	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	5/9/2016	207L00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
146763	Fee-for-Service	1073911137	1073911137	1	9	UNIVERSITY FACULTY ASSOCIATE	7/30/2015	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2335 E KASHIAN LANE	STE 240	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
146878	Fee-for-Service	1720171242	1720171242	1	1	UNIVERSITY MUSLIM MED	1/20/2006	261QC1500X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	UMMA COMMUNITY CLINIC	711 W FLORENCE AVE	None	LOS ANGELES	CA	90044	6105	19	06037	33.9746755	-118.286415	Los Angeles County
146976	Fee-for-Service	1902846306	1902846306	1	26	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO ST	STE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
147050	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	8/6/2020	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
147168	Fee-for-Service	1720171242	1720171242	1	1	UNIVERSITY MUSLIM MED	5/15/2006	261QC1500X	NA	Other	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	UMMA COMMUNITY CLINIC	711 W FLORENCE AVE	None	LOS ANGELES	CA	90044	6105	19	06037	33.9746755	-118.286415	Los Angeles County
147266	Fee-for-Service	1902846306	1902846306	1	26	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1450 SAN PABLO ST	STE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
147319	Fee-for-Service	1376822015	1376822015	2	1	UNIQUE HEALTH SERVICES INC	5/27/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	17400 IRVINE	STE P	TUSTIN	CA	92780	3030	30	06059	33.74814651	-117.828558	Orange County
147420	Fee-for-Service	1316358930	1316358930	1	2	UNI CARE HOSPICE INC	11/13/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1600 S IMPERIAL AVE	STE 12	EL CENTRO	CA	92243	4242	13	06025	32.77882919	-115.5697116	Imperial County
147448	Fee-for-Service	1730748922	1730748922	1	1	UNICARE COMMUNITY HEALTH	3/18/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	FQHC	184 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3658	36	06071	34.1360043	-117.2826928	San Bernardino County
147455	Fee-for-Service	1720171242	1720171242	1	1	UNIVERSITY MUSLIM MED	1/20/2006	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	UMMA COMMUNITY CLINIC	711 W FLORENCE AVE	None	LOS ANGELES	CA	90044	6105	19	06037	33.9746755	-118.286415	Los Angeles County
147552	Fee-for-Service	1902846306	1902846306	1	26	USC CARE MEDICAL GROUP, INC	4/13/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	1450 SAN PABLO ST	STE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
147708	Fee-for-Service	1316358930	1316358930	1	2	UNI CARE HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1600 S IMPERIAL AVE	STE 12	EL CENTRO	CA	92243	4242	13	06025	32.77882919	-115.5697116	Imperial County
147716	Fee-for-Service	1154396208	1154396208	1	1	UNIVERSITY CALIF OF S F	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	None	1001 POTRERO AVE	RM 4M45	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
147737	Fee-for-Service	1730748922	1730748922	1	1	UNICARE COMMUNITY HEALTH	3/18/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	FQHC	184 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3658	36	06071	34.1360043	-117.2826928	San Bernardino County
147744	Fee-for-Service	1720171242	1720171242	1	1	UNIVERSITY MUSLIM MED	1/20/2006	261QC1500X	NA	Other	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	UMMA COMMUNITY CLINIC	711 W FLORENCE AVE	None	LOS ANGELES	CA	90044	6105	19	06037	33.9746755	-118.286415	Los Angeles County
147841	Fee-for-Service	1902846306	1902846306	1	26	USC CARE MEDICAL GROUP, INC	8/10/2017	207W00000X	NA	Ophthalmology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO ST	STE 4000	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
147843	Fee-for-Service	1770871105	1770871105	1	1	UDAKA, YOKO T MD	9/30/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109502	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
147854	Fee-for-Service	1437145109	1437145109	1	1	UHS-CORONA, INC	1/1/2004	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	730 MAGNOLIA AVE	None	CORONA	CA	92879	3117	33	06065	33.85878701	-117.5544725	Riverside County
147859	Fee-for-Service	1003373812	1003373812	1	1	UNICARE COMMUNITY HEALTH	9/29/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	17500 FOOTHILL BLVD	STE A2	FONTANA	CA	92335	3798	36	06071	34.1067065	-117.4218885	San Bernardino County
148088	Fee-for-Service	1396096681	1396096681	1	1	URTON, KENDRA K LMFT	8/20/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	99166	-	NOT APPLICABLE	0	In state provider	None	3837, 3839, 3841, 3843	3845, 3847 TELEGRAPH AVE	OAKLAND	CA	94609	2419	01	06001	0	0	None
148148	Fee-for-Service	1003373812	1003373812	1	1	UNICARE COMMUNITY HEALTH	4/8/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	17500 FOOTHILL BLVD	STE A2	FONTANA	CA	92335	3798	36	06071	34.1067065	-117.4218885	San Bernardino County
148352	Fee-for-Service	1033672357	1033672357	1	1	URAIZEE, AKRAM V MD	1/4/2023	390200000X	NA	Other	026	PHYSICIANS	179156	None	None	0	In state provider	None	2490 HONOLULU AVE	128	MONTROSE	CA	91020	1800	19	06037	34.20724586	-118.2331114	Los Angeles County
148435	Fee-for-Service	1003373812	1003373812	1	1	UNICARE COMMUNITY HEALTH	9/29/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	17500 FOOTHILL BLVD	STE A2	FONTANA	CA	92335	3798	36	06071	34.1067065	-117.4218885	San Bernardino County
148677	Fee-for-Service	1710309513	1710309513	1	1	UNICARE COMMUNITY HEALTH	8/1/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	437 N EUCLID AVE	None	ONTARIO	CA	91762	3456	36	06071	34.067988	-117.6521805	San Bernardino County
148963	Fee-for-Service	1710309513	1710309513	1	1	UNICARE COMMUNITY HEALTH	8/1/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	437 N EUCLID AVE	None	ONTARIO	CA	91762	3456	36	06071	34.067988	-117.6521805	San Bernardino County
149120	Fee-for-Service	1073911137	1073911137	1	20	UNIVERSITY FACULTY ASSOCIATE	1/19/2016	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	726 N MEDICAL CTR DR E	SUITE 223	CLOVIS	CA	93611	6886	10	06019	36.84186593	-119.6624867	Fresno County
149123	Fee-for-Service	1598790529	1598790529	1	1	UNIVERSITY OF CA IRVINE	8/15/2000	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	UCI FAMILY HEALTH CENTER	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
149154	Fee-for-Service	1891303400	1891303400	1	1	UROLOGY CENTER OF ORANGE COU	11/6/2020	208800000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	NTY	11100 WARNER AVENUE	SUITE 206	FOUNTAIN VALLEY	CA	92708	7511	30	06059	33.716291	-117.9355051	Orange County
149228	Fee-for-Service	1265035893	1265035893	1	1	UNI HOSPICE INC	1/5/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	434 WEST COLORADO ST	SUITE 203	GLENDALE	CA	91204	4815	19	06037	34.14249549	-118.262484	Los Angeles County
149252	Fee-for-Service	1710309513	1710309513	1	1	UNICARE COMMUNITY HEALTH	8/26/2015	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	437 N EUCLID AVE	None	ONTARIO	CA	91762	3456	36	06071	34.067988	-117.6521805	San Bernardino County
149413	Fee-for-Service	1598790529	1598790529	1	1	UNIVERSITY OF CA IRVINE	8/15/2000	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	UCI FAMILY HEALTH CENTER	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
149444	Fee-for-Service	1982079620	1982079620	1	1	UNITED HEALTH CENTERS OF THE	4/5/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	106 E MAIN ST	None	FOWLER	CA	93625	2433	10	06019	36.62899034	-119.6785493	Fresno County
149517	Fee-for-Service	1265035893	1265035893	1	1	UNI HOSPICE INC	1/5/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	434 WEST COLORADO ST	SUITE 203	GLENDALE	CA	91204	4815	19	06037	34.14249549	-118.262484	Los Angeles County
149594	Fee-for-Service	1912018557	1912018557	1	1	USMAN, ANTONIO K MD	3/20/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	148939	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
149636	Fee-for-Service	1699853440	1699853440	1	1	USHIYAMA, CYNTHIA L MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	69963	05	Anesthesiology	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
149667	Fee-for-Service	1730550930	1730550930	1	1	UMEH, NNEKA CNP	12/5/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
149709	Fee-for-Service	1598790529	1598790529	1	1	UNIVERSITY OF CA IRVINE	12/1/1977	261QF0400X	NA	Federally Qualified Health Center	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	UCI FAMILY HEALTH CENTER	800 N MAIN ST	None	SANTA ANA	CA	92701	3576	30	06059	33.751332	-117.867639	Orange County
149729	Fee-for-Service	1982079620	1982079620	1	1	UNITED HEALTH CENTERS OF THE	3/29/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	106 E MAIN ST	None	FOWLER	CA	93625	2433	10	06019	36.62899034	-119.6785493	Fresno County
149739	Fee-for-Service	1003064791	1003064791	1	1	UHLIR, GARY R MD	8/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	118708	05	Anesthesiology	0	In state provider	None	47111 MONROE ST	None	INDIO	CA	92201	6739	33	06065	33.70620698	-116.2339008	Riverside County
149889	Fee-for-Service	1457378135	1457378135	1	1	USZLER,J MICHAEL MD INC	12/7/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	17328	42	Nuclear Medicine	0	In state provider	None	2428 SANTA MONICA BLVD	STE 302	SANTA MONICA	CA	90404	2046	19	06037	34.0317559	-118.4762013	Los Angeles County
149899	Fee-for-Service	1952834731	1952834731	1	1	UNO, JESSICA MD	11/14/2019	390200000X	NA	Other	026	PHYSICIANS	158277	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
150021	Fee-for-Service	1982079620	1982079620	1	1	UNITED HEALTH CENTERS OF THE	7/7/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	106 E MAIN ST	None	FOWLER	CA	93625	2433	10	06019	36.62899034	-119.6785493	Fresno County
150028	Fee-for-Service	1851022909	1851022909	1	1	USHASRI, HARINI MD	2/29/2024	390200000X	NA	Other	026	PHYSICIANS	189536	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
150056	Fee-for-Service	1154384899	1154384899	1	1	UNIVERSITY MEDICAL CTR	6/1/1998	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1501 N CAMPBELL AVE	None	TUCSON	AZ	85724	0002	00	None	32.240493	-110.9460825	Pima County
150172	Fee-for-Service	1093823858	1093823858	1	1	UMEKUBO, JOHN I MD	3/31/1978	No Taxonomy Provided	NA	None	026	PHYSICIANS	37604	41	Internal Medicine	0	In state provider	None	1674 POST ST	STE 3	SAN FRANCISCO	CA	94115	3604	38	06075	37.78567235	-122.4292536	San Francisco County
150306	Fee-for-Service	1982079620	1982079620	1	1	UNITED HEALTH CENTERS OF THE	7/7/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	106 E MAIN ST	None	FOWLER	CA	93625	2433	10	06019	36.62899034	-119.6785493	Fresno County
150345	Fee-for-Service	1154384899	1154384899	1	1	UNIVERSITY MEDICAL CTR	6/1/1998	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1501 N CAMPBELL AVE	None	TUCSON	AZ	85724	0002	00	None	32.240493	-110.9460825	Pima County
150393	Fee-for-Service	1376697334	1376697334	1	1	UTAH DIALYSIS CENTER	10/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1000 S MAIN ST	None	SLC	UT	84101	3175	00	None	40.747356	-111.891086	Salt Lake County
150736	Fee-for-Service	1144217191	1144217191	1	1	UCHIO, ALEJANDRA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	78760	None	None	0	In state provider	None	1224 JEFFERSON ST	STE 2	DELANO	CA	93215	2251	15	06029	35.77269188	-119.2450887	Kern County
151024	Fee-for-Service	1043458771	1043458771	1	2	UNITED CEREBRAL PALSY ASSOCI	4/26/2024	225XP0200X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1251 E DYER RD	SUITE 150	SANTA ANA	CA	92705	5662	30	06059	33.70870351	-117.8551005	Orange County
151277	Fee-for-Service	1265522536	1265522536	1	1	UNITED MEDICAL IMAGING HEALT	1/16/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	VINE	15825 LAGUNA CANYON RD	SUITE # 101	IRVINE	CA	92618	2125	30	06059	33.66406324	-117.7638431	Orange County
151312	Fee-for-Service	1043458771	1043458771	1	2	UNITED CEREBRAL PALSY ASSOCI	4/18/2024	225XP0200X	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
151418	Fee-for-Service	1891025029	1891025029	1	1	UPPAL, INDERJEET K MD	7/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106938	01	General Practice	0	In state provider	None	2734 EL CAMINO REAL	None	SANTA CLARA	CA	95051	3007	43	06085	37.35228637	-121.9754073	Santa Clara County
151597	Fee-for-Service	1043458771	1043458771	1	2	UNITED CEREBRAL PALSY ASSOCI	3/14/2022	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1251 E DYER RD	SUITE 150	SANTA ANA	CA	92705	5662	30	06059	33.70870351	-117.8551005	Orange County
152331	Fee-for-Service	1053759811	1053759811	1	1	UNITED MEDICAL IMAGING HEALT	8/30/2019	261QR0206X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	NTURY CITY	2080 CENTURY PARK E	104	LOS ANGELES	CA	90067	2001	19	06037	34.05887194	-118.4122914	Los Angeles County
152522	Fee-for-Service	1073911137	1073911137	1	6	UNIVERSITY FACULTY ASSOCIATE	5/22/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	1855 E ALLUVIAL AVE	SUITE 101	FRESNO	CA	93720	3834	10	06019	36.84476453	-119.748843	Fresno County
152563	Fee-for-Service	1467225235	1467225235	1	3	UNIVERSAL RADIOLOGY PARTNERS	11/1/2023	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	OF CALIFORNIA PC	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
153094	Fee-for-Service	1790068765	1790068765	2	1	US MEDTRADE HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	16159 COHASSET ST	SUITE 201	VAN NUYS	CA	91406	2219	19	06037	34.20664951	-118.4856795	Los Angeles County
153383	Fee-for-Service	1790068765	1790068765	2	1	US MEDTRADE HOSPICE INC	5/13/2014	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	16159 COHASSET ST	SUITE 201	VAN NUYS	CA	91406	2219	19	06037	34.20664951	-118.4856795	Los Angeles County
153386	Fee-for-Service	1932248465	1932248465	1	1	UNILAB CORPORATION	4/16/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	1401 SPANOS COURT	STE 107	MODESTO	CA	95355	2812	50	06099	37.66975543	-120.9724048	Stanislaus County
153895	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	8/17/2009	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
154070	Fee-for-Service	1871671586	1871671586	1	1	UHRIK, MICHAEL J MD	12/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	69321	01	General Practice	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
154183	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
154371	Fee-for-Service	1427434570	1427434570	1	1	UTZ, BRIAN M DO	5/29/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	15078	01	General Practice	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
154455	Fee-for-Service	1053528521	1053528521	1	1	UKIAH OPTICAL/SCUBA VIS	3/1/1999	No Taxonomy Provided	NA	None	012	DISPENSING OPTICIANS	-	-	NOT APPLICABLE	0	In state provider	RHEM, CHRIS W	526 E PERKINS ST	None	UKIAH	CA	95482	4509	23	06045	39.15116893	-123.2010202	Mendocino County
154464	Fee-for-Service	1902846306	1902846306	1	28	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	10 CONGRESS ST	STE 300	PASADENA	CA	91105	3045	19	06037	34.13396893	-118.1528162	Los Angeles County
154475	Fee-for-Service	1902846306	1902846306	1	12	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	201 S BUENA VISTA ST	STE 240	BURBANK	CA	91505	4809	19	06037	34.15978726	-118.3289164	Los Angeles County
154656	Fee-for-Service	1598784555	1598784555	1	1	UNIVERSITY OF WISCONSIN MEDI	11/1/2020	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	2	Out of state provider	CAL FOUNDATION INC	600 HIGHLAND AVE	None	MADISON	WI	53792	0001	00	None	43.07868393	-89.4316606	Dane County
154687	Fee-for-Service	1548699556	1548699556	1	1	UNITED THERAPY NETWORK INC	10/4/2016	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	46-900 MONROE ST	BLDG C, SUITE 304	INDIO	CA	92201	4829	33	06065	33.70748774	-116.2338705	Riverside County
154753	Fee-for-Service	1902846306	1902846306	1	28	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	10 CONGRESS ST	STE 300	PASADENA	CA	91105	3045	19	06037	34.13396893	-118.1528162	Los Angeles County
154761	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	12/16/2019	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
155041	Fee-for-Service	1902846306	1902846306	1	28	USC CARE MEDICAL GROUP, INC	4/15/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	10 CONGRESS ST	STE 300	PASADENA	CA	91105	3045	19	06037	34.13396893	-118.1528162	Los Angeles County
155046	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	2/20/2018	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
155337	Fee-for-Service	1902846306	1902846306	1	12	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	201 S BUENA VISTA ST	STE 240	BURBANK	CA	91505	4809	19	06037	34.15978726	-118.3289164	Los Angeles County
155355	Fee-for-Service	1083864391	1083864391	1	1	UYEDA, JINA	4/8/2011	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1526 N EDGEMONT STREET	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
155611	Fee-for-Service	1104842020	1104842020	2	1	UNIVERSITY OF CALIF IRVINE	11/1/2013	3336S0011X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	101 THE CITY DR SOUTH	RT 32 BLDG 1 RM 1428	ORANGE	CA	92868	3102	30	06059	33.78674051	-117.8888713	Orange County
155622	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	5/8/2020	207Q00000X	NA	Adult Primary Care	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
155661	Fee-for-Service	1649458159	1649458159	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
155691	Fee-for-Service	1164607875	1164607875	1	1	URBANIC, JAMES J MD	8/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131112	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
155910	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	8/17/2009	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
155941	Fee-for-Service	1992782163	1992782163	1	1	UYKIMPANG, ROLANDO G MD	4/27/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	91957	-	NOT APPLICABLE	0	In state provider	None	1841 E MAIN STREET	None	BARSTOW	CA	92311	3234	36	06071	34.8901829	-116.9978731	San Bernardino County
155963	Fee-for-Service	1871668236	1871668236	1	1	UHRICH, CAROL L	1/11/2013	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
155981	Fee-for-Service	1164607875	1164607875	1	1	URBANIC, JAMES J MD	8/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131112	30	Radiology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
156146	Fee-for-Service	1356814305	1356814305	1	1	UNISTAFF REGISTRY LCC	7/8/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1937 PONTIUS AVE	None	LOS ANGELES	CA	90025	5611	19	06037	34.04323865	-118.4413728	Los Angeles County
156199	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	3/7/2025	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
156228	Fee-for-Service	1881092963	1881092963	1	1	UNIVERSITY FACULTY	12/3/2015	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	ASSOCIATES INC	1247 E ALLUVIAL AVE	SUITE 101	FRESNO	CA	93720	2686	10	06019	36.84470048	-119.7606195	Fresno County
156491	Fee-for-Service	1902846306	1902846306	1	12	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	201 S BUENA VISTA ST	STE 240	BURBANK	CA	91505	4809	19	06037	34.15978726	-118.3289164	Los Angeles County
156513	Fee-for-Service	1689747552	1689747552	1	1	UNIV OF NEW MEXICO HOSP	11/1/1997	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2211 LOMAS BLVD NE	None	ALBUQUERQUE	NM	87106	2745	00	None	35.08771808	-106.6192188	Bernalillo County
156517	Fee-for-Service	1881092963	1881092963	1	1	UNIVERSITY FACULTY	1/12/2015	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	ASSOCIATES INC	1247 E ALLUVIAL AVE	SUITE 101	FRESNO	CA	93720	2686	10	06019	36.84470048	-119.7606195	Fresno County
156579	Fee-for-Service	1902854078	1902854078	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GASTROENTEROLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
156765	Fee-for-Service	1578574083	1578574083	1	1	UNICARE PHARMA, INC	11/6/2006	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	LANVY PHARMACY	14971 BROOKHURST ST	STE A	WESTMINSTER	CA	92683	6071	30	06059	33.74536854	-117.9549525	Orange County
156774	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	9/19/2019	207Q00000X	NA	Adult Primary Care	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
156800	Fee-for-Service	1689747552	1689747552	1	1	UNIV OF NEW MEXICO HOSP	12/18/2002	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2211 LOMAS BLVD NE	None	ALBUQUERQUE	NM	87106	2745	00	None	35.08771808	-106.6192188	Bernalillo County
156811	Fee-for-Service	1881092963	1881092963	1	1	UNIVERSITY FACULTY	1/12/2015	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ASSOCIATES INC	1247 E ALLUVIAL AVE	SUITE 101	FRESNO	CA	93720	2686	10	06019	36.84470048	-119.7606195	Fresno County
156872	Fee-for-Service	1235143306	1235143306	1	1	ULLAL, VIVEK R MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	34774	05	Anesthesiology	0	In state provider	None	2701 W ALAMEDA AVE	STE 203	BURBANK	CA	91505	4406	19	06037	34.15751343	-118.3303715	Los Angeles County
156888	Fee-for-Service	1437285269	1437285269	1	1	UNTERHALTER, STEFAN MD	1/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	33152	41	Internal Medicine	0	In state provider	SUITE 201	9001 WILSHIRE BLVD	None	BEVERLY HILLS	CA	90211	1838	19	06037	34.06708548	-118.3880025	Los Angeles County
157062	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	6/14/2022	207Q00000X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
157094	Fee-for-Service	1881092963	1881092963	1	1	UNIVERSITY FACULTY	1/12/2015	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	ASSOCIATES INC	1247 E ALLUVIAL AVE	SUITE 101	FRESNO	CA	93720	2686	10	06019	36.84470048	-119.7606195	Fresno County
157161	Fee-for-Service	1982885372	1982885372	1	1	UGWUEZE, CHIDI J	3/9/2007	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	HILL KING MEDICAL EQUIPM	3925 W ROSECRANS AVE	None	HAWTHORNE	CA	90250	8096	19	06037	33.9019683	-118.3426954	Los Angeles County
157175	Fee-for-Service	1437285269	1437285269	1	1	UNTERHALTER, STEFAN MD	1/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	33152	45	Nephrology (Renal-Kidney)	0	In state provider	SUITE 201	9001 WILSHIRE BLVD	None	BEVERLY HILLS	CA	90211	1838	19	06037	34.06708548	-118.3880025	Los Angeles County
157264	Fee-for-Service	1023212982	1023212982	1	1	UKATU, CHIDI J MD	5/12/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101948	02	General Surgery	0	In state provider	None	210 CANAL STREET	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
157351	Fee-for-Service	1902846306	1902846306	1	12	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	201 S BUENA VISTA ST	STE 240	BURBANK	CA	91505	4809	19	06037	34.15978726	-118.3289164	Los Angeles County
157358	Fee-for-Service	1073911137	1073911137	1	10	UNIVERSITY FACULTY ASSOCIATE	7/30/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	2365 E FIR AVE	None	FRESNO	CA	93720	8016	10	06019	36.83948655	-119.740203	Fresno County
157376	Fee-for-Service	1164512851	1164512851	1	1	UNIVERSITY OF CALIFORNIA SAN	4/1/2024	207N00000X	NA	Dermatology	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	UCSF INTERNAL MEDICINE	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
157385	Fee-for-Service	1689944217	1689944217	1	1	UTOPIA OPTOMETRY CORPORATION	10/31/2012	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1552 FOOTHILL BLVD	None	LA VERNE	CA	91750	3434	19	06037	34.11601643	-117.7735872	Los Angeles County
157416	Fee-for-Service	1831305143	1831305143	1	1	UMUGBE, OGHENESUME D MD	3/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	94047	36	Psychiatry	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
157447	Fee-for-Service	1235191305	1235191305	1	1	UCSF	9/22/2010	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	DERMATOPATHOLOGY	1701 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3011	38	06075	37.78553106	-122.4399475	San Francisco County
157481	Fee-for-Service	1013961242	1013961242	1	1	UNDESSER, KARL 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	1717 ARLINGTON AVE	None	CALDWELL	ID	83605	4802	00	None	43.654374	-116.694738	Canyon County
157565	Fee-for-Service	1033325493	1033325493	1	1	UNIVERSITY OF CALIFORNIA	8/19/2005	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 6D14	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
157637	Fee-for-Service	1902846306	1902846306	1	3	USC CARE MEDICAL GROUP, INC	8/17/2009	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1520 SAN PABLO ST	STE 1300	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
157663	Fee-for-Service	1164512851	1164512851	1	1	UNIVERSITY OF CALIFORNIA SAN	4/20/2023	207N00000X	NA	Dermatology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	UCSF INTERNAL MEDICINE	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
157690	Fee-for-Service	1861431058	1861431058	1	1	UMEDA, ALVIN MD	6/30/1993	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	72356	02	General Surgery	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
157710	Fee-for-Service	1073911137	1073911137	1	19	UNIVERSITY FACULTY ASSOCIATE	7/29/2015	207RE0101X	NA	Endocrinology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	SUITE 280	FRESNO	CA	93701	2211	10	06019	36.74333844	-119.7831874	Fresno County
157940	Fee-for-Service	1902846306	1902846306	1	22	USC CARE MEDICAL GROUP, INC	8/6/2020	207ZC0500X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2011 ZONAL AVE	STE 303	LOS ANGELES	CA	90089	0110	19	06037	34.05979479	-118.2053794	Los Angeles County
157950	Fee-for-Service	1164512851	1164512851	1	1	UNIVERSITY OF CALIFORNIA SAN	5/19/2024	207N00000X	NA	Dermatology	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	UCSF INTERNAL MEDICINE	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
157962	Fee-for-Service	1346330610	1346330610	1	1	UNITED MEDICAL IMAGING	2/3/2017	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTHCARE INC	1127 WILSHIRE BLVD	SUITE 100	LOS ANGELES	CA	90017	3901	19	06037	34.05270508	-118.2641005	Los Angeles County
158224	Fee-for-Service	1902846306	1902846306	1	22	USC CARE MEDICAL GROUP, INC	4/13/2010	207ZC0500X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	2011 ZONAL AVE	STE 303	LOS ANGELES	CA	90089	0110	19	06037	34.05979479	-118.2053794	Los Angeles County
158238	Fee-for-Service	1164512851	1164512851	1	1	UNIVERSITY OF CALIFORNIA SAN	6/1/1999	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UCSF INTERNAL MEDICINE	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
158466	Fee-for-Service	1902846306	1902846306	1	15	USC CARE MEDICAL GROUP, INC	4/13/2010	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	8900 WILSHIRE BLVD	1ST FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
158490	Fee-for-Service	1942570015	1942570015	1	1	URGENT HOSPICE CARE INC	5/10/2024	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	224 E OLIVE AVE	SUITE 216	BURBANK	CA	91502	1234	19	06037	34.18109046	-118.3084839	Los Angeles County
158511	Fee-for-Service	1902846306	1902846306	1	22	USC CARE MEDICAL GROUP, INC	10/4/2022	207ZC0500X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2011 ZONAL AVE	STE 303	LOS ANGELES	CA	90089	0110	19	06037	34.05979479	-118.2053794	Los Angeles County
158527	Fee-for-Service	1164512851	1164512851	1	1	UNIVERSITY OF CALIFORNIA SAN	11/1/2023	207N00000X	NA	Dermatology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	UCSF INTERNAL MEDICINE	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
158565	Fee-for-Service	1871540112	1871540112	1	1	UBELL, SABINA LCSW	10/28/2010	104100000X	NA	Mental Health Outpatient Services	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	2607 ALCATRAZ AVE	# 5	BERKELEY	CA	94705	2702	01	06001	37.85122943	-122.2529706	Alameda County
158753	Fee-for-Service	1902846306	1902846306	1	15	USC CARE MEDICAL GROUP, INC	10/4/2022	2085B0100X	NA	MRI Provider	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8900 WILSHIRE BLVD	1ST FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
158762	Fee-for-Service	1255549879	1255549879	1	1	UNITED HEALTH CENTERS-	3/1/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	HURON	16928 11TH STREET	None	HURON	CA	93234	0000	10	06019	36.20532278	-120.1027083	Fresno County
158777	Fee-for-Service	1942570015	1942570015	1	1	URGENT HOSPICE CARE INC	5/10/2024	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	224 E OLIVE AVE	SUITE 216	BURBANK	CA	91502	1234	19	06037	34.18109046	-118.3084839	Los Angeles County
159042	Fee-for-Service	1902846306	1902846306	1	15	USC CARE MEDICAL GROUP, INC	4/13/2010	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	42	Nuclear Medicine	0	In state provider	None	8900 WILSHIRE BLVD	1ST FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
159047	Fee-for-Service	1518224518	1518224518	1	1	UMAR, SOBAN MD	7/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132347	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
159328	Fee-for-Service	1902846306	1902846306	1	15	USC CARE MEDICAL GROUP, INC	8/6/2020	2085B0100X	NA	MRI Provider	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	8900 WILSHIRE BLVD	1ST FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
159368	Fee-for-Service	1528478211	1528478211	1	8	UNITED HEALTH CENTERS OF THE	10/26/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2497 E HERNDON AVE	STE 103	CLOVIS	CA	93611	8977	10	06019	36.83742549	-119.6667225	Fresno County
159575	Fee-for-Service	1891760914	1891760914	1	1	UNIVERSITY OF CALIFORNIA	1/1/1979	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 4F4	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
159654	Fee-for-Service	1104489509	1104489509	1	1	UNIVERSAL ARTIFICIAL KIDNEY	10/26/2020	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	4036 WHITTIER BLVD	SUITE 100	LOS ANGELES	CA	90023	2560	19	06037	34.02390455	-118.1847825	Los Angeles County
159655	Fee-for-Service	1528478211	1528478211	1	8	UNITED HEALTH CENTERS OF THE	12/2/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2497 E HERNDON AVE	STE 103	CLOVIS	CA	93611	8977	10	06019	36.83742549	-119.6667225	Fresno County
159674	Fee-for-Service	1508676651	1508676651	1	1	UNIVERSITY HEALTH PHARMACY	2/14/2025	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2392 UNIVERSITY AVE	None	RIVERSIDE	CA	92507	4266	33	06065	33.97552264	-117.360763	Riverside County
159748	Fee-for-Service	1083805592	1083805592	1	1	USHER, WENONAH L MD	8/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89478	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
159756	Fee-for-Service	1164426896	1164426896	2	1	UPMC CHILDREN'S HOSPITAL OF	1/18/2021	282NC2000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	PITTSBURGH	4401 PENN AVE	None	PITTSBURGH	PA	15224	1334	00	None	40.46605162	-79.9530831	Allegheny County
159863	Fee-for-Service	1629031521	1629031521	1	1	USLANDER, ROBERT L MD	11/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83484	08	Family Practice	0	In state provider	None	183 FAIRVIEW LN	STE C	SONORA	CA	95370	4856	55	06109	37.97876204	-120.3911933	Tuolumne County
159942	Fee-for-Service	1528478211	1528478211	1	8	UNITED HEALTH CENTERS OF THE	12/2/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2497 E HERNDON AVE	STE 103	CLOVIS	CA	93611	8977	10	06019	36.83742549	-119.6667225	Fresno County
159957	Fee-for-Service	1841834587	1841834587	1	1	UPLAND VASCULAR CENTER LLC	6/14/2023	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1317 W FOOTHILL BLVD	110	UPLAND	CA	91786	3675	36	06071	34.10715453	-117.6734115	San Bernardino County
160043	Fee-for-Service	1164426896	1164426896	2	1	UPMC CHILDREN'S HOSPITAL OF	1/18/2021	282NC2000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	PITTSBURGH	4401 PENN AVE	None	PITTSBURGH	PA	15224	1334	00	None	40.46605162	-79.9530831	Allegheny County
160193	Fee-for-Service	1073911137	1073911137	1	25	UNIVERSITY FACULTY ASSOCIATE	7/24/2019	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	, INC.	604 N MAGNOLIA AVE	100	CLOVIS	CA	93611	9204	10	06019	36.83939464	-119.6661479	Fresno County
160234	Fee-for-Service	1528478211	1528478211	1	8	UNITED HEALTH CENTERS OF THE	3/20/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2497 E HERNDON AVE	STE 103	CLOVIS	CA	93611	8977	10	06019	36.83742549	-119.6667225	Fresno County
160253	Fee-for-Service	1053497164	1053497164	1	1	UCSF	6/1/1999	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	UCSF OPTHALMOLOGY GROUP	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
160739	Fee-for-Service	1659626257	1659626257	1	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207RG0300X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	38	Geriatrics	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
161127	Fee-for-Service	1144617416	1144617416	1	1	UNITED MEDICAL IMAGING	8/21/2017	261QR0206X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTHCARE INC	1401 W MERCED AVE	STE 102	WEST COVINA	CA	91790	3401	19	06037	34.061711	-117.9466197	Los Angeles County
161238	Fee-for-Service	1043732142	1043732142	1	1	UPADHYAY BASKOTA, SWIKRITY	12/20/2023	207ZP0102X	NA	Other	026	PHYSICIANS	192028	None	None	0	In state provider	MD	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
161375	Fee-for-Service	1376118281	1376118281	1	1	USC-DAVITA DIALYSIS CENTER	5/12/2022	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	LLC	3660 WILSHIRE BLVD	STE 338	LOS ANGELES	CA	90010	2752	19	06037	34.06170018	-118.3049892	Los Angeles County
161387	Fee-for-Service	1396021804	1396021804	1	1	U FIRST TRANSPORT, LLC	2/27/2012	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	8365 BUENA VISTA DR	None	FONTANA	CA	92335	0512	36	06071	34.10169535	-117.4996673	San Bernardino County
161422	Fee-for-Service	1730259441	1730259441	1	1	UCSF	6/1/1999	2086X0206X	NA	General Surgery	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	UCSF UROLOGY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
161472	Fee-for-Service	1982667663	1982667663	1	2	UC REGENTS	5/9/2019	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RACTICE	1250 16TH ST.	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
161685	Fee-for-Service	1902846306	1902846306	1	29	USC CARE MEDICAL GROUP, INC	8/6/2020	207N00000X	NA	Dermatology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1450 SAN PBLO ST	STE 2000	LOS ANGELES	CA	90033	5300	19	06037	34.06189518	-118.203256	Los Angeles County
161861	Fee-for-Service	1659390763	1659390763	1	1	UNILAB CORPORATION	2/28/2003	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	8403 FALLBROOK AVE	None	WEST HILLS	CA	91304	3226	19	06037	34.221285	-118.626264	Los Angeles County
161978	Fee-for-Service	1902846306	1902846306	1	29	USC CARE MEDICAL GROUP, INC	4/15/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	None	1450 SAN PBLO ST	STE 2000	LOS ANGELES	CA	90033	5300	19	06037	34.06189518	-118.203256	Los Angeles County
162218	Fee-for-Service	1467899815	1467899815	1	1	UCHTMANN, NATHANIEL D MD	11/27/2017	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	149647	40	Pediatrics	0	In state provider	None	210 CANAL ST	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
162236	Fee-for-Service	1831353762	1831353762	1	1	UY, SHIRLEY I MD	2/8/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	115101	08	Family Practice	0	In state provider	None	1101 N CHERRY ST	None	TULARE	CA	93274	2231	54	06107	36.22333808	-119.337575	Tulare County
162265	Fee-for-Service	1902846306	1902846306	1	29	USC CARE MEDICAL GROUP, INC	2/3/2020	207N00000X	NA	Dermatology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PBLO ST	STE 2000	LOS ANGELES	CA	90033	5300	19	06037	34.06189518	-118.203256	Los Angeles County
162363	Fee-for-Service	1922676444	1922676444	1	1	U & I CARE MEDICAL TRANSPORT	9/3/2021	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ATION LLC	44105 JACKSON	204	INDIO	CA	92201	3280	33	06065	33.728877	-116.216336	Riverside County
162461	Fee-for-Service	1811069669	1811069669	1	1	UNGERLEIDER, JUDITH R MD	9/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81231	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
162505	Fee-for-Service	1467899815	1467899815	1	1	UCHTMANN, NATHANIEL D MD	11/27/2017	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	149647	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
162518	Fee-for-Service	1902846306	1902846306	1	25	USC CARE MEDICAL GROUP, INC	10/4/2022	207RA0201X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8900 WILSHIRE BLVD	2ND FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
162554	Fee-for-Service	1902846306	1902846306	1	29	USC CARE MEDICAL GROUP, INC	4/15/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1450 SAN PBLO ST	STE 2000	LOS ANGELES	CA	90033	5300	19	06037	34.06189518	-118.203256	Los Angeles County
162668	Fee-for-Service	1295202091	1295202091	1	1	UNDERWOOD, VIRGINIA LCSW	5/29/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7111 N FRESNO ST	STE. 200	FRESNO	CA	93720	2965	10	06019	36.83951763	-119.7815709	Fresno County
162764	Fee-for-Service	1982667663	1982667663	1	1	UC REGENTS	7/24/2019	291U00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	RACTICE	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
162777	Fee-for-Service	1033561204	1033561204	1	1	UY, IRIS E MD	3/7/2025	207RN0300X	NA	Nephrology	026	PHYSICIANS	None	45	Nephrology (Renal-Kidney)	0	In state provider	None	3933 COFFEE RD	STE A	BAKERSFIELD	CA	93308	5024	15	06029	35.395335	-119.092336	Kern County
162785	Fee-for-Service	1518916527	1518916527	1	1	UCI DEPARTMENT OF DERMATOLOG	7/7/1982	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	CALIFORNIA	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
162789	Fee-for-Service	1639461395	1639461395	1	1	UGWU, DANA C MD	4/9/2019	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
162805	Fee-for-Service	1902846306	1902846306	1	25	USC CARE MEDICAL GROUP, INC	8/6/2020	207RA0201X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	8900 WILSHIRE BLVD	2ND FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
162827	Fee-for-Service	1902846306	1902846306	1	29	USC CARE MEDICAL GROUP, INC	12/16/2019	207N00000X	NA	Dermatology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PBLO ST	STE 2000	LOS ANGELES	CA	90033	5300	19	06037	34.06189518	-118.203256	Los Angeles County
163001	Fee-for-Service	1538246467	1538246467	1	1	URMAN, JEFFREY D MD	2/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	33534	83	Rheumatology	0	In state provider	None	2900 WHIPPLE AVE	None	REDWOOD CITY	CA	94062	2843	41	06081	37.4783072	-122.2551089	San Mateo County
163003	Fee-for-Service	1851373401	1851373401	1	1	UNITED HLTH CTRS-KERMAN	1/6/2025	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	517 S MADERA AVE	None	KERMAN	CA	93630	1523	10	06019	36.72710606	-120.060325	Fresno County
163051	Fee-for-Service	1982667663	1982667663	1	1	UC REGENTS	10/12/2017	291U00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	RACTICE	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
163093	Fee-for-Service	1902846306	1902846306	1	25	USC CARE MEDICAL GROUP, INC	4/20/2010	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	None	8900 WILSHIRE BLVD	2ND FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
163123	Fee-for-Service	1902846306	1902846306	1	29	USC CARE MEDICAL GROUP, INC	4/15/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1450 SAN PBLO ST	STE 2000	LOS ANGELES	CA	90033	5300	19	06037	34.06189518	-118.203256	Los Angeles County
163225	Fee-for-Service	1003532631	1003532631	1	2	UNITED M.T.	6/7/2023	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	3774 GROVE ST	STE G2	LEMON GROVE	CA	91945	1837	37	06073	32.74642662	-117.0271281	San Diego County
163290	Fee-for-Service	1851373401	1851373401	1	1	UNITED HLTH CTRS-KERMAN	8/15/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	517 S MADERA AVE	None	KERMAN	CA	93630	1523	10	06019	36.72710606	-120.060325	Fresno County
163341	Fee-for-Service	1982667663	1982667663	1	1	UC REGENTS	4/18/2011	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	RACTICE	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
163373	Fee-for-Service	1629168992	1629168992	1	1	UNITED MEDICAL IMAGING	2/3/2017	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTHCARE INC	110 S LA BREA AVE	SUITE 150	INGLEWOOD	CA	90360	1176	19	06037	33.962778	-118.353343	Los Angeles County
163383	Fee-for-Service	1902846306	1902846306	1	25	USC CARE MEDICAL GROUP, INC	4/20/2010	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	8900 WILSHIRE BLVD	2ND FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
163401	Fee-for-Service	1902846306	1902846306	1	6	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 S GRAND AVE	STE 805	LOS ANGELES	CA	90017	4808	19	06037	34.03692236	-118.2655238	Los Angeles County
163458	Fee-for-Service	1659933380	1659933380	1	1	UNDERWOOD, DENISE A LMFT	10/19/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
163577	Fee-for-Service	1851373401	1851373401	1	1	UNITED HLTH CTRS-KERMAN	5/1/1995	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	517 S MADERA AVE	None	KERMAN	CA	93630	1523	10	06019	36.72710606	-120.060325	Fresno County
163628	Fee-for-Service	1982667663	1982667663	1	1	UC REGENTS	1/1/1992	291U00000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	RACTICE	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
163669	Fee-for-Service	1902846306	1902846306	1	25	USC CARE MEDICAL GROUP, INC	4/20/2010	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	None	8900 WILSHIRE BLVD	2ND FLOOR	BEVERLY HILLS	CA	90211	1958	19	06037	34.06703955	-118.3859235	Los Angeles County
163695	Fee-for-Service	1902846306	1902846306	1	6	USC CARE MEDICAL GROUP, INC	11/4/2009	207VG0400X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1400 S GRAND AVE	STE 805	LOS ANGELES	CA	90017	4808	19	06037	34.03692236	-118.2655238	Los Angeles County
163782	Fee-for-Service	1407397235	1407397235	1	1	UNLV MEDICINE	4/12/2023	152WP0200X	NA	Other	022	PHYSICIANS GROUP	-	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
163866	Fee-for-Service	1851373401	1851373401	1	1	UNITED HLTH CTRS-KERMAN	5/1/1995	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	517 S MADERA AVE	None	KERMAN	CA	93630	1523	10	06019	36.72710606	-120.060325	Fresno County
163916	Fee-for-Service	1982667663	1982667663	1	1	UC REGENTS	8/5/2019	291U00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RACTICE	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
163977	Fee-for-Service	1902846306	1902846306	1	6	USC CARE MEDICAL GROUP, INC	11/4/2009	207VG0400X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	1400 S GRAND AVE	STE 805	LOS ANGELES	CA	90017	4808	19	06037	34.03692236	-118.2655238	Los Angeles County
164159	Fee-for-Service	1386784031	1386784031	1	1	USC FAMILY MEDICINE INC	7/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1400 S GRAND AVE	STE 101	LOS ANGELES	CA	90015	3048	19	06037	34.03692236	-118.2655238	Los Angeles County
164162	Fee-for-Service	1548607286	1548607286	1	1	UVELLI, KATHERINE E MD	12/5/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	144910	08	Family Practice	0	In state provider	None	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
164261	Fee-for-Service	1902846306	1902846306	1	6	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1400 S GRAND AVE	STE 805	LOS ANGELES	CA	90017	4808	19	06037	34.03692236	-118.2655238	Los Angeles County
164446	Fee-for-Service	1205016011	1205016011	1	1	UCSF	6/1/1999	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	ANESTHESIA MED MT ZION	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
164506	Fee-for-Service	1073911137	1073911137	1	15	UNIVERSITY FACULTY ASSOCIATE	3/8/2021	207RC0200X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ASSOCIATES INC	6733 N WILLOW AVE	SUITE 107	FRESNO	CA	93710	5953	10	06019	36.83464076	-119.7311553	Fresno County
164675	Fee-for-Service	1932264413	1932264413	1	1	UCSD BIOCHEM GENETIC LAB	1/1/1984	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UCSD SCHL OF MED (0609B)	9500 GILMAN DR	None	LA JOLLA	CA	92093	5004	37	06073	32.87597207	-117.239238	San Diego County
164682	Fee-for-Service	1073756359	1073756359	1	1	UDINK, RYAN B DO	12/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	2865 DAGGETT AVE	None	KLAMATH FALLS	OR	97601	1106	00	None	42.25240042	-121.7859055	Klamath County
164794	Fee-for-Service	1073911137	1073911137	1	15	UNIVERSITY FACULTY ASSOCIATE	7/29/2015	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	ASSOCIATES INC	6733 N WILLOW AVE	SUITE 107	FRESNO	CA	93710	5953	10	06019	36.83464076	-119.7311553	Fresno County
165036	Fee-for-Service	1093347619	1093347619	1	1	URBINA, YOANA LMFT	2/26/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	144380	-	NOT APPLICABLE	0	In state provider	None	8330 RESEDA BLVD	None	NORTHRIDGE	CA	91324	4619	19	06037	34.221609	-118.5360405	Los Angeles County
165081	Fee-for-Service	1073911137	1073911137	1	15	UNIVERSITY FACULTY ASSOCIATE	7/29/2015	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	ASSOCIATES INC	6733 N WILLOW AVE	SUITE 107	FRESNO	CA	93710	5953	10	06019	36.83464076	-119.7311553	Fresno County
165108	Fee-for-Service	1164512851	1164512851	1	2	UNIVERSITY OF CALIFORNIA SAN	7/29/2024	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	520 ILLINOIS ST	None	SAN FRANCISCO	CA	94107	0000	38	06075	37.76487693	-122.3880446	San Francisco County
165140	Fee-for-Service	1457982696	1457982696	1	1	UNDER PRESSURE HYPERBARICS M	9/29/2020	2083P0011X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC.	250 N ROBERTSON BLVD STE	None	BEVERLY HILLS	CA	90211	1767	19	06037	34.0696407	-118.3836988	Los Angeles County
165215	Fee-for-Service	1316658180	1316658180	1	1	UNITY HOME CARE INC	6/20/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2039 COG HILL DRIVE	None	CORONA	CA	92883	0609	33	06065	33.81823145	-117.5281628	Riverside County
165325	Fee-for-Service	1275948952	1275948952	1	1	UPPAL, MANJINDER MD	11/14/2023	207RR0500X	NA	Other	026	PHYSICIANS	17338	None	None	0	In state provider	None	1020 29TH STREET	SUITE 570	SACRAMENTO	CA	95816	5125	34	06067	38.572803	-121.4685	Sacramento County
165647	Fee-for-Service	1073911137	1073911137	1	17	UNIVERSITY FACULTY ASSOCIATE	6/1/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	ASSOCIATES INC	729 N MEDICAL CTR DR W	SUITE 111	FRESNO	CA	93611	6880	10	06019	36.84152435	-119.6624818	Fresno
165954	Fee-for-Service	1386145092	1386145092	1	1	USRC GARDENA LLC	4/1/2018	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1045 W REDONDO BEACH BLV	SUITE 105	GARDENA	CA	90247	4184	19	06037	33.89247044	-118.2931941	Los Angeles County
166006	Fee-for-Service	1205393238	1205393238	1	1	UNICARE COMMUNITY HEALTH	10/22/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	190 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3658	36	06071	34.1360043	-117.2826788	San Bernardino County
166213	Fee-for-Service	1538633383	1538633383	1	1	UEDA-LANG, NORIKO LAC	8/12/2019	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
166288	Fee-for-Service	1205393238	1205393238	1	1	UNICARE COMMUNITY HEALTH	8/27/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	190 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3658	36	06071	34.1360043	-117.2826788	San Bernardino County
166429	Fee-for-Service	1598849192	1598849192	1	1	UDOMPHONKUL, NIKOM MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	34194	41	Internal Medicine	0	In state provider	NIKOM UDOM MEDICAL CLINI	145 SPRUCE ST	None	GRIDLEY	CA	95948	2239	04	06007	39.36695255	-121.689054	Butte County
166579	Fee-for-Service	1205393238	1205393238	1	1	UNICARE COMMUNITY HEALTH	8/27/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	190 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3658	36	06071	34.1360043	-117.2826788	San Bernardino County
167110	Fee-for-Service	1902846306	1902846306	1	46	USC CARE MEDICAL GROUP, INC	4/15/2014	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1127 WILSHIRE BLVD	STE 1414	LOS ANGELES	CA	90017	4000	19	06037	34.05270508	-118.2641005	Los Angeles County
167330	Fee-for-Service	1366512014	1366512014	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UCSF RADIATION ONCOLOGY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
167400	Fee-for-Service	1902846306	1902846306	1	46	USC CARE MEDICAL GROUP, INC	4/15/2014	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	1127 WILSHIRE BLVD	STE 1414	LOS ANGELES	CA	90017	4000	19	06037	34.05270508	-118.2641005	Los Angeles County
167687	Fee-for-Service	1902846306	1902846306	1	46	USC CARE MEDICAL GROUP, INC	8/6/2020	207V00000X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1127 WILSHIRE BLVD	STE 1414	LOS ANGELES	CA	90017	4000	19	06037	34.05270508	-118.2641005	Los Angeles County
167975	Fee-for-Service	1902846306	1902846306	1	46	USC CARE MEDICAL GROUP, INC	10/4/2022	207V00000X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1127 WILSHIRE BLVD	STE 1414	LOS ANGELES	CA	90017	4000	19	06037	34.05270508	-118.2641005	Los Angeles County
167980	Fee-for-Service	1902846306	1902846306	1	11	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1238	19	06037	34.27904453	-118.459944	Los Angeles County
168239	Fee-for-Service	1902846306	1902846306	1	30	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	50 BELLEFONTAINE ST	STE 403	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
168272	Fee-for-Service	1902846306	1902846306	1	11	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1238	19	06037	34.27904453	-118.459944	Los Angeles County
168342	Fee-for-Service	1356696215	1356696215	1	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207RX0202X	NA	Oncology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
168369	Fee-for-Service	1467225235	1467225235	1	1	UNIVERSAL RADIOLOGY PARTNERS	11/1/2023	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	OF CALIFORNIA PC	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
168528	Fee-for-Service	1902846306	1902846306	1	30	USC CARE MEDICAL GROUP, INC	4/20/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	50 BELLEFONTAINE ST	STE 403	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
168560	Fee-for-Service	1902846306	1902846306	1	11	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1238	19	06037	34.27904453	-118.459944	Los Angeles County
168736	Fee-for-Service	1821582149	1821582149	1	1	UDESHI, SUKRUTI V MD	10/13/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	174028	None	None	0	In state provider	None	1100 VAN NESS AVE	None	SAN FRANCISCO	CA	94109	6978	38	06075	37.78594176	-122.421322	San Francisco County
168814	Fee-for-Service	1902846306	1902846306	1	30	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	50 BELLEFONTAINE ST	STE 403	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
168847	Fee-for-Service	1902846306	1902846306	1	11	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1238	19	06037	34.27904453	-118.459944	Los Angeles County
168883	Fee-for-Service	1205315041	1205315041	1	1	UNKRICH, KAYLA N CCC-SLP	7/12/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
168941	Fee-for-Service	1043219355	1043219355	2	1	UEKI, BARTON H MD	2/26/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	22592	41	Internal Medicine	0	In state provider	None	12486 WASHINGTON BLVD	None	WHITTIER	CA	90602	1005	19	06037	33.96785241	-118.0451556	Los Angeles County
169064	Fee-for-Service	1275094187	1275094187	1	1	UGARTE, RAMSEY MD	11/8/2022	390200000X	NA	Other	026	PHYSICIANS	181891	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
169096	Fee-for-Service	1528478211	1528478211	1	4	UNITED HEALTH CENTERS OF THE	1/1/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1201 ROSE AVE	None	SELMA	CA	93662	3227	10	06019	36.56881154	-119.5998255	Fresno County
169105	Fee-for-Service	1902846306	1902846306	1	30	USC CARE MEDICAL GROUP, INC	4/20/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	50 BELLEFONTAINE ST	STE 403	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
169136	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
169145	Fee-for-Service	1639377989	1639377989	1	1	UGGEN, JENNIFER T DO	1/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	2	Out of state provider	None	EMILE @ 42ND	None	OMAHA	NE	68198	0001	00	None	41.254236	-95.97573	Douglas County
169230	Fee-for-Service	1043219355	1043219355	2	1	UEKI, BARTON H MD	2/26/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	22592	10	Gastroenterology (M.D. only)	0	In state provider	None	12486 WASHINGTON BLVD	None	WHITTIER	CA	90602	1005	19	06037	33.96785241	-118.0451556	Los Angeles County
169235	Fee-for-Service	1881195840	1881195840	1	2	U S CARE PHARMACY INC	4/13/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3695 ALAMO STREET	STE 100	SIMI VALLEY	CA	93063	2188	56	06111	34.28646149	-118.725102	Ventura County
169267	Fee-for-Service	1902846306	1902846306	1	19	USC CARE MEDICAL GROUP, INC	4/13/2010	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	1300 N VERMONT AVE	STE 706	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
169323	Fee-for-Service	1942963665	1942963665	1	1	USRC LOS ALAMITOS LLC	11/1/2021	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3810 KATELLA AVE	None	LOS ALAMITOS	CA	90720	3302	30	06059	33.80299148	-118.0666755	Orange County
169385	Fee-for-Service	1528478211	1528478211	1	4	UNITED HEALTH CENTERS OF THE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1201 ROSE AVE	None	SELMA	CA	93662	3227	10	06019	36.56881154	-119.5998255	Fresno County
169424	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
169427	Fee-for-Service	1528478211	1528478211	1	2	UNITED HEALTH CENTERS OF THE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2705 S HIGHLAND AVE	None	SELMA	CA	93662	3389	10	06019	36.5732277	-119.6288883	Fresno County
169477	Fee-for-Service	1376624742	1376624742	1	1	UTRATA, PETR	9/4/1995	207R00000X	NA	Other	026	PHYSICIANS	54495	01	General Practice	0	In state provider	None	19100 CREST AVE	24	CASTRO VALLEY	CA	94546	2863	01	06001	37.70503115	-122.103671	Alameda County
169556	Fee-for-Service	1902846306	1902846306	1	19	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1300 N VERMONT AVE	STE 706	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
169636	Fee-for-Service	1063468072	1063468072	1	1	UNIVERSITY OF SOUTH	10/1/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ALABAMA MEDICAL CENTER	2451 FILLINGIM ST	None	MOBILE	AL	36617	2238	00	None	30.707154	-88.098471	Mobile County
169658	Fee-for-Service	1801057542	1801057542	1	1	UYUNI, ADHEMAR F MD	11/5/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97263	41	Internal Medicine	0	In state provider	None	15717 PARAMOUNT BLVD	None	PARAMOUNT	CA	90723	5113	19	06037	33.890355	-118.160178	Los Angeles County
169674	Fee-for-Service	1528478211	1528478211	1	4	UNITED HEALTH CENTERS OF THE	10/29/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1201 ROSE AVE	None	SELMA	CA	93662	3227	10	06019	36.56881154	-119.5998255	Fresno County
169711	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	9/20/2017	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	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
169717	Fee-for-Service	1528478211	1528478211	1	2	UNITED HEALTH CENTERS OF THE	1/1/2020	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2705 S HIGHLAND AVE	None	SELMA	CA	93662	3389	10	06019	36.5732277	-119.6288883	Fresno County
169808	Fee-for-Service	1700057908	1700057908	1	1	UNIVERSITY OF CALIFORNIA	5/2/2008	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 3A36	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
169845	Fee-for-Service	1902846306	1902846306	1	19	USC CARE MEDICAL GROUP, INC	4/13/2010	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1300 N VERMONT AVE	STE 706	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
169925	Fee-for-Service	1063468072	1063468072	1	1	UNIVERSITY OF SOUTH	10/1/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ALABAMA MEDICAL CENTER	2451 FILLINGIM ST	None	MOBILE	AL	36617	2238	00	None	30.707154	-88.098471	Mobile County
169960	Fee-for-Service	1528478211	1528478211	1	4	UNITED HEALTH CENTERS OF THE	11/21/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1201 ROSE AVE	None	SELMA	CA	93662	3227	10	06019	36.56881154	-119.5998255	Fresno County
170000	Fee-for-Service	1528478211	1528478211	1	2	UNITED HEALTH CENTERS OF THE	11/22/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2705 S HIGHLAND AVE	None	SELMA	CA	93662	3389	10	06019	36.5732277	-119.6288883	Fresno County
170002	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	7/16/2018	103TC0700X	NA	Mental Health Outpatient Services	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
170094	Fee-for-Service	1700057908	1700057908	1	1	UNIVERSITY OF CALIFORNIA	12/8/2021	213E00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 3A36	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
170134	Fee-for-Service	1902846306	1902846306	1	19	USC CARE MEDICAL GROUP, INC	4/13/2010	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	1300 N VERMONT AVE	STE 706	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
170151	Fee-for-Service	1326192402	1326192402	1	1	UNITED CARE HOMES-VALINDA	3/24/1995	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	15920 HAYLAND ST	None	LA PUENTE	CA	91744	2240	19	06037	34.03988667	-117.937089	Los Angeles County
170287	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	6/14/2022	103TC0700X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
170294	Fee-for-Service	1528478211	1528478211	1	2	UNITED HEALTH CENTERS OF THE	11/22/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2705 S HIGHLAND AVE	None	SELMA	CA	93662	3389	10	06019	36.5732277	-119.6288883	Fresno County
170419	Fee-for-Service	1902846306	1902846306	1	19	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1300 N VERMONT AVE	STE 706	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
170466	Fee-for-Service	1861733974	1861733974	1	1	UNITED CALIFORNIA SURGICAL	11/28/2012	208600000X	NA	General Surgery	026	PHYSICIANS	112001	33	Thoracic Surgery	0	In state provider	None	1000 E ALMOND AVE	SUITE 102	MADERA	CA	93637	5606	20	06039	36.94544496	-120.047016	Madera County
170576	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
170754	Fee-for-Service	1861733974	1861733974	1	1	UNITED CALIFORNIA SURGICAL	11/28/2012	208600000X	NA	General Surgery	026	PHYSICIANS	112001	02	General Surgery	0	In state provider	None	1000 E ALMOND AVE	SUITE 102	MADERA	CA	93637	5606	20	06039	36.94544496	-120.047016	Madera County
170851	Fee-for-Service	1073911137	1073911137	1	2	UNIVERSITY FACULTY ASSOCIATE	5/22/2015	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	SUITE 301	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
170864	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	3/19/2019	103TC0700X	NA	Mental Health Outpatient Services	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
170983	Fee-for-Service	1902846306	1902846306	1	42	USC CARE MEDICAL GROUP, INC	9/2/2014	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	300 OLD NEWPORT BLVD	None	NEWPORT BEACH	CA	92627	4121	30	06059	33.62363987	-117.9280045	Orange County
171001	Fee-for-Service	1790362549	1790362549	1	1	URIBE, BRITTANY C	4/4/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20468	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
171077	Fee-for-Service	1710079967	1710079967	1	1	UYTINGCO, LORRAINE C MD	11/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	50496	08	Family Practice	0	In state provider	None	2211 N JOHNSON RD	None	TURLOCK	CA	95382	6723	50	06099	37.51305848	-120.8261294	Stanislaus County
171138	Fee-for-Service	1073911137	1073911137	1	2	UNIVERSITY FACULTY ASSOCIATE	10/16/2019	207RH0003X	NA	Oncology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	SUITE 301	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
171154	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	5/8/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	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
171224	Fee-for-Service	1528137296	1528137296	1	1	UCSF	6/1/1999	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	UNIV. ANESTHESIA MED GRP	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
171272	Fee-for-Service	1902846306	1902846306	1	42	USC CARE MEDICAL GROUP, INC	10/4/2022	207R00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	300 OLD NEWPORT BLVD	None	NEWPORT BEACH	CA	92627	4121	30	06059	33.62363987	-117.9280045	Orange County
171276	Fee-for-Service	1841842945	1841842945	1	1	UNICARE HEALTH INC	7/16/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12401 HESPERIA ROAD	SUITE 3	VICTORVILLE	CA	92395	7707	36	06071	34.4771995	-117.2911483	San Bernardino County
171353	Fee-for-Service	1073911137	1073911137	1	11	UNIVERSITY FACULTY ASSOCIATE	7/30/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	STE 220	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
171398	Fee-for-Service	1073911137	1073911137	1	22	UNIVERSITY FACULTY ASSOCIATE	10/13/2017	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2405 TULARE STREET	None	FRESNO	CA	93721	2207	10	06019	36.73722057	-119.785418	Fresno County
171426	Fee-for-Service	1073911137	1073911137	1	2	UNIVERSITY FACULTY ASSOCIATE	10/1/2022	207RH0003X	NA	Oncology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	SUITE 301	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
171440	Fee-for-Service	1902846306	1902846306	1	8	USC CARE MEDICAL GROUP, INC	8/10/2017	103TC0700X	NA	Mental Health Outpatient Services	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
171514	Fee-for-Service	1528137296	1528137296	1	1	UCSF	7/27/2017	207L00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	UNIV. ANESTHESIA MED GRP	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
171555	Fee-for-Service	1902846306	1902846306	1	42	USC CARE MEDICAL GROUP, INC	8/6/2020	207R00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	300 OLD NEWPORT BLVD	None	NEWPORT BEACH	CA	92627	4121	30	06059	33.62363987	-117.9280045	Orange County
171748	Fee-for-Service	1043442189	1043442189	1	1	UNIVERSAL MANAGEMENT	9/1/2009	261QS1200X	NA	Other	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	CONCEPTS INC	6001 TRUXTUN AVE	SUITE 260 B	BAKERSFIELD	CA	93309	0679	15	06029	35.36252236	-119.072932	Kern County
171802	Fee-for-Service	1528137296	1528137296	1	1	UCSF	1/6/2017	207L00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	UNIV. ANESTHESIA MED GRP	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
171842	Fee-for-Service	1861523987	1861523987	1	1	UDOMPANYANAN, KAVID MD	11/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98756	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
171930	Fee-for-Service	1902846306	1902846306	1	14	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	10 CONGRESS ST	STE 504	PASADENA	CA	91105	3045	19	06037	34.13396893	-118.1528162	Los Angeles County
171989	Fee-for-Service	1790367985	1790367985	1	1	UPDYKE, ERIN A MD	8/12/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	182790	08	Family Practice	0	In state provider	None	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
172091	Fee-for-Service	1528137296	1528137296	1	1	UCSF	6/5/2017	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	UNIV. ANESTHESIA MED GRP	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
172112	Fee-for-Service	1255764361	1255764361	1	1	UMBREEN, AISHA MD	2/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138688	01	General Practice	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
172214	Fee-for-Service	1902846306	1902846306	1	14	USC CARE MEDICAL GROUP, INC	4/20/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	10 CONGRESS ST	STE 504	PASADENA	CA	91105	3045	19	06037	34.13396893	-118.1528162	Los Angeles County
172258	Fee-for-Service	1235609520	1235609520	1	1	UNIVERSAL HOME HEALTH LLC	8/9/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	44240 FREMONT BLVD	STE B	FREMONT	CA	94538	0001	01	06001	37.50635976	-121.9492493	Alameda County
172266	Fee-for-Service	1528478211	1528478211	1	10	UNITED HEALTH CENTERS OF THE	6/19/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2630 TUOLUMNE STREET	None	FRESNO	CA	93721	1227	10	06019	36.74274957	-119.7876577	Fresno County
172462	Fee-for-Service	1619268182	1619268182	1	1	URENA, JOEL MD	7/1/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	175402	None	None	0	In state provider	None	1306 MARICOPA HIGHWAY	None	OJAI	CA	93023	3131	56	06111	34.44229705	-119.2645703	Ventura County
172479	Fee-for-Service	1902846306	1902846306	1	53	USC CARE MEDICAL GROUP, INC	2/18/2015	207Y00000X	NA	ENT/Otolaryngology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	800 S CENTRAL AVENUE	SUITE 204	GLENDALE	CA	91204	4379	19	06037	34.13654729	-118.2578243	Los Angeles County
172501	Fee-for-Service	1902846306	1902846306	1	14	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	10 CONGRESS ST	STE 504	PASADENA	CA	91105	3045	19	06037	34.13396893	-118.1528162	Los Angeles County
172554	Fee-for-Service	1528478211	1528478211	1	10	UNITED HEALTH CENTERS OF THE	6/19/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2630 TUOLUMNE STREET	None	FRESNO	CA	93721	1227	10	06019	36.74274957	-119.7876577	Fresno County
172653	Fee-for-Service	1336804939	1336804939	1	1	UNITED HEALTH CENTERS OF THE	9/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	645 S MINNEWAWA AVE	None	FRESNO	CA	93727	4141	10	06019	36.73641027	-119.7092787	Fresno County
172656	Fee-for-Service	1194304675	1194304675	1	1	UMAR, MUHAMMAD MD	10/9/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1531 ESPLANADE	None	CHICO	CA	95926	3310	04	06007	39.74248474	-121.8493369	Butte County
172720	Fee-for-Service	1073911137	1073911137	1	7	UNIVERSITY FACULTY ASSOCIATE	5/28/2015	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	SUITE 260	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
172766	Fee-for-Service	1902846306	1902846306	1	53	USC CARE MEDICAL GROUP, INC	8/6/2020	207Y00000X	NA	ENT/Otolaryngology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	800 S CENTRAL AVENUE	SUITE 204	GLENDALE	CA	91204	4379	19	06037	34.13654729	-118.2578243	Los Angeles County
172830	Fee-for-Service	1902846306	1902846306	1	55	USC CARE MEDICAL GROUP, INC	8/6/2020	207T00000X	NA	General Surgery	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	605 N GARFIELD AVE	FIRST FLOOR	MONTEREY PARK	CA	91754	1102	19	06037	34.06890387	-118.1229537	Los Angeles County
172932	Fee-for-Service	1730273095	1730273095	1	1	UY, CHERRY C MD	6/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	53472	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4500 W 116TH ST	None	HAWTHORNE	CA	90250	2209	19	06037	33.92906042	-118.3548882	Los Angeles County
172943	Fee-for-Service	1336804939	1336804939	1	1	UNITED HEALTH CENTERS OF THE	4/15/2025	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	645 S MINNEWAWA AVE	None	FRESNO	CA	93727	4141	10	06019	36.73641027	-119.7092787	Fresno County
172957	Fee-for-Service	1750960381	1750960381	1	1	UYENO, KEITH DO	4/17/2024	390200000X	NA	Other	026	PHYSICIANS	22241	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
173008	Fee-for-Service	1073911137	1073911137	1	7	UNIVERSITY FACULTY ASSOCIATE	5/28/2015	207RC0200X	NA	Other	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	SUITE 260	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
173053	Fee-for-Service	1902846306	1902846306	1	53	USC CARE MEDICAL GROUP, INC	2/18/2015	207Y00000X	NA	ENT/Otolaryngology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	800 S CENTRAL AVENUE	SUITE 204	GLENDALE	CA	91204	4379	19	06037	34.13654729	-118.2578243	Los Angeles County
173118	Fee-for-Service	1902846306	1902846306	1	55	USC CARE MEDICAL GROUP, INC	5/15/2015	207T00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	605 N GARFIELD AVE	FIRST FLOOR	MONTEREY PARK	CA	91754	1102	19	06037	34.06890387	-118.1229537	Los Angeles County
173141	Fee-for-Service	1306135579	1306135579	1	1	ULLOA, JESUS G MD	9/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123518	02	General Surgery	0	In state provider	None	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
173207	Fee-for-Service	1790741676	1790741676	1	1	UMER, SAYED 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	102 PALO ALTO RD	STE 300	SAN ANTONIO	TX	78211	3791	00	None	29.35346378	-98.55224483	Bexar County
173222	Fee-for-Service	1730273095	1730273095	1	1	UY, CHERRY C MD	6/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	53472	40	Pediatrics	0	In state provider	None	4500 W 116TH ST	None	HAWTHORNE	CA	90250	2209	19	06037	33.92906042	-118.3548882	Los Angeles County
173227	Fee-for-Service	1972820058	1972820058	1	1	UREY, MARCUS A MD	8/29/2017	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	148944	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
173228	Fee-for-Service	1982667663	1982667663	1	4	UC REGENTS	4/12/2019	2080N0001X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RACTICE	1260 15TH STREET	SUITE 1002	SANTA MONICA	CA	90404	1145	19	06037	34.02648965	-118.4867439	Los Angeles County
173229	Fee-for-Service	1336804939	1336804939	1	1	UNITED HEALTH CENTERS OF THE	9/1/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	645 S MINNEWAWA AVE	None	FRESNO	CA	93727	4141	10	06019	36.73641027	-119.7092787	Fresno County
173342	Fee-for-Service	1760971519	1760971519	1	1	UONG, DOROTHY OT	12/5/2018	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3002 DOW AVE STE 114	None	TUSTIN	CA	92780	7247	30	06059	33.70954889	-117.8043627	Orange County
173347	Fee-for-Service	1902846306	1902846306	1	53	USC CARE MEDICAL GROUP, INC	2/18/2015	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	None	800 S CENTRAL AVENUE	SUITE 204	GLENDALE	CA	91204	4379	19	06037	34.13654729	-118.2578243	Los Angeles County
173407	Fee-for-Service	1902846306	1902846306	1	55	USC CARE MEDICAL GROUP, INC	10/4/2022	207T00000X	NA	General Surgery	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	605 N GARFIELD AVE	FIRST FLOOR	MONTEREY PARK	CA	91754	1102	19	06037	34.06890387	-118.1229537	Los Angeles County
173515	Fee-for-Service	1336804939	1336804939	1	1	UNITED HEALTH CENTERS OF THE	6/21/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	645 S MINNEWAWA AVE	None	FRESNO	CA	93727	4141	10	06019	36.73641027	-119.7092787	Fresno County
173535	Fee-for-Service	1851686638	1851686638	1	1	UCHE, IJEOMA MD	6/27/2024	207R00000X	NA	Other	026	PHYSICIANS	152328	41	Internal Medicine	0	In state provider	None	1850 W. FLORIDA AVE.	None	HEMET	CA	92545	6738	33	06065	33.74751552	-116.991432	Riverside County
173670	Fee-for-Service	1386692473	1386692473	1	1	UC REGENTS DEPARTMENT OF RAD	2/1/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	CALIFORNIA	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
173674	Fee-for-Service	1194742775	1194742775	1	1	UY-CONCEPCION, ERLINDA T	8/1/1984	207RN0300X	NA	Nephrology	026	PHYSICIANS	29880	45	Nephrology (Renal-Kidney)	0	In state provider	MD	600 N 13TH AVE	None	UPLAND	CA	91786	4905	36	06071	34.10113004	-117.6336234	San Bernardino County
173695	Fee-for-Service	1902846306	1902846306	1	55	USC CARE MEDICAL GROUP, INC	5/15/2015	207T00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	None	605 N GARFIELD AVE	FIRST FLOOR	MONTEREY PARK	CA	91754	1102	19	06037	34.06890387	-118.1229537	Los Angeles County
173775	Fee-for-Service	1073911137	1073911137	1	14	UNIVERSITY FACULTY ASSOCIATE	5/27/2015	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	7415 N CEDAR AVE	SUITE 102	FRESNO	CA	93720	3834	10	06019	36.8438171	-119.7568857	Fresno County
173824	Fee-for-Service	1851686638	1851686638	1	1	UCHE, IJEOMA MD	6/27/2024	207R00000X	NA	Other	026	PHYSICIANS	152328	67	Endocrinology	0	In state provider	None	1850 W. FLORIDA AVE.	None	HEMET	CA	92545	6738	33	06065	33.74751552	-116.991432	Riverside County
173880	Fee-for-Service	1255562302	1255562302	1	1	ULLOTH, JOEL E MD INC	8/19/2009	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	108943	None	None	0	In state provider	None	2135 AIRPARK DR	STE B	REDDING	CA	96001	2433	45	06089	40.57450425	-122.4048819	Shasta County
174008	Fee-for-Service	1902846306	1902846306	1	7	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	501 S BUENA VISTA	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
174023	Fee-for-Service	1275671786	1275671786	1	1	UNILAB CORPORATION	4/16/2008	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	48677 VICTORIA LN	None	OAKHURST	CA	93644	9216	20	06039	37.32772782	-119.6601883	Madera County
174297	Fee-for-Service	1902846306	1902846306	1	7	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	501 S BUENA VISTA	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
174385	Fee-for-Service	1902846306	1902846306	1	44	USC CARE MEDICAL GROUP, INC	9/2/2014	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	520 SUPERIOR AVE	SUITE 300	NEWPORT BEACH	CA	92663	3668	30	06059	33.628914	-117.9276525	Orange County
174584	Fee-for-Service	1902846306	1902846306	1	7	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	501 S BUENA VISTA	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
174672	Fee-for-Service	1902846306	1902846306	1	44	USC CARE MEDICAL GROUP, INC	10/4/2022	207R00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	520 SUPERIOR AVE	SUITE 300	NEWPORT BEACH	CA	92663	3668	30	06059	33.628914	-117.9276525	Orange County
174798	Fee-for-Service	1902846306	1902846306	1	20	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4440 BROCKTON AVE	STE 330	RIVERSIDE	CA	92501	4068	33	06065	33.97764104	-117.3838896	Riverside County
174874	Fee-for-Service	1902846306	1902846306	1	7	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	501 S BUENA VISTA	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
174911	Fee-for-Service	1073911137	1073911137	1	21	UNIVERSITY FACULTY ASSOCIATE	2/10/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	290 N WAYTE LANE	None	FRESNO	CA	93701	2124	10	06019	36.74643429	-119.7837416	Fresno County
175084	Fee-for-Service	1902846306	1902846306	1	20	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4440 BROCKTON AVE	STE 330	RIVERSIDE	CA	92501	4068	33	06065	33.97764104	-117.3838896	Riverside County
175163	Fee-for-Service	1104916204	1104916204	1	1	UMETSU, DALE T MD	7/31/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	58143	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.7634502	-122.4579779	San Francisco County
175201	Fee-for-Service	1073911137	1073911137	1	21	UNIVERSITY FACULTY ASSOCIATE	2/10/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	290 N WAYTE LANE	None	FRESNO	CA	93701	2124	10	06019	36.74643429	-119.7837416	Fresno County
175373	Fee-for-Service	1902846306	1902846306	1	20	USC CARE MEDICAL GROUP, INC	4/23/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	4440 BROCKTON AVE	STE 330	RIVERSIDE	CA	92501	4068	33	06065	33.97764104	-117.3838896	Riverside County
175487	Fee-for-Service	1073911137	1073911137	1	21	UNIVERSITY FACULTY ASSOCIATE	2/10/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	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
175704	Fee-for-Service	1326388638	1326388638	1	1	UNIQUE CARE LOS ANGELES HOME	9/19/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE INC	30423 CANWOOD ST	SUITE 225	CALABASAS	CA	91301	4367	19	06037	34.14710182	-118.7842501	Los Angeles County
175932	Fee-for-Service	1114075652	1114075652	1	1	UZELAC, ALINA MD	4/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	8266	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
176256	Fee-for-Service	1699827857	1699827857	3	1	UNITED MED TRANSPORT INC	12/1/2017	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	19112 GRIDLEY RD	STE 238	CERRITOS	CA	90703	6630	19	06037	33.8571	-118.0908315	Los Angeles County
176325	Fee-for-Service	1902846306	1902846306	1	39	USC CARE MEDICAL GROUP, INC	11/6/2020	207Q00000X	NA	Adult Primary Care	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1510 S CENTRAL AVE	STE 200	GLENDALE	CA	91204	2588	19	06037	34.12709764	-118.2577911	Los Angeles County
176584	Fee-for-Service	1609064641	1609064641	1	2	URBINA-FELIX, SONIA LCSW	5/10/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4701 VON KARMAN AVE STE	None	NEWPORT BEACH	CA	92660	8150	30	06059	33.66894215	-117.8600003	Orange County
176613	Fee-for-Service	1902846306	1902846306	1	39	USC CARE MEDICAL GROUP, INC	6/30/2014	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1510 S CENTRAL AVE	STE 200	GLENDALE	CA	91204	2588	19	06037	34.12709764	-118.2577911	Los Angeles County
176619	Fee-for-Service	1154046563	1154046563	1	1	UPADHYAYA, APARNA NP	10/5/2023	208000000X	NA	Pediatric Primary Care	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
176899	Fee-for-Service	1902846306	1902846306	1	39	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1510 S CENTRAL AVE	STE 200	GLENDALE	CA	91204	2588	19	06037	34.12709764	-118.2577911	Los Angeles County
177178	Fee-for-Service	1902846306	1902846306	1	51	USC CARE MEDICAL GROUP, INC	10/4/2022	207T00000X	NA	General Surgery	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1015 N FIRST AVENUE	SUITE A	ARCADIA	CA	91006	7401	19	06037	34.15065339	-118.0285869	Los Angeles County
177190	Fee-for-Service	1902846306	1902846306	1	39	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1510 S CENTRAL AVE	STE 200	GLENDALE	CA	91204	2588	19	06037	34.12709764	-118.2577911	Los Angeles County
177383	Fee-for-Service	1508385139	1508385139	1	1	UPWARD BOUND SPEECH THERAPY	5/18/2018	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	202 FASHION LN	STE 101	TUSTIN	CA	92780	3319	30	06059	33.7470725	-117.8179335	Orange County
177467	Fee-for-Service	1902846306	1902846306	1	51	USC CARE MEDICAL GROUP, INC	8/6/2020	207T00000X	NA	General Surgery	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1015 N FIRST AVENUE	SUITE A	ARCADIA	CA	91006	7401	19	06037	34.15065339	-118.0285869	Los Angeles County
177476	Fee-for-Service	1528478211	1528478211	1	3	UNITED HEALTH CENTERS OF THE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2502 E JENSEN AVE	None	SANGER	CA	93657	2447	10	06019	36.70680549	-119.572011	Fresno County
177629	Fee-for-Service	1902051311	1902051311	1	1	URLAUB, BERNARD J MD INC	2/28/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	33988	33	Thoracic Surgery	0	In state provider	None	5555 RESERVOIR DR	STE 206	SAN DIEGO	CA	92120	5101	37	06073	32.77628471	-117.0563688	San Diego County
177755	Fee-for-Service	1902846306	1902846306	1	51	USC CARE MEDICAL GROUP, INC	11/6/2020	207T00000X	NA	General Surgery	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1015 N FIRST AVENUE	SUITE A	ARCADIA	CA	91006	7401	19	06037	34.15065339	-118.0285869	Los Angeles County
177765	Fee-for-Service	1528478211	1528478211	1	3	UNITED HEALTH CENTERS OF THE	10/26/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2502 E JENSEN AVE	None	SANGER	CA	93657	2447	10	06019	36.70680549	-119.572011	Fresno County
177916	Fee-for-Service	1902051311	1902051311	1	1	URLAUB, BERNARD J MD INC	2/28/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	33988	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5555 RESERVOIR DR	STE 206	SAN DIEGO	CA	92120	5101	37	06073	32.77628471	-117.0563688	San Diego County
178042	Fee-for-Service	1902846306	1902846306	1	51	USC CARE MEDICAL GROUP, INC	1/29/2015	207T00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	None	1015 N FIRST AVENUE	SUITE A	ARCADIA	CA	91006	7401	19	06037	34.15065339	-118.0285869	Los Angeles County
178053	Fee-for-Service	1528478211	1528478211	1	3	UNITED HEALTH CENTERS OF THE	5/28/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2502 E JENSEN AVE	None	SANGER	CA	93657	2447	10	06019	36.70680549	-119.572011	Fresno County
178131	Fee-for-Service	1609177401	1609177401	1	1	UEKI, BARTON H MD APC	6/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	22592	41	Internal Medicine	0	In state provider	None	12486 WASHINGTON BLVD	None	WHITTIER	CA	90602	1005	19	06037	33.96785241	-118.0451556	Los Angeles County
178175	Fee-for-Service	1891871752	1891871752	1	2	UPADHYAY, SVAPANA D LCSW	9/6/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25 EDWARDS CT	STE 101	BURLINGAME	CA	94010	2421	41	06081	37.59253631	-122.3680236	San Mateo County
178181	Fee-for-Service	1558745422	1558745422	1	1	UNITED CLINICAL LABORATORY L	11/26/2018	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	LC	2257 VISTA PKWY	SUITE 2	WEST PALM BEACH	FL	33411	2724	00	None	26.71928674	-80.14927025	Palm Beach County
178341	Fee-for-Service	1528478211	1528478211	1	3	UNITED HEALTH CENTERS OF THE	10/29/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2502 E JENSEN AVE	None	SANGER	CA	93657	2447	10	06019	36.70680549	-119.572011	Fresno County
178345	Fee-for-Service	1255606687	1255606687	1	1	UCSF MEDICAL CENTER	2/14/2013	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 PARNASSUS AVE	7TH FLOOR	SAN FRANCISCO	CA	94143	0344	38	06075	37.76344756	-122.4581992	San Francisco County
178419	Fee-for-Service	1609177401	1609177401	1	1	UEKI, BARTON H MD APC	6/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	22592	10	Gastroenterology (M.D. only)	0	In state provider	None	12486 WASHINGTON BLVD	None	WHITTIER	CA	90602	1005	19	06037	33.96785241	-118.0451556	Los Angeles County
178498	Fee-for-Service	1578842092	1578842092	1	1	UZES, DANIELE LAC	11/8/2023	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	4170 GROSS ROAD EXT	SUITE #6	CAPITOLA	CA	95010	2054	44	06087	36.98104648	-121.9636468	Santa Cruz County
178567	Fee-for-Service	1134240781	1134240781	1	1	UJIMA FAMILY RECOVERY	8/20/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	12960 SAN PABLO AVENUE	None	RICHMOND	CA	94805	1307	07	06013	37.94877033	-122.3314508	Contra Costa County
178600	Fee-for-Service	1902846306	1902846306	1	50	USC CARE MEDICAL GROUP, INC	3/26/2018	207Y00000X	NA	ENT/Otolaryngology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO STREET	SUITE 5901	LOS ANGELES	CA	90033	5313	19	06037	34.06189518	-118.203256	Los Angeles County
178665	Fee-for-Service	1174660120	1174660120	1	1	UNIVERSITY OF MARYLAND	3/23/2007	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL SYSTEM	22 S GREENE ST	None	BALTIMORE	MD	21201	1544	00	None	39.28815298	-76.62364605	Baltimore city
178700	Fee-for-Service	1104340090	1104340090	1	1	UFODIKE, TIREA LMFT	4/7/2025	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
178851	Fee-for-Service	1902846306	1902846306	1	18	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	11570 INDIAN HILL ROAD	None	MISSION HILLS	CA	91345	1238	19	06037	34.28057479	-118.4588633	Los Angeles County
178887	Fee-for-Service	1902846306	1902846306	1	50	USC CARE MEDICAL GROUP, INC	1/22/2015	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	None	1450 SAN PABLO STREET	SUITE 5901	LOS ANGELES	CA	90033	5313	19	06037	34.06189518	-118.203256	Los Angeles County
178891	Fee-for-Service	1073911137	1073911137	1	3	UNIVERSITY FACULTY ASSOCIATE	5/21/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	2335 E KASHIAN LANE	SUITE 410	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
178956	Fee-for-Service	1174660120	1174660120	1	1	UNIVERSITY OF MARYLAND	3/23/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL SYSTEM	22 S GREENE ST	None	BALTIMORE	MD	21201	1544	00	None	39.28815298	-76.62364605	Baltimore city
179035	Fee-for-Service	1902846306	1902846306	1	60	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	11245 E WASHINGTON BLVD	None	WHITTIER	CA	90606	3111	19	06037	33.97192651	-118.0711359	Los Angeles County
179138	Fee-for-Service	1902846306	1902846306	1	18	USC CARE MEDICAL GROUP, INC	4/13/2010	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	11570 INDIAN HILL ROAD	None	MISSION HILLS	CA	91345	1238	19	06037	34.28057479	-118.4588633	Los Angeles County
179165	Fee-for-Service	1902846306	1902846306	1	47	USC CARE MEDICAL GROUP, INC	8/6/2020	208800000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6001 TRUXTUN AVE	SUITE 220	BAKERSFIELD	CA	93309	0679	15	06029	35.36252236	-119.072932	Kern County
179174	Fee-for-Service	1902846306	1902846306	1	50	USC CARE MEDICAL GROUP, INC	10/2/2017	207Y00000X	NA	ENT/Otolaryngology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO STREET	SUITE 5901	LOS ANGELES	CA	90033	5313	19	06037	34.06189518	-118.203256	Los Angeles County
179262	Fee-for-Service	1609946854	1609946854	1	1	UNITED CEREBRAL PALSY	8/31/2004	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	RIDE-ON	3620 SACRAMENTO DR	STE 201	SAN LUIS OBISPO	CA	93401	7215	40	06079	35.2550855	-120.6418091	San Luis Obispo County
179324	Fee-for-Service	1902846306	1902846306	1	60	USC CARE MEDICAL GROUP, INC	3/25/2016	207W00000X	NA	Ophthalmology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	11245 E WASHINGTON BLVD	None	WHITTIER	CA	90606	3111	19	06037	33.97192651	-118.0711359	Los Angeles County
179413	Fee-for-Service	1457550238	1457550238	1	1	UNIVERSITY OF CALIFORNIA	1/29/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	NT PROGRAM	1263 MISSION ST	None	SAN FRANCISCO	CA	94103	2705	38	06075	37.77664083	-122.414177	San Francisco County
179436	Fee-for-Service	1902846306	1902846306	1	18	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11570 INDIAN HILL ROAD	None	MISSION HILLS	CA	91345	1238	19	06037	34.28057479	-118.4588633	Los Angeles County
179453	Fee-for-Service	1902846306	1902846306	1	47	USC CARE MEDICAL GROUP, INC	10/27/2014	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	None	6001 TRUXTUN AVE	SUITE 220	BAKERSFIELD	CA	93309	0679	15	06029	35.36252236	-119.072932	Kern County
179463	Fee-for-Service	1902846306	1902846306	1	50	USC CARE MEDICAL GROUP, INC	8/6/2020	207Y00000X	NA	ENT/Otolaryngology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1450 SAN PABLO STREET	SUITE 5901	LOS ANGELES	CA	90033	5313	19	06037	34.06189518	-118.203256	Los Angeles County
179493	Fee-for-Service	1275996050	1275996050	1	1	UYAN, RYAN J MD	7/6/2020	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	160771	38	Geriatrics	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
179612	Fee-for-Service	1902846306	1902846306	1	60	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11245 E WASHINGTON BLVD	None	WHITTIER	CA	90606	3111	19	06037	33.97192651	-118.0711359	Los Angeles County
179624	Fee-for-Service	1922364967	1922364967	1	1	UDWADIA, ZUBIN F MD	6/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134723	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
179716	Fee-for-Service	1902846306	1902846306	1	18	USC CARE MEDICAL GROUP, INC	4/13/2010	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	11570 INDIAN HILL ROAD	None	MISSION HILLS	CA	91345	1238	19	06037	34.28057479	-118.4588633	Los Angeles County
179743	Fee-for-Service	1902846306	1902846306	1	47	USC CARE MEDICAL GROUP, INC	10/4/2022	208800000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	6001 TRUXTUN AVE	SUITE 220	BAKERSFIELD	CA	93309	0679	15	06029	35.36252236	-119.072932	Kern County
179777	Fee-for-Service	1275996050	1275996050	1	1	UYAN, RYAN J MD	7/6/2020	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	160771	41	Internal Medicine	0	In state provider	None	200 MED PLAZA	#365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
179901	Fee-for-Service	1902846306	1902846306	1	60	USC CARE MEDICAL GROUP, INC	3/25/2016	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	11245 E WASHINGTON BLVD	None	WHITTIER	CA	90606	3111	19	06037	33.97192651	-118.0711359	Los Angeles County
179909	Fee-for-Service	1023754314	1023754314	1	1	UMUNNAKWE, CHINENYE NP	9/20/2023	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
179965	Fee-for-Service	1932254034	1932254034	1	1	UNGAB, GILANTHONY D MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	65734	06	Cardiovascular Disease (M.D. only)	0	In state provider	UNGAB MEDICAL CORP	502 EUCLID AVE	STE 304	NATIONAL CITY	CA	91950	8900	37	06073	32.68505421	-117.0832793	San Diego County
180005	Fee-for-Service	1902846306	1902846306	1	18	USC CARE MEDICAL GROUP, INC	4/13/2010	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	11570 INDIAN HILL ROAD	None	MISSION HILLS	CA	91345	1238	19	06037	34.28057479	-118.4588633	Los Angeles County
180051	Fee-for-Service	1417912114	1417912114	2	1	UNMC PHYSICIANS	9/19/2017	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	2	Out of state provider	None	EMILE @ 42ND ST	None	OMAHA	NE	68198	8102	00	None	41.254236	-95.97573	Douglas County
180116	Fee-for-Service	1023456761	1023456761	1	1	UDDIN, NAZNEEN F MD	11/3/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	133267	01	General Practice	0	In state provider	None	1220 ROSSMOOR PRKWY	None	WALNUT CREEK	CA	94595	2501	07	06013	37.87825259	-122.0703705	Contra Costa County
180140	Fee-for-Service	1225569379	1225569379	1	1	UDIPI, ASHUTOSH H MD	9/2/2021	207L00000X	NA	Other	026	PHYSICIANS	173109	None	None	0	In state provider	None	5530 BIRDCAGE ST	STE 145	CITRUS HEIGHTS	CA	95610	7690	34	06067	38.667744	-121.273758	Sacramento County
180195	Fee-for-Service	1902846306	1902846306	1	31	USC CARE MEDICAL GROUP, INC	8/9/2010	207RA0201X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1751 FOOTHILL BLVD	#3	LA CANADA	CA	91011	2950	19	06037	34.21133077	-118.2151094	Los Angeles County
180284	Fee-for-Service	1669715785	1669715785	1	1	UHLIN, BRIAN D PHD	5/19/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3825 HOPYARD ROAD	SUITE 140	PLEASANTON	CA	94566	8528	01	06001	37.683009	-121.9036935	Alameda County
180308	Fee-for-Service	1568124055	1568124055	1	1	UNLIMITED CARE HOME HEALTH	3/7/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	525 N BRAND BLVD	SUITE 102	GLENDALE	CA	91203	3991	19	06037	34.15383	-118.255138	Los Angeles County
180322	Fee-for-Service	1255345815	1255345815	1	1	UHRON, STEVEN 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 WEST 8TH AVE.	None	SPOKANE	WA	99205	4805	00	None	47.647989	-117.4112415	Spokane County
180334	Fee-for-Service	1417912114	1417912114	2	1	UNMC PHYSICIANS	9/19/2017	261QM1300X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	2	Out of state provider	None	EMILE @ 42ND ST	None	OMAHA	NE	68198	8102	00	None	41.254236	-95.97573	Douglas County
180430	Fee-for-Service	1245435189	1245435189	1	1	UY, SANTOS A JR MD INC	2/7/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	32697	None	None	0	In state provider	None	201 S ALVARADO	STE 811	LOS ANGELES	CA	90057	2391	19	06037	34.06417777	-118.2719543	Los Angeles County
180484	Fee-for-Service	1902846306	1902846306	1	31	USC CARE MEDICAL GROUP, INC	8/6/2020	207RA0201X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1751 FOOTHILL BLVD	#3	LA CANADA	CA	91011	2950	19	06037	34.21133077	-118.2151094	Los Angeles County
180736	Fee-for-Service	1861854523	1861854523	1	1	UH, JAMES C DPM	10/10/2019	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
180769	Fee-for-Service	1902846306	1902846306	1	31	USC CARE MEDICAL GROUP, INC	10/4/2022	207RA0201X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1751 FOOTHILL BLVD	#3	LA CANADA	CA	91011	2950	19	06037	34.21133077	-118.2151094	Los Angeles County
180919	Fee-for-Service	1730208927	1730208927	2	1	UKONU, DAISY A LCSW	1/15/2019	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14252 ST ANDREWS DRIVE	SUITE 5	VICTORVILLE	CA	92395	4342	36	06071	34.50994048	-117.3180543	San Bernardino County
181070	Fee-for-Service	1902846306	1902846306	1	31	USC CARE MEDICAL GROUP, INC	8/9/2010	207RA0201X	NA	Other	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	1751 FOOTHILL BLVD	#3	LA CANADA	CA	91011	2950	19	06037	34.21133077	-118.2151094	Los Angeles County
181093	Fee-for-Service	1366981110	1366981110	1	1	UNITED MOBILE RESPONSE LLC	6/10/2022	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	21515 HAWTHORNE BLVD	200	TORRANCE	CA	90503	9025	19	06037	33.83306687	-118.3530111	Los Angeles County
181207	Fee-for-Service	1558503177	1558503177	1	1	USMAN, SAIF MD	11/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	145554	01	General Practice	0	In state provider	None	23803 MCBEAN PKWY	None	VALENCIA	CA	91355	2001	19	06037	34.39750589	-118.552072	Los Angeles County
181288	Fee-for-Service	1427233493	1427233493	1	1	UDDIN, POULINA Q MD	7/21/2009	207R00000X	NA	Other	026	PHYSICIANS	102107	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1865	19	06037	34.07671715	-118.3799413	Los Angeles County
181346	Fee-for-Service	1902846306	1902846306	1	31	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1751 FOOTHILL BLVD	#3	LA CANADA	CA	91011	2950	19	06037	34.21133077	-118.2151094	Los Angeles County
181629	Fee-for-Service	1225346315	1225346315	1	1	ULMUS HOLDINGS LLC CALIF	11/24/2010	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	LIMITED LIABILITY CO	260 RACETRACK ST	None	AUBURN	CA	95603	5422	31	06061	38.89036662	-121.078324	Placer County
181635	Fee-for-Service	1902846306	1902846306	1	31	USC CARE MEDICAL GROUP, INC	8/9/2010	207RA0201X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	None	1751 FOOTHILL BLVD	#3	LA CANADA	CA	91011	2950	19	06037	34.21133077	-118.2151094	Los Angeles County
181988	Fee-for-Service	1073911137	1073911137	1	18	UNIVERSITY FACULTY ASSOCIATE	5/27/2015	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	2828 FRESNO ST	SUITE 203	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
182007	Fee-for-Service	1902846306	1902846306	1	71	USC CARE MEDICAL GROUP, INC	4/3/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1640 MARENGO ST	SUITE 500	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
182034	Fee-for-Service	1932757820	1932757820	1	1	UNIVERSAL COMMUNITY HEALTH	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2098 S CENTRAL AVE	None	LOS ANGELES	CA	90011	1235	19	06037	34.0227101	-118.2521314	Los Angeles County
182146	Fee-for-Service	1841233624	1841233624	1	1	ULMER, DOUGLAS K MD INC	10/28/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1045 ATLANTIC AVE	STE 819	LONG BEACH	CA	90813	3461	19	06037	33.780267	-118.1850795	Los Angeles County
182202	Fee-for-Service	1104887199	1104887199	1	1	UNIVERSITY PHYSICIANS	6/29/2005	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	HEALTHCARE HOSPITAL	2800 E AJO WAY	None	TUCSON	AZ	85713	0000	00	None	32.175801	-110.9306925	Pima County
182296	Fee-for-Service	1902846306	1902846306	1	71	USC CARE MEDICAL GROUP, INC	7/25/2024	225X00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1640 MARENGO ST	SUITE 500	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
182324	Fee-for-Service	1932757820	1932757820	1	1	UNIVERSAL COMMUNITY HEALTH	11/26/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2098 S CENTRAL AVE	None	LOS ANGELES	CA	90011	1235	19	06037	34.0227101	-118.2521314	Los Angeles County
182558	Fee-for-Service	1902846306	1902846306	1	13	USC CARE MEDICAL GROUP, INC	11/5/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	800 S FAIRMOUNT AVE	STE 220	PASADENA	CA	91105	3150	19	06037	34.13193177	-118.1517805	Los Angeles County
182582	Fee-for-Service	1902846306	1902846306	1	71	USC CARE MEDICAL GROUP, INC	8/1/2024	225X00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1640 MARENGO ST	SUITE 500	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
182605	Fee-for-Service	1902846306	1902846306	1	36	USC CARE MEDICAL GROUP, INC	3/22/2011	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	24	Plastic Surgery	0	In state provider	None	50 BELLEFONTAINE ST	STE 404	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
182756	Fee-for-Service	1588665566	1588665566	1	1	UNIVERSITY HEALTH SERVICES	1/24/2011	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	1350 WALTON WAY	None	AUGUSTA	GA	30901	2612	00	None	33.470847	-81.9828135	Richmond County
182845	Fee-for-Service	1902846306	1902846306	1	70	USC CARE MEDICAL GROUP, INC	3/10/2022	207N00000X	NA	Dermatology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1640 MARENGO STREET	600	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
182848	Fee-for-Service	1902846306	1902846306	1	13	USC CARE MEDICAL GROUP, INC	11/5/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	800 S FAIRMOUNT AVE	STE 220	PASADENA	CA	91105	3150	19	06037	34.13193177	-118.1517805	Los Angeles County
182894	Fee-for-Service	1902846306	1902846306	1	36	USC CARE MEDICAL GROUP, INC	3/22/2011	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	50 BELLEFONTAINE ST	STE 404	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
183044	Fee-for-Service	1588665566	1588665566	1	1	UNIVERSITY HEALTH SERVICES	1/24/2011	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	1350 WALTON WAY	None	AUGUSTA	GA	30901	2612	00	None	33.470847	-81.9828135	Richmond County
183119	Fee-for-Service	1528478211	1528478211	1	5	UNITED HEALTH CENTERS OF THE	10/29/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6425 W BOWLES AVE	None	RAISIN CITY	CA	93652	0069	10	06019	36.60100354	-119.9069685	Fresno County
183132	Fee-for-Service	1902846306	1902846306	1	70	USC CARE MEDICAL GROUP, INC	2/8/2021	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	None	1640 MARENGO STREET	600	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
183134	Fee-for-Service	1902846306	1902846306	1	13	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	800 S FAIRMOUNT AVE	STE 220	PASADENA	CA	91105	3150	19	06037	34.13193177	-118.1517805	Los Angeles County
183182	Fee-for-Service	1902846306	1902846306	1	36	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	50 BELLEFONTAINE ST	STE 404	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
183371	Fee-for-Service	1922418813	1922418813	1	1	UNICARE PHARMACY & SUPPLY	5/14/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC	289 W HUNTINGTON DR	SUITE 101	ARCADIA	CA	91007	3492	19	06037	34.13549119	-118.0419175	Los Angeles County
183405	Fee-for-Service	1528478211	1528478211	1	5	UNITED HEALTH CENTERS OF THE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6425 W BOWLES AVE	None	RAISIN CITY	CA	93652	0069	10	06019	36.60100354	-119.9069685	Fresno County
183420	Fee-for-Service	1902846306	1902846306	1	70	USC CARE MEDICAL GROUP, INC	4/3/2024	207N00000X	NA	Dermatology	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1640 MARENGO STREET	600	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
183425	Fee-for-Service	1902846306	1902846306	1	13	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	800 S FAIRMOUNT AVE	STE 220	PASADENA	CA	91105	3150	19	06037	34.13193177	-118.1517805	Los Angeles County
183440	Fee-for-Service	1902846306	1902846306	1	68	USC CARE MEDICAL GROUP, INC	9/2/2016	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	None	830 S FLOWER ST	STE B100	LOS ANGELES	CA	90017	4608	19	06037	34.04650804	-118.2607481	Los Angeles County
183460	Fee-for-Service	1114284072	1114284072	1	2	UNA, NICOLE NP	10/8/2024	363LA2200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
183470	Fee-for-Service	1902846306	1902846306	1	36	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	50 BELLEFONTAINE ST	STE 404	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
183557	Fee-for-Service	1366406092	1366406092	1	1	ULISSEY,MICHAEL J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
183660	Fee-for-Service	1699759332	1699759332	1	1	UKIAH VALLEY PRIMARY	8/25/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	CARE MEDICAL GRP.,INC.	260 HOSPITAL DRIVE	None	UKIAH	CA	95482	3414	23	06045	39.15349918	-123.2039443	Mendocino County
183695	Fee-for-Service	1528478211	1528478211	1	5	UNITED HEALTH CENTERS OF THE	10/26/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6425 W BOWLES AVE	None	RAISIN CITY	CA	93652	0069	10	06019	36.60100354	-119.9069685	Fresno County
183710	Fee-for-Service	1902846306	1902846306	1	70	USC CARE MEDICAL GROUP, INC	2/8/2021	207N00000X	NA	Dermatology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1640 MARENGO STREET	600	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
183731	Fee-for-Service	1902846306	1902846306	1	68	USC CARE MEDICAL GROUP, INC	6/14/2022	207N00000X	NA	Dermatology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	830 S FLOWER ST	STE B100	LOS ANGELES	CA	90017	4608	19	06037	34.04650804	-118.2607481	Los Angeles County
183757	Fee-for-Service	1902846306	1902846306	1	36	USC CARE MEDICAL GROUP, INC	3/22/2011	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	None	50 BELLEFONTAINE ST	STE 404	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
183833	Fee-for-Service	1629640461	1629640461	1	1	UNITED HEALTH CENTERS OF THE	12/31/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	313 W SHAW AVE	None	CLOVIS	CA	93612	3685	10	06019	36.8085986	-119.7162883	Fresno County
183982	Fee-for-Service	1528478211	1528478211	1	5	UNITED HEALTH CENTERS OF THE	4/4/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6425 W BOWLES AVE	None	RAISIN CITY	CA	93652	0069	10	06019	36.60100354	-119.9069685	Fresno County
183999	Fee-for-Service	1902846306	1902846306	1	70	USC CARE MEDICAL GROUP, INC	2/8/2021	207N00000X	NA	Dermatology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1640 MARENGO STREET	600	LOS ANGELES	CA	90033	1036	19	06037	34.05946374	-118.213356	Los Angeles County
184018	Fee-for-Service	1902846306	1902846306	1	68	USC CARE MEDICAL GROUP, INC	9/2/2016	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	830 S FLOWER ST	STE B100	LOS ANGELES	CA	90017	4608	19	06037	34.04650804	-118.2607481	Los Angeles County
184122	Fee-for-Service	1629640461	1629640461	1	1	UNITED HEALTH CENTERS OF THE	11/8/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	313 W SHAW AVE	None	CLOVIS	CA	93612	3685	10	06019	36.8085986	-119.7162883	Fresno County
184301	Fee-for-Service	1902846306	1902846306	1	68	USC CARE MEDICAL GROUP, INC	9/19/2019	207N00000X	NA	Dermatology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	830 S FLOWER ST	STE B100	LOS ANGELES	CA	90017	4608	19	06037	34.04650804	-118.2607481	Los Angeles County
184409	Fee-for-Service	1629640461	1629640461	1	1	UNITED HEALTH CENTERS OF THE	4/12/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	313 W SHAW AVE	None	CLOVIS	CA	93612	3685	10	06019	36.8085986	-119.7162883	Fresno County
184590	Fee-for-Service	1902846306	1902846306	1	68	USC CARE MEDICAL GROUP, INC	9/2/2016	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	830 S FLOWER ST	STE B100	LOS ANGELES	CA	90017	4608	19	06037	34.04650804	-118.2607481	Los Angeles County
184611	Fee-for-Service	1902846306	1902846306	1	33	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	39 CONGRESS STREET	#301	PASADENA	CA	91105	3045	19	06037	34.13407645	-118.151226	Los Angeles County
184697	Fee-for-Service	1629640461	1629640461	1	1	UNITED HEALTH CENTERS OF THE	12/31/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATE	313 W SHAW AVE	None	CLOVIS	CA	93612	3685	10	06019	36.8085986	-119.7162883	Fresno County
184808	Fee-for-Service	1902846306	1902846306	1	27	USC CARE MEDICAL GROUP, INC	4/13/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	2617 E CHAPMAN AVE	STE 301	ORANGE	CA	92869	3226	30	06059	33.7878445	-117.8254845	Orange County
184829	Fee-for-Service	1609064641	1609064641	1	1	URBINA-FELIX, SONIA LCSW	10/31/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	75280	-	NOT APPLICABLE	0	In state provider	None	245 S FETTERLY AVE	None	LOS ANGELES	CA	90022	1605	19	06037	34.03404953	-118.1609476	Los Angeles County
184880	Fee-for-Service	1902846306	1902846306	1	68	USC CARE MEDICAL GROUP, INC	8/6/2020	207N00000X	NA	Dermatology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	830 S FLOWER ST	STE B100	LOS ANGELES	CA	90017	4608	19	06037	34.04650804	-118.2607481	Los Angeles County
184899	Fee-for-Service	1902846306	1902846306	1	33	USC CARE MEDICAL GROUP, INC	6/10/2010	207VG0400X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	39 CONGRESS STREET	#301	PASADENA	CA	91105	3045	19	06037	34.13407645	-118.151226	Los Angeles County
185097	Fee-for-Service	1902846306	1902846306	1	27	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2617 E CHAPMAN AVE	STE 301	ORANGE	CA	92869	3226	30	06059	33.7878445	-117.8254845	Orange County
185168	Fee-for-Service	1902846306	1902846306	1	68	USC CARE MEDICAL GROUP, INC	9/2/2016	207N00000X	NA	Dermatology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	830 S FLOWER ST	STE B100	LOS ANGELES	CA	90017	4608	19	06037	34.04650804	-118.2607481	Los Angeles County
185187	Fee-for-Service	1902846306	1902846306	1	33	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	39 CONGRESS STREET	#301	PASADENA	CA	91105	3045	19	06037	34.13407645	-118.151226	Los Angeles County
185221	Fee-for-Service	1144308206	1144308206	1	1	UPPAL, KANTI M MD	5/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	62726	33	Thoracic Surgery	0	In state provider	None	2900 WHIPPLE AVE	STE 210	REDWOOD CITY	CA	94062	2851	41	06081	37.4783072	-122.2551089	San Mateo County
185278	Fee-for-Service	1811475759	1811475759	1	1	UNIVERSITY OF CALIFORNIA	2/11/2019	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	BLDG 5 RM 1N1	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
185285	Fee-for-Service	1902846306	1902846306	1	59	USC CARE MEDICAL GROUP, INC	11/6/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	1450 SAN PABLO STREET	SUITE 6200	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
185386	Fee-for-Service	1902846306	1902846306	1	27	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2617 E CHAPMAN AVE	STE 301	ORANGE	CA	92869	3226	30	06059	33.7878445	-117.8254845	Orange County
185395	Fee-for-Service	1962561613	1962561613	1	1	UTLEY, KEITH O MD	12/28/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	49415	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
185475	Fee-for-Service	1528478211	1528478211	1	9	UNITED HEALTH CENTERS OF THE	1/15/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2210 EAST ILLINOIS AVE	SUITE 501	FRESNO	CA	93701	2125	10	06019	36.74500687	-119.7846885	Fresno County
185493	Fee-for-Service	1417666967	1417666967	1	1	USHER, ROSALIE CNP	3/8/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7740 RANCHO SANTA FE RD	None	CARLSBAD	CA	92009	8685	37	06073	33.08100093	-117.2372485	San Diego County
185501	Fee-for-Service	1215922570	1215922570	1	1	UNITED CONVALESCENT	11/11/1991	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	FACILITIES INC	230 E ADAMS BLVD	None	LOS ANGELES	CA	90011	1426	19	06037	34.02390204	-118.2665985	Los Angeles County
185510	Fee-for-Service	1144308206	1144308206	1	1	UPPAL, KANTI M MD	5/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	62726	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2900 WHIPPLE AVE	STE 210	REDWOOD CITY	CA	94062	2851	41	06081	37.4783072	-122.2551089	San Mateo County
185521	Fee-for-Service	1679932164	1679932164	1	1	UICHANCO, BARBARA CNP	9/21/2017	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	840 S AKERS ST	None	VISALIA	CA	93277	8309	54	06107	36.322398	-119.3484285	Tulare County
185572	Fee-for-Service	1073911137	1073911137	1	23	UNIVERSITY FACULTY ASSOCIATE	6/5/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	5448 AVENIDA DE LOS ROBL	None	VISALIA	CA	93291	5322	54	06107	36.32843026	-119.3528283	Tulare County
185573	Fee-for-Service	1902846306	1902846306	1	59	USC CARE MEDICAL GROUP, INC	11/6/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	1450 SAN PABLO STREET	SUITE 6200	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
185763	Fee-for-Service	1528478211	1528478211	1	9	UNITED HEALTH CENTERS OF THE	1/15/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	2210 EAST ILLINOIS AVE	SUITE 501	FRESNO	CA	93701	2125	10	06019	36.74500687	-119.7846885	Fresno County
185772	Fee-for-Service	1588648570	1588648570	1	1	UCHIO, EDWARD M MD	8/9/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	54951	34	Urology and Urological Surgery	0	In state provider	None	2801 ATLANTIC AVENUE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
185862	Fee-for-Service	1902846306	1902846306	1	59	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1450 SAN PABLO STREET	SUITE 6200	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
185904	Fee-for-Service	1760531198	1760531198	1	55	UNIVERSITY HEALTHCARE ALLIAN	3/13/2023	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	CE	27206 CALAROGA AVE	SUITE 105	HAYWARD	CA	94545	4300	01	06001	37.632357	-122.0868765	Alameda County
185924	Fee-for-Service	1902846306	1902846306	1	40	USC CARE MEDICAL GROUP, INC	10/12/2021	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	415 E ROLLING OAKS DR	STE 260	THOUSAND OAKS	CA	91361	1033	56	06111	34.17439717	-118.8691161	Ventura County
185949	Fee-for-Service	1891294518	1891294518	1	1	UCHEALTH HIGHLANDS RANCH HOS	9/13/2023	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	PITAL	1500 PARK CENTRAL DR	None	HIGHLANDS RANCH	CO	80129	6687	00	None	39.55308513	-105.0052735	Douglas County
186148	Fee-for-Service	1902846306	1902846306	1	59	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1450 SAN PABLO STREET	SUITE 6200	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
186192	Fee-for-Service	1760531198	1760531198	1	55	UNIVERSITY HEALTHCARE ALLIAN	3/13/2023	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CE	27206 CALAROGA AVE	SUITE 105	HAYWARD	CA	94545	4300	01	06001	37.632357	-122.0868765	Alameda County
186209	Fee-for-Service	1902846306	1902846306	1	40	USC CARE MEDICAL GROUP, INC	8/6/2020	208800000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	415 E ROLLING OAKS DR	STE 260	THOUSAND OAKS	CA	91361	1033	56	06111	34.17439717	-118.8691161	Ventura County
186220	Fee-for-Service	1902846306	1902846306	1	65	USC CARE MEDICAL GROUP, INC	10/4/2022	207V00000X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	625 S FAIR OAKS AVE	STE 260	PASADENA	CA	91105	2613	19	06037	34.134894	-118.1504155	Los Angeles County
186239	Fee-for-Service	1891294518	1891294518	1	1	UCHEALTH HIGHLANDS RANCH HOS	9/13/2023	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	PITAL	1500 PARK CENTRAL DR	None	HIGHLANDS RANCH	CO	80129	6687	00	None	39.55308513	-105.0052735	Douglas County
186437	Fee-for-Service	1902846306	1902846306	1	59	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO STREET	SUITE 6200	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
186499	Fee-for-Service	1902846306	1902846306	1	40	USC CARE MEDICAL GROUP, INC	6/20/2014	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	None	415 E ROLLING OAKS DR	STE 260	THOUSAND OAKS	CA	91361	1033	56	06111	34.17439717	-118.8691161	Ventura County
186506	Fee-for-Service	1902846306	1902846306	1	65	USC CARE MEDICAL GROUP, INC	8/6/2020	207V00000X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	625 S FAIR OAKS AVE	STE 260	PASADENA	CA	91105	2613	19	06037	34.134894	-118.1504155	Los Angeles County
186629	Fee-for-Service	1902846306	1902846306	1	38	USC CARE MEDICAL GROUP, INC	5/1/2014	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	622 W DUARTE ROAD	STE 301	ARCADIA	CA	91007	9277	19	06037	34.12645266	-118.0521552	Los Angeles County
186725	Fee-for-Service	1902846306	1902846306	1	59	USC CARE MEDICAL GROUP, INC	11/6/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1450 SAN PABLO STREET	SUITE 6200	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
186791	Fee-for-Service	1902846306	1902846306	1	4	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	1300 N VERMONT AVE	STE 301	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
186816	Fee-for-Service	1639532591	1639532591	1	1	ULMER, KRISTEN E LCSW	4/21/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14390 PARK AVE.	None	VICTORVILLE	CA	92392	2910	36	06071	34.512453	-117.324936	San Bernardino County
186917	Fee-for-Service	1902846306	1902846306	1	38	USC CARE MEDICAL GROUP, INC	11/6/2020	207W00000X	NA	Ophthalmology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	622 W DUARTE ROAD	STE 301	ARCADIA	CA	91007	9277	19	06037	34.12645266	-118.0521552	Los Angeles County
187084	Fee-for-Service	1902846306	1902846306	1	65	USC CARE MEDICAL GROUP, INC	9/1/2016	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	625 S FAIR OAKS AVE	STE 260	PASADENA	CA	91105	2613	19	06037	34.134894	-118.1504155	Los Angeles County
187152	Fee-for-Service	1902846306	1902846306	1	69	USC CARE MEDICAL GROUP, INC	8/6/2020	208600000X	NA	General Surgery	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	38660 MEDICAL CENTER DR	STE A380	PALMDALE	CA	93551	4385	19	06037	34.5838593	-118.1445275	Los Angeles County
187207	Fee-for-Service	1902846306	1902846306	1	38	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	622 W DUARTE ROAD	STE 301	ARCADIA	CA	91007	9277	19	06037	34.12645266	-118.0521552	Los Angeles County
187345	Fee-for-Service	1902846306	1902846306	1	1	USC CARE MEDICAL GROUP, INC	1/22/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	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
187367	Fee-for-Service	1902846306	1902846306	1	4	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1300 N VERMONT AVE	STE 301	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
187444	Fee-for-Service	1902846306	1902846306	1	69	USC CARE MEDICAL GROUP, INC	10/4/2022	208600000X	NA	General Surgery	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	38660 MEDICAL CENTER DR	STE A380	PALMDALE	CA	93551	4385	19	06037	34.5838593	-118.1445275	Los Angeles County
187495	Fee-for-Service	1902846306	1902846306	1	38	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	622 W DUARTE ROAD	STE 301	ARCADIA	CA	91007	9277	19	06037	34.12645266	-118.0521552	Los Angeles County
187631	Fee-for-Service	1902846306	1902846306	1	1	USC CARE MEDICAL GROUP, INC	6/21/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	07	Dermatology	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
187654	Fee-for-Service	1902846306	1902846306	1	66	USC CARE MEDICAL GROUP, INC	9/1/2016	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	1450 SAN PABLO ST	STE 2500	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
187656	Fee-for-Service	1902846306	1902846306	1	4	USC CARE MEDICAL GROUP, INC	11/4/2009	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1300 N VERMONT AVE	STE 301	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
187729	Fee-for-Service	1902846306	1902846306	1	69	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	38660 MEDICAL CENTER DR	STE A380	PALMDALE	CA	93551	4385	19	06037	34.5838593	-118.1445275	Los Angeles County
187767	Fee-for-Service	1881641314	1881641314	1	1	UNIV DERMATOPATHOLOGY	5/6/2009	207ZD0900X	NA	Other	026	PHYSICIANS	7300	22	Pathology (M.D. only)	0	In state provider	SERVICES INC	6221 WILSHIRE BLVD	STE 101	LOS ANGELES	CA	90048	5209	19	06037	34.06329534	-118.3640031	Los Angeles County
187814	Fee-for-Service	1063571636	1063571636	1	1	UNGAR, ROBERT A MD	8/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	57375	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
187903	Fee-for-Service	1891871752	1891871752	1	1	UPADHYAY, SVAPANA D LCSW	10/19/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3840 HOMESTEAD	None	SANTA CLARA	CA	95051	5173	43	06085	37.33774954	-122.002065	Santa Clara County
187923	Fee-for-Service	1902846306	1902846306	1	1	USC CARE MEDICAL GROUP, INC	2/20/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	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
187943	Fee-for-Service	1902846306	1902846306	1	66	USC CARE MEDICAL GROUP, INC	9/1/2016	207W00000X	NA	Ophthalmology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO ST	STE 2500	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
187990	Fee-for-Service	1861995649	1861995649	1	1	UPDIKE, JONATHAN D MD	10/30/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	174976	36	Psychiatry	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
188053	Fee-for-Service	1881641314	1881641314	1	1	UNIV DERMATOPATHOLOGY	5/6/2009	207ZD0900X	NA	Other	026	PHYSICIANS	7300	07	Dermatology	0	In state provider	SERVICES INC	6221 WILSHIRE BLVD	STE 101	LOS ANGELES	CA	90048	5209	19	06037	34.06329534	-118.3640031	Los Angeles County
188301	Fee-for-Service	1215275631	1215275631	1	1	USA NON-MEDICAL	3/20/2012	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	TRANSPORTATION	1130 S PILGRIM STREET	SUITE 14	STOCKTON	CA	95205	6929	39	06077	37.94377452	-121.2723423	San Joaquin County
188422	Fee-for-Service	1659419638	1659419638	1	1	UCSF FRESNO MED EDU PROG	2/11/2020	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	UCSF FRESNO MED GRP	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
188519	Fee-for-Service	1104995364	1104995364	1	1	UCSF	6/1/1999	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	UCSF OPTHALMOLOGY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
188545	Fee-for-Service	1497751572	1497751572	1	3	UNITED INDIAN HEALTH SERVICE	9/1/2002	No Taxonomy Provided	NA	None	075	INDIAN HEALTH SERVICES/MEMORANDUM OF AGREEMENT	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	HWY 96	None	WEITCHPEC	CA	95546	0000	12	06023	41.17802891	-123.7042871	Humboldt County
188594	Fee-for-Service	1033326095	1033326095	2	1	UJIMA FAMILY RECOVERY SERVIC	3/23/2020	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1350 TENNESSEE ST	None	VALLEJO	CA	94590	4625	48	06095	38.10982767	-122.2415514	Solano County
188707	Fee-for-Service	1659419638	1659419638	1	1	UCSF FRESNO MED EDU PROG	7/7/2023	No Taxonomy Provided	NA	None	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	UCSF FRESNO MED GRP	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
188832	Fee-for-Service	1982140521	1982140521	1	1	UNION OF PAN ASIAN	7/1/2016	251S00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	COMMUNITIES	4191 COLTS WAY	BUNGLOW 7	SAN DIEGO	CA	92115	6090	37	06073	32.75165343	-117.076951	San Diego County
188833	Fee-for-Service	1497751572	1497751572	1	3	UNITED INDIAN HEALTH SERVICE	9/1/2002	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	HWY 96	None	WEITCHPEC	CA	95546	0000	12	06023	41.17802891	-123.7042871	Humboldt County
188844	Fee-for-Service	1609616960	1609616960	1	1	UNIQUE LIGHT MARRIAGE AND FA	8/2/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	ICES	13241 OAK DELL ST	None	MORENO VALLEY	CA	92553	7839	33	06065	33.92804435	-117.2618545	Riverside County
188888	Fee-for-Service	1205398039	1205398039	1	1	UNGS, CAROLINA MD	10/6/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	190077	None	None	0	In state provider	None	15141 WHITTIER BLVD	STE 350	WHITTIER	CA	90603	2169	19	06037	33.94810044	-118.0039419	Los Angeles County
188995	Fee-for-Service	1659419638	1659419638	1	1	UCSF FRESNO MED EDU PROG	11/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UCSF FRESNO MED GRP	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
189449	Fee-for-Service	1902846306	1902846306	1	21	USC CARE MEDICAL GROUP, INC	4/15/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	7777 MILIKEN AVE	STE 125	RANCHO CUCAMONGA	CA	91730	6780	36	06071	34.10843256	-117.5570865	San Bernardino County
189737	Fee-for-Service	1902846306	1902846306	1	21	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	7777 MILIKEN AVE	STE 125	RANCHO CUCAMONGA	CA	91730	6780	36	06071	34.10843256	-117.5570865	San Bernardino County
189774	Fee-for-Service	1902846306	1902846306	1	24	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	11550 INDIAN HILLS ROAD	STE 310	MISSION HILLS	CA	91345	1200	19	06037	34.28024575	-118.4588775	Los Angeles County
189907	Fee-for-Service	1508983677	1508983677	1	1	UNION AUDIOLOGY	1/1/1979	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	HEARING AID SERVICES INC	14435 SHERMAN WAY	STE 207	VAN NUYS	CA	91405	6233	19	06037	34.20123151	-118.4475285	Los Angeles County
190023	Fee-for-Service	1902846306	1902846306	1	21	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	7777 MILIKEN AVE	STE 125	RANCHO CUCAMONGA	CA	91730	6780	36	06071	34.10843256	-117.5570865	San Bernardino County
190040	Fee-for-Service	1902846306	1902846306	1	34	USC CARE MEDICAL GROUP, INC	12/15/2010	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	1846	19	06037	34.06707946	-118.388943	Los Angeles County
190063	Fee-for-Service	1902846306	1902846306	1	24	USC CARE MEDICAL GROUP, INC	4/15/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	11550 INDIAN HILLS ROAD	STE 310	MISSION HILLS	CA	91345	1200	19	06037	34.28024575	-118.4588775	Los Angeles County
190118	Fee-for-Service	1265033096	1265033096	1	1	UROLOGY SURGICAL PARTNERS	2/4/2021	208800000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	15944 LOS SERRANOS COUNT	STE 200	CHINO HILLS	CA	91709	3991	36	06071	33.9635227	-117.695881	San Bernardino County
190202	Fee-for-Service	1255396248	1255396248	1	1	UNIVERSAL PRIMARY CARE	10/21/1993	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	MEDICAL CORPORATION	801 S CHEVY CHASE DR	STE 200	GLENDALE	CA	91205	4437	19	06037	34.136757	-118.2396195	Los Angeles County
190296	Fee-for-Service	1902846306	1902846306	1	49	USC CARE MEDICAL GROUP, INC	1/22/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	None	1809 VERDUGO BLVD	SUITE 350	GLENDALE	CA	91208	1476	19	06037	34.20568088	-118.2154356	Los Angeles County
190331	Fee-for-Service	1902846306	1902846306	1	34	USC CARE MEDICAL GROUP, INC	7/10/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	1846	19	06037	34.06707946	-118.388943	Los Angeles County
190352	Fee-for-Service	1902846306	1902846306	1	24	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11550 INDIAN HILLS ROAD	STE 310	MISSION HILLS	CA	91345	1200	19	06037	34.28024575	-118.4588775	Los Angeles County
190397	Fee-for-Service	1073911137	1073911137	1	13	UNIVERSITY FACULTY ASSOCIATE	5/29/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	ASSOCIATES INC	2210 E ILLINOIS AVE	SUITE 401	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
190523	Fee-for-Service	1952350787	1952350787	1	1	UC REGENTS	3/20/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UCLA-DMPG-SANTA MONICA	2428 SANTA MONICA BLVD	STE 200	SANTA MONICA	CA	90404	2046	19	06037	34.0317559	-118.4762013	Los Angeles County
190582	Fee-for-Service	1902846306	1902846306	1	49	USC CARE MEDICAL GROUP, INC	11/6/2020	207Q00000X	NA	Adult Primary Care	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1809 VERDUGO BLVD	SUITE 350	GLENDALE	CA	91208	1476	19	06037	34.20568088	-118.2154356	Los Angeles County
190614	Fee-for-Service	1902846306	1902846306	1	34	USC CARE MEDICAL GROUP, INC	12/15/2010	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	1846	19	06037	34.06707946	-118.388943	Los Angeles County
190636	Fee-for-Service	1902846306	1902846306	1	24	USC CARE MEDICAL GROUP, INC	4/15/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	11550 INDIAN HILLS ROAD	STE 310	MISSION HILLS	CA	91345	1200	19	06037	34.28024575	-118.4588775	Los Angeles County
190783	Fee-for-Service	1760531198	1760531198	1	54	UNIVERSITY HEALTHCARE ALLIAN	10/8/2020	207RG0100X	NA	Gastroenterology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	7999 GATEWAY BLVD	SUITE 200	NEWARK	CA	94560	1188	01	06001	37.53814232	-122.0629661	Alameda County
190812	Fee-for-Service	1821168113	1821168113	1	1	UNIV OF SOUTHERN CALIF	9/1/2001	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	SCHOOL OF DENTISTRY	925 W 34TH ST	None	LOS ANGELES	CA	90089	0058	19	06037	34.02382789	-118.2864542	Los Angeles County
190871	Fee-for-Service	1902846306	1902846306	1	49	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1809 VERDUGO BLVD	SUITE 350	GLENDALE	CA	91208	1476	19	06037	34.20568088	-118.2154356	Los Angeles County
190904	Fee-for-Service	1902846306	1902846306	1	34	USC CARE MEDICAL GROUP, INC	8/19/2022	103TC0700X	NA	Mental Health Outpatient Services	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	1846	19	06037	34.06707946	-118.388943	Los Angeles County
190920	Fee-for-Service	1902846306	1902846306	1	24	USC CARE MEDICAL GROUP, INC	4/15/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	11550 INDIAN HILLS ROAD	STE 310	MISSION HILLS	CA	91345	1200	19	06037	34.28024575	-118.4588775	Los Angeles County
191068	Fee-for-Service	1760531198	1760531198	1	54	UNIVERSITY HEALTHCARE ALLIAN	10/10/2022	207K00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	7999 GATEWAY BLVD	SUITE 200	NEWARK	CA	94560	1188	01	06001	37.53814232	-122.0629661	Alameda County
191090	Fee-for-Service	1659759595	1659759595	1	1	URATA, KIEL F MD	10/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2306	00	None	36.132948	-115.136874	Clark County
191160	Fee-for-Service	1902846306	1902846306	1	49	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1809 VERDUGO BLVD	SUITE 350	GLENDALE	CA	91208	1476	19	06037	34.20568088	-118.2154356	Los Angeles County
191193	Fee-for-Service	1902846306	1902846306	1	34	USC CARE MEDICAL GROUP, INC	8/6/2020	103TC0700X	NA	Mental Health Outpatient Services	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	1846	19	06037	34.06707946	-118.388943	Los Angeles County
191448	Fee-for-Service	1902846306	1902846306	1	49	USC CARE MEDICAL GROUP, INC	1/22/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	1809 VERDUGO BLVD	SUITE 350	GLENDALE	CA	91208	1476	19	06037	34.20568088	-118.2154356	Los Angeles County
191482	Fee-for-Service	1902846306	1902846306	1	34	USC CARE MEDICAL GROUP, INC	12/15/2010	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	1846	19	06037	34.06707946	-118.388943	Los Angeles County
191558	Fee-for-Service	1033307889	1033307889	1	1	UNITED EYE CARE OPTOMETRY	11/10/2005	193400000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	INC	7841 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4033	30	06059	33.75927749	-117.992169	Orange County
191651	Fee-for-Service	1952373938	1952373938	1	1	USLAN, DANIEL Z MD	11/3/2008	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	97197	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	# 365, 420	LOS ANGELES	CA	90095	7001	19	06037	34.06527974	-118.4462792	Los Angeles County
191768	Fee-for-Service	1497726434	1497726434	1	1	UNITED CARE PROVIDER INC	2/24/1992	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	4702 CUTLER AVE	None	BALDWIN PARK	CA	91706	2425	19	06037	34.09708575	-117.9703079	Los Angeles County
191770	Fee-for-Service	1902846306	1902846306	1	34	USC CARE MEDICAL GROUP, INC	10/4/2022	103TC0700X	NA	Mental Health Outpatient Services	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	1846	19	06037	34.06707946	-118.388943	Los Angeles County
191941	Fee-for-Service	1952373938	1952373938	1	1	USLAN, DANIEL Z MD	11/3/2008	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	97197	77	Infectious Disease	0	In state provider	None	200 MEDICAL PLAZA	# 365, 420	LOS ANGELES	CA	90095	7001	19	06037	34.06527974	-118.4462792	Los Angeles County
192023	Fee-for-Service	1639508633	1639508633	1	1	UNITED THERAPY NETWORK INC	10/4/2016	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3700 TACHEVAH DRIVE	SUITE 107	PALM SPRINGS	CA	92262	7401	33	06065	33.8376885	-116.505378	Riverside County
192047	Fee-for-Service	1427380088	1427380088	1	1	UNIZA, ROMMEL R CRNA	3/15/2010	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
192070	Fee-for-Service	1629155858	1629155858	2	1	UY, JIMMY TI MD	8/10/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	40328	40	Pediatrics	0	In state provider	None	2011 BEVERLY BLVD	None	LOS ANGELES	CA	90057	2403	19	06037	34.06619667	-118.2692031	Los Angeles County
192189	Fee-for-Service	1952646820	1952646820	1	2	UNITED ALLIANCE HOSPICE CARE	7/29/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	566 W LANCASTER BLVD	19	LANCASTER	CA	95630	8013	19	06037	34.69806024	-118.1391381	Los Angeles County
192230	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	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
192271	Fee-for-Service	1699827857	1699827857	3	2	UNITED MED TRANSPORT INC	10/19/2021	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	19112 GRIDLEY RD	STE 238	CERRITOS	CA	90703	6630	19	06037	33.8571	-118.0908315	Los Angeles County
192309	Fee-for-Service	1639508633	1639508633	1	1	UNITED THERAPY NETWORK INC	3/2/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3700 TACHEVAH DRIVE	SUITE 107	PALM SPRINGS	CA	92262	7401	33	06065	33.8376885	-116.505378	Riverside County
192387	Fee-for-Service	1275811085	1275811085	1	1	UNITED THERAPY NETWORK INC	10/14/2016	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1902 ROYALTY DRIVE	SUITE 220	POMONA	CA	91767	3056	19	06037	34.07791925	-117.746146	Los Angeles County
192478	Fee-for-Service	1952646820	1952646820	1	2	UNITED ALLIANCE HOSPICE CARE	7/29/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	566 W LANCASTER BLVD	19	LANCASTER	CA	95630	8013	19	06037	34.69806024	-118.1391381	Los Angeles County
192513	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	9/1/2016	103TC0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
192588	Fee-for-Service	1962663468	1962663468	1	1	UDELHOFEN, KELLI DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3901 BEAUBIEN ST	None	DETROIT	MI	48201	2119	00	None	42.35164453	-83.05377946	Wayne County
192614	Fee-for-Service	1518627405	1518627405	1	1	UNITED HOME HEALTH CARE	11/8/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	AGENCY	171 N ALTADENA DR.	SUITE 222	PASADENA	CA	91107	7319	19	06037	34.14902931	-118.0986299	Los Angeles County
192633	Fee-for-Service	1528478211	1528478211	1	11	UNITED HEALTH CENTERS OF THE	10/21/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	5539 E KINGS CANYON ROAD	None	FRESNO	CA	93727	4527	10	06019	36.7359502	-119.7030905	Fresno County
192673	Fee-for-Service	1275811085	1275811085	1	1	UNITED THERAPY NETWORK INC	3/13/2019	225100000X	NA	Physical Therapist	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1902 ROYALTY DRIVE	SUITE 220	POMONA	CA	91767	3056	19	06037	34.07791925	-117.746146	Los Angeles County
192722	Fee-for-Service	1255658332	1255658332	1	1	UQUILLAS ARMAS, CARLOS A MD	7/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	136243	20	Orthopedic Surgery	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
192788	Fee-for-Service	1467225235	1467225235	1	2	UNIVERSAL RADIOLOGY PARTNERS	11/1/2023	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	OF CALIFORNIA PC	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
192804	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	12/16/2019	103TC0700X	NA	Mental Health Outpatient Services	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
192848	Fee-for-Service	1427046655	1427046655	1	1	UNIVERSAL PAIN MANAGEMENT	6/1/2001	174400000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	MANAGEMENT MEDICAL CORP	819 AUTO CENTER	None	PALMDALE	CA	93551	4599	19	06037	34.59142164	-118.14665	Los Angeles County
192923	Fee-for-Service	1528478211	1528478211	1	11	UNITED HEALTH CENTERS OF THE	10/21/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	5539 E KINGS CANYON ROAD	None	FRESNO	CA	93727	4527	10	06019	36.7359502	-119.7030905	Fresno County
192952	Fee-for-Service	1225655905	1225655905	1	1	UMBRELLA HOME HEALTH INC	1/14/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	348 E OLIVE AVE	STE A	BURBANK	CA	91502	1235	19	06037	34.18267998	-118.3068106	Los Angeles County
193016	Fee-for-Service	1982624136	1982624136	1	1	UPHAM, BRYAN D. MD	10/9/2008	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	2745	00	None	35.08771808	-106.6192188	Bernalillo County
193093	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	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
193380	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
193563	Fee-for-Service	1902846306	1902846306	1	35	USC CARE MEDICAL GROUP, INC	8/6/2020	207VG0400X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	191 S BUENA VISTA ST	STE 435	BURBANK	CA	91505	4551	19	06037	34.15872557	-118.3283863	Los Angeles County
193666	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
193826	Fee-for-Service	1316030984	1316030984	1	1	UNDERWOOD, JAMES J MD	7/31/1985	207ZP0102X	NA	Other	026	PHYSICIANS	42722	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
193851	Fee-for-Service	1902846306	1902846306	1	35	USC CARE MEDICAL GROUP, INC	12/25/2010	207VG0400X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	191 S BUENA VISTA ST	STE 435	BURBANK	CA	91505	4551	19	06037	34.15872557	-118.3283863	Los Angeles County
193914	Fee-for-Service	1588836274	1588836274	1	1	URAINE, SHAWN P MD	7/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	108851	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
193956	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	2/20/2018	103TC0700X	NA	Mental Health Outpatient Services	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
193986	Fee-for-Service	1417994898	1417994898	1	1	UPTON, D SCOTT MD	9/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84415	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
194065	Fee-for-Service	1104080662	1104080662	1	1	UKPONG, CHARLES G MD	7/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	104247	41	Internal Medicine	0	In state provider	None	39000 BOB HOPE DRIVE	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
194108	Fee-for-Service	1528693397	1528693397	1	1	URBINA, ERICA L NP	2/5/2021	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	11026 VALLEY MALL	None	EL MONTE	CA	91731	2617	19	06037	34.07443752	-118.0342966	Los Angeles County
194140	Fee-for-Service	1902846306	1902846306	1	35	USC CARE MEDICAL GROUP, INC	12/25/2010	207VG0400X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	191 S BUENA VISTA ST	STE 435	BURBANK	CA	91505	4551	19	06037	34.15872557	-118.3283863	Los Angeles County
194199	Fee-for-Service	1821007881	1821007881	1	1	UPMC PRESBYTERIAN	2/1/1998	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SHADYSIDE HOSPITAL	200 LOTHROP ST	None	PITTSBURGH	PA	15213	2536	00	None	40.44188737	-79.96079711	Allegheny County
194243	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	5/9/2016	103TC0700X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
194273	Fee-for-Service	1417994898	1417994898	1	1	UPTON, D SCOTT MD	9/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84415	41	Internal Medicine	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
194412	Fee-for-Service	1396700340	1396700340	1	1	UCLA DMPG SANTA MONICA	4/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ONCOLOGY	2428 SANTA MONICA BLVD	STE 301	SANTA MONICA	CA	90404	2046	19	06037	34.0317559	-118.4762013	Los Angeles County
194430	Fee-for-Service	1902846306	1902846306	1	35	USC CARE MEDICAL GROUP, INC	12/25/2010	207VG0400X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	191 S BUENA VISTA ST	STE 435	BURBANK	CA	91505	4551	19	06037	34.15872557	-118.3283863	Los Angeles County
194488	Fee-for-Service	1821007881	1821007881	1	1	UPMC PRESBYTERIAN	7/19/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SHADYSIDE HOSPITAL	200 LOTHROP ST	None	PITTSBURGH	PA	15213	2536	00	None	40.44188737	-79.96079711	Allegheny County
194529	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	9/19/2019	103TC0700X	NA	Mental Health Outpatient Services	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
194601	Fee-for-Service	1073911137	1073911137	1	24	UNIVERSITY FACULTY ASSOCIATE	12/10/2018	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	1850 FLORAL AVE	None	SELMA	CA	93662	2808	10	06019	36.57623753	-119.609532	Fresno County
194654	Fee-for-Service	1265887111	1265887111	1	1	UNION HOME HEALTH INC	10/9/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4225 VALLEY FAIR ST	STE 204-B	SIMI VALLEY	CA	93063	2955	56	06111	34.2726333	-118.7125045	Ventura County
194671	Fee-for-Service	1730109745	1730109745	1	1	UVAS, ANTONIO T. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	14300 W GRANITE VALLEY D	None	SUN CITY	AZ	85375	5783	00	None	33.661422	-112.3713765	Maricopa County
194675	Fee-for-Service	1295848414	1295848414	1	1	UNIV CARDIOVASCULAR MED	1/20/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	GROUP	100 UCLA MEDICAL PLZ	STE 630	LOS ANGELES	CA	90024	6997	19	06037	34.06544724	-118.4459249	Los Angeles County
194716	Fee-for-Service	1902846306	1902846306	1	35	USC CARE MEDICAL GROUP, INC	10/4/2022	207VG0400X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	191 S BUENA VISTA ST	STE 435	BURBANK	CA	91505	4551	19	06037	34.15872557	-118.3283863	Los Angeles County
194749	Fee-for-Service	1598862021	1598862021	1	1	URDANETA, JOSE J MD	10/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	36	Psychiatry	2	Out of state provider	None	500 W THOMAS RD	STE 500	PHOENIX	AZ	85013	4220	00	None	33.481485	-112.080816	Maricopa County
194819	Fee-for-Service	1902846306	1902846306	1	9	USC CARE MEDICAL GROUP, INC	5/16/2017	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	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
194962	Fee-for-Service	1295848414	1295848414	1	1	UNIV CARDIOVASCULAR MED	1/20/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	GROUP	100 UCLA MEDICAL PLZ	STE 630	LOS ANGELES	CA	90024	6997	19	06037	34.06544724	-118.4459249	Los Angeles County
194967	Fee-for-Service	1902846306	1902846306	1	2	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 SOUTH GRAND AVE	STE 101	LOS ANGELES	CA	90015	3010	19	06037	34.03692236	-118.2655238	Los Angeles County
195005	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
195012	Fee-for-Service	1386703940	1386703940	1	1	UM, CHRISTINE L MD	9/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	61343	36	Psychiatry	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
195227	Fee-for-Service	1902846306	1902846306	1	43	USC CARE MEDICAL GROUP, INC	10/4/2022	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	16300 SAND CANYON AVE	SUITE 601	IRVINE	CA	92618	3706	30	06059	33.66115075	-117.7742405	Orange County
195255	Fee-for-Service	1902846306	1902846306	1	2	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1400 SOUTH GRAND AVE	STE 101	LOS ANGELES	CA	90015	3010	19	06037	34.03692236	-118.2655238	Los Angeles County
195292	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	5/8/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
195301	Fee-for-Service	1386703940	1386703940	1	1	UM, CHRISTINE L MD	9/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	61343	01	General Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
195340	Fee-for-Service	1356095889	1356095889	1	1	USRC BALDWIN HILLS, LLC	10/14/2022	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3705 S LA BREA AVE	None	LOS ANGELES	CA	90016	5309	19	06037	34.01991	-118.355626	Los Angeles County
195424	Fee-for-Service	1619011285	1619011285	1	1	USC FAMILY MEDICINE INC	3/10/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1510 SAN PABLO STREET	STE 104	LOS ANGELES	CA	90033	5392	19	06037	34.06287152	-118.2029433	Los Angeles County
195465	Fee-for-Service	1184802340	1184802340	1	1	URREGO, HEATHER H DO	1/17/2023	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	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
195503	Fee-for-Service	1174056071	1174056071	1	1	UZUMCU, ZEYNEP B MD	10/1/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	174093	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
195514	Fee-for-Service	1902846306	1902846306	1	43	USC CARE MEDICAL GROUP, INC	9/2/2014	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	16300 SAND CANYON AVE	SUITE 601	IRVINE	CA	92618	3706	30	06059	33.66115075	-117.7742405	Orange County
195524	Fee-for-Service	1689953648	1689953648	1	1	USZLER, JOHN M MD A MEDICAL	9/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	17328	42	Nuclear Medicine	0	In state provider	CORPORATION	2121 SANTA MONICA BLVD	None	SANTA MONICA	CA	90404	2303	19	06037	34.02980528	-118.4786605	Los Angeles County
195542	Fee-for-Service	1902846306	1902846306	1	2	USC CARE MEDICAL GROUP, INC	8/17/2009	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1400 SOUTH GRAND AVE	STE 101	LOS ANGELES	CA	90015	3010	19	06037	34.03692236	-118.2655238	Los Angeles County
195580	Fee-for-Service	1699759332	1699759332	1	2	UKIAH VALLEY PRIMARY	6/1/2000	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	CARE MEDICAL GROUP	1165 S DORA ST	STE A	UKIAH	CA	95482	6353	23	06045	39.13602308	-123.2095502	Mendocino County
195581	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	12/16/2019	103TC0700X	NA	Mental Health Outpatient Services	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
195590	Fee-for-Service	1073684783	1073684783	1	1	UDENYI, NKECHINYEREN MD	7/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93498	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
195802	Fee-for-Service	1902846306	1902846306	1	43	USC CARE MEDICAL GROUP, INC	8/6/2020	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	16300 SAND CANYON AVE	SUITE 601	IRVINE	CA	92618	3706	30	06059	33.66115075	-117.7742405	Orange County
195832	Fee-for-Service	1902846306	1902846306	1	2	USC CARE MEDICAL GROUP, INC	8/17/2009	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1400 SOUTH GRAND AVE	STE 101	LOS ANGELES	CA	90015	3010	19	06037	34.03692236	-118.2655238	Los Angeles County
195868	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
196100	Fee-for-Service	1952851297	1952851297	1	1	UNPINGCO, KATRINA NP	10/24/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
196118	Fee-for-Service	1902846306	1902846306	1	2	USC CARE MEDICAL GROUP, INC	8/17/2009	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1400 SOUTH GRAND AVE	STE 101	LOS ANGELES	CA	90015	3010	19	06037	34.03692236	-118.2655238	Los Angeles County
196127	Fee-for-Service	1902846306	1902846306	1	67	USC CARE MEDICAL GROUP, INC	10/4/2022	2085R0202X	NA	Mammography/MRI Provider	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2025 ZONAL AVE	None	LOS ANGELES	CA	90089	0110	19	06037	34.05998665	-118.2058023	Los Angeles County
196143	Fee-for-Service	1124016837	1124016837	1	1	UPHOLD, JOHN D MD	2/1/1983	207P00000X	NA	Other	026	PHYSICIANS	36283	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
196144	Fee-for-Service	1609180306	1609180306	1	1	UDDIN, QAZI F MD	10/31/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	140506	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
196157	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	6/14/2022	103TC0700X	NA	Mental Health Outpatient Services	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
196213	Fee-for-Service	1073911137	1073911137	1	16	UNIVERSITY FACULTY ASSOCIATE	7/29/2015	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	7015 N CHESTNUT AVE	SUITE 101	FRESNO	CA	93720	0349	10	06019	36.8380303	-119.7362493	Fresno County
196281	Fee-for-Service	1497883201	1497883201	1	1	UNG, TIFFANY LCSW	4/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	64156	-	NOT APPLICABLE	0	In state provider	None	2166 HAYES STREET	303, 303A	SAN FRANCISCO	CA	94117	1033	38	06075	37.77322359	-122.4519089	San Francisco County
196286	Fee-for-Service	1073730727	1073730727	1	1	ULANER, GARY A MD	9/21/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	79020	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
196397	Fee-for-Service	1841370996	1841370996	1	1	URGENT HEALTH CLINIC MEDICAL	3/31/1983	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	GROUP INC	1141 E COLORADO ST	None	GLENDALE	CA	91205	1308	19	06037	34.1426685	-118.240011	Los Angeles County
196413	Fee-for-Service	1902846306	1902846306	1	67	USC CARE MEDICAL GROUP, INC	9/2/2016	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2025 ZONAL AVE	None	LOS ANGELES	CA	90089	0110	19	06037	34.05998665	-118.2058023	Los Angeles County
196431	Fee-for-Service	1124016837	1124016837	1	1	UPHOLD, JOHN D MD	2/1/1983	207P00000X	NA	Other	026	PHYSICIANS	36283	01	General Practice	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
196444	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	9/19/2019	103TC0700X	NA	Mental Health Outpatient Services	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
196565	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	7/16/2018	103TC0700X	NA	Mental Health Outpatient Services	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
196593	Fee-for-Service	1760531198	1760531198	1	57	UNIVERSITY HEALTHCARE ALLIAN	6/25/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	11030 BOLLINGER CANYON R	SUITE 250	SAN RAMON	CA	94582	4874	07	06013	37.77383963	-121.9239786	Contra Costa County
196634	Fee-for-Service	1962932145	1962932145	1	1	UGURIAN, ANDREW MD	4/23/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	165538	None	None	0	In state provider	None	14550 SOLEDAD CANYON RD	None	CANYON COUNTRY	CA	91387	2200	19	06037	34.43539863	-118.39023	Los Angeles County
196681	Fee-for-Service	1841370996	1841370996	1	1	URGENT HEALTH CLINIC MEDICAL	3/31/1983	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	GROUP INC	1141 E COLORADO ST	None	GLENDALE	CA	91205	1308	19	06037	34.1426685	-118.240011	Los Angeles County
196710	Fee-for-Service	1902846306	1902846306	1	67	USC CARE MEDICAL GROUP, INC	8/6/2020	2085R0202X	NA	Mammography/MRI Provider	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2025 ZONAL AVE	None	LOS ANGELES	CA	90089	0110	19	06037	34.05998665	-118.2058023	Los Angeles County
196734	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	2/20/2018	103TC0700X	NA	Mental Health Outpatient Services	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
196852	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
196883	Fee-for-Service	1760531198	1760531198	1	57	UNIVERSITY HEALTHCARE ALLIAN	6/25/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	39	Preventive (M.D. only)	0	In state provider	None	11030 BOLLINGER CANYON R	SUITE 250	SAN RAMON	CA	94582	4874	07	06013	37.77383963	-121.9239786	Contra Costa County
196898	Fee-for-Service	1063882389	1063882389	1	1	UNITED CEREBRAL PALSY	10/23/2015	347B00000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATION OF GREATER S	2501 FLORIN ROAD	None	SACRAMENTO	CA	95822	4467	34	06067	38.496294	-121.4800785	Sacramento County
197017	Fee-for-Service	1902846306	1902846306	1	62	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO ST	STE 2505	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
197022	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
197140	Fee-for-Service	1902846306	1902846306	1	58	USC CARE MEDICAL GROUP, INC	11/10/2015	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	1033 GAYLEY AVE	SUITE 104	LOS ANGELES	CA	90024	3417	19	06037	34.06135763	-118.447479	Los Angeles County
197143	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	11/4/2009	103TC0700X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
197170	Fee-for-Service	1760531198	1760531198	1	57	UNIVERSITY HEALTHCARE ALLIAN	6/25/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	11030 BOLLINGER CANYON R	SUITE 250	SAN RAMON	CA	94582	4874	07	06013	37.77383963	-121.9239786	Contra Costa County
197239	Fee-for-Service	1902846306	1902846306	1	17	USC CARE MEDICAL GROUP, INC	4/15/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	40055 BOB HOPE ST	STE J	RANCHO MIRAGE	CA	92270	3937	33	06065	33.75735051	-116.4082747	Riverside County
197303	Fee-for-Service	1902846306	1902846306	1	62	USC CARE MEDICAL GROUP, INC	9/1/2016	207W00000X	NA	Ophthalmology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1450 SAN PABLO ST	STE 2505	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
197310	Fee-for-Service	1902846306	1902846306	1	5	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1510 SAN PABLO ST	None	LOS ANGELES	CA	90033	5320	19	06037	34.06287152	-118.2029433	Los Angeles County
197427	Fee-for-Service	1902846306	1902846306	1	58	USC CARE MEDICAL GROUP, INC	10/4/2022	207X00000X	NA	Orthopedic Surgery	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1033 GAYLEY AVE	SUITE 104	LOS ANGELES	CA	90024	3417	19	06037	34.06135763	-118.447479	Los Angeles County
197432	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	5/8/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	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
197589	Fee-for-Service	1902846306	1902846306	1	62	USC CARE MEDICAL GROUP, INC	9/1/2016	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	1450 SAN PABLO ST	STE 2505	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
197712	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	2/20/2018	207RA0201X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
197715	Fee-for-Service	1902846306	1902846306	1	45	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1808 VERDUGO BLVD	STE 318	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
197717	Fee-for-Service	1528478211	1528478211	1	1	UNITED HEALTH CENTERS OF THE	12/10/2014	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1790 E MANNING AVE	None	REEDLEY	CA	93654	9467	10	06019	36.60411951	-119.428434	Fresno County
197781	Fee-for-Service	1922234707	1922234707	1	1	UNIVERSAL HEALTH FNDTN	6/10/2004	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	2020 E 1ST ST	None	LOS ANGELES	CA	90033	3916	19	06037	34.04512791	-118.2143085	Los Angeles County
197879	Fee-for-Service	1902846306	1902846306	1	62	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1450 SAN PABLO ST	STE 2505	LOS ANGELES	CA	90033	4500	19	06037	34.06189518	-118.203256	Los Angeles County
197882	Fee-for-Service	1629893771	1629893771	1	1	URBINA PIVA, ANNA CCC-SLP	2/14/2025	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	275 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5641	01	06001	37.82397231	-122.2578822	Alameda County
198000	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	6/14/2022	207RA0201X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
198004	Fee-for-Service	1528478211	1528478211	1	1	UNITED HEALTH CENTERS OF THE	12/1/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1790 E MANNING AVE	None	REEDLEY	CA	93654	9467	10	06019	36.60411951	-119.428434	Fresno County
198007	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	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
198286	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	6/10/2010	207RA0201X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
198289	Fee-for-Service	1902846306	1902846306	1	45	USC CARE MEDICAL GROUP, INC	6/30/2014	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	1808 VERDUGO BLVD	STE 318	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
198291	Fee-for-Service	1528478211	1528478211	1	1	UNITED HEALTH CENTERS OF THE	10/20/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1790 E MANNING AVE	None	REEDLEY	CA	93654	9467	10	06019	36.60411951	-119.428434	Fresno County
198575	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	6/10/2010	207RA0201X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
198580	Fee-for-Service	1528478211	1528478211	1	1	UNITED HEALTH CENTERS OF THE	10/20/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1790 E MANNING AVE	None	REEDLEY	CA	93654	9467	10	06019	36.60411951	-119.428434	Fresno County
198583	Fee-for-Service	1902846306	1902846306	1	10	USC CARE MEDICAL GROUP, INC	3/19/2024	103TC0700X	NA	Mental Health Outpatient Services	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	19	06037	34.06169385	-118.2044698	Los Angeles County
198625	Fee-for-Service	1245287820	1245287820	1	1	URSO, SAMUEL	4/23/2024	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7124	00	None	32.683167	-114.633459	Yuma County
198680	Fee-for-Service	1003831132	1003831132	1	1	UNITED HOSPITAL SYSTEM	10/1/2002	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	6308 8TH AVE	None	KENOSHA	WI	53143	5031	00	None	42.57794674	-87.81930423	Kenosha County
198862	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	6/10/2010	207RA0201X	NA	Other	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
198865	Fee-for-Service	1902846306	1902846306	1	45	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1808 VERDUGO BLVD	STE 318	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
198870	Fee-for-Service	1962920736	1962920736	1	1	UNIQUE CARE HOME HEALTH INC	8/20/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	SUITE 285	NORTH HOLLYWOOD	CA	91606	3423	19	06037	34.18670448	-118.389699	Los Angeles County
198968	Fee-for-Service	1003831132	1003831132	1	1	UNITED HOSPITAL SYSTEM	1/1/1998	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	6308 8TH AVE	None	KENOSHA	WI	53143	5031	00	None	42.57794674	-87.81930423	Kenosha County
198975	Fee-for-Service	1942269485	1942269485	1	1	UY, ALEC J MD	9/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	54019	08	Family Practice	0	In state provider	None	280 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23931375	-121.8014189	Santa Clara County
199150	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	12/16/2019	207RA0201X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
199291	Fee-for-Service	1164537775	1164537775	1	1	UROLOGICAL ASSOCIATES OF SAN	4/15/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	DIEGO AMC	752 MEDICAL CENTER CT	STE 302	CHULA VISTA	CA	91911	6661	37	06073	32.61800405	-117.0232585	San Diego County
199405	Fee-for-Service	1104903335	1104903335	1	1	UNIQUE EMBROIDERY INC	12/8/2005	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	UNIQUE MED EQUIP & SUPPL	801 S RAYMOND AVE	STE 40	ALHAMBRA	CA	91803	1545	19	06037	34.0815492	-118.1450152	Los Angeles County
199440	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	9/19/2019	207RA0201X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
199581	Fee-for-Service	1902846306	1902846306	1	57	USC CARE MEDICAL GROUP, INC	10/4/2022	207X00000X	NA	Orthopedic Surgery	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	191 S BUENA VISTA STREET	SUITE 470	BURBANK	CA	91505	4541	19	06037	34.15872557	-118.3283863	Los Angeles County
199727	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	5/8/2020	207RA0201X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
199745	Fee-for-Service	1679520407	1679520407	1	1	URAYAMA, SHIRO MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85334	10	Gastroenterology (M.D. only)	0	In state provider	None	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	34	06067	38.556288	-121.458474	Sacramento County
199749	Fee-for-Service	1568663573	1568663573	1	1	URGENT CARE AMERICA	12/31/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL CLINIC INC	13470 TELEGRAPH RD	None	WHITTIER	CA	90605	3436	19	06037	33.93886299	-118.0445082	Los Angeles County
199784	Fee-for-Service	1770568693	1770568693	1	1	UPPINGTON, JEFFREY MD	4/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52171	05	Anesthesiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
199870	Fee-for-Service	1902846306	1902846306	1	57	USC CARE MEDICAL GROUP, INC	11/9/2015	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	191 S BUENA VISTA STREET	SUITE 470	BURBANK	CA	91505	4541	19	06037	34.15872557	-118.3283863	Los Angeles County
200016	Fee-for-Service	1902846306	1902846306	1	32	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1520 SAN PABLO STREET	#1000	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
200032	Fee-for-Service	1679520407	1679520407	1	1	URAYAMA, SHIRO MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85334	41	Internal Medicine	0	In state provider	None	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	34	06067	38.556288	-121.458474	Sacramento County
200159	Fee-for-Service	1902846306	1902846306	1	57	USC CARE MEDICAL GROUP, INC	11/9/2015	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	191 S BUENA VISTA STREET	SUITE 470	BURBANK	CA	91505	4541	19	06037	34.15872557	-118.3283863	Los Angeles County
200445	Fee-for-Service	1902846306	1902846306	1	57	USC CARE MEDICAL GROUP, INC	8/6/2020	207X00000X	NA	Orthopedic Surgery	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	191 S BUENA VISTA STREET	SUITE 470	BURBANK	CA	91505	4541	19	06037	34.15872557	-118.3283863	Los Angeles County
200594	Fee-for-Service	1760531198	1760531198	1	43	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ALLIANCE	5725 W LAS POSITAS BLVD	STE 110	PLEASANTON	CA	94588	4016	01	06001	37.688107	-121.8861427	Alameda County
200679	Fee-for-Service	1043396864	1043396864	1	1	ULDALL, KARINA K. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	325 9TH AVE	MS 359110	SEATTLE	WA	98104	2420	00	None	47.60414369	-122.3235136	King County
200868	Fee-for-Service	1619049236	1619049236	1	1	ULRICH, STACEY L MD	6/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76660	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
200881	Fee-for-Service	1760531198	1760531198	1	43	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ALLIANCE	5725 W LAS POSITAS BLVD	STE 110	PLEASANTON	CA	94588	4016	01	06001	37.688107	-121.8861427	Alameda County
200989	Fee-for-Service	1649351735	1649351735	1	1	UPLAND COMMUNITY CARE INC	10/1/2005	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1221 E ARROW HWY	None	UPLAND	CA	91786	4911	36	06071	34.09981047	-117.635049	San Bernardino County
201026	Fee-for-Service	1760531198	1760531198	1	25	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	20126 STANTON AVENUE	SUITE 100	CASTRO VALLEY	CA	94546	5270	01	06001	37.69722866	-122.090936	Alameda County
201059	Fee-for-Service	1902846306	1902846306	1	16	USC CARE MEDICAL GROUP, INC	4/13/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	622 W DUARTE ROAD	STE 101-102	ARCADIA	CA	91007	7606	19	06037	34.12645266	-118.0521552	Los Angeles County
201150	Fee-for-Service	1902846306	1902846306	1	52	USC CARE MEDICAL GROUP, INC	1/29/2015	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 406	BEVERLY HILLS	CA	90211	1958	19	06037	34.06707946	-118.388943	Los Angeles County
201172	Fee-for-Service	1760531198	1760531198	1	43	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	ALLIANCE	5725 W LAS POSITAS BLVD	STE 110	PLEASANTON	CA	94588	4016	01	06001	37.688107	-121.8861427	Alameda County
201313	Fee-for-Service	1760531198	1760531198	1	25	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	20126 STANTON AVENUE	SUITE 100	CASTRO VALLEY	CA	94546	5270	01	06001	37.69722866	-122.090936	Alameda County
201349	Fee-for-Service	1902846306	1902846306	1	16	USC CARE MEDICAL GROUP, INC	11/6/2020	207W00000X	NA	Ophthalmology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	622 W DUARTE ROAD	STE 101-102	ARCADIA	CA	91007	7606	19	06037	34.12645266	-118.0521552	Los Angeles County
201374	Fee-for-Service	1366963308	1366963308	1	1	UPADHYAYA, MIHIR A	9/29/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	165031	36	Psychiatry	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
201439	Fee-for-Service	1902846306	1902846306	1	52	USC CARE MEDICAL GROUP, INC	1/29/2015	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 406	BEVERLY HILLS	CA	90211	1958	19	06037	34.06707946	-118.388943	Los Angeles County
201603	Fee-for-Service	1760531198	1760531198	1	25	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	20126 STANTON AVENUE	SUITE 100	CASTRO VALLEY	CA	94546	5270	01	06001	37.69722866	-122.090936	Alameda County
201636	Fee-for-Service	1902846306	1902846306	1	48	USC CARE MEDICAL GROUP, INC	10/28/2014	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	1808 VERDUGO BLVD	SUITE 112	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
201637	Fee-for-Service	1902846306	1902846306	1	16	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	622 W DUARTE ROAD	STE 101-102	ARCADIA	CA	91007	7606	19	06037	34.12645266	-118.0521552	Los Angeles County
201725	Fee-for-Service	1902846306	1902846306	1	52	USC CARE MEDICAL GROUP, INC	8/6/2020	207R00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 406	BEVERLY HILLS	CA	90211	1958	19	06037	34.06707946	-118.388943	Los Angeles County
201777	Fee-for-Service	1902846306	1902846306	1	72	USC CARE MEDICAL GROUP, INC	8/1/2024	225X00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1031 W 34TH ST	SUITE 452	LOS ANGELES	CA	90089	3602	19	06037	34.024005	-118.2895875	Los Angeles County
201841	Fee-for-Service	1437401197	1437401197	1	1	UNITED HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1220 W GLENOAKS BLVD	STE 204	GLENDALE	CA	91201	2299	19	06037	34.16551419	-118.2821828	Los Angeles County
201888	Fee-for-Service	1841330107	1841330107	1	2	ULLOA, RAUL A MD	1/7/2022	207Q00000X	NA	Adult Primary Care	086	MEDICAL DIRECTORS	149878	-	NOT APPLICABLE	0	In state provider	None	911 MORAGA RD	STE 200	LAFAYETTE	CA	94549	4500	07	06013	37.88758326	-122.1181419	Contra Costa County
201921	Fee-for-Service	1902846306	1902846306	1	48	USC CARE MEDICAL GROUP, INC	10/4/2022	207X00000X	NA	Orthopedic Surgery	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1808 VERDUGO BLVD	SUITE 112	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
201923	Fee-for-Service	1902846306	1902846306	1	16	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	622 W DUARTE ROAD	STE 101-102	ARCADIA	CA	91007	7606	19	06037	34.12645266	-118.0521552	Los Angeles County
202012	Fee-for-Service	1902846306	1902846306	1	52	USC CARE MEDICAL GROUP, INC	1/29/2015	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 406	BEVERLY HILLS	CA	90211	1958	19	06037	34.06707946	-118.388943	Los Angeles County
202015	Fee-for-Service	1760531198	1760531198	1	16	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	1332 PARK STREET	SUITE 202	ALAMEDA	CA	94501	4545	01	06001	37.76330843	-122.2435444	Alameda County
202044	Fee-for-Service	1801846431	1801846431	1	1	USHIBA, JAMES K MD	4/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	60154	20	Orthopedic Surgery	0	In state provider	None	240 SAN JOSE ST	None	SALINAS	CA	93901	3901	27	06053	36.6582359	-121.6463252	Monterey County
202064	Fee-for-Service	1902846306	1902846306	1	72	USC CARE MEDICAL GROUP, INC	4/3/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1031 W 34TH ST	SUITE 452	LOS ANGELES	CA	90089	3602	19	06037	34.024005	-118.2895875	Los Angeles County
202080	Fee-for-Service	1902846306	1902846306	1	56	USC CARE MEDICAL GROUP, INC	6/15/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	51 N FIFTH AVE	STE 202	ARCADIA	CA	91006	3712	19	06037	34.1412293	-118.0205477	Los Angeles County
202129	Fee-for-Service	1437401197	1437401197	1	1	UNITED HOSPICE, INC	6/18/2014	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1220 W GLENOAKS BLVD	STE 204	GLENDALE	CA	91201	2299	19	06037	34.16551419	-118.2821828	Los Angeles County
202210	Fee-for-Service	1902846306	1902846306	1	48	USC CARE MEDICAL GROUP, INC	11/6/2020	207X00000X	NA	Orthopedic Surgery	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1808 VERDUGO BLVD	SUITE 112	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
202232	Fee-for-Service	1225310741	1225310741	1	1	UNITED MEDICAL IMAGING	4/18/2016	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEALTHCARE INC	1801 W ROMNEYA DR	SUITE 104	ANAHEIM	CA	92801	1830	30	06059	33.8506615	-117.946413	Orange County
202303	Fee-for-Service	1902846306	1902846306	1	52	USC CARE MEDICAL GROUP, INC	10/4/2022	207R00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 406	BEVERLY HILLS	CA	90211	1958	19	06037	34.06707946	-118.388943	Los Angeles County
202306	Fee-for-Service	1760531198	1760531198	1	16	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	1332 PARK STREET	SUITE 202	ALAMEDA	CA	94501	4545	01	06001	37.76330843	-122.2435444	Alameda County
202367	Fee-for-Service	1902846306	1902846306	1	56	USC CARE MEDICAL GROUP, INC	6/15/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	None	51 N FIFTH AVE	STE 202	ARCADIA	CA	91006	3712	19	06037	34.1412293	-118.0205477	Los Angeles County
202498	Fee-for-Service	1902846306	1902846306	1	48	USC CARE MEDICAL GROUP, INC	8/6/2020	207X00000X	NA	Orthopedic Surgery	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1808 VERDUGO BLVD	SUITE 112	GLENDALE	CA	91208	1464	19	06037	34.2056211	-118.2154553	Los Angeles County
202593	Fee-for-Service	1902846306	1902846306	1	52	USC CARE MEDICAL GROUP, INC	10/12/2021	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	9033 WILSHIRE BLVD	SUITE 406	BEVERLY HILLS	CA	90211	1958	19	06037	34.06707946	-118.388943	Los Angeles County
202594	Fee-for-Service	1760531198	1760531198	1	16	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	1332 PARK STREET	SUITE 202	ALAMEDA	CA	94501	4545	01	06001	37.76330843	-122.2435444	Alameda County
202615	Fee-for-Service	1841330107	1841330107	1	1	ULLOA, RAUL A MD	12/23/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	149878	None	None	0	In state provider	None	911 MORAGA RD STE 200	None	LAFAYETTE	CA	94549	4500	07	06013	37.88758326	-122.1181419	Contra Costa County
202655	Fee-for-Service	1902846306	1902846306	1	56	USC CARE MEDICAL GROUP, INC	6/15/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	51 N FIFTH AVE	STE 202	ARCADIA	CA	91006	3712	19	06037	34.1412293	-118.0205477	Los Angeles County
202867	Fee-for-Service	1720375181	1720375181	1	1	URSALES, MAYBELLE L O MD	2/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	123021	01	General Practice	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
202878	Fee-for-Service	1528478211	1528478211	1	6	UNITED HEALTH CENTERS OF THE	10/26/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1901 EAST SHIELDS AVE	SUITE 130	FRESNO	CA	93726	5313	10	06019	36.77978086	-119.7882125	Fresno County
202943	Fee-for-Service	1902846306	1902846306	1	56	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	51 N FIFTH AVE	STE 202	ARCADIA	CA	91006	3712	19	06037	34.1412293	-118.0205477	Los Angeles County
202960	Fee-for-Service	1962405142	1962405142	1	1	UDDIN, MOHAMMAD K MD	7/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83767	13	Neurology (M.D. only)	0	In state provider	NEUROCARE ASSOCIATES	36243 INLAND VALLEY DR	STE 210	WILDOMAR	CA	92595	9548	33	06065	33.591528	-117.2393325	Riverside County
203018	Fee-for-Service	1659906147	1659906147	1	1	UKU, RERHIME R NP	8/29/2023	363LP0808X	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
203159	Fee-for-Service	1760531198	1760531198	1	8	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	2500 HOSPITAL DRIVE	SUITE 4B	MOUNTAIN VIEW	CA	94040	4110	43	06085	37.36908	-122.081819	Santa Clara County
203167	Fee-for-Service	1528478211	1528478211	1	6	UNITED HEALTH CENTERS OF THE	12/29/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1901 EAST SHIELDS AVE	SUITE 130	FRESNO	CA	93726	5313	10	06019	36.77978086	-119.7882125	Fresno County
203232	Fee-for-Service	1902846306	1902846306	1	56	USC CARE MEDICAL GROUP, INC	10/4/2022	207Q00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	51 N FIFTH AVE	STE 202	ARCADIA	CA	91006	3712	19	06037	34.1412293	-118.0205477	Los Angeles County
203310	Fee-for-Service	1235157363	1235157363	1	1	URREA, PAUL T MD	2/21/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	51075	18	Ophthalmology	0	In state provider	STE 301	850 S ATLANTIC BLVD	None	MONTEREY PARK	CA	91754	4730	19	06037	34.05097684	-118.1379979	Los Angeles County
203367	Fee-for-Service	1053084210	1053084210	1	1	UEHARA, KENT OD	7/22/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	9000 MING AVE	STE L-1B	BAKERSFIELD	CA	93311	1318	15	06029	35.33989328	-119.1034715	Kern County
203421	Fee-for-Service	1407273279	1407273279	1	1	UNIVERSITY OF THE PACIFIC	12/17/2019	1223P0106X	NA	Dental Provider	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	PATHOLOGY LABORATORY	155 5TH STREET	SUITE 412F	SAN FRANCISCO	CA	94103	2919	38	06075	37.78207387	-122.405581	San Francisco County
203447	Fee-for-Service	1902846306	1902846306	1	41	USC CARE MEDICAL GROUP, INC	9/2/2014	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	65 N FIRST AVE	None	ARCADIA	CA	91006	3251	19	06037	34.14085163	-118.0283923	Los Angeles County
203454	Fee-for-Service	1528478211	1528478211	1	6	UNITED HEALTH CENTERS OF THE	12/29/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1901 EAST SHIELDS AVE	SUITE 130	FRESNO	CA	93726	5313	10	06019	36.77978086	-119.7882125	Fresno County
203520	Fee-for-Service	1902846306	1902846306	1	56	USC CARE MEDICAL GROUP, INC	8/6/2020	207Q00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	51 N FIFTH AVE	STE 202	ARCADIA	CA	91006	3712	19	06037	34.1412293	-118.0205477	Los Angeles County
203609	Fee-for-Service	1225068984	1225068984	1	1	ULMER, DOUGLAS K MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	24825	07	Dermatology	0	In state provider	None	1045 ATLANTIC AVE	STE 819	LONG BEACH	CA	90813	3461	19	06037	33.780267	-118.1850795	Los Angeles County
203738	Fee-for-Service	1902846306	1902846306	1	41	USC CARE MEDICAL GROUP, INC	10/4/2022	208D00000X	NA	Adult Primary Care	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	65 N FIRST AVE	None	ARCADIA	CA	91006	3251	19	06037	34.14085163	-118.0283923	Los Angeles County
203805	Fee-for-Service	1902846306	1902846306	1	56	USC CARE MEDICAL GROUP, INC	11/6/2020	207Q00000X	NA	Adult Primary Care	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	51 N FIFTH AVE	STE 202	ARCADIA	CA	91006	3712	19	06037	34.1412293	-118.0205477	Los Angeles County
204025	Fee-for-Service	1902846306	1902846306	1	41	USC CARE MEDICAL GROUP, INC	8/6/2020	208D00000X	NA	Adult Primary Care	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	65 N FIRST AVE	None	ARCADIA	CA	91006	3251	19	06037	34.14085163	-118.0283923	Los Angeles County
204171	Fee-for-Service	1932278702	1932278702	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	UCSF OTOLARYNGOLOGY	350 PARNASSUS AVE	None	SAN FRANCISCO	CA	94117	3608	38	06075	37.76403932	-122.4561371	San Francisco County
204192	Fee-for-Service	1073911137	1073911137	1	8	UNIVERSITY FACULTY ASSOCIATE	5/22/2015	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ASSOCIATES INC	2210 E ILLINOIS AVE	SUITE 408	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
204283	Fee-for-Service	1427105279	1427105279	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	UCSF PSYCHIATRY	401 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2211	38	06075	37.76376114	-122.4567626	San Francisco County
204315	Fee-for-Service	1902846306	1902846306	1	41	USC CARE MEDICAL GROUP, INC	9/28/2017	208D00000X	NA	Adult Primary Care	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	65 N FIRST AVE	None	ARCADIA	CA	91006	3251	19	06037	34.14085163	-118.0283923	Los Angeles County
204479	Fee-for-Service	1073911137	1073911137	1	8	UNIVERSITY FACULTY ASSOCIATE	5/22/2015	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ASSOCIATES INC	2210 E ILLINOIS AVE	SUITE 408	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
204597	Fee-for-Service	1902846306	1902846306	1	41	USC CARE MEDICAL GROUP, INC	11/6/2020	208D00000X	NA	Adult Primary Care	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	65 N FIRST AVE	None	ARCADIA	CA	91006	3251	19	06037	34.14085163	-118.0283923	Los Angeles County
204654	Fee-for-Service	1902846306	1902846306	1	54	USC CARE MEDICAL GROUP, INC	5/15/2015	207Y00000X	NA	ENT/Otolaryngology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1370 FOOTHILL BLVD	STE 100	LA CANADA	CA	91011	2100	19	06037	34.20801303	-118.2080671	Los Angeles County
204942	Fee-for-Service	1902846306	1902846306	1	54	USC CARE MEDICAL GROUP, INC	5/15/2015	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	None	1370 FOOTHILL BLVD	STE 100	LA CANADA	CA	91011	2100	19	06037	34.20801303	-118.2080671	Los Angeles County
205054	Fee-for-Service	1760531198	1760531198	1	58	UNIVERSITY HEALTHCARE ALLIAN	8/27/2024	207K00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2623 SHADELANDS DR	STE 1	WALNUT CREEK	CA	94598	2512	07	06013	37.9271118	-122.0235527	Contra Costa County
205154	Fee-for-Service	1760531198	1760531198	1	48	UNIVERSITY HEALTHCARE ALLIAN	7/13/2020	207K00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	5565 LAS POSITAS BLVD	SUITE 300	PLEASANTON	CA	94588	4001	01	06001	37.69215143	-121.8800337	Alameda County
205181	Fee-for-Service	1477979722	1477979722	1	7	UNITED HEALTH CENTERS OF THE	2/28/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1122 S STREET	None	FRESNO	CA	93721	1430	10	06019	36.74185388	-119.7823667	Fresno County
205343	Fee-for-Service	1760531198	1760531198	1	58	UNIVERSITY HEALTHCARE ALLIAN	8/27/2024	207K00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	2623 SHADELANDS DR	STE 1	WALNUT CREEK	CA	94598	2512	07	06013	37.9271118	-122.0235527	Contra Costa County
205346	Fee-for-Service	1255430898	1255430898	1	1	UZELAC, STEVEN R MD	5/9/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	54698	08	Family Practice	0	In state provider	None	2210 DEL PASO RD	None	SACRAMENTO	CA	95834	9671	34	06067	38.655189	-121.5091575	Sacramento County
205442	Fee-for-Service	1760531198	1760531198	1	48	UNIVERSITY HEALTHCARE ALLIAN	7/13/2020	207K00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	5565 LAS POSITAS BLVD	SUITE 300	PLEASANTON	CA	94588	4001	01	06001	37.69215143	-121.8800337	Alameda County
205471	Fee-for-Service	1477979722	1477979722	1	7	UNITED HEALTH CENTERS OF THE	2/28/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	1122 S STREET	None	FRESNO	CA	93721	1430	10	06019	36.74185388	-119.7823667	Fresno County
205475	Fee-for-Service	1356634976	1356634976	1	1	UTE GAWLICK	11/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5121 S COTTONWOOD ST	None	MURRAY	UT	84107	5701	00	None	40.659588	-111.891798	Salt Lake County
205630	Fee-for-Service	1760531198	1760531198	1	58	UNIVERSITY HEALTHCARE ALLIAN	8/27/2024	207K00000X	NA	Other	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	None	2623 SHADELANDS DR	STE 1	WALNUT CREEK	CA	94598	2512	07	06013	37.9271118	-122.0235527	Contra Costa County
205729	Fee-for-Service	1760531198	1760531198	1	48	UNIVERSITY HEALTHCARE ALLIAN	7/13/2020	207K00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	None	5565 LAS POSITAS BLVD	SUITE 300	PLEASANTON	CA	94588	4001	01	06001	37.69215143	-121.8800337	Alameda County
205819	Fee-for-Service	1619030020	1619030020	1	1	UHL, TANYA CRNA	6/2/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
205835	Fee-for-Service	1912923301	1912923301	1	2	UNICARE DIAGNOSTICS INC	4/1/2003	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	BREATHE RITE PHARMACY	3271 GRANDE VISTA DR	None	NEWBURY PARK	CA	91320	1193	56	06111	34.19288543	-118.9450472	Ventura County
206476	Fee-for-Service	1821337668	1821337668	1	1	UMBRINO, JOSEPH R NP	2/9/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1505 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5209	19	06037	34.098408	-118.296167	Los Angeles County
206647	Fee-for-Service	1902846306	1902846306	1	23	USC CARE MEDICAL GROUP, INC	8/6/2020	2084N0400X	NA	Neurology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	637 LUCAS AVE	None	LOS ANGELES	CA	90017	1912	19	06037	34.05351827	-118.2646017	Los Angeles County
207530	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	5/9/2016	207L00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
207678	Fee-for-Service	1881151827	1881151827	1	1	UNICARE COMMUNITY HEALTH	4/6/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	24853 ALESSANDRO BLVD	#4	MORENO VALLEY	CA	92553	6102	33	06065	33.91718453	-117.228627	Riverside County
207752	Fee-for-Service	1346627767	1346627767	1	1	USTRZYNSKI, LOUISA P CNP	10/24/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
207816	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	4/16/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
207939	Fee-for-Service	1720282585	1720282585	1	2	UNIVERSAL HEALTHCARE SERVICE	10/29/2024	163WP0000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	GEMENT	8303 BRIMHALL RD	BLDG 1500	BAKERSFIELD	CA	93312	2243	15	06029	35.36875852	-119.0948805	Kern County
207966	Fee-for-Service	1881151827	1881151827	1	1	UNICARE COMMUNITY HEALTH	6/26/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	24853 ALESSANDRO BLVD	#4	MORENO VALLEY	CA	92553	6102	33	06065	33.91718453	-117.228627	Riverside County
208105	Fee-for-Service	1902846306	1902846306	1	61	USC CARE MEDICAL GROUP, INC	5/9/2016	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	301 S FAIR OAKS AVE	STE 208	PASADENA	CA	91105	2562	19	06037	34.140348	-118.1504565	Los Angeles County
208114	Fee-for-Service	1679951362	1679951362	1	1	USA VASCULAR CENTERS OF LOS	8/21/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	ANGELES PC	12840 RIVERSIDE DRIVE	STE 300A	VALLEY VILLAGE	CA	91607	3337	19	06037	34.15759054	-118.4129775	Los Angeles County
208226	Fee-for-Service	1720282585	1720282585	1	2	UNIVERSAL HEALTHCARE SERVICE	10/29/2024	163WP0000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	GEMENT	8303 BRIMHALL RD	BLDG 1500	BAKERSFIELD	CA	93312	2243	15	06029	35.36875852	-119.0948805	Kern County
208257	Fee-for-Service	1881151827	1881151827	1	1	UNICARE COMMUNITY HEALTH	6/26/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	24853 ALESSANDRO BLVD	#4	MORENO VALLEY	CA	92553	6102	33	06065	33.91718453	-117.228627	Riverside County
208402	Fee-for-Service	1679951362	1679951362	1	1	USA VASCULAR CENTERS OF LOS	8/21/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ANGELES PC	12840 RIVERSIDE DRIVE	STE 300A	VALLEY VILLAGE	CA	91607	3337	19	06037	34.15759054	-118.4129775	Los Angeles County
208518	Fee-for-Service	1720282585	1720282585	1	2	UNIVERSAL HEALTHCARE SERVICE	10/29/2024	163WP0000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	GEMENT	8303 BRIMHALL RD	BLDG 1500	BAKERSFIELD	CA	93312	2243	15	06029	35.36875852	-119.0948805	Kern County
208558	Fee-for-Service	1649361437	1649361437	1	1	ULRICH, PAUL P MD	6/1/1995	207L00000X	NA	Other	026	PHYSICIANS	52707	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
208690	Fee-for-Service	1679951362	1679951362	1	1	USA VASCULAR CENTERS OF LOS	8/21/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ANGELES PC	12840 RIVERSIDE DRIVE	STE 300A	VALLEY VILLAGE	CA	91607	3337	19	06037	34.15759054	-118.4129775	Los Angeles County
208943	Fee-for-Service	1760608897	1760608897	1	1	UHL, VALERY MD	2/8/2015	174400000X	NA	Other	026	PHYSICIANS	43655	78	Neoplastic Diseases/Oncology	0	In state provider	None	450 30TH ST	DEPT G-800	OAKLAND	CA	94609	3302	01	06001	37.81935255	-122.2664506	Alameda County
209113	Fee-for-Service	1427136241	1427136241	1	1	UOTA, JON MD	9/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	47645	02	General Surgery	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
209228	Fee-for-Service	1760608897	1760608897	1	1	UHL, VALERY MD	2/8/2015	174400000X	NA	Other	026	PHYSICIANS	43655	30	Radiology	0	In state provider	None	450 30TH ST	DEPT G-800	OAKLAND	CA	94609	3302	01	06001	37.81935255	-122.2664506	Alameda County
209271	Fee-for-Service	1760531198	1760531198	1	17	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	2160 APPIAN WAY	SUITE 200	PINOLE	CA	94564	2565	07	06013	37.99585174	-122.3021549	Contra Costa County
209335	Fee-for-Service	1033537006	1033537006	1	1	UMARJEE, SPHOORTI D MD	3/26/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	149864	40	Pediatrics	0	In state provider	None	276 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.2402111	-121.8021684	Santa Clara County
209380	Fee-for-Service	1013183342	1013183342	1	1	UYPITCHING, CINDY J MD	4/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101647	08	Family Practice	0	In state provider	None	1401 GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
209559	Fee-for-Service	1760531198	1760531198	1	17	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	2160 APPIAN WAY	SUITE 200	PINOLE	CA	94564	2565	07	06013	37.99585174	-122.3021549	Contra Costa County
209576	Fee-for-Service	1801397526	1801397526	1	1	USRC LOMITA LLC	4/1/2018	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1830 LOMITA BLVD	None	LOMITA	CA	90717	1906	19	06037	33.79804064	-118.3102426	Los Angeles County
209651	Fee-for-Service	1740864511	1740864511	1	1	URZUA, ALEXIS NP	11/9/2023	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	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
209726	Fee-for-Service	1528735941	1528735941	1	2	UAT TRANSPORTATION LLC	7/11/2022	347E00000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	5150 EAST CANDLEWOOD STR	UNIT 20D	LAKEWOOD	CA	90712	1929	19	06037	33.85362254	-118.1326815	Los Angeles County
209846	Fee-for-Service	1760531198	1760531198	1	17	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	2160 APPIAN WAY	SUITE 200	PINOLE	CA	94564	2565	07	06013	37.99585174	-122.3021549	Contra Costa County
209913	Fee-for-Service	1699102087	1699102087	1	1	URIBE, NADYA LCSW	12/18/2023	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
209990	Fee-for-Service	1275633224	1275633224	1	1	UCLA MEDICAL CENTER	7/1/1988	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MEDICAL PLAZA LEVEL 1	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
210038	Fee-for-Service	1417594268	1417594268	1	1	USA CARE MEDICAL TRANSPORTAT	4/21/2020	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ION	3774 GROVE ST.	#L-2	LEMON GROVE	CA	91945	1899	37	06073	32.74642662	-117.0271281	San Diego County
210091	Fee-for-Service	1407821465	1407821465	1	1	UNIVERSITY OF CALIFORNIA	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
210273	Fee-for-Service	1346900743	1346900743	1	1	ULTIMATE CARE HEALTH CARE	1/26/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1770 N HIGHLAND AVE	SUITE J	LOS ANGELES	CA	90028	4430	19	06037	34.10366653	-118.3386786	Los Angeles County
210354	Fee-for-Service	1477869121	1477869121	1	1	UTZ, EDWARD R MD	6/14/2023	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	183445	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
210384	Fee-for-Service	1780903419	1780903419	1	1	USATIN, DANIELLE J MD	2/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	120173	40	Pediatrics	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
210534	Fee-for-Service	1831164573	1831164573	1	1	UNIQUE MEDICAL SPLY, INC	8/29/2006	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	6631 CHERRY AVE	None	LONG BEACH	CA	90805	1714	19	06037	33.875325	-118.168696	Los Angeles County
210807	Fee-for-Service	1538111448	1538111448	1	1	UTECHT, THOMAS	5/31/1990	207P00000X	NA	Other	026	PHYSICIANS	64272	66	Emergency Medicine (Urgent Care)	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
210958	Fee-for-Service	1760531198	1760531198	1	51	UNIVERSITY HEALTHCARE ALLIAN	11/20/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	CE	5915 HOLLIS	SUITE B	EMERYVILLE	CA	94608	2002	01	06001	37.84148798	-122.2898215	Alameda County
211242	Fee-for-Service	1760531198	1760531198	1	51	UNIVERSITY HEALTHCARE ALLIAN	11/20/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	CE	5915 HOLLIS	SUITE B	EMERYVILLE	CA	94608	2002	01	06001	37.84148798	-122.2898215	Alameda County
211502	Fee-for-Service	1902846306	1902846306	1	63	USC CARE MEDICAL GROUP, INC	9/1/2016	207W00000X	NA	Ophthalmology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1026 W COVINA PKWY	None	WEST COVINA	CA	91790	8204	19	06037	34.06855822	-117.9319371	Los Angeles County
211531	Fee-for-Service	1760531198	1760531198	1	51	UNIVERSITY HEALTHCARE ALLIAN	11/20/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CE	5915 HOLLIS	SUITE B	EMERYVILLE	CA	94608	2002	01	06001	37.84148798	-122.2898215	Alameda County
211700	Fee-for-Service	1740359058	1740359058	1	1	ULLMAN, BERNARD L MD	4/30/1983	207RS0012X	NA	Other	026	PHYSICIANS	41380	13	Neurology (M.D. only)	0	In state provider	None	6801 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91605	5162	19	06037	34.194447	-118.4138285	Los Angeles County
211728	Fee-for-Service	1558393017	1558393017	1	1	UGOCHUKU, IFEANYI K MD	12/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	86654	02	General Surgery	0	In state provider	None	1881 COMMERCENTER DR E	#118	SAN BERNARDINO	CA	92408	3442	36	06071	34.06770327	-117.2822565	San Bernardino County
211793	Fee-for-Service	1902846306	1902846306	1	63	USC CARE MEDICAL GROUP, INC	10/4/2022	207W00000X	NA	Ophthalmology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1026 W COVINA PKWY	None	WEST COVINA	CA	91790	8204	19	06037	34.06855822	-117.9319371	Los Angeles County
211977	Fee-for-Service	1760531198	1760531198	1	12	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	350 30TH STREET	SUITE 320	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
212043	Fee-for-Service	1336355940	1336355940	1	1	UDOFIA, ANIEKAN A PT	6/24/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	301 INDUSTRIAL ROAD	None	SAN CARLOS	CA	94070	2603	41	06081	37.51438187	-122.2607682	San Mateo County
212081	Fee-for-Service	1902846306	1902846306	1	63	USC CARE MEDICAL GROUP, INC	9/1/2016	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	1026 W COVINA PKWY	None	WEST COVINA	CA	91790	8204	19	06037	34.06855822	-117.9319371	Los Angeles County
212113	Fee-for-Service	1629598073	1629598073	1	1	UNION OF PAN ASIAN COMMUNITI	9/7/2017	251S00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	R	3539 COLLEGE AVENUE	100,110,115,120,130,135,	SAN DIEGO	CA	92115	7032	37	06073	32.745315	-117.0565311	San Diego County
212266	Fee-for-Service	1902846306	1902846306	1	64	USC CARE MEDICAL GROUP, INC	10/4/2022	207V00000X	NA	Obstetrics & Gynecology	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	39 CONGRESS ST	STE 302	PASADENA	CA	91105	3022	19	06037	34.13407645	-118.151226	Los Angeles County
212268	Fee-for-Service	1760531198	1760531198	1	12	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	350 30TH STREET	SUITE 320	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
212368	Fee-for-Service	1902846306	1902846306	1	63	USC CARE MEDICAL GROUP, INC	8/6/2020	207W00000X	NA	Ophthalmology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1026 W COVINA PKWY	None	WEST COVINA	CA	91790	8204	19	06037	34.06855822	-117.9319371	Los Angeles County
212537	Fee-for-Service	1255686648	1255686648	1	1	UNKART, JONATHAN MD	3/9/2020	390200000X	NA	Other	026	PHYSICIANS	128185	39	Preventive (M.D. only)	0	In state provider	None	590 S INDIAN HILL BLVD	None	CLAREMONT	CA	91711	5212	19	06037	34.085313	-117.7191945	Los Angeles County
212552	Fee-for-Service	1760531198	1760531198	1	12	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	350 30TH STREET	SUITE 320	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
212554	Fee-for-Service	1902846306	1902846306	1	64	USC CARE MEDICAL GROUP, INC	8/6/2020	207V00000X	NA	Obstetrics & Gynecology	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	39 CONGRESS ST	STE 302	PASADENA	CA	91105	3022	19	06037	34.13407645	-118.151226	Los Angeles County
212571	Fee-for-Service	1780803411	1780803411	1	1	U-TURN DRUG EDUCATION PROGRA	4/26/2022	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	M, INC.	17420 S AVALON BLVD	100	CARSON	CA	90746	1564	19	06037	33.8728265	-118.2658166	Los Angeles County
212841	Fee-for-Service	1902846306	1902846306	1	64	USC CARE MEDICAL GROUP, INC	9/1/2016	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	39 CONGRESS ST	STE 302	PASADENA	CA	91105	3022	19	06037	34.13407645	-118.151226	Los Angeles County
212850	Fee-for-Service	1952325565	1952325565	1	1	UNIV PATHOLOGY ASSOC INC	10/24/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
212989	Fee-for-Service	1891318853	1891318853	1	1	UNITED HEALTH HOSPICE, INC	8/12/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2525 COLORADO BLVD	STE E	LOS ANGELES	CA	90041	1062	19	06037	34.14168117	-118.2218353	Los Angeles County
213231	Fee-for-Service	1760531198	1760531198	1	24	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	4725 FIRST STREET	SUITE 100	PLEASANTON	CA	94566	7366	01	06001	37.65692944	-121.8767827	Alameda County
213273	Fee-for-Service	1891318853	1891318853	1	1	UNITED HEALTH HOSPICE, INC	8/12/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2525 COLORADO BLVD	STE E	LOS ANGELES	CA	90041	1062	19	06037	34.14168117	-118.2218353	Los Angeles County
213319	Fee-for-Service	1518485382	1518485382	1	1	USRC NAPA LLC	5/2/2019	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3219 JEFFERSON STREET	None	NAPA	CA	94558	3435	28	06055	38.32018049	-122.2991932	Napa County
213356	Fee-for-Service	1972712503	1972712503	1	1	UMAKANTHAN, JANANI MD	3/25/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	94310	40	Pediatrics	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
213518	Fee-for-Service	1760531198	1760531198	1	24	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	4725 FIRST STREET	SUITE 100	PLEASANTON	CA	94566	7366	01	06001	37.65692944	-121.8767827	Alameda County
213626	Fee-for-Service	1336297118	1336297118	1	1	UPADHYAYULA, SRIDEVI MD	11/3/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90832	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
213710	Fee-for-Service	1760531198	1760531198	1	34	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	ALLIANCE	1133 E STANLEY BLVD	STE 207	LIVERMORE	CA	94550	4246	01	06001	37.67914693	-121.7810206	Alameda County
213801	Fee-for-Service	1760531198	1760531198	1	7	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	2500 HOSPITAL DRIVE	SUITE 4A	MOUNTAIN VIEW	CA	94040	4110	43	06085	37.36908	-122.081819	Santa Clara County
213839	Fee-for-Service	1366479099	1366479099	1	1	UNILAB CORPORATION	5/31/2006	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	8401 FALLBROOK AVE	None	WEST HILLS	CA	91304	3226	19	06037	34.222599	-118.6235265	Los Angeles County
213860	Fee-for-Service	1760531198	1760531198	1	4	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	175 N JACKSON AVENUE	SUITE 111	SAN JOSE	CA	95116	1909	43	06085	37.36217918	-121.8472051	Santa Clara County
214091	Fee-for-Service	1760531198	1760531198	1	24	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	4725 FIRST STREET	SUITE 100	PLEASANTON	CA	94566	7366	01	06001	37.65692944	-121.8767827	Alameda County
214247	Fee-for-Service	1760531198	1760531198	1	15	UNIVERSITY HEALTHCARE ALLIAN	12/2/2020	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	ALLIANCE	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
214519	Fee-for-Service	1336238583	1336238583	1	2	UNIVERSAL CARE MED GROUP	9/30/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	12511 BROOKHURST ST	None	GARDEN GROVE	CA	92840	4806	30	06059	33.78109145	-117.9586735	Orange County
214537	Fee-for-Service	1760531198	1760531198	1	15	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
214554	Fee-for-Service	1326773672	1326773672	1	1	UNIFIED HEALTH ASSOCIATES	4/6/2023	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1206 AVENUE J	STE 100	LANCASTER	CA	93534	2956	19	06037	34.68937853	-118.1525805	Los Angeles County
214695	Fee-for-Service	1841498201	1841498201	1	1	URIZAR, MICHELLE LCSW	9/20/2024	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
214708	Fee-for-Service	1679198279	1679198279	1	1	UNITED HEALTH CENTERS OF THE	10/29/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1110 N BLACKSTONE AVE	None	FRESNO	CA	93701	1016	10	06019	36.75669297	-119.7905458	Fresno County
214742	Fee-for-Service	1760531198	1760531198	1	38	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ALLIANCE	5725 W LAS POSITAS BLVD	STE 100	PLEASANTON	CA	94588	4007	01	06001	37.688107	-121.8861427	Alameda County
214823	Fee-for-Service	1760531198	1760531198	1	15	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
214861	Fee-for-Service	1194115246	1194115246	1	1	UCSF MEDICAL GROUP BUSINESS	5/7/2015	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1825 4TH STREET	ROOM M5304	SAN FRANCISCO	CA	94158	2350	38	06075	37.76632988	-122.3905675	San Francisco County
214997	Fee-for-Service	1679198279	1679198279	1	1	UNITED HEALTH CENTERS OF THE	4/8/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1110 N BLACKSTONE AVE	None	FRESNO	CA	93701	1016	10	06019	36.75669297	-119.7905458	Fresno County
215112	Fee-for-Service	1760531198	1760531198	1	15	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
215171	Fee-for-Service	1619467412	1619467412	1	1	UNIVERSITY OF COLORADO HOSPI	8/25/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	RORA CENTRAL	15300 E MISSISSIPPI AVE	None	AURORA	CO	80017	3026	00	None	39.696147	-104.809194	Arapahoe County
215285	Fee-for-Service	1679198279	1679198279	1	1	UNITED HEALTH CENTERS OF THE	5/14/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1110 N BLACKSTONE AVE	None	FRESNO	CA	93701	1016	10	06019	36.75669297	-119.7905458	Fresno County
215297	Fee-for-Service	1760531198	1760531198	1	36	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	5565 W LOS POSITAS BLVD	STE 200	PLEASANTON	CA	94588	5806	01	06001	37.69215143	-121.8800337	Alameda County
215346	Fee-for-Service	1548556343	1548556343	1	1	US DEPT OF THE INTERIOR	8/8/2013	3416L0300X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	9000 AHWAHNEE DR	None	YOSEMITE NAT PARK	CA	95389	0550	22	06043	37.74817546	-119.5792137	Mariposa County
215399	Fee-for-Service	1760531198	1760531198	1	15	UNIVERSITY HEALTHCARE ALLIAN	5/11/2020	193400000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
215456	Fee-for-Service	1619467412	1619467412	1	1	UNIVERSITY OF COLORADO HOSPI	8/25/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	RORA CENTRAL	15300 E MISSISSIPPI AVE	None	AURORA	CO	80017	3026	00	None	39.696147	-104.809194	Arapahoe County
215572	Fee-for-Service	1679198279	1679198279	1	1	UNITED HEALTH CENTERS OF THE	5/14/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	1110 N BLACKSTONE AVE	None	FRESNO	CA	93701	1016	10	06019	36.75669297	-119.7905458	Fresno County
215686	Fee-for-Service	1760531198	1760531198	1	15	UNIVERSITY HEALTHCARE ALLIAN	5/17/2021	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
215776	Fee-for-Service	1720443443	1720443443	1	1	USREY, HILARY N LMFT	5/22/2020	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
215897	Fee-for-Service	1295709822	1295709822	1	1	UHS OF WYOMING, INC	2/11/2020	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2521 E 15TH ST	None	CASPER	WY	82609	4126	00	None	42.834753	-106.2938295	Natrona County
216071	Fee-for-Service	1720282585	1720282585	1	1	UNIVERSAL HEALTHCARE SERVICE	5/22/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89459	05	Anesthesiology	0	In state provider	None	2005 17TH ST	None	BAKERSFIELD	CA	93301	4203	15	06029	35.37431347	-119.0249415	Kern County
216133	Fee-for-Service	1528478211	1528478211	1	7	UNITED HEALTH CENTERS OF THE	5/11/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2610 TUOLUMNE ST	None	FRESNO	CA	93721	1227	10	06019	36.74244149	-119.7881115	Fresno County
216150	Fee-for-Service	1962405142	1962405142	1	2	UDDIN, MOHAMMAD K MD	8/18/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	83767	13	Neurology (M.D. only)	0	In state provider	NEUROCARE ASSOCIATES	933 S SUNSET AVE	None	WEST COVINA	CA	91790	3410	19	06037	34.06428275	-117.9432037	Los Angeles County
216188	Fee-for-Service	1295709822	1295709822	1	1	UHS OF WYOMING, INC	2/11/2020	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2521 E 15TH ST	None	CASPER	WY	82609	4126	00	None	42.834753	-106.2938295	Natrona County
216423	Fee-for-Service	1528478211	1528478211	1	7	UNITED HEALTH CENTERS OF THE	5/11/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2610 TUOLUMNE ST	None	FRESNO	CA	93721	1227	10	06019	36.74244149	-119.7881115	Fresno County
216569	Fee-for-Service	1477979722	1477979722	1	6	UNITED HEALTH CENTERS OF THE	1/9/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1782 EAST BULLARD AVENUE	STE 102	FRESNO	CA	93710	5868	10	06019	36.82321635	-119.7546156	Fresno County
216700	Fee-for-Service	1760531198	1760531198	1	52	UNIVERSITY HEALTHCARE ALLIAN	2/26/2021	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	CE	5725 LAS POSITAS BLVD	SUITE 100B	PLEASANTON	CA	94588	4054	01	06001	37.688107	-121.8861427	Alameda County
216725	Fee-for-Service	1760531198	1760531198	1	44	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ALLIANCE	1133 E STANLEY BLVD	STE 203	LIVERMORE	CA	94550	4246	01	06001	37.67914693	-121.7810206	Alameda County
216843	Fee-for-Service	1942216577	1942216577	1	1	UNICARE DIAGNOSTICS INC	4/1/2003	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3271 GRANDE VISTA DR	None	NEWBURY PARK	CA	91320	1193	56	06111	34.19288543	-118.9450472	Ventura County
216858	Fee-for-Service	1477979722	1477979722	1	6	UNITED HEALTH CENTERS OF THE	1/9/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1782 EAST BULLARD AVENUE	STE 102	FRESNO	CA	93710	5868	10	06019	36.82321635	-119.7546156	Fresno County
216988	Fee-for-Service	1760531198	1760531198	1	52	UNIVERSITY HEALTHCARE ALLIAN	2/26/2021	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CE	5725 LAS POSITAS BLVD	SUITE 100B	PLEASANTON	CA	94588	4054	01	06001	37.688107	-121.8861427	Alameda County
217273	Fee-for-Service	1760531198	1760531198	1	33	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ALLIANCE	5565 W LAS POSITAS BLVD	STE 260	PLEASANTON	CA	94588	5807	01	06001	37.69215143	-121.8800337	Alameda County
217372	Fee-for-Service	MTN01277F	None	1	2	UBER HEALTH LLC	2/7/2023	No Taxonomy Provided	NMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1515 3RD STREET	None	SAN FRANCISCO	CA	94158	2211	38	06075	37.7692957	-122.3892326	San Francisco County
217424	Fee-for-Service	1427036565	1427036565	1	1	UPADHYAYA, JIGISHA D MD	8/5/1995	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	42937	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	300 OLD RIVER RD	STE 200	BAKERSFIELD	CA	93311	9506	15	06029	35.352648	-119.1122505	Kern County
217516	Fee-for-Service	1629550660	1629550660	1	1	UNIVERSITY OF CALIFORNIA SFG	9/10/2024	207QA0401X	NA	Adult Primary Care	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1001 POTRERO AVE RM 5H22	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
217760	Fee-for-Service	1790213007	1790213007	1	1	UKANDU, JANE E NP	6/10/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	24329 CRENSHAW BLVD	STE. A	TORRANCE	CA	90505	5334	19	06037	33.804612	-118.327997	Los Angeles County
217789	Fee-for-Service	1356498992	1356498992	1	2	URETA, CESAR G PSYD	3/1/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	777 E TAHQUITZ CANYON WA	SUITE 200-B002	PALM SPRINGS	CA	92262	6784	33	06065	33.82304055	-116.540676	Riverside County
217804	Fee-for-Service	1629550660	1629550660	1	1	UNIVERSITY OF CALIFORNIA SFG	6/27/2019	207RA0401X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1001 POTRERO AVE RM 5H22	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
218055	Fee-for-Service	1740474238	1740474238	1	1	UPPAL, HARMEETH S MD	10/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	117744	20	Orthopedic Surgery	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
218095	Fee-for-Service	1629550660	1629550660	1	1	UNIVERSITY OF CALIFORNIA SFG	6/2/2021	207QA0401X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1001 POTRERO AVE RM 5H22	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
218358	Fee-for-Service	1053197616	1053197616	1	1	UZOUKWU, CHIDINMA	10/31/2023	363LP0808X	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
218385	Fee-for-Service	1437232212	1437232212	1	1	UNG, NAY S MFT	5/10/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	44154	-	NOT APPLICABLE	0	In state provider	None	710 & 714 N ANAHEIM BLVD	None	ANAHEIM	CA	92805	2652	30	06059	33.84260597	-117.916209	Orange County
218465	Fee-for-Service	1760531198	1760531198	1	21	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	2410 SAMARITAN DRIVE	SUITE 201	SAN JOSE	CA	95124	3909	43	06085	37.25107654	-121.9451342	Santa Clara County
218680	Fee-for-Service	1720183858	1720183858	1	1	UCSF MEDICAL CENTER	7/1/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	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
218752	Fee-for-Service	1760531198	1760531198	1	21	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	2410 SAMARITAN DRIVE	SUITE 201	SAN JOSE	CA	95124	3909	43	06085	37.25107654	-121.9451342	Santa Clara County
218774	Fee-for-Service	1952032310	1952032310	1	1	URHOME LLC	12/8/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	7752 TAYLOR DR	None	HUNTINGTON BEACH	CA	92648	1460	30	06059	33.69749852	-117.993312	Orange County
218896	Fee-for-Service	1760531198	1760531198	1	19	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	207RE0101X	NA	Endocrinology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	2204 GRANT ROAD	SUITE 203	MOUNTAIN VIEW	CA	94040	3855	43	06085	37.37193085	-122.0779465	Santa Clara County
219042	Fee-for-Service	1760531198	1760531198	1	21	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	2410 SAMARITAN DRIVE	SUITE 201	SAN JOSE	CA	95124	3909	43	06085	37.25107654	-121.9451342	Santa Clara County
219047	Fee-for-Service	1891961538	1891961538	1	1	ULKU, AYLIN S MD	8/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	122031	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
219176	Fee-for-Service	1073911137	1073911137	1	1	UNIVERSITY FACULTY ASSOCIATE	3/2/2015	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ASSOCIATES INC	2210 E ILLINOIS AVE	SUITE 301	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
219182	Fee-for-Service	1760531198	1760531198	1	19	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	207RE0101X	NA	Endocrinology	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	2204 GRANT ROAD	SUITE 203	MOUNTAIN VIEW	CA	94040	3855	43	06085	37.37193085	-122.0779465	Santa Clara County
219338	Fee-for-Service	1083654438	1083654438	1	1	UNINI, FIDELIS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1550 W ROSEDALE ST	STE 206	FORT WORTH	TX	76104	7406	00	None	32.73320554	-97.34327298	Tarrant County
219354	Fee-for-Service	1760531198	1760531198	1	5	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	319 DIABLO ROAD	SUITE 105	DANVILLE	CA	94526	3428	07	06013	37.82286935	-121.9968022	Contra Costa County
219463	Fee-for-Service	1073911137	1073911137	1	1	UNIVERSITY FACULTY ASSOCIATE	2/18/2020	207V00000X	NA	Obstetrics & Gynecology	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ASSOCIATES INC	2210 E ILLINOIS AVE	SUITE 301	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
219466	Fee-for-Service	1760531198	1760531198	1	19	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	207RE0101X	NA	Endocrinology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	2204 GRANT ROAD	SUITE 203	MOUNTAIN VIEW	CA	94040	3855	43	06085	37.37193085	-122.0779465	Santa Clara County
219711	Fee-for-Service	1710457510	1710457510	1	1	UNIVERSITY OF CALIFORNIA	5/7/2019	193200000X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	SFGH MEDICAL GROUP	1001 POTRERO AVE	RM 2M14	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
219752	Fee-for-Service	1073911137	1073911137	1	1	UNIVERSITY FACULTY ASSOCIATE	1/7/2022	207V00000X	NA	Obstetrics & Gynecology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATES INC	2210 E ILLINOIS AVE	SUITE 301	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
219854	Fee-for-Service	1689997215	1689997215	1	1	UNIFIED CARE PROVIDERS INC	1/11/2012	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1 PETERS CANYON RD	STE 160-A	IRVINE	CA	92606	1748	30	06059	33.7113754	-117.7983703	Orange County
219965	Fee-for-Service	1205071222	1205071222	1	1	ULLAH, NUSHRAT J MD	5/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120589	41	Internal Medicine	0	In state provider	None	4000 CIVIC CENTER DR	None	SAN RAFAEL	CA	94903	5232	21	06041	38.0041783	-122.538861	Marin County
220040	Fee-for-Service	1073911137	1073911137	1	1	UNIVERSITY FACULTY ASSOCIATE	10/28/2022	207V00000X	NA	Obstetrics & Gynecology	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	ASSOCIATES INC	2210 E ILLINOIS AVE	SUITE 301	FRESNO	CA	93701	2168	10	06019	36.74500687	-119.7846885	Fresno County
220067	Fee-for-Service	1013181254	1013181254	1	1	URANGA, ANA P MD	2/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	94945	66	Emergency Medicine (Urgent Care)	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
220088	Fee-for-Service	1033627096	1033627096	1	1	UPPLE, CHARNPREET MD	7/5/2022	207R00000X	NA	Other	026	PHYSICIANS	176039	None	None	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
220139	Fee-for-Service	1881670248	1881670248	1	15	UCLA RADIOLOGY MEDICAL GROUP	2/11/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	100 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90024	6970	19	06037	34.06544724	-118.4459249	Los Angeles County
220304	Fee-for-Service	1356498992	1356498992	1	1	URETA, CESAR G PSYD	10/20/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	19211	-	NOT APPLICABLE	0	In state provider	None	1695 N SUNRISE WAY	102	PALM SPRINGS	CA	92262	3701	33	06065	33.844239	-116.5282075	Riverside County
220321	Fee-for-Service	1962461889	1962461889	1	1	UNIVERSITY PHYSICIANS INC	8/30/2018	193200000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
220421	Fee-for-Service	1427181072	1427181072	1	1	UNIVERSITY OF SOUTHERN	1/1/2005	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	126 W DEL MAR BLVD	None	PASADENA	CA	91105	2508	19	06037	34.14072149	-118.1533418	Los Angeles County
220450	Fee-for-Service	1548693740	1548693740	1	1	UPADHYAY, SMRITY MD	6/24/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	632 W GIBSON RD	None	WOODLAND	CA	95695	5169	57	06113	38.66314048	-121.794696	Yolo County
220586	Fee-for-Service	1952675233	1952675233	1	1	UNIVERSAL PREVENTIVE HOME	7/25/2013	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	HEALTH CARE INC	2139 TAPO ST	SUITE 205	SIMI VALLEY	CA	93063	3478	56	06111	34.27388603	-118.7089725	Ventura County
220610	Fee-for-Service	1962461889	1962461889	1	1	UNIVERSITY PHYSICIANS INC	9/6/2017	193200000X	NA	Other	005	CERTIFIED NURSE MIDWIFE	-	None	None	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
220746	Fee-for-Service	1639814015	1639814015	1	1	UMEH, LISA N MD	4/29/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	189121	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
220784	Fee-for-Service	1336466804	1336466804	2	1	UQUILLAS, KRISTEN R MD	2/24/2022	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	135279	None	None	0	In state provider	None	3630 EAST IMPERIAL HIGHW	None	LYNWOOD	CA	90262	1000	19	06037	33.93112671	-118.2035532	Los Angeles County
220817	Fee-for-Service	1003195579	1003195579	1	1	URANWALA, LEENA J PT	12/18/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	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
220848	Fee-for-Service	1902248453	1902248453	1	1	UNICHOICE INC	9/4/2013	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1436 W GLENOAKS BLVD	STE A	GLENDALE	CA	91201	1984	19	06037	34.16809811	-118.2857303	Los Angeles County
220862	Fee-for-Service	1760531198	1760531198	1	1	UNIVERSITY HEALTHCARE ALLIAN	5/17/2021	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	50 E HAMILTON AVENUE	SUITE 200	CAMPBELL	CA	95008	0252	43	06085	37.29415254	-121.948758	Santa Clara County
220898	Fee-for-Service	1962461889	1962461889	1	1	UNIVERSITY PHYSICIANS INC	5/8/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	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
221150	Fee-for-Service	1760531198	1760531198	1	1	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	50 E HAMILTON AVENUE	SUITE 200	CAMPBELL	CA	95008	0252	43	06085	37.29415254	-121.948758	Santa Clara County
221184	Fee-for-Service	1760531198	1760531198	1	56	UNIVERSITY HEALTHCARE ALLIAN	5/28/2024	111NR0200X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	6121 HOLLIS ST	STE 400	EMERYVILLE	CA	94608	2077	01	06001	37.84254056	-122.2901636	Alameda County
221186	Fee-for-Service	1962461889	1962461889	1	1	UNIVERSITY PHYSICIANS INC	5/8/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	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
221472	Fee-for-Service	1962461889	1962461889	1	1	UNIVERSITY PHYSICIANS INC	1/1/2018	193200000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
221549	Fee-for-Service	1801365580	1801365580	1	1	UMEDA, CLAIRE J	11/20/2019	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
221604	Fee-for-Service	1770559981	1770559981	1	1	UNITED MEDICAL DOCTORS	4/10/2024	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	25150 HANCOCK AVE	STE 206	MURRIETA	CA	92562	5989	33	06065	33.56635084	-117.1823956	Riverside County
221685	Fee-for-Service	1992783633	1992783633	1	1	UNDERWOOD-JOLLY AMY L MD	5/1/1999	207R00000X	NA	Other	026	PHYSICIANS	61697	41	Internal Medicine	0	In state provider	None	26732 CROWN VALLEY PKWY	STE 131	MISSION VIEJO	CA	92691	8533	30	06059	33.56347704	-117.66546	Orange County
221696	Fee-for-Service	1033998836	1033998836	1	1	UGWU, IKECHUKWU NP	10/11/2024	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
221703	Fee-for-Service	1841580479	1841580479	1	1	URZUA, GUILLERMO MD	9/23/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110807	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4733 SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
221717	Fee-for-Service	1033178165	1033178165	1	1	UDIT NARAIN VERMA, 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
221763	Fee-for-Service	1962461889	1962461889	1	1	UNIVERSITY PHYSICIANS INC	5/8/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	47	Miscellaneous	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
221890	Fee-for-Service	1770559981	1770559981	1	1	UNITED MEDICAL DOCTORS	8/29/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	None	25150 HANCOCK AVE	STE 206	MURRIETA	CA	92562	5989	33	06065	33.56635084	-117.1823956	Riverside County
221901	Fee-for-Service	1265407381	1265407381	2	1	UNIVERSITY OF CALIFORNIA	3/25/2024	207RE0101X	NA	Endocrinology	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
222180	Fee-for-Service	1770559981	1770559981	1	1	UNITED MEDICAL DOCTORS	9/21/2022	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	25150 HANCOCK AVE	STE 206	MURRIETA	CA	92562	5989	33	06065	33.56635084	-117.1823956	Riverside County
222250	Fee-for-Service	1760531198	1760531198	1	31	UNIVERSITY HEALTHCARE ALLIAN	7/5/2016	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ALLIANCE	5575 W LAS POSITAS BLVD	STE 210	PLEASANTON	CA	94588	5802	01	06001	37.69214859	-121.8796532	Alameda County
222253	Fee-for-Service	1295882942	1295882942	1	1	UNO, STEPHEN OD	9/11/2012	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
222333	Fee-for-Service	1538200852	1538200852	1	1	USMAN, ROMANA MD	6/1/1995	207R00000X	NA	Other	026	PHYSICIANS	53625	41	Internal Medicine	0	In state provider	None	909 HYDE ST	STE 210	SAN FRANCISCO	CA	94109	4845	38	06075	37.78939387	-122.4170945	San Francisco County
222437	Fee-for-Service	1003177361	1003177361	1	1	UPADHYAYA, PRASHANT R MD	6/16/2023	207RC0200X	NA	Other	026	PHYSICIANS	136931	None	None	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
222477	Fee-for-Service	1255756664	1255756664	1	1	UM, MICHAEL MD	8/5/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128711	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
222533	Fee-for-Service	1053334714	1053334714	1	1	UNDERBERGER, STEVEN J MD	4/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	70225	05	Anesthesiology	0	In state provider	None	23560 CRENSHAW BLVD	STE 104	TORRANCE	CA	90505	5233	19	06037	33.811677	-118.328042	Los Angeles County
222536	Fee-for-Service	1760531198	1760531198	1	31	UNIVERSITY HEALTHCARE ALLIAN	7/5/2016	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	ALLIANCE	5575 W LAS POSITAS BLVD	STE 210	PLEASANTON	CA	94588	5802	01	06001	37.69214859	-121.8796532	Alameda County
222540	Fee-for-Service	1205910882	1205910882	1	1	UDWADIA, NEVILLE V MD	9/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	91956	41	Internal Medicine	0	In state provider	INC	224 SAN JOSE ST	# 2	SALINAS	CA	93901	3931	27	06053	36.65846024	-121.64729	Monterey County
222615	Fee-for-Service	1427046655	1427046655	1	3	UNIVERSAL PAIN MANAGEMENT	3/23/2009	174400000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	MEDICAL CORPORATION	28212 KELLY JOHNSON PKWY	STE 155	VALENCIA	CA	91355	9542	19	06037	34.44856821	-118.5794922	Los Angeles County
222828	Fee-for-Service	1205910882	1205910882	1	1	UDWADIA, NEVILLE V MD	9/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	91956	83	Rheumatology	0	In state provider	INC	224 SAN JOSE ST	# 2	SALINAS	CA	93901	3931	27	06053	36.65846024	-121.64729	Monterey County
222901	Fee-for-Service	1427046655	1427046655	1	3	UNIVERSAL PAIN MANAGEMENT	3/23/2009	174400000X	NA	Other	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	MEDICAL CORPORATION	28212 KELLY JOHNSON PKWY	STE 155	VALENCIA	CA	91355	9542	19	06037	34.44856821	-118.5794922	Los Angeles County
222970	Fee-for-Service	1568790640	1568790640	1	1	URRIQUIA, MICHELLE NP	3/13/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8339 BRIMHALL RD	SUITE 1301	BAKERSFIELD	CA	93312	4086	15	06029	35.363979	-119.095938	Kern County
223192	Fee-for-Service	1427046655	1427046655	1	3	UNIVERSAL PAIN MANAGEMENT	3/23/2009	174400000X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	MEDICAL CORPORATION	28212 KELLY JOHNSON PKWY	STE 155	VALENCIA	CA	91355	9542	19	06037	34.44856821	-118.5794922	Los Angeles County
223198	Fee-for-Service	1811097504	1811097504	2	1	US MED, LLC	3/24/2016	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	8491 17TH ST	SUITE 102	MIAMI	FL	33126	1025	00	None	25.79000724	-80.33411087	Miami-Dade County
223214	Fee-for-Service	1336656412	1336656412	1	1	URS PHARMACY	8/3/2019	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	19115 COLIMA RD	107	ROWLAND HEIGHTS	CA	91748	3002	19	06037	33.987359	-117.8863645	Los Angeles County
223234	Fee-for-Service	1881670248	1881670248	1	24	UCLA RADIOLOGY MEDICAL GROUP	4/7/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1131 WILSHIRE BLVD	100	SANTA MONICA	CA	90401	2061	19	06037	34.02509887	-118.4909994	Los Angeles County
223241	Fee-for-Service	1073778932	1073778932	1	1	UQDAH, MUNEERAH LCSW	7/11/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1451 RIMPAU AVE	215	CORONA	CA	92879	7520	33	06065	33.86546916	-117.5455079	Riverside County
223299	Fee-for-Service	1013051945	1013051945	3	1	UCSF HEALTH COMMUNITY HOSPIT	9/5/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	PITAL CLINIC	2235 HAYES STREET	5TH FL. SUITE E	SAN FRANCISCO	CA	94117	1079	38	06075	37.77302045	-122.4529717	San Francisco County
223365	Fee-for-Service	1124356688	1124356688	1	1	UDITSKY, TRACEY GAIL	10/30/2009	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	140 W SAN JOSE AVE	UNIT A	CLAREMONT	CA	91711	5204	19	06037	34.08314253	-117.7159185	Los Angeles County
223434	Fee-for-Service	1477979722	1477979722	1	1	UNITED HEALTH CENTERS OF THE	12/4/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	429 E MANNING AVE	None	PARLIER	CA	93648	2666	10	06019	36.60472152	-119.5230233	Fresno County
223514	Fee-for-Service	1760531198	1760531198	1	39	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	ALLIANCE	2305 CAMINO RAMON	STE 200	SAN RAMON	CA	94583	1316	07	06013	37.77544224	-121.9657563	Contra Costa County
223594	Fee-for-Service	1336122662	1336122662	1	1	UMAR, AKBAR MD	6/25/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	63674	40	Pediatrics	0	In state provider	None	2415 W VINE ST	SUITE 100	LODI	CA	95242	3525	39	06077	38.1228953	-121.3052826	San Joaquin County
223720	Fee-for-Service	1477979722	1477979722	1	1	UNITED HEALTH CENTERS OF THE	10/20/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	429 E MANNING AVE	None	PARLIER	CA	93648	2666	10	06019	36.60472152	-119.5230233	Fresno County
223786	Fee-for-Service	1265996623	1265996623	1	1	UHRIK, KEVIN M OT	2/2/2021	390200000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3989 STETSON	105	HEMET	CA	92545	9695	33	06065	33.72929866	-117.0132375	Riverside County
223801	Fee-for-Service	1760531198	1760531198	1	39	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	2305 CAMINO RAMON	STE 200	SAN RAMON	CA	94583	1316	07	06013	37.77544224	-121.9657563	Contra Costa County
223809	Fee-for-Service	1669533733	1669533733	1	1	URBAN, CAROL J LMFT	10/8/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
223858	Fee-for-Service	1881670248	1881670248	1	3	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	30700 RUSSELL RANCH ROAD	110	WESTLAKE VILLAGE	CA	91362	9500	19	06037	34.14987261	-118.7943115	Los Angeles County
223903	Fee-for-Service	1689880072	1689880072	1	1	UNITED HEALTH CENTERS-	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	PARLIER	650 S ZEDIKER AVE	None	PARLIER	CA	93648	2639	10	06019	36.60500164	-119.5210273	Fresno County
224008	Fee-for-Service	1477979722	1477979722	1	1	UNITED HEALTH CENTERS OF THE	2/14/2025	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	429 E MANNING AVE	None	PARLIER	CA	93648	2666	10	06019	36.60472152	-119.5230233	Fresno County
224089	Fee-for-Service	1760531198	1760531198	1	39	UNIVERSITY HEALTHCARE ALLIAN	5/17/2021	207Y00000X	NA	ENT/Otolaryngology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	2305 CAMINO RAMON	STE 200	SAN RAMON	CA	94583	1316	07	06013	37.77544224	-121.9657563	Contra Costa County
224112	Fee-for-Service	1881670248	1881670248	1	5	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	700 W 7TH ST	S270-A	LOS ANGELES	CA	90017	3768	19	06037	34.04833759	-118.2582588	Los Angeles County
224135	Fee-for-Service	1760531198	1760531198	1	10	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	27212 CALAROGA AVENUE	None	HAYWARD	CA	94545	4339	01	06001	37.63229023	-122.0896425	Alameda County
224136	Fee-for-Service	1881670248	1881670248	1	29	UCLA RADIOLOGY MEDICAL GROUP	4/7/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	335 N LA BREA AVE	None	LOS ANGELES	CA	90036	2517	19	06037	34.077141	-118.344076	Los Angeles County
224269	Fee-for-Service	1881670248	1881670248	1	21	UCLA RADIOLOGY MEDICAL GROUP	3/22/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	4323 RIVERSIDE DR	None	BURBANK	CA	91505	4044	19	06037	34.15223748	-118.347426	Los Angeles County
224296	Fee-for-Service	1477979722	1477979722	1	1	UNITED HEALTH CENTERS OF THE	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	429 E MANNING AVE	None	PARLIER	CA	93648	2666	10	06019	36.60472152	-119.5230233	Fresno County
224404	Fee-for-Service	1881670248	1881670248	1	11	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1223 16TH ST	3111	SANTA MONICA	CA	90404	1217	19	06037	34.02773198	-118.4862675	Los Angeles County
224424	Fee-for-Service	1760531198	1760531198	1	10	UNIVERSITY HEALTHCARE ALLIAN	12/2/2020	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	ALLIANCE	27212 CALAROGA AVENUE	None	HAYWARD	CA	94545	4339	01	06001	37.63229023	-122.0896425	Alameda County
224428	Fee-for-Service	1881670248	1881670248	1	28	UCLA RADIOLOGY MEDICAL GROUP	3/24/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1250 16TH ST	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
224643	Fee-for-Service	1215008065	1215008065	1	1	UY, EDDIE H MD	8/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71568	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
224671	Fee-for-Service	1639214778	1639214778	1	1	UNITED SURGERY MEDICAL	7/17/2003	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	INC	128 S MONTEBELLO BLVD	None	MONTEBELLO	CA	90640	4730	19	06037	34.00902257	-118.1083624	Los Angeles County
224711	Fee-for-Service	1760531198	1760531198	1	10	UNIVERSITY HEALTHCARE ALLIAN	5/17/2021	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	27212 CALAROGA AVENUE	None	HAYWARD	CA	94545	4339	01	06001	37.63229023	-122.0896425	Alameda County
225188	Fee-for-Service	1376839605	1376839605	1	1	UMBER, CHRISTINA M E MD	8/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	124909	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1531 ESPLANADE	None	CHICO	CA	95926	3310	04	06007	39.74248474	-121.8493369	Butte County
225535	Fee-for-Service	1760531198	1760531198	1	32	UNIVERSITY HEALTHCARE ALLIAN	7/5/2016	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ALLIANCE	5575 W LAS POSITAS BLVD	SUITE 130	PLEASANTON	CA	94588	5800	01	06001	37.69214859	-121.8796532	Alameda County
225744	Fee-for-Service	1457474959	1457474959	1	1	UJIMA FAMILY RECOVERY	6/12/2018	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	919 MELLUS STREET	None	MARTINEZ	CA	94553	1745	07	06013	38.01602499	-122.132661	Contra Costa County
225821	Fee-for-Service	1760531198	1760531198	1	32	UNIVERSITY HEALTHCARE ALLIAN	7/5/2016	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ALLIANCE	5575 W LAS POSITAS BLVD	SUITE 130	PLEASANTON	CA	94588	5800	01	06001	37.69214859	-121.8796532	Alameda County
225900	Fee-for-Service	1881670248	1881670248	1	27	UCLA RADIOLOGY MEDICAL GROUP	3/24/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1245 16TH ST	100	SANTA MONICA	CA	90404	1235	19	06037	34.02726451	-118.4857138	Los Angeles County
225937	Fee-for-Service	1154919595	1154919595	1	1	UNITED MEDICAL IMAGING HEALT	6/3/2021	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	NWOOD	3737 MARTIN LUTHER KING	STE 104	LYNWOOD	CA	90262	3520	19	06037	33.92872742	-118.2006921	Los Angeles County
225976	Fee-for-Service	1275703910	1275703910	2	1	UCHEALTH PIKES PEAK REGIONAL	10/8/2022	282NC0060X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	16420 WEST HIGHWAY 24	None	WOODLAND PARK	CO	80863	8760	00	None	38.97532763	-105.076081	Teller County
226036	Fee-for-Service	1760531198	1760531198	1	14	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	825 POLLARD ROAD	SUITE 108	LOS GATOS	CA	95032	1435	43	06085	37.26258492	-121.9706149	Santa Clara County
226101	Fee-for-Service	1760531198	1760531198	1	35	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ALLIANCE	1133 E STANLEY BLVD	STE 101	LIVERMORE	CA	94550	4270	01	06001	37.67914693	-121.7810206	Alameda County
226123	Fee-for-Service	1538690607	1538690607	1	1	URBANO, MYLA NP	8/29/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2373 COLORADO BOULEVARD	None	LOS ANGELES	CA	90041	1157	19	06037	34.13990611	-118.2182985	Los Angeles County
226128	Fee-for-Service	1619913449	1619913449	1	1	UNILAB CORPORATION	2/28/2003	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNILAB	3714 NORTHGATE BLVD	None	SACRAMENTO	CA	95834	1617	34	06067	38.635209	-121.4745705	Sacramento County
226264	Fee-for-Service	1275703910	1275703910	2	1	UCHEALTH PIKES PEAK REGIONAL	10/8/2022	282NC0060X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	HOSPITAL	16420 WEST HIGHWAY 24	None	WOODLAND PARK	CO	80863	8760	00	None	38.97532763	-105.076081	Teller County
226323	Fee-for-Service	1760531198	1760531198	1	14	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	825 POLLARD ROAD	SUITE 108	LOS GATOS	CA	95032	1435	43	06085	37.26258492	-121.9706149	Santa Clara County
226331	Fee-for-Service	1861578973	1861578973	1	1	UCSF	6/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	UCSF PEDIATRICS GROUP	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
226388	Fee-for-Service	1760531198	1760531198	1	35	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ALLIANCE	1133 E STANLEY BLVD	STE 101	LIVERMORE	CA	94550	4270	01	06001	37.67914693	-121.7810206	Alameda County
226554	Fee-for-Service	1518901677	1518901677	1	1	URBAN, AMY E MD	10/24/2006	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
226613	Fee-for-Service	1760531198	1760531198	1	14	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	825 POLLARD ROAD	SUITE 108	LOS GATOS	CA	95032	1435	43	06085	37.26258492	-121.9706149	Santa Clara County
226642	Fee-for-Service	1487367835	1487367835	1	1	ULTIMATE CARE RX CORP	2/16/2023	3336L0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10628 RIVERSIDE DR	STE. 2	TOLUCA LAKE	CA	91602	2358	19	06037	34.15219121	-118.3624567	Los Angeles County
226670	Fee-for-Service	1215513445	1215513445	1	1	URSUA, ROGELYNE D CRNA	4/12/2021	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
226693	Fee-for-Service	1134735582	1134735582	1	1	ULTRA CARE HOSPICE INC	12/21/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6850 VAN NUYS BLVD	STE 316	VAN NUYS	CA	91405	4629	19	06037	34.195401	-118.4487235	Los Angeles County
226711	Fee-for-Service	1780715888	1780715888	1	1	URIBE, ADRIANA LMFT	9/27/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2716 S VERMONT AVE	UNIT 9	LOS ANGELES	CA	90007	2671	19	06037	34.029891	-118.2915225	Los Angeles County
226735	Fee-for-Service	1881670248	1881670248	1	12	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	501 DEEP VALLEY DRIVE	100, 300, 400	ROLLING HILLS EST	CA	90274	7605	19	06037	33.77279445	-118.3748253	Los Angeles County
226843	Fee-for-Service	1760531198	1760531198	1	20	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	2400 BALFOUR ROAD	SUITE 215	BRENTWOOD	CA	94513	4950	07	06013	37.92519383	-121.734461	Contra Costa County
226922	Fee-for-Service	1760531198	1760531198	1	41	UNIVERSITY HEALTHCARE ALLIAN	5/17/2021	207Y00000X	NA	ENT/Otolaryngology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	350 30TH ST	STE 311	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
226979	Fee-for-Service	1134735582	1134735582	1	1	ULTRA CARE HOSPICE INC	12/21/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6850 VAN NUYS BLVD	STE 316	VAN NUYS	CA	91405	4629	19	06037	34.195401	-118.4487235	Los Angeles County
227052	Fee-for-Service	1033157821	1033157821	1	1	UT PHYSICIANS	1/3/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	2	Out of state provider	None	6410 FANNIN STREET	SUITE 1500	HOUSTON	TX	77030	5306	00	None	29.71419639	-95.39755562	Harris County
227132	Fee-for-Service	1760531198	1760531198	1	20	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	2400 BALFOUR ROAD	SUITE 215	BRENTWOOD	CA	94513	4950	07	06013	37.92519383	-121.734461	Contra Costa County
227209	Fee-for-Service	1760531198	1760531198	1	41	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	350 30TH ST	STE 311	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
227409	Fee-for-Service	1760531198	1760531198	1	46	UNIVERSITY HEALTHCARE ALLIAN	5/13/2019	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	None	15425 LOS GATOS BLVD	120	LOS GATOS	CA	95032	2553	43	06085	37.24444696	-121.9589876	Santa Clara County
227419	Fee-for-Service	1760531198	1760531198	1	20	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	2400 BALFOUR ROAD	SUITE 215	BRENTWOOD	CA	94513	4950	07	06013	37.92519383	-121.734461	Contra Costa County
227496	Fee-for-Service	1760531198	1760531198	1	41	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	ALLIANCE	350 30TH ST	STE 311	OAKLAND	CA	94609	3425	01	06001	37.81892183	-122.2640154	Alameda County
227628	Fee-for-Service	1356399380	1356399380	1	1	UC REGENTS UCI DEPT OF MEDIC	1/22/2019	193200000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	HEMATOLOGY/ONCOLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
227698	Fee-for-Service	1760531198	1760531198	1	46	UNIVERSITY HEALTHCARE ALLIAN	5/13/2019	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	15425 LOS GATOS BLVD	120	LOS GATOS	CA	95032	2553	43	06085	37.24444696	-121.9589876	Santa Clara County
227741	Fee-for-Service	1477979722	1477979722	1	4	UNITED HEALTH CENTERS OF THE	9/27/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	601 3RD ST	None	PARLIER	CA	93648	2028	10	06019	36.61427653	-119.5276101	Fresno County
227744	Fee-for-Service	1760531198	1760531198	1	42	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ALLIANCE	798 S WINCHESTER BLVD	None	SAN JOSE	CA	95128	2928	43	06085	37.313361	-121.9499825	Santa Clara County
227838	Fee-for-Service	1265872360	1265872360	1	1	URIBE, NANCY LMFT	4/1/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2545 S EUCLID AVE	None	ONTARIO	CA	91762	6620	36	06071	34.02683603	-117.6505972	San Bernardino County
227918	Fee-for-Service	1356399380	1356399380	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	HEMATOLOGY/ONCOLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
227981	Fee-for-Service	1205171378	1205171378	1	1	URRUTIA, NICHOLAS D MD	4/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122953	08	Family Practice	0	In state provider	None	355 CAMPUS DRIVE	SUITE E	HANFORD	CA	93230	4311	16	06031	36.3271295	-119.6633596	Kings County
227985	Fee-for-Service	1578186144	1578186144	1	1	UNIVERSAL COMMUNITY HEALTH	8/10/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MOBILE	2801 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	19	06037	34.01966657	-118.2625434	Los Angeles County
228030	Fee-for-Service	1477979722	1477979722	1	4	UNITED HEALTH CENTERS OF THE	9/13/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	601 3RD ST	None	PARLIER	CA	93648	2028	10	06019	36.61427653	-119.5276101	Fresno County
228074	Fee-for-Service	1831338508	1831338508	1	1	ULTRAFLEX SYSTEMS INC.	5/27/2015	335E00000X	NA	Other	021	ORTHOTISTS	-	-	NOT APPLICABLE	2	Out of state provider	None	237 SOUTH ST	STE 200	POTTSTOWN	PA	19464	5984	00	None	40.24356925	-75.6496653	Montgomery County
228208	Fee-for-Service	1356399380	1356399380	1	1	UC REGENTS UCI DEPT OF MEDIC	10/25/2017	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	HEMATOLOGY/ONCOLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
228274	Fee-for-Service	1578186144	1578186144	1	1	UNIVERSAL COMMUNITY HEALTH	8/10/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	MOBILE	2801 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	19	06037	34.01966657	-118.2625434	Los Angeles County
228322	Fee-for-Service	1477979722	1477979722	1	4	UNITED HEALTH CENTERS OF THE	9/13/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	601 3RD ST	None	PARLIER	CA	93648	2028	10	06019	36.61427653	-119.5276101	Fresno County
228348	Fee-for-Service	1629026729	1629026729	1	1	UC REGENTS UCI DEPT OF MEDIC	2/28/1985	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	PULMONARY DISEASE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
228632	Fee-for-Service	1629026729	1629026729	1	1	UC REGENTS UCI DEPT OF MEDIC	2/28/1985	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	PULMONARY DISEASE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
228709	Fee-for-Service	1760531198	1760531198	1	49	UNIVERSITY HEALTHCARE ALLIAN	10/9/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	CE	14777 LOS GATOS BLVD	SUITE 200	LOS GATOS	CA	95032	2059	43	06085	37.25342099	-121.9522578	Santa Clara County
228994	Fee-for-Service	1760531198	1760531198	1	49	UNIVERSITY HEALTHCARE ALLIAN	10/9/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CE	14777 LOS GATOS BLVD	SUITE 200	LOS GATOS	CA	95032	2059	43	06085	37.25342099	-121.9522578	Santa Clara County
228997	Fee-for-Service	1881670248	1881670248	1	22	UCLA RADIOLOGY MEDICAL GROUP	3/22/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1223 16TH ST	3111	SANTA MONICA	CA	90404	1217	19	06037	34.02773198	-118.4862675	Los Angeles County
229001	Fee-for-Service	1205222593	1205222593	1	1	UPPAL, JUSLEEN K DO	6/22/2018	208M00000X	NA	Other	026	PHYSICIANS	15445	41	Internal Medicine	0	In state provider	None	16200 SAND CANYON AVE	None	IRVINE	CA	92618	3714	30	06059	33.6617581	-117.7736362	Orange County
229227	Fee-for-Service	1760531198	1760531198	1	13	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	665 S KNICKERBOCKER DR	SUITE 5	SUNNYVALE	CA	94087	1059	43	06085	37.37243191	-122.0590527	Santa Clara County
229514	Fee-for-Service	1760531198	1760531198	1	13	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	665 S KNICKERBOCKER DR	SUITE 5	SUNNYVALE	CA	94087	1059	43	06085	37.37243191	-122.0590527	Santa Clara County
229716	Fee-for-Service	1164803920	1164803920	1	1	ULLOA, MORGAN MD	7/15/2021	207LP3000X	NA	Other	026	PHYSICIANS	168981	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
229800	Fee-for-Service	1760531198	1760531198	1	13	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	665 S KNICKERBOCKER DR	SUITE 5	SUNNYVALE	CA	94087	1059	43	06085	37.37243191	-122.0590527	Santa Clara County
229877	Fee-for-Service	1760531198	1760531198	1	30	UNIVERSITY HEALTHCARE ALLIAN	7/5/2016	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ALLIANCE	5575 W LAS POSITAS BLVD	STE 330	PLEASANTON	CA	94588	5802	01	06001	37.69214859	-121.8796532	Alameda County
230011	Fee-for-Service	1699981522	1699981522	1	1	UGALDE, SERGIO L MD	3/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	41270	01	General Practice	0	In state provider	None	6501 GARFIELD AVE	None	BELL GARDENS	CA	90201	1805	19	06037	33.97292523	-118.1475473	Los Angeles County
230024	Fee-for-Service	1760531198	1760531198	1	22	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	2433 CENTRAL AVENUE	SUITE A	ALAMEDA	CA	94501	4564	01	06001	37.76358675	-122.2413153	Alameda County
230107	Fee-for-Service	1407503055	1407503055	1	1	UJJALA MOOLANI, MD INC	8/9/2024	246ZN0300X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	855 THIRD AVE	STE 3330	CHULA VISTA	CA	91911	1350	37	06073	32.62197574	-117.0723222	San Diego County
230126	Fee-for-Service	1326794488	1326794488	1	1	UNITED STAR HOME HEALTH CARE	11/12/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14540 HAMLIN ST	SUITE E4	VAN NUYS	CA	91411	1626	19	06037	34.18866636	-118.4502109	Los Angeles County
230157	Fee-for-Service	1083034821	1083034821	1	1	URBINA, JOSEPHINE P MD	6/17/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	161445	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
230315	Fee-for-Service	1760531198	1760531198	1	22	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	2433 CENTRAL AVENUE	SUITE A	ALAMEDA	CA	94501	4564	01	06001	37.76358675	-122.2413153	Alameda County
230319	Fee-for-Service	1760531198	1760531198	1	2	UNIVERSITY HEALTHCARE ALLIAN	7/14/2022	193400000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	100A SAN PABLO TOWNE CTR	None	SAN PABLO	CA	94806	0000	07	06013	37.95446487	-122.3326626	Contra Costa County
230339	Fee-for-Service	1982215323	1982215323	1	1	USRC NORTH HOLLYWOOD LLC	4/18/2022	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	13019 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	91606	2925	19	06037	34.1867373	-118.4162399	Los Angeles County
230397	Fee-for-Service	1407503055	1407503055	1	1	UJJALA MOOLANI, MD INC	8/9/2024	246ZN0300X	NA	Other	026	PHYSICIANS	None	45	Nephrology (Renal-Kidney)	0	In state provider	None	855 THIRD AVE	STE 3330	CHULA VISTA	CA	91911	1350	37	06073	32.62197574	-117.0723222	San Diego County
230437	Fee-for-Service	1760531198	1760531198	1	9	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	5201 NORRIS CANYON ROAD	SUITE 220	SAN RAMON	CA	94583	5405	07	06013	37.77779028	-121.9600626	Contra Costa County
230601	Fee-for-Service	1760531198	1760531198	1	22	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	2433 CENTRAL AVENUE	SUITE A	ALAMEDA	CA	94501	4564	01	06001	37.76358675	-122.2413153	Alameda County
230605	Fee-for-Service	1760531198	1760531198	1	2	UNIVERSITY HEALTHCARE ALLIAN	10/19/2020	193400000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	100A SAN PABLO TOWNE CTR	None	SAN PABLO	CA	94806	0000	07	06013	37.95446487	-122.3326626	Contra Costa County
230708	Fee-for-Service	1679676639	1679676639	1	1	UNIVERSITY OF STHRN CA	5/20/1991	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MEDICAL PLAZA PHARMACY	1510 SAN PABLO ST	STE 144	LOS ANGELES	CA	90033	5394	19	06037	34.06287152	-118.2029433	Los Angeles County
230897	Fee-for-Service	1760531198	1760531198	1	2	UNIVERSITY HEALTHCARE ALLIAN	10/12/2020	207K00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	100A SAN PABLO TOWNE CTR	None	SAN PABLO	CA	94806	0000	07	06013	37.95446487	-122.3326626	Contra Costa County
230948	Fee-for-Service	1023019460	1023019460	1	1	ULICK, DAVID M MD	9/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100612	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
231146	Fee-for-Service	1871513077	1871513077	1	1	USBORNE, PAUL S MD	4/24/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94585	08	Family Practice	0	In state provider	None	475 W BADILLO ST	None	COVINA	CA	91723	1834	19	06037	34.08634352	-117.8986545	Los Angeles County
231182	Fee-for-Service	1760531198	1760531198	1	2	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	100A SAN PABLO TOWNE CTR	None	SAN PABLO	CA	94806	0000	07	06013	37.95446487	-122.3326626	Contra Costa County
231287	Fee-for-Service	1760531198	1760531198	1	6	UNIVERSITY HEALTHCARE ALLIAN	1/31/2024	193400000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	321 MIDDLEFIELD ROAD	SUITE 165,260	MENLO PARK	CA	94025	3500	41	06081	37.45657153	-122.168099	San Mateo County
231412	Fee-for-Service	1710945787	1710945787	1	1	UPLAND OUTPATIENT SURGERY CE	3/1/2020	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	TER	1211 W 6TH ST	None	ONTARIO	CA	91762	1103	36	06071	34.084935	-117.672822	San Bernardino County
231472	Fee-for-Service	1760531198	1760531198	1	2	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	100A SAN PABLO TOWNE CTR	None	SAN PABLO	CA	94806	0000	07	06013	37.95446487	-122.3326626	Contra Costa County
231543	Fee-for-Service	1811376262	1811376262	1	1	URGUN, KAMRAN MD	8/3/2018	207T00000X	NA	General Surgery	026	PHYSICIANS	None	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
231579	Fee-for-Service	1760531198	1760531198	1	6	UNIVERSITY HEALTHCARE ALLIAN	10/21/2020	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	321 MIDDLEFIELD ROAD	SUITE 165,260	MENLO PARK	CA	94025	3500	41	06081	37.45657153	-122.168099	San Mateo County
231761	Fee-for-Service	1760531198	1760531198	1	2	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	100A SAN PABLO TOWNE CTR	None	SAN PABLO	CA	94806	0000	07	06013	37.95446487	-122.3326626	Contra Costa County
231860	Fee-for-Service	1760531198	1760531198	1	6	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	321 MIDDLEFIELD ROAD	SUITE 165,260	MENLO PARK	CA	94025	3500	41	06081	37.45657153	-122.168099	San Mateo County
231962	Fee-for-Service	1518948868	1518948868	1	1	ULIBARRI, LAURA MD	9/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	52002	01	General Practice	0	In state provider	None	100 FALLS CANYON RD	None	AVALON	CA	90704	1563	19	06037	33.33904622	-118.3307237	Los Angeles County
232010	Fee-for-Service	1447661483	1447661483	1	1	UY, JACQUELINE C Y MD	10/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148061	08	Family Practice	0	In state provider	None	43112 15TH STREET WEST	None	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
232131	Fee-for-Service	1720397300	1720397300	1	1	UTZINGER, LINSEY M PHD	4/21/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
232172	Fee-for-Service	1821593971	1821593971	1	1	UNITED HEALTH CENTERS OF THE	4/19/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	250 E HANFORD ARMONA RD	None	LEMOORE	CA	93245	2141	16	06031	36.31347649	-119.7771345	Kings County
232321	Fee-for-Service	1346646775	1346646775	1	2	UNIVERSAL URGENT CARE AND OC	7/10/2023	261QU0200X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3793 E SHIELDS AVE	None	FRESNO	CA	93726	7029	10	06019	36.77977371	-119.7611501	Fresno County
232348	Fee-for-Service	1760531198	1760531198	1	53	UNIVERSITY HEALTHCARE ALLIAN	9/14/2021	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CE	20642 JOHN DR	None	CASTRO VALLEY	CA	94546	5103	01	06001	37.69270814	-122.090934	Alameda County
232463	Fee-for-Service	1821593971	1821593971	1	1	UNITED HEALTH CENTERS OF THE	12/11/2019	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	250 E HANFORD ARMONA RD	None	LEMOORE	CA	93245	2141	16	06031	36.31347649	-119.7771345	Kings County
232637	Fee-for-Service	1760531198	1760531198	1	53	UNIVERSITY HEALTHCARE ALLIAN	9/14/2021	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	CE	20642 JOHN DR	None	CASTRO VALLEY	CA	94546	5103	01	06001	37.69270814	-122.090934	Alameda County
232748	Fee-for-Service	1821593971	1821593971	1	1	UNITED HEALTH CENTERS OF THE	5/24/2019	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	250 E HANFORD ARMONA RD	None	LEMOORE	CA	93245	2141	16	06031	36.31347649	-119.7771345	Kings County
232788	Fee-for-Service	1760531198	1760531198	1	23	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	3100 TELEGRAPH AVENUE	SUITE 2109	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
233033	Fee-for-Service	1760531198	1760531198	1	47	UNIVERSITY HEALTHCARE ALLIAN	6/24/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	CE	455 OCONNOR DR	SUITE 210	SAN JOSE	CA	95128	1633	43	06085	37.326654	-121.939897	Santa Clara County
233034	Fee-for-Service	1821593971	1821593971	1	1	UNITED HEALTH CENTERS OF THE	4/19/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	250 E HANFORD ARMONA RD	None	LEMOORE	CA	93245	2141	16	06031	36.31347649	-119.7771345	Kings County
233077	Fee-for-Service	1760531198	1760531198	1	23	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	3100 TELEGRAPH AVENUE	SUITE 2109	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
233287	Fee-for-Service	1477979722	1477979722	1	5	UNITED HEALTH CENTERS OF THE	8/15/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5090 E CHURCH AVE	None	FRESNO	CA	93725	1230	10	06019	36.71467949	-119.7239115	Fresno County
233322	Fee-for-Service	1760531198	1760531198	1	47	UNIVERSITY HEALTHCARE ALLIAN	6/24/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CE	455 OCONNOR DR	SUITE 210	SAN JOSE	CA	95128	1633	43	06085	37.326654	-121.939897	Santa Clara County
233366	Fee-for-Service	1760531198	1760531198	1	45	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	ALLIANCE	20055 LAKE CHABOT RD	STE 130	CASTRO VALLEY	CA	94546	5332	01	06001	37.69836512	-122.0873587	Alameda County
233373	Fee-for-Service	1821357427	1821357427	1	1	ULRICKSON, CATHERINE NP	6/23/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2830 GLENDESSARY LANE	None	SANTA BARBARA	CA	93105	2960	42	06083	34.44509477	-119.7186392	Santa Barbara County
233404	Fee-for-Service	1003262023	1003262023	1	1	UNION OF PAN ASIAN COMMUNITI	5/20/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	DRUG TREATMENT PROGRAM	4041 OREGON ST	None	SAN DIEGO	CA	92104	1706	37	06073	32.75111616	-117.1350718	San Diego County
233517	Fee-for-Service	1346646775	1346646775	1	1	UNIVERSAL URGENT CARE AND OC	1/29/2020	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	CUPATIONAL MEDICINE, INC	8325 BRIMHALL RD	STE 100	BAKERSFIELD	CA	93312	2244	15	06029	35.36875951	-119.0959206	Kern County
233574	Fee-for-Service	1477979722	1477979722	1	5	UNITED HEALTH CENTERS OF THE	8/15/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5090 E CHURCH AVE	None	FRESNO	CA	93725	1230	10	06019	36.71467949	-119.7239115	Fresno County
233622	Fee-for-Service	1477979722	1477979722	1	8	UNITED HEALTH CENTERS OF THE	5/15/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	119 BARBOZA STREET	None	MENDOTA	CA	93640	1901	10	06019	36.76627214	-120.3838922	Fresno County
233630	Fee-for-Service	1689844045	1689844045	1	1	UDWADIA, NEVILLE MD	1/18/2006	261QM2500X	NA	Other	026	PHYSICIANS	91956	41	Internal Medicine	0	In state provider	None	576 HARTNELL ST	STE 200	MONTEREY	CA	93940	2834	27	06053	36.59578366	-121.8953819	Monterey County
233654	Fee-for-Service	1760531198	1760531198	1	23	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	3100 TELEGRAPH AVENUE	SUITE 2109	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
233767	Fee-for-Service	1417916990	1417916990	1	1	ULLOM, JODY L MD	10/31/1993	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	77729	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3555 ARMY ST	None	SAN FRANCISCO	CA	94110	4403	38	06075	37.7479947	-122.4209132	San Francisco County
233808	Fee-for-Service	1346646775	1346646775	1	1	UNIVERSAL URGENT CARE AND OC	11/18/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CUPATIONAL MEDICINE, INC	8325 BRIMHALL RD	STE 100	BAKERSFIELD	CA	93312	2244	15	06029	35.36875951	-119.0959206	Kern County
233861	Fee-for-Service	1477979722	1477979722	1	5	UNITED HEALTH CENTERS OF THE	10/21/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5090 E CHURCH AVE	None	FRESNO	CA	93725	1230	10	06019	36.71467949	-119.7239115	Fresno County
233874	Fee-for-Service	1851389563	1851389563	1	2	UPRIGHT PROSTHETICS & ORTHOT	1/16/2019	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	ICS INC.	10132 ARTESIA PL	None	BELLFLOWER	CA	90706	6729	19	06037	33.87478742	-118.1185792	Los Angeles County
233898	Fee-for-Service	1568495513	1568495513	1	1	USMAN, SOHAIL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1701 N SENATE BLVD	None	INDIANAPOLIS	IN	46202	1239	00	None	39.78959047	-86.16551711	Marion County
233911	Fee-for-Service	1477979722	1477979722	1	8	UNITED HEALTH CENTERS OF THE	5/15/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	119 BARBOZA STREET	None	MENDOTA	CA	93640	1901	10	06019	36.76627214	-120.3838922	Fresno County
233917	Fee-for-Service	1689844045	1689844045	1	1	UDWADIA, NEVILLE MD	1/18/2006	261QM2500X	NA	Other	026	PHYSICIANS	91956	83	Rheumatology	0	In state provider	None	576 HARTNELL ST	STE 200	MONTEREY	CA	93940	2834	27	06053	36.59578366	-121.8953819	Monterey County
233945	Fee-for-Service	1760531198	1760531198	1	45	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ALLIANCE	20055 LAKE CHABOT RD	STE 130	CASTRO VALLEY	CA	94546	5332	01	06001	37.69836512	-122.0873587	Alameda County
234093	Fee-for-Service	1346646775	1346646775	1	1	UNIVERSAL URGENT CARE AND OC	3/2/2023	193200000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	CUPATIONAL MEDICINE, INC	8325 BRIMHALL RD	STE 100	BAKERSFIELD	CA	93312	2244	15	06029	35.36875951	-119.0959206	Kern County
234235	Fee-for-Service	1760531198	1760531198	1	3	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	106 LA CASA VIA	SUITE 140	WALNUT CREEK	CA	94598	3084	07	06013	37.91255783	-122.0428047	Contra Costa County
234316	Fee-for-Service	1093881518	1093881518	1	1	UY, VINCENT L OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROF CORP	10931 CHAPMAN AVE	None	GARDEN GROVE	CA	92840	3214	30	06059	33.78868648	-117.942003	Orange County
234374	Fee-for-Service	1215998323	1215998323	1	1	UMDNJ UNIVERSITY HOSPITAL	10/26/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	150 BERGEN ST	None	NEWARK	NJ	07103	2496	00	None	40.74019876	-74.19243459	Essex County
234419	Fee-for-Service	1497413264	1497413264	1	1	UNITY 2 HOME HEALTH INC	3/19/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	6240 LAUREL CANYON BLVD	STE 202	NORTH HOLLYWOOD	CA	91606	3219	19	06037	34.184367	-118.3965135	Los Angeles County
234423	Fee-for-Service	1174520027	1174520027	1	1	UNITED HOME CARE OF NORTHERN	4/30/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	245 NEW YORK RANCH RD	STE C	JACKSON	CA	95642	2147	03	06005	38.35460668	-120.7676932	Amador County
234477	Fee-for-Service	1760531198	1760531198	1	37	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ALLIANCE	2557 MOWRY AVE	STE 34	FREMONT	CA	94538	1614	01	06001	37.55561575	-121.9826617	Alameda County
234523	Fee-for-Service	1760531198	1760531198	1	3	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	106 LA CASA VIA	SUITE 140	WALNUT CREEK	CA	94598	3084	07	06013	37.91255783	-122.0428047	Contra Costa County
234568	Fee-for-Service	1952758922	1952758922	1	1	UNIVERSAL MOBILE IMAGING	7/3/2017	261QR0200X	NA	Mammography/MRI Provider	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	12062 VALLEY VIEW	STE 221	GARDEN GROVE	CA	92845	1737	30	06059	33.78720885	-118.028413	Orange County
234777	Fee-for-Service	1073788360	1073788360	1	1	UPADHYAY, SHIVANI Y MD	8/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111701	40	Pediatrics	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
234810	Fee-for-Service	1760531198	1760531198	1	3	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	106 LA CASA VIA	SUITE 140	WALNUT CREEK	CA	94598	3084	07	06013	37.91255783	-122.0428047	Contra Costa County
235173	Fee-for-Service	1124117387	1124117387	1	1	UNIVERSAL CARE MED GRP	9/30/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1111 W 6TH ST	FL 2	LOS ANGELES	CA	90017	1800	19	06037	34.05416748	-118.2622848	Los Angeles County
235282	Fee-for-Service	1881670248	1881670248	1	9	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	23388 MULHOLLAND DRIVE A	None	WOODLAND HILLS	CA	91364	2733	19	06037	34.15672173	-118.6347091	Los Angeles County
235564	Fee-for-Service	1881670248	1881670248	1	18	UCLA RADIOLOGY MEDICAL GROUP	2/11/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	300 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
235776	Fee-for-Service	1962903690	1962903690	1	1	USRC PACIFIC GATEWAY LLC	4/1/2019	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1149 W 190TH ST	STE 1004	GARDENA	CA	90248	4333	19	06037	33.85834052	-118.2958065	Los Angeles County
235818	Fee-for-Service	1780952879	1780952879	1	1	URDC HUMAN SERVICES CORP	5/2/2012	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	513 E LIME AVENUE	SUITE 101	MONROVIA	CA	91016	2982	19	06037	34.14819851	-117.993105	Los Angeles County
235925	Fee-for-Service	1891843462	1891843462	1	1	ULLAL, VIVEK R MD INC	5/29/2009	207L00000X	NA	Other	026	PHYSICIANS	34774	05	Anesthesiology	0	In state provider	None	2975 SYCAMORE DR	None	SIMI VALLEY	CA	93065	1204	56	06111	34.28924598	-118.7439214	Ventura County
236441	Fee-for-Service	1154632636	1154632636	1	1	UMER, MUHAMMAD MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122878	08	Family Practice	0	In state provider	None	2141 N HARBOR BLVD	SUITE 25000	FULLERTON	CA	92835	3830	30	06059	33.89443025	-117.9288328	Orange County
236675	Fee-for-Service	1881670248	1881670248	1	26	UCLA RADIOLOGY MEDICAL GROUP	3/22/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	23815 STUART RANCH RD	300	MALIBU	CA	90265	4861	19	06037	34.03957842	-118.6927134	Los Angeles County
236732	Fee-for-Service	1154632636	1154632636	1	1	UMER, MUHAMMAD MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122878	01	General Practice	0	In state provider	None	2141 N HARBOR BLVD	SUITE 25000	FULLERTON	CA	92835	3830	30	06059	33.89443025	-117.9288328	Orange County
236852	Fee-for-Service	1881670248	1881670248	1	7	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2424 WILSHIRE BLVD	None	SANTA MONICA	CA	90403	5806	19	06037	34.03455172	-118.4792084	Los Angeles County
236987	Fee-for-Service	1881670248	1881670248	1	20	UCLA RADIOLOGY MEDICAL GROUP	3/22/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	19950 RINALDI ST	300	PORTER RANCH	CA	91326	4141	19	06037	34.27560199	-118.5696701	Los Angeles County
237155	Fee-for-Service	1447821285	1447821285	1	1	USC CARE MEDICAL GROUP, INC	8/4/2021	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	ORATORY	2011 ZONAL AVE	SUITE 301, 302, 303, 308	LOS ANGELES	CA	90089	1016	19	06037	34.05979479	-118.2053794	Los Angeles County
237339	Fee-for-Service	1801557467	1801557467	1	1	UNIVERSITY OF CALIFORNIA SFG	7/5/2022	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
237409	Fee-for-Service	1841453156	1841453156	1	1	USMANOV, ALEXANDER MD	2/24/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107065	30	Radiology	0	In state provider	None	17779 VENTURA BLVD	None	ENCINO	CA	91316	3717	19	06037	34.16283238	-118.5199399	Los Angeles County
237553	Fee-for-Service	1265748339	1265748339	1	1	UHLER, RICHARD E DO INC	5/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	6752	01	General Practice	0	In state provider	None	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
238154	Fee-for-Service	1881670248	1881670248	1	16	UCLA RADIOLOGY MEDICAL GROUP	2/11/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	200 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
238361	Fee-for-Service	1801006911	1801006911	1	1	URANKAR, RAKHEE N MD	1/13/2020	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	148634	39	Preventive (M.D. only)	0	In state provider	None	1887 MONTEREY RD	STE 200	SAN JOSE	CA	95112	6136	43	06085	37.308636	-121.8664102	Santa Clara County
238372	Fee-for-Service	1760531198	1760531198	1	29	UNIVERSITY HEALTHCARE ALLIAN	11/7/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	3100 TELEGRAPH AVE	STE 2102	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
238429	Fee-for-Service	1508961863	1508961863	1	1	UNGER, ARLENE K PHD	10/8/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	34052 LA PLAZA DRIVE	#107	DANA POINT	CA	92629	4303	30	06059	33.46801401	-117.6989561	Orange County
238649	Fee-for-Service	1801006911	1801006911	1	1	URANKAR, RAKHEE N MD	1/13/2020	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	148634	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1887 MONTEREY RD	STE 200	SAN JOSE	CA	95112	6136	43	06085	37.308636	-121.8664102	Santa Clara County
238660	Fee-for-Service	1760531198	1760531198	1	29	UNIVERSITY HEALTHCARE ALLIAN	11/7/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	3100 TELEGRAPH AVE	STE 2102	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
238948	Fee-for-Service	1760531198	1760531198	1	29	UNIVERSITY HEALTHCARE ALLIAN	11/7/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	3100 TELEGRAPH AVE	STE 2102	OAKLAND	CA	94609	3210	01	06001	37.82037533	-122.2667839	Alameda County
239628	Fee-for-Service	1487013199	1487013199	1	1	USRC LITTLE TOKYO LLC	10/29/2018	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	420 E 3RD ST	SUITE 120	LOS ANGELES	CA	90013	1644	19	06037	34.04702011	-118.241912	Los Angeles County
239655	Fee-for-Service	1760531198	1760531198	1	40	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207Y00000X	NA	ENT/Otolaryngology	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	2577 SAMARITAN DR	STE 845	SAN JOSE	CA	95124	4110	43	06085	37.25246494	-121.9501879	Santa Clara County
239708	Fee-for-Service	1700271152	1700271152	1	1	UPTON, TRACY MD	7/15/2020	207R00000X	NA	Other	026	PHYSICIANS	156819	41	Internal Medicine	0	In state provider	None	465 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
239894	Fee-for-Service	1881670248	1881670248	1	34	UCLA RADIOLOGY MEDICAL GROUP	4/7/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2701 OCEAN PARK BLVD	130	SANTA MONICA	CA	90405	5200	19	06037	34.01830697	-118.4569168	Los Angeles County
239897	Fee-for-Service	1376834572	1376834572	1	1	URBAND, CHRISTOPHER E MD	1/23/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	144223	20	Orthopedic Surgery	0	In state provider	None	85 SIERRA PARK RD	None	MAMMOTH LAKES	CA	93546	0000	26	06051	37.64575895	-118.9638914	Mono County
239941	Fee-for-Service	1760531198	1760531198	1	40	UNIVERSITY HEALTHCARE ALLIAN	5/17/2021	207Y00000X	NA	ENT/Otolaryngology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	ALLIANCE	2577 SAMARITAN DR	STE 845	SAN JOSE	CA	95124	4110	43	06085	37.25246494	-121.9501879	Santa Clara County
240230	Fee-for-Service	1679608467	1679608467	1	1	UNLIMITED HOME HEALTH CENTER	4/6/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	INC	1862 W BITTERS	SUITE 301	SAN ANTONIO	TX	78248	1825	00	None	29.59065976	-98.52363372	Bexar County
240231	Fee-for-Service	1760531198	1760531198	1	40	UNIVERSITY HEALTHCARE ALLIAN	12/13/2018	207Y00000X	NA	ENT/Otolaryngology	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	ALLIANCE	2577 SAMARITAN DR	STE 845	SAN JOSE	CA	95124	4110	43	06085	37.25246494	-121.9501879	Santa Clara County
240964	Fee-for-Service	1104405950	1104405950	1	1	UCHIKURA, AARON LMFT	9/28/2023	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
241127	Fee-for-Service	1285833061	1285833061	1	1	UNGER, ALON MD	10/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108154	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
241327	Fee-for-Service	1770855009	1770855009	1	1	UPADHYAY, RANI Y MD	11/27/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119870	41	Internal Medicine	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
241786	Fee-for-Service	1881670248	1881670248	1	35	UCLA RADIOLOGY MEDICAL GROUP	6/17/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	6000 SEPULVEDA BLVD	E10	CULVER CITY	CA	90230	6421	19	06037	33.985512	-118.393524	Los Angeles County
241902	Fee-for-Service	1811966443	1811966443	1	1	UNITED MEDICAL PROVIDERS, IN	6/6/2019	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	C	8010 CROWDER BLVD	None	NEW ORLEANS	LA	70127	1063	00	None	30.04084179	-89.99946289	Orleans Parish
242052	Fee-for-Service	1982641387	1982641387	1	1	UNTERSEHER, RALEIGH MD	3/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	58581	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1315 THE ESPLANADE	None	CHICO	CA	95926	3330	04	06007	39.74016138	-121.8476519	Butte County
242198	Fee-for-Service	1104345743	1104345743	1	1	ULLAL, MEERA P PHD	8/17/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2230 STOCKTON BLVD	STE 2800	SACRAMENTO	CA	95817	1353	34	06067	38.555631	-121.459203	Sacramento County
242336	Fee-for-Service	1457688947	1457688947	1	1	ULIBARRI, MATTHEW R OD	4/13/2011	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1200 DISCOVERY DR	None	BAKERSFIELD	CA	93309	7032	15	06029	35.36397746	-119.0589062	Kern County
243032	Fee-for-Service	1871116053	1871116053	1	3	UBUNTU PSYCHOLOGICAL SERVICE	8/26/2024	103TC0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	S	1307 W 6TH ST	108	CORONA	CA	92882	3294	33	06065	33.87790309	-117.589666	Riverside County
243083	Fee-for-Service	1932210440	1932210440	1	1	UEJO, CRAIG M MD	11/30/1993	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	77996	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
243130	Fee-for-Service	1255047445	1255047445	1	1	UNDERSTANDING NEEDED INTEGRA	2/13/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	TION, LLC.	637 E ALBERTONI ST	STE 104	CARSON	CA	90746	1543	19	06037	33.87193192	-118.2647009	Los Angeles County
243234	Fee-for-Service	1972056778	1972056778	1	1	URQUIZO, MARTHA S	11/14/2016	No Taxonomy Provided	NA	None	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
243318	Fee-for-Service	1871116053	1871116053	1	3	UBUNTU PSYCHOLOGICAL SERVICE	8/26/2024	103TC0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	S	1307 W 6TH ST	108	CORONA	CA	92882	3294	33	06065	33.87790309	-117.589666	Riverside County
243604	Fee-for-Service	1871116053	1871116053	1	3	UBUNTU PSYCHOLOGICAL SERVICE	3/11/2025	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	S	1307 W 6TH ST	108	CORONA	CA	92882	3294	33	06065	33.87790309	-117.589666	Riverside County
243893	Fee-for-Service	1871116053	1871116053	1	3	UBUNTU PSYCHOLOGICAL SERVICE	8/26/2024	103TC0700X	NA	Mental Health Outpatient Services	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	S	1307 W 6TH ST	108	CORONA	CA	92882	3294	33	06065	33.87790309	-117.589666	Riverside County
244023	Fee-for-Service	1710918545	1710918545	1	3	U C DAVIS MEDICAL CENTER	5/24/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	3301 C STREET	SUITES 1700, 1800	SACRAMENTO	CA	95816	3393	34	06067	38.579877	-121.456143	Sacramento County
244128	Fee-for-Service	1811454283	1811454283	1	1	UNIVERSAL HEALTH NET	6/8/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	MONTEREY INC	824 MUNRAS AVE	STE C	MONTEREY	CA	93940	3121	27	06053	36.59377826	-121.8934505	Monterey County
244415	Fee-for-Service	1811454283	1811454283	1	1	UNIVERSAL HEALTH NET	6/8/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	MONTEREY INC	824 MUNRAS AVE	STE C	MONTEREY	CA	93940	3121	27	06053	36.59377826	-121.8934505	Monterey County
244641	Fee-for-Service	1588844278	1588844278	1	1	UNIQUE MEDICAL INC	11/2/2007	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1788 SIERRA LEONE AVE	STE 107	ROWLAND HEIGHTS	CA	91748	5892	19	06037	33.98609204	-117.9016158	Los Angeles County
244643	Fee-for-Service	1013991769	1013991769	1	1	UTTER, GARTH H MD	8/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	68545	02	General Surgery	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
244772	Fee-for-Service	1881670248	1881670248	1	10	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	100 MOODY COURT	117	THOUSAND OAKS	CA	91360	6077	56	06111	34.17732532	-118.8654117	Ventura County
244908	Fee-for-Service	1477503845	1477503845	1	1	UMEMOTO, THOMAS S MD	10/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	86503	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	36	06071	34.13502	-117.2758635	San Bernardino County
245037	Fee-for-Service	1760531198	1760531198	1	11	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ALLIANCE	20126 STANTON AVENUE	SUITE 201	CASTRO VALLEY	CA	94546	5270	01	06001	37.69722866	-122.090936	Alameda County
245671	Fee-for-Service	1194863456	1194863456	1	1	UNGAR, MARGIE OTR	2/8/2015	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1200 EDGEHILL DR	None	BURLINGAME	CA	94010	3616	41	06081	37.58360187	-122.3571558	San Mateo County
245750	Fee-for-Service	1629508155	1629508155	1	1	UPPAL, RAVI DO	6/1/2024	207PP0204X	NA	Other	026	PHYSICIANS	21518	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
246112	Fee-for-Service	1184332900	1184332900	1	1	UNITED HEALTH CENTERS OF THE	2/20/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	4038 SOUTH MOONEY BLVD	None	VISALIA	CA	93277	9306	54	06107	36.293769	-119.3122125	Tulare County
246113	Fee-for-Service	1659998540	1659998540	1	1	UNUAME, DIVINE ENAKEME	2/16/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	37712 RIVER OATS LN	None	MURRIETA	CA	92563	3569	33	06065	33.57327737	-117.103388	Riverside County
246251	Fee-for-Service	1497410336	1497410336	1	1	URGENT HOME HEALTH SERVICES	3/6/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	100 N BRAND BLVD	STE 310	GLENDALE	CA	91203	2656	19	06037	34.14652066	-118.2549229	Los Angeles County
246385	Fee-for-Service	1194812255	1194812255	1	1	UNISON HEALTH SVS, INC	3/14/2003	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	8855 VALLEY BLVD	SUITE B1	ROSEMEAD	CA	91770	1753	19	06037	34.08078066	-118.0758105	Los Angeles County
246398	Fee-for-Service	1184332900	1184332900	1	1	UNITED HEALTH CENTERS OF THE	2/20/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	4038 SOUTH MOONEY BLVD	None	VISALIA	CA	93277	9306	54	06107	36.293769	-119.3122125	Tulare County
246400	Fee-for-Service	1659998540	1659998540	1	1	UNUAME, DIVINE ENAKEME	2/16/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	37712 RIVER OATS LN	None	MURRIETA	CA	92563	3569	33	06065	33.57327737	-117.103388	Riverside County
246688	Fee-for-Service	1184332900	1184332900	1	1	UNITED HEALTH CENTERS OF THE	3/26/2025	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	4038 SOUTH MOONEY BLVD	None	VISALIA	CA	93277	9306	54	06107	36.293769	-119.3122125	Tulare County
246975	Fee-for-Service	1184332900	1184332900	1	1	UNITED HEALTH CENTERS OF THE	2/20/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN VALLEY	4038 SOUTH MOONEY BLVD	None	VISALIA	CA	93277	9306	54	06107	36.293769	-119.3122125	Tulare County
247001	Fee-for-Service	1467976647	1467976647	1	1	UNIQUE HOSPICE CARE INC	8/26/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	STE 280	NORTH HOLLYWOOD	CA	91606	3470	19	06037	34.18670448	-118.389699	Los Angeles County
247052	Fee-for-Service	1881670248	1881670248	1	1	UCLA RADIOLOGY MEDICAL GROUP	4/7/2020	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
247257	Fee-for-Service	1619120193	1619120193	1	1	UNION SCHOOL DISTRICT	10/10/2007	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	5175 UNION AVE	None	SAN JOSE	CA	95124	5434	43	06085	37.2439052	-121.931286	Santa Clara County
247288	Fee-for-Service	1467976647	1467976647	1	1	UNIQUE HOSPICE CARE INC	8/26/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	STE 280	NORTH HOLLYWOOD	CA	91606	3470	19	06037	34.18670448	-118.389699	Los Angeles County
247338	Fee-for-Service	1881670248	1881670248	1	1	UCLA RADIOLOGY MEDICAL GROUP	12/12/2019	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
247627	Fee-for-Service	1881670248	1881670248	1	1	UCLA RADIOLOGY MEDICAL GROUP	1/1/1991	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
248305	Fee-for-Service	1881670248	1881670248	1	2	UCLA RADIOLOGY MEDICAL GROUP	7/1/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1250 16TH ST	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
248374	Fee-for-Service	1093023277	1093023277	1	1	UNIVERSAL COMMUNITY HEALTH	4/19/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER	1005 E WASHINGTON BLVD	STE A	LOS ANGELES	CA	90021	3020	19	06037	34.02578238	-118.2530622	Los Angeles County
248518	Fee-for-Service	1255644357	1255644357	2	2	UNICARE PHARMACY, INC.	6/2/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	A	7039 VALJEAN AVE	None	VAN NUYS	CA	91406	3915	19	06037	34.198767	-118.4858995	Los Angeles County
248663	Fee-for-Service	1093023277	1093023277	1	1	UNIVERSAL COMMUNITY HEALTH	4/19/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER	1005 E WASHINGTON BLVD	STE A	LOS ANGELES	CA	90021	3020	19	06037	34.02578238	-118.2530622	Los Angeles County
248779	Fee-for-Service	1508000290	1508000290	1	1	US HEALTHCARE SUPPLY LLC	3/9/2010	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	US HEALTHCARE SUPPLY LLC	14 BRIDGE STREET	None	MILFORD	NJ	08848	1223	00	None	40.56752793	-75.09694761	Hunterdon County
248801	Fee-for-Service	1164088605	1164088605	1	1	UDALL, DALLYN P DO	1/24/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	19340	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
248949	Fee-for-Service	1093023277	1093023277	1	1	UNIVERSAL COMMUNITY HEALTH	11/15/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER	1005 E WASHINGTON BLVD	STE A	LOS ANGELES	CA	90021	3020	19	06037	34.02578238	-118.2530622	Los Angeles County
248959	Fee-for-Service	1477549830	1477549830	1	1	UZQUIANO, NELSON G MD	1/28/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	166985	30	Radiology	0	In state provider	None	225 N JACKSON AVE	ATTN RADIOLOGY DEPT	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
249005	Fee-for-Service	1881670248	1881670248	1	4	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	10250 SANTA MONICA BLVD	2440	LOS ANGELES	CA	90067	6404	19	06037	34.05998846	-118.4200204	Los Angeles County
249204	Fee-for-Service	1881670248	1881670248	1	19	UCLA RADIOLOGY MEDICAL GROUP	2/11/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	3500 LOMITA BLVD	300	TORRANCE	CA	90505	5021	19	06037	33.81384593	-118.3465974	Los Angeles County
249366	Fee-for-Service	1881670248	1881670248	1	17	UCLA RADIOLOGY MEDICAL GROUP	2/11/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1919 SANTA MONICA BLVD	300	SANTA MONICA	CA	90404	1954	19	06037	34.0284492	-118.4803274	Los Angeles County
249494	Fee-for-Service	1881670248	1881670248	1	6	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	26585 AGOURA RD	210	CALABASAS	CA	91302	1958	19	06037	34.14240621	-118.7027109	Los Angeles County
249664	Fee-for-Service	1881670248	1881670248	1	14	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	9675 BRIGHTON WAY	100	BEVERLY HILLS	CA	90210	5132	19	06037	34.06763711	-118.4052901	Los Angeles County
250058	Fee-for-Service	1528112687	1528112687	2	1	UNITED CARE HOMES	10/12/2002	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1982 CAMWOOD AVENUE	None	ROWLAND HEIGHTS	CA	91748	4044	19	06037	33.98199005	-117.8791316	Los Angeles County
250062	Fee-for-Service	1689785545	1689785545	1	1	UDAYASANKAR, JAYALAKSHMI MD	10/24/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142851	67	Endocrinology	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
250453	Fee-for-Service	1447784327	1447784327	1	1	UEOKA, MIKI E MD	3/25/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	173084	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	200 UCLA MEDICAL PLAZA	None	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
250660	Fee-for-Service	1760531198	1760531198	1	50	UNIVERSITY HEALTHCARE ALLIAN	11/30/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	77	Infectious Disease	0	In state provider	CE	1359 PARK AVE	None	ALAMEDA	CA	94501	4511	01	06001	37.76329307	-122.2420565	Alameda County
250739	Fee-for-Service	1447784327	1447784327	1	1	UEOKA, MIKI E MD	3/25/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	173084	41	Internal Medicine	0	In state provider	None	200 UCLA MEDICAL PLAZA	None	LOS ANGELES	CA	90095	8344	19	06037	34.065126	-118.446237	Los Angeles County
250744	Fee-for-Service	1235120676	1235120676	1	2	UKIAH ADVENTIST HOSPITAL	6/30/2011	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	PHYSICIAN SERVICES	1165 S DORA ST	STE C-2	UKIAH	CA	95482	6353	23	06045	39.13602308	-123.2095502	Mendocino County
250824	Fee-for-Service	1386642783	1386642783	1	1	URSO, MARY JO V DO	11/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	8265	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1515 W FLORIDA AVE	None	HEMET	CA	92543	3817	33	06065	33.74738653	-116.9879535	Riverside County
250949	Fee-for-Service	1760531198	1760531198	1	50	UNIVERSITY HEALTHCARE ALLIAN	11/30/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CE	1359 PARK AVE	None	ALAMEDA	CA	94501	4511	01	06001	37.76329307	-122.2420565	Alameda County
250973	Fee-for-Service	1265531800	1265531800	1	1	UNIS, CLAIRE MARIE MD	8/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80539	40	Pediatrics	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
251039	Fee-for-Service	1417439019	1417439019	1	1	UMAYAM, KRISTOFFERSON RCP	4/9/2024	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
251238	Fee-for-Service	1245352962	1245352962	1	1	UJIMA FAMILY RECOVERY	3/3/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SERVICES	1901 CHURCH LANE	None	SAN PABLO	CA	94806	3707	07	06013	37.95734959	-122.3416158	Contra Costa County
251776	Fee-for-Service	1659416907	1659416907	1	1	UNIVERSITY MEDICAL IMGNG	8/22/2007	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	DOCTORS RESOURCES CO LLC	500 UNIVERSITY AVE	STE 117	SACRAMENTO	CA	95825	6514	34	06067	38.568402	-121.418019	Sacramento County
251813	Fee-for-Service	1477812873	1477812873	1	1	URDANETA-MONCADA, ALFONSO R	12/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120083	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
251969	Fee-for-Service	1326002049	1326002049	1	1	UNIV OF WASHINGTON MED C	7/30/2003	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1959 NE PACIFIC ST	None	SEATTLE	WA	98195	0001	00	None	47.65080692	-122.3081828	King County
252259	Fee-for-Service	1326002049	1326002049	1	1	UNIV OF WASHINGTON MED C	7/30/2003	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1959 NE PACIFIC ST	None	SEATTLE	WA	98195	0001	00	None	47.65080692	-122.3081828	King County
252706	Fee-for-Service	1184606634	1184606634	1	1	UNITED HLTH CTRS-MENDOTA	8/15/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	121 BARBOZA ST	None	MENDOTA	CA	93640	1901	10	06019	36.76619136	-120.3839072	Fresno County
252718	Fee-for-Service	1790312221	1790312221	1	1	USUI, RYAN MD	11/17/2023	390200000X	NA	Other	026	PHYSICIANS	183309	None	None	0	In state provider	None	2990 S SEPULVEDA BLVD	202	LOS ANGELES	CA	90064	3973	19	06037	34.02759083	-118.4287969	Los Angeles County
252918	Fee-for-Service	1770558827	1770558827	1	1	UNIVERSITY CALIF OF S F	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
252995	Fee-for-Service	1184606634	1184606634	1	1	UNITED HLTH CTRS-MENDOTA	1/1/1993	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	121 BARBOZA ST	None	MENDOTA	CA	93640	1901	10	06019	36.76619136	-120.3839072	Fresno County
253111	Fee-for-Service	1760531198	1760531198	1	18	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ALLIANCE	365 HAWTHORNE AVENUE	SUITE 201	OAKLAND	CA	94609	3114	01	06001	37.82079728	-122.2633226	Alameda County
253264	Fee-for-Service	1952372997	1952372997	1	1	UNITED CARE PROVIDER INC	10/10/1994	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	ST MARY'S HOME ICF/DDN	16765 LAWNWOOD ST	None	LA PUENTE	CA	91744	3319	19	06037	34.03373189	-117.9223952	Los Angeles County
253282	Fee-for-Service	1184606634	1184606634	1	1	UNITED HLTH CTRS-MENDOTA	1/1/1993	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	121 BARBOZA ST	None	MENDOTA	CA	93640	1901	10	06019	36.76619136	-120.3839072	Fresno County
253397	Fee-for-Service	1760531198	1760531198	1	18	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	03	Allergy	0	In state provider	ALLIANCE	365 HAWTHORNE AVENUE	SUITE 201	OAKLAND	CA	94609	3114	01	06001	37.82079728	-122.2633226	Alameda County
253684	Fee-for-Service	1760531198	1760531198	1	18	UNIVERSITY HEALTHCARE ALLIAN	12/31/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	ALLIANCE	365 HAWTHORNE AVENUE	SUITE 201	OAKLAND	CA	94609	3114	01	06001	37.82079728	-122.2633226	Alameda County
254079	Fee-for-Service	1861422941	1861422941	1	1	UTI TOWER MEDICAL GROUP	6/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	None	8631 W 3RD ST	STE 915E	LOS ANGELES	CA	90048	5901	19	06037	34.07361928	-118.3803143	Los Angeles County
254504	Fee-for-Service	1831390764	1831390764	1	3	UPSTATE HEARING INSTRUMENTS	2/11/2021	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1215 MONROE	None	RED BLUFF	CA	96080	3103	52	06103	40.17995806	-122.243023	Tehama County
254543	Fee-for-Service	1700037892	1700037892	1	1	UNDA RIVERA, RAFAEL F MD	10/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142852	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
254831	Fee-for-Service	1700804200	1700804200	1	1	UC DAVIS MEDICAL CENTER	7/1/2005	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
254859	Fee-for-Service	1992818256	1992818256	1	1	UCSF STANFORD HLTH CARE	11/1/1997	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	UCSF/MOUNT ZION	1600 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3010	38	06075	37.78475261	-122.43973	San Francisco County
255120	Fee-for-Service	1700804200	1700804200	1	1	UC DAVIS MEDICAL CENTER	7/1/2005	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
255134	Fee-for-Service	1912199084	1912199084	1	1	UYTINGCO, LORRAINE C MD	7/1/2002	207QG0300X	NA	Adult Primary Care	026	PHYSICIANS	50496	08	Family Practice	0	In state provider	PC	180 STARR AVE	None	TURLOCK	CA	95380	3381	50	06099	37.50241157	-120.8467744	Stanislaus County
255195	Fee-for-Service	1558805846	1558805846	1	1	ULLOA, MICHELLE J LMFT	3/14/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
255250	Fee-for-Service	1285703256	1285703256	1	1	UCSF	6/1/1999	207U00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UCSF RADIOLOGIC MED GRP	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
255408	Fee-for-Service	1457485161	1457485161	1	1	UBERTO, NANCY LCSW	5/28/2021	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
255430	Fee-for-Service	1740290899	1740290899	1	2	UY, SANTOS A JR MD	10/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	32697	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	19	06037	34.0956033	-118.2916918	Los Angeles County
255528	Fee-for-Service	1659423713	1659423713	2	1	UBEROI, RINKU MD	4/6/2022	208M00000X	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
255765	Fee-for-Service	1053975052	1053975052	1	1	UNITED MEDICAL IMAGING HEALT	1/8/2020	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	NTA ANA	800 N TUSTIN AVE	UNIT M	SANTA ANA	CA	92705	3605	30	06059	33.752241	-117.8342255	Orange County
255999	Fee-for-Service	1710964119	1710964119	1	1	UNIAT, REUBEN W MD	5/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	None	32.683167	-114.633459	Yuma County
256449	Fee-for-Service	1427046655	1427046655	1	2	UNIVERSAL PAIN MANAGEMENT	3/23/2009	193400000X	NA	Other	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	12830 HESPERIA RD	STE B	VICTORVILLE	CA	92395	7788	36	06071	34.48395212	-117.2903629	San Bernardino County
256456	Fee-for-Service	1063436301	1063436301	1	1	UNGER, RICHARD MD	6/30/1982	207L00000X	NA	Other	026	PHYSICIANS	50188	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
256497	Fee-for-Service	1982740114	1982740114	1	1	UCSF	6/1/1999	207RX0202X	NA	Oncology	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	MZH FACULTY PRACTICE CLN	1600 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3010	38	06075	37.78475261	-122.43973	San Francisco County
256522	Fee-for-Service	1881670248	1881670248	1	31	UCLA RADIOLOGY MEDICAL GROUP	4/7/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	27235 TOURNEY RD	1500	VALENCIA	CA	91355	5904	19	06037	34.41755702	-118.5772646	Los Angeles County
256727	Fee-for-Service	1326738345	1326738345	1	1	UTAH LAKE HOLDINGS	1/8/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	LLC	4075 54TH ST	None	SAN DIEGO	CA	92105	2301	37	06073	32.750442	-117.0794645	San Diego County
256737	Fee-for-Service	1427046655	1427046655	1	2	UNIVERSAL PAIN MANAGEMENT	3/23/2009	193400000X	NA	Other	022	PHYSICIANS GROUP	-	25	Physical Medicine and Rehabilitation	0	In state provider	None	12830 HESPERIA RD	STE B	VICTORVILLE	CA	92395	7788	36	06071	34.48395212	-117.2903629	San Bernardino County
257072	Fee-for-Service	1487390597	1487390597	1	1	UNITED MEDICAL IMAGING HEALT	10/28/2022	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	None	None	0	In state provider	OF GARDENA	1141 REDONDO BEACH BLVD	SUITE 307	GARDENA	CA	90247	3586	19	06037	33.89247036	-118.2941482	Los Angeles County
257193	Fee-for-Service	1033137088	1033137088	1	1	UNILAB CORPORATION	2/28/2003	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	431 S. BATAVIA STREET	SUITE 102	ORANGE	CA	92868	3937	30	06059	33.781851	-117.8618145	Orange County
257338	Fee-for-Service	1174024889	1174024889	1	1	USRC EARL STREET LLC	4/1/2018	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	20911 EARL ST	SUITE 160	TORRANCE	CA	90503	4353	19	06037	33.840459	-118.3580985	Los Angeles County
257517	Fee-for-Service	1265511661	1265511661	2	1	UNITED PHARMACY INC	8/3/2017	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1129 S ROBERTSON BLVD	None	LOS ANGELES	CA	90035	1403	19	06037	34.056306	-118.3837285	Los Angeles County
257629	Fee-for-Service	1083093314	1083093314	1	1	UM, SANG HYUN LAC	7/10/2018	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	ORIENTAL MEDICINE	322 N SAN DIMAS AVE	None	SAN DIMAS	CA	91773	3037	19	06037	34.110504	-117.8071015	Los Angeles County
257702	Fee-for-Service	1457427940	1457427940	1	1	UNTALAN, DORIS T C CNM	6/29/2017	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	2500 MERCED ST	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
257708	Fee-for-Service	1346912466	1346912466	1	1	US HEALTH LABORATORIES	6/14/2023	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	6850 SEPULVEDA BLVD	UNIT 220	VAN NUYS	CA	91405	4444	19	06037	34.1955	-118.4661705	Los Angeles County
257799	Fee-for-Service	1255406583	1255406583	1	1	UMANSKY, JEFFREY A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	82234	24	Plastic Surgery	0	In state provider	AMC	4150 REGENTS PARK ROW	STE 260	LA JOLLA	CA	92037	1417	37	06073	32.87272099	-117.2175656	San Diego County
257836	Fee-for-Service	1619948874	1619948874	1	1	UCHIO, TED T MD	1/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	79270	05	Anesthesiology	0	In state provider	None	1500 DUARTE RD	BLG 149	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
257900	Fee-for-Service	1134705296	1134705296	1	1	ULTRA STAR HOSPICE INC	10/26/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	12501 CHANDLER BLVD	STE 105 A	VALLEY VILLAGE	CA	91607	1941	19	06037	34.16870346	-118.4056065	Los Angeles County
258084	Fee-for-Service	1255406583	1255406583	1	1	UMANSKY, JEFFREY A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	82234	66	Emergency Medicine (Urgent Care)	0	In state provider	AMC	4150 REGENTS PARK ROW	STE 260	LA JOLLA	CA	92037	1417	37	06073	32.87272099	-117.2175656	San Diego County
258149	Fee-for-Service	1023020344	1023020344	1	1	UNIVERSITY PODIATRY GRP	5/1/1996	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	100 UCLA MEDICAL PLZ	STE 460	LOS ANGELES	CA	90024	7000	19	06037	34.06544724	-118.4459249	Los Angeles County
258189	Fee-for-Service	1134705296	1134705296	1	1	ULTRA STAR HOSPICE INC	10/26/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	12501 CHANDLER BLVD	STE 105 A	VALLEY VILLAGE	CA	91607	1941	19	06037	34.16870346	-118.4056065	Los Angeles County
258417	Fee-for-Service	1598761355	1598761355	1	1	UPPER CHESAPEAKE MEDICAL CEN	7/2/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	500 UPPER CHESAPEAKE DR	None	BEL AIR	MD	21014	4324	00	None	39.51861732	-76.34650084	Harford County
258525	Fee-for-Service	1518005289	1518005289	1	1	ULIT, WAYNE ANTOLIN J MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	51430	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
259085	Fee-for-Service	1932133980	1932133980	1	1	UGORJI, CHINEDU J MD	5/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80759	41	Internal Medicine	0	In state provider	None	16660 PARAMOUNT BLVD	SUITE 208	PARAMOUNT	CA	90723	5458	19	06037	33.882723	-118.1599535	Los Angeles County
259560	Fee-for-Service	1063487122	1063487122	1	1	UNIVERSITY OF CALIFORNIA	10/1/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1001 POTRERO AVE	RM 1X55	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
259561	Fee-for-Service	1164008124	1164008124	1	1	UANG, JEREMY E MD	3/29/2025	2081H0002X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	192418	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
259856	Fee-for-Service	1841380110	1841380110	1	1	UNITED MEDICAL IMAGING	8/21/2017	261QR0206X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	HEALTHCARE INC	3513 WHITTIER BLVD	None	LOS ANGELES	CA	90023	1709	19	06037	34.02644733	-118.1978733	Los Angeles County
259874	Fee-for-Service	1609990134	1609990134	1	1	UGWUEZE, GODWIN C MD	2/7/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	97262	41	Internal Medicine	0	In state provider	None	3001 SILLECT AVE	None	BAKERSFIELD	CA	93308	6337	15	06029	35.38601911	-119.0400416	Kern County
260068	Fee-for-Service	1881670248	1881670248	1	8	UCLA RADIOLOGY MEDICAL GROUP	12/17/2020	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	15503 VENTURA BLVD	150. 170	ENCINO	CA	91436	3114	19	06037	34.15483303	-118.4722163	Los Angeles County
260164	Fee-for-Service	1205612884	1205612884	1	1	UNCUFFED PROJECT INC	6/6/2024	177F00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	690 WALNUT AVE	210	VALLEJO	CA	94592	1163	48	06095	38.0984383	-122.2723367	Solano County
260178	Fee-for-Service	1053785345	1053785345	1	1	UNILAB CORPORATION	12/15/2015	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	3620 NORTHGATE BLVD	None	SACRAMENTO	CA	95834	1619	34	06067	38.634102	-121.4741655	Sacramento County
260258	Fee-for-Service	1285603902	1285603902	1	1	UC REGENTS UCLA DMPG	1/21/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
260378	Fee-for-Service	1609228303	1609228303	1	1	UNANGST, ALICIA M MD DO	8/1/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	19882	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
260555	Fee-for-Service	1285603902	1285603902	1	1	UC REGENTS UCLA DMPG	1/21/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	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
260593	Fee-for-Service	1851364855	1851364855	1	1	UNITED MEDICAL MGMT INC	5/6/1991	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	VALLEY CONV HOSP	1680 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	5113	36	06071	34.129701	-117.278808	San Bernardino County
260611	Fee-for-Service	1881670248	1881670248	1	30	UCLA RADIOLOGY MEDICAL GROUP	4/7/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	3701 SKYPARK DR	200	TORRANCE	CA	90505	4753	19	06037	33.81114782	-118.349449	Los Angeles County
260691	Fee-for-Service	1508423559	1508423559	1	1	UNITED INDEPENDENT TAXI DRIV	6/22/2019	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ERS, INC.	900 N ALVARADO ST	None	LOS ANGELES	CA	90026	3105	19	06037	34.07552677	-118.2647152	Los Angeles County
261328	Fee-for-Service	1881670248	1881670248	1	25	UCLA RADIOLOGY MEDICAL GROUP	3/22/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	6344 TOPANGA CANYON BLVD	2040	WOODLAND HILLS	CA	91367	2359	19	06037	34.18515	-118.605863	Los Angeles County
261331	Fee-for-Service	1659580926	1659580926	1	1	UNITED HEALTH CENTERS-	3/1/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	EARLIMART	476 E WASHINGTON AVE	None	EARLIMART	CA	93219	9716	54	06107	35.88434376	-119.2716517	Tulare County
261349	Fee-for-Service	1225663826	1225663826	1	1	UPPERLINE HEALTHCARE CALIFOR	5/5/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	610 EUCLID	SUITE 301	NATIONAL CITY	CA	91950	2951	37	06073	32.68419388	-117.0829524	San Diego County
261399	Fee-for-Service	1063090769	1063090769	1	1	URMAN, NICOLE M MD	4/11/2025	207N00000X	NA	Dermatology	026	PHYSICIANS	179960	07	Dermatology	0	In state provider	None	801 TRAEGER AVE	STE 304	SAN BRUNO	CA	94066	3048	41	06081	37.62782298	-122.4223337	San Mateo County
261796	Fee-for-Service	1962659573	1962659573	1	1	ULTIMATE MEDICAL PRACTICE A	9/24/2008	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	PROFESSIONAL CORPORATION	3606 E HIGHLAND AVE	STE 108-109	HIGHLAND	CA	92346	2607	36	06071	34.13580499	-117.2080163	San Bernardino County
262018	Fee-for-Service	1497365233	1497365233	1	1	UNITED HEALTHCARE HOSPICE	11/24/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	18747 SHERMAN WAY	SUITE 101	RESEDA	CA	91335	4000	19	06037	34.2011975	-118.5419835	Los Angeles County
262086	Fee-for-Service	1659820223	1659820223	1	1	UZOSIKE, CHISOM J CNP	4/25/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
262092	Fee-for-Service	1962659573	1962659573	1	1	ULTIMATE MEDICAL PRACTICE A	9/24/2008	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	PROFESSIONAL CORPORATION	3606 E HIGHLAND AVE	STE 108-109	HIGHLAND	CA	92346	2607	36	06071	34.13580499	-117.2080163	San Bernardino County
262131	Fee-for-Service	1700908480	1700908480	1	1	UNITED HOSPITALIST INC	6/24/2008	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
262154	Fee-for-Service	1831556059	1831556059	1	1	UNITED RX INC	11/20/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10841 WHITE OAK AVE	STE 101	RANCHO CUCAMONGA	CA	91730	3811	36	06071	34.10467596	-117.5661881	San Bernardino County
262303	Fee-for-Service	1497365233	1497365233	1	1	UNITED HEALTHCARE HOSPICE	11/24/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	18747 SHERMAN WAY	SUITE 101	RESEDA	CA	91335	4000	19	06037	34.2011975	-118.5419835	Los Angeles County
262318	Fee-for-Service	1235120676	1235120676	1	12	UKIAH ADVENTIST HOSPITAL	7/13/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	475 N FORBES ST	None	LAKEPORT	CA	95453	4725	17	06033	39.04516616	-122.9161302	Lake County
262432	Fee-for-Service	1285263517	1285263517	1	1	UHLENBERG, DAVID	9/26/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	188503	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
262530	Fee-for-Service	1770653362	1770653362	1	1	UKIAH ADVENTIST HOSPITAL	4/1/2006	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1050 N STATE ST	None	UKIAH	CA	95482	3414	23	06045	39.1623719	-123.2098216	Mendocino County
262814	Fee-for-Service	1689977738	1689977738	1	1	URCUYO, SERGIO L MD	1/20/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115000	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
262817	Fee-for-Service	1770653362	1770653362	1	1	UKIAH ADVENTIST HOSPITAL	9/8/2011	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1050 N STATE ST	None	UKIAH	CA	95482	3414	23	06045	39.1623719	-123.2098216	Mendocino County
262962	Fee-for-Service	1265481089	1265481089	2	1	UNIVERSITY OF CALIFORNIA, SA	10/23/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	505 PARNASSUS AVE	ROOM M39	SAN FRANCISCO	CA	94143	0312	38	06075	37.7634502	-122.4579779	San Francisco County
262989	Fee-for-Service	1366896771	1366896771	1	1	UPPARAPALLI, DEEPTI MD	8/29/2022	207RA0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	170796	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
262997	Fee-for-Service	1750549994	1750549994	1	1	UPENDER, SUNIL K MD	6/26/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106976	30	Radiology	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
263049	Fee-for-Service	1023054863	1023054863	1	1	UNILAB CORPORATION	5/31/2006	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	9245 ACTIVITY RD	STE 109	SAN DIEGO	CA	92126	4441	37	06073	32.89660712	-117.1293009	San Diego County
263102	Fee-for-Service	1770653362	1770653362	1	1	UKIAH ADVENTIST HOSPITAL	4/1/2006	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1050 N STATE ST	None	UKIAH	CA	95482	3414	23	06045	39.1623719	-123.2098216	Mendocino County
263665	Fee-for-Service	1114130424	1114130424	1	1	UPLAND UNIF SCHOOL DIST	1/3/2025	No Taxonomy Provided	NA	None	112	CYBHI FEE SCHEDULE	-	-	NOT APPLICABLE	0	In state provider	None	390 N EUCLID AVE	None	UPLAND	CA	91786	6031	36	06071	34.09818429	-117.6509833	San Bernardino County
263903	Fee-for-Service	1841413358	1841413358	1	1	UGOLINI, MICHELLE L LCSW	5/19/2017	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	6021	19	06037	34.09817553	-118.293237	Los Angeles County
263952	Fee-for-Service	1114130424	1114130424	1	1	UPLAND UNIF SCHOOL DIST	5/22/1994	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	390 N EUCLID AVE	None	UPLAND	CA	91786	6031	36	06071	34.09818429	-117.6509833	San Bernardino County
264033	Fee-for-Service	1629275516	1629275516	1	1	UFFENHEIMER, JANIS S	12/17/2012	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
264056	Fee-for-Service	1306835038	1306835038	1	1	UNIVERSITY DIAGNOSTIC	7/27/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	INC	27725 SANTA MARGARITA PK	STE 101	MISSION VIEJO	CA	92691	6706	30	06059	33.65386492	-117.6476716	Orange County
264154	Fee-for-Service	1336429570	1336429570	1	1	ULLOA-GREEN, PATRICIA E LMFT	9/26/2022	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	126289	-	NOT APPLICABLE	0	In state provider	None	3148 MIDWAY DRIVE	SUITE 113	SAN DIEGO	CA	92110	5439	37	06073	32.75039352	-117.208269	San Diego County
264163	Fee-for-Service	1154389799	1154389799	1	1	UCLA UROLOGY ASSOCIATES	9/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
264208	Fee-for-Service	1235120676	1235120676	1	5	UKIAH ADVENTIST HOSPITAL	3/22/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	245 HOSPITAL DRIVE	SUITE 100	UKIAH	CA	95482	4531	23	06045	39.1518933	-123.2034825	Mendocino County
264589	Fee-for-Service	1518932631	1518932631	1	1	UNIVERSITY OF CALIFORNIA	12/31/1994	222Z00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	SFGH MEDICAL GROUP	2550 23RD ST	BLDG 9, SUITE 119	SAN FRANCISCO	CA	94110	3504	38	06075	37.75436504	-122.4056861	San Francisco County
264617	Fee-for-Service	1093023277	1093023277	1	2	UNIVERSAL COMMUNITY HEALTH	6/10/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4527 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90022	1116	19	06037	34.04062653	-118.168299	Los Angeles County
264900	Fee-for-Service	1093023277	1093023277	1	2	UNIVERSAL COMMUNITY HEALTH	6/10/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4527 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90022	1116	19	06037	34.04062653	-118.168299	Los Angeles County
265008	Fee-for-Service	1578604690	1578604690	1	1	UDANI, SANJAY K MD	7/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	54697	None	None	0	In state provider	None	2615 CHESTER AVENUE	None	BAKERSFIELD	CA	93301	2014	15	06029	35.38333823	-119.0188872	Kern County
265086	Fee-for-Service	1225386915	1225386915	1	1	UNITED SLEEP CENTERS	8/24/2018	291U00000X	NA	Other	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	11411 BROOKSHIRE AVE	SUITE 505	DOWNEY	CA	90241	5007	19	06037	33.93667091	-118.1309273	Los Angeles County
265181	Fee-for-Service	1235120676	1235120676	1	8	UKIAH ADVENTIST HOSPITAL	7/13/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	271 OBSERVATORY AVE	None	UKIAH	CA	95482	5757	23	06045	39.13733313	-123.2088924	Mendocino County
265187	Fee-for-Service	1831390764	1831390764	1	1	UPSTATE HEARING INSTRUMENTS	10/22/2007	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1640 TEHAMA ST	STE B	REDDING	CA	96001	1617	45	06089	40.58456548	-122.3945917	Shasta County
265291	Fee-for-Service	1164468146	1164468146	1	1	U, HOI SANG MD	1/1/1982	207T00000X	NA	General Surgery	026	PHYSICIANS	27898	14	Neurological Surgery	0	In state provider	None	225 DICKINSON ST	# H209	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
265404	Fee-for-Service	1730273582	1730273582	1	1	UCSD MEDICAL CENTER	12/5/1991	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9610 RIDGEHAVEN CT	SUITE A	SAN DIEGO	CA	92123	5603	37	06073	32.82091938	-117.1223465	San Diego County
265720	Fee-for-Service	1760074355	1760074355	1	1	UNGER, ROBERT W CNP	11/1/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2975 NORTH SYCAMORE DR.	None	SIMI VALLEY	CA	93065	1201	56	06111	34.28924598	-118.7439214	Ventura County
265753	Fee-for-Service	1982738068	1982738068	1	1	USC CLINICAL REFERENCE	3/1/1980	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	LABORATORY	2250 ALCAZAR ST	STE 108	LOS ANGELES	CA	90089	0274	19	06037	34.06313563	-118.1997071	Los Angeles County
265815	Fee-for-Service	1568743169	1568743169	1	1	USBORNE FAMILY MEDICINE INC	8/8/2016	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	94585	None	None	0	In state provider	None	256 W SAN BERNARDINO RD	None	COVINA	CA	91723	1515	19	06037	34.0899117	-117.8938383	Los Angeles County
266078	Fee-for-Service	1033595194	1033595194	1	1	USRC SOUTH BAY LLC	5/2/2018	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	4450 182ND ST	None	REDONDO BEACH	CA	90278	3933	19	06037	33.86552247	-118.3541715	Los Angeles County
266226	Fee-for-Service	1689608150	1689608150	1	3	UNIVERSITY OF CALIFORNIA	9/16/2013	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	850 HEALTH SCIENCES RD	1F AND 2F	IRVINE	CA	92617	0000	30	06059	33.64211144	-117.8512748	Orange County
266402	Fee-for-Service	1225282122	1225282122	1	1	UNIVERSITY PROFESSIONAL SERV	5/3/2023	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	1	Border provider	ICES	691 MURPHY RD	STE 200	MEDFORD	OR	97504	4311	00	None	42.317676	-122.8288145	Jackson County
266649	Fee-for-Service	1831390764	1831390764	1	2	UPSTATE HEARING INSTRUMENTS	10/1/2020	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	676 1ST	STE 12	CHICO	CA	95926	3547	04	06007	39.74162154	-121.8369292	Butte County
266971	Fee-for-Service	1235120676	1235120676	1	11	UKIAH ADVENTIST HOSPITAL	7/13/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	246 HOSPITAL DR	None	UKIAH	CA	95482	4533	23	06045	39.15280729	-123.2037741	Mendocino County
267083	Fee-for-Service	1306052790	1306052790	1	1	UNITED HEALTH CENTERS	9/11/1997	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	PARLIER	650 S ZEDIKER AVE	None	PARLIER	CA	93648	2639	10	06019	36.60500164	-119.5210273	Fresno County
267146	Fee-for-Service	1154516813	1154516813	1	1	ULLMAN, NACHMAN DO	12/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	657 NORTH TOWN CENTER DR	None	LAS VEGAS	NV	89144	6367	00	None	36.180999	-115.3174815	Clark County
267254	Fee-for-Service	1023760857	1023760857	1	1	UNION ONE CARE, LLC	5/25/2022	342000000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2947B WHIPPLE RD	5	UNION CITY	CA	94587	1207	01	06001	37.60584509	-122.0744152	Alameda County
267432	Fee-for-Service	1881670248	1881670248	1	23	UCLA RADIOLOGY MEDICAL GROUP	3/22/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	1260 15TH ST	1502	SANTA MONICA	CA	90404	1135	19	06037	34.02648965	-118.4867439	Los Angeles County
267624	Fee-for-Service	1528535382	1528535382	1	1	UNWIN-BASSETT, ROBIN M LMFT	12/14/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	23945 SUNNYMEAD BLVD.	3	MORENO VALLEY	CA	92553	3025	33	06065	33.93897472	-117.2450469	Riverside County
267686	Fee-for-Service	1639107139	1639107139	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	CARDIOVASCULAR DISEASE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
267746	Fee-for-Service	1427661560	1427661560	1	1	UCHE, SIMON LMFT	2/10/2025	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
267777	Fee-for-Service	1396729521	1396729521	1	1	URSINO, JOHN J MD	2/8/2015	2084P0800X	NA	Psychiatry	026	PHYSICIANS	40739	36	Psychiatry	0	In state provider	None	13193 CENTRAL AVE	STE 200	CHINO	CA	91710	4179	36	06071	34.01406506	-117.6891684	San Bernardino County
267975	Fee-for-Service	1568649226	1568649226	3	2	UPTIMUM MEDICAL GROUP AND IP	9/25/2020	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	4253 REDONDO BEACH	None	LAWNDALE	CA	90260	3341	19	06037	33.87517581	-118.3505148	Los Angeles County
268064	Fee-for-Service	1225134257	1225134257	1	1	UMANSKY, AMY R	5/3/2011	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4201 W CHAPMAN AVE	None	ORANGE	CA	92868	1505	30	06059	33.78900343	-117.8985235	Orange County
268104	Fee-for-Service	1023272879	1023272879	1	1	ULRICHS, JASON G MD	12/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	119552	05	Anesthesiology	0	In state provider	None	3700 CALIFORNIA ST	None	SAN FRANCISCO	CA	94118	1618	38	06075	37.78614008	-122.4556866	San Francisco County
268490	Fee-for-Service	1578613949	1578613949	1	1	UY, EDUARDO S MD	8/1/2009	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	53016	40	Pediatrics	0	In state provider	None	9717 SIERRA AVE	None	FONTANA	CA	92335	6716	36	06071	34.07725718	-117.4356118	San Bernardino County
268691	Fee-for-Service	1104264795	1104264795	1	1	ULI, MAIA M DO MD	8/14/2017	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	15160	09	Gynecology (D.O. only)	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2393	37	06073	32.72663119	-117.1611714	San Diego County
268696	Fee-for-Service	1295001188	1295001188	1	1	URADU, LAWRENCE MD	11/8/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	175344	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
269291	Fee-for-Service	1760430847	1760430847	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INFECTIOUS DISEASE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
269363	Fee-for-Service	1114963642	1114963642	1	1	URDC HUMAN SERVICES CORP	11/9/1995	261QC1500X	NA	Other	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	BILL MOORE COMM HLTH CLN	1460 N LAKE AVE	STE 107	PASADENA	CA	91104	2300	19	06037	34.17104333	-118.1321283	Los Angeles County
269403	Fee-for-Service	1174029755	1174029755	1	1	UDREA, DANIEL S MD	7/1/2021	207P00000X	NA	Other	026	PHYSICIANS	163500	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
269707	Fee-for-Service	1235120676	1235120676	1	3	UKIAH ADVENTIST HOSPITAL	3/30/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	FAMILY PRACTICE	5150 HILL ROAD EAST	STE E	LAKEPORT	CA	95453	5100	17	06033	39.10437349	-122.9088331	Lake County
269729	Fee-for-Service	1609939099	1609939099	1	1	USUNOV, JORDAN M MD APC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	38780	18	Ophthalmology	0	In state provider	None	1540A N TRACY BLVD	None	TRACY	CA	95376	2903	39	06077	37.745667	-121.4349385	San Joaquin County
269793	Fee-for-Service	1881670248	1881670248	1	32	UCLA RADIOLOGY MEDICAL GROUP	4/7/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	100 MOODY CT	200	THOUSAND OAKS	CA	91360	6077	56	06111	34.17732532	-118.8654117	Ventura County
270232	Fee-for-Service	1780938480	1780938480	1	1	UKIAH VALLEY ANESTHESIA	5/15/2013	207L00000X	NA	Other	026	PHYSICIANS	54671	05	Anesthesiology	0	In state provider	SERVICES	275 HOSPITAL DRIVE	None	UKIAH	CA	95482	4531	23	06045	39.15305697	-123.2037774	Mendocino County
270489	Fee-for-Service	1760113195	1760113195	1	1	UGWU, CHIKA Q NP	9/2/2022	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
270601	Fee-for-Service	1427606383	1427606383	1	1	UNITED SURGERY CENTER	9/15/2020	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	ENCINITAS LLC	477 N EL CAMINO REAL	STE A210	ENCINITAS	CA	92024	1351	37	06073	33.05700866	-117.262449	San Diego County
271172	Fee-for-Service	1154431484	1154431484	1	1	UY, CARMELITA L MD	3/13/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	50548	40	Pediatrics	0	In state provider	LABODA PEDIATRIC CTR INC	1040 TIERRA DEL REY	STE 107	CHULA VISTA	CA	91910	7865	37	06073	32.63789897	-117.0176377	San Diego County
271206	Fee-for-Service	1215203484	1215203484	1	1	UTULO, JONATHAN F T MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	134315	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
271501	Fee-for-Service	1710951801	1710951801	1	1	UHHS/CSAHS CUYSHOGA INC	11/2/2005	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2351 E 22ND ST	None	CLEVELAND	OH	44115	3111	00	None	41.49646453	-81.67402376	Cuyahoga County
271606	Fee-for-Service	1760671077	1760671077	1	2	UNIVERSAL MEDICAL CLINIC, IN	11/6/2007	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RESEDA	18040 SHERMAN WAY	#310	RESEDA	CA	91335	4048	19	06037	34.20103048	-118.526787	Los Angeles County
271777	Fee-for-Service	1710951801	1710951801	1	1	UHHS/CSAHS CUYSHOGA INC	11/2/2005	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2351 E 22ND ST	None	CLEVELAND	OH	44115	3111	00	None	41.49646453	-81.67402376	Cuyahoga County
271818	Fee-for-Service	1225663826	1225663826	1	9	UPPERLINE HEALTHCARE CALIFOR	5/6/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	728 N. EUCLID AVE	None	ONTARIO	CA	91762	2712	36	06071	34.071399	-117.65061	San Bernardino County
272226	Fee-for-Service	1235120676	1235120676	1	7	UKIAH ADVENTIST HOSPITAL	7/13/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	248 HOSPITAL DR	SUITE B	UKIAH	CA	95482	4555	23	06045	39.15280713	-123.2037723	Mendocino County
272368	Fee-for-Service	1013060615	1013060615	1	1	UDONSI, CHINYERE J OD	6/9/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
272638	Fee-for-Service	1356332373	1356332373	1	1	UMLAUF, JON T MD	12/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	89012	42	Nuclear Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
272697	Fee-for-Service	1861907107	1861907107	1	1	UNITED SURGERY CENTER ORANGE	9/30/2020	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	, LLC	1140 W LA VETA AVE	SUITE 550	ORANGE	CA	92868	4214	30	06059	33.7802984	-117.8651669	Orange County
272778	Fee-for-Service	1225663826	1225663826	1	13	UPPERLINE HEALTHCARE CALIFOR	3/28/2023	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	604 S. HARBOR BLVD	None	SANTA ANA	CA	92704	1340	30	06059	33.739506	-117.9201385	Orange County
272967	Fee-for-Service	1942258033	1942258033	1	1	UC REGENTS UCI DEPT OF MEDIC	1/1/1979	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	NEPHROLOGY	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
273009	Fee-for-Service	1689608150	1689608150	1	6	UNIVERSITY OF CALIFORNIA	7/29/2013	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	200 S MANCHESTER AVE	SUITE 100	ORANGE	CA	92868	3224	30	06059	33.788457	-117.8932475	Orange County
273013	Fee-for-Service	1740521343	1740521343	1	1	UMAYAM, REBECCA S NP	11/22/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1526 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
273049	Fee-for-Service	1407821523	1407821523	1	1	UNIVERSITY OF CALIFORNIA	1/1/1979	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1001 POTRERO AVE	RM 6D14	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
273287	Fee-for-Service	1225663826	1225663826	1	6	UPPERLINE HEALTHCARE CALIFOR	5/6/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	15315 FAIRFIELD RANCH RO	SUITE 220	CHINO HILLS	CA	91709	8836	36	06071	33.97340322	-117.6922495	San Bernardino County
273317	Fee-for-Service	1407821523	1407821523	1	1	UNIVERSITY OF CALIFORNIA	1/31/2018	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1001 POTRERO AVE	RM 6D14	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
273480	Fee-for-Service	1891741609	1891741609	1	1	ULLRICH, ANN MD	1/31/1997	207PE0004X	NA	Other	026	PHYSICIANS	62458	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
273634	Fee-for-Service	1871594127	1871594127	1	1	UNIONTOWN HOSPITAL	5/8/2009	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	500 W BERKELEY ST	None	UNIONTOWN	PA	15401	5596	00	None	39.9022144	-79.73784796	Fayette County
273973	Fee-for-Service	1013084920	1013084920	1	1	UKU, KENOYE R MD	9/19/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	64153	41	Internal Medicine	0	In state provider	None	7140 INDIANA AVE	None	RIVERSIDE	CA	92504	4544	33	06065	33.93890182	-117.3977958	Riverside County
274019	Fee-for-Service	1164487518	1164487518	1	1	UCLA PLASTIC SURG ASSOC	7/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	200 MEDICAL PLAZA	STE 465	LOS ANGELES	CA	90095	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
274050	Fee-for-Service	1922107564	1922107564	1	1	UNDERHILL, BOBBI S DO	10/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	7564	40	Pediatrics	0	In state provider	None	3946 NORWOOD AVE	None	SACRAMENTO	CA	95838	3300	34	06067	38.639952	-121.456359	Sacramento County
274209	Fee-for-Service	1548417652	1548417652	1	1	UPASANI, VIDYADHAR V MD	9/30/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	97603	20	Orthopedic Surgery	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
274237	Fee-for-Service	1013084920	1013084920	1	1	UKU, KENOYE R MD	9/19/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	64153	01	General Practice	0	In state provider	None	7140 INDIANA AVE	None	RIVERSIDE	CA	92504	4544	33	06065	33.93890182	-117.3977958	Riverside County
274312	Fee-for-Service	1679509962	1679509962	1	1	UCSD OTOLARYNGOLOGY	6/25/2021	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
274319	Fee-for-Service	1225663826	1225663826	1	5	UPPERLINE HEALTHCARE CALIFOR	5/5/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	345 F	SUITE 100	CHULA VISTA	CA	91910	2626	37	06073	32.64088085	-117.081699	San Diego County
274563	Fee-for-Service	1265087316	1265087316	1	1	UNITED HEALTH CENTERS OF THE	6/18/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1780 E BULLARD AVE	None	FRESNO	CA	93710	5861	10	06019	36.82321635	-119.7546156	Fresno County
274575	Fee-for-Service	1679509962	1679509962	1	1	UCSD OTOLARYNGOLOGY	1/1/1992	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	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
274829	Fee-for-Service	1265087316	1265087316	1	1	UNITED HEALTH CENTERS OF THE	10/25/2021	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1780 E BULLARD AVE	None	FRESNO	CA	93710	5861	10	06019	36.82321635	-119.7546156	Fresno County
274840	Fee-for-Service	1679509962	1679509962	1	1	UCSD OTOLARYNGOLOGY	9/7/2021	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
274925	Fee-for-Service	1902929409	1902929409	1	1	UJIMA FAMILY RECOVERY SERVIC	7/8/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	ES	1916 CHURCH LN	None	SAN PABLO	CA	94806	3708	07	06013	37.95741415	-122.3414778	Contra Costa County
274960	Fee-for-Service	1306424429	1306424429	1	1	UZAIR, SYED M MD	9/25/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	615 WEST AVE L	None	LANCASTER	CA	93545	7211	19	06037	34.6603515	-118.1419695	Los Angeles County
275036	Fee-for-Service	1477979722	1477979722	1	3	UNITED HEALTH CENTERS OF THE	7/11/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1251 DRAPER ST	None	KINGSBURG	CA	93631	1934	10	06019	36.51344551	-119.5547644	Fresno County
275090	Fee-for-Service	1265087316	1265087316	1	1	UNITED HEALTH CENTERS OF THE	10/26/2021	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1780 E BULLARD AVE	None	FRESNO	CA	93710	5861	10	06019	36.82321635	-119.7546156	Fresno County
275240	Fee-for-Service	1255398533	1255398533	1	1	UCI DEPARTMENT OF UROLOGY	9/12/2017	No Taxonomy Provided	NA	None	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
275296	Fee-for-Service	1477979722	1477979722	1	3	UNITED HEALTH CENTERS OF THE	4/18/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1251 DRAPER ST	None	KINGSBURG	CA	93631	1934	10	06019	36.51344551	-119.5547644	Fresno County
275345	Fee-for-Service	1265087316	1265087316	1	1	UNITED HEALTH CENTERS OF THE	6/18/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	AFFILIATED	1780 E BULLARD AVE	None	FRESNO	CA	93710	5861	10	06019	36.82321635	-119.7546156	Fresno County
275435	Fee-for-Service	1780888701	1780888701	1	1	UGOCHUKWU, OBINNA N MD	4/25/2024	208600000X	NA	General Surgery	026	PHYSICIANS	180230	02	General Surgery	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
275493	Fee-for-Service	1255398533	1255398533	1	1	UCI DEPARTMENT OF UROLOGY	2/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	CALIFORNIA	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
275507	Fee-for-Service	1093023277	1093023277	1	3	UNIVERSAL COMMUNITY HEALTH	10/17/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1919 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	90011	1121	19	06037	34.02704017	-118.2578387	Los Angeles County
275512	Fee-for-Service	1215091293	1215091293	1	1	ULRICH, RAMSEY MD	10/1/1995	207R00000X	NA	Other	026	PHYSICIANS	55417	41	Internal Medicine	0	In state provider	None	3291 LOMA VISTA ROAD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
275553	Fee-for-Service	1477979722	1477979722	1	3	UNITED HEALTH CENTERS OF THE	1/3/2024	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1251 DRAPER ST	None	KINGSBURG	CA	93631	1934	10	06019	36.51344551	-119.5547644	Fresno County
275602	Fee-for-Service	1457747560	1457747560	1	1	URDANETA, FELIPE MD	3/23/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	148799	30	Radiology	0	In state provider	None	1250 16TH ST	None	SANTA MONICA	CA	90404	1249	19	06037	34.02749142	-118.486063	Los Angeles County
275678	Fee-for-Service	1063584639	1063584639	1	1	URIBE, LINDA LMFT	3/25/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	436 1ST ST	STE 101B	SOLVANG	CA	93463	3710	42	06083	34.59434181	-120.1400951	Santa Barbara County
275693	Fee-for-Service	1780888701	1780888701	1	1	UGOCHUKWU, OBINNA N MD	4/25/2024	208600000X	NA	General Surgery	026	PHYSICIANS	180230	89	Surgery-Traumatic	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
275746	Fee-for-Service	1710029798	1710029798	1	1	UPADHYAY, DAYA MD	11/20/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	81185	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
275767	Fee-for-Service	1093023277	1093023277	1	3	UNIVERSAL COMMUNITY HEALTH	10/17/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1919 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	90011	1121	19	06037	34.02704017	-118.2578387	Los Angeles County
275810	Fee-for-Service	1477979722	1477979722	1	3	UNITED HEALTH CENTERS OF THE	7/11/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1251 DRAPER ST	None	KINGSBURG	CA	93631	1934	10	06019	36.51344551	-119.5547644	Fresno County
275816	Fee-for-Service	1700291226	1700291226	1	1	UNITED HOSPICE SERVICES, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	225 E BROADWAY	SUITE B104	GLENDALE	CA	91205	1008	19	06037	34.14633765	-118.2529554	Los Angeles County
276068	Fee-for-Service	1700291226	1700291226	1	1	UNITED HOSPICE SERVICES, INC	11/10/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	225 E BROADWAY	SUITE B104	GLENDALE	CA	91205	1008	19	06037	34.14633765	-118.2529554	Los Angeles County
276097	Fee-for-Service	1689608150	1689608150	1	2	UNIVERSITY OF CALIFORNIA	12/1/1977	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	MEDICAL CENTER	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
276204	Fee-for-Service	1821168485	1821168485	1	1	UCSF	6/1/1999	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	UCSF NEPROLOGY MED GROUP	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
276270	Fee-for-Service	1609407725	1609407725	1	1	ULTIMATE DX CORP	3/1/2020	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	870 VINE	None	LOS ANGELES	CA	90038	3724	19	06037	34.086852	-118.3265915	Los Angeles County
276488	Fee-for-Service	1518030386	1518030386	1	1	UCSF	6/1/1999	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	UCSF NEUROLOGICAL GROUP	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
276550	Fee-for-Service	1467634238	1467634238	1	1	UNIVERSAL MEDICAL CENTER	7/20/2009	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INC	1472 B ST	STE A	LIVINGSTON	CA	95334	1413	24	06047	37.38594523	-120.7221173	Merced County
276670	Fee-for-Service	1235120676	1235120676	1	10	UKIAH ADVENTIST HOSPITAL	7/13/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	REDWOOD HEALTH CLUB	3101 S STATE ST	None	UKIAH	CA	95482	6938	23	06045	39.10994216	-123.1967672	Mendocino County
276797	Fee-for-Service	1467634238	1467634238	1	1	UNIVERSAL MEDICAL CENTER	7/20/2009	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INC	1472 B ST	STE A	LIVINGSTON	CA	95334	1413	24	06047	37.38594523	-120.7221173	Merced County
277035	Fee-for-Service	1689010324	1689010324	1	1	URIBE-BRUCE, LILIANA MD	8/26/2019	207RE0101X	NA	Endocrinology	026	PHYSICIANS	55724	67	Endocrinology	0	In state provider	None	625 W CITRACADO PKWY	108	ESCONDIDO	CA	92025	6428	37	06073	33.09166731	-117.0784699	San Diego County
277381	Fee-for-Service	1689608150	1689608150	1	9	UNIVERSITY OF CALIFORNIA	12/12/2017	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1002 HEALTH SCIENCES RD	None	IRVINE	CA	92617	0001	30	06059	33.64270598	-117.8512062	Orange County
277890	Fee-for-Service	1376925552	1376925552	1	1	UTTAMCHANDANI, RESHAM MD	2/4/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	152962	08	Family Practice	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
278278	Fee-for-Service	1225663826	1225663826	1	12	UPPERLINE HEALTHCARE CALIFOR	3/31/2023	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	308 W. 6TH ST.	SUITE 205	CORONA	CA	92882	3349	33	06065	33.874497	-117.569682	Riverside County
278656	Fee-for-Service	1235120676	1235120676	1	9	UKIAH ADVENTIST HOSPITAL	7/13/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1165 S DORA ST	SUITE D1	UKIAH	CA	95482	6353	23	06045	39.13602308	-123.2095502	Mendocino County
278756	Fee-for-Service	1588476501	1588476501	1	1	UPCHURCH, BRITTANY F	4/23/2025	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	38	06075	0	0	None
278901	Fee-for-Service	1942466156	1942466156	1	1	UMAR, SHAHEEN MD	11/16/2023	2085N0700X	NA	MRI Provider	026	PHYSICIANS	173163	None	None	0	In state provider	None	2121 SANTA MONICA BLVD	None	SANTA MONICA	CA	90404	2302	19	06037	34.02980528	-118.4786605	Los Angeles County
278958	Fee-for-Service	1114108487	1114108487	1	1	UNITED CARE HOMES INC	5/14/2007	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	18284 BARROSO ST	None	ROWLAND HEIGHTS	CA	91748	4403	19	06037	33.97481716	-117.9073246	Los Angeles County
278966	Fee-for-Service	1427342930	1427342930	1	1	US DEPT OF THE INTERIOR	9/13/2012	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	NATIONAL PARK SERVICE	9000 AHWAHNEE DR	None	YOSEMITE NAT PARK	CA	95389	0550	22	06043	37.74817546	-119.5792137	Mariposa County
279174	Fee-for-Service	1881670248	1881670248	1	13	UCLA RADIOLOGY MEDICAL GROUP	3/10/2023	111NR0200X	NA	Other	031	PSYCHOLOGISTS	-	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
279245	Fee-for-Service	1235120676	1235120676	1	6	UKIAH ADVENTIST HOSPITAL	7/13/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	232 HOSPITAL DR	SUITE B	UKIAH	CA	95482	4562	23	06045	39.15171863	-123.2035462	Mendocino County
279392	Fee-for-Service	1689608150	1689608150	1	7	UNIVERSITY OF CALIFORNIA	7/29/2013	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	200 S MANCHESTER AVE	SUITE 120	ORANGE	CA	92868	3224	30	06059	33.788457	-117.8932475	Orange County
279405	Fee-for-Service	1881670248	1881670248	1	13	UCLA RADIOLOGY MEDICAL GROUP	12/21/2020	111NR0200X	NA	Other	022	PHYSICIANS GROUP	-	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
279430	Fee-for-Service	1225663826	1225663826	1	4	UPPERLINE HEALTHCARE CALIFOR	5/5/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	1038 E. CHAPMAN AVE	None	ORANGE	CA	92866	2111	30	06059	33.78782652	-117.84249	Orange County
279483	Fee-for-Service	1689608150	1689608150	1	11	UNIVERSITY OF CALIFORNIA	3/17/2021	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	3800 CHAPMAN AVE	SUITE 500	ORANGE	CA	92868	1638	30	06059	33.78885849	-117.8950802	Orange County
279606	Fee-for-Service	1548771736	1548771736	1	1	USA BIOSCIENCES LLC	3/6/2021	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	20695 S WESTERN AVE	STE 112	TORRANCE	CA	90501	1834	19	06037	33.843258	-118.309386	Los Angeles County
279636	Fee-for-Service	1225663826	1225663826	1	2	UPPERLINE HEALTHCARE CALIFOR	5/5/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	5565 GROSSMONT CENTER DR	SUITE 510	LA MESA	CA	91942	3024	37	06073	32.77978322	-117.0094766	San Diego County
279646	Fee-for-Service	1689608150	1689608150	1	12	UNIVERSITY OF CALIFORNIA	6/22/2023	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	200 S MANCHESTER AVE	6TH FLOOR SUITE 650	ORANGE	CA	92868	3224	30	06059	33.788457	-117.8932475	Orange County
279883	Fee-for-Service	1518594084	1518594084	1	1	USONGO, MILDRED NP	8/29/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9377 HAVEN AVE	STE 100	RANCHO CUCAMONGA	CA	91730	5340	36	06071	34.083504	-117.575611	San Bernardino County
280132	Fee-for-Service	1235120676	1235120676	1	4	UKIAH ADVENTIST HOSPITAL	1/26/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	415 HOSPTIAL DRIVE	None	UKIAH	CA	95482	4545	23	06045	39.15408161	-123.2020675	Mendocino County
280375	Fee-for-Service	1609215995	1609215995	1	1	URIBE, MARCOS E MD	7/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	138721	08	Family Practice	0	In state provider	None	25455 BARTON RD	STE 108A	LOMA LINDA	CA	92354	3139	36	06071	34.04805253	-117.249534	San Bernardino County
280718	Fee-for-Service	1508588476	1508588476	1	1	UNION OF PAN ASIAN COMMUNITI	10/10/2022	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	201 A ST	None	SAN DIEGO	CA	92101	4003	37	06073	32.7187985	-117.1626435	San Diego County
281345	Fee-for-Service	1346387586	1346387586	1	1	UDOFA, DANIEL E MD	9/27/1996	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	55221	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
281362	Fee-for-Service	1336524412	1336524412	1	1	UGOCHUKWU, IFEOMA L	9/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132154	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
281441	Fee-for-Service	1306547138	1306547138	1	1	UNIVERSITY MUSLIM MEDICAL	7/1/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	8114 S VERMONT AVENUE	None	LOS ANGELES	CA	90044	3536	19	06037	33.9649683	-118.2914584	Los Angeles County
281453	Fee-for-Service	1619590734	1619590734	1	1	UNLIMITED CARING GROUP INC	3/25/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2540 PAUL AVE	None	CLOVIS	CA	93611	5329	10	06019	36.83166626	-119.6653076	Fresno County
281500	Fee-for-Service	1114547700	1114547700	1	1	UMEH, NKEIRUKA MD	11/23/2024	207L00000X	NA	Other	026	PHYSICIANS	189788	05	Anesthesiology	0	In state provider	None	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
281561	Fee-for-Service	1497259337	1497259337	1	1	USERA, BRITTNI MD	3/4/2025	2085R0001X	NA	Other	026	PHYSICIANS	163533	30	Radiology	0	In state provider	None	300 SIERRA COLLEGE DR,	SUITE 150	GRASS VALLEY	CA	95945	5083	29	06057	39.23625806	-121.054471	Nevada County
281651	Fee-for-Service	1306547138	1306547138	1	1	UNIVERSITY MUSLIM MEDICAL	7/1/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	8114 S VERMONT AVENUE	None	LOS ANGELES	CA	90044	3536	19	06037	33.9649683	-118.2914584	Los Angeles County
281869	Fee-for-Service	1982022182	1982022182	1	1	USMANI, AMENA MD	1/23/2023	207ZP0102X	NA	Other	026	PHYSICIANS	123413	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
282164	Fee-for-Service	1235120676	1235120676	1	1	UKIAH ADVENTIST HOSPITAL	12/1/1977	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	275 HOSPITAL DR	None	UKIAH	CA	95482	4531	23	06045	39.15305697	-123.2037774	Mendocino County
282370	Fee-for-Service	1235120676	1235120676	1	1	UKIAH ADVENTIST HOSPITAL	12/1/1977	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	275 HOSPITAL DR	None	UKIAH	CA	95482	4531	23	06045	39.15305697	-123.2037774	Mendocino County
282387	Fee-for-Service	1689608150	1689608150	1	4	UNIVERSITY OF CALIFORNIA	7/29/2013	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	200 S MANCHESTER AVE	6TH FLOOR SUITE 650	ORANGE	CA	92868	3224	30	06059	33.788457	-117.8932475	Orange County
283018	Fee-for-Service	1710305172	1710305172	1	1	UNG, CINDY MD	3/11/2020	207WX0107X	NA	Ophthalmology	026	PHYSICIANS	165791	18	Ophthalmology	0	In state provider	None	4300 LONG BEACH BLVD	STE 300	LONG BEACH	CA	90807	2008	19	06037	33.83662572	-118.1900605	Los Angeles County
283300	Fee-for-Service	1215928437	1215928437	1	1	UYENO, ALAN T MD	7/31/1989	207P00000X	NA	Other	026	PHYSICIANS	56383	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
283327	Fee-for-Service	1063913705	1063913705	1	1	USRC SKYPARK LLC	4/1/2018	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3295 SKYPARK DR	None	TORRANCE	CA	90505	5004	19	06037	33.8097005	-118.3456025	Los Angeles County
283414	Fee-for-Service	1568649226	1568649226	3	1	UPTIMUM MEDICAL GROUP AND IP	4/30/2020	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2220 W MANCHESTER BLVD	None	INGLEWOOD	CA	90305	2514	19	06037	33.9598587	-118.318258	Los Angeles County
283481	Fee-for-Service	1568807014	1568807014	1	1	UPADHYA, DEVESH A	8/31/2020	207R00000X	NA	Other	026	PHYSICIANS	169790	41	Internal Medicine	0	In state provider	None	27235 TOURNEY	2500	VALENCIA	CA	91355	5908	19	06037	34.41755702	-118.5772646	Los Angeles County
283668	Fee-for-Service	1568807014	1568807014	1	1	UPADHYA, DEVESH A	8/31/2020	207R00000X	NA	Other	026	PHYSICIANS	169790	40	Pediatrics	0	In state provider	None	27235 TOURNEY	2500	VALENCIA	CA	91355	5908	19	06037	34.41755702	-118.5772646	Los Angeles County
283726	Fee-for-Service	1124658281	1124658281	1	1	UNSURPASSED HOSPICE INC	3/28/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14545 FRIAR ST	STE 202X	VAN NUYS	CA	91411	2397	19	06037	34.18570347	-118.450386	Los Angeles County
283908	Fee-for-Service	1124658281	1124658281	1	1	UNSURPASSED HOSPICE INC	3/28/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14545 FRIAR ST	STE 202X	VAN NUYS	CA	91411	2397	19	06037	34.18570347	-118.450386	Los Angeles County
283970	Fee-for-Service	1710918545	1710918545	1	4	U C DAVIS MEDICAL CENTER	9/8/2016	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2521 STOCKTON BLVD	SUITE 2200	SACRAMENTO	CA	95817	2201	34	06067	38.55204	-121.455387	Sacramento County
283996	Fee-for-Service	1780727636	1780727636	1	1	UNION SURGERY CENTER INC	4/12/2011	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	9802 STOCKDALE HWY ST	STE 101	BAKERSFIELD	CA	93311	3653	15	06029	35.3544067	-119.1113372	Kern County
284457	Fee-for-Service	1235418856	1235418856	1	1	ULTRASONIC RADIOLOGY	10/15/2012	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	1842 LINCOLN AVE	STE A	ANAHEIM	CA	92801	5489	30	06059	33.8324205	-117.947943	Orange County
284499	Fee-for-Service	1679718092	1679718092	1	1	UHRIG, JOHN W	3/1/2021	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
284505	Fee-for-Service	1467658849	1467658849	1	1	USC IMMUNOHISTOCHEM LAB	11/24/2004	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	UNIVERSITY OF SO CAL	2011 ZONAL AVE	None	LOS ANGELES	CA	90089	0181	19	06037	34.05979479	-118.2053794	Los Angeles County
284828	Fee-for-Service	1699921577	1699921577	1	1	UYKIMPANG, ROLANDO MD INC	6/26/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	91957	08	Family Practice	0	In state provider	None	10399 LEMON AVE	SUITE 102B	RANCHO CUCAMONGA	CA	91737	3771	36	06071	34.13965949	-117.577908	San Bernardino County
285086	Fee-for-Service	1124292628	1124292628	1	1	UNIVERSAL VISION MEDICAL	1/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	69006	18	Ophthalmology	0	In state provider	CENTER INC	1503 SOUTH COAST DR	SUITE 120	COSTA MESA	CA	92926	1526	30	06059	33.69159551	-117.9203625	Orange County
285160	Fee-for-Service	1396824520	1396824520	1	1	UCSF	6/1/1999	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	UCSF NEUROLOGY	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
285593	Fee-for-Service	1225663826	1225663826	1	7	UPPERLINE HEALTHCARE CALIFOR	5/5/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	9017 RESEDA	SUITE 100	NORTHRIDGE	CA	91324	3922	19	06037	34.234155	-118.5360975	Los Angeles County
285934	Fee-for-Service	1942388079	1942388079	1	1	UNGER, RICHARD MD	3/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	66059	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
286093	Fee-for-Service	1942388079	1942388079	1	1	UNGER, RICHARD MD	3/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	66059	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
286662	Fee-for-Service	1689608150	1689608150	1	10	UNIVERSITY OF CALIFORNIA	11/1/2019	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	BOARD OF REGENTS	18629-31 YORBA LINDA BLV	None	YORBA LINDA	CA	92886	4136	30	06059	33.88858827	-117.8086733	Orange County
286978	Fee-for-Service	1588095848	1588095848	1	1	UKIAH ADVENTIST HOSPITAL	2/1/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	850 SEQUOIA CIRCLE	None	FORT BRAGG	CA	95437	5490	23	06045	39.4304969	-123.8020209	Mendocino County
287118	Fee-for-Service	1588095848	1588095848	1	1	UKIAH ADVENTIST HOSPITAL	2/1/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	850 SEQUOIA CIRCLE	None	FORT BRAGG	CA	95437	5490	23	06045	39.4304969	-123.8020209	Mendocino County
287269	Fee-for-Service	1124543129	1124543129	1	1	UNIVERSAL MULTI SPECIALTY ME	8/10/2019	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	DICAL GROUP INC	1650 S EUCLID AVE	None	ONTARIO	CA	91762	5824	36	06071	34.043571	-117.6514065	San Bernardino County
287402	Fee-for-Service	1124543129	1124543129	1	1	UNIVERSAL MULTI SPECIALTY ME	8/21/2019	207R00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	DICAL GROUP INC	1650 S EUCLID AVE	None	ONTARIO	CA	91762	5824	36	06071	34.043571	-117.6514065	San Bernardino County
287495	Fee-for-Service	1457450116	1457450116	1	1	UCSF MEDICAL CENTER	7/1/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	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
287746	Fee-for-Service	1124631627	1124631627	1	1	UNION, LAUREN M PT	11/16/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	900 MAIN ST	None	CAMBRIA	CA	93428	2820	40	06079	35.56580276	-121.0979727	San Luis Obispo County
287755	Fee-for-Service	1952322935	1952322935	1	1	UCSD MEDICAL CENTER	7/5/2005	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3855 HEALTH SCIENCES DR	STE 845	LA JOLLA	CA	92093	1503	37	06073	32.87861499	-117.2222042	San Diego County
288044	Fee-for-Service	1689608150	1689608150	1	1	UNIVERSITY OF CALIFORNIA	7/1/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	BOARD OF REGENTS	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
288160	Fee-for-Service	1689608150	1689608150	1	1	UNIVERSITY OF CALIFORNIA	7/1/2005	273Y00000X	NA	Other	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	BOARD OF REGENTS	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
288189	Fee-for-Service	1225663826	1225663826	1	3	UPPERLINE HEALTHCARE CALIFOR	5/5/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	2131 SAN JOAQUIN HILLS	None	NEWPORT BEACH	CA	92660	6507	30	06059	33.61632004	-117.8687553	Orange County
288282	Fee-for-Service	1689608150	1689608150	1	1	UNIVERSITY OF CALIFORNIA	8/24/2021	No Taxonomy Provided	NA	None	102	DIABETES PREVENTION PROGRAM SUPPLIER	-	-	NOT APPLICABLE	0	In state provider	BOARD OF REGENTS	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
288405	Fee-for-Service	1225663826	1225663826	1	10	UPPERLINE HEALTHCARE CALIFOR	5/5/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	241 W OLIVE	None	BURBANK	CA	91502	1825	19	06037	34.17425363	-118.3157858	Los Angeles County
288702	Fee-for-Service	1326180902	1326180902	1	1	UNIVERSITY OF CALIFORNIA	2/9/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	SAN FRANCISCO VALENCIA	1647 VALENCIA ST	None	SAN FRANCISCO	CA	94110	5012	38	06075	37.74684497	-122.420149	San Francisco County
288832	Fee-for-Service	1922089994	1922089994	3	1	US MEDICAL & MOBILITY, INC	11/21/2014	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1227 S GENE AUTRY TRAIL	STE A	PALM SPRINGS	CA	92264	3531	33	06065	33.806628	-116.4929275	Riverside County
288940	Fee-for-Service	1033138144	1033138144	1	1	UNILAB CORPORATION	6/24/2008	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	612 W DUARTE RD	STE 103	ARCADIA	CA	91007	9224	19	06037	34.12647805	-118.051994	Los Angeles County
288959	Fee-for-Service	1710918545	1710918545	1	2	U C DAVIS MEDICAL CENTER	9/20/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	4501 X STREET	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
288975	Fee-for-Service	1952538936	1952538936	1	1	UNITED CARE HOMES	8/31/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	14944 LINDHALL WAY	None	WHITTIER	CA	90604	1553	19	06037	33.93669181	-118.0122496	Los Angeles County
289213	Fee-for-Service	1225663826	1225663826	1	15	UPPERLINE HEALTHCARE CALIFOR	2/7/2024	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	3600 CENTRAL AVE	SUITE 4	RIVERSIDE	CA	92506	5912	33	06065	33.95352653	-117.3917745	Riverside County
289274	Fee-for-Service	1376519967	1376519967	1	1	UPPERMAN, JEFFREY S MD	5/15/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	87706	40	Pediatrics	0	In state provider	None	4650 SUNSET BLVD	MS #100	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
289298	Fee-for-Service	1902494230	1902494230	1	1	US HOSPICE CO	8/19/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	30495 CANWOOD ST	STE 204	AGOURA HILLS	CA	91301	4331	19	06037	34.14698794	-118.7853623	Los Angeles County
289349	Fee-for-Service	1225663826	1225663826	1	14	UPPERLINE HEALTHCARE CALIFOR	8/1/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	3771 KATELLA AVE	SUITE 108	LOS ALAMITOS	CA	90720	3108	30	06059	33.80319153	-118.067274	Orange County
289368	Fee-for-Service	1376519967	1376519967	1	1	UPPERMAN, JEFFREY S MD	5/15/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	87706	02	General Surgery	0	In state provider	None	4650 SUNSET BLVD	MS #100	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
289395	Fee-for-Service	1902494230	1902494230	1	1	US HOSPICE CO	8/19/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	30495 CANWOOD ST	STE 204	AGOURA HILLS	CA	91301	4331	19	06037	34.14698794	-118.7853623	Los Angeles County
289471	Fee-for-Service	1982603098	1982603098	1	1	UJAYLI, ALAA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	561 W CENTRAL AVE	None	DELAWARE	OH	43015	1410	00	None	40.30622355	-83.08941312	Delaware County
289504	Fee-for-Service	1710918545	1710918545	1	5	U C DAVIS MEDICAL CENTER	7/27/2023	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	4860 Y STREET	SUITE 2500 AND 2600	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
289712	Fee-for-Service	1922665991	1922665991	1	1	UMBRELLA HOSPICE INC	3/20/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4221 WILSHIRE BLVD	STE 170-14	LOS ANGELES	CA	90010	3519	19	06037	34.06177566	-118.320844	Los Angeles County
289785	Fee-for-Service	1922665991	1922665991	1	1	UMBRELLA HOSPICE INC	3/20/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	4221 WILSHIRE BLVD	STE 170-14	LOS ANGELES	CA	90010	3519	19	06037	34.06177566	-118.320844	Los Angeles County
289850	Fee-for-Service	1689608150	1689608150	1	5	UNIVERSITY OF CALIFORNIA	7/29/2013	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	200 S MANCHESTER AVE	6TH FLOOR SUITE 651	ORANGE	CA	92868	3224	30	06059	33.788457	-117.8932475	Orange County
290317	Fee-for-Service	1225663826	1225663826	1	8	UPPERLINE HEALTHCARE CALIFOR	5/6/2022	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	FOOT & ANKLE	16465 SIERRA LAKES	SUITE 240	FONTANA	CA	92336	1242	36	06071	34.13805177	-117.4457839	San Bernardino County
290528	Fee-for-Service	1881670248	1881670248	1	33	UCLA RADIOLOGY MEDICAL GROUP	4/7/2021	2085B0100X	NA	MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	4560 ADMIRALTY WAY	100	MARINA DEL REY	CA	90292	5423	19	06037	33.98364904	-118.4449069	Los Angeles County
291038	Fee-for-Service	1700869245	1700869245	2	1	UNGORAS INC	1/10/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	REHAB MOBILITY SERVICE	1319 CENTRAL AVE	SUITE A	SANTA ROSA	CA	95401	4700	49	06097	38.449269	-122.728068	Sonoma County
291043	Fee-for-Service	1700227162	1700227162	1	1	UZUNYAN, ARMAN MD	9/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139614	41	Internal Medicine	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	15	06029	35.38333823	-119.0188872	Kern County
291229	Fee-for-Service	1457412736	1457412736	1	1	UDEZUE, ADAEZE MD	10/17/2024	207R00000X	NA	Other	026	PHYSICIANS	183539	41	Internal Medicine	0	In state provider	None	101 ROWLAND WAY	220	NOVATO	CA	94945	5008	21	06041	38.09755172	-122.5591766	Marin County
291251	Fee-for-Service	1689608150	1689608150	1	8	UNIVERSITY OF CALIFORNIA	11/10/2016	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1 MEDICAL PLAZA DRIVE	None	IRVINE	CA	92697	3310	30	06059	33.64705191	-117.8514749	Orange County
291397	Fee-for-Service	1710918545	1710918545	1	1	U C DAVIS MEDICAL CENTER	7/1/2005	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
291404	Fee-for-Service	1710918545	1710918545	1	1	U C DAVIS MEDICAL CENTER	7/1/2005	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
291724	Non-Physician Medical Practitioner	None	1336249218	0	0	UYEMURA, KAREN	5/8/2002	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
291725	Non-Physician Medical Practitioner	None	1942729389	0	0	UY, EDYSSA A NP	3/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	00	06000	34.129683	-117.970857	Los Angeles County
291986	Non-Physician Medical Practitioner	None	1265782932	0	0	ULEIA, SIMONA A NP	9/23/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	888 CAMPUS COMMONS RD	None	SACRAMENTO	CA	95825	6632	00	06000	38.569077	-121.416012	Sacramento County
292018	Non-Physician Medical Practitioner	None	1134473705	0	0	URONE, JULIE Y PA-C	11/13/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1499 W 1ST STREET	None	SAN PEDRO	CA	90732	3255	00	06000	33.74333957	-118.3093406	Los Angeles County
292069	Non-Physician Medical Practitioner	None	1548709983	0	0	UKISHIMA, JON PA-C	3/30/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 VALENCIA MESA	None	FULLERTON	CA	92835	3809	00	06000	33.89356031	-117.9271656	Orange County
292128	Non-Physician Medical Practitioner	None	1558712802	0	0	UTECH, JESSICA E PA-C	3/7/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4560 ADMIRALTY WAY	SUITE 105	MARINA DEL REY	CA	90292	5423	00	06000	33.98364904	-118.4449069	Los Angeles County
292143	Non-Physician Medical Practitioner	None	1356763155	0	0	UNICARE COMMUNITY HEALTH CENTER, INC.	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	1501 E HOLT AVE	None	POMONA	CA	91767	5823	00	06000	34.06321709	-117.7205804	Los Angeles County
292144	Non-Physician Medical Practitioner	None	1801301718	0	0	UDESHI, SURBHI NP	8/3/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9655 MONTE VISTA AVE	STE 402	MONTCLAIR	CA	91763	2238	00	06000	34.07991502	-117.6982245	San Bernardino County
292639	Non-Physician Medical Practitioner	None	1821337668	0	0	UMBRINO, JOSEPH ROBERT	7/8/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1800 WILSHIRE BLVD	None	LOS ANGELES	CA	90057	3602	00	06000	34.0565363	-118.2728437	Los Angeles County
293133	Non-Physician Medical Practitioner	None	1043522659	0	0	UWEH, KETTY U NP	12/30/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4532 WINDING RIVER CIR	None	STOCKTON	CA	95219	6518	00	06000	37.98117368	-121.3499739	San Joaquin County
293151	Non-Physician Medical Practitioner	None	1619347929	0	0	URQUHART, LINDSEY J	5/24/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1692 LOCH NESS DR	None	FALLBROOK	CA	92028	5431	00	06000	33.35967169	-117.2440476	San Diego County
293197	Non-Physician Medical Practitioner	None	1932578739	0	0	UM, SUNG-MIN	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	627 S GARDEN ST	UNIT C	VISALIA	CA	93277	7030	00	06000	36.322848	-119.29014	Tulare County
293615	Non-Physician Medical Practitioner	None	1568638302	0	0	USMANOVA, NATALIA	10/27/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18044 VALLEY VISTA BLVD	None	ENCINO	CA	91316	4223	00	06000	34.1582488	-118.5263299	Los Angeles County
293915	Non-Physician Medical Practitioner	None	1851931174	0	0	UY, KRISTINE YVETTE C NP	3/29/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3200 KEARNEY ST	None	FREMONT	CA	94538	2299	00	06000	37.54866156	-121.9750739	Alameda County
294120	Non-Physician Medical Practitioner	None	1780952879	0	0	URDC HUMAN SERVICES CORPORATION	5/2/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	513 E LIME AVE	SUITE 101	MONROVIA	CA	91016	2982	00	06000	34.14819851	-117.993105	Los Angeles County
295182	Non-Physician Medical Practitioner	None	1770188468	0	0	ULLOA, BRIANDA PA-C	4/26/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9170 HAVEN AVE	STE 108	RANCHO CUCAMONGA	CA	91730	5416	00	06000	34.087491	-117.5758895	San Bernardino County
295245	Non-Physician Medical Practitioner	None	1497150593	0	0	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	8/26/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6425 W BOWLES	None	RAISIN CITY	CA	93652	0069	00	06000	36.60100354	-119.9069685	Fresno County
295522	Non-Physician Medical Practitioner	None	1093945792	0	0	UNDERWOOD, KATHRYN PA-C	7/1/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12746 W JEFFERSON BLVD	FL 2-4	LOS ANGELES	CA	90094	2885	00	06000	33.97751255	-118.417598	Los Angeles County
295657	Non-Physician Medical Practitioner	None	1902242530	0	0	URNER, WHITNEY M	7/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	155 N EL CAMINO REAL	5	SAN MATEO	CA	94401	2722	00	06000	37.56792633	-122.3316114	San Mateo County
295667	Non-Physician Medical Practitioner	None	1790163871	0	0	UMEH, DEBORAH C	5/8/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3937 LONG BEACH BLVD	UNIT A	LONG BEACH	CA	90807	2614	00	06000	33.830235	-118.1893775	Los Angeles County
295784	Non-Physician Medical Practitioner	None	1457427940	0	0	UNTALAN, DORIS THERESE CRISOSTOMO	5/1/2000	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	00	06000	37.706364	-122.165163	Alameda County
295975	Non-Physician Medical Practitioner	None	1457035032	0	0	UNDERWOOD, COLLIN PA	9/8/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2823 FRESNO ST	None	FRESNO	CA	93721	1324	00	06000	36.7423511	-119.7834688	Fresno County
296088	Non-Physician Medical Practitioner	None	1760741805	0	0	URBAN, LORI L NP	2/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1329 HUNTER DRIVE	None	REDLANDS	CA	92374	2525	00	06000	34.07146141	-117.172133	San Bernardino County
296328	Non-Physician Medical Practitioner	None	1033654397	0	0	UMEORAH, ANGELA A NP	10/4/2021	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
296558	Non-Physician Medical Practitioner	None	1750798682	0	0	UMEH, CHRISTIANA NP	2/19/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2521 SEMINARY AVE	SUITE 1	OAKLAND	CA	94605	1307	00	06000	37.77104396	-122.1912093	Alameda County
296612	Non-Physician Medical Practitioner	None	1528478211	0	0	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	9/30/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1560 E MANNING AVE	None	REEDLEY	CA	93654	2346	00	06000	36.6041643	-119.4322861	Fresno County
296615	Non-Physician Medical Practitioner	None	1104188127	0	0	UELTZEN, ELIZABETH PA	7/24/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1850 E BIRCH AVE	APT 127	FRESNO	CA	93720	3849	00	06000	36.84205745	-119.748465	Fresno County
296844	Non-Physician Medical Practitioner	None	1033540554	0	0	UNRUH, JASON PA-C	1/30/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8590 RIO SAN DIEGO DR	SUITE 111	SAN DIEGO	CA	92108	5507	00	06000	32.77472926	-117.1448295	San Diego County
297006	Non-Physician Medical Practitioner	None	1710441449	0	0	UMUGBE, BLESSING E NP	9/11/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 N PEPPER AVE	None	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
297075	Non-Physician Medical Practitioner	None	1831662717	0	0	URBAHN, SHEPARD D PA-C	7/25/2022	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
297382	Non-Physician Medical Practitioner	None	1497860126	0	0	UHL, JESSICA A PA-C	2/23/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1125 VIA VERDE	None	SAN DIMAS	CA	91773	4400	00	06000	34.07402699	-117.829182	Los Angeles County
297804	Non-Physician Medical Practitioner	None	1083878532	0	0	ULLYOTT, JASON D	10/8/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	95 S JEFFERSON STREET	None	CLOVERDALE	CA	95425	3616	00	06000	38.80340818	-123.0200258	Sonoma County
298462	Non-Physician Medical Practitioner	None	1215533765	0	0	UFFER, DANIEL S PA-C	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	29821 ANTELOPE RD	SUITE 102	MENIFEE	CA	92584	8860	00	06000	33.68709234	-117.1691564	Riverside County
298729	Non-Physician Medical Practitioner	None	1508914599	0	0	UMANZOR-SMILEY, ROXANNE F	3/20/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1690 GRASSCREEK DR	None	SAN DIMAS	CA	91773	1314	00	06000	34.1299684	-117.7893629	Los Angeles County
298813	Non-Physician Medical Practitioner	None	1306504592	0	0	UGGIANO, KIMBERLY D NP	5/24/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	80495 US HIGHWAY 111	None	INDIO	CA	92201	6534	00	06000	33.70724448	-116.260686	Riverside County
298844	Non-Physician Medical Practitioner	None	1962567115	0	0	UGO, NKEIRUKA E	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	4131 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3101	00	06000	37.78096053	-122.4637512	San Francisco County
298898	Non-Physician Medical Practitioner	None	1417250317	0	0	ULANER, SUSAN W PA	6/18/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	481 PLUMAS BLVD	SUITE 104	YUBA CITY	CA	95991	5075	00	06000	39.13306148	-121.6140103	Sutter County
299896	Non-Physician Medical Practitioner	None	1730421330	0	0	UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC.	4/15/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7821 S AVALON BLVD	None	LOS ANGELES	CA	90003	0000	00	06000	33.969393	-118.265197	Los Angeles County
300385	Non-Physician Medical Practitioner	None	1558515742	0	0	UCHIDA, JUSTIN	3/10/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	815 W. WASHINGTON BLVD.	None	MONTEBELLO	CA	90640	6123	00	06000	33.99411697	-118.1169341	Los Angeles County
300418	Non-Physician Medical Practitioner	None	1245851120	0	0	ULLESEIT, TIMOTHY S PA	9/24/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15425 LOS GATOS BLVD	120	LOS GATOS	CA	95032	2553	00	06000	37.24444696	-121.9589876	Santa Clara County
300441	Non-Physician Medical Practitioner	None	1972139020	0	0	UMALI, GAEA JAMINE B NP	12/18/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	461 TENNESSEE ST	SUITE C	REDLANDS	CA	92373	8161	00	06000	34.058745	-117.2000975	San Bernardino County
300469	Non-Physician Medical Practitioner	None	1932350790	0	0	UPSHAW, LUCIUS K	11/24/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	50 S SAN MATEO DR	SUITE 440	SAN MATEO	CA	94401	3857	00	06000	37.56634141	-122.3261145	San Mateo County
300688	Non-Physician Medical Practitioner	None	1265854061	0	0	UNICARE COMMUNITY HEALTH CENTER, INC.	12/18/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	570 S MOUNT VERNON AVE	SUITE G	SAN BERNARDINO	CA	92410	2760	00	06000	34.090776	-117.3138565	San Bernardino County
301014	Non-Physician Medical Practitioner	None	1639379357	0	0	ULLON, ANGELA ADAMS	12/1/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	229 PHLOX AVENUE	None	REDLANDS	CA	92373	6118	00	06000	34.04456945	-117.1704793	San Bernardino County
301400	Non-Physician Medical Practitioner	None	1457724924	0	0	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	1/26/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	601 3RD ST	None	PARLIER	CA	93648	2028	00	06000	36.61427653	-119.5276101	Fresno County
301421	Non-Physician Medical Practitioner	None	1770268740	0	0	UGHEIGHELE, OSAIGIAKPE NP	11/27/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4500 BROCKTON AVE.	SUITE 305	RIVERSIDE	CA	92501	4027	00	06000	33.97785263	-117.3836152	Riverside County
301474	Non-Physician Medical Practitioner	None	1538275755	0	0	UKBAMICHAEL, GHENET	12/27/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4811 ELIZABETH ST	None	CUDAHY	CA	90201	5205	00	06000	33.96297909	-118.1837139	Los Angeles County
301811	Non-Physician Medical Practitioner	None	1043481922	0	0	UGORJI, ROSEKATE C NP	6/9/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16279 WALNUT ST	None	HESPERIA	CA	92345	3622	00	06000	34.4213317	-117.3075694	San Bernardino County
301828	Non-Physician Medical Practitioner	None	1295222990	0	0	USONGO, MIRANDA A NP	11/5/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11942 PARAMOUNT BLVD	STE B	DOWNEY	CA	90242	2306	00	06000	33.93374098	-118.1445557	Los Angeles County
302021	Non-Physician Medical Practitioner	None	1568790640	0	0	URRIQUIA, MICHELLE 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	2140 GRAND AVE	210	CHINO HILLS	CA	91709	6800	00	06000	33.99623518	-117.7579477	San Bernardino County
302086	Non-Physician Medical Practitioner	None	1205162450	0	0	UPTON, SEAN R NP	2/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1179 N MCDOWELL BLVD	None	PETALUMA	CA	94954	6559	00	06000	38.26876442	-122.6598332	Sonoma County
302251	Non-Physician Medical Practitioner	None	1083805980	0	0	UGALDE, ANNE-LORRANE A NP	11/18/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	21840 S NORMANDIE AVE	STE 100A	TORRANCE	CA	90502	2047	00	06000	33.82982744	-118.2991395	Los Angeles County
302358	Non-Physician Medical Practitioner	None	1952471542	0	0	UKIAH ADVENTIST HOSPITAL	7/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	260 HOSPITAL DRIVE SUITE	None	UKIAH	CA	95482	6353	00	06000	39.15349918	-123.2039443	Mendocino County
302693	Non-Physician Medical Practitioner	None	1114355096	0	0	UECHI, STEFANIE W T NP	9/5/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2623 GATES AVE	UNIT 3	REDONDO BEACH	CA	90278	2217	00	06000	33.87851791	-118.3623689	Los Angeles County
302813	Non-Physician Medical Practitioner	None	1841472776	0	0	UDOH, EKAETE D PA-C	7/2/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4537 COLLEGE AVENUE	None	SAN DIEGO	CA	92115	4010	00	06000	32.759334	-117.066313	San Diego County
303045	Non-Physician Medical Practitioner	None	1518992437	0	0	UMEK, APRIL B	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	1630 MERRILL ST	APT 502	SANTA CRUZ	CA	95062	4014	00	06000	36.96531909	-121.9876229	Santa Cruz County
303247	Non-Physician Medical Practitioner	None	1295704328	0	0	UPTON, JACQUELINE	8/6/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6719 ALVARADO RD	STE 200	SAN DIEGO	CA	92120	5270	00	06000	32.77684978	-117.055137	San Diego County
303394	Non-Physician Medical Practitioner	None	1679932164	0	0	UICHANCO, BARBARA J	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	1823 N MASELLI CT	None	VISALIA	CA	93291	9299	00	06000	36.345789	-119.351286	Tulare County
303424	Non-Physician Medical Practitioner	None	1841760170	0	0	UKAH, CHIDINMA C NP	1/26/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9394 BIG HORN BLVD	None	ELK GROVE	CA	95758	7977	00	06000	38.420028	-121.40712	Sacramento County
303449	Non-Physician Medical Practitioner	None	1740335678	0	0	UNITED AMERICAN INDIAN INVOLVEMENT	10/16/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1125 W 6TH STREET	SUITE 103	LOS ANGELES	CA	90017	1896	00	06000	34.05441139	-118.2628642	Los Angeles County
303710	Non-Physician Medical Practitioner	None	1740521343	0	0	UMAYAM, REBECCA S	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	670 E ELIZABETH ST	None	PASADENA	CA	91104	2341	00	06000	34.17348416	-118.1368962	Los Angeles County
303947	Non-Physician Medical Practitioner	None	1528540952	0	0	UMAH-MGBOROGWU, DANIEL T PA	11/1/2018	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
304265	Non-Physician Medical Practitioner	None	1972674463	0	0	UNRUH, THERESA M PA	2/9/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3448 SILVERWOOD ST	None	REDDING	CA	96002	3055	00	06000	40.5565091	-122.3367381	Shasta County
304427	Non-Physician Medical Practitioner	None	1730222548	0	0	UPTON, JOY	8/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
304478	Non-Physician Medical Practitioner	None	1013370915	0	0	UBBAONU, CECILLE B NP	11/19/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11360 MOUNTAIN VIEW AVE	STE B	LOMA LINDA	CA	92354	3834	00	06000	34.04666844	-117.2436991	San Bernardino County
304980	Non-Physician Medical Practitioner	None	1710143078	0	0	ULM, CYNTHIA C NP	8/11/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	917 ASHBRIDGE LN	None	HARBOR CITY	CA	90710	1501	00	06000	33.80614548	-118.2910275	Los Angeles County
305301	Non-Physician Medical Practitioner	None	1982079620	0	0	UNITED HEALTH CENTERS OF THE	7/7/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	106 E MAIN ST	None	FOWLER	CA	93625	2433	00	06000	36.62899034	-119.6785493	Fresno County
305523	Non-Physician Medical Practitioner	None	1750439402	0	0	USHER, NIRMA NP	9/28/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9427 NEWBRIDGE DR	None	RIVERSIDE	CA	92508	8003	00	06000	33.87955307	-117.335763	Riverside County
305703	Non-Physician Medical Practitioner	None	1396835518	0	0	ULLER, ELLEN MARIE	7/15/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	290 N WAYTE LN	None	FRESNO	CA	93701	2124	00	06000	36.74643429	-119.7837416	Fresno County
305776	Non-Physician Medical Practitioner	None	1427342930	0	0	US DEPT OF THE INTERIOR NATIONAL PARK SERVICE	9/13/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9000 AHWAHNEE DRIVE	None	YOSEMITE NATIONAL	CA	95389	0000	00	06000	37.74817546	-119.5792137	Mariposa County
306576	Non-Physician Medical Practitioner	None	1619703311	0	0	UONG, ANHDAO PA-C	12/19/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3400 DOUGLAS BLVD	STE 225	ROSEVILLE	CA	95661	4283	00	06000	38.74390969	-121.2319271	Placer County
306596	Non-Physician Medical Practitioner	None	1710309513	0	0	UNICARE COMMUNITY HEALTH CENTER, INC.	12/16/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	437 N EUCLID AVE	None	ONTARIO	CA	91762	3456	00	06000	34.067988	-117.6521805	San Bernardino County
306652	Non-Physician Medical Practitioner	None	1639166937	0	0	URSUA, NOEL ESCARA	3/2/2001	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4820 VIA DEL CORRAL	None	YORBA LINDA	CA	92887	1817	00	06000	33.89266965	-117.760757	Orange County
306951	Non-Physician Medical Practitioner	None	1871668152	0	0	UMANZOR, MANUEL ERNESTO	11/2/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7444 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	2801	00	06000	34.205967	-118.3877615	Los Angeles County
307115	Non-Physician Medical Practitioner	None	1225637432	0	0	URBINA, ENRIQUE M PA-C	10/1/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	00	06000	34.27904453	-118.459944	Los Angeles County
307171	Non-Physician Medical Practitioner	None	1679976146	0	0	URQUILLA, HECTOR E	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	3728 W MESA AVE	None	FRESNO	CA	93711	6566	00	06000	36.82515593	-119.8608987	Fresno County
307192	Non-Physician Medical Practitioner	None	1083065395	0	0	UNDERWOOD, AMELIA Y PA-C	2/26/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	600 MAIN ST	None	SOLEDAD	CA	93960	2533	00	06000	36.43281182	-121.3243597	Monterey County
307197	Non-Physician Medical Practitioner	None	1538407325	0	0	URBAN COMMUNITY ACTION PROJECTS	9/5/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2880 HULEN PLACE	None	RIVERSIDE	CA	92507	2606	00	06000	33.986934	-117.3538725	Riverside County
307424	Non-Physician Medical Practitioner	None	1124665468	0	0	UMOREN, FUNMILOLA OCS	1/25/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2540 EAST ST	None	CONCORD	CA	94520	1906	00	06000	37.98292379	-122.0341876	Contra Costa County
307620	Non-Physician Medical Practitioner	None	1245828532	0	0	UTECH, RACHAEL PA-C	4/24/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4650 LINCOLN BLVD	None	MARINA DEL REY	CA	90292	6306	00	06000	33.98160766	-118.4400667	Los Angeles County
307959	Non-Physician Medical Practitioner	None	1104040005	0	0	UGBAJA, CHIKA E	2/8/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	00	06000	37.53039072	-122.2987772	San Mateo County
308070	Non-Physician Medical Practitioner	None	1619060159	0	0	UPHOFF, KATHERINE P	4/22/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	925 SIMON ST	None	HAYWARD	CA	94541	4018	00	06000	37.67675906	-122.0886101	Alameda County
308152	Non-Physician Medical Practitioner	None	1790437044	0	0	URBAN, BRITTANY L CNM	7/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2500 MILVIA ST.	None	BERKELEY	CA	94704	2636	00	06000	37.86338897	-122.2698455	Alameda County
308275	Non-Physician Medical Practitioner	None	1134766868	0	0	URBANEK, CAROLINE T PA-C	5/12/2020	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
308598	Non-Physician Medical Practitioner	None	1740512078	0	0	URENA, JENNIFER L PA	11/8/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1400 E PALOMAR ST	None	CHULA VISTA	CA	91931	1800	00	06000	32.62382113	-116.9960539	San Diego County
308784	Non-Physician Medical Practitioner	None	1629600952	0	0	URBINA, MONIQUE NP	4/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2800 L ST	STE 610	SACRAMENTO	CA	95816	5616	00	06000	38.571237	-121.469958	Sacramento County
308805	Non-Physician Medical Practitioner	None	1477979722	0	0	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	9/30/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1270 N LEMOORE AVE	None	LEMOORE	CA	93245	2350	00	06000	36.314991	-119.780764	Kings County
309642	Non-Physician Medical Practitioner	None	1558632570	0	0	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY	4/6/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1209 WHITLEY AVE	None	CORCORAN	CA	93212	2327	00	06000	36.09801547	-119.5628355	Kings County
310119	Non-Physician Medical Practitioner	None	1972190643	0	0	UNDERWOOD, ANDREA NP	12/18/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2755 HERNDON	None	CLOVIS	CA	93611	6800	00	06000	36.83745149	-119.6604315	Fresno County
310201	Non-Physician Medical Practitioner	None	1386841435	0	0	URBINA, FRANCISCO PA	8/26/2021	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
310641	Non-Physician Medical Practitioner	None	1811454531	0	0	URANWALA, ROSHAN D NP	9/25/2023	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
311042	Non-Physician Medical Practitioner	None	1447720966	0	0	UPPAL, MANDEEP S NP	1/16/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	220 E 13TH ST	None	MERCED	CA	95340	6242	00	06000	37.29309532	-120.4748791	Merced County
311977	Non-Physician Medical Practitioner	None	1598350886	0	0	UPTON, CHEYENNE PA	2/21/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2090 WESTWOOD BLVD	None	LOS ANGELES	CA	90025	6329	00	06000	34.04552207	-118.4330933	Los Angeles County
312281	Non-Physician Medical Practitioner	None	1417138959	0	0	UNDERWOOD, DAYNA J NP	2/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	701 REDWOOD BLVD	APT 14	REDDING	CA	96003	1922	00	06000	40.61844616	-122.3760065	Shasta County
312344	Non-Physician Medical Practitioner	None	1356012157	0	0	USELTON, COURTNEY PA	2/1/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2823 FRESNO ST	None	FRESNO	CA	93721	1324	00	06000	36.7423511	-119.7834688	Fresno County
312538	Non-Physician Medical Practitioner	None	1154997179	0	0	UPTON, JESSICA M PA	7/29/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	726 4TH ST	None	MARYSVILLE	CA	95901	5656	00	06000	39.13872267	-121.5944372	Yuba County
312684	Non-Physician Medical Practitioner	None	1447779889	0	0	UDO, BERNARDE M NP	1/5/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1176 ROSEMARIE LN	UNIT 176	STOCKTON	CA	95207	6732	00	06000	37.98688019	-121.3196094	San Joaquin County
312745	Non-Physician Medical Practitioner	None	1316389877	0	0	UNCK, KAREN E	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	7828 PATTON AVE	None	CITRUS HEIGHTS	CA	95610	1520	00	06000	38.708631	-121.2760575	Sacramento County
312806	Non-Physician Medical Practitioner	None	1942739263	0	0	UDEH, ANTHONIA O I 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	11910 OLIVE GLEND LN	None	LOS ANGELES	CA	90047	5358	00	06000	33.9250045	-118.303121	Los Angeles County
313523	Non-Physician Medical Practitioner	None	1346685849	0	0	UY, JIAMI	9/15/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6121 MAURY AVENUE	None	WOODLAND HILLS	CA	91367	4419	00	06000	34.18196082	-118.6611516	Los Angeles County
313654	Non-Physician Medical Practitioner	None	1205238086	0	0	URBAN, DEREK J PA	5/19/2021	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
313791	Non-Physician Medical Practitioner	None	1366039125	0	0	UNDERWOOD, KOOPER H PA-C	9/23/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 N PEPPER AVE	None	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
313903	Non-Physician Medical Practitioner	None	1245598259	0	0	UCHIZONO, LYNN A PA-C	5/17/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19066 MAGNOLIA ST	None	HUNTINGTON BEACH	CA	92646	2232	00	06000	33.68568661	-117.9714001	Orange County
313911	Non-Physician Medical Practitioner	None	1972781706	0	0	USMANY, CARL S	6/26/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15351 ALONDRA BLVD	None	LA MIRADA	CA	90638	5707	00	06000	33.88835373	-118.0031529	Los Angeles County
314154	Non-Physician Medical Practitioner	None	1720711179	0	0	UZOR, CHIDOZIE C PA	12/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	555 EAST HARDY STREET	None	INGLEWOOD	CA	90301	4011	00	06000	33.94909549	-118.3481595	Los Angeles County
314366	Non-Physician Medical Practitioner	None	1619375128	0	0	UHLIR, KEELY E NP	4/25/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2120 PINE ST	None	SAN FRANCISCO	CA	94115	2830	00	06000	37.78834371	-122.4308007	San Francisco County
314740	Non-Physician Medical Practitioner	None	1619220167	0	0	UY, MANELISA F NP	1/23/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2398 WALTERS WAY	APT 21	CONCORD	CA	94520	3664	00	06000	37.96091523	-122.0381734	Contra Costa County
314891	Non-Physician Medical Practitioner	None	1073267746	0	0	UBADIKE, IFEOMA A NP	4/10/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1317 OAKDALE ROAD	STE. 800	MODESTO	CA	95355	3361	00	06000	37.662489	-120.957588	Stanislaus County
315626	Non-Physician Medical Practitioner	None	1790181071	0	0	URIAS, RAYMOND L NP	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	3010 E VIA BRUNO	None	ANAHEIM	CA	92806	3513	00	06000	33.84592485	-117.8593927	Orange County
315691	Non-Physician Medical Practitioner	None	1528028321	0	0	UMPHFRES, KOURTNEY	7/25/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	330 E PINE ST	None	EXETER	CA	93221	1838	00	06000	36.29691064	-119.1391441	Tulare County
316048	Non-Physician Medical Practitioner	None	1760113195	0	0	UGWU, CHIKA Q NP	2/3/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	73700 DINAH SHORE DR	STE 106	PALM DESERT	CA	92211	0813	00	06000	33.79748917	-116.3786855	Riverside County
316409	Ordering, Referring, Prescribing	N/A	1003623901	0	0	ULLOA, DANIELA DDS	10/2/2024	Taxonomy not applicable	NA	n/a	000	Unknown	110887	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
317661	Ordering, Referring, Prescribing	N/A	1033983572	0	0	URAUCHI, JUSTINE	11/3/2023	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	305057	N/A	N/A	N/A	N/A	N/A	909 S FAIR OAKS AVE	SUITE 201	PASADENA	CA	91105	2625	00	06000	34.13056002	-118.1503751	Los Angeles County
317933	Ordering, Referring, Prescribing	N/A	1043713217	0	0	UDOH, CHINENYE D NP	8/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	NP95010048	N/A	N/A	N/A	N/A	N/A	2707 S CENTRAL	None	LOS ANGELES	CA	90011	5527	00	06000	34.01754879	-118.2555246	Los Angeles County
318308	Ordering, Referring, Prescribing	N/A	1053731323	0	0	ULLAND, AARON	4/4/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C177416	N/A	N/A	N/A	N/A	N/A	10121 PINE AVE	None	TRUCKEE	CA	96161	4835	00	06000	39.3245308	-120.2013097	Nevada County
318475	Ordering, Referring, Prescribing	N/A	1063032837	0	0	UTTWANI, DEEPA P PT	11/24/2019	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT294936	N/A	N/A	N/A	N/A	N/A	1901 N RICE AVE	170-180	OXNARD	CA	93030	7912	00	06000	34.21960355	-119.1421345	Ventura County
318569	Ordering, Referring, Prescribing	N/A	1063523918	0	0	UNDERWOOD, KENNETH LMFT	5/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT39188	N/A	N/A	N/A	N/A	N/A	391 TAYLOR AVE.	100	PLEASANT HILL	CA	94523	2289	00	06000	37.96119614	-122.070409	Contra Costa County
318705	Ordering, Referring, Prescribing	N/A	1063762086	0	0	URMSTON, MICHAEL A PHARMD	11/20/2018	Taxonomy not applicable	NA	n/a	000	Unknown	54397	N/A	N/A	N/A	N/A	N/A	2110 TRUXTUN AVE	SUITE 100	BAKERSFIELD	CA	93301	3703	00	06000	35.37344851	-119.0261655	Kern County
318727	Ordering, Referring, Prescribing	N/A	1063791671	0	0	UYESUGI, TRAMY T PHARMD	4/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	47470	N/A	N/A	N/A	N/A	N/A	1900 SANTA ROSA AVE	None	SANTA ROSA	CA	95407	7621	00	06000	38.419911	-122.7114585	Sonoma County
319272	Ordering, Referring, Prescribing	N/A	1083054571	0	0	UGORJI, REX U MD	4/19/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A148673	N/A	N/A	N/A	N/A	N/A	1025 N DOUTY ST	None	HANFORD	CA	93230	3722	00	06000	36.33611794	-119.6460191	Kings County
319794	Ordering, Referring, Prescribing	N/A	1093263493	0	0	UKPABIO, EMEM CNP	8/11/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015107	N/A	N/A	N/A	N/A	N/A	847 W. CHILDS AVE.	SUITE C	MERCED	CA	95341	6862	00	06000	37.28825369	-120.4963159	Merced County
319995	Ordering, Referring, Prescribing	N/A	1093948580	0	0	URBANEC, LORI J NP	3/27/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	295227	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
320248	Ordering, Referring, Prescribing	N/A	1104393867	0	0	UTTARWAR, ADITI LPCC	10/12/2022	Taxonomy not applicable	NA	n/a	000	Unknown	LPCC12475	N/A	N/A	N/A	N/A	N/A	1305 SANTA CLARA AVE	None	ALAMEDA	CA	94501	4502	00	06000	37.77293668	-122.2630524	Alameda County
320339	Ordering, Referring, Prescribing	N/A	1104893791	0	0	URREA, OSCAR MD	12/4/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	MD033585L	N/A	N/A	N/A	N/A	N/A	155 WILSON AVENUE	None	WASHINGTON	PA	15301	3336	00	06000	40.18297389	-80.24677018	Washington County
320374	Ordering, Referring, Prescribing	N/A	1104967348	0	0	UMAKANTHAN, JEREMIAH MD	12/19/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A37135	N/A	N/A	N/A	N/A	N/A	12625 HESPERIA RD	None	HESPERIA	CA	92395	9998	00	06000	34.48058899	-117.2907353	San Bernardino County
320435	Ordering, Referring, Prescribing	N/A	1114093101	0	0	URSUA, JANET E NP	4/15/2021	Taxonomy not applicable	NA	n/a	000	Unknown	NP8651	N/A	N/A	N/A	N/A	N/A	7777 MILLIKEN AVE	240	RANCHO CUCAMONGA	CA	91730	6780	00	06000	34.10843256	-117.5570865	San Bernardino County
320558	Ordering, Referring, Prescribing	N/A	1114324803	0	0	UTTER, MISTY LMFT	2/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	117901	N/A	N/A	N/A	N/A	N/A	809 PLUMAS STREET	None	YUBA CITY	CA	95991	1106	00	06000	39.13989097	-121.6173645	Sutter County
320896	Ordering, Referring, Prescribing	N/A	1124298427	0	0	UCHIMARU, SACHIE LCSW	6/7/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	60530	N/A	N/A	N/A	N/A	N/A	995 POTRERO AVE BLDG 80	BLDG 80	SAN FRANCISCO	CA	94110	2859	00	06000	37.75729541	-122.4066641	San Francisco County
320924	Ordering, Referring, Prescribing	N/A	1124339197	0	0	UGAS, JULY K LMFT	4/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT44717	N/A	N/A	N/A	N/A	N/A	350 90TH ST	3RD FLOOR	DALY CITY	CA	94015	1879	00	06000	37.69111548	-122.473143	San Mateo County
321123	Ordering, Referring, Prescribing	N/A	1124665468	0	0	UMOREN, FUNMILOLA NP	11/29/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95013133	N/A	N/A	N/A	N/A	N/A	2523 EL PORTAL DR	201	SAN PABLO	CA	94806	3305	00	06000	37.96550037	-122.338586	Contra Costa County
321162	Ordering, Referring, Prescribing	N/A	1124843412	0	0	UGO, NOHELI	1/15/2024	Taxonomy not applicable	NA	n/a	000	Unknown	4421	N/A	N/A	N/A	N/A	N/A	1331 E CALAVERAS BLVD	None	MILPITAS	CA	95035	5707	00	06000	37.43600807	-121.8825011	Santa Clara County
321296	Ordering, Referring, Prescribing	N/A	1134418148	0	0	URENA, PATRICIA C LMFT	4/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT85360	N/A	N/A	N/A	N/A	N/A	3751 STOCKER STREET	None	LOS ANGELES	CA	90008	5109	00	06000	34.00616017	-118.3385751	Los Angeles County
321659	Ordering, Referring, Prescribing	N/A	1144513441	0	0	UNDERHILL, ALLISON LPCC	9/17/2023	Taxonomy not applicable	NA	n/a	000	Unknown	2264	N/A	N/A	N/A	N/A	N/A	1202 MORENA BLVD	None	SAN DIEGO	CA	92110	3841	00	06000	32.77025942	-117.2017196	San Diego County
322124	Ordering, Referring, Prescribing	N/A	1154632636	0	0	UMER, MUHAMMAD MD	1/12/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A122878	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
322403	Ordering, Referring, Prescribing	N/A	1164164901	0	0	ULLAH, AYMAN T MD	8/10/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A188617	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
322432	Ordering, Referring, Prescribing	N/A	1164446068	0	0	UNG, LYNN	11/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	49439	N/A	N/A	N/A	N/A	N/A	207 S SANTA ANITA ST	G 10	SAN GABRIEL	CA	91776	1146	00	06000	34.10072807	-118.1066296	Los Angeles County
322498	Ordering, Referring, Prescribing	N/A	1164597563	0	0	USMANI, TEHMINA MD	12/16/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A97125	N/A	N/A	N/A	N/A	N/A	17707 STUDEBAKER RD	None	CERRITOS	CA	90703	2640	00	06000	33.87008991	-118.0991298	Los Angeles County
322759	Ordering, Referring, Prescribing	N/A	1174059760	0	0	UY, ASHLEY N DC	2/9/2023	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	DC33869	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
323073	Ordering, Referring, Prescribing	N/A	1174931190	0	0	URBANEK, BRIAN W PHARMD	7/20/2021	Taxonomy not applicable	NA	n/a	000	Unknown	75643	N/A	N/A	N/A	N/A	N/A	4041 N SIERRA WAY	None	SAN BERNARDINO	CA	92407	3816	00	06000	34.16544	-117.2850005	San Bernardino County
323109	Ordering, Referring, Prescribing	N/A	1174979397	0	0	UDDIN, JUHI A DO	7/28/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A20067	N/A	N/A	N/A	N/A	N/A	954 N VERMONT AVE	None	LOS ANGELES	CA	90029	3529	00	06000	34.08896256	-118.2917211	Los Angeles County
323208	Ordering, Referring, Prescribing	N/A	1184080798	0	0	UMUKORO, REGINA NP	9/26/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	437226	N/A	N/A	N/A	N/A	N/A	11833 S. WILMINGTON AVE	None	LOS ANGELES	CA	90059	3015	00	06000	33.925077	-118.2391655	Los Angeles County
323430	Ordering, Referring, Prescribing	N/A	1184779696	0	0	ULVILA, MELANIE A LCSW	10/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	25000	N/A	N/A	N/A	N/A	N/A	333 LAWS AVE	None	UKIAH	CA	95482	6540	00	06000	39.12772164	-123.2111168	Mendocino County
323745	Ordering, Referring, Prescribing	N/A	1194353094	0	0	UTZ, JACK MD	11/8/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A183145	N/A	N/A	N/A	N/A	N/A	3177 OCEAN VIEW BLVD	None	SAN DIEGO	CA	92113	1432	00	06000	32.7011883	-117.1261025	San Diego County
323746	Ordering, Referring, Prescribing	N/A	1194356634	0	0	ULLAL, SOWNDHERYA	2/24/2025	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	153434	N/A	N/A	N/A	N/A	N/A	1630 W CAMPBELL AVE	None	CAMPBELL	CA	95008	1500	00	06000	37.28595254	-121.979168	Santa Clara County
323841	Ordering, Referring, Prescribing	N/A	1194859538	0	0	UNG, EVA PHARMD	2/9/2019	Taxonomy not applicable	NA	n/a	000	Unknown	54302	N/A	N/A	N/A	N/A	N/A	2670 E GAGE AVE	10A	HUNTINGTON PARK	CA	90255	7206	00	06000	33.98161649	-118.2228885	Los Angeles County
323940	Ordering, Referring, Prescribing	N/A	1205071222	0	0	ULLAH, NUSHRAT J MD	7/1/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A120589	N/A	N/A	N/A	N/A	N/A	701 5TH AVE	STE 2300	SEATTLE	WA	98104	7041	00	06000	47.60478542	-122.3301801	King County
324284	Ordering, Referring, Prescribing	N/A	1215008065	0	0	UY, EDDIE H	9/7/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A71568	N/A	N/A	N/A	N/A	N/A	303 LOMA DR	202	LOS ANGELES	CA	90017	1103	00	06000	34.0595565	-118.2659336	Los Angeles County
324418	Ordering, Referring, Prescribing	N/A	1215253687	0	0	UNG, KIMDUNG PHARMD	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57141	N/A	N/A	N/A	N/A	N/A	2865 ATLANTIC AVENUE	SUITE 110	LONG BEACH	CA	90806	1740	00	06000	33.809418	-118.185058	Los Angeles County
324483	Ordering, Referring, Prescribing	N/A	1215360037	0	0	URIBE, BRANDON P NP	3/2/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95001944	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
324537	Ordering, Referring, Prescribing	N/A	1215447479	0	0	UNIAT, ALLISON PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77288	N/A	N/A	N/A	N/A	N/A	8010 PARKWAY DR	None	LA MESA	CA	91942	2104	00	06000	32.7749024	-117.0246371	San Diego County
325103	Ordering, Referring, Prescribing	N/A	1235273749	0	0	USMAN, DAVE M	6/18/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95008930	N/A	N/A	N/A	N/A	N/A	17982 SKY PARK CIR	SUITE M	IRVINE	CA	92614	6408	00	06000	33.68933118	-117.8596634	Orange County
325154	Ordering, Referring, Prescribing	N/A	1235382144	0	0	UMFLEET, STEWART B LCSW	11/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	64821	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
325504	Ordering, Referring, Prescribing	N/A	1245387877	0	0	UNG, SI M PHARMD	3/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59077	N/A	N/A	N/A	N/A	N/A	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	00	06000	34.06477215	-117.9845382	Los Angeles County
325992	Ordering, Referring, Prescribing	N/A	1255596888	0	0	UNDERWOOD, VICKI A LCSW	8/15/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	26598	N/A	N/A	N/A	N/A	N/A	1014 CALLOWAY DR	None	BAKERSFIELD	CA	93312	6337	00	06000	35.36769028	-119.1111246	Kern County
326100	Ordering, Referring, Prescribing	N/A	1255771309	0	0	UNG, EEHWA PHD	6/21/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY31355	N/A	N/A	N/A	N/A	N/A	2211 POST STREET	SUITE 300	SAN FRANCISCO	CA	94115	3464	00	06000	37.78446663	-122.4382772	San Francisco County
326552	Ordering, Referring, Prescribing	N/A	1265872360	0	0	URIBE, NANCY LMFT	2/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	113498	N/A	N/A	N/A	N/A	N/A	1908 BUSINESS CENTER DR	109	SAN BERNARDINO	CA	92408	3436	00	06000	34.06732096	-117.2801085	San Bernardino County
326578	Ordering, Referring, Prescribing	N/A	1265916944	0	0	USHER, NICHOLA C NP	3/23/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95159653	N/A	N/A	N/A	N/A	N/A	1 HOPE DR	None	TUSTIN	CA	92782	0221	00	06000	33.71470753	-117.8323965	Orange County
326740	Ordering, Referring, Prescribing	N/A	1275286601	0	0	UMUKORO, FELIX NP	1/7/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95019682	N/A	N/A	N/A	N/A	N/A	1760 TERMINO AVE	None	LONG BEACH	CA	90804	2105	00	06000	33.78889871	-118.1458784	Los Angeles County
327061	Ordering, Referring, Prescribing	N/A	1285068031	0	0	URENO, ERICA M LCSW	2/7/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	120916	N/A	N/A	N/A	N/A	N/A	2600 REDONDO AVE	6TH FLOOR	LONG BEACH	CA	90806	2301	00	06000	33.806097	-118.151378	Los Angeles County
327481	Ordering, Referring, Prescribing	N/A	1295130771	0	0	URBANSKI, LAUREN M LCSW	6/3/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW101834	N/A	N/A	N/A	N/A	N/A	481 N 1ST ST	None	SAN JOSE	CA	95112	4031	00	06000	37.34415394	-121.8966245	Santa Clara County
327624	Ordering, Referring, Prescribing	N/A	1295392686	0	0	URAIZEE, FAISAL V MD	6/28/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A179992	N/A	N/A	N/A	N/A	N/A	1595 N LAKE AVE	None	PASADENA	CA	91104	2307	00	06000	34.17333013	-118.1320829	Los Angeles County
328048	Ordering, Referring, Prescribing	N/A	1306504592	0	0	UGGIANO, KIMBERLY D NP	12/3/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95019312	N/A	N/A	N/A	N/A	N/A	80495 US HWY 111	None	INDIO	CA	92201	6534	00	06000	33.70724448	-116.260686	Riverside County
328655	Ordering, Referring, Prescribing	N/A	1326223322	0	0	URRUTIA, DEISI D LMFT	5/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT104880	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
329169	Ordering, Referring, Prescribing	N/A	1336524412	0	0	UGOCHUKWU, IFEOMA L MD	10/11/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A132154	N/A	N/A	N/A	N/A	N/A	28507 LAS CANASTAS DR	None	VALENCIA	CA	91354	3074	00	06000	34.45548855	-118.5635453	Los Angeles County
329425	Ordering, Referring, Prescribing	N/A	1346319373	0	0	ULRICH, LISA A LMFT	5/1/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	31802	N/A	N/A	N/A	N/A	N/A	735 STATE ST	SUITE 416A	SANTA BARBARA	CA	93101	5552	00	06000	34.41942344	-119.6991527	Santa Barbara County
329531	Ordering, Referring, Prescribing	N/A	1346524576	0	0	UEDA, ERIC PHARMD	9/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55633	N/A	N/A	N/A	N/A	N/A	7929 N LOWER SACRAMENTO	None	STOCKTON	CA	95210	0000	00	06000	38.021913	-121.3230885	San Joaquin County
329779	Ordering, Referring, Prescribing	N/A	1356003032	0	0	URIBE-ARELLANO, CELIA	7/30/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT148456	N/A	N/A	N/A	N/A	N/A	711 N COURT ST	SUITE B	VISALIA	CA	93291	3638	00	06000	36.336384	-119.292543	Tulare County
330305	Ordering, Referring, Prescribing	N/A	1366607210	0	0	UNRUH, ERIKA LCSW	3/14/2025	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	129236	N/A	N/A	N/A	N/A	N/A	11731 TELEGRAPH RD	K	SANTA FE SPRINGS	CA	90670	3675	00	06000	33.94630253	-118.0832082	Los Angeles County
330592	Ordering, Referring, Prescribing	N/A	1376125971	0	0	UFFENHEIMER, MEKA MD	10/8/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL7690	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
330872	Ordering, Referring, Prescribing	N/A	1376971358	0	0	UNG, CHRISTINA NP	12/10/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95000389	N/A	N/A	N/A	N/A	N/A	1421 EAST 17TH STREET	None	SANTA ANA	CA	92705	8505	00	06000	33.75994564	-117.847815	Orange County
330956	Ordering, Referring, Prescribing	N/A	1386088110	0	0	URQUHART, MELISSA K MD	9/15/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A136837	N/A	N/A	N/A	N/A	N/A	303 E VANDERBILT WAY	None	SAN BERNARDINO	CA	92415	0026	00	06000	34.06872265	-117.2775832	San Bernardino County
330977	Ordering, Referring, Prescribing	N/A	1386122232	0	0	UNZUETA, ANNETTE V LMFT	3/6/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT145618	N/A	N/A	N/A	N/A	N/A	2130 N. VENTURA RD	None	OXNARD	CA	93036	2246	00	06000	34.22414993	-119.1944701	Ventura County
331176	Ordering, Referring, Prescribing	N/A	1386703940	0	0	UM, CHRISTINE U MD	1/12/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G61343	N/A	N/A	N/A	N/A	N/A	3727 W. 6TH STEET	320	LOS ANGELES	CA	90020	0000	00	06000	34.06358655	-118.3037656	Los Angeles County
331630	Ordering, Referring, Prescribing	N/A	1396834263	0	0	ULLRICH, THERESA A	12/14/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	12360	N/A	N/A	N/A	N/A	N/A	321 E CHAPMAN AVE	None	FULLERTON	CA	92832	2011	00	06000	33.87399454	-117.918234	Orange County
331737	Ordering, Referring, Prescribing	N/A	1407021892	0	0	ULEP, ROSANNA A PHARMD	3/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH53807	N/A	N/A	N/A	N/A	N/A	1011 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	00	06000	38.72827776	-121.2904066	Placer County
331849	Ordering, Referring, Prescribing	N/A	1407278427	0	0	ULANDAY, ALISSA A NP	12/18/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	731754	N/A	N/A	N/A	N/A	N/A	1250 16TH ST	STE C2304	SANTA MONICA	CA	90404	1249	00	06000	34.02749142	-118.486063	Los Angeles County
331853	Ordering, Referring, Prescribing	N/A	1407275217	0	0	UDDIN, SABRINA MD	2/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A142051	N/A	N/A	N/A	N/A	N/A	475 S STATE COLLEGE BLVD	None	BREA	CA	92821	5726	00	06000	33.9088474	-117.8895661	Orange County
332800	Ordering, Referring, Prescribing	N/A	1427637396	0	0	ULLAH, AFZAL MD	11/23/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A183458	N/A	N/A	N/A	N/A	N/A	4801 34TH ST	None	SACRAMENTO	CA	95820	4849	00	06000	38.531673	-121.4703315	Sacramento County
333370	Ordering, Referring, Prescribing	N/A	1447412762	0	0	UY, GIRLIE DDS	8/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	56967	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
334057	Ordering, Referring, Prescribing	N/A	1467036012	0	0	UNG, ALAN MD	8/17/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A188937	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
334187	Ordering, Referring, Prescribing	N/A	1467614545	0	0	UCH, SAMATH V PHARMD	3/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57070	N/A	N/A	N/A	N/A	N/A	7373 WEST LN	None	STOCKTON	CA	95210	3377	00	06000	38.017701	-121.297869	San Joaquin County
334268	Ordering, Referring, Prescribing	N/A	1467768143	0	0	URMSTON, HARMONY LCSW	4/15/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW62238	N/A	N/A	N/A	N/A	N/A	982 MISSION STREET	None	SAN FRANCISCO	CA	94103	2911	00	06000	37.7813638	-122.4082438	San Francisco County
334273	Ordering, Referring, Prescribing	N/A	1467775619	0	0	UPADHYAYULA, RAMESH	3/13/2019	Taxonomy not applicable	NA	n/a	000	Unknown	42235	N/A	N/A	N/A	N/A	N/A	1180 N INDIAN CANYON DR	E140	PALM SPRINGS	CA	92262	4883	00	06000	33.839505	-116.5455735	Riverside County
334334	Ordering, Referring, Prescribing	N/A	1467861773	0	0	UPPAL, ANNA G	7/1/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	104380	N/A	N/A	N/A	N/A	N/A	4815 WATT AVE	None	NORTH HIGHLAND	CA	95660	5108	00	06000	38.653245	-121.3836075	Sacramento County
335139	Ordering, Referring, Prescribing	N/A	1487783791	0	0	URDAN, ALISON A LMFT	2/14/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	MFC39537	N/A	N/A	N/A	N/A	N/A	395 TAYLOR BLVD	115	PLEASANT HILL	CA	94523	4224	00	06000	37.96119614	-122.070409	Contra Costa County
335410	Ordering, Referring, Prescribing	N/A	1497259337	0	0	USERA, BRITTNI M MD	3/16/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A163533	N/A	N/A	N/A	N/A	N/A	4501 X ST	None	SACRAMENTO	CA	95817	8062	00	06000	38.553822	-121.452822	Sacramento County
335493	Ordering, Referring, Prescribing	N/A	1497423438	0	0	UONG, TONY CNP	6/10/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95021226	N/A	N/A	N/A	N/A	N/A	625 34TH STREET STE 100	100 & 200	BAKERSFIELD	CA	93301	2305	00	06000	35.39046051	-119.0092725	Kern County
335558	Ordering, Referring, Prescribing	N/A	1497838585	0	0	UPPAL, RIMANPREET K	3/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	44227	N/A	N/A	N/A	N/A	N/A	4501 SAND CREEK RD	None	ANTIOCH	CA	94531	8687	00	06000	37.94947636	-121.7752571	Contra Costa County
335672	Ordering, Referring, Prescribing	N/A	1508116393	0	0	URBINA, EFREN LCSW	12/20/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	91014	N/A	N/A	N/A	N/A	N/A	427 ENCINAL CANYON RD	None	MALIBU	CA	90265	2404	00	06000	34.094403	-118.8363465	Los Angeles County
335812	Ordering, Referring, Prescribing	N/A	1508341660	0	0	ULLOA, MICHELLE N LMFT	1/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	114781	N/A	N/A	N/A	N/A	N/A	3960 WALNUT DR	None	EUREKA	CA	95503	8938	00	06000	40.77058956	-124.1429884	Humboldt County
336179	Ordering, Referring, Prescribing	N/A	1518320670	0	0	UEBERRHEIN, CASSANDRA I LMFT	2/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	108149	N/A	N/A	N/A	N/A	N/A	2178 JOHNSON AVE	None	SAN LUIS OBISPO	CA	93401	4535	00	06000	35.27488974	-120.6468257	San Luis Obispo County
336629	Ordering, Referring, Prescribing	N/A	1528535382	0	0	UNWIN-BASSETT, ROBIN	8/14/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	11184	N/A	N/A	N/A	N/A	N/A	572 N ARROWHEAD AVE	None	SAN BERNARDINO	CA	92401	1251	00	06000	34.109667	-117.289669	San Bernardino County
337222	Ordering, Referring, Prescribing	N/A	1548362494	0	0	URBINA, ISMAEL O LCSW	4/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW24945	N/A	N/A	N/A	N/A	N/A	3125 MYERS ST	None	RIVERSIDE	CA	92503	5527	00	06000	33.90932558	-117.4428095	Riverside County
337310	Ordering, Referring, Prescribing	N/A	1548560592	0	0	UBANDO, AILEEN	3/28/2018	Taxonomy not applicable	NA	n/a	000	Unknown	56985	N/A	N/A	N/A	N/A	N/A	28047 SCOTT RD	None	MURRIETA	CA	92563	7428	00	06000	33.639318	-117.169812	Riverside County
337708	Ordering, Referring, Prescribing	N/A	1558712802	0	0	UTECH, JESSICA E PA-C	1/23/2020	Taxonomy not applicable	NA	n/a	000	Unknown	PA57733	N/A	N/A	N/A	N/A	N/A	1403 W. LOMITA BLVD	100	HARBOR CITY	CA	90710	2067	00	06000	33.79785936	-118.3016552	Los Angeles County
338438	Ordering, Referring, Prescribing	N/A	1578593596	0	0	URRUTIA, DANIEL MD	3/6/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A34069	N/A	N/A	N/A	N/A	N/A	355 CAMPUS DR	STE E	HANFORD	CA	93230	4376	00	06000	36.3271295	-119.6633596	Kings County
338452	Ordering, Referring, Prescribing	N/A	1578624029	0	0	ULITIN, TRACY L LMFT	5/9/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT50822	N/A	N/A	N/A	N/A	N/A	2751 NV CORPORATE DR.	None	NAPA	CA	94558	6216	00	06000	0	0	None
339141	Ordering, Referring, Prescribing	N/A	1598043150	0	0	URBINA, PHILIP LCSW	12/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99344	N/A	N/A	N/A	N/A	N/A	919 1ST ST	None	SAN FERNANDO	CA	91340	2957	00	06000	34.28328995	-118.4389224	Los Angeles County
339568	Ordering, Referring, Prescribing	N/A	1609164854	0	0	UYESUGI, BRIAN K	1/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	48026	N/A	N/A	N/A	N/A	N/A	300 VINTAGE WAY	None	NOVATO	CA	94945	5007	00	06000	38.08667854	-122.5498617	Marin County
339614	Ordering, Referring, Prescribing	N/A	1609232651	0	0	UPADHYAY, NAMRATA J	9/21/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	D65203	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
339617	Ordering, Referring, Prescribing	N/A	1609253913	0	0	UM, DANIELA Y PHARMD	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	69707	N/A	N/A	N/A	N/A	N/A	7825 ATLANTIC AVE	None	CUDAHY	CA	90201	5022	00	06000	33.96396181	-118.1866866	Los Angeles County
339992	Ordering, Referring, Prescribing	N/A	1619220167	0	0	UY, MANELISA F	2/4/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0824363	N/A	N/A	N/A	N/A	N/A	11722 S WILMINGTON AVE	None	LOS ANGELES	CA	90059	2543	00	06000	33.9267675	-118.2390104	Los Angeles County
340017	Ordering, Referring, Prescribing	N/A	1619272374	0	0	UGGLA, RONALD D LMFT	3/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	103015	N/A	N/A	N/A	N/A	N/A	327 S K ST	None	TULARE	CA	93274	5416	00	06000	36.20476387	-119.3454489	Tulare County
340331	Ordering, Referring, Prescribing	N/A	1629201561	0	0	URSU, STEFAN MD	7/9/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A124650	N/A	N/A	N/A	N/A	N/A	9990 COUNTY FARM RD.	None	RIVERSIDE	CA	92503	3542	00	06000	33.9201112	-117.4577963	Riverside County
341102	Ordering, Referring, Prescribing	N/A	1649364407	0	0	UWAZIE, NNENNA J PHARMD	3/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48656	N/A	N/A	N/A	N/A	N/A	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	00	06000	38.470392	-121.4223975	Sacramento County
341214	Ordering, Referring, Prescribing	N/A	1649604497	0	0	UNG, DIANA PHARD	3/22/2018	Taxonomy not applicable	NA	n/a	000	Unknown	69575	N/A	N/A	N/A	N/A	N/A	3100 SUMMIT ST	2ND FLOOR	OAKLAND	CA	94609	3412	00	06000	37.82018974	-122.2643221	Alameda County
341519	Ordering, Referring, Prescribing	N/A	1659483345	0	0	UNG, LUCY S PHARMD	3/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55823	N/A	N/A	N/A	N/A	N/A	11080 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3047	00	06000	33.90402176	-117.4750005	Riverside County
341629	Ordering, Referring, Prescribing	N/A	1659679033	0	0	UMBLAS-ALIDO, JAN ANTONETTE	3/30/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH 59426	N/A	N/A	N/A	N/A	N/A	11234 ANDERSON STREET	None	LOMA LINDA	CA	92354	2004	00	06000	34.049547	-117.264078	San Bernardino County
341774	Ordering, Referring, Prescribing	N/A	1659906147	0	0	UKU, RERHIME R NP	11/16/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95013210	N/A	N/A	N/A	N/A	N/A	1601 MONTE VISTA AVE	240	CLAREMONT	CA	91711	2962	00	06000	34.112259	-117.698539	Los Angeles County
341802	Ordering, Referring, Prescribing	N/A	1659970234	0	0	URIBE-NAVA, FABIOLA M LMFT	11/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123139	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DRIVE	STE. 120	OXNARD	CA	93036	0673	00	06000	34.219566	-119.1539365	Ventura County
341854	Ordering, Referring, Prescribing	N/A	1669125373	0	0	UZOMAH, NDUKA L PHARMD	12/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH85776	N/A	N/A	N/A	N/A	N/A	8770 W. PICO BLVD.	None	LOS ANGELES	CA	90035	3004	00	06000	34.05467857	-118.3832934	Los Angeles County
342027	Ordering, Referring, Prescribing	N/A	1669774428	0	0	UYEHARA, NIKKI S PHARMD	3/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	64285	N/A	N/A	N/A	N/A	N/A	275 HOSPITAL PARKWAY	None	SAN JOSE	CA	95119	1106	00	06000	37.23951066	-121.8013511	Santa Clara County
342130	Ordering, Referring, Prescribing	N/A	1669952149	0	0	UY, VALERIE JOY LMFT	1/15/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	131478	N/A	N/A	N/A	N/A	N/A	23461 S. POINTE DR	SUITE 100	LAGUNA HILLS	CA	92653	1523	00	06000	33.62535142	-117.7206568	Orange County
342426	Ordering, Referring, Prescribing	N/A	1679820773	0	0	UNG, MAYTHIDIN	1/26/2022	Taxonomy not applicable	NA	n/a	000	Unknown	68707	N/A	N/A	N/A	N/A	N/A	28505 HESPERIAN BLVD	None	HAYWARD	CA	94545	5008	00	06000	37.61653109	-122.0880046	Alameda County
342587	Ordering, Referring, Prescribing	N/A	1689112229	0	0	URENA, YAJAIRA J LCSW	7/5/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	123841	N/A	N/A	N/A	N/A	N/A	470 CHADBOURNE RD	A	FAIRFIELD	CA	94534	9600	00	06000	38.23474317	-122.0838031	Solano County
342735	Ordering, Referring, Prescribing	N/A	1689443459	0	0	UTLEY, SHANTELL D NP	11/30/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028210	N/A	N/A	N/A	N/A	N/A	1133 N. CHELSEA STREET	None	RIDGECREST	CA	93555	5002	00	06000	35.64262361	-117.6671491	Kern County
342824	Ordering, Referring, Prescribing	N/A	1689862088	0	0	URIBE, ARTURO M LCSW	12/18/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	22640	N/A	N/A	N/A	N/A	N/A	4612 ROOSEVELT AVE	None	SACRAMENTO	CA	95820	4520	00	06000	38.533392	-121.452453	Sacramento County
342827	Ordering, Referring, Prescribing	N/A	1689859936	0	0	UPADHYAY, AMITA M MD	11/20/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A100368	N/A	N/A	N/A	N/A	N/A	1420 ROCKY RIDGE DR	230	ROSEVILLE	CA	95661	2835	00	06000	38.75342679	-121.246502	Placer County
343347	Ordering, Referring, Prescribing	N/A	1700137247	0	0	UMANA, ELIZABETH S LCSW	9/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	96875	N/A	N/A	N/A	N/A	N/A	20151 NORDHOFF STREET	None	CHATSWORTH	CA	91311	6215	00	06000	34.23182352	-118.572948	Los Angeles County
343873	Ordering, Referring, Prescribing	N/A	1710364674	0	0	URIBES, EUNICE R LCSW	5/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	91535	N/A	N/A	N/A	N/A	N/A	2440 TULARE STREET	None	FRESNO	CA	93721	2208	00	06000	36.73727495	-119.7852493	Fresno County
344355	Ordering, Referring, Prescribing	N/A	1720540149	0	0	URBANO, MARISSA MD MPH	3/4/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A182210	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
344669	Ordering, Referring, Prescribing	N/A	1730521220	0	0	USHIE, ADA C	5/1/2017	Taxonomy not applicable	NA	n/a	000	Unknown	23055	N/A	N/A	N/A	N/A	N/A	10300 COMPTON AVE	None	LOS ANGELES	CA	90002	3628	00	06000	33.94274917	-118.2461916	Los Angeles County
344934	Ordering, Referring, Prescribing	N/A	1740378538	0	0	UN, INA J PHARMD	3/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57562	N/A	N/A	N/A	N/A	N/A	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	0000	00	06000	33.904782	-117.469323	Riverside County
345039	Ordering, Referring, Prescribing	N/A	1740615178	0	0	UM, CHOONG H LCSW	10/27/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW85804	N/A	N/A	N/A	N/A	N/A	11080 W OLYMPIC BLVD	None	LOS ANGELES	CA	90064	1937	00	06000	34.04036814	-118.4376056	Los Angeles County
345658	Ordering, Referring, Prescribing	N/A	1760095228	0	0	URTARTE, DENISE CNP	7/15/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014886	N/A	N/A	N/A	N/A	N/A	9128 WOODMAN AVE	None	ARLETA	CA	91331	6405	00	06000	34.23612313	-118.4409578	Los Angeles County
346133	Ordering, Referring, Prescribing	N/A	1770503609	0	0	UMALI, JOEL W	10/17/2019	Taxonomy not applicable	NA	n/a	099	DENTIST	D40995	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
346181	Ordering, Referring, Prescribing	N/A	1770658932	0	0	URGILES, NOEMI J PSYD	3/22/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY21523	N/A	N/A	N/A	N/A	N/A	150 W 7TH ST	None	SAN PEDRO	CA	90731	3320	00	06000	33.73786341	-118.2810362	Los Angeles County
346243	Ordering, Referring, Prescribing	N/A	1770816373	0	0	UDENGWU, MARY E	9/22/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	19405	N/A	N/A	N/A	N/A	N/A	151 KALMUS STREET	K2	COSTA MESA	CA	92626	5988	00	06000	33.67282141	-117.8824994	Orange County
346426	Ordering, Referring, Prescribing	N/A	1780105155	0	0	URIBE, LAUREN E LMFT	8/12/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	134177	N/A	N/A	N/A	N/A	N/A	2116 ARLINGTON AVE	None	LOS ANGELES	CA	90018	1353	00	06000	34.037415	-118.3176815	Los Angeles County
346545	Ordering, Referring, Prescribing	N/A	1780368316	0	0	URIBE, CANDY R NP	3/7/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024519	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
346723	Ordering, Referring, Prescribing	N/A	1780984682	0	0	UCHIDA, CAROL PHARMD	1/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	41013	N/A	N/A	N/A	N/A	N/A	745 W NAOMI AVE	None	ARCADIA	CA	91007	7517	00	06000	34.12373262	-118.0574689	Los Angeles County
347002	Ordering, Referring, Prescribing	N/A	1790451490	0	0	UONG, SYLVIA PHARMD	3/31/2022	Taxonomy not applicable	NA	n/a	000	Unknown	84901	N/A	N/A	N/A	N/A	N/A	11000 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92843	1206	00	06000	33.772446	-117.9407475	Orange County
347185	Ordering, Referring, Prescribing	N/A	1801085824	0	0	UN, SANDRA H PHARMD	4/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60325	N/A	N/A	N/A	N/A	N/A	17284 SLOVER AVE	None	FONTANA	CA	92337	7583	00	06000	34.065396	-117.4277475	San Bernardino County
347314	Ordering, Referring, Prescribing	N/A	1801276209	0	0	UGBOH, FLORENCE N MD	7/12/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A156973	N/A	N/A	N/A	N/A	N/A	750 E MAIN ST	None	BARSTOW	CA	92311	2354	00	06000	34.8986565	-117.017658	San Bernardino County
347569	Ordering, Referring, Prescribing	N/A	1811049745	0	0	UWAECHIE, FERDINAND LMFT	9/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT103652	N/A	N/A	N/A	N/A	N/A	2335 COUNTRY HILLS DR	None	ANTIOCH	CA	94509	7319	00	06000	37.97021462	-121.7841321	Contra Costa County
347766	Ordering, Referring, Prescribing	N/A	1811417207	0	0	UNG, PETHIDIN	12/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	72668	N/A	N/A	N/A	N/A	N/A	17900 NEWHOPE ST	None	FOUNTAIN VALLEY	CA	92708	5422	00	06000	33.70347	-117.9311985	Orange County
347981	Ordering, Referring, Prescribing	N/A	1821166380	0	0	URRUTIA, MANUEL E LCSW	6/7/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW27698	N/A	N/A	N/A	N/A	N/A	1887 MONTEREY HWY	205	SAN JOSE	CA	95112	6192	00	06000	37.30869336	-121.8664126	Santa Clara County
348165	Ordering, Referring, Prescribing	N/A	1821505546	0	0	UKATTAH, MARYCOLLETTE LMFT	10/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT122798	N/A	N/A	N/A	N/A	N/A	11601 S WESTERN AVE	None	LOS ANGELES	CA	90047	5006	00	06000	33.92826552	-118.3092091	Los Angeles County
348407	Ordering, Referring, Prescribing	N/A	1831382720	0	0	URBINA COY, DIANE NP	10/10/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	5615	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
348565	Ordering, Referring, Prescribing	N/A	1831646595	0	0	UMANA, KATHERINE E LCSW	10/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	97908	N/A	N/A	N/A	N/A	N/A	1400 S GRAND AVE	600	LOS ANGELES	CA	90015	3048	00	06000	34.03692236	-118.2655238	Los Angeles County
348768	Ordering, Referring, Prescribing	N/A	1841353679	0	0	UMAR, AISHA M LMFT	7/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT50273	N/A	N/A	N/A	N/A	N/A	13585 SAN PABLO AVE	None	SAN PABLO	CA	94608	0001	00	06000	37.95651393	-122.3371491	Contra Costa County
348959	Ordering, Referring, Prescribing	N/A	1841667144	0	0	ULATE, RITA LCSW	9/27/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	104325	N/A	N/A	N/A	N/A	N/A	2934 E GARVEY AVE S	100	WEST COVINA	CA	91791	2190	00	06000	34.07157499	-117.8836824	Los Angeles County
348988	Ordering, Referring, Prescribing	N/A	1841714912	0	0	URIBE, NORMA LMFT	2/13/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124327	N/A	N/A	N/A	N/A	N/A	17800 HIGHWAY 18	None	APPLE VALLEY	CA	92307	1219	00	06000	34.54007429	-117.2744761	San Bernardino County
349218	Ordering, Referring, Prescribing	N/A	1851470892	0	0	UNDERWOOD, CRISTA S LCSW	1/12/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW26642	N/A	N/A	N/A	N/A	N/A	1701 OCEAN AVE	None	SAN FRANCISCO	CA	94112	1727	00	06000	37.72476918	-122.4604495	San Francisco County
349399	Ordering, Referring, Prescribing	N/A	1851785075	0	0	URBANO BORBON, NESTOR E LMFT	10/3/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	128467	N/A	N/A	N/A	N/A	N/A	202 N 8TH ST	None	EL CENTRO	CA	92243	2302	00	06000	32.794335	-115.5614775	Imperial County
349530	Ordering, Referring, Prescribing	N/A	1861013575	0	0	UDOR, SARAH E NP	3/2/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95013725	N/A	N/A	N/A	N/A	N/A	1443 7TH ST	None	SAN FRANCISCO	CA	94122	3702	00	06000	37.76721654	-122.3958318	San Francisco County
349677	Ordering, Referring, Prescribing	N/A	1861652935	0	0	UDALL, BROOK M	5/26/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D43873	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
349882	Ordering, Referring, Prescribing	N/A	1861989766	0	0	UNG, NOLAN R MD	5/2/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A163403	N/A	N/A	N/A	N/A	N/A	101 THE CITY DRIVE SOUTH	BUILDING 3	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
350113	Ordering, Referring, Prescribing	N/A	1871668152	0	0	UMANZOR, MANUEL E	3/12/2018	Taxonomy not applicable	NA	n/a	000	Unknown	13435	N/A	N/A	N/A	N/A	N/A	7444 LANKERSHIM BLVD	None	N HOLLYWOOD	CA	91605	2801	00	06000	34.205967	-118.3877615	Los Angeles County
350150	Ordering, Referring, Prescribing	N/A	1871755215	0	0	UGLESIC, LORA L LMFT	11/24/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48954	N/A	N/A	N/A	N/A	N/A	2121 W TEMPLE ST	None	LOS ANGELES	CA	90026	4915	00	06000	34.07053729	-118.268744	Los Angeles County
350203	Ordering, Referring, Prescribing	N/A	1871845982	0	0	UMANA, MARIA E LMFT	12/7/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	111374	N/A	N/A	N/A	N/A	N/A	349A E AVENUE K6	None	LANCASTER	CA	93535	4548	00	06000	34.6695243	-118.1242084	Los Angeles County
350239	Ordering, Referring, Prescribing	N/A	1871896639	0	0	UENO, MARI PHARMD	3/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	62717	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
350350	Ordering, Referring, Prescribing	N/A	1881056992	0	0	USTAREZ, ANDREA T	4/22/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	101788	N/A	N/A	N/A	N/A	N/A	3945 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2440	00	06000	34.02394552	-118.187748	Los Angeles County
350484	Ordering, Referring, Prescribing	N/A	1881267623	0	0	UM, KATHRYN N LMFT	8/25/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	141132	N/A	N/A	N/A	N/A	N/A	2400 MOORPARK AVENUE	SUITE 300	SAN JOSE	CA	95128	2680	00	06000	37.3160785	-121.937121	Santa Clara County
350819	Ordering, Referring, Prescribing	N/A	1891177952	0	0	UNG, JUSTINE	11/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH65624	N/A	N/A	N/A	N/A	N/A	207 S SANTA ANITA ST	G10	SAN GABRIEL	CA	91776	1146	00	06000	34.10072807	-118.1066296	Los Angeles County
350977	Ordering, Referring, Prescribing	N/A	1891767240	0	0	UEBELACKER, CAROL J MD	1/23/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G139742	N/A	N/A	N/A	N/A	N/A	1 HOPE DR	None	TUSTIN	CA	92782	0221	00	06000	33.71470753	-117.8323965	Orange County
351102	Ordering, Referring, Prescribing	N/A	1902059512	0	0	UNGER, SANDRA LMFT	6/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	52015	N/A	N/A	N/A	N/A	N/A	6736 LAUREL CANYON BLVD	STE 200	NORTH HOLLYWOOD	CA	91606	1576	00	06000	34.193493	-118.3964925	Los Angeles County
351189	Ordering, Referring, Prescribing	N/A	1902195142	0	0	URBINA, MARIE LPCC	5/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	9708	N/A	N/A	N/A	N/A	N/A	8755 AERO DR	STE 320	SAN DIEGO	CA	92123	1776	00	06000	32.80965252	-117.139383	San Diego County
351672	Ordering, Referring, Prescribing	N/A	1912391632	0	0	URREGO-VALLOWE, VICTOR LCSW	1/9/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	87398	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
352431	Ordering, Referring, Prescribing	N/A	1932583895	0	0	UHLRICH, ELIZABETH LCSW	6/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	86926	N/A	N/A	N/A	N/A	N/A	485 N. 1ST ST.	None	SAN JOSE	CA	95112	4041	00	06000	37.34444033	-121.8968517	Santa Clara County
352534	Ordering, Referring, Prescribing	N/A	1932749363	0	0	ULLOA, GENEVIE LCSW	6/18/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW102047	N/A	N/A	N/A	N/A	N/A	7211 WHITTIER AVE.	None	WHITTIER	CA	90602	1123	00	06000	33.97689082	-118.0432591	Los Angeles County
352689	Ordering, Referring, Prescribing	N/A	1942456108	0	0	UDDHANDI, NAGARAJ MD	7/5/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C145952	N/A	N/A	N/A	N/A	N/A	440 N 1ST ST	STE 110	SAN JOSE	CA	95112	0000	00	06000	37.34335553	-121.8958076	Santa Clara County
352761	Ordering, Referring, Prescribing	N/A	1942602446	0	0	URIZAR, AIDA LCSW	8/6/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW96020	N/A	N/A	N/A	N/A	N/A	160 E. VIRGINIA ST.	280	SAN JOSE	CA	95112	5865	00	06000	37.32582868	-121.8777868	Santa Clara County
354101	Ordering, Referring, Prescribing	N/A	1972942068	0	0	UBOM, ERIKA N NP	8/13/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015158	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
354163	Ordering, Referring, Prescribing	N/A	1982014981	0	0	UCHE, AN MD	1/20/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A141841	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
354282	Ordering, Referring, Prescribing	N/A	1982216347	0	0	URIBE, ELIZABETH OD	8/11/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	OPT34623	N/A	N/A	N/A	N/A	N/A	1209 WHITLEY AVE	None	CORCORAN	CA	93212	2327	00	06000	36.09801547	-119.5628355	Kings County
354388	Ordering, Referring, Prescribing	N/A	1982730271	0	0	URHAUSEN, MADOKA	12/18/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT39346	N/A	N/A	N/A	N/A	N/A	3450 E. SPRING ST.	STE. 113	LONG BEACH	CA	90806	2440	00	06000	33.81039852	-118.1527065	Los Angeles County
354678	Ordering, Referring, Prescribing	N/A	1992234165	0	0	UMANZOR, JEANNIE CNP	3/6/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007178	N/A	N/A	N/A	N/A	N/A	6551 VAN NUYS BLVD	201	VAN NUYS	CA	91401	1566	00	06000	34.189902	-118.448758	Los Angeles County
354697	Ordering, Referring, Prescribing	N/A	1992280119	0	0	UTZ, ALESSANDRA C LMFT	9/12/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT126435	N/A	N/A	N/A	N/A	N/A	8530 LA MESA BLVD	306	LA MESA	CA	91942	0966	00	06000	32.76873337	-117.0134248	San Diego County
354923	Ordering, Referring, Prescribing	N/A	1992990543	0	0	URREA, CHRISTINA N PSYD	12/18/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY25327	N/A	N/A	N/A	N/A	N/A	2101 COURAGE DR	None	FAIRFIELD	CA	94533	6717	00	06000	38.23737478	-122.0676832	Solano County